4A (Expenses $ 1117496650 including grants of $ 300238) (Revenue $ 1209510512)
SEE SCHEDULE OEACH ORGANIZATION INCLUDED IN THIS GROUP RETURN OPERATES AS PART OF THE NONPROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM KNOWN AS MEMORIALCARE HEALTH SYSTEM (MEMORIALCARE). THE LARGEST PROGRAM SERVICES OF THE THREE ORGANIZATIONS ARE INPATIENT AND OUTPATIENT HOSPITAL SERVICES, AND THE LARGEST PROGRAM SERVICES OF THE FOURTH ORGANIZATION ARE OUTPATIENT SERVICES; ALL AS DESCRIBED IN THE RESPONSE FOR LINES 4A THROUGH 4D, RESPECTIVELY.LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC) IS A NONPROFIT CORPORATION, WHICH PROVIDES INPATIENT AND OUTPATIENT HOSPITAL CARE TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AT TWO LICENSED HOSPITAL FACILITIES: MEMORIALCARE LONG BEACH MEDICAL CENTER (LBM) AND MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH (MILLER). LBMMC'S HOSPITALS ARE COMMITTED TO MEETING THE HEALTH CARE NEEDS OF PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED, AND PROVIDING MEDICALLY NECESSARY SERVICES, WITHOUT COST OR AT A REDUCED COST, TO PATIENTS WHO QUALIFY UNDER THE APPLICABLE FINANCIAL ASSISTANCE POLICY IN COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R). IN THE YEAR ENDING JUNE 30, 2022, LBMMC RECORDED 158,696 PATIENT DAYS, DISCHARGED 29,425 PATIENTS, PROVIDED 14,284 SURGICAL PROCEDURES, DELIVERED 5,795 BABIES, AND HAD 97,155 EMERGENCY DEPARTMENT VISITS.LBM IS A 453-BED ADULT COMMUNITY HOSPITAL THAT IS HOME TO SPECIALIZED SERVICES INCLUDING THE TODD CANCER INSTITUTE, THE MEMORIALCARE HEART & VASCULAR INSTITUTE, REHABILITATION & PHYSICAL THERAPY AND A 24-HOUR EMERGENCY DEPARTMENT AND TRAUMA CENTER. LBM HAS BEEN A TEACHING HOSPITAL FOR MORE THAN 50 YEARS, AND TRAINS RESIDENTS AND FELLOWS IN GRADUATE MEDICAL EDUCATION THROUGH AFFILIATIONS WITH CALIFORNIA MEDICAL SCHOOLS AND ACADEMIC MEDICAL CENTERS. IN THE YEAR ENDING JUNE 30, 2022, LBM RECORDED 97,539 PATIENT DAYS, DISCHARGED 16,560 PATIENTS, PROVIDED 10,375 SURGICAL PROCEDURES, AND HAD 97,155 EMERGENCY DEPARTMENT VISITS. MEDICARE ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 46% OF DISCHARGES AND MEDI-CAL ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 29% OF ACUTE CARE DISCHARGES.MILLER IS A 357-BED PEDIATRIC TEACHING HOSPITAL, WHICH FEATURES EIGHT CENTERS OF EXCELLENCE, INCLUDING SEVEN MAJOR INPATIENT CARE CENTERS WITHIN THE HOSPITAL AND COMPREHENSIVE OUTPATIENT SPECIALTY CENTERS THAT FEATURE MORE THAN 30 SUB-SPECIALTIES. MILLER OFFERS 20 CALIFORNIA CHILDREN'S SERVICES APPROVED SPECIAL CARE CENTERS WHICH PROVIDE SPECIALIZED CARE FOR CHILDREN WITH CONDITIONS SUCH AS PULMONARY, GASTROENTEROLOGY, ORTHOPEDICS, CARDIOLOGY, REHABILITATION, DIABETES, ASTHMA, AUTISM, AND CANCER. IN THE YEAR ENDING JUNE 30, 2022, MILLER PROVIDED INPATIENT CARE TO 9,616 CHILDREN, DELIVERED 5,795 BABIES AND CARED FOR 958 OF THEM IN ITS NEONATAL INTENSIVE CARE UNIT (NICU). MEDI-CAL ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 65% OF ACUTE CARE DISCHARGES. MILLER IS ONE OF 22 HOSPITALS IN CALIFORNIA TO FEATURE A REGIONAL LEVEL III NICU AND IS THE LARGEST LEVEL III NICU IN LOS ANGELES, ORANGE AND SAN DIEGO COUNTIES TREATING MORE THAN 900 CRITICALLY ILL AND PREMATURE BABIES EACH YEAR. MILLER IS A CALIFORNIA CHILDREN'S SERVICES (CCS) APPROVED PROVIDER.

4B (Expenses $ 594957119 including grants of $ 27500) (Revenue $ 632182858)
SEE SCHEDULE OMEMORIALCARE MEDICAL FOUNDATION (MCMF) IS A NONPROFIT MEDICAL PRACTICE FOUNDATION DESCRIBED IN SECTION 1206(L) OF THE CALIFORNIA HEALTH & SAFETY CODE, WHICH PROVIDES COMPREHENSIVE OUTPATIENT CLINICAL SERVICES AT APPROXIMATELY 40 SITES THROUGHOUT ORANGE AND LOS ANGELES COUNTIES IN THE AREAS OF INTERNAL MEDICINE, FAMILY MEDICINE, AND MULTIPLE OTHER SPECIALTIES. ALSO, MCMF PROVIDES ADMINISTRATION, MANAGEMENT AND CONTRACTING SERVICES FOR EXCLUSIVE PRIMARY CARE PROVIDERS AND A SPECIALTY NETWORK OF AFFILIATED INDIVIDUAL AND PHYSICIAN GROUPS. MCMF ALSO OPERATES SEVERAL AMBULATORY SURGERY CENTERS THROUGHOUT ORANGE AND LOS ANGELES COUNTIES. ADDITIONALLY, MCMF IS PART OF SEVERAL JOINT VENTURE PARTNERSHIPS FOR DIALYSIS CLINICS, IMAGING CENTERS, AND PHYSICAL THERAPY CENTERS THROUGHOUT ORANGE AND LOS ANGELES COUNTIES. FOR THE YEAR ENDING JUNE 30, 2022, MCMF PROVIDED 793,866 CLINIC VISITS AND PERFORMED 45,410 AMBULATORY SURGERIES.

4C (Expenses $ 388586304 including grants of $ 219982) (Revenue $ 443260560)
SEE SCHEDULE OSADDLEBACK MEMORIAL MEDICAL CENTER (SMMC) IS A NONPROFIT CORPORATION, WHICH PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO THE COMMUNITY THROUGH ITS 248-BED ACUTE CARE HOSPITAL IN LAGUNA HILLS AND SEVERAL OUTPATIENT LOCATIONS IN ORANGE COUNTY, CALIFORNIA. THROUGH CENTERS OF EXCELLENCE IN CANCER, HEART DISEASE, STROKE, PULMONARY DISEASE, ORTHOPEDICS AND DISABILITIES, AND ITS HIGHLY-REGARDED WOMEN'S SERVICES, SMMC CARES FOR A WIDE RANGE OF COMMUNITY HEALTH NEEDS IN ORANGE COUNTY, SERVES PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED, AND PROVIDES MEDICALLY NECESSARY SERVICES, WITHOUT COST OR AT A REDUCED COST, TO PATIENTS WHO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY IN COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R). IN THE YEAR ENDING JUNE 30, 2022, SMMC RECORDED 44,489 PATIENT DAYS, DISCHARGED 10,907 PATIENTS, PROVIDED 4,258 SURGICAL PROCEDURES, DELIVERED 2,045 BABIES, AND HAD 36,625 EMERGENCY DEPARTMENT VISITS. MEDICARE ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 46% OF DISCHARGES AND MEDI-CAL ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 7% OF ACUTE CARE DISCHARGES.

