4A (Expenses $ 53026493 including grants of $ 0) (Revenue $ 64431032)
MEE MEMORIAL OPERATES A 25 ACUTE CARE BED AND 48 SKILLED NURSING BED LICENSED FACILITY THAT PROVIDES COMPREHENSIVE MEDICAL CARE TO THE LOCAL COMMUNITY AND OUTLYING AREAS WITHIN A 50-MILE RADIUS, AND SERVES AS A CRITICAL ACCESS HOSPITAL FOR THE REGION. IN ADDITION, MEE MEMORIAL HAS A NETWORK OF FIVE CLINICS TO SERVE ITS CLIENTELE, FOUR IN KING CITY AND ONE IN GREENFIELD. TYPES OF CARE OFFERED INCLUDE ACUTE, LONG-TERM, AND RURAL HEALTH CLINIC SERVICES. OVER THE SEPTEMBER 30, 2022 FISCAL YEAR, TOTAL PATIENT DAYS WERE 14,228. THE EMERGENCY SERVICE DEPARTMENT HAD 12,900 VISITS AND OUTPATIENT SERVICES HAD 30,775 IN THERAPY TREATMENTS/DIALYSIS TREATMENTS/SURGERIES/X-RAYS DURING THE FISCAL YEAR. THE HOSPITAL'S FIVE RURAL CLINICS RECEIVED 51,551 VISITS/PATIENTS IN ADDITION TO HOSPITAL SERVICES.

GEORGE L. MEE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5: MEE MEMORIAL'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT INCORPORATES INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH: (I) A COMMUNITY HEALTH SURVEY AND (II) A KEY INFORMANT SURVEY.FOR THE COMMUNITY HEALTH SURVEY, TO ENSURE BEST REPRESENTATION OF THE POPULATION SURVEYED, A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED TARGETED SURVEYS CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE) OR THROUGH ONLINE QUESTIONNAIRES, AS WELL AS A COMMUNITY OUTREACH COMPONENT PROMOTED BY THE STUDY SPONSORS THROUGH SOCIAL MEDIA POSTINGS AND OTHER COMMUNICATIONS. THESE SURVEYS WERE ADMINISTERED AND COLLECTED BETWEEN MARCH 2 AND JUNE 15, 2022. ALL IN ALL, A TOTAL OF 148 RANDOM-SAMPLE SURVEYS AND 136 COMMUNITY OUTREACH SURVEYS WERE COMPLETED. ONCE THE INTERVIEWS WERE COMPLETED, THE RESULTS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE MEE MEMORIAL HEALTHCARE SYSTEM SERVICE AREA AS A WHOLE.TO SOLICIT INPUT FROM KEY INFORMANTS (THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY) A COUNTYWIDE ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE MONTEREY COUNTY HEALTH NEEDS COLLABORATIVE; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 128 COMMUNITY LEADERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY BETWEEN MARCH 17 AND APRIL 19, 2022; A FULL LIST OF THE ORGANIZATIONS THESE INDIVIDUALS REPRESENT CAN BE FOUND ON THE CHNA POSTED ON THE ORGANIZATION'S WEBSITE.

GEORGE L. MEE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6A: THE MEE MEMORIAL HEALTHCARE SYSTEM 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND SALINAS VALLEY MEMORIAL HOSPITAL.

GEORGE L. MEE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6B: THE MEE MEMORIAL HEALTHCARE SYSTEM 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH MONTEREY COUNTY HEALTH DEPARTMENT, NATIVIDAD, AND UNITED WAY MONTEREY COUNTY; IN ADDITION, COORDINATION WAS PROVIDED FROM HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA.

GEORGE L. MEE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11: THE MEE MEMORIAL HEALTHCARE SYSTEM 2022 CHNA YIELDED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR OUR COMMUNITY:1. DIABETES2. MENTAL HEALTH3. ACCESS TO HEALTH CARE SERVICES4. NUTRITION, PHYSICAL ACTIVITY & WEIGHT5. HEART DISEASE & STROKE6. SUBSTANCE USE7. HOUSING8. INFANT HEALTH & FAMILY PLANNING9. INJURY & VIOLENCE10. CANCER11. ORAL HEALTH12. POTENTIAL DISABLING CONDITIONSIN CONSIDERATION OF THE TOP HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA PROCESS, AND TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS, AND STRATEGIC PRIORITIES, IT WAS DETERMINED THAT MEE MEMORIAL WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE:1. DIABETES2. MENTAL HEALTH3. ACCESS TO HEALTH CARE SERVICESTO ADDRESS THE HEALTH NEED OF DIABETES, MEE MEMORIAL INTENDS TO: RECRUIT A NURSE PRACTITIONER TO PROVIDE DIABETES EDUCATION; ESTABLISH A WELLNESS PROGRAM FOR EMPLOYEES; ESTABLISH A NEW SECTION OF THE MEE MEMORIAL WEBSITE FOCUSING ON HEALTHY EATING, LIVING, AND EXERCISE; INCREASE SOCIAL MEDIA OUTREACH PROMOTING HEALTHY LIVING; HOLD COMMUNITY WORKSHOPS AND COOKING DEMOS TO PROMOTE HEALTHY EATING HABITS; PROVIDE VIDEOS FOR WEB AND SOCIAL MEDIA HIGHLIGHTING HEALTH EATING, WELLNESS, AND EXERCISE ADVICE; CONTINUE TO PROMOTE DIABETES MONTH ON AN ANNUAL BASIS; DEVELOP A LOCAL WALKING MAP TO ENCOURAGE COMMUNITY EXERCISE; PARTNER WITH THE LOCAL FOODBANK TO PROVIDE HEALTHY RECIPE CARDS AND WELLNESS INFORMATION; AND PARTNER WITH LOCAL FARMERS AND OR LOCAL GYMNASIUMS TO PROMOTE THE BENEFITS OF HEALTH EATING AND EXERCISE.TO ADDRESS THE HEALTH NEED OF MENTAL HEALTH, MEE MEMORIAL INTENDS TO: PROVIDE EDUCATIONAL MATERIALS ABOUT MENTAL HEALTH CHALLENGES SUCH AS STRESS, ANXIETY, DEPRESSION, ETC.; PROVIDE RESOURCE INFORMATION ABOUT MENTAL HEALTH CRISIS LINES AND FORM PARTNERSHIPS TO PROMOTE RESOURCES TO THE COMMUNITY; INCLUDE MENTAL HEALTH EDUCATION WITHIN THE WELLNESS SECTION OF THE MEE MEMORIAL WELLNESS WEBPAGE; PROMOTE MENTAL HEALTH INFORMATION AND RESOURCES ON SOCIAL MEDIA AND PUBLIC OUTREACH; AND CONTINUE TO EXPLORE PARTNERSHIPS FOR MENTAL HEALTH TELEHEALTH SERVICES FOR THE SOUTH COUNTY COMMUNITY.TO ADDRESS THE HEALTH NEED OF ACCESS TO HEALTH CARE SERVICES, MEE MEMORIAL INTENDS TO: CONTINUE TO RECRUIT MISSION DRIVEN LONG-TERM PROVIDERS; OPEN A DEDICATED PEDIATRIC CLINIC; EXPAND AND UPGRADE THE EMERGENCY DEPARTMENT AND RADIOLOGY; AND DEVELOP ORTHOPEDIC SERVICES.IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, MEE MEMORIAL HEALTHCARE SYSTEM DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST-UNDER-ADDRESS, AND/OR MOST WITHIN ITS ABILITY TO INFLUENCE.NUTRITION, PHYSICAL ACTIVITY & WEIGHT IS NOT BEING ADDRESSED AS THIS IS A TOPIC MEE MEMORIAL HEALTHCARE SYSTEM PROVIDERS HANDLE REGULARLY IN COORDINATION WITH LOCAL HIGH SCHOOLS AND VIA SPORTS PHYSICALS AND PREVENTATIVE CHECKUPS AND ONGOING PATIENT CARE. WE ALSO OFFER HEALTHY MEAL COOKING DEMOS ON OUR YOUTUBE CHANNEL, EDUCATION TIPS ON THESE TOPICS VIA SOCIAL MEDIA AND VIA OUR NEWSLETTER TO MEET THIS NEED SO GIVEN OUR LIMITED RESOURCES WE FELT WE WERE DOING WHAT WE CAN TO ADDRESS THIS TOPICHEART DISEASE & STROKE IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM DOES NOT HAVE CARDIOLOGY TEAM ON STAFF. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. WE WORK CLOSELY WITH OTHER COMMUNITY ORGANIZATIONS TO REFER PATIENTS TO LOCAL RESOURCES BETTER EQUIPPED TO MANAGE PATIENTS WHO NEED CAREFUL HEART DISEASE CARE AND OFFER HEALTHY DIET HEART DISEASE AND STROKE PREVENTION VIA PATIENT EDUCATION (CHECK-UPS, SOCIAL MEDIA NEWSLETTERS) TO MEET THIS NEED.SUBSTANCE USE IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ALCOHOL, TOBACCO AND OTHER DRUG ISSUES. WE WORK CLOSELY WITH OTHER COMMUNITY ORGANIZATIONS SUCH AS SUN STREET CENTER WHICH HAS THE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.HOUSING IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS, SUCH AS CHISPA AND CCA. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.INFANT HEALTH & FAMILY PLANNING IS NOT BEING ADDRESSED AS ADVISORY COMMITTEE MEMBERS FELT THAT MORE PRESSING HEALTH NEEDS EXISTED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. OUR NEW CHILDREN'S HEALTH AND WELLNESS CENTER OPENING IN EARLY 2023 CAN ASSIST IN ADDRESSING THIS NEED IN THE NEAR FUTURE.INJURY & VIOLENCE IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.CANCER IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM FEELS THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON EARLY DETECTION OF CANCERS, AND THAT A SEPARATE SET OFCANCER-SPECIFIC INITIATIVES WAS NOT NECESSARY. OUR NEW MAMMOGRAPHY AND RADIOLOGY UPGRADES ARE A SIGNIFICANT STEP IN THIS DIRECTION.ORAL HEALTH IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS THIS ISSUE. OTHER PROFESSIONAL ORGANIZATIONS HAVE INFRASTRUCTURE/PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.POTENTIALLY DISABLING CONDITIONS IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.

PART I, LINE 7:
A COST TO CHARGE RATIO WAS USED TO CALCULATE THE COMMUNITY BENEFIT EXPENSE ON PART I, LINE 7B.

PART III, LINE 2:
THE ORGANIZATION RECORDS ACCOUNTS SENT TO COLLECTIONS AS A BAD DEBT AND ALSO ACCRUES BAD DEBT EXPENSE BASED ON AN ESTIMATE FROM AGED ACCOUNTS RECEIVABLE.

PART III, LINE 3:
THE ORGANIZATION HAS IDENTIFIED ACCOUNTS RECEIVABLE ATTRIBUTABLE TO SELF-PAY PATIENTS; REDUCTIONS ARE MADE TO THE ACCOUNTS RECEIVABLE FOR SELF-PAY PATIENTS BASED-OFF HISTORICAL TRENDS AND PATTERNS, WHICH IS REFLECTED ON SCHEDULE H, PART III, LINE 3.

PART III, LINE 4:
"THE AUDITED FINANCIAL STATEMENTS DO NOT HAVE A FOOTNOTE WHICH ADDRESSES ""BAD DEBT EXPENSE"", HOWEVER, THE FOOTNOTES WHICH DESCRIBE ""ACCOUNTS RECEIVABLE"", AND ""ALLOWANCE FOR DOUBTFUL ACCOUNTS"" CAN BE FOUND ON PAGES 8 AND 15 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990."

PART III, LINE 8:
THE COSTING METHODOLOGY USED TO CALCULATE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS A RATIO OF PATIENT COSTS TO CHARGES.

PART III, LINE 9B:
"COLLECTION PRACTICES FOR QUALIFIED PATIENTS:IT IS THE POLICY OF MEE MEMORIAL HEALTHCARE SYSTEM TO PROVIDE EXCELLENT CUSTOMER SERVICE TO ALL PATIENTS, AND ASSIST ALL UNINSURED PATIENTS WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, AND CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES. IF SUCH COVERAGE IS NOT AVAILABLE TO THE PATIENT, THE HOSPITAL WILL PROVIDE APPROPRIATE HEALTHCARE TO THE PATIENT, AND THE HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE BASED ON THE CURRENT FEDERAL POVERTY LEVEL, AND PER THE HOSPITAL'S POLICY, IN ACCORDANCE WITH CALIFORNIA STATE LAW, EMTALA, AND MEDICARE REGULATIONS. FURTHER, SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON INCOME WILL BE PROVIDED WITH SEVERAL OPTIONS FOR PAYMENT OF THEIR BILLS. IT IS THE HOSPITAL'S POLICY TO:- ASSIST ALL UNINSURED PATIENT WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT NO COST TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BELOW 100% OF THE CURRENT FEDERAL POVERTY LEVEL.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 50% DISCOUNT TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BETWEEN 101% AND 133% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 35% DISCOUNT TO ELIGIBLE PATIENTS BETWEEN 133% AND 200% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES.- PROVIDE INTEREST-FREE PAYMENT PLANS FOR ELIGIBLE PATIENTS UNDER THIS POLICY.- FORGO REPORTS TO CREDIT BUREAUS, REFERRAL OF ACCOUNTS TO COLLECTION AGENCIES, LIENS AGAINST PROPERTY OR WAGE GARNISHMENTS FOR ELIGIBLE PATIENTS WHO ARE MEETING AN AGREED-UPON PAYMENT PLAN.- PROVIDE ADEQUATE NOTICE OF THIS POLICY IN ALL ADMITTING AND RECEPTION AREAS.- OFFER FREE FINANCIAL COUNSELING TO ALL UNINSURED PATIENTS FOR FINANCIAL MATTERS RELATED TO THEIR HOSPITAL BILLS.- FOR ALL UNINSURED PATIENTS ABOVE 100% OF THE CURRENT FEDERAL POVERTY LEVEL, SEVERAL PAYMENT OPTIONS WILL BE PRESENTED, AS FOLLOWS:A. PROMPT PAY DISCOUNT: OFFER A 25% DISCOUNT IF THE ACCOUNT IS PAID IN FULL AT TIME OF SERVICE.B. PAYMENT PLAN: OFFER A 15% DISCOUNT IF THE PATIENT SIGNS AN AGREEMENT REPRESENTING THAT HE/SHE WILL MEET A PAYMENT PLAN THAT WILL PAY THE BALANCE IN FULL WITHIN 6 MONTHS AT NO INTEREST.C. CCS EARLY-OUT: IF THE PATIENT REJECTS EACH OF THE ABOVE OPTIONS, THE ACCOUNT WILL BE SENT TO CCS FOR ""EARLY-OUT"" COLLECTIONS FOR 90 DAYS. THIS ""EARLY-OUT"" PROCESS DOES NOT INCLUDE REPORTS TO CREDIT BUREAUS. AT THE END OF THE 90 DAYS, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL TO BE REVIEWED FOR POTENTIAL BAD DEBT WRITE-OFF AND COLLECTIONS REPORTING."

PART VI, LINE 2:
"THE MEE MEMORIAL HEALTHCARE SYSTEM CHNA WAS PREPARED BY PRC, A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. SIGNIFICANT HEALTH NEEDS (OR ""AREAS OF OPPORTUNITY"") WERE DETERMINED IN MEE MEMORIAL HEALTHCARE SYSTEM'S CHNA AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. AFTER REVIEWING THE CHNA FINDINGS, INTERNAL TEAM MEMBERS AND COMMUNITY STAKEHOLDERS MET TO EVALUATE AND PRIORITIZE THE TOP HEALTH NEEDS FOR MEE MEMORIAL HEALTHCARE SYSTEM'S COMMUNITY. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: 1) SCOPE AND SEVERITY OF THE ISSUE; AND 2) THE HOSPITAL'S/COMMUNITY'S ABILITY TO IMPACT THAT ISSUE. INDIVIDUAL RATINGS FOR EACH CRITERION WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE."

PART VI, LINE 5:
THE HOSPITAL UNDERTAKES MANY ACTIVITIES WHICH HELPS PROMOTE THE HEALTH OF THE COMMUNITY. ONE SUCH EXAMPLE WOULD BE THE OPERATION OF FIVE HEALTH CLINICS; A GOAL OF THE CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE HOSPITAL ALSO CONTRACTS WITH THE COUNTY OF MONTEREY TO PROVIDE CONGREGATE MEALS TO ELIGIBLE ADULTS UNDER THE MONTEREY COUNTY ELDERLY NUTRITION PROGRAM. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, AND THE BOARD IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
CA

PART VI, LINE 3:
UPON PRESENTATION TO OUR ADMITTING PROCESS, ONCE THE PATIENT IDENTIFIES THEY ARE WITHOUT INSURANCE, WE INFORM/EDUCATE THEM ABOUT THEIR OPTIONS WITH GOVERNMENT PROGRAMS AND PROVIDE CONTACT INFORMATION TO ACCESS THOSE PROGRAMS. ADDITIONALLY, WE PROVIDE THE PATIENT WITH OUR POLICIES RELATED TO CHARITY AND A CHARITY APPLICATION SHOULD THEY WISH TO PURSUE THAT ASSISTANCE.ADDITIONALLY, PATIENTS ARE INFORMED OF MEE MEMORIAL HEALTHCARE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM IN SEVERAL WAYS, WHICH INCLUDE:1. NOTIFICATIONS POSTED IN ALL PATIENT ACCESS AND EMERGENCY AREAS.2. INCLUDED WITHIN MEE MEMORIAL HEALTHCARE SYSTEM'S CONDITIONS OF ADMISSIONS FORM3. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED ON ALL PATIENT STATEMENTS, IN PLAIN LANGUAGE, WITH PHONE NUMBERS TO CALL FOR FURTHER INFORMATION.4. ALL FINANCIAL ASSISTANCE PROGRAM INFORMATION IS ADVERTISED ON MEE MEMORIAL HEALTHCARE SYSTEM'S WEBSITE.

PART VI, LINE 4:
THE ESTIMATED POPULATION OF MONTEREY COUNTY (WHERE MEE MEMORIAL HEALTHCARE SYSTEM'S SERVICE AREA ENCOMPASSES) TOTALS 432,977, AND HAS A POPULATION DENSITY OF 132 (COMPARED TO 252 WITH CALIFORNIA, AND 92 WITH THE REST OF THE UNITED STATES). WITHIN THE SERVICE AREA, 26.2% OF RESIDENTS ARE AGED 0-17; 60.2% RESIDENTS ARE AGED 18-64; AND 13.6% OF RESIDENTS ARE AGED 65+. A TOTAL OF 13.4% OF THE SERVICE AREA LACK HEALTH CARE INSURANCE COVERAGE, WHICH IS HIGHER WHEN COMPARED TO CALIFORNIA (13.2%) AND THE UNITED STATES (8.7%). FURTHER, WHEN COMPARED TO CALIFORNIA AND THE UNITED STATES, MONTEREY COUNTY HAS A LOWER NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 POPULATION.IN REGARDS TO THE RACIAL MAKEUP OF THE COMMUNITY, 48.5% OF THE RESIDENTS IDENTIFY AS WHITE; 5.8% IDENTIFY AS ASIAN; 38.9% IDENTIFY AS SOME OTHER RACE; AND 6.9% IDENTIFY AS MULTIPLE RACES. PLEASE NOTE THAT THE HISPANIC OR LATINO POPULATION CAN BE OF ANY RACE, AND 59% OF THE POPULATION OF MONTEREY COUNTY IS MADE-UP OF THE HISPANIC POPULATION, WHICH IS HIGHER WHEN COMPARED TO CALIFORNIA (39.1%) OR THE UNITED STATES (18.2%).WITHIN THE SERVICE AREA, 12% OF THE TOTAL POPULATION AND 18.4% OF CHILDREN EXPERIENCE POVERTY (COMPARED TO 12.6% / 16.8% WITHIN CALIFORNIA AND 12.8% / 17.5% WITHIN THE UNITED STATES. POPULATIONS WITHIN THE SERVICE AREA EXPERIENCE HOUSING INSECURITY, MULTIGENERATIONAL LIVING, SHARED HOUSING, AND/OR UNHEALTH OR UNSAFE HOUSING. ADDITIONALLY, 53.5% OF THE POPULATION EXPERIENCE FOOD INSECURITY (WHEN COMPARED TO 34.1% OF THE ENTIRE UNITED STATES POPULATION).THE SERVICE AREA HAS A HIGHER PERCENTAGE OF THE POPULATION (27%) WITH NO HIGH SCHOOL DIPLOMA WHEN COMPARED TO THE REST OF CALIFORNIA (16.1%) AND UNITED STATES (11.5%).IN REGARDS TO MENTAL HEALTH, 18.9% OF THE POPULATION HAS BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER (COMPARED TO 14.1% WITHIN CALIFORNIA AND 20.6% WITHIN THE UNITED STATES); HOWEVER, A HIGHER PERCENTAGE (49.2%) HAVE EXPERIENCED SYMPTOMS OF CHRONIC PERCENTAGE WHEN COMPARED TO THE UNITED STATES AS A WHOLE (30.3%). MONTEREY COUNTY DOES HAVE 145.1 MENTAL HEALTH CARE PROVIDERS PER 100,000 POPULATION, WHICH IS HIGHER THAN CALIFORNIA (144.3) OR THE UNITED STATES (126).THE LEADING CAUSE OF DEATH WITHIN THE SERVICE AREA IS CANCER, FOLLOWED BY HEART DISEASE, COVID-19, UNINTENTIONAL INJURIES, STROKE, ALZHEIMER'S DISEASE, LUNG DISEASE, AND OTHER. IN GENERAL, THE SERVICE AREA HAS A LOWER PREVALENT RATE OF HEART DISEASE MORTALITY, STROKE MORTALITY, CANCER MORTALITY, RESPIRATORY DISEASE MORTALITY, COVID-19 MORTALITY, INTENTIONAL INJURY MORTALITY, DIABETES MORTALITY, AND ALZHEIMER'S DISEASE MORTALITY WHEN COMPARED TO CALIFORNIA AND THE UNITED STATES. THE SERVICE AREA HAS A HIGHER RATE OF UNINTENTIONAL INJURY MORTALITY AND KIDNEY DISEASE MORTALITY WHEN COMPARED TO CALIFORNIA, BUT A LOWER RATE WHEN COMPARED TO THE UNITED STATES.THE SERVICE AREA HAS A VIOLENT CRIME RATE OF 424.6 PER 100,000 POPULATION (COMPARED TO 440.5 WITHIN CALIFORNIA, AND 416 WITHIN THE UNITED STATES).THE SERVICE AREA HAS A HIGHER PREVALENCE OF OVERWEIGHT INDIVIDUALS (78.3%) WHEN COMPARED TO CALIFORNIA (64%) OR THE UNITED STATES (61%); ADDITIONALLY, A HIGHER PERCENTAGE OF THE POPULATION (43.6%) IS OBESE WHEN COMPARED TO CALIFORNIA (30.3%) OR THE UNITED STATES (31.3%).