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CHILDREN'S SPECIALTY CENTER TODD CANCER INSTITUTE

2880 ATLANTIC AVE SUITE 412 LONG BEACH CA 90806

CANCER RISK AND PREVENTION SCHEDULE H, PART I, LINE 6A EACH FACILITY PREPARES A SEPARATE COMMUNITY BENEFIT REPORT FOR THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FILING PURPOSES. A CONSOLIDATING SCHEDULE FOR THE DOLLAR AMOUNTS OF CHARITY & COMMUNITY BENEFIT PROVIDED TO THE COMMUNITIES IS PREPARED BY THE CORPORATE OFFICE FOR THE AUDITED FINANCIAL STATEMENTS AND THE ANNUAL REPORT. CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE PROGRAM SCHEDULE H, PART I, LINE 7B THE CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE (HQAF) PROGRAM WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA ON SEPTEMBER 8, 2010 AND BECAME RETROACTIVELY EFFECTIVE APRIL 1, 2009. THE HQAF PROGRAM, IN COMBINED SUPPORT OF THE HOSPITAL INDUSTRY AND THE STATE OF CALIFORNIA, IMPOSES A PROVIDER FEE ON GENERAL ACUTE CARE HOSPITALS THAT, COMBINED WITH FEDERAL MATCHING FUNDS, WOULD BE USED TO PROVIDE SUPPLEMENTAL MEDI-CAL PAYMENTS TO HOSPITALS AND THE STATE MEDI-CAL PROGRAM. THE INITIAL 21-MONTH RETROACTIVE PHASE OF THE HQAF PROGRAM ENDED ON DECEMBER 31, 2010. IN MAY 2011, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) APPROVED AN EXTENSION OF THE FEE-FOR-SERVICE PORTION OF THE HQAF PROGRAM FOR THE SIX MONTH PERIOD FROM JANUARY 1 THROUGH JUNE 30, 2011. IN LATE DECEMBER 2011, CMS APPROVED AN EXTENSION OF THE MANAGED CARE PORTION OF THE HQAF PROGRAM FOR THAT SAME SIX-MONTH PERIOD. THE CALIFORNIA STATE LEGISLATURE ALSO ENACTED SB335 IN 2011, WHICH EXTENDED THE HQAF PROGRAM ANOTHER THIRTY MONTHS, FROM JULY 1, 2011 TO DECEMBER 31, 2013. THE NON-MANAGED CARE REVENUE OF THE PROGRAM WAS APPROVED ON JUNE 22, 2012 BY CMS. ON MAY 9, 2013 AND JUNE 28, 2013, CMS APPROVED THE MANAGED CARE RATES FOR THE 2011-2012 AND 2012-2013 FISCAL YEARS OF THE 30-MONTH HOSPITAL FEE PROGRAM. THE NET HQAF PAYMENTS RECEIVED OR ACCRUED DURING FY 2013 REPORTED ON LINE 7B IS $90,308,647, WHICH CONSISTED OF REVENUE OF $176,427,817 AND FEE EXPENSE OF $86,119,170. THE UNREIMBURSED MEDICAID PERCENTAGE ON LINE 7B IS 3.64% WHEN THE NET HQAF PAYMENTS ARE EXCLUDED FROM THE CALCULATION. THE TOTAL FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT PERCENTAGE ON LINE 7K IS 7.10% WHEN THE NET HQAF PAYMENTS ARE EXCLUDED FROM THE CALCULATION. SCHEDULE H, PART I, LINE 7, COLUMN F OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS 2,050,861,733. OUR SHARE OF THE TOTAL EXPENSE FROM JOINT VENTURES WAS $5,386,696. SCHEDULE H, PART I, LINE 7G ALL COSTS ON LINE 7G ARE SUBSIDIZED HEALTH SERVICES RELATING TO THE OUTPATIENT SPECIALTY CENTERS (CLINICS) AT EARL AND LORRAINE MILLER CHILDREN'S HOSPITAL. THESE SPECIALTY CENTERS OFFER MORE THAN 30 PEDIATRIC SUB-SPECIALTIES. CHILDREN ARE SEEN FOR ACUTE, CHRONIC OR SURGICAL CONDITIONS. THESE OUTPATIENT CENTERS SERVE AS THE PATIENT'S "MEDICAL HOME" FOR THE MANY THAT WILL NEED ONGOING FOLLOW-UP CARE AND SUPPORT ON A REGULAR BASIS. THESE MUCH NEEDED PEDIATRIC SERVICES ARE SUBSIDIZED IN ORDER TO PROVIDE SERVICES REGARDLESS OF ABILITY TO PAY. SCHEDULE H, PART I, LINE 7 SEVERAL METHODOLOGIES WERE USED TO CALCULATE THE AMOUNTS REPORTED ON LINE 7. THE AMOUNTS ON LINE 7A, 7B, AND 7C WERE CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE AMOUNTS ON LINE 7G WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL EXPENSES FROM THE CONSOLIDATED INCOME STATEMENT OF LONG BEACH MEMORIAL AND MILLER CHILDREN'S HOSPITAL, AND ALL PATIENT CARE AREAS ARE INCLUDED IN THE INDIRECT ALLOCATION (INPATIENT, HOSPITAL BILLED OUTPATIENT AND EMERGENCY ROOM AND EXTERNAL BILLED OUTPATIENT), AND THERE IS NO EXCEPTION BY PAYER. ADDITIONALLY, A COST ALLOCATION METHOD BASED ON REASONABLE ALLOCATION FACTORS INCLUDING: SQUARE FOOTAGE, FUNDING SOURCE, EMPLOYEE WAGES, AND FAIR RENTAL VALUE WAS USED TO INCLUDE ESTIMATED COSTS RELATED TO LINES 7F, 7H, AND 7I. THE AMOUNTS ON LINE 7E ARE DIRECT COSTS PER THE GENERAL LEDGER. SCHEDULE H, PART II MEMORIAL HEALTH SYSTEM, A SIX HOSPITAL NOT-FOR-PROFIT PRIVATE HEALTH SYSTEM SERVICING LOS ANGELES AND ORANGE COUNTIES, ENGAGED IN COMMUNITY BUILDING ACTIVITIES IN THE FOLLOWING FOUR CATEGORIES IN FY 2013: 1. ECONOMIC DEVELOPMENT - HOSPITAL STAFF PARTICIPATE ON THE BOARD OF DIRECTORS FOR A LONG BEACH, CALIFORNIA BUSINESS DEVELOPMENT AGENCY. 2. COMMUNITY SUPPORT - A NUMBER OF HOSPITAL STAFF SUPPORT COMMUNITY ORGANIZATIONS THROUGH PARTICIPATION ON COALITIONS, COMMITTEES AND NETWORKS OF AGENCIES ADDRESSING COMMON ISSUES. EMPLOYEES ARE ALSO SUPPORTED BY THE HOSPITALS TO ENGAGE IN PLANNING, EDUCATION PRESENTATIONS, CONSORTIA, SUMMITS, AND MEETINGS WITH COMMUNITY GROUPS. 3. LEADERSHIP DEVELOPMENT - STAFF FROM MILLER CHILDREN'S HOSPITAL CONTRIBUTE TO THE PLANNING OF THE BEST START (PRENATAL CARE) LEADERSHIP RETREAT FOR COMMUNITY MEMBERS. 4. COALITION BUILDING - AS A RECOGNIZED LEADER IN FAMILY CENTERED CARE, HOSPITAL STAFF HOLD MEMBER AND BOARD POSITIONS FOR LOCAL, REGIONAL, STATE AND NATIONAL COALITIONS. 5. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - STAFF IS INVOLVED IN ADVOCACY ACTIVITIES THAT FOCUS ON HEALTH ISSUES, SUCH AS: DISASTER PLANNING, BREAST FEEDING, PRENATAL CARE, AND CHILDREN 0-5 YEARS. 