4A (Expenses $ 1403509426 including grants of $ 0) (Revenue $ 1833145553)
HEALTH CARE SERVICES: TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE ONE OR MORE NONPROFIT HOSPITALS, INCLUDING KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA, KECK MEDICINE OF USC. CONTINUED IN SCHEDULE O.

KECK HOSPITAL OF USC
PART V, SECTION B, LINE 5: Thirteen INTERVIEWS FROM January to FEBRUARY 2022. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, 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 LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. THE FOLLOWING INDIVIDUALS WITH PROMINENT ROLES IN THE MEDICAL COMMUNITY WERE INTERVIEWED: JORGE GARCIA, EL SERENO HISTORICAL SOCIETY PASTOR BEN GARCIA, URBAN 360 KAYLA DE LA HAYE, KECK SCHOOL OF MEDICINE PASTOR RHONDA HOLBERT, CELEBRATE LIFE CANCER MINISTRY STEPHANIE LEMUS, CLINICA MONSEOR OSCAR A. ROMERO TAMMY MEMBRENO, BARRIO ACTION YOUTH & FAMILY CENTER CRISTIN MONDY, LA COUNTY DEPARTMENT OF PUBLIC HEALTH OSWALDO NAVARRO, MUSIC FORWARD FOUNDATION FELIPE RADILLA, SOLEDAD ENRICHMENT ACTION NANCY RODRIGUERA, GANG REDUCTION AND YOUTH DEVELOPMENT (GRYD) ALMA FAMILY SERVICES RAQUEL ROMAN, PROYECTO PASTORAL PATRICIA SIQUEIROS, VARIETY BOYS & GIRLS CLUB VLADIMIR TIGNO, EAST LOS ANGELES OCCUPATIONAL CENTER, DIVISION OF ADULT AND CAREER EDUCATION, LOS ANGELES UNIFIED SCHOOL DISTRICT PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES AND BARRIERS RELATIVE TO THE IDENTIFIED HEALTH NEEDS (I.E., WHAT MAKES EACH HEALTH NEED A SIGNIFICANT ISSUE IN THE COMMUNITY? WHAT ARE THE CHALLENGES PEOPLE FACE IN ADDRESSING THESE NEEDS?), ALONG WITH IDENTIFYING KNOWN RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS.

PART V, SECTION B, LINE 6(A):
THE CHNA WAS CONDUCTED FOR KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL.

PART V, SECTION B, LINE 11:
"THE IMPLEMENTATION STRATEGY ADOPTED BY EACH HOSPITAL ACTIVELY ADDRESSES THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 CHNA AS ""PRIORITY HEALTH NEEDS."" KECK HOSPITAL OF USC AND NORRIS CANCER HOSPITAL PLAN TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES. FOR EACH HEALTH NEED THE HOSPITAL PLANS TO ADDRESS, THE IMPLEMENTATION STRATEGY FOR EACH HOSPITAL DESCRIBES: ACTIONS THE HOSPITALS INTEND TO TAKE, INCLUDING PROGRAMS AND RESOURCES THEY PLAN TO COMMIT, PLANNED COLLABORATION BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS, AND ANTICIPATED IMPACTS OF THESE ACTIONS. THE NEEDS THAT WILL BE ADDRESSED BY KECK HOSPITAL OF USC THROUGH ITS COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES ARE: - CHRONIC DISEASES - FOOD INSECURITY - MENTAL HEALTH - PREVENTIVE PRACTICES SELECTED ACTIVITIES AND PROGRAMS THAT HIGHLIGHT THE KECK HOSPITAL COMMITMENT TO THE COMMUNITY ARE DETAILED BELOW. CHRONIC DISEASES KECK HOSPITAL OF USC WILL ADDRESS CHRONIC DISEASE BY TAKING THE FOLLOWING ACTIONS: - COLLABORATE WITH PROYECTO PASTORAL TO OFFER COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS, INCLUDING THE ANNUAL PROYECTO PASTORAL WOMEN'S CONFERENCE. - THROUGH ITS ONGOING PARTNERSHIP WITH THE AMERICAN HEART & STROKE ASSOCIATION, KECK HOSPITAL WILL PROVIDE EDUCATION TO COMMUNITY MEMBERS AND PRIMARY CARE PROVIDERS ON CARDIAC DISEASE AND STROKE PREVENTION. - HOST HEALTH/WELLNESS FAIRS, INCLUDING SCREENINGS AT THE MARIACHI FESTIVAL, SKID ROW CARNIVAL OF LOVE, AND TASTE OF SOUL. - IN COLLABORATION WITH THE STREET MEDICINE PROGRAM AT KECK SCHOOL OF MEDICINE OF USC, KECK HOSPITAL WILL ADDRESS THE CIRCUMSTANCES THAT UNDERMINE THE PHYSICAL HEALTH OF THE COMMUNITY'S HOMELESS POPULATION. - PROVIDE SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES AND THEIR FAMILIES. - DESIGN AND IMPLEMENT STRATEGIES TO FOSTER A WELCOMING ENVIRONMENT FOR LGBTQ COMMUNITY MEMBERS FACING CHRONIC DISEASES. - PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO ENCOURAGE CHRONIC DISEASE PREVENTION AND TREATMENT."

