4A (Expenses $ 127291763 including grants of $ 186000) (Revenue $ 143340609)
"CFHS HOLDINGS, INC., DOING BUSINESS AS CEDARS-SINAI MARINA DEL REY HOSPITAL (""THE HOSPITAL""), IS A 133-BED NONPROFIT HOSPITAL. THE HOSPITAL IS FULLY ACCREDITED BY THE NATIONALLY RECOGNIZED JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS FOR SAFE AND EFFECTIVE QUALITY CARE (""THE JOINT COMMISSION""). THE HOSPITAL HAS THE FOLLOWING INPATIENT AND OUTPATIENT SERVICES: 24-HOUR EMERGENCY CARE INCLUDING TELESTROKE SERVICES IN COLLABORATION WITH NEUROSURGEONS FROM CEDARS-SINAI MEDICAL CENTER (CSMC), ICU, TELEMETRY, INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES AND ADVANCED SURGICAL TECHNOLOGY, CAREFULLY PRACTICED UNDER THE SUPERVISION AND SKILLED HANDS OF WORLD-CLASS PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)HOSPITAL SERVICES:- 24-HOUR EMERGENCY SERVICES- TELEMEDICINE STROKE PROGRAM IN THE EMERGENCY ROOM- TELE-PSYCH SERVICES IN THE EMERGENCY ROOM - INTENSIVE CARE UNIT- TELEMETRY/MEDICAL-SURGICAL UNITS (CARDIAC MONITORED BEDS)- INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES (LAB, IMAGING, GI, CARDIOLOGY)- OUTPATIENT SPINE CLINIC (THE MARINA SPINE CENTER)- MINIMALLY INVASIVE SURGICAL SERVICES (FOR HERNIA, APPENDECTOMY, GALL BLADDER, COLON, ANTI-REFLUX, WEIGHT MANAGEMENT, SPINE, TOTAL HIP, TOTAL KNEE CASES), UTILIZING THE DA VINCI ROBOT AND THE MAKO STRYKER ORTHO ROBOT.HOSPITAL STATISTICS:EMPLOYEES: 759PHYSICIANS WITH HOSPITAL PRIVILEGES: 289SURGEONS WITH HOSPITAL PRIVILEGES: 182NUMBER OF SURGERIES ANNUALLY: 3,523NUMBER OF ER VISITS ANNUALLY: 36,584PAYOR % - MEDICARE: 30.6%, MEDI-CAL: 5.4%, COMMERCIAL AND MANAGED CARE: 56.1%, SELF-PAY AND OTHER: 7.9%HOSPITAL OPERATIONS:CONTINUED ENHANCEMENTS TO THE REPORTING CAPABILITIES OF THE ELECTRONIC MEDICAL RECORDS SYSTEM, INCLUDING UPGRADED TECHNOLOGY AND REPORTING CAPABILITIES, HAVE IMPROVED THE ABILITY OF PHYSICIANS AND CLINICAL STAFF TO VIEW PRIOR VISIT RECORDS, ENHANCE PATIENT SAFETY VIA ALERTS, INCREASE DATA ANALYSIS, AND HAVE DECREASED THE AMOUNT OF LABOR FOR SCANNING OF PAPER DOCUMENTS AND ANALYSIS OF DATA.COMMUNITY SUPPORT AND ENGAGEMENT HIGHLIGHTS:- OUR MARINA SPINE CENTER IS A NATIONALLY RECOGNIZED OUTPATIENT CARE CENTER. IT IS A MULTIDISCIPLINARY CENTER OFFERING COMPREHENSIVE SPINE SERVICES, FROM EVALUATION AND DIAGNOSIS LEADING TO SURGERY AND REHABILITATION.- CEDARS-SINAI MARINA DEL REY HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN LOS ANGELES' 11TH DISTRICT AND IS ACTIVELY INVOLVED AS A COMMUNITY PARTNER. THE HOSPITAL HAS ESTABLISHED KEY PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO REDUCE HEALTH DISPARITIES, IMPROVE ACCESS TO CARE, AND FOOD INSECURITY, AND PROMOTION OF OVERALL HEALTH AND WELL-BEING FOR VULNERABLE MEMBERS OF OUR COMMUNITY.- THE HOSPITAL LEADERSHIP ENGAGES WITH THE COMMUNITY IN A VARIETY OF WAYS ON A CONSISTENT BASIS. FACILITY STAFF REPRESENTS THE HOSPITAL AT THE FOLLOWING LOCAL COMMUNITY EVENTS AND COLLABORATIVES LISTED BELOW. PARTICIPATION HAS BEEN A HYBRID OF VIRTUAL AND IN-PERSON. *PLAYA VISTA SUNRISE ROTARY CLUB *MAR VISTA FAMILY CENTER *AIRPORT MARINA COUNSELING *VENICE BOYS AND GIRLS CLUB *MAR VISTA BOYS AND GIRLS CLUB *VENICE FAMILY CLINIC *THE PEOPLE CONCERN (FORMERLY OPCC) *ST. JOSEPH CENTER - CES (COORDINATED ENTRY SYSTEM) *LAX COASTAL CHAMBER OF COMMERCE *INCLUSION MATTERS BY SHANE'S INSPIRATIONSPECIFIC HOSPITAL STAFF ATTEND MONTHLY OR QUARTERLY MEETINGS IN A VIRTUAL SETTING WHEN AVAILABLE.- THE HOSPITAL ADOPTS FAMILIES DURING THE HOLIDAY SEASON THROUGH SEVERAL OF THE ABOVE AGENCIES AND HOSPITAL LEADERSHIP ACTIVELY PARTICIPATES IN OTHER FUND-RAISING COMMUNITY EVENTS THROUGH BOTH MONETARY AND EMPLOYEE SUPPORT.PROGRAM ACCOMPLISHMENTS/DEVELOPMENT:- THE HOSPITAL, IN COLLABORATION WITH CSMC NEUROLOGY DEPARTMENT HAS BEEN UTILIZING TELEMEDICINE IN THE EMERGENCY ROOM SINCE FEBRUARY 2017 TO SUCCESSFULLY DIAGNOSE STROKE AND EXPEDITE TREATMENT. - THE HOSPITAL ALSO STARTED A TELE-ICU/ICU INTENSIVIST PROGRAM WITH PHYSICIANS FROM CSMC IN 2020 IN RESPONSE TO THE HIGHER ACUITY PATIENTS BECAUSE OF COVID-19. - IN APRIL 2022, THE HOSPITAL CONTRACTED WITH ARRAY BEHAVIORAL CARE SERVICES TO PROVIDE A TELE-PSYCH SERVICE TO OUR BEHAVIORAL HEALTH PATIENT POPULATION. - THE HOSPITAL, IN COLLABORATION WITH CSMC, OBTAINED THE AMERICAN HEART/AMERICAN STROKE ASSOCIATION AND THE JOINT COMMISSION PRIMARY STROKE CENTER CERTIFICATION IN 2022.- FURTHER, SPECIALTY PHYSICIANS ARE ROTATING THROUGH A CLINIC ADJACENT TO THE HOSPITAL TO COVER SPECIALTIES NOT PREVIOUSLY OFFERED AT THE HOSPITAL. SERVICES PROVIDED INCLUDE ENT, GYN, CARDIOLOGY, GI, AND NEUROLOGY. THE SPECIALISTS ALTERNATE DAYS OF THE WEEK MAKING FOLLOW-UP APPOINTMENTS EASIER FOR PATIENTS WHO HAVE BEEN SEEN AS INPATIENTS IN THE HOSPITAL. THIS ALSO HELPS REDUCE READMISSIONS AND IS CONVENIENT FOR THE PATIENTS IN THE COMMUNITY."

CEDARS-SINAI MARINA DEL REY HOSPITAL
PART V, SECTION B, LINE 3J: THE CHNA HELPS TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES SERVED BY CEDARS-SINAI MARINA DEL REY HOSPITAL AND PROVIDES A FRAMEWORK FOR PRIORITIZING HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES.CEDARS-SINAI MARINA DEL REY HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT FOR JULY 1, 2022 THROUGH JUNE 30, 2025 WAS APPROVED BY ITS GOVERNING BODY IN MAY 2022.

CEDARS-SINAI MARINA DEL REY HOSPITAL
PART V, SECTION B, LINE 5: IN CONDUCTING CEDARS-SINAI MARINA DEL REY HOSPITAL'S MOST RECENT CHNA, TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWS WERE COMPLETED DURING OCTOBER AND NOVEMBER 2021.THE PERSONS THE HOSPITAL FACILITY CONSULTED WERE:FIELD DEPUTY, COUNCILMEMBER MIKE BONIN, 11TH DISTRICT, CITY OF LOS ANGELESDIRECTOR, UCLA/VA VETERAN FAMILY WELLNESS CENTEREXECUTIVE DIRECTOR, MEALS ON WHEELS WESTEXECUTIVE DIRECTOR, COMMUNITY CORPORATION OF SANTA MONICAPRESIDENT AND CHIEF EXECUTIVE OFFICER, WISE & HEALTHY AGINGCO-DIRECTOR, HEALTH SERVICES, THE LOS ANGELES LGBT CENTERHEALTH SERVICES DEPUTY, OFFICE OF SUPERVISOR SHEILA KUEHL (LA COUNTY DISTRICT 3)CHIEF EXECUTIVE OFFICER, THE MAR VISTA FAMILY CENTERCHIEF EXECUTIVE OFFICER, ASIAN AMERICANS ADVANCING JUSTICE - LOS ANGELESPRESIDENT AND CHIEF EXECUTIVE OFFICER, ST. JOSEPH CENTER AREA HEALTH OFFICER, SPA 5, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTHDIRECTOR, SAFETY NET PROGRAMS AND PARTNERSHIPS, L.A. CARE HEALTH PLANVICE PRESIDENT, IMPACT & STRATEGY, UNITED WAY OF GREATER LOS ANGELESPRESIDENT AND CHIEF EXECUTIVE OFFICER, TWIN TOWN TREATMENT CENTERSCHIEF EXECUTIVE OFFICER, THE PEOPLE CONCERNMEDICAL DIRECTOR, LOS ANGELES UNIFIED SCHOOL DISTRICTCHIEF OPERATING OFFICER, DIDI HIRSCH MENTAL HEALTH SERVICES CO-DIRECTOR, HEALTH SERVICES, THE LOS ANGELES LGBT CENTERREGIONAL DIRECTOR, CATHOLIC CHARITIES OF LOS ANGELES, INC.HEALTHCARE INTEGRATION COORDINATOR, LOS ANGELES HOMELESS SERVICES AUTHORITY EXECUTIVE DIRECTOR, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) - WESTSIDE LOS ANGELESDIRECTOR OF EARLY LEARNING, SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICTBIRTH EQUITY & RACIAL JUSTICE MANAGER AND LEAD, CHERISHED FUTURES FOR BLACK MOMS & BABIES, PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIAVICE PRESIDENT OF STUDENT AFFAIRS, SANTA MONICA COLLEGECHIEF OPERATING OFFICER, COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTYPRESIDENT AND CHIEF OPERATING OFFICER, UNIHEALTH FOUNDATIONSENIOR PROGRAM OFFICER, HEALTH, CALIFORNIA COMMUNITY FOUNDATIONSERVICE AREA CHIEF, LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTHDEPUTY DIRECTOR/CHIEF OPERATIONS OFFICER, VENICE FAMILY CLINICTHE POPULATIONS REPRESENTED BY THE INDIVIDUALS THAT PROVIDED INPUT INCLUDED: THE MEDICALLY UNDERINSURED OR UNINSURED, BLACK, INDIGENOUS OR PEOPLE OF COLOR, CHILDREN AND YOUTH, INDIVIDUALS AND FAMILIES WHO ARE LOW-INCOME OR LIVING IN POVERTY, THE HOUSING INSECURE, PERSONS EXPERIENCING HOMELESSNESS, THE FOOD INSECURE, PERSONS WITH CHRONIC DISEASES, PERSONS WHO LACK TRANSPORTATION, VETERANS, LGBTIAQ+, PERSONS WITH SUBSTANCE USE DISORDERS, RESIDENTS EXPERIENCING MENTAL HEALTH CONCERNS, PERSONS WHO ARE LINGUISTICALLY ISOLATED, SENIORS, AND PERSONS WITH DISABILITIES.

CEDARS-SINAI MARINA DEL REY HOSPITAL
PART V, SECTION B, LINE 6A: CSMDRH PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH CEDARS-SINAI MEDICAL CENTER, PROVIDENCE SAINT JOHN'S HEALTH CENTER, AND UCLA HEALTH. GIVEN THESE HOSPITAL FACILITIES SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY.

CEDARS-SINAI MARINA DEL REY HOSPITAL
"PART V, SECTION B, LINE 11: IN FY22, CEDARS-SINAI MARINA DEL REY HOSPITAL (""THE HOSPITAL"") CONDUCTED THE MOST RECENT CHNA. THE HOSPITAL WILL ADDRESS THE HEALTH FOCUS AREAS PRIORITIZED FROM THE IDENTIFIED HEALTH NEEDS IN THE CHNA. THE HOSPITAL HAS COMMITTED TO ADDRESS: 1) ACCESS TO CARE AND COMMUNITY SERVICES: COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SERVICES.2) PEOPLE EXPERIENCING HOMELESSNESS: COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SERVICES, WITH SPECIAL EFFORTS TO CARE FOR PEOPLE EXPERIENCING HOMELESSNESS. HEALTH FOCUS AREAS:1) ACCESS TO CARE AND COMMUNITY SERVICES:* COMMUNITY HEALTH IMPROVEMENT PROGRAMS: CSMDRH WILL IMPLEMENT FREE COMMUNITY HEALTH IMPROVEMENT PROGRAMS TO IMPROVE THE HEALTH OF VULNERABLE POPULATIONS. PREVENTIVE SCREENINGS, IMMUNIZATIONS, HEALTH EDUCATION AND EVIDENCE-BASED PROGRAMS WILL FOCUS ON ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH. * GRANT MAKING: RECOGNIZING THE CRITICAL ROLE OF COMMUNITY-BASED SERVICES IN PROMOTING ACCESS TO HIGH-QUALITY CARE FOR UNDERSERVED POPULATIONS, CSMDRH WILL PROVIDE GRANTS AS A STRATEGY FOR IMPROVING THE HEALTH OF THE COMMUNITY AND INCREASING ACCESS TO CARE AND BEHAVIORAL HEALTH CARE, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH.* FINANCIAL ASSISTANCE: CSMDRH WILL PROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.2) PEOPLE EXPERIENCING HOMELESSNESS:* ED PATIENT NAVIGATOR: CSMDRH WILL IMPLEMENT INTENSIVE CASE MANAGEMENT IN THE EMERGENCY DEPARTMENT (ED) TO IMPROVE ACCESS TO APPROPRIATE LEVELS OF HEALTH CARE AND COMMUNITY-BASED SERVICES FOR PEOPLE EXPERIENCING HOMELESSNESS. PATIENTS WILL BE ENROLLED IN PUBLIC AND PRIVATE HEALTH INSURANCE AND CONNECTED TO NEEDED SOCIAL AND MEDICAL CARE RESOURCES. * GRANT MAKING: CSMDRH WILL PROVIDE GRANT SUPPORT TO COMMUNITY SERVICE AGENCIES THAT ADDRESS THE MULTIPLE HEALTH AND SOCIAL NEEDS OF PERSONS EXPERIENCING HOMELESSNESS.HEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS: THERE WERE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA THAT DID NOT MEET THE CRITERIA FOR DEVELOPING AND IMPLEMENTING A HEALTH FOCUS AREA AND, AS A RESULT, ARE NOT ADDRESSED IN THIS IMPLEMENTATION STRATEGY: CHRONIC DISEASES, COMMUNITY SAFETY, COVID-19, ECONOMIC INSECURITY, ENVIRONMENTAL CONDITIONS, FOOD INSECURITY, MENTAL HEALTH, OVERWEIGHT AND OBESITY, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND TRANSPORTATION. CSMDRH WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION."

PART I, LINE 7:
FINANCIAL ASSISTANCE AND MEDI-CAL COSTS AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES WERE DETERMINED BASED ON THE RATIO OF TOTAL FINANCIAL ASSISTANCE AND MEDI-CAL REVENUE OVER TOTAL CHARGES DURING THE FISCAL YEAR ENDING ON 6/30/2022.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13,609.

PART II, COMMUNITY BUILDING ACTIVITIES:
CEDARS-SINAI MARINA DEL REY HOSPITAL PROVIDES AN ARRAY OF COMMUNITY SUPPORT TO VULNERABLE AND NEIGHBORING COMMUNITIES AND PARTICIPATES IN COMMUNITY-BUILDING AND HEALTH IMPROVEMENT ADVOCACY.

PART III, LINE 2:
AS A RESULT OF THE ADOPTION OF ASC 606, THE HOSPITAL IS REPORTING IMPLICIT PRICE CONCESSIONS, WHICH IS ESTABLISHED BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECEIVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, AND OTHER RELEVANT INFORMATION, AND BAD DEBT, WHICH IS DUE TO CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE.

PART III, LINE 4:
AUDITED FINANCIAL STATEMENTS - PAGE 12PART III, LINE 6: MEDICARE ALLOWABLE COSTS AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES WERE DETERMINED BASED ON THE RATIO OF TOTAL MEDICARE REVENUE OVER TOTAL CHARGES DURING THE FISCAL YEAR ENDING ON 6/30/2022.

PART III, LINE 8:
IT IS OUR BELIEF THAT ALL OF THE $22,785,201 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS.

PART III, LINE 9B:
REASONABLE EFFORTS BASED ON BILLING STATEMENT NOTIFICATION AND AMOUNTS NOT ELIGIBLE:THE HOSPITAL NOTIFIES PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAMS BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS. THE HOSPITAL REFRAINS FROM INITIATING EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE THE HOSPITAL BILLS FOR THE CARE IF THE PATIENT HAS NOT SUBMITTED AN APPLICATION OR THE HOSPITAL HAS DETERMINED THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THE PATIENT'S APPLICATION.AT LEAST 30 DAYS BEFORE FIRST INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, THE HOSPITAL PROVIDES THE PATIENT WITH A WRITTEN NOTICE INDICATING FINANCIAL ASSISTANCE IS AVAILABLE, IDENTIFYING THE EXTRAORDINARY COLLECTION ACTION THAT THE HOSPITAL INTENDS TO INITIATE TO OBTAIN PAYMENT, AND STATING A DEADLINE AFTER WHICH SUCH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED (WHICH DATE IS NOT EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED). THE NOTICE INCLUDES A PLAIN LANGUAGE SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.IN ADDITION TO ALL WRITTEN NOTICES, PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES A REASONABLE EFFORT TO VERBALLY NOTIFY THE PATIENT ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ABOUT HOW THE PATIENT MAY OBTAIN ASSISTANCE THROUGH THE APPLICATION PROCESS.

PART VI, LINE 2:
A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FISCAL YEAR ENDED 6/30/2022. SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J.

PART VI, LINE 3:
THE HOSPITAL PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL FINANCIAL ASSISTANCE FOR THE FINANCIALLY QUALIFIED PATIENTS:A) POSTED SIGNAGE - NOTICE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGS.B) NOTICES HAND-DELIVERED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS (OR OTHERWISE PRIOR TO DISCHARGE), PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND CEDARS-SINAI MARINA DEL REY'S FINANCIAL ASSISTANCE PROGRAMS. PATIENTS ARE ASKED TO ACKNOWLEDGE RECEIPT OF THIS VIA AN ELECTRONIC SIGNATURE.C) PATIENT STATEMENT NOTICES - ON THE PATIENT BILLING STATEMENTS, THE HOSPITAL PROVIDES A DESCRIPTION OF ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, ALONG WITH INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE.PUBLICIZING THE POLICY:THE HOSPITAL WIDELY PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, INCLUDING DISTRIBUTION TO TARGETED COMMUNITY ORGANIZATIONS, AMONG A VARIETY OF OTHER MEANS, TO ALERT THE HOSPITAL'S COMMUNITY TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, THEAPPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE

PART VI, LINE 7, REPORTS FILED WITH STATES
CA

PART VI, LINE 4:
THE HOSPITAL IS LOCATED AT 4650 LINCOLN BLVD., MARINA DEL REY, CA 90292. THE HOSPITAL'S SERVICE AREA ENCOMPASSES EIGHT ZIP CODES IN THE CITIES OF CULVER CITY, MAR VISTA, MARINA DEL REY, PLAYA DEL REY, PLAYA VISTA, SANTA MONICA, VENICE, AND WESTCHESTER. PORTIONS OF THE SERVICE AREA ARE SERVED BY LOS ANGELES CITY COUNCIL DISTRICT 11. THE SERVICE AREA IS LOCATED IN LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 5. TO DETERMINE THE COMMUNITY BENEFIT SERVICE AREA, CEDARS-SINAI TAKES INTO ACCOUNT THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITAL; THE CURRENT UNDERSTANDING OF COMMUNITY NEED BASED ON THE MOST RECENT CHNA; AND LONG-STANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. IN ADDITION, THERE ARE SEVEN OTHER HOSPITALS THAT SERVE THE SAME COMMUNITY AS CEDARS-SINAI MARINA DEL REY HOSPITAL.COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR THE HOSPITAL SERVICE AREA IS 233,631. THE TOTAL POPULATION FOR LOS ANGELES COUNTY IS 10,081,570.RACE/ETHNICITYTHE POPULATION CHARACTERISTICS FOR THE HOSPITAL SERVICE AREA ARE AS FOLLOWS: WHITE (54.3%), HISPANIC/LATINO (21.3%), ASIAN (12.2%), BLACK/AFRICAN AMERICAN (6.8%), AMERICAN INDIAN/ALASKAN NATIVE (0.2%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.1%), OTHER/MULTIPLE RACES (5.1%)AGELESS THAN 18 YEARS (15.6%), 18-24 (8%), 25-64 (61.9%), GREATER THAN 65 YEARS (14.5%)GENDERFEMALE (50.4%), MALE (49.6%)SOCIOECONOMIC STATUSPOVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THE CENSUS BUREAU ANNUALLY UPDATES OFFICIAL POVERTY POPULATION STATISTICS. FOR 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. FAMILIES LIVING BELOW THE POVERTY LINE IN THE HOSPITAL SERVICE AREA (10.3%); LOS ANGELES COUNTY (14.9%)HOUSEHOLDSIN THE HOSPITAL SERVICE AREA THERE ARE 105,940 HOUSEHOLDS AND 115,232 HOUSING UNITS. OVER THE LAST FIVE YEARS, THE POPULATION GREW BY 0.5% AND HOUSEHOLDS GREW BY 1.8%. 59.4% OF HOUSEHOLDS IN THE SERVICE AREA ARE RENTER-OCCUPIED.HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $134,158 AND THE AVERAGE HOUSEHOLD INCOME IS $187,368.UNEMPLOYMENTIN 2020, THE UNEMPLOYMENT RATES IN SERVICE AREA CITIES RANGED FROM 6.1% IN MARINA DEL REY TO 12.9% IN THE CITY OF LOS ANGELES. LOS ANGELES COUNTY HAD AN UNEMPLOYMENT RATE OF 12.8%.EDUCATIONAL ATTAINMENTAMONG SERVICE AREA ADULTS, AGES 25 AND OLDER, 6.7% LACK A HIGH SCHOOL DIPLOMA. 9.6% OF ADULTS ARE HIGH SCHOOL GRADUATES AND 67.1% OF AREA ADULTS ARE COLLEGE GRADUATES.HEALTH INSURANCE COVERAGE IN THE SERVICE AREA, 94.4% OF THE POPULATION (ALL AGE GROUPS), 98.1% OF CHILDREN/YOUTH AGES 0 TO 18, AND 92.4% OF ADULTS, AGES 19 TO 64, HAVE HEALTH INSURANCE COVERAGE.

PART VI, LINE 5:
CEDARS-SINAI MARINA DEL REY HOSPITAL IS DRIVEN BY ITS MISSION TO STRIVE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY GIVING BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES. THE HOSPITAL PROVIDES BOTH QUANTIFIABLE AND NON-QUANTIFIABLE CONTRIBUTIONS TO THE COMMUNITY, SUCH AS INCREASING PARTICIPATION IN LOCAL EFFORTS TO COMBAT HOMELESSNESS IN THE COMMUNITY AND INCURRING UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED OF THE COMMUNITY. IN ADDITION, THE HOSPITAL DISTRIBUTED GRANTS TO ORGANIZATIONS INCLUDING ST. JOSEPH CENTER AND WESTSIDE INFANT-FAMILY NETWORK.THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF MEMBERS OF THE COMMUNITY. FURTHERMORE, THE COMMUNITIES ARE SERVED BY AN OPEN MEDICAL STAFF. ALSO, ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY.

PART VI, LINE 6:
THE HOSPITAL IS AN AFFILIATE OF CEDARS-SINAI HEALTH SYSTEM. THE 133-BED SURGICAL HOSPITAL IS FULLY ACCREDITED THROUGH THE JOINT COMMISSION FOR SAFE AND EFFECTIVE QUALITY CARE. BY CONCENTRATING FOUR AREAS OF EXPERTISE: SPINE, WEIGHT MANAGEMENT, ORTHOPEDICS, AND MINIMALLY INVASIVE SURGERY, THE HOSPITAL IS ABLE TO PROVIDE EXCELLENT CARE IN AN INTIMATE, PERSONAL AND CONVENIENT SETTING.THE HOSPITAL IS COMMITTED TO THE FOLLOWING:* COMMITMENT TO THE COMMUNITY: PROVIDING EXCELLENT AND PROMPT ACUTE MEDICAL SERVICES AND 24/7 EMERGENCY ROOM CARE. * TALENTED CUSTOMER SERVICE-DRIVEN TEAM: BELIEVES KINDNESS IS JUST AS IMPORTANT AS STATE-OF-THE-ART MEDICAL TECHNOLOGY. * NATIONALLY RECOGNIZED PHYSICIANS: RECOGNIZED FOR CLINICAL EXCELLENCE AND DEVOTED TO DELIVERING COMPASSIONATE, RESPONSIVE CARE.THE HOSPITAL'S MISSION:* TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE FOR RESIDENTS IN MARINA DEL REY AND SURROUNDING BEACH COMMUNITIES AND THE WESTSIDE OF LOS ANGELES * TO BE RECOGNIZED FOR MEDICAL EXCELLENCE IN SPINE, ORTHOPEDICS, SURGICAL WEIGHT MANAGEMENT, MINIMALLY INVASIVE SURGERY, NON-INVASIVE CARDIOLOGY AND GENERAL ACUTE MEDICAL CARE THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES ORGANIZATIONAL LEADERSHIP IN FOSTERING THE COMMITMENT TO COMMUNITY BENEFIT. THE BOARD OF DIRECTORS FUNCTIONS AS AN OVERSIGHT AND POLICY-MAKING BODY FOR THE HOSPITAL'S COMMUNITY BENEFIT COMMITMENTS, EFFORTS AND STRATEGIC ALIGNMENT WITH COMMUNITY NEEDS. DURING THE TAX YEAR, THE HOSPITAL'S COMMUNITY BENEFIT EXPENSE TOTALED $21,873,526 DIVIDED AMONG THE FOLLOWING CATEGORIES:* UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - $18,906,844 (CHARITY CARE - $2,719,177; UNREIMBURSED COST: CARING FOR MEDI-CAL PATIENTS - $15,878,000; UNREIMBURSED COST: SPECIALTY GOVERNMENT PROGRAMS - $309,667) (EXCLUDES THE UNREIMBURSED COST OF CARING FOR MEDICARE PATIENTS) COMMUNITY BENEFIT PROGRAMS, INCLUDING CHARITABLE DONATIONS - $2,966,682.