6. WORKFORCE DEVELOPMENT - RECOGNIZING THE NEED TO REFLECT THE DIVERSITY OF OUR PATIENT POPULATION AND THE COMMUNITIES WE SERVE, RECRUITMENT OF UNDERREPRESENTED MINORITIES IS A PRIORITY. WE SUPPORT COMMUNITY YOUTH PROGRAMS TO ENCOURAGE CAREERS IN HEALTH CARE DISEASE MANAGEMENT AND PROVIDE ASSISTANCE TO REGIONAL OCCUPATIONAL PROGRAMS (ROP) IN NURSING ADMINISTRATION. 7. OTHER - THE HOSPITALS PROVIDE STAFF TIME, SUPPLIES, PRINTING, AND FACILITIES SPACE TO SUPPORT A MULTITUDE OF COMMUNITY EVENTS THAT ADDRESS HEALTH NEEDS IN THE COMMUNITIES WE SERVE. SCHEDULE H, PART III, LINE 2 THE BAD DEBT IS DETERMINED BASED ON THE PATIENT LIABILITY, IRRESPECTIVE OF ANY PREVIOUS PAYMENTS OR DISCOUNTS ON THE ACCOUNT. FOR ACCOUNTS WITH INSURANCE, 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, PATIENTS HAVE SEVERAL OPTIONS FOR DISCOUNTS. IN BOTH CASES, AFTER A SET PERIOD OF TIME, IF PAYMENTS ARE NOT MADE, THE PATIENT PORTION IS WRITTEN OFF TO BAD DEBT. SCHEDULE H, PART III, LINE 4 PROVISION FOR DOUBTFUL ACCOUNTS: THE CORPORATION RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYER TYPES. THESE ARE AMOUNTS WHERE THE PATIENT OR THEIR GUARANTOR IS RESPONSIBLE FOR PAYMENT AND NO OTHER THIRD PARTY LIABILITY EXISTS. A MINIMUM OF TWO STATEMENTS WILL BE SENT TO THE GUARANTOR NOTIFYING THEM THAT THE BALANCE OF THE ACCOUNT IS DUE. AFTER REASONABLE AND CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE PATIENT LIABILITY REMAINS OUTSTANDING FOR MORE THAN 120 DAYS AFTER THE MAILING DATE OF THE FIRST BILL, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. AT THAT POINT THE ACCOUNT IS WRITTEN OFF AND CHARGED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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, WITH NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. THE MEDICARE ACCOUNT WILL THEN BE SENT TO A COLLECTION AGENCY BUT NOT WRITTEN OFF TO PROVISION FOR DOUBTFUL ACCOUNTS UNTIL IT IS RETURNED FROM THE COLLECTION AGENCY. UNRESOLVED ACCOUNTS ARE RETURNED TO IN-HOUSE PERSONNEL BY THE COLLECTION AGENCIES AFTER THEY HAVE PERFORMED ALL REASONABLE AND CUSTOMARY COLLECTIONS EFFORTS ON ASSIGNED ACCOUNTS AND THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. SCHEDULE H, PART III, LINE 8 COSTING METHODOLOGY THE ALLOWABLE MEDICARE COST USED IN LINE 6 WAS TAKEN FROM THE APPLICABLE FILED MEDICARE COST REPORTS. THE COST IS DETERMINED BY A MULTI-STEP PROCESS. FIRST, DIRECT COSTS ARE ACCUMULATED BY DEPARTMENT AND REPORTED ON THE APPROPRIATE LINES OF THE COST REPORT. THESE LINES ARE GROUPED BY TYPE. THESE TYPES ARE: GENERAL SERVICE (OVERHEAD), ROUTINE SERVICE, ANCILLARY SERVICE, OUTPATIENT SERVICE, SPECIAL PURPOSE AND NON-REIMBURSABLE. THE GENERAL SERVICE COSTS ARE THEN ALLOCATED DOWN TO THE OTHER TYPES OF COSTS USING A SIMPLE STEP-DOWN METHODOLOGY. ONCE THE OVERHEAD HAS BEEN ALLOCATED, ROUTINE PER DIEMS AND ANCILLARY COST TO CHARGE RATIOS ARE CALCULATED. THE COST OF MEDICARE SERVICES IS DETERMINED BY APPORTIONING THE TOTAL COST BASED ON MEDICARE DAYS FOR ROUTINE (DAYS X COST PER DAY) AND MEDICARE CHARGES FOR ANCILLARY, OUTPATIENT AND SPECIAL PURPOSE COSTS (MEDICARE CHARGES X COST TO CHARGE RATIO) AND ADDING THEM TOGETHER. SCHEDULE H, PART III, LINE 9B ONCE A BALANCE HAS BEEN IDENTIFIED AS A PATIENT RESPONSIBILITY A MINIMUM OF TWO DATAMAILERS/STATEMENTS ARE SENT TO THE GUARANTOR NOTIFYING THEM OF THE AMOUNT DUE. AFTER CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE PATIENT LIABILITY REMAINS UNPAID, THE ACCOUNT WILL BE PROCESSED FOR REFERRAL TO AN OUTSIDE COLLECTION AGENCY. ONCE ASSIGNED, THE COLLECTION AGENCY WILL CONTINUE USING REASONABLE AND CUSTOMARY COLLECTION EFFORTS IN ORDER TO OBTAIN PAYMENT. IF AT ANY TIME DURING THIS PROCESS THE PATIENT INDICATES FINANCIAL HARDSHIP, THE PATIENT WILL BE INFORMED OF THE MEMORIAL HEALTH SERVICES CHARITY CARE AND LOW INCOME FINANCIAL ASSISTANCE PROGRAMS. IF ALL OR PART OF A BALANCE QUALIFIES FOR CHARITY, THE AMOUNT WILL BE RECLASSED FROM BAD DEBT TO CHARITY. IF NOT, THE AMOUNT STAYS IN BAD DEBT. ONCE THE COLLECTION AGENCY DEEMS THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS. ON A MONTHLY BASIS, THE COLLECTION AGENCY WILL ISSUE A REPORT IDENTIFYING THOSE ACCOUNTS WHERE COLLECTION EFFORTS HAVE CEASED. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 FOR OUR ORANGE COUNTY FACILITIES, SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, AND HEALTH BEHAVIORS. ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE HOSPITAL PRIMARY SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. FOR EXAMPLE, DEMOGRAPHIC DATA, BIRTH AND DEATH DATA ARE BASED ON ZIP CODES. HOUSING AND ECONOMIC INDICATORS ARE AVAILABLE BY CITY. OTHER DATA ARE ONLY AVAILABLE BY COUNTY. SOURCES OF DATA INCLUDE THE U.S. CENSUS 2010 DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY, CALIFORNIA HEALTH INTERVIEW SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, CONDITIONS OF CHILDREN IN ORANGE COUNTY, UNIFORM DATA SET, CDC NATIONAL HEALTH STATISTICS, NATIONAL CANCER INSTITUTE, ORANGE COUNTY GEOGRAPHICAL HEALTH PROFILE, ORANGE COUNTY HEALTHY PLACES, HEALTHY PEOPLE, BRFSS, U.S. DEPARTMENT OF EDUCATION, AND OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF ORANGE COUNTY AND CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITALS. FOR ORANGE COAST MEMORIAL MEDICAL CENTER, FOURTEEN INTERVIEWS WERE COMPLETED DURING AUGUST THROUGH NOVEMBER, 2012. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY". INPUT WAS OBTAINED FROM ORANGE COUNTY HEALTH CARE AGENCY. ONE FOCUS GROUP WAS CONDUCTED IN NOVEMBER 2012. THE FOCUS GROUP ENGAGED 13 SENIOR RESIDENTS AND WAS HELD AT THE CENTER AT FOUNDERS VILLAGE SENIOR AND COMMUNITY CENTER IN FOUNTAIN VALLEY. FOR SADDLEBACK MEMORIAL MEDICAL CENTER, TWELVE INTERVIEWS WERE COMPLETED FROM JANUARY THROUGH FEBRUARY, 2013. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM THE ORANGE COUNTY HEALTH CARE AGENCY. FOUR FOCUS GROUPS WERE CONDUCTED IN JANUARY AND FEBRUARY, 2013. THE FOCUS GROUPS ENGAGED 28 PARTICIPANTS. OUR THREE LONG BEACH FACILITIES COLLABORATED WITH ONE OTHER LONG BEACH-BASED HOSPITAL TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT. WORKING TOGETHER IN THE COMMUNITY, THE FOUR LOCAL HOSPITALS CONDUCTED THE GREATER LONG BEACH COMMUNITY HEALTH NEEDS ASSESSMENT (LBCHNA) ALONG WITH KEY INFORMANT SURVEY FOR 2012. SECONDARY DATA ANALYSIS WAS CONDUCTED TO SUPPORT THE PRIMARY DATA COLLECTION. SURVEY INSTRUMENTS WERE DEVELOPED THROUGH AN ITERATIVE PROCESS WITH QUESTIONS COVERING HEALTH RELATED TOPICS AFFECTING, CHILDREN, TEENS, YOUNG ADULTS, ADULTS AND THE ELDERLY. THE LBCHNA SURVEY INSTRUMENT WAS PROVIDED IN ENGLISH AND SPANISH LANGUAGES. THE SURVEYS WERE COLLECTED FROM A CONVENIENCE SAMPLE AT COMMUNITY FORUMS, HEALTH FAIRS AND EVENTS WITHIN THE CITY OF LONG BEACH FROM SEPTEMBER 2011 UNTIL MARCH 2012 USING WEB TECHNOLOGY. THE TOTAL NUMBER OF SURVEYS COLLECTED FROM THE LBCHNA AND KEY INFORMANTS SURVEYS WERE 1,309 (ONLY 1,066 WERE VALID) AND 122, RESPECTIVELY. THE SECONDARY DATA ANALYSIS WAS CONDUCTED USING CENSUS 2010, COMMUNITY HEALTH ASSESSMENT (CITY OF LONG BEACH, DEPARTMENT OF HEALTH AND HUMAN SERVICES, 2012) AND THE CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS) TO VALIDATE THE PRIMARY DATA COLLECTED. THESE DATA ARE UP-TO-DATE AND PROVIDE INFORMATION RELATED TO COMMUNITY DEMOGRAPHICS, AND INFORM AN OVERALL IMPRESSION OF PRIORITY HEALTH NEEDS FOR THE COMMUNITY. A KEY INFORMANT SURVEY, WHICH WAS SIMILAR TO THE LBCHNA SURVEY, WAS ALSO ADMINISTERED WITH INDIVIDUALS WHO REPRESENT THE LOCAL HEALTH CARE SYSTEM IN THE CITY OF LONG BEACH. USING WEB TECHNOLOGY (SURVEY MONKEY), KEY INFORMANTS FROM LOCAL HOSPITALS, PUBLIC HEALTH AND NONPROFIT ORGANIZATIONS, ACADEMICIANS AND CITY OFFICIALS RESPONDED TO A SURVEY TO ENHANCE THE FINDINGS OF THE LBCHNA SURVEY AND ATTEMPTED TO DISCOVER RELATIVELY NEW EMERGING HEALTH AND HEALTH-RELATED ISSUES. RESULTS OF THE KEY INFORMANT SURVEYS ARE REPORTED AS WELL. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 PUBLIC NOTICE EACH MEMORIAL HEALTH SYSTEM HOSPITAL POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT, OUTPATIENT AND EMERGENCY SERVICE AREAS OF THE HOSPITAL. NOTICES ARE POSTED IN THE PATIENT FINANCIAL SERVICES AND COLLECTION DEPARTMENTS. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. A FINANCIAL ASSISTANCE BROCHURE, IN ENGLISH, SPANISH AND VIETNAMESE, AND APPLICATION ARE ALSO POSTED ON OUR WEBSITE. DATA MAILERS AND STATEMENTS ARE SENT TO PATIENTS AS PART OF THE ROUTINE BILLING PROCESS AND CONTAIN INFORMATION ABOUT THE MEMORIAL HEALTH SYSTEM FINANCIAL ASSISTANCE PROGRAM. THESE NOTICES ARE AVAILABLE IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. A PATIENT INFORMATION BROCHURE THAT DESCRIBES THE FEATURES OF THE MEMORIAL HEALTH SYSTEM FINANCIAL ASSISTANCE PROGRAM IS MADE AVAILABLE TO PATIENTS AND MEMBERS OF THE GENERAL PUBLIC. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC) IS COMPRISED OF THREE SEPARATELY LICENSED HOSPITALS, LONG BEACH MEMORIAL, MILLER CHILDREN'S HOSPITAL LONG BEACH AND COMMUNITY HOSPITAL LONG BEACH. TOGETHER THEY SERVE THE GREATER LONG BEACH AREA, INCLUDING LAKEWOOD, SEAL BEACH, COMPTON, BELLFLOWER, CARSON, CERRITOS, PARAMOUNT, LOS ALAMITOS, SIGNAL HILL, CYPRESS, NORWALK, LYNWOOD, AND WILMINGTON. IN LONG BEACH, THE LARGEST SEGMENT OF THE POPULATION IS WITHIN THE AGE GROUP 25-44 (30.5% OF THE POPULATION) FOLLOWED BY THOSE AGED 18 AND UNDER WITH 24.9%. SENIORS, AGES 65 AND OVER, MAKE UP 9.3% OF THE CITY'S POPULATION. THE CITY OF LONG BEACH IS OFTEN REFERRED TO AS ONE OF THE MOST DIVERSE CITIES IN THE NATION. OVER 40% OF THE POPULATION IS HISPANIC FOLLOWED BY WHITE (29%), AFRICAN AMERICAN (13%) AND ASIAN (OVER 12%) AND OTHER ETHNIC OR RACE IDENTIFIERS (4.3%). ALONG WITH THE DIVERSITY IN THE POPULATION COMES LANGUAGE DIVERSITY. THE MAJORITY OF THE POPULATION IN LONG BEACH SPEAK ENGLISH (53.2%) FOLLOWED BY SPANISH (34%). ABOUT 10% OF THE POPULATION REPORTS SPEAKING AN ASIAN OR PACIFIC ISLANDER LANGUAGE E.G., KHMER. THE ESTIMATED MEDIAN FAMILY INCOME IN 2010 WAS $51,173 AND THE PERCENTAGE OF FAMILIES BELOW THE POVERTY LINE WAS REPORTED AT 19.1% COMPARED TO THE STATE RATE OF 13.7% AND NATIONAL RATE OF 15.1%. THE UNEMPLOYMENT RATE IN LONG BEACH FOR NOVEMBER 2010 WAS REPORTED AS 12.2%. SADDLEBACK MEMORIAL MEDICAL CENTER HAS TWO CAMPUSES - LAGUNA HILLS AND SAN CLEMENTE. THE SERVICE AREA IS LOCATED IN ORANGE COUNTY AND REPRESENTS: 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, AND TRABUCO HILLS. THE POPULATION OF THE SADDLEBACK MEMORIAL SERVICE AREA IS 683,634. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 24.1% OF THE POPULATION; 62.8% ARE ADULTS, AGES 18-64; AND 13.1% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE POPULATION IN THE SADDLEBACK MEMORIAL SERVICE AREA TENDS TO BE OLDER THAN THE ORANGE COUNTY POPULATION AS A WHOLE. 