4D (Expenses $ 366285456 including grants of $ 203494) (Revenue $ 395400240)
ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC) IS A NONPROFIT CORPORATION, WHICH PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO THE COMMUNITY THROUGH ITS 222-BED ACUTE CARE HOSPITAL IN FOUNTAIN VALLEY AND SEVERAL OUTPATIENT LOCATIONS IN ORANGE COUNTY, CALIFORNIA. OCMMC OFFERS A 24-HOUR EMERGENCY SERVICE, A DIGESTIVE DISEASE CENTER, A CHILDBIRTH CENTER, A CANCER INSTITUTE, A HEART AND VASCULAR CENTER, A JOINT REPLACEMENT CENTER, A SPINE HEALTH CENTER, AND A SURGICAL WEIGHT LOSS CENTER, AND OFFERS PROGRAMS AND RESOURCES TO SERVE ITS CULTURALLY AND ETHNICALLY DIVERSE COMMUNITY. OCMMC SERVES PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED, AND PROVIDES MEDICALLY NECESSARY SERVICES, WITHOUT COST OR AT A REDUCED COST, TO PATIENTS WHO QUALIFY UNDER ITS FINANCIAL ASSISTANCE POLICY, WHICH COMPLIES WITH INTERNAL REVENUE CODE SECTION 501(R). IN THE YEAR ENDING JUNE 30, 2022, OCMMC RECORDED 50,757 PATIENT DAYS, DISCHARGED 11,615 PATIENTS, PROVIDED 6,529 SURGICAL PROCEDURES, DELIVERED 1,750 BABIES, AND HAD 39,612 EMERGENCY DEPARTMENT VISITS. MEDICARE ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 39% OF DISCHARGES AND MEDI-CAL ELIGIBLE ACUTE CARE PATIENTS ACCOUNTED FOR 14% OF ACUTE CARE DISCHARGES.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: LONG BEACH MEMORIAL MEDICAL CENTER, - FACILITY 2: MILLER CHILDRENS & WOMENS HOSPITAL LONG BEACH

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 5:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A (MEMORIALCARE LONG BEACH MEDICAL CENTER AND MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH): FOR THE FISCAL YEAR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. KEY INFORMANTS INCLUDED PUBLIC HEALTH EXPERTS, REPRESENTATIVES FROM GOVERNMENTAL PUBLIC HEALTH AGENCIES, AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. INTERVIEWS WITH 27 KEY INFORMANTS WERE CONDUCTED FROM SEPTEMBER 2021 TO JANUARY 2022 FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE ORGANIZATIONS THAT PROVIDED INPUT THROUGH KEY INFORMANT INTERVIEWS INCLUDED: THE BLACK HEALTH EQUITY COLLABORATIVE, THE CITY OF LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, MEALS ON WHEELS, MENTAL HEALTH AMERICA LOS ANGELES, THE CHILDREN'S CLINIC (TCC) FAMILY HEALTH, MEMORIALCARE FAMILY MEDICINE RESIDENCY PROGRAM, LONG BEACH IMMIGRANT RIGHTS COALITION, HEART OF IDA, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) LONG BEACH, LONG BEACH GRAY PANTHERS, TICHENOR ORTHOPEDIC CLINIC OF CHILDREN, YMCA OF GREATER LONG BEACH, KHMER GIRLS IN ACTION, FAMILIES IN GOOD HEALTH, PACIFIC ASIAN COUNSELING SERVICES, THE GUIDANCE CENTER, CITY OF LONG BEACH HOMELESS SERVICES BUREAU, CARE PROGRAM, FILIPINO MIGRANT CENTER, MEMORIALCARE TODD CANCER INSTITUTE, CENTURY VILLAGES AT CABRILLO, UNITED CAMBODIAN COMMUNITY OF LONG BEACH, LONG BEACH UNIFIED SCHOOL DISTRICT, AND THE LOCAL INITIATIVE SUPPORT CORPORATION. A TOTAL OF 90 PARTICIPANTS PARTICIPATED IN 6 VIRTUAL FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED BY LONG BEACH FORWARD FROM NOVEMBER 2021 TO FEBRUARY 2022. THE FOLLOWING POPULATION GROUPS PARTICIPATED IN THE FOCUS GROUPS: LATINX, BLACK/AFRICAN AMERICAN, CAMBODIAN/PACIFIC ISLANDER, LGBTQIA+, DISABLED PERSONS/VETERANS, AND OLDER ADULTS. LONG BEACH FORWARD PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO ASSIST WITH OUTREACH AND RECRUITMENT OF PARTICIPANTS, INCLUDING THE LGBTQ CENTER OF LONG BEACH, U.S. VETS, THE YMCA OF GREATER LONG BEACH, BEST START CENTRAL LONG BEACH, THE LONG BEACH GRAY PANTHERS, ELITE SKILLS DEVELOPMENT, BLACK LIVES MATTER LONG BEACH, THE GREATER LONG BEACH MUTUAL AID NETWORK, THE BLACK HEALTHY EQUITY COLLABORATIVE, AND UNITED CAMBODIAN COMMUNITY. LONG BEACH FORWARD SELECTED ORGANIZATIONAL/PROGRAM PARTNERS THAT WOULD BE ABLE TO REACH COMMUNITY MEMBERS AS IDENTIFIED AS VULNERABLE POPULATIONS BY THE LONG BEACH CHNA COLLABORATIVE AND THAT WAS AS REPRESENTATIVE OF THE VULNERABLE POPULATIONS AS POSSIBLE WITHIN THE SCOPE OF THE PROJECT. EACH ORGANIZATION WAS PROVIDED WITH $1,500 TO COMPENSATE FOR THEIR TIME IN CONDUCTING OUTREACH AND RECRUITING THE FOCUS GROUP PARTICIPANTS. THE ORGANIZATIONS ENGAGED RESIDENTS TO PARTICIPATE IN THE FOCUS GROUPS BY USING THE METHOD THEY KNEW TO BE MOST EFFECTIVE, INCLUDING THE DISTRIBUTION OF A FLYER (TEMPLATE PROVIDED BY LONG BEACH FORWARD), WORD OF MOUTH, TARGETED OUTREACH, AND EMAIL INVITATIONS. THE VIRTUAL FOCUS GROUPS LASTED NINETY MINUTES AND UTILIZED SIMULTANEOUS INTERPRETATION AND LIVE CAPTIONING TO ENSURE MAXIMUM PARTICIPATION. A $25 GIFT CARD INCENTIVE WAS GIVEN TO THE PARTICIPANTS. FOCUS GROUP PARTICIPANTS INCLUDED PERSONS WHO SELF-IDENTIFIED AS WHITE, HISPANIC, BLACK, CAMBODIAN, ASIAN, AND MULTI-RACIAL; 25.5% LACKED A HIGH SCHOOL DIPLOMA; 22% IDENTIFIED AS GAY, LESBIAN, QUEER, OR BISEXUAL; 60% WERE RENTERS AND 12.2% WERE EXPERIENCING HOMELESSNESS.

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 6A:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:MEMORIALCARE LONG BEACH MEDICAL CENTER, MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH, AND COMMONSPIRIT ST. MARY MEDICAL CENTER LONG BEACH.

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 6B:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP:TCC FAMILY HEALTH AND THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES.

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 11:
MEMORIALCARE LONG BEACH MEDICAL CENTER: TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT FISCAL YEAR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MEMORIAL CARE LONG BEACH MEDICAL CENTER (LBM) HAS ADOPTED AN IMPLEMENTATION STRATEGY. PURSUANT TO THE IMPLEMENTATION STRATEGY, LBM IS ADDRESSING THE FOLLOWING HEALTH NEEDS WITH A FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY:1. ACCESS TO CARE2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)3. CHRONIC DISEASES4. PREVENTIVE PRACTICES USING THE LENS OF THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, LBMC WILL FOCUS ATTENTION ON FOOD INSECURITY, ENVIRONMENTAL POLLUTION, HOUSING AND HOMELESSNESS, AND RACISM AND DISCRIMINATION AS APPLIED TO THESE PRIORITY HEALTH NEEDS.(1) ADDRESSING ACCESS TO CARE BY PROVIDING FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FOR PERSONS WHO ARE UNINSURED OR UNDERINSURED; PROVIDING TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE ACCESS TO HEALTH CARE; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON HEALTH CARE ACCESS.(2) ADDRESSING BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) BY INCREASING COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE AND MISUSE CONCERNS; OFFERING COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS, AND WORKSHOPS FOCUSED ON MENTAL HEALTH AND SUBSTANCE USE TOPICS; SUPPORTING MULTISECTOR COLLABORATIVE EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES; PROVIDING FUNDING AND IN-KIND SUPPORT TO INCREASE BEHAVIORAL HEALTH AWARENESS AND ACCESS TO BEHAVIORAL HEALTH SERVICES; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESSING BEHAVIORAL HEALTH SERVICES.(3) ADDRESSING CHRONIC DISEASE BY OFFERING HEALTH EDUCATION WORKSHOPS AND PRESENTATIONS ON CHRONIC DISEASE PREVENTION, TREATMENT, AND MANAGEMENT, INCLUDING PHYSICAL ACTIVITY, EXERCISE, AND NUTRITION; PARTICIPATING IN HEALTH AND WELLNESS FAIRS AND OFFERING PREVENTIVE SCREENINGS; PROVIDING SUPPORT FOR PERSONS WITH CANCER AND CAREGIVERS WITH EXERCISE PROGRAMS, EDUCATION, COUNSELING, PEER MENTORING, SUPPORT GROUPS AND LIFE COACHES; PROVIDING SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES AND THEIR FAMILIES; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PREVENT CHRONIC DISEASES; PROVIDING FUNDING AND IN-KIND SUPPORT FOR CHRONIC DISEASE PREVENTION AND TREATMENT, AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON CHRONIC DISEASES.(4) ADDRESSING PREVENTIVE PRACTICES BY PROVIDING FREE HEALTH SCREENINGS; PROVIDING VACCINES IN THE COMMUNITY (COVID-19 AND FLU); PROVIDING EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION; REDUCING INJURIES AND FALLS AMONG SENIORS THROUGH BALANCE IMPROVEMENT AND FALL PREVENTION CLASSES; OFFERING SPORTS PHYSICAL CLINICS FOR HIGH SCHOOL STUDENTS; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PROMOTE PREVENTIVE HEALTH CARE; PROVIDING FUNDING AND IN-KIND SUPPORT TO INCREASE/EXPAND PREVENTIVE HEALTH SERVICES, AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESS TO PREVENTIVE PRACTICES.NEEDS IDENTIFIED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED ARE: ECONOMIC INSECURITY, OVERWEIGHT AND OBESITY, PREGNANCY AND BIRTH OUTCOMES, AND VIOLENCE AND INJURY. LBM HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. ADDITIONALLY, THERE ARE OTHER ORGANIZATIONS AND AGENCIES THAT ARE ADDRESSING (AND ARE BETTER QUALIFIED TO ADDRESS) THESE NEEDS.