PART V, SECTION B, LINE 11 (CONTINUED)
FOOD INSECURITY KECK HOSPITAL OF USC WILL ADDRESS FOOD INSECURITY BY TAKING THE FOLLOWING ACTIONS: - IN CONJUNCTION WITH THE AMERICAN HEART & STROKE ASSOCIATION AND HAZARD PARK RECREATION CENTER, KECK HOSPITAL WILL PROVIDE A REOCCURRING FREE PRODUCE MARKET, A TU SALUD, TO HELP ADDRESS FOOD ACCESS AND AFFORDABILITY FOR THE SURROUNDING COMMUNITY. - THE HOSPITAL WILL HOST A WEEKLY FARMERS MARKET TO PROVIDE FRESH FRUITS AND VEGETABLES FOR THE LOCAL COMMUNITY AND DONATE FRESH FRUITS AND VEGETABLES TO FAMILIES IN NEED. - IN COLLABORATION WITH THE AMERICAN HEART & STROKE ASSOCIATION, KECK HOSPITAL OF USC WILL CONTINUE THE INNOVATIVE SCHOOL-BASED TEACHING GARDEN PROGRAM EDUCATION STUDENTS ON HEALTHY LIFESTYLE HABITS AND EATING HABITS. - SUPPORT FOOD SECURITY MEASURES IN EAST LA NEIGHBORHOODS AND INCREASING SNAP INCENTIVES FOR FRUIT AND VEGETABLE PURCHASE. - PREPARE AND SERVE HEALTHY MEALS TO VULNERABLE MEN AND WOMEN RECEIVING SHELTER AT THE DOLORES MISSION. PREPARE AND SERVE HEALTHY MEALS TO VULNERABLE MEN AND WOMEN RECEIVING SHELTER AT THE DOLORES MISSION. MENTAL HEALTH KECK HOSPITAL OF USC WILL ADDRESS MENTAL HEALTH BY TAKING THE FOLLOWING ACTIONS: - IN COLLABORATION WITH THE STREET MEDICINE PROGRAM AT KECK SCHOOL OF MEDICINE OF USC, KECK HOSPITAL WILL ADDRESS THE CIRCUMSTANCES THAT UNDERMINE THE MENTAL, AND EMOTIONAL WELL-BEING OF THE COMMUNITY'S HOMELESS POPULATION. - OFFER COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS. - ENSURE EQUITABLE AND INCLUSIVE CARE OF LESBIAN, BISEXUAL, TRANSGENDER AND QUEER (LGBTQ) COMMUNITY MEMBERS FACING MENTAL HEALTH ISSUES AND CONCERNS. - SUPPORT COLLABORATIVE EFFORTS THAT SUPPORT ACCESS TO MENTAL HEALTH INCLUDING PARTNERING WITH THE DEPARTMENT OF PSYCHIATRY FOR CONTINUOUS CARE. - INCREASE COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH CONCERNS. - PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE MENTAL HEALTH AWARENESS AND ACCESS TO CARE. - INCREASE COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH CONCERNS. - PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE MENTAL HEALTH AWARENESS AND ACCESS TO CARE.

PART V, SECTION B, LINE 11 (CONTINUED):
"PREVENTIVE PRACTICES KECK HOSPITAL OF USC WILL ADDRESS PREVENTIVE PRACTICES BY TAKING THE FOLLOWING ACTIONS: -HOST HEALTH/WELLNESS FAIRS, INCLUDING SCREENINGS AT THE MARIACHI FESTIVAL, SKID ROW CARNIVAL OF LOVE, AND TASTE OF SOUL. -PROVIDE COVID-19 VACCINES. -THE HOSPITAL WILL SEEK OUT A COMMUNITY GROUP OR ORGANIZATION TO COLLABORATE WITH ON THE DESIGN AND IMPLEMENTATION OF NEW ACTIVITIES SUCH AS ""WALK WITH A DOC"" TO PROMOTE A HEALTHIER COMMUNITY. -THROUGH ITS ONGOING PARTNERSHIP WITH THE AMERICAN HEART & STROKE ASSOCIATION, KECK HOSPITAL WILL PROVIDE EDUCATION TO COMMUNITY MEMBERS AND PRIMARY CARE PROVIDERS ON CARDIAC DISEASE AND STROKE PREVENTION. -PROVIDE EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION. -INCREASE ACCESS TO PRIMARY AND SPECIALTY CARE THROUGH TELEHEALTH SERVICES. COLLABORATE WITH LOCAL AND REGIONAL CLINICS AND HOSPITALS IN THE LOS ANGELES REGION ON INNOVATIVE EXPANSION OF TELEMEDICINE SERVICES TO UNDERSERVED PATIENTS -ENSURE STAFF MEMBERS ARE EQUIPPED WITH THE SKILLS AND KNOWLEDGE TO PROVIDE NONDISCRIMINATORY PATIENT-CENTERED PREVENTIVE CARE. -PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE PREVENTIVE HEALTH SERVICES. THE NEEDS THAT WILL BE ADDRESSED BY USC NORRIS CANCER HOSPITAL THROUGH ITS COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES ARE: - ACCESS TO CANCER CARE AND TREATMENT - MENTAL HEALTH - PREVENTIVE PRACTICES SELECTED ACTIVITIES AND PROGRAMS THAT HIGHLIGHT THE USC NORRIS COMMITMENT TO THE COMMUNITY ARE DETAILED BELOW. ACCESS TO CANCER CARE AND TREATMENT -USC NORRIS CANCER HOSPITAL WILL ADDRESS ACCESS TO CANCER CARE AND TREATMENT BY TAKING THE FOLLOWING ACTIONS: -THE HOSPITAL WILL OFFER HEALTH EDUCATION AND OUTREACH TO THE GREATER LOS ANGELES COMMUNITY. -THE PATIENT PERSPECTIVE SERIES WILL SHOWCASE THE EXCEPTIONAL WORK OF ARTISTS DIAGNOSED WITH CANCER AND PROVIDE OPPORTUNITIES FOR PATIENTS TO SHARE THEIR STORIES AS CANCER SURVIVORS TO OTHER PATIENTS, FAMILIES, STAFF AND FACULTY. -PROVIDE SUPPORT GROUPS FOR PERSONS EXPERIENCING CANCER AND THEIR CAREGIVERS. -NORRIS CANCER HOSPITAL'S ANNUAL FESTIVAL OF LIFE WILL INCREASE AWARENESS OF CANCER SURVIVORSHIP. THE FESTIVAL WILL HOST LEADING CANCER ORGANIZATIONS AND SUPPORT GROUPS TO PROMOTE HEALTH EDUCATION ON A VARIETY OF TOPICS RELATED TO HEALTH AND WELLNESS, CANCER MANAGEMENT, HEALTHY EATING, AND PHYSICAL ACTIVITY. -THE IMAGE ENHANCEMENT CENTER AT USC NORRIS CANCER HOSPITAL WILL ASSIST WITH APPEARANCE AND BODY IMAGE ISSUES FOR MEN AND WOMEN AS A RESULT OF CANCER TREATMENT. SERVICES ARE OPEN TO THE COMMUNITY AND INCLUDE MASTECTOMY PROSTHESIS FITTINGS. -HOST HEALTH/WELLNESS FAIRS, INCLUDING SCREENINGS AT THE MARIACHI FESTIVAL, SKID ROW CARNIVAL OF LOVE, TASTE OF SOUL AND ADOLESCENT AND YOUNG ADULT ZOOPENDOUS. -DESIGN AND IMPLEMENT STRATEGIES TO FOSTER A WELCOMING ENVIRONMENT FOR LGBTQ COMMUNITY MEMBERS FACING CANCER CARE AND TREATMENT. -PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO ENCOURAGE CANCER PREVENTION AND TREATMENT."

PART V, SECTION B, LINE 11 (CONTINUED):
MENTAL HEALTH USC NORRIS CANCER HOSPITAL WILL ADDRESS MENTAL HEALTH BY TAKING THE FOLLOWING ACTIONS: - IN COLLABORATION WITH THE STREET MEDICINE PROGRAM AT KECK SCHOOL OF MEDICINE OF USC, USC NORRIS CANCER HOSPITAL WILL ADDRESS THE CIRCUMSTANCES THAT UNDERMINE THE MENTAL, AND EMOTIONAL WELL-BEING OF THE COMMUNITY'S HOMELESS POPULATION. - OFFER COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS. - ENSURE EQUITABLE AND INCLUSIVE CARE OF LESBIAN, BISEXUAL, TRANSGENDER AND QUEER (LGBTQ) COMMUNITY MEMBERS FACING MENTAL HEALTH ISSUES AND CONCERNS. - SUPPORT COLLABORATIVE EFFORTS THAT SUPPORT ACCESS TO MENTAL HEALTH INCLUDING PARTNERING WITH THE DEPARTMENT OF PSYCHIATRY FOR CONTINUOUS CARE. - INCREASE COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH CONCERNS. - PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE MENTAL HEALTH AWARENESS AND ACCESS TO CARE. PREVENTIVE PRACTICES USC NORRIS CANCER HOSPITAL WILL ADDRESS PREVENTIVE PRACTICES BY TAKING THE FOLLOWING ACTIONS: - HOST HEALTH AND WELLNESS FAIRS, INCLUDING SCREENINGS AT THE MARIACHI FESTIVAL, SKID ROW CARNIVAL OF LOVE, AND TASTE OF SOUL. - PROVIDE EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION. - PROVIDE COVID-19 VACCINES. - INCREASE ACCESS TO SPECIALTY CARE THROUGH TELEHEALTH SCREENING SERVICES IN PARTNERSHIP WITH SAFETY NET CLINICS AND HOSPITALS IN THE LOS ANGELES REGION THROUGH THE CALIFORNIA TELEMEDICINE NETWORK. - ENSURE STAFF MEMBERS ARE EQUIPPED WITH THE SKILLS AND KNOWLEDGE TO PROVIDE NONDISCRIMINATORY PATIENT-CENTERED PREVENTIVE CARE. - PROVIDE GRANT FUNDING AND IN-KIND SUPPORT TO INCREASE PREVENTIVE HEALTH SERVICES.

PART V, SECTION B, LINE 11 CONTINUED:
FOR KECK HOSPITAL OF USC, CERTAIN OTHER HEALTH NEEDS WERE IDENTIFIED BUT ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY. THESE INCLUDE ACCESS TO HEALTH CARE, ECONOMIC INSECURITY, HOUSING AND HOMELESSNESS, OVERWEIGHT AND OBESITY, STIS/HIV/AIDS, SUBSTANCE USE AND VIOLENCE AND INJURY. FOR USC NORRIS CANCER HOSPITAL, CERTAIN OTHER HEALTH NEEDS WERE IDENTIFIED BUT ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY. THESE INCLUDE CHRONIC DISEASES, ECONOMIC INSECURITY, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OVERWEIGHT AND OBESITY, STIS/HIV/AIDS, SUBSTANCE USE AND VIOLENCE AND INJURY. WHILE THE HOSPITALS ADDRESS THESE ISSUES ON A DAY TO DAY BASIS IN THE NORMAL COURSE OF OPERATIONS, THEY HAVE CHOSEN NOT TO FOCUS THE IMPLEMENTATION PLANS ON THESE OTHER NEEDS BECAUSE THEY BELIEVE THEY CAN HAVE A GREATER IMPACT ON THE PRIORITY HEALTH NEEDS SELECTED. THESE OTHER HEALTH NEEDS ARE LESS ALIGNED WITH THE HOSPITALS' STRATEGIC INITIATIVES.

PART V, SECTION B, LINE 16(A)-(C):
WWW.KECKMEDICINE.ORG/FINANCIAL-ASSISTANCE-PROGRAM/

PART V, SECTION B, LINE 16(J):
PLEASE REFER TO PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN PART VI.

PART V, SECTION B, LINE 20(E):
THE HOSPITALS NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE INDIVIDUALS REGARDING THE INDIVIDUALS' BILLS.

PART I, LINE 3C:
"THE DISCOUNT AMOUNT IS BASED ON FAMILY INCOME COMPARED TO THE FEDERAL POVERTY LEVEL (""FPL"") FOR THE CURRENT YEAR. PATIENTS WITH FAMILY INCOME UNDER 200% FPL WILL BE ELIGIBLE FOR FREE CARE FOR THE DATES OF SERVICES FOR WHICH AN APPLICATION IS COMPLETED. UNINSURED OR UNDER-INSURED PATIENTS WITH FAMILY INCOME BETWEEN 201% AND 400% FPL WILL BE ELIGIBLE FOR CARE AT A SLIDING SCALE DISCOUNT. UNINSURED PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FPL WILL RECEIVE THE COMPACT DISCOUNTED RATE. IF IT IS DETERMINED THAT THE FAMILY INCOME IS ABOVE 400% OF THE FPL, THE HOSPITALS MAY STILL CONSIDER THE PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE AND REQUIRE THE FOLLOWING INFORMATION BE PROVIDED: INDIVIDUAL OR FAMILY NET WORTH, INCLUDING ASSETS, BOTH LIQUID AND NON-LIQUID, LIABILITIES AND CLAIMS AGAINST ASSETS; EMPLOYMENT STATUS WILL BE CONSIDERED IN THE CONTEXT OF WHETHER THE LIKELIHOOD OF FUTURE EARNINGS WILL BE SUFFICIENT TO MEET THE COST OF PAYING FOR HEALTHCARE SERVICES WITHIN A REASONABLE PERIOD OF TIME; UNUSUAL EXPENSES OR LIABILITIES; AND ADDITIONAL INFORMATION AS REQUIRED FOR SPECIAL CIRCUMSTANCES."

PART I, LINE 7:
THE AMOUNTS REPORTED IN PART I, LINE 7 FOLLOW THE FORM 990, SCHEDULE H INSTRUCTIONS BY ADDRESSING ALL PATIENT SEGMENTS.

PART II, LINE 8:
USC KECK AND USC NORRIS CANCER HOSPITAL PARTICIPATED IN NUMEROUS HEALTH PROFESSIONS OUTREACH ACTIVITIES TO ENCOURAGE YOUTH TO ENTER THE MEDICAL FIELD INCLUDING: LA HIRE YOUTH WORKED WITH LA HIRE YOUTH TO EMPLOY 10 STUDENTS OVER THE SUMMER. AN INITIATIVE BETWEEN USC AND THE CITY OF LOS ANGELES, THE PROGRAM PROVIDED LOCAL YOUTH AN OPPORTUNITY TO GET REAL-WORLD, PROFESSIONAL EXPERIENCE AND PROVIDED THEM WITH THE SKILLS AND CONFIDENCE NEEDED TO PURSUE A JOB IN THE HEALTHCARE FIELD. DAY OF DISCOVERY THIS ANNUAL EDUCATIONAL SERIES WELCOMED HIGH SCHOOL STUDENTS AND FAMILIES FROM EAST LOS ANGELES AND THE LOCAL COMMUNITY TO LISTEN TO GUEST SPEAKERS AND DISCUSS CAREERS IN THE HEALTHCARE INDUSTRY. MED-COR THE MEDICAL COUNSELING, ORGANIZING, AND RECRUITING PROGRAM (MED-COR) SEEKS TO INCREASE THE POOL OF HIGH SCHOOL STUDENTS OF COLOR COMMITTED TO THE PURSUIT OF HEALTH PROFESSIONAL CAREERS. THROUGH THE MED-COR PROGRAM, SUPPORTED 17 STUDENTS FROM DISADVANTAGED BACKGROUNDS AND HELPED PREPARE THEM ACADEMICALLY TO BE COMPETITIVE FOR ADMISSION TO COLLEGE AND TO COMMIT THEMSELVES TO A CAREER IN HEALTH.

PART III, LINE 2:
THE DETERMINATION OF CHARITY CARE GENERALLY SHOULD BE MADE AT THE TIME OF ADMISSION, OR SHORTLY THEREAFTER. HOWEVER, EVENTS AFTER DISCHARGE MAY CHANGE THE ABILITY OF THE PATIENT TO PAY. DESIGNATION AS CHARITY CARE WILL ONLY BE CONSIDERED AFTER ALL PAYMENT SOURCES HAVE BEEN EXHAUSTED. HOSPITAL CHARGES FOR PATIENT ACCOUNTS IDENTIFIED AS CHARITY CARE AT THE TIME OF ADMISSION OR SERVICE ARE NOT RECOGNIZED BY THE FACILITY AS NET REVENUES OR NET RECEIVABLES. IF PATIENT ACCOUNTS ARE IDENTIFIED AS CHARITY CARE SUBSEQUENT TO THE FACILITY RECOGNIZING THE CHARGES AS REVENUE, AN ADJUSTMENT IS REQUIRED TO CLASSIFY APPROPRIATELY THE REVENUE AND ANY BAD DEBT EXPENSE PREVIOUSLY RECORDED.

PART III, LINE 4:
NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, GOVERNMENT PROGRAMS AND OTHERS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED. THE MAJORITY OF THE HOSPITALS' SERVICES ARE RENDERED TO PATIENTS WITH COMMERCIAL OR MANAGED CARE INSURANCE, OR UNDER THE FEDERAL MEDICARE AND CALIFORNIA STATE MEDI-CAL PROGRAMS. REIMBURSEMENT FROM THESE VARIOUS PAYORS IS BASED ON A COMBINATION OF PROSPECTIVELY DETERMINED RATES, DISCOUNTS FROM CHARGES AND HISTORICAL COSTS. AMOUNTS RECEIVED UNDER THE MEDICARE PROGRAM ARE SUBJECT TO RETROACTIVE SETTLEMENTS BASED ON REVIEW AND FINAL DETERMINATION BY PROGRAM INTERMEDIARIES OR THEIR AGENTS. PROVISIONS FOR CONTRACTUAL ADJUSTMENTS AND RETROACTIVE SETTLEMENTS RELATED TO THOSE PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADDITIONAL INFORMATION BECOMES KNOWN OR AS FINAL SETTLEMENTS ARE DETERMINED. THE ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS. PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.

PART III, LINE 8:
THE MEDICARE SHORTFALL OF $122,288,064 REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITALS. ACCORDINGLY, THE HOSPITALS MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. THE COSTING METHODOLOGY USED TO CALCULATE MEDICARE ALLOWABLE COSTS OF CARE REPORTED ON PART III, LINE 6 WAS USING A COST-TO-CHARGE RATIO.

PART III, LINE 9B:
AS PART OF THEIR MISSION, THE HOSPITALS PROVIDE SERVICES AND A BROAD ARRAY OF BENEFITS TO THE COMMUNITY. THE HOSPITALS' PATIENT ACCEPTANCE POLICY IS BASED ON THEIR MISSION STATEMENTS AND THEIR COMMUNITY SERVICES RESPONSIBILITIES. ACCORDINGLY, THE HOSPITALS ACCEPT PATIENTS IN IMMEDIATE NEED OF CARE, REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITALS DO NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE BASED ON ESTABLISHED POLICIES OF THE HOSPITALS. THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS DUE FOR ALL OR A PORTION OF THE PATIENT'S BILL. SEE ALSO SCHEDULE H, PART III, LINE 4.

PART VI, LINE 2:
NEEDS ASSESSMENT: IN ADDITION TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH NEEDS ARE MONITORED BY: THE HEALTH SYSTEM BOARD MEMBERS WHO ARE COMMUNITY RESIDENTS SHARE COMMUNITY HEALTH CONCERNS WHEN APPROPRIATE; COMMUNITY COMMENTS ON THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE COLLECTED ON THE HOSPITAL WEBSITE AND ARE MONITORED BY THE COMMUNITY BENEFIT AND OUTREACH DEPARTMENT; AND EACH FACILITY IDENTIFIED ON PART V OF SCHEDULE H HAS SYSTEMS TO ENGAGE COMMUNITY MEMBERS TO PROVIDE ON COMMUNITY HEALTH CARE NEEDS. COMMUNITY INVOLVEMENT OCCURS AND FEEDBACK IS OBTAINED THROUGH SERVICE ON COMMITTEES, INPUT ON NEEDS ASSESSMENTS, TOWN HALL/LISTENING SESSIONS OR INPUT THROUGH SOCIAL MEDIA OUTLETS.

PART VI, LINE 7:
STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT FOR EACH HOSPITAL IS FILED IN CALIFORNIA.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: USC HOSPITALS SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. THESE NOTICES WILL BE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT AREAS OF THE HOSPITALS. NOTICES SHALL ALSO BE POSTED IN THE ADMITTING AND FINANCIAL SERVICES DEPARTMENTS. EACH HOSPITAL SHALL PROVIDE PATIENTS WITH A WRITTEN DOCUMENT THAT CONTAINS INFORMATION ABOUT AVAILABILITY OF THE HOSPITALS' DISCOUNT PAYMENT AND CHARITY CARE POLICIES, INCLUDING INFORMATION ABOUT ELIGIBILITY, AS WELL AS CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PERSON MAY OBTAIN FURTHER INFORMATION ABOUT THESE POLICIES. THE NOTICE SHALL ALSO BE PROVIDED TO PATIENTS WHO RECEIVE OUTPATIENT CARE AND WHO MAY BE BILLED FOR THE CARE, BUT WHO WERE NOT ADMITTED. THE NOTICE SHALL BE PROVIDED IN ENGLISH, AND IN LANGUAGES OTHER THAN ENGLISH. THE LANGUAGES TO BE PROVIDED SHALL BE DETERMINED IN A MANNER SIMILAR TO THAT REQUIRED PURSUANT TO SECTION 12693.30 OF THE INSURANCE CODE (THRESHOLD LANGUAGES ARE SPANISH AND THOSE LANGUAGES SPOKEN BY 5% OF PATIENTS). DATA MAILERS SENT TO PATIENTS AS PART OF THE ROUTINE BILLING PROCESS WILL CONTAIN INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM. WRITTEN CORRESPONDENCE TO THE PATIENT REQUIRED BY THIS ARTICLE SHALL ALSO BE IN THE LANGUAGE SPOKEN BY THE PATIENT, CONSISTENT WITH SECTION 12693.30 OF THE INSURANCE CODE AND APPLICABLE STATE AND FEDERAL LAW.

PART VI, LINE 4:
COMMUNITY INFORMATION: KECK HOSPITAL OF USC IS LOCATED EAST OF DOWNTOWN LOS ANGELES ON USC'S HEALTH SCIENCES CAMPUS AT 1500 SAN PABLO STREET, LOS ANGELES, CALIFORNIA 90033. THE HOSPITAL DRAWS PRIMARILY ADULT PATIENTS REGIONALLY FROM SOUTHERN CALIFORNIA, WITH A PRIMARY SERVICE AREA OF LOS ANGELES COUNTY, CALIFORNIA. USC NORRIS CANCER HOSPITAL IS LOCATED EAST OF DOWNTOWN LOS ANGELES ON USC'S HEALTH SCIENCES CAMPUS AT 1441 EASTLAKE AVENUE, LOS ANGELES, CALIFORNIA 90033. THE HOSPITAL TREATS ADULT CANCER PATIENTS. WHILE THE HOSPITAL DRAWS PATIENTS INTERNATIONALLY, NATIONALLY, REGIONALLY, ITS PRIMARY SERVICE AREA IS LOS ANGELES COUNTY, CALIFORNIA. THE POPULATION OF LOS ANGELES COUNTY IS 10,087,570. CHILDREN AND YOUTH MAKE UP 22% OF THE POPULATION, 64.8% ARE ADULTS, AND 13.3% ARE SENIORS, AGES 65 AND OLDER. ALMOST HALF OF THE LA COUNTY POPULATION (48.5%) IS HISPANIC OR LATINO. AT 26.2% OF THE POPULATION, WHITES ARE THE SECOND LARGEST RACE/ETHNIC GROUP IN THE COUNTY. ASIANS COMPRISE 14.4% OF THE POPULATION IN THE SERVICE AREA AND AFRICAN AMERICANS ARE 7.8% OF THE POPULATION. IN LOS ANGELES COUNTY, SPANISH IS SPOKEN IN 39.2% OF THE HOMES, 43.4% OF THE RESIDENTS SPEAK ENGLISH ONLY, AND 10.9% SPEAK AN ASIAN LANGUAGE IN THE HOME. AMONG COUNTY RESIDENTS, 14.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 34.8% ARE AT 200% OF FPL. IN LOS ANGELES COUNTY, CHILDREN SUFFER WITH HIGHER RATES OF POVERTY (20.8%) COMPARED TO THE STATE (18.1%). LOW LEVELS OF EDUCATION ARE LINKED TO POVERTY AND POOR HEALTH. IN THE COUNTY, 79.8% OF THE ADULT POPULATION, 25 YEARS AND OLDER, HAVE OBTAINED A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION. THIS IS LOWER THAN THE STATE RATE OF 84%.

PART VI, LINE 5:
"EACH FACILITY IDENTIFIED IN PART V OF SCHEDULE H MAINTAINS AN OPEN MEDICAL STAFF EXCEPT IN THOSE 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 OCCUPATIONAL, THERAPISTS. THE HOSPITAL FACILITIES TRAIN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES, MAINTAIN A PHARMACY RESIDENCY PROGRAM, AND PARTNER WITH UNIVERSITIES TO PROVIDE CLINICAL TRAINING TO NURSING STUDENTS. A COORDINATED RESEARCH ADMINISTRATION FUNCTION OVERSEES SCIENTIFIC AND CLINICAL RESEARCH AT THE ORGANIZATIONS."

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"AFFILIATED HEALTH CARE SYSTEM: KECK MEDICAL CENTER OF USC (THE ORGANIZATION) WAS ORGANIZED TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE ONE OR MORE NONPROFIT HOSPITALS, INCLUDING KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA, KECK MEDICINE OF USC (""KECK MEDICINE""); TO COORDINATE THE ACTIVITIES OF THE ORGANIZATION WITH OTHER ACTIVITIES OF KECK MEDICINE IN A MANNER THAT ENHANCES THE ACCESSIBILITY, QUALITY AND COST EFFECTIVENESS OF HEALTH CARE SERVICES RELATED TO THE COMMUNITIES SERVED BY THE ORGANIZATION, PROVIDES ASSOCIATED SERVICES INCLUDING, BUT NOT LIMITED TO, OUTPATIENT CARE AND EMERGENCY CARE, TO ALL PERSONS WITHOUT REGARD TO SEX, RACE, AGE, RELIGION, CREED, COLOR OR NATIONAL ORIGIN, SEXUAL ORIENTATION, OR PHYSICAL OR MENTAL DISABILITY, AND SUPPORTS THE EDUCATIONAL AND RESEARCH MISSIONS OF THE KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIA; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROVIDE AND IMPROVE THE GENERAL PUBLIC HEALTH AND HEALTH OF PATIENTS SERVED BY KECK MEDICINE; AND IN FURTHERANCE OF THE PURPOSE, MISSION AND ACTIVITIES OF KECK MEDICINE, TO PROVIDE OTHER FORMS OF AID AND ASSISTANCE TO, FOR THE BENEFIT OF, OR IN CONNECTION WITH THE NONPROFIT COMPONENTS OF KECK MEDICINE. KECK IS A TERTIARY, QUATERNARY CARE HOSPITAL THAT PROVIDES CARE TO THE MOST ACUTELY ILL PATIENTS. ITS SPECIALTIES INCLUDE HEAD AND NECK ONCOLOGY, INPATIENT REHABILITATION, AND KIDNEY TRANSPLANT SERVICES, AMONG OTHERS. ITS INTERNATIONALLY RENOWNED PHYSICIANS CARE FOR PATIENTS, AND TEACH AND CONDUCT RESEARCH AT THE KECK SCHOOL OF MEDICINE OF USC, THE REGION'S FIRST MEDICAL SCHOOL. KECK PROVIDES INNOVATIVE CARE FOR COMPLEX MEDICAL AND SURGICAL ISSUES. HIGHLY TRAINED SPECIALISTS IN EACH AREA PROVIDE EVERY PATIENT WITH AN INDIVIDUALIZED, YET EXTENSIVE CARE PLAN. HUNDREDS OF CLINICAL TRIALS ARE CURRENTLY TAKING PLACE AT KECK AND ITS AFFILIATED RESEARCH INSTITUTIONS, GIVING PARTICIPANTS ACCESS TO NOVEL AND PROMISING THERAPIES THAT GENERALLY ARE NOT AVAILABLE ELSEWHERE. NORRIS IS ONE OF THE EIGHT ORIGINAL COMPREHENSIVE CANCER CENTERS DESIGNATED BY THE NATIONAL CANCER INSTITUTE AND HAS A MISSION TO TRANSLATE SCIENTIFIC DISCOVERIES INTO INNOVATIVE THERAPIES FOR ITS PATIENTS. NORRIS'S RESEARCH BREAKTHROUGHS HAVE LED THE WAY TO A GREATER UNDERSTANDING OF THE UNDERLYING CAUSES OF CANCER AND NEW METHODS OF PREVENTION, DETECTION AND TREATMENT. NORRIS FOCUSES ON THIRTEEN KEY AREAS OF CANCER TREATMENT: BREAST CANCER, GASTROINTESTINAL CANCER, GENETIC COUNSELING, GYNECOLOGICAL CANCERS, HEAD AND NECK CANCERS, HEMATOLOGY, LUNG CANCER, MELANOMA, NEURO-ONCOLOGY, RADIATION ONCOLOGY, SARCOMA, SKIN CANCER AND UROLOGIC ONCOLOGY. USING A MULTIDISCIPLINARY TEAM APPROACH, THE MORE THAN 250 DEDICATED PHYSICIANS AND SCIENTISTS OF NORRIS TREAT AND PREVENT CANCER BY DEVELOPING NEW THERAPIES, ENHANCING EXISTING PROTOCOLS AND PROVIDING PERSONALIZED, PRECISION CARE THAT IS THE MOST ADVANCED AVAILABLE. AS AN INTEGRAL PART OF A UNIVERSITY-BASED MEDICAL CENTER, NORRIS OFFERS ACCESS TO HUNDREDS OF INNOVATIVE CLINICAL TRIALS AND EXTENSIVE PATIENT EDUCATION, EMPOWERING PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR HEALTH CARE. USC VERDUGO HILLS HOSPITAL (THE ORGANIZATION) WAS ORGANIZED TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE NONPROFIT USC VERDUGO HILLS HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA; TO COORDINATE THE ACTIVITIES OF THE ORGANIZATION WITH OTHER ACTIVITIES OF USC HEALTH SYSTEMS IN A MANNER THAT ENHANCES THE ACCESSIBILITY, QUALITY AND COST-EFFECTIVENESS OF HEALTH CARE SERVICES RELATED TO THE COMMUNITIES SERVED BY THE ORGANIZATION, PROVIDES ASSOCIATED SERVICES INCLUDING, BUT NOT LIMITED TO, OUTPATIENT CARE AND EMERGENCY CARE, TO ALL PERSONS WITHOUT REGARD TO SEX, RACE, AGE, RELIGION, CREED, COLOR OR NATIONAL ORIGIN, SEXUAL ORIENTATION, OR PHYSICAL OR MENTAL DISABILITY, AND SUPPORTS THE EDUCATIONAL AND RESEARCH MISSIONS OF VERDUGO HILLS HOSPITAL; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROVIDE AND IMPROVE THE GENERAL PUBLIC HEALTH AND HEALTH OF PATIENTS SERVED BY VERDUGO MEDICINE; AND IN FURTHERANCE OF THE PURPOSE, MISSION AND ACTIVITIES OF USC VERDUGO HILLS HOSPITAL, TO PROVIDE OTHER FORMS OF AID AND ASSISTANCE TO, FOR THE BENEFIT OF, OR IN CONNECTION WITH THE NONPROFIT COMPONENTS OF VERDUGO HILLS HOSPITAL. AS PART OF A UNIVERSITY-BASED MEDICAL CENTER, THE HOSPITAL PROVIDES EASY ACCESS FOR ITS PATIENTS TO THE BEST MEDICAL CARE AVAILABLE. THE HOSPITAL PROVIDES A FULL RANGE OF PERSONALIZED, QUALITY INPATIENT AND OUTPATIENT SERVICES TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. ITS INPATIENT CARE INCLUDES GEROPSYCHIATRIC CARE, INTENSIVE CARE, MEDICAL/SURGICAL, ORTHOPAEDICS, OBSTETRICS, TRANSITIONAL CARE, AND TELEMETRY. ITS OUTPATIENT SERVICES INCLUDE CARDIAC REHABILITATION, DIAGNOSTIC TESTING, EMERGENCY AND LIFE-THREATENING NEEDS OF ADULTS AND CHILDREN IN THE COMMUNITY. FAST-TRACK SERVICE IS AVAILABLE AROUND-THE-CLOCK FOR MINOR CASES. THE USC VERDUGO HILLS HOSPITAL PHYSICAL MEDICINE AND REHABILITATION DEPARTMENT SERVES THOSE WHO ARE IN NEED OF SUPPORT IN THE AREAS OF PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. THE HOSPITAL WILL SPEND 100% OF ITS TIME OPERATING THESE HOSPITAL FACILITIES AND FUNDS ITS ACTIVITIES THROUGH PATIENT REVENUE FROM SERVICES RENDERED TO PATIENTS AND FURNISHING OF THE HOSPITAL'S FACILITIES IN ACTIVITIES RELATED TO THE HOSPITAL'S EXEMPT PURPOSES. THE HOSPITAL IS ALSO ACTIVE IN COMMUNITY HEALTH EDUCATION, SPONSORING NUMEROUS OUTREACH PROGRAMS THROUGHOUT THE LOCAL COMMUNITY."