65.5% OF THE RESIDENTS ARE WHITE; 15.4% ARE HISPANIC/LATINO; 14.2% ARE ASIAN; 1.1% ARE AFRICAN AMERICAN; AND 3.8% ARE AMERICAN INDIAN/ALASKAN NATIVE/NATIVE HAWAIIAN OR OTHER RACE/ETHNICITY. ENGLISH IS SPOKEN IN THE HOME AMONG 74% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 9.9% OF THE POPULATION; 9.2% OF THE POPULATION SPEAKS AN ASIAN LANGUAGE; AND 6.2% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME. AMONG THE RESIDENTS IN THE SADDLEBACK MEMORIAL SERVICE AREA, 6.4% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 15% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE COUNTY WHERE 10.9% OF RESIDENTS ARE AT POVERTY LEVEL AND 27.3% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 6.6% OF CHILDREN, UNDER AGE 18 YEARS, AND 6.4% OF SENIORS ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA RANGES FROM $34,789 IN LAGUNA WOODS TO $138,826 IN TRABUCO HILLS. HEALTH INSURANCE COVERAGE IS A KEY COMPONENT TO ACCESS HEALTH CARE. 89.5% OF THE TOTAL POPULATION IN THE SADDLEBACK MEMORIAL SERVICE AREA HAS HEALTH INSURANCE. LAGUNA BEACH HAS THE HIGHEST HEALTH INSURANCE RATE (92.7%) AND SAN JUAN CAPISTRANO HAS THE LOWEST RATE OF HEALTH INSURANCE (80.8%). ORANGE COAST MEMORIAL IS LOCATED IN FOUNTAIN VALLEY, CALIFORNIA. THE SERVICE AREA IS LOCATED IN ORANGE COUNTY AND REPRESENTS: ANAHEIM, CORONA DEL MAR, COSTA MESA, CYPRESS, FOUNTAIN VALLEY, GARDEN GROVE, HUNTINGTON BEACH, LOS ALAMITOS, NEWPORT BEACH, SANTA ANA, SEAL BEACH, TUSTIN, AND WESTMINSTER. THE POPULATION OF THE ORANGE COAST MEMORIAL SERVICE AREA IS 1,183,451. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 24.2% OF THE POPULATION; 63.7% ARE ADULTS, AGES 18-64; AND 12.1% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. 39.3% OF THE RESIDENTS ARE WHITE; 36.8% ARE HISPANIC/LATINO; 19.8% ARE ASIAN; 1.2% ARE AFRICAN AMERICAN; AND 2.9% ARE AMERICAN INDIAN/ALASKAN NATIVE/NATIVE HAWAIIAN OR OTHER RACE/ETHNICITY. ENGLISH IS SPOKEN IN THE HOME AMONG 49.1% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 29.8% OF THE POPULATION; 17.4% OF THE POPULATION SPEAKS AN ASIAN LANGUAGE; AND 2.8% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME. AMONG THE RESIDENTS IN THE ORANGE COAST MEMORIAL SERVICE AREA, 12.6% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 31.8% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE HIGHER THAN FOUND IN THE COUNTY WHERE 10.9% OF RESIDENTS ARE AT POVERTY LEVEL AND 27.3% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 17.2% OF CHILDREN, UNDER AGE 18 YEARS, ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA RANGES FROM $50,595 IN GARDEN GROVE 92844 TO $113,054 IN NEWPORT BEACH 92660. THE UNEMPLOYMENT RATE OF SERVICE AREA CITIES SHOWS A DIVERSE RANGE FROM 4.8% IN LOS ALAMITOS TO 13.7% IN SANTA ANA. ORANGE COUNTY HAS AN UNEMPLOYMENT RATE OF 8.7%. 78.3% OF THE TOTAL POPULATION IN THE ORANGE COAST MEMORIAL SERVICE AREA HAS HEALTH INSURANCE. SEAL BEACH HAS THE HIGHEST HEALTH INSURANCE RATE (93.5%) AND SANTA ANA HAS THE LOWEST RATE OF HEALTH INSURANCE (65.7%). PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 MEDICAL STAFF MEMBERSHIP IS OPEN TO ANY PHYSICIAN REGARDLESS OF GROUP OR OTHER AFFILIATION. CLINICAL PRIVILEGES ARE GRANTED BASED ON MEETING THE PREREQUISITE CRITERIA. EACH FACILITY HAS A COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC) THAT IS STAFFED BY HOSPITAL EMPLOYEES AND LED BY COMMUNITY MEMBERS. THE CBOC IS INVOLVED IN THE STRATEGIC PLANNING PROCESS TO ENSURE THAT THE COMMUNITY BENEFIT ACTIVITIES PROVIDED ALIGN WITH THE HEALTH NEEDS OF OUR COMMUNITIES. HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE IDENTIFIED AND PRIORITIZED. COMMUNITY BENEFIT ACTIVITIES ADDRESS THE PRIORITIZED HEALTH NEEDS AND SEEK TO FOCUS OUR CHARITABLE RESOURCES ON VULNERABLE POPULATIONS WITH UNMET HEALTH NEEDS. AS A NOT-FOR-PROFIT ORGANIZATION, ANY SURPLUS OF FUNDS IS INVESTED BACK INTO THE ORGANIZATION WHICH GREATLY BENEFITS THE COMMUNITY. IN THE PAST YEAR, TWO NEW PATIENT CARE BUILDINGS WERE OPENED ON TWO DIFFERENT CAMPUSES CONTAINING STATE OF THE ART MEDICAL EQUIPMENT. THE SYSTEM HAS MADE A COMMITMENT AND A SIZEABLE FINANCIAL INVESTMENT TO INSTALL AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM AT ALL THE HOSPITAL SITES. MEMORIAL IS ALSO PARTNERING WITH PHYSICIANS TO INSTALL COMPATIBLE SYSTEMS FOR THEIR PRACTICES. THREE OF OUR HOSPITALS HAVE INVESTED IN THE DAVINCI SURGICAL ROBOT. USE OF THIS TECHNOLOGY PROVIDES FOR LESS INVASIVE SURGERIES AND QUICKER RECOVERY TIMES. TO HELP EASE THE SHORTAGE OF HEALTH CARE PROFESSIONALS AVAILABLE AND ENSURE THE FUTURE NEEDS OF OUR COMMUNITIES ARE MET, EACH YEAR WE TRAIN HUNDREDS OF PHYSICIANS, NURSES AND OTHER PROFESSIONALS INCLUDING PHARMACISTS AND SPEECH, OCCUPATIONAL, PHYSICAL AND RESPIRATORY THERAPISTS. LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC) PARTNERS WITH THE UNIVERSITY OF CALIFORNIA, IRVINE TO TRAIN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES, INCLUDING PEDIATRIC MEDICINE. LBMMC ALSO MAINTAINS A PHARMACY RESIDENCY PROGRAM ON SITE THAT TRAINS PHARMACISTS IN BOTH THE ADULT AND PEDIATRIC PHARMACIES. ON THE NURSING SIDE, LBMMC PARTNERS WITH CALIFORNIA STATE UNIVERSITY LONG BEACH TO PROVIDE CLINICAL TRAINING TO THEIR NURSING STUDENTS. MEMORIAL'S RESEARCH ADMINISTRATION OVERSEES SCIENTIFIC AND CLINICAL RESEARCH THAT ENABLES THE ORGANIZATION TO REMAIN AT THE FOREFRONT OF DISCOVERY AND PROVIDE PATIENTS WITH EVIDENCE-BASED BEST PRACTICE MEDICINE. THOUSANDS OF PATIENTS AND THEIR FAMILIES BENEFIT FROM OUR DIVERSE RESEARCH PROGRAMS IN CANCER, HEART DISEASE, ORTHOPEDICS, INFECTIOUS DISEASES, GYNECOLOGY, OBSTETRICS, UROLOGY, PEDIATRICS, NEONATOLOGY AND MORE. THE SYSTEM HAS ALSO INVESTED IN ITS EMPLOYEES BY PROMOTING "THE GOOD LIFE", AN EMPLOYEE WELLNESS PROGRAM THAT PROVIDES INFORMATION, PROGRAMS AND SUPPORT TO EMPLOYEES AND THEIR FAMILIES TO HELP THEM GET OR STAY HEALTHY. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 MEMORIAL HEALTH SYSTEM IS AN INTEGRATED DELIVERY SYSTEM THAT EXISTS FOR THE BENEFIT OF THE COMMUNITIES WE SERVE. IT IS OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PROVIDING COMMUNITY BENEFITS IS A VITAL PART OF FULFILLING THAT MISSION. WE COMMIT TO IDENTIFY AND FULFILL THE UNMET HEALTH NEEDS OF THE PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE. IN ADDITION TO OUR HOSPITAL CAMPUSES OUR SYSTEM INCLUDES HEALTHEXPRESS WALK-IN CLINICS, THE MEMORIALCARE PHYSICIAN SOCIETY, PHILANTHROPIC FOUNDATIONS AND MEMORIALCARE MEDICAL FOUNDATION (MMF). OUR HEALTHEXPRESS CLINICS, LOCATED IN SELECT GROCERY STORES, ALLOW PATIENTS TO WALK IN TO RECEIVE CONVENIENT CARE FOR MINOR CONDITIONS. THE PHYSICIAN SOCIETY INCLUDES MORE THAN 1,700 DOCTORS WHO PARTNER WITH MEMORIAL TO IMPROVE CLINICAL OUTCOMES AND PATIENT SAFETY THROUGH THE USE OF MEDICINE'S BEST PRACTICES. OUR PHILANTHROPIC FOUNDATIONS HAVE STRONG COMMUNITY TIES. THE GIFTS AND GRANTS MADE HELP TO FUND HEALTH CARE EDUCATION, CLINICAL RESEARCH, MEDICAL EQUIPMENT AND PATIENT CARE PROGRAMS. DURING THE 2011 FISCAL YEAR, MMF ACQUIRED SUBSTANTIALLY ALL OF THE ASSETS OF BRISTOL PARK MEDICAL MANAGEMENT, L.P. AND BRISTOL PARK MEDICAL GROUP, INC, WHICH INCLUDED APPROXIMATELY 670 EMPLOYEES, 10 SERVICES LOCATIONS AND ONE BUSINESS OFFICE. MEMORIALPROMPTCARE MEDICAL GROUP ASSETS WERE PURCHASED IN JANUARY 2011 WHICH INCLUDED APPROXIMATELY 65 EMPLOYEES AND THREE LOCATIONS. IN MARCH 2012, MMF MERGED WITH NAUTILUS HEALTHCARE MANAGEMENT GROUP, LLC. AS A WHOLLY OWNED SUBSIDIARY OF MMF. NAUTILUS IS A MANAGEMENT SERVICES ORGANIZATION (MSO) THAT OFFERS PHYSICIANS GROUPS AND PRIVATE PHYSICIANS A VARIETY OF SERVICES THAT INCLUDE PHYSICIAN BILLING, PRACTICE MANAGEMENT, ACCOUNTING AND ELECTRONIC MEDICAL RECORDS IMPLEMENTATION AND SUPPORT. IN FEBRUARY 2012, MMF ALSO ENTERED INTO AN ASSET PURCHASE AGREEMENT WITH GREATER NEWPORT PHYSICIANS MEDICAL GROUP, INC. (GNP) TO ACQUIRE SUBSTANIALLY ALL OF GNP'S ASSETS. GNP INCLUDES APPROXIMATELY 400 PHYSICIANS THAT SERVE OVER 100,000 ORANGE COUNTY RESIDENTS. AS A MULTI-SPECIALTY INDEPENDENT PRACTICE ASSOCIATION, GNP HAS MORE THAN 140 PRIMARY CARE PHYSICIANS AND A NETWORK OF APPROXIMATELY 250 SPECIALISTS. OUR SUCCESS AS A SYSTEM IS NOT ONLY MEASURED BY OUR ABILITY TO TREAT PATIENTS, BUT ALSO BY THE COMMUNITY'S WELL-BEING. EACH YEAR WE DESIGN A BROAD RANGE OF PROGRAMS THAT MEET THE HEALTH NEEDS AND IMPROVE THE QUALITY OF LIFE WITHIN OUR COMMUNITIES. THESE COMMUNITY BENEFIT PROGRAMS ARE ESSENTIAL IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 CALIFORNIA FACILITY REPORTING GROUPS SCHEDULE H, PART VI, LINE 8 A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) LONG BEACH MEMORIAL MEDICAL CENTER (2) EARL & LORAINE MILLER CHILDREN'S HOSPITAL (3) COMMUNITY HOSPITAL OF LONG BEACH THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: WE EMBARKED UPON OUR TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PARTNERING WITH OTHER LONG BEACH NON-PROFIT HOSPITALS, LONG BEACH HEALTH DEPARTMENT, CITY OF LONG BEACH PLANNING AND DEVELOPMENT SERVICES AND THE CALIFORNIA STATE UNIVERSITY LONG BEACH. WE UTILIZE TWO TYPES OF INSTRUMENTS, EACH SERVING A SEPARATE POPULATION; GENERAL PUBLIC AND KEY INFORMANT. INSTRUMENTS WERE AVAILABLE ON-LINE AS AN ANONYMOUS SURVEY IN ENGLISH AND SPANISH. KIOSKS WERE AVAILABLE AT AREA HEALTH FAIRS TO SOLICIT PARTICIPATION AS WELL AS MAKING SURVEY LINKS AVAILABLE ON THE HOSPITAL AND CITY WEBPAGES. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 4 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: FOUR NON-PROFIT HOSPITALS IN THE GREATER LONG BEACH AREA PARTICIPATED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE WERE: LONG BEACH MEMORIAL MEDICAL CENTER, MILLER CHILDREN'S HOSPITAL, COMMUNITY HOSPITAL LONG BEACH AND ST. MARY MEDICAL CENTER LONG BEACH. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: COMMUNITY HOSPITAL OF LONG BEACH (CHLB) HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE: DENTAL DISEASE, ARTHRITIS, PHYSICAL INJURY, BONE LOSS, HEARING LOSS, AND SEXUALLY TRANSMITTED INFECTIONS OR DISEASE. CHLB HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ADDRESS THESE NEEDS. THESE OTHER HEALTH NEEDS DO NOT ALIGN WITH CHLB STRATEGIC INITIATIVES, AND CHLB DOES NOT HAVE EXISTING RESOURCES OR INFRASTRUCTURE TO EFFECTIVELY MEET THESE COMMUNITY HEALTH NEEDS. THEREFORE, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE PRIORITY HEALTH NEEDS. LONG BEACH MEMORIAL MEDICAL CENTER (LBM) HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE: DENTAL DISEASE, ARTHRITIS, PHYSICAL INJURY, BONE LOSS, HEARING LOSS, AND SEXUALLY TRANSMITTED INFECTIONS OR DISEASE. LBM HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ARE ADDRESSING THESE NEEDS. NEVERTHELESS, LBM MAY HAVE SOME ACTIVITIES THAT ADDRESS THESE HEALTH NEEDS, AND WE WILL CONTINUE TO INVESTIGATE OPPORTUNITIES TO ADDRESS THESE IDENTIFIED HEALTH NEEDS, HOWEVER, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE IDENTIFIED PRIORITY HEALTH NEEDS. MILLER CHILDREN'S HOSPITAL (MCH) HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE: DENTAL DISEASE, HIGH BLOOD PRESSURE, AND DIABETES. MCH HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ARE ADDRESSING THESE NEEDS. NEVERTHELESS, MCH MAY HAVE SOME ACTIVITIES THAT ADDRESS THESE HEALTH NEEDS, AND WE WILL CONTINUE TO INVESTIGATE OPPORTUNITIES TO ADDRESS THESE IDENTIFIED HEALTH NEEDS, HOWEVER, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE IDENTIFIED PRIORITY HEALTH NEEDS. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE FULL FINANCIAL ASSISTANCE POLICY IS POSTED ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE ANNUALLY. EACH POINT OF ENTRY AT OUR FACILITIES HAS A STATEMENT POSTED REGARDING OUR POLICY AND ALL ADMITTING AREAS HAVE BROCHURES WHICH OUTLINE THE POLICY AND ITS REQUIREMENTS. EACH ADMITTING AREA MAINTAINS COPIES OF THE APPLICATION FORM. EACH OUTGOING BILL HAS REFERENCE TO THE POLICY AND RESPECTIVE CONTACT NUMBERS. WHEN A PATIENT CONTACTS PATIENT FINANCIAL SERVICES AND IS HAVING DIFFICULTY MAKING PAYMENTS, HE/SHE WILL AGAIN BE TOLD ABOUT THE POLICY AND ASK IF HE/SHE WOULD LIKE AN APPLICATION SENT OUT. A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP B. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP B: (1) SADDLEBACK MEMORIAL MEDICAL CENTER (2) ORANGE COAST MEMORIAL MEDICAL CENTER THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: ORANGE COAST MEMORIAL GATHERED INFORMATION THROUGH COMMUNITY FOCUS GROUPS AND INTERVIEWS OF LOCAL HEALTHCARE AGENCY STAFF AND HEALTHCARE EXPERTS AND INCLUDED THEIR CONTRIBUTIONS IN THE WRITTEN CHNA, THUS COMMITTING COMMUNITY BENEFIT RESOURCES TO IDENTIFIED AREAS OF NEED, AS APPROPRIATE FOR ORANGE COAST MEMORIAL'S CAPABILITIES. FOCUS GROUPS WERE HELD AT RODGERS SENIOR CENTER AND THE CENTER AT FOUNDERS VILLAGE SENIOR AND COMMUNITY CENTER. STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH APPROPRIATE STAFF MEMBERS AT THE COUNTY OF ORANGE HEALTH CARE AGENCY, THE CITIES OF FOUNTAIN VALLEY AND HUNTINGTON BEACH, SEVERAL COMMUNITY BASED PHYSICIANS, LOCAL EDUCATORS AND OTHERS. PRIMARY DATA TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWELVE INTERVIEWS WERE COMPLETED FROM JANUARY THROUGH FEBRUARY, 2013. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM THE ORANGE COUNTY HEALTH CARE AGENCY. FOUR FOCUS GROUPS WERE CONDUCTED IN JANUARY AND FEBRUARY, 2013. THE FOCUS GROUPS ENGAGED 28 PARTICIPANTS. SECONDARY DATA THIS REPORT EXAMINES UP-TO-DATE DATA SOURCES FOR THE SERVICE AREA TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, AND HEALTH BEHAVIORS. WHEN APPLICABLE, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF CALIFORNIA AND COMPARED TO THE HEALTHY PEOPLE 2020 OBJECTIVES. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: SADDLEBACK MEMORIAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE: MENTAL HEALTH CARE, DENTAL CARE, ACCESS TO PRIMARY CARE, ACCESS TO HEALTH INSURANCE, ALCOHOL/DRUG USE, AND HOUSING. SADDLEBACK MEMORIAL HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ADDRESS THESE NEEDS. THESE OTHER HEALTH NEEDS DO NOT ALIGN WITH HOSPITAL STRATEGIC INITIATIVES, AND SADDLEBACK MEMORIAL DOES NOT HAVE EXISTING RESOURCES OR INFRASTRUCTURE TO EFFECTIVELY MEET THESE COMMUNITY HEALTH NEEDS. THEREFORE, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE PRIORITY HEALTH NEEDS. ORANGE COAST MEMORIAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS: MENTAL HEALTH CARE, DENTAL CARE, VISION CARE, ACCESS TO MEDICATIONS, AND ACCESS TO SPECIALTY CARE. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, ORANGE COAST MEMORIAL HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE SELECTED PRIORITY HEALTH NEEDS. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE FULL FINANCIAL ASSISTANCE POLICY IS POSTED ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE ANNUALLY. EACH POINT OF ENTRY AT OUR FACILITIES HAS A STATEMENT POSTED REGARDING OUR POLICY AND ALL ADMITTING AREAS HAVE BROCHURES WHICH OUTLINE THE POLICY AND ITS REQUIREMENTS. EACH ADMITTING AREA MAINTAINS COPIES OF THE APPLICATION FORM. EACH OUTGOING BILL HAS REFERENCE TO THE POLICY AND RESPECTIVE CONTACT NUMBE true LONG BEACH POLICE DEPARTMENT FOUNDATION PO BOX 15418 LONG BEACH CA 90815 330835185 501(C)(3) 6900 PROGRAM SUPPORT UNIVERSITY OF CA IRVINE FOUNDATION 99 CAMPUS DR 4OO IRVINE CA 92697 952540117 501(C)(3) 9250 PROGRAM SUPPORT WOMENSHELTER OF LONG BEACH 930 PACIFIC AVE LONG BEACH CA 90813 951644058 501(C)(3) 7500 PROGRAM SUPPORT CITY OF FOUNTAIN VALLEY 10200 SLATER AVE FOUNTAIN VALLEY CA 92708 952158356 GOVERNMENT 6050 PROGRAM SUPPORT SADDLEBACK MEMORIAL FOUNDATION 24451 HEALTH CTR DR LAGUNA HILLS CA 92653 330011887 501(C)(3) 328619 PROGRAM SUPPORT CALIFORNIA STATE UNIVERSITY LONG BEACH 6300 E STATE UNIV DR LONG BEACH CA 90815 956106694 501(C)(3) 52475 PROGRAM SUPPORT ORANGE COAST MEMORIAL MEDICAL CENTER 9920 TALBERT AVE FOUNTAIN VALLEY CA 92708 330687414 501(C)(3) 5500 PROGRAM SUPPORT 7 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 LONG BEACH MEMORIAL MEDICAL CENTER, MEMORIALCARE MEDICAL FOUNDATION, ORANGE COAST MEMORIAL MEDICAL CENTER, AND SADDLEBACK MEMORIAL MEDICAL CENTER VALIDATE EACH RECIPIENT ORGANIZATION AND HOW ITS MISSION FITS INTO THAT OF THEIR MISSION. MANAGEMENT REVIEWS EACH ONE FOR VALUE TO THE MISSION OF THE ORGANIZATION. ONCE IT IS GIVEN, ONLY TO LEGITIMATE ORGANIZATIONS, IT IS LEFT UP TO THE DISCRETION OF THE GRANTEE. X true false false true false false false