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 13H:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:PATIENTS WHO ARE HOMELESS, HAVE RECENTLY BEEN DECLARED BANKRUPT, OR QUALIFY FOR A GOVERNMENT-SPONSORED LOW-INCOME ASSISTANCE PROGRAM, ARE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 15E:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PATIENTS ARE ENCOURAGED TO SUBMIT THEIR COMPLETED APPLICATION WITH REQUIRED DOCUMENTS VIA UNITED STATES MAIL.

GROUP A-FACILITY 1 -- MEMORIALCARE LONG BEACH MEDICAL CENTER PART V, SECTION B, LINE 16J:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:A PLAIN LANGUAGE SUMMARY OF THE FAP WAS TRANSLATED IN TO THE FOLLOWING LANGUAGES: ENGLISH, SPANISH, VIETNAMESE, FARSI, TAGALOG, CHINESE, KOREAN AND KHMER.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 5:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A (MEMORIALCARE LONG BEACH MEDICAL CENTER AND MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH): FOR THE FISCAL YEAR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. KEY INFORMANTS INCLUDED PUBLIC HEALTH EXPERTS, REPRESENTATIVES FROM GOVERNMENTAL PUBLIC HEALTH AGENCIES, AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. INTERVIEWS WITH 27 KEY INFORMANTS WERE CONDUCTED FROM SEPTEMBER 2021 TO JANUARY 2022 FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE ORGANIZATIONS THAT PROVIDED INPUT THROUGH KEY INFORMANT INTERVIEWS INCLUDED: THE BLACK HEALTH EQUITY COLLABORATIVE, THE CITY OF LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, MEALS ON WHEELS, MENTAL HEALTH AMERICA LOS ANGELES, THE CHILDREN'S CLINIC (TCC) FAMILY HEALTH, MEMORIALCARE FAMILY MEDICINE RESIDENCY PROGRAM, LONG BEACH IMMIGRANT RIGHTS COALITION, HEART OF IDA, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) LONG BEACH, LONG BEACH GRAY PANTHERS, TICHENOR ORTHOPEDIC CLINIC OF CHILDREN, YMCA OF GREATER LONG BEACH, KHMER GIRLS IN ACTION, FAMILIES IN GOOD HEALTH, PACIFIC ASIAN COUNSELING SERVICES, THE GUIDANCE CENTER, CITY OF LONG BEACH HOMELESS SERVICES BUREAU, CARE PROGRAM, FILIPINO MIGRANT CENTER, MEMORIALCARE TODD CANCER INSTITUTE, CENTURY VILLAGES AT CABRILLO, UNITED CAMBODIAN COMMUNITY OF LONG BEACH, LONG BEACH UNIFIED SCHOOL DISTRICT, AND THE LOCAL INITIATIVE SUPPORT CORPORATION. A TOTAL OF 90 PARTICIPANTS PARTICIPATED IN 6 VIRTUAL FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED BY LONG BEACH FORWARD FROM NOVEMBER 2021 TO FEBRUARY 2022. THE FOLLOWING POPULATION GROUPS PARTICIPATED IN THE FOCUS GROUPS: LATINX, BLACK/AFRICAN AMERICAN, CAMBODIAN/PACIFIC ISLANDER, LGBTQIA+, DISABLED PERSONS/VETERANS, AND OLDER ADULTS. LONG BEACH FORWARD PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO ASSIST WITH OUTREACH AND RECRUITMENT OF PARTICIPANTS, INCLUDING THE LGBTQ CENTER OF LONG BEACH, U.S. VETS, THE YMCA OF GREATER LONG BEACH, BEST START CENTRAL LONG BEACH, THE LONG BEACH GRAY PANTHERS, ELITE SKILLS DEVELOPMENT, BLACK LIVES MATTER LONG BEACH, THE GREATER LONG BEACH MUTUAL AID NETWORK, THE BLACK HEALTHY EQUITY COLLABORATIVE, AND UNITED CAMBODIAN COMMUNITY. LONG BEACH FORWARD SELECTED ORGANIZATIONAL/PROGRAM PARTNERS THAT WOULD BE ABLE TO REACH COMMUNITY MEMBERS AS IDENTIFIED AS VULNERABLE POPULATIONS BY THE LONG BEACH CHNA COLLABORATIVE AND THAT WAS AS REPRESENTATIVE OF THE VULNERABLE POPULATIONS AS POSSIBLE WITHIN THE SCOPE OF THE PROJECT. EACH ORGANIZATION WAS PROVIDED WITH $1,500 TO COMPENSATE FOR THEIR TIME IN CONDUCTING OUTREACH AND RECRUITING THE FOCUS GROUP PARTICIPANTS. THE ORGANIZATIONS ENGAGED RESIDENTS TO PARTICIPATE IN THE FOCUS GROUPS BY USING THE METHOD THEY KNEW TO BE MOST EFFECTIVE, INCLUDING THE DISTRIBUTION OF A FLYER (TEMPLATE PROVIDED BY LONG BEACH FORWARD), WORD OF MOUTH, TARGETED OUTREACH, AND EMAIL INVITATIONS. THE VIRTUAL FOCUS GROUPS LASTED NINETY MINUTES AND UTILIZED SIMULTANEOUS INTERPRETATION AND LIVE CAPTIONING TO ENSURE MAXIMUM PARTICIPATION. A $25 GIFT CARD INCENTIVE WAS GIVEN TO THE PARTICIPANTS. FOCUS GROUP PARTICIPANTS INCLUDED PERSONS WHO SELF-IDENTIFIED AS WHITE, HISPANIC, BLACK, CAMBODIAN, ASIAN, AND MULTI-RACIAL; 25.5% LACKED A HIGH SCHOOL DIPLOMA; 22% IDENTIFIED AS GAY, LESBIAN, QUEER, OR BISEXUAL; 60% WERE RENTERS AND 12.2% WERE EXPERIENCING HOMELESSNESS.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 6A:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:MEMORIALCARE LONG BEACH MEDICAL CENTER, MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH, AND COMMONSPIRIT ST. MARY MEDICAL CENTER LONG BEACH.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 6B:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP:TCC FAMILY HEALTH AND THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 11:
MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH: TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT FISCAL YEAR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH (MILLER) HAS ADOPTED AN IMPLEMENTATION STRATEGY. PURSUANT TO THE IMPLEMENTATION STRATEGY, MILLER IS ADDRESSING THE FOLLOWING HEALTH NEEDS WITH A FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY:1. ACCESS TO CARE2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)3. CHRONIC DISEASES4. PREGNANCY AND BIRTH OUTCOMES5. PREVENTIVE PRACTICES USING THE LENS OF THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, MILLER WILL CALL ATTENTION TO FOOD INSECURITY, ENVIRONMENTAL POLLUTION, HOUSING AND HOMELESSNESS, AND RACISM AND DISCRIMINATION AS APPLIED TO THESE PRIORITY HEALTH NEEDS.(1) ADDRESSING ACCESS TO CARE BY PROVIDING FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FOR PERSONS WHO ARE UNINSURED OR UNDERINSURED; PROVIDING TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES; TRAINING RESIDENTS AND FELLOWS IN PEDIATRIC SPECIALTIES; SUPPORTING PEDIATRIC SPECIALTY CARE CLINICS; PROVIDING SPECIALTY CARE FOR CHILDREN THROUGH THE OUTPATIENT SPECIALTY CENTER AT MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH - A CALIFORNIA CHILDREN'S SERVICES (CCS) APPROVED SPECIAL CARE CENTER; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE ACCESS TO HEALTH CARE, AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON HEALTH CARE ACCESS.(2) ADDRESSING BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE) USE BY INCREASING COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE AND MISUSE CONCERNS; OFFERING COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS FOCUSED ON MENTAL HEALTH AND SUBSTANCE USE TOPICS; PROVIDING SUPPORT GROUPS FOR PARENTS AND CHILDREN TO ADDRESS UNIQUE HEALTH NEEDS; PROMOTING THE SCHOOL REINTEGRATION PROGRAM FOR CHILDREN WITH LONG-TERM MENTAL ILLNESS IN ORDER TO PREVENT SCHOOL ABSENTEEISM; SUPPORTING MULTISECTOR COLLABORATIVE EFFORTS THAT INCREASE BEHAVIORAL HEALTH ACCESS; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE AWARENESS AND ACCESS TO SERVICES; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESSING BEHAVIORAL HEALTH SERVICES.(3) ADDRESSING CHRONIC DISEASE BY OFFERING HEALTH EDUCATION WORKSHOPS AND PRESENTATIONS ON CHRONIC DISEASE PREVENTION, TREATMENT, AND MANAGEMENT, INCLUDING PHYSICAL ACTIVITY, EXERCISE, AND NUTRITION; PARTICIPATING IN HEALTH AND WELLNESS FAIRS AND OFFER PREVENTIVE SCREENINGS; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PREVENT CHRONIC DISEASES; PROVIDING SUPPORT GROUPS TO ASSIST CHILDREN AND THEIR FAMILIES WITH CHRONIC DISEASES; CONTINUING WORK THROUGH THE LONG BEACH ALLIANCE FOR CHILDREN WITH ASTHMA, WHICH PROVIDES EDUCATION, CLINICIAN TRAINING, COMMUNITY HEALTH WORKERS, AND ADVOCACY RELATED TO ASTHMA IN THE GREATER LONG BEACH COMMUNITY; PROVIDING CARE FOR CHILDREN WITH CHRONIC DISEASES AND DISABILITIES THROUGH THE OUTPATIENT SPECIALTY CENTER AT MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH - A CALIFORNIA CHILDREN'S SERVICES (CCS) APPROVED SPECIAL CARE CENTER; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT FOR CHRONIC DISEASE PREVENTION AND TREATMENT; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON CHILDREN WITH CHRONIC DISEASES.(4) ADDRESSING PREGNANCY AND BIRTH OUTCOMES BY PROVIDING HEALTH EDUCATION AND SUPPORT GROUP SERVICES FOR NEW AND EXPECTING MOTHERS; SUPPORTING BREASTFEEDING INITIATIVES FOR NEW AND EXPECTING MOTHERS; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS IN PREGNANCY AND IN THE POST-PARTUM PERIOD; TRACKING BIRTH OUTCOMES IN PARTNERSHIP WITH INFANT HEALTH PROGRAMS; PROVIDING EDUCATION AND OTHER SERVICES TO MOTHERS AND BABIES AS PART OF THE WELCOME BABY PROGRAM; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO IMPROVE BIRTH OUTCOMES; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON PREGNANCY AND BIRTH OUTCOMES. (5) ADDRESSING PREVENTIVE CARE BY PROVIDING FREE HEALTH SCREENINGS; PROVIDING VACCINES IN THE COMMUNITY (COVID-19 AND FLU); PROVIDING EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PROMOTE PREVENTIVE HEALTH CARE; REDUCING INJURIES AND ACCIDENTS AMONG CHILDREN BY PROVIDING SAFETY PROGRAMS, BICYCLE HELMETS AND CAR SEATS; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE/EXPAND PREVENTIVE HEALTH SERVICES; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON CHILDREN'S ACCESS TO PREVENTIVE PRACTICES.NEEDS IDENTIFIED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED ARE: ECONOMIC INSECURITY, OVERWEIGHT AND OBESITY, AND VIOLENCE PREVENTION. MILLER HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. ADDITIONALLY, THERE ARE OTHER ORGANIZATIONS AND AGENCIES THAT ARE ADDRESSING (AND BETTER QUALIFIED TO ADDRESS) THESE NEEDS.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 13H:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:PATIENTS WHO ARE HOMELESS, HAVE RECENTLY BEEN DECLARED BANKRUPT, OR QUALIFY FOR A GOVERNMENT-SPONSORED LOW-INCOME ASSISTANCE PROGRAM, ARE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 15E:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PATIENTS ARE ENCOURAGED TO SUBMIT THEIR COMPLETED APPLICATION WITH REQUIRED DOCUMENTS VIA UNITED STATES MAIL.

GROUP A-FACILITY 2 -- MILLER CHILDREN'S & WOMEN'S HOSPITAL LON PART V, SECTION B, LINE 16J:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:A PLAIN LANGUAGE SUMMARY OF THE FAP WAS TRANSLATED IN TO THE FOLLOWING LANGUAGES: ENGLISH, SPANISH, VIETNAMESE, FARSI, TAGALOG, CHINESE, KOREAN AND KHMER.

PART V, SECTION B
FACILITY REPORTING GROUP B

FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 3: ORANGE COAST MEMORIAL MEDICAL CENTER, - FACILITY 4: SADDLEBACK MEMORIAL MEDICAL CENTER

GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5:
THE FOLLOWING APPLIES TO ORANGE COAST MEMORIAL MEDICAL CENTER:TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED BY THE FACILITY. EIGHTEEN (18) INTERVIEWS WERE COMPLETED FROM NOVEMBER 2021 TO JANUARY 2022. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE ORANGE COUNTY HEALTH CARE AGENCY, BOYS & GIRLS CLUB OF HUNTINGTON VALLEY, MERCY HOUSE, CITY OF FOUNTAIN VALLEY, FOUNTAIN VALLEY SCHOOL DISTRICT, MEMORIALCARE MEDICAL GROUP, VIETNAMESE AMERICAN CANCER FOUNDATION, MEALS ON WHEELS ORANGE COUNTY, MEMORIALCARE ORANGE COAST MEDICAL CENTER, MIMI'S JEWELRY, INC., FOUNTAIN VALLEY SENIOR & COMMUNITY CENTER, AND CITY OF HUNTINGTON BEACH.

GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11:
ORANGE COAST MEMORIAL MEDICAL CENTER: TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT FISCAL YEAR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC) HAS ADOPTED AN IMPLEMENTATION STRATEGY. PURSUANT TO THE IMPLEMENTATION STRATEGY, OCMMC IS ADDRESSING THE FOLLOWING HEALTH NEEDS WITH A FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY:1. ACCESS TO CARE2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)3. CHRONIC DISEASES4. OVERWEIGHT AND OBESITY5. PREVENTIVE PRACTICES USING THE LENS OF THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, OCMMC WILL PROVIDE SOME ATTENTION TO FOOD INSECURITY AS WELL AS BRINGING COMMUNITY AWARENESS TO HOUSING AND HOMELESSNESS AS APPLIED TO THESE PRIORITY HEALTH NEEDS.(1) ADDRESSING ACCESS TO CARE BY: PROVIDING FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY; PROVIDING TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES; ENSURING THE SENIOR LIAISON WORKS WITH LOCAL ORGANIZATIONS TO ASSIST OLDER ADULTS IN SECURING NEEDED SERVICES AND COORDINATES THE FREE SENIOR MEDICAL TRANSPORTATION PROGRAM; PROVIDING LOW-INCOME RESIDENTS WITH LOW-COST OR NO-COST PHARMACY ASSISTANCE; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE ACCESS TO HEALTH CARE, INCLUDING TRANSPORTATION SUPPORT; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE HEALTH CARE NEEDS OF OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON HEALTH CARE ACCESS.(2) ADDRESSING BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) BY: INCREASING COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE AND MISUSE CONCERNS; OFFERING COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS FOCUSED ON MENTAL HEALTH AND SUBSTANCE USE TOPICS; SUPPORTING MULTISECTOR COLLABORATIVE EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE BEHAVIORAL HEALTH AWARENESS AND ACCESS TO BEHAVIORAL HEALTH SERVICES; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE BEHAVIORAL HEALTH CARE NEEDS OF OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESSING BEHAVIORAL HEALTH SERVICES.(3) ADDRESSING CHRONIC DISEASE BY: OFFERING HEALTH EDUCATION WORKSHOPS AND PRESENTATIONS ON CHRONIC DISEASE PREVENTION, TREATMENT, AND MANAGEMENT; HOSTING HEALTH AND WELLNESS FAIRS FOR OLDER ADULTS, INCLUDING SCREENINGS; PROVIDING SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES AND THEIR FAMILIES; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PREVENT CHRONIC DISEASES; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT FOR CHRONIC DISEASE PREVENTION AND TREATMENT; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS CHRONIC DISEASE PREVENTION AND TREATMENT AMONG OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON CHRONIC DISEASES.(4) ADDRESSING OVERWEIGHT AND OBESITY BY: OFFERING HEALTH EDUCATION WORKSHOPS AND PRESENTATIONS FOCUSED ON WEIGHT MANAGEMENT, HEALTHY EATING, AND PHYSICAL ACTIVITY TOPICS; HOSTING HEALTH AND WELLNESS FAIRS THAT INCLUDE SCREENINGS FOR BMI, BLOOD PRESSURE, AND BLOOD GLUCOSE; PROVIDING SUPPORT FOR EDUCATIONAL OUTREACH TO CHILDREN AND THEIR FAMILIES ON NUTRITION, HEALTHY FOOD CHOICES, AND PHYSICAL ACTIVITY; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO PROMOTE TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY; PROVIDING SUPPORT FOR SERVICES TO IMPROVE SENIOR NUTRITION; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS HEALTHY EATING AND PHYSICAL ACTIVITY AMONG OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON CHRONIC DISEASES.(5) ADDRESSING PREVENTIVE PRACTICES BY: PROVIDING FREE HEALTH SCREENINGS; PROVIDING VACCINES IN THE COMMUNITY (COVID-19 AND FLU); PROVIDING EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PROMOTE PREVENTIVE HEALTH CARE; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE/EXPAND PREVENTIVE HEALTH SERVICES; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO PROVIDE PREVENTIVE CARE SERVICES TO OLDER ADULTS; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESS TO PREVENTIVE PRACTICES.THE NEED IDENTIFIED IN THE MOST RECENT CHNA THAT IS NOT BEING ADDRESSED IS ECONOMIC INSECURITY. OCMMC HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. ADDITIONALLY, THERE ARE OTHER ORGANIZATIONS AND AGENCIES THAT ARE ADDRESSING (AND BETTER QUALIFIED TO ADDRESS) THESE NEEDS.

GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 13H:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B:PATIENTS WHO ARE EXPERIENCING HOMELESSNESS, HAVE RECENTLY BEEN DECLARED BANKRUPT, OR QUALIFY FOR A GOVERNMENT-SPONSORED LOW-INCOME ASSISTANCE PROGRAM ARE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP).

GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 15E:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B:PATIENTS ARE ENCOURAGED TO SUBMIT THEIR COMPLETED APPLICATION WITH REQUIRED DOCUMENTS VIA UNITED STATES MAIL.

GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 16J:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B:A PLAIN LANGUAGE SUMMARY OF THE FAP WAS TRANSLATED IN TO THE FOLLOWING LANGUAGES: ENGLISH, SPANISH, VIETNAMESE, FARSI, TAGALOG, CHINESE, KOREAN AND KHMER.

GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5:
THE FOLLOWING APPLIES TO SADDLEBACK MEMORIAL MEDICAL CENTER:TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED BY THE FACILITY. TWELVE (12) INTERVIEWS WERE COMPLETED FROM NOVEMBER 2021 TO JANUARY 2022. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE ORANGE COUNTY HEALTH CARE AGENCY, LAGUNA WOODS VILLAGE, MEMORIALCARE MEDICAL FOUNDATION, JAMBOREE HOUSING CORPORATION, ILLUMINATION FOUNDATION, FRIENDSHIP SHELTER, COUNCIL OF AGING SOUTHERN CALIFORNIA, SADDLEBACK COLLEGE, FAMILIES FORWARD, CAMINO HEALTH CLINIC, AND SADDLEBACK VALLEY UNIFIED SCHOOL DISTRICT.

GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11:
SADDLEBACK MEMORIAL MEDICAL CENTER: TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT FISCAL YEAR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC) HAS ADOPTED AN IMPLEMENTATION STRATEGY. PURSUANT TO THE IMPLEMENTATION STRATEGY, SMMC IS ADDRESSING THE FOLLOWING HEALTH NEEDS WITH A FOCUS ON OLDER ADULTS, THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY:1. ACCESS TO CARE2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)3. CHRONIC DISEASES4. PREVENTIVE PRACTICES USING THE LENS OF THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, SMMC WILL PROVIDE SOME ADDITIONAL ATTENTION TO FOOD INSECURITY AS WELL AS BRINGING COMMUNITY AWARENESS TO HOUSING AND HOMELESSNESS AS APPLIED TO THESE PRIORITY HEALTH NEEDS.(1) ADDRESSING ACCESS TO CARE BY: PROVIDING FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY; PROVIDING TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES; PROVIDING LOW-INCOME RESIDENTS WITH LOW-COST OR NO-COST PHARMACY ASSISTANCE; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE ACCESS TO HEALTH CARE; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE HEALTH CARE NEEDS OF OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON HEALTH CARE ACCESS.(2) ADDRESSING BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) BY: INCREASING COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE AND MISUSE CONCERNS; OFFERING COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS FOCUSED ON MENTAL HEALTH AND SUBSTANCE USE TOPICS; PARTICIPATING IN HEALTH AND WELLNESS FAIRS THAT INCLUDE SCREENINGS FOR ANXIETY AND DEPRESSION; SUPPORTING MULTISECTOR COLLABORATIVE EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE BEHAVIORAL HEALTH AWARENESS AND ACCESS TO BEHAVIORAL HEALTH SERVICES; PROVIDING MENTAL HEALTH SUPPORT FOR HOME-BOUND SENIORS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESSING BEHAVIORAL HEALTH SERVICES.(3) ADDRESSING CHRONIC DISEASE BY: OFFERING HEALTH EDUCATION WORKSHOPS AND PRESENTATIONS ON CHRONIC DISEASE PREVENTION, TREATMENT, AND MANAGEMENT; HOSTING HEALTH AND WELLNESS FAIRS FOR OLDER ADULTS, INCLUDING SCREENINGS; OFFERING FLU SHOT CLINICS; PROVIDING SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES AND THEIR FAMILIES; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PREVENT CHRONIC DISEASES; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT FOR CHRONIC DISEASE PREVENTION AND TREATMENT; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS CHRONIC DISEASE PREVENTION AND TREATMENT AMONG OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON CHRONIC DISEASES.(4) ADDRESSING PREVENTIVE PRACTICES BY: PROVIDING FREE HEALTH SCREENINGS; PROVIDING VACCINES IN THE COMMUNITY (COVID AND FLU); PROVIDING EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION; REDUCING INJURIES AND FALLS AMONG SENIORS THROUGH BALANCE IMPROVEMENT AND FALL PREVENTION CLASSES; PROVIDING PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PROMOTE PREVENTIVE HEALTH CARE; PROVIDING GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE/EXPAND PREVENTIVE HEALTH SERVICES; WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO PROVIDE PREVENTIVE CARE SERVICES TO OLDER ADULTS; AND WORKING IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE IMPACT THAT THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY HAVE ON ACCESS TO PREVENTIVE PRACTICES.THE NEED IDENTIFIED IN THE MOST RECENT CHNA THAT IS NOT BEING ADDRESSED IS OVERWEIGHT AND OBESITY. SMMC HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. ADDITIONALLY, THERE ARE OTHER ORGANIZATIONS AND AGENCIES THAT ARE ADDRESSING (AND BETTER QUALIFIED TO ADDRESS) THESE NEEDS.

GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 13H:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B:PATIENTS WHO ARE EXPERIENCING HOMELESSNESS, HAVE RECENTLY BEEN DECLARED BANKRUPT, OR QUALIFY FOR A GOVERNMENT-SPONSORED LOW-INCOME ASSISTANCE PROGRAM ARE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP).

GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 15E:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B:PATIENTS ARE ENCOURAGED TO SUBMIT THEIR COMPLETED APPLICATION WITH REQUIRED DOCUMENTS VIA UNITED STATES MAIL.

GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 16J:
THE FOLLOWING DESCRIPTION APPLIES TO ALL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B:A PLAIN LANGUAGE SUMMARY OF THE FAP WAS TRANSLATED IN TO THE FOLLOWING LANGUAGES: ENGLISH, SPANISH, VIETNAMESE, FARSI, TAGALOG, CHINESE, KOREAN AND KHMER.

PART I, LINE 6A:
EACH FACILITY PREPARES A SEPARATE COMMUNITY BENEFIT REPORT FOR THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION FILING PURPOSES. A CONSOLIDATING SCHEDULE FOR THE DOLLAR AMOUNTS OF CHARITY AND COMMUNITY BENEFIT PROVIDED TO THE COMMUNITIES IS PREPARED BY THE CORPORATE OFFICE FOR THE AUDITED FINANCIAL STATEMENTS.

PART I, LINE 7:
THE AMOUNTS REPORTED ON LINES 7A, 7B, AND 7C WERE CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE AMOUNTS REPORTED ON LINES 7E, 7F, 7H AND 7I ARE A COMBINATION OF ACTUAL VENDOR COSTS AND/OR ESTIMATED COSTS, PLUS AN ALLOCATION OF INDIRECT OVERHEAD WHERE APPLICABLE. ESTIMATED COSTS FOR LABOR USE STAFF HOURLY RATES TIMES HOURS WORKED, PLUS A FACTOR FOR BENEFITS. COSTS ALLOCATED FROM THE HOME OFFICE ARE BASED ON USE BY CAMPUS.

PART I, LN 7 COL(F):
IMPLICIT PRICE CONCESSIONS ARE RECORDED BASED ON HISTORICAL EXPERIENCE AND COLLECTION TRENDS FOR MAJOR PAYER TYPES. THESE ARE AMOUNTS FOR WHICH THE PATIENT OR A GUARANTOR IS RESPONSIBLE AND NO OTHER THIRD-PARTY LIABILITY EXISTS. A MINIMUM OF TWO STATEMENTS WILL BE SENT TO THE PATIENT OR GUARANTOR NOTIFYING THEM THAT THE BALANCE IS DUE. AFTER REASONABLE AND CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE LIABILITY REMAINS OUTSTANDING FOR MORE THAN 120 DAYS FROM THE MAILING DATE OF THE FIRST BILL, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. AT THAT TIME THE ACCOUNT IS WRITTEN OFF TO IMPLICIT PRICE CONCESSIONS. THE UNPAID PATIENT PORTION OF MEDICARE ACCOUNTS WILL NOT BE DEEMED UNCOLLECTIBLE AND SENT TO A COLLECTION AGENCY UNTIL A MINIMUM OF 120 DAYS HAVE PASSED FROM THE DATE OF THE FIRST BILL MAILED TO THE BENEFICIARY. THE PATIENT PORTION OF A MEDICARE ACCOUNT WILL THEN BE SENT TO A COLLECTION AGENCY BUT WILL NOT BE WRITTEN OFF TO IMPLICIT PRICE CONCESSIONS UNTIL IT IS RETURNED FROM THE COLLECTION AGENCY AFTER A DETERMINATION THAT THERE IS NO LIKELIHOOD OF RECOVERY. UNRESOLVED ACCOUNTS ARE RETURNED TO THE FACILITY BY THE COLLECTION AGENCIES AFTER THEY HAVE PERFORMED ALL REASONABLE AND CUSTOMARY COLLECTIONS EFFORTS AND DETERMINED THAT THERE IS NO LIKELIHOOD OF RECOVERY.PAYMENTS ARE RECEIVED FOR SERVICES UNDER THE MEDICARE AND MEDI-CAL PROGRAMS AND PRIVATE MANAGED CARE PROGRAMS BASED ON CONTRACT TERMS, AND FROM OTHER PAYERS. RECEIVABLES FROM NON-GOVERNMENT PAYERS ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS. RESERVES ASSOCIATED WITH RECEIVABLES ARE CONTINUALLY MONITORED AND ADJUSTED. ESTIMATES OF THE IMPLICIT PRICE CONCESSIONS ARE BASED ON HISTORICAL COLLECTION EXPERIENCE.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN ENGAGED IN COMMUNITY BUILDING ACTIVITIES IN THE FOLLOWING CATEGORIES DURING THE YEAR:ECONOMIC DEVELOPMENT - FACILITY STAFF PARTICIPATED IN ECONOMIC DEVELOPMENT GROUPS THAT FOCUSED ON ISSUES THAT IMPACTED COMMUNITY HEALTH IMPROVEMENT AND SAFETY.COALITION BUILDING - FACILITY STAFF HOLD MEMBER, ADVISORY COMMITTEE, AND GOVERNING BODY POSITIONS IN LOCAL, REGIONAL, STATE AND NATIONAL HEALTH AND WELFARE COALITIONS. WORKFORCE DEVELOPMENT FACILITY STAFF PARTICIPATED IN PROGRAMS THAT ENCOURAGED STUDENTS TO CONSIDER CAREERS IN THE FIELD OF HEALTH CARE.

PART III, LINE 2:
BAD DEBT (ALSO REFERRED TO AS IMPLICIT PRICE CONCESSIONS) IS DETERMINED BASED ON PATIENT LIABILITY, IRRESPECTIVE OF ANY PREVIOUS PAYMENTS OR DISCOUNTS ON THE ACCOUNT. FOR ACCOUNTS WITH INSURANCE COVERAGE, ONCE THE INSURANCE HAS PAID, A STATEMENT IS SENT TO THE PATIENT FOR THEIR PORTION (DEDUCTIBLE, CO-PAY, NON-COVERED CHARGES). FOR SELF-PAY ACCOUNTS, SEVERAL OPTIONS FOR DISCOUNTS ARE AVAILABLE. AFTER A SET PERIOD OF TIME, IF PAYMENTS ARE NOT MADE, THE PATIENT PORTION IS WRITTEN OFF AS BAD DEBT.

PART III, LINE 4:
ACCOUNTS RECEIVABLE ARE REDUCED BY IMPLICIT PRICE CONCESSIONS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE IMPLICIT PRICE CONCESSIONS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE IMPLICIT PRICE CONCESSIONS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN IMPLICIT PRICE CONCESSION, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, A SIGNIFICANT IMPLICIT PRICE CONCESSION IS RECORDED IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. THE DIFFERENCE BETWEEN THE STANDARD RATES, OR THE DISCOUNTED RATES IF NEGOTIATED, AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE IMPLICIT PRICE CONCESSIONS.

PART III, LINE 8:
THE ENTIRE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE AMOUNT REFLECTS THE VALUE OF PATIENT CARE SERVICES SUBSIDIZED BY THE ORGANIZATIONS. THE ORGANIZATIONS CANNOT COLLECT THE SHORTFALL IN REIMBURSEMENT FROM THE PATIENT THEREFORE, ARE PROVIDING A BENEFIT TO THE COMMUNITY BY OFFERING SERVICES TO MEDICARE BENEFICIARIES AT FINANCIAL LOSS. THIS LOSS PREVENTS THE ORGANIZATIONS FROM INVESTING IN OTHER COMMUNITY BENEFIT ACTIVITIES.

PART VI, LINE 7, REPORTS FILED WITH STATES
CA

PART III, LINE 9B:
ONCE AN ACCOUNT BALANCE HAS BEEN DETERMINED TO BE SOLELY A PATIENT RESPONSIBILITY, A MINIMUM OF TWO STATEMENTS ARE SENT TO THE PATIENT OR ANY IDENTIFIED GUARANTOR NOTIFYING THEM OF THE AMOUNT DUE. IF THE PATIENT LIABILITY REMAINS UNPAID DESPITE REASONABLE AND CUSTOMARY COLLECTION EFFORTS, THE ACCOUNT MAY BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, AND THE COLLECTION AGENCY WILL PURSUE REASONABLE AND CUSTOMARY COLLECTION EFFORTS. IF AT ANY TIME DURING THIS PROCESS THE PATIENT INDICATES FINANCIAL HARDSHIP, THE PATIENT WILL BE INFORMED OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. IF ALL OR PART OF A BALANCE QUALIFIES FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY, THAT AMOUNT WILL BE TREATED AS CHARITY CARE. THE REMAINDER, IF ANY, REMAINS CLASSIFIED AS BAD DEBT. WHEN THE COLLECTION AGENCY DETERMINES THERE IS NO LIKELIHOOD OF RECOVERY, THE AGENCY CEASES ALL COLLECTION EFFORTS, AND NOTIFIES THE ORGANIZATION. COLLECTION PROCEDURES ARE APPLIED CONSISTENTLY FOR ALL PATIENTS, REGARDLESS OF INSURANCE STATUS. FOR THOSE PATIENTS INDICATING FINANCIAL HARDSHIP, THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED TO DETERMINE THE EXTENT TO WHICH CHARITY CARE, LOW INCOME FINANCIAL ASSISTANCE OR EXTENDED PAYMENT PLANS MAY BE AVAILABLE. PATIENTS ARE INFORMED OF THE FINANCIAL ASSISTANCE POLICY AND PAYMENT OPTIONS BY THE PATIENT STATEMENTS PROVIDED AT 30 DAY INTERVALS UP TO 120 DAYS FROM THE FIRST STATEMENT, AND ADVISED TO CONTACT THE ORGANIZATION'S PATIENT FINANCIAL SERVICES DEPARTMENT FOR MORE INFORMATION ABOUT PAYMENT OPTIONS OR FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE. IF A PATIENT IS NOT ELIGIBLE FOR A GOVERNMENT ASSISTANCE PROGRAM AND THE PATIENT INDICATES A NEED FOR FINANCIAL ASSISTANCE OR AN EXTENDED PAYMENT PLAN, AN APPLICATION IS PROMPTLY PROVIDED TO THE PATIENT. NO ORGANIZATION INCLUDED IN THIS GROUP RETURN OR ITS AGENT OR ASSIGNEE (INCLUDING A COLLECTION AGENCY) WILL REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR COMMENCE CIVIL ACTION AGAINST A PATIENT FOR NONPAYMENT AT ANY TIME PRIOR TO 180 DAYS AFTER INITIAL BILLING.

PART VI, LINE 2:
IN ADDITION TO PERFORMING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EACH FACILITY IDENTIFIED IN PART V OF SCHEDULE H ENGAGES A COMMUNITY BENEFIT OVERSIGHT COMMITTEE, WHICH INCLUDES MEMBERS REPRESENTING COMMUNITY-BASED ORGANIZATIONS AND IS SUPPORTED BY FACILITY STAFF. THIS COMMITTEE MEETS REGULARLY TO REVIEW AND VALIDATE LEGAL AND REGULATORY COMPLIANCE SPECIFIC TO COMMUNITY BENEFIT MANDATES; ASSURE COMMUNITY BENEFIT PROGRAMS AND SERVICES ARE EFFECTIVELY MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, WITH EMPHASIS ON POPULATIONS WITH UNMET HEALTH NEEDS; AND INCREASE TRANSPARENCY AND AWARENESS OF COMMUNITY BENEFIT ACTIVITIES. EACH FACILITY HAS MADE ITS MOST RECENT FISCAL YEAR 2022 CHNA AVAILABLE ON ITS PUBLIC WEBSITE AND HAS ASKED FOR PUBLIC COMMENTS TO SOLICIT ADDITIONAL INFORMATION AND INPUT ON COMMUNITY HEALTH NEEDS. FACILITY STAFF ACTIVELY PARTICIPATE IN LOCAL COLLABORATIVE GROUPS THAT CONVENE TO IDENTIFY AND ADDRESS COMMUNITY HEALTH AND WELFARE NEEDS. MEMBERS OF FACILITY STAFF SERVE ON MANY COMMUNITY ORGANIZATION GOVERNING BOARDS AND ADVISORY BODIES TO PUBLIC HEALTH AGENCIES, AND INFORMATION OBTAINED FROM THIS ACTIVE COMMUNITY INVOLVEMENT FACTORS INTO THE IDENTIFICATION OF COMMUNITY HEALTH NEEDS.

PART VI, LINE 3:
EACH FACILITY IDENTIFIED IN PART V OF SCHEDULE H POSTS NOTICES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE PROGRAM IN THE EMERGENCY SERVICE AREA AND OTHER HIGH-VOLUME INPATIENT AND OUTPATIENT AREAS. IN ADDITION, NOTICES ARE POSTED IN PATIENT FINANCIAL SERVICES AND COLLECTION DEPARTMENTS, AND ON THE FACILITY'S WEBSITE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR MORE OF THE PATIENTS IN THE FACILITY'S SERVICE AREA.EACH FACILITY OFFERS A BROCHURE ABOUT THE PROGRAM, WHICH EXPRESSLY STATES THAT FACILITY STAFF WILL HELP PATIENTS IDENTIFY ALL OF THEIR OPTIONS AND ASSIST PATIENTS IN APPLYING FOR ASSISTANCE AND PROVIDES CONTACT INFORMATION FOR THE FACILITY'S PROGRAM AND GOVERNMENTAL PROGRAMS. THE BROCHURES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT REPRESENT 5% OR MORE OF THE PATIENTS IN THE FACILITY'S SERVICE AREA.

PART VI, LINE 5:
"THE GOVERNING BOARD OF EACH ORGANIZATION INCLUDED IN THIS GROUP RETURN, AND THE GOVERNING BOARD OF THE SOLE MEMBER OF EACH ORGANIZATION, IS COMPRISED OF MEMBERS OF THE COMMUNITIES SERVED, AND NONE OF THE GOVERNING BODY MEMBERS ARE COMPENSATED FOR THEIR BOARD SERVICE (OTHER THAN THE MEMORIAL HEALTH SERVICES PRESIDENT & CHIEF EXECUTIVE OFFICER, WHO IS COMPENSATED AS THE PRESIDENT & CHIEF EXECUTIVE OFFICER BY MEMORIAL HEALTH SERVICES, AND PART OF HIS DUTIES INCLUDE SERVICE ON THE BOARD OF EACH ORGANIZATION). EACH FACILITY IDENTIFIED ON PART V OF SCHEDULE H HAS A COMMUNITY BENEFIT OVERSIGHT COMMITTEE, WHICH INCLUDES VOLUNTEER COMMUNITY MEMBERS AND IS SUPPORTED BY FACILITY EMPLOYEES. THESE COMMITTEES HAVE OVERSIGHT OF EACH COMMUNITY HEALTH NEEDS ASSESSMENT AND THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.EACH FACILITY IDENTIFIED IN PART V OF SCHEDULE H MAINTAINS AN OPEN MEDICAL STAFF EXCEPT IN RARE INSTANCES WHEN A CLINICAL DEPARTMENT IS ""CLOSED"" IN ACCORDANCE WITH CALIFORNIA LAW FOR HOSPITAL-BASED SERVICES.AS A NONPROFIT ORGANIZATION, ANY SURPLUS OF FUNDS IS INVESTED BACK INTO PROVIDING HEALTH CARE SERVICES AND RESOURCES TO THE COMMUNITY, INCLUDING BUT NOT LIMITED TO NEW PATIENT CARE LOCATIONS AND EQUIPMENT, EXPANDED PROGRAMS AND SERVICES, AND THE TRAINING OF PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS INCLUDING PHARMACISTS AND SPEECH, OCCUPATIONAL, PHYSICAL AND RESPIRATORY THERAPISTS. ONE OF THE FACILITIES PARTNERS WITH THE UNIVERSITY OF CALIFORNIA, IRVINE AND OTHER AREA UNIVERSITIES TO TRAIN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES, MAINTAINS A PHARMACY RESIDENCY PROGRAM, AND PARTNERS WITH CALIFORNIA STATE UNIVERSITY LONG BEACH TO PROVIDE CLINICAL TRAINING TO NURSING STUDENTS. A COORDINATED RESEARCH ADMINISTRATION FUNCTION OVERSEES SCIENTIFIC AND CLINICAL RESEARCH AT THE ORGANIZATIONS. THROUGH THE MEMORIALCARE PHYSICIAN SOCIETY, INDEPENDENTLY PRACTICING PHYSICIANS ARE SUPPORTED IN THEIR EFFORTS TO PROMOTE AND SHARE BEST PRACTICES IN EVIDENCE-BASED MEDICINE."

PART VI, LINE 4:
MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH, SERVES THE COMMUNITIES OF ARTESIA, BELL GARDENS, BELLFLOWER, CARSON, CERRITOS, COMPTON, CYPRESS, DOWNEY, GARDENA, HAWAIIAN GARDENS, HAWTHORNE, HUNTINGTON PARK, LAKEWOOD, LONG BEACH, LOS ALAMITOS, LOS ANGELES, LYNWOOD, NORWALK, PARAMOUNT, SAN PEDRO, SEAL BEACH, SIGNAL HILL, SOUTH GATE, AND WILMINGTON, WITH A POPULATION OF 2,227,329 RESIDENTS. CHILDREN AND YOUTH MAKE UP 25.5% OF SERVICE AREA POPULATION, 63.3% ARE ADULTS, AND 11.2% ARE SENIORS, 65 YEARS AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (61.2%), WHITES MAKE UP 14% OF THE POPULATION, BLACKS OR AFRICAN AMERICANS COMPRISE 12.2% OF THE POPULATION, AND 9.9% ARE ASIANS. AMONG SERVICE AREA RESIDENTS, 37.7% OF THE POPULATION, AGES 5 AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE AREA POPULATION, 52.6% SPEAK SPANISH IN THE HOME, 7.3% SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE, AND 1.6% SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. IN THE SERVICES AREA, 17.4% OF INDIVIDUALS LIVE AT OR BELOW THE 100% OF THE POVERTY LEVEL, AND 41.1% ARE 200% OF POVERTY LEVEL OR BELOW (LOW-INCOME). 25.7% OF CHILDREN LIVE AT OR BELOW THE POVERTY LEVEL. IN THE SERVICE AREA, 28.1% OF ADULTS, AGE 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE COUNTY (20.9%) AND STATE (16.7%) RATE. MEMORIALCARE LONG BEACH MEDICAL CENTER SERVES THE COMMUNITIES OF BELLFLOWER, CARSON, CERRITOS, COMPTON, CYPRESS, LAKEWOOD, LONG BEACH, LOS ALAMITOS, NORWALK, PARAMOUNT, SEAL BEACH AND SIGNAL HILL, WITH A POPULATION OF 1,092,245 RESIDENTS. CHILDREN AND YOUTH, AGES 0-17, ARE 23.2% OF THE SERVICE AREA POPULATION. 63.9% ARE ADULTS, AND 12.9% ARE SENIORS, 65 YEARS AND OLDER. THE SERVICE AREA IS VERY DIVERSE AND HOSTS THE LARGEST CAMBODIAN COMMUNITY IN THE UNITED STATES. LATINOS OR HISPANICS MAKE UP 46.5% OF THE SERVICE AREA POPULATION, WHITES COMPRISE 22.6% OF THE POPULATION, ASIANS MAKE UP 15.8% OF THE POPULATION AND BLACKS OR AFRICAN AMERICANS COMPRISE 11.2% OF THE POPULATION IN THE SERVICE AREA. AMONG THE AREA POPULATION, 48.9% SPEAK ONLY ENGLISH IN THE HOME, 36.8% SPEAK SPANISH IN THE HOME, 11.5% SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE, AND 2.8% SPEAK AN INDO-EUROPEAN LANGUAGE OR OTHER LANGUAGE IN THE HOME. IN THE SERVICE AREA, 13.7% OF INDIVIDUALS ARE AT OR BELOW 100% OF THE POVERTY LEVEL AND 33.6% ARE AT 200% OR BELOW. IN THE SERVICE AREA, 20.1% OF ADULTS, AGE 25 AND OLDER, HAVE LESS THAN A HIGH SCHOOL DIPLOMA AND 36.7% OF ADULT RESIDENTS HOLD A COLLEGE DEGREE.ORANGE COAST MEMORIAL MEDICAL CENTER SERVES THE COMMUNITIES OF ANAHEIM, BUENA PARK, COSTA MESA, CYPRESS, FOUNTAIN VALLEY, GARDEN GROVE, HUNTINGTON BEACH, MIDWAY CITY, SANTA ANA, SEAL BEACH, STANTON, TUSTIN AND WESTMINSTER, WITH A POPULATION OF 1,266,738 RESIDENTS. CHILDREN AND YOUTH MAKE UP 22.4% OF SERVICE AREA POPULATION, 62.6% ARE ADULTS, AND 15% ARE SENIORS, AGES 65 AND OLDER. THE SERVICE AREA HAS A HIGHER PERCENTAGE OF YOUTH THAN FOUND IN THE COUNTY (21.6%). IN THE SERVICE AREA, 42.4% OF THE POPULATION IS HISPANIC. WHITES COMPRISE 28.4% OF THE POPULATION. AT 24.5% OF THE POPULATION, ASIANS ARE THE THIRD LARGEST RACE/ETHNIC GROUP IN THE SERVICE AREA. THE REMAINING RACES/ETHNICITIES COMPRISE 4.7% OF THE SERVICE AREA POPULATION. 43.7% OF RESIDENTS SPEAK ENGLISH ONLY IN THE HOME. SPANISH IS SPOKEN IN 33.9% OF HOMES AND AN ASIAN OR PACIFIC ISLANDER LANGUAGE IS SPOKEN IN 18.3% OF SERVICE AREA HOMES. 3.3% OF RESIDENTS IN THE AREA SPEAK AN INDO-EUROPEAN LANGUAGE. AMONG AREA RESIDENTS, 17.3% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 23.9% ARE AT 200% OF FPL OR BELOW (LOW-INCOME). IN THE SERVICE AREA, 17.5% OF CHILDREN LIVE IN POVERTY, 11.1% OF SENIORS AND 29.5% OF FEMALE HEAD OF HOUSEHOLDS WITH CHILDREN LIVE IN POVERTY. IN THE OCMC SERVICE AREA, 21.3% OF ADULTS ARE HIGH SCHOOL GRADUATES, AND 36.7% OF THE POPULATION HAS GRADUATED COLLEGE, LOWER THAN THE RATE FOR THE COUNTY (48.6%) AND THE STATE (41.8%). SADDLEBACK MEMORIAL MEDICAL CENTER SERVES THE COMMUNITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, IRVINE, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE, SAN JUAN CAPISTRANO, TRABUCO CANYON AND TUSTIN, WITH A POPULATION OF 984,079 RESIDENTS. CHILDREN AND YOUTH MAKE UP 20.5% OF SERVICE AREA POPULATION, 62.6% ARE ADULTS, AND 16.9% ARE SENIORS, AGES 65 AND OLDER. THE SERVICE AREA HAS A HIGHER PERCENTAGE OF SENIORS THAN FOUND IN THE COUNTY (15.7%) AND THE STATE (15.2%). MORE THAN HALF OF THE POPULATION IS WHITE (52.4%). AT 21.9% OF THE POPULATION, ASIANS ARE THE SECOND LARGEST RACE/ETHNIC GROUP IN THE SERVICE AREA. LATINOS OR HISPANICS MAKE UP 19.1% OF THE POPULATION IN THE SERVICE AREA. BLACK/AFRICAN AMERICANS ARE 1.6% OF THE POPULATION. THE REMAINING RACES/ETHNICITIES COMPRISE 4.6% OF THE SERVICE AREA POPULATION. 65% OF RESIDENTS IN THE SERVICE AREA SPEAK ENGLISH ONLY IN THE HOME. SPANISH IS SPOKEN IN 13.6% OF THE HOMES IN THE SERVICE AREA. AN ASIAN OR PACIFIC ISLANDER LANGUAGE IS SPOKEN IN 13.2% OF SERVICE AREA HOMES. 7.3% OF RESIDENTS IN THE SERVICE AREA SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. AMONG AREA RESIDENTS, 7.3% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 16.6% ARE AT 200% OF FPL OR BELOW (LOW-INCOME). IN THE SERVICE AREA, 7.7% OF CHILDREN. 8.1% OF SENIORS, AND 20.7% OF FEMALE HEAD OF HOUSEHOLDS WITH CHILDREN LIVE IN POVERTY. IN THE SERVICE AREA, 11.9% OF ADULTS ARE HIGH SCHOOL GRADUATES. 63.7% OF THE POPULATION IN THE SERVICE AREA HAS GRADUATED COLLEGE, HIGHER THAN THE RATE FOR THE COUNTY (48.6%) AND THE STATE (41.8%).

PART VI, LINE 6:
EACH ORGANIZATION INCLUDED IN THIS GROUP RETURN IS PART OF THE MEMORIALCARE HEALTH SYSTEM (MEMORIALCARE), THE PARENT OF WHICH IS MEMORIAL HEALTH SERVICES. THREE OF THE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN OPERATED ONE OR MORE HOSPITALS: LONG BEACH MEMORIAL MEDICAL CENTER, ORANGE COAST MEMORIAL MEDICAL CENTER, AND SADDLEBACK MEMORIAL MEDICAL CENTER.MEMORIALCARE MEDICAL FOUNDATION IS A NONPROFIT MEDICAL PRACTICE FOUNDATION DESCRIBED IN SECTION 1206(L) OF THE CALIFORNIA HEALTH & SAFETY CODE AND PROVIDES PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES TO THE COMMUNITY AT OVER 40 SITES ACROSS SOUTH LOS ANGELES COUNTY AND ORANGE COUNTY. THE MISSION OF EACH OF THESE ORGANIZATIONS IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES, AND EACH ORGANIZATION HAS A ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED, INCLUDING PROVIDING EDUCATION TO MEMBERS OF THE COMMUNITY ABOUT HEALTH AND WELLNESS, AND CONDUCTING RESEARCH. IN ADDITION, MEMORIALCARE FOUNDED AND SUPPORTS THE MEMORIALCARE PHYSICIAN SOCIETY, AN UNINCORPORATED ASSOCIATION OF MORE THAN 2,130 INDEPENDENTLY PRACTICING DOCTORS WHO ARE COMMITTED TO IMPROVING CLINICAL OUTCOMES AND PATIENT SAFETY THROUGH THE USE AND SHARING OF BEST PRACTICES IN EVIDENCE-BASED MEDICINE. MEMORIALCARE ALSO INCLUDES PHILANTHROPIC FOUNDATIONS, WHICH HAVE STRONG COMMUNITY TIES AND RAISE MONEY TO FUND PATIENT CARE PROGRAMS, NEEDED FACILITIES AND EQUIPMENT, MEDICAL EDUCATION, COMMUNITY EDUCATION AND OUTREACH, AND RESEARCH.