false false true false BARRY ARBUCKLE 0 946956 0 661456 0 127783 0 213809 0 22556 0 1972560 0 0 DIANA L HENDEL 0 479180 0 239244 0 44288 0 104315 0 19765 0 886792 0 0 MELVIN I MARKS MD 0 310676 0 92337 0 39681 0 25000 0 14256 0 481950 0 0 WENDY L DORCHESTER 0 301542 0 99529 0 37249 0 25000 0 19229 0 482549 0 0 JUDITH A FIX 0 298860 0 96971 0 46930 0 17500 0 16749 0 477010 0 0 TAMRA L KAPLAN 0 253001 0 80956 0 37520 0 22500 0 19083 0 413060 0 0 JOHN BISHOP 0 259141 0 83461 0 28191 0 15000 0 18654 0 404447 0 0 PAULA SUZANNE REINSVOLD 0 227666 0 72039 0 27789 0 12500 0 8117 0 348111 0 0 SUSAN Y MELVIN DO 309472 0 107423 0 31239 0 5842 0 8317 0 462293 0 0 0 DIVYA-DEVI JOSHI MD 325036 0 87618 0 31964 0 0 0 6162 0 450780 0 0 0 GLENN CRABTREE 215745 0 62115 0 21196 0 0 0 18462 0 317518 0 0 0 DONNA E HARTMAN 216998 0 67054 0 12920 0 15000 0 7636 0 319608 0 0 0 IDA MERLINE 210191 0 59280 0 23813 0 12500 0 1524 0 307308 0 0 0 LINDA L HOFF 202716 0 58017 0 28968 0 25000 0 14333 0 329034 0 0 0 PAMELA S CHEVREAUX 187240 0 55961 0 11463 0 15000 0 7659 0 277323 0 0 0 DANA E CROMPTON-HIME 162569 0 48584 0 10256 0 13927 0 13914 0 249250 0 0 0 MYRA J GREGORIAN 149615 0 60224 0 14685 0 11488 0 14213 0 250225 0 0 0 JOYCE G VOLSCH RN 168177 0 47916 0 10535 0 0 0 17874 0 244502 0 0 0 RICHELE CRAVEIRO-STEELE 147605 0 44748 0 10025 0 12353 0 18931 0 233662 0 0 0 KRIKOR JANSEZIAN 194738 0 57497 0 10137 0 0 0 18358 0 280730 0 0 0 STEPHEN B GEIDT 0 379083 0 199363 0 42608 0 25000 0 14822 0 660876 0 0 CHERYL JACOB 0 275097 0 88709 0 32241 0 25000 0 11169 0 432216 0 0 ADOLFO OSCAR CHANEZ 0 240113 0 76927 0 34542 0 12500 0 18585 0 382667 0 0 KATHY DAWSON 0 196984 0 60551 0 23859 0 12500 0 13906 0 307800 0 0 HUGO L FOLLI 215308 0 66442 0 12889 0 25000 0 19092 0 338731 0 0 0 TONY STRUTHERS 185671 0 55622 0 17473 0 12500 0 18349 0 289615 0 0 0 BRENNAN R JAMES 9059 210048 0 72609 854 18487 0 20000 46 643 9959 321787 0 0 MARCIA MANKER 0 383475 0 178075 0 31255 0 109638 0 19471 0 721914 0 0 STEPHEN MCNAMARA 0 226140 0 69206 0 24593 0 15000 0 13968 0 348907 0 0 DALE VITAL 0 202121 0 60064 0 23769 0 22500 0 17491 0 325945 0 0 EMILY M RANDLE 196719 0 63224 0 18577 0 15000 0 18395 0 311915 0 0 0 CATHY D CAPALDI 0 189354 0 54744 0 10651 0 16452 0 18331 0 289532 0 0 PATRICK KAPSNER 0 337023 0 132386 0 43499 0 25000 0 6454 0 544362 0 0 MARK D SHAFER 0 320803 0 92739 0 30216 0 22500 0 14326 0 480584 0 0 JOHN SOMERS 0 252397 0 73212 0 28223 0 17500 0 13864 0 385196 0 0 STEVEN BEAL 0 226948 0 65262 0 24421 0 0 0 13779 0 330410 0 0 JUDY SHUBIN 0 210778 0 62251 0 11704 0 25000 0 13946 0 323679 0 0 DENNIS RAPOSA 157648 0 41438 0 17724 0 7761 0 4918 0 229489 0 0 0 JACQUELINE LUXENBERG 0 129188 0 43730 0 7900 0 11007 0 11063 0 202888 0 0 UMESH C BHARGAVA 254810 0 690 0 20465 0 25000 0 13528 0 314493 0 0 0 ANIL SHARMA 209196 0 8263 0 834 0 17759 0 21490 0 257542 0 0 0 JANE H HODDING 194898 0 8038 0 1170 0 20542 0 7218 0 231866 0 0 0 SCOTT SHIFFMAN 263353 0 77821 0 11081 0 22500 0 14161 0 388916 0 0 0 MARILOU FREGLI-CUNANAN 187420 0 0 0 17937 0 20853 0 13502 0 239712 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A CERTAIN EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATIONS' CHIEF EXECUTIVE OFFICERS IS DETERMINED BY MEMORIAL HEALTH SERVICES (MHS), THE TAX-EXEMPT PARENT. SEE SCHEDULE O FOR 990, PART VI, LINE 15A FOR THE PROCESS USED BY MHS TO DETERMINE COMPENSATION. SCHEDULE J, PART I, LINE 4B MEMORIAL HEALTH SERVICES SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), COVERING SELECTED EXECUTIVES, AS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PROVIDES FOR A LUMP SUM PAYMENT TO EACH EXECUTIVE AT VESTING DATE, AS DEFINED IN THE SERP AGREEMENT. NO SERP PAYMENTS WERE MADE FOR YEAR ENDED 6/30/2013. SCHEDULE J, PART I, LINE 7 CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN INCENTIVE PAYMENT. SEVERAL DIFFERENT FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA WHICH ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE MEMORIAL HEALTH SERVICES BOARD. ANY INCENTIVE PAYMENTS AWARDED ARE ALSO APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE, AFTER AN AUDIT AND/OR REVIEW HAS BEEN CONDUCTED. COLUMBIA EMERGENCY MEDICAL GROUP IN GAIL CARUTHERS/SEE PART V 901609 MEDICAL SVCS PROVIDED TO LBMMC false FARMERS MERCHANTS BANK SEAN MILLER/SEE PART V 232041 BANK FEES false MEMORIALCARE MEDICAL GROUP MARK CIANCOLA/SEE PART V 35910354 MEDICAL SVCS PROVIDED TO MMF false LB MEMORIAL PATHOLOGY MEDICAL GROUP JULIO IBARRA/SEE PART V 3533964 MEDICAL SVCS PROVIDED TO OCMMC false BRISTOL PARK INVESTMENT GROUP I L PATRICK KAPSNER/SEE PT V 400000 RENTAL INCOME PAID BY MMF false BRISTOL PARK INVESTMENT GROUP II L PATRICK KAPSNER/SEE PT V 500237 RENTAL INCOME PAID BY MMF false BRISTOL PARK INVESTMENT GROUP III SEE PART V 1187088 RENTAL INCOME PAID BY MMF false BUSINESS TRANSACTIONS INVOLVING RELATED PARTIES SCHEDULE L, PART IV GAIL CURRUTHERS, M.D. IS A BOARD MEMBER OF LBMMC AND IS ALSO A DIRECTOR OF COLUMBIA EMERGENCY MEDICAL GROUP. SEAN MILLER IS A BOARD MEMBER OF LBMMC AND IS ALSO AN OFFICER OF FARMERS & MERCHANTS BANK. MARK CIANCOLA IS A BOARD MEMBER OF MMF AND IS ALSO AN OFFICER AND OWNER OF MEMORIALCARE MEDICAL GROUP, FORMERLY BRISTOL PARK MEDICAL GROUP. JULIO IBARRA IS A BOARD MEMBER OF OCMMC AND IS ALSO AN OWNER OF LONG BEACH MEMORIAL PATHOLOGY MEDICAL GROUP. PATRICK KAPSNER IS AN OFFICER OF MMF AND IS ALSO AN 8% OWNER OF BRISTOL PARK INVESTMENT GROUP, I, LP. PATRICK KAPSNER IS AN OFFICER OF MMF AND IS ALSO A 10% OWNER OF BRISTOL PARK INVESTMENT GROUP, II, LP. PATRICK KAPSNER AND JUDY SHUBIN ARE OFFICERS OF MMF AND ARE ALSO 8% OWNERS OF BRISTOL PARK INVESTMENT GROUP, III, LP. OWNERS OF BRISTOL PARK INVESTMENT GROUP, III, LP. DESCRIPTION OF PROGRAM SERVICES FORM 990, PART III, LINE 4A MEMORIALCARE HEALTH SYSTEM IS A NOT-FOR-PROFIT INTEGRATED DELIVERY SYSTEM, WHICH INCLUDES LONG BEACH MEMORIAL MEDICAL CENTER, MILLER CHILDREN'S HOSPITAL LONG BEACH, COMMUNITY HOSPITAL LONG BEACH, ORANGE COAST MEMORIAL MEDICAL CENTER, SADDLEBACK MEMORIAL MEDICAL CENTER IN LAGUNA HILLS AND SAN CLEMENTE, MEMORIAL CARE MEDICAL FOUNDATION, AND NUMEROUS OUTPATIENT LOCATIONS. THE MEMORIALCARE HEALTH SYSTEM OPERATES 1,586 LICENSED PATIENT BEDS. FOR FY2013, THE SYSTEM'S HOSPITALS RECORDED 307,480 PATIENT DAYS, 70,688 PATIENT DISCHARGES, 34,697 SURGERIES, 9,640 BABIES DELIVERED, 151,697 EMEREGENCY DEPARTMENT VISITS, AND 58,697 HOME HEALTH VISITS. MEMORIALCARE HAS GAINED WIDESPREAD RECOGNITION FOR ITS UNIQUE APPROACH TO HEALTH CARE. FOR THE SECOND YEAR IN A ROW, LONG BEACH MEMORIAL, ORANGE COAST MEMORIAL, AND SADDLEBACK MEMORIAL WERE NAMED "HIGH PEROFRMING" BY U.S. NEWS & WORLD REPORT'S 2012-2013 "BEST REGIONAL HOSPITALS" RANKINGS. ALL THREE HOSPITALS WERE RANKED WITHIN THE TOP 40 THROUGHOUT CALIFORNIA. THE ORGANIZATION HAS ALSO BEEN IDENTIFIED AS ONE OF THE TOP INTEGRATED SYSTEMS IN AMERICA FOR NINE YEARS IN A ROW (VERISPAN TOP 100), A LEADING HOSPITAL ORGANIZATION FOR TECHNOLOGY (MOST WIRED HOSPITALS), ONE OF THE BEST GOVERNED HOSPITAL SYSTEMS IN THE U.S. (THE GOVERNANCE INSTITUTE) AND FOR HAVING THE TOP LEADERSHIP TEAM IN THE COUNTRY (HEALTHLEADERS). IN ADDITION, MEMORIALCARE HEALTH SYSTEM HAS BEEN HONORED FOR THREE CONSECUTIVE YEARS WITH THE GALLUP GREAT WORKPLACE AWARD. LONG BEACH MEMORIAL MEDICAL CENTER LONG BEACH MEMORIAL, A STATE-OF-THE-ART, 462-ADULT BED COMMUNITY HOSPITAL, GOT ITS START IN 1907 AS SEASIDE HOSPITAL IN A CONVERTED 13-ROOM VICTORIAN HOME. LONG BEACH MEMORIAL IS HOME TO THESE SPECIALIZED CENTERS: MEMORIALCARE TODD CANCER INSTITUTE, MEMORIALCARE HEART AND VASCULAR INSTITUTE, REHABILITATION & PHYSICAL THERAPY AND THE EMERGENCY TRAUMA CENTER. THE TODD CANCER INSTITUTE IS COMMITTED TO THE EARLY DIAGNOSIS, RESEARCH, TREATMENT AND EDUCATION OF PATIENTS WITH CANCER OR SERIOUS BLOOD DISORDERS. THE MEMORIALCARE TODD CANCER INSTITUTE AT LONG BEACH MEMORIAL IS A LEADER IN MAKING INDIVIDUALIZED CANCER THERAPY A CLINICAL REALITY. THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER ACCREDITS THE MEMORIALCARE TODD CANCER INSTITUTE AS A TEACHING HOSPITAL CANCER PROGRAM, WHICH IS THE HIGHEST LEVEL ACCREDITATION POSSIBLE FOR COMMUNITY HOSPITALS. MEMORIALCARE HEART AND VASCULAR INSTITUTE IS WIDELY RESPECTED AS ONE OF THE REGION'S TOP CARDIAC CENTERS. THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT RANKS MEMORIALCARE HEART AND VASCULAR INSTITUTE AS ONE OF THE BEST IN SOUTHERN CALIFORNIA FOR PERFORMANCE IN TREATING HEART ATTACK PATIENTS. MEMORIALCARE HEART AND VASCULAR INSTITUTE HOUSES CALIFORNIA'S MOST SOPHISTICATED CARDIAC CARE CENTER AND HAS PIONEERED TREATMENTS SUCH AS CARDIAC RESYNCHRONIZATION, HOMOGRAPH VALVE SURGERY AND CARDIAC BYPASS. REHABILITATION AND PHYSICAL THERAPY PROVIDES LEADING REHABILITATION SPECIALISTS THE MOST ADVANCED TECHNOLOGY, MAKING IT ONE OF CALIFORNIA'S MOST RESPECTED REHABILITATION CENTERS. THE REHABILITATION DEPARTMENT USES AN INTERDISCIPLINARY TREATMENT APPROACH TO MANAGE A WIDE VARIETY OF DIAGNOSES. THE DEPARTMENT IS A CENTER OF EXCELLENCE FOR BRAIN INJURY AND SPINAL CORD INJURY. OUR CERTIFIED PRIMARY STROKE CENTER RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL, ACKNOWLEDGING THAT OUR PROGRAM IMPROVES PATIENT OUTCOMES BY RIGOROUSLY ADHERING TO NATIONAL STANDARDS AND GUIDELINES. A FULL CONTINUUM OF CARE IS PROVIDED FOR PATIENTS FROM INPATIENT ACUTE AND SUB-ACUTE CARE TO OUTPATIENT, RESIDENTIAL AND DAY TREATMENT SETTINGS. IN ADDITION TO PATIENT CARE AND CLINICAL RESEARCH, LONG BEACH MEMORIAL IS STRONGLY COMMITTED TO EDUCATION AND RESEARCH. IT HAS BEEN A TEACHING HOSPITAL FOR MORE THAN 50 YEARS, TRAINING RESIDENTS AND FELLOWS IN GRADUATE MEDICAL EDUCATION THROUGH AFFILIATIONS WITH LOCAL UNIVERSITIES. LONG BEACH MEMORIAL SUPPORTS A REVOLUTIONARY NURSING PROGRAM IN PARTNERSHIP WITH CALIFORNIA STATE UNIVERSITY, LONG BEACH, AND CONTINUES TO SPONSOR A NURSING PROGRAM WITH LONG BEACH CITY COLLEGE. LONG BEACH MEMORIAL ALSO PARTICIPATES IN NUMEROUS RESEARCH PROTOCOLS AND CLINICAL TRIALS. LONG BEACH MEMORIAL HAS CONCENTRATED ITS COMMUNITY BENEFIT RESOURCES ON INSTITUTING PROGRAMS FOCUSED ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS. OUR GOVERNANCE OVERSIGHT PROCESS INCLUDED: - COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC) ESTABLISHED - ALIGN COMMUNITY BENEFIT PRIORITIES FOR THE FISCAL YEAR BASED ON IDENTIFIED COMMUNITY NEEDS - COMMUNITY BENEFIT STANDARDS ADOPTED FOR THE MEMORIALCARE HEALTH SYSTEM OUR AREAS OF FOCUS INCLUDED: DISEASE MANAGEMENT, ACCESS TO CARE, PREVENTION AND BEHAVIORAL HEALTH. LONG BEACH MEMORIAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH 36 DIFFERENT PROGRAMS AND ACTIVITIES, WHICH INCLUDE COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS IN THE AREAS OF CANCER, STROKE, HEART HEALTH, WOMEN'S HEALTH, DISASTER PREPAREDNESS, HEALTH FAIRS, HEALTH SCREENINGS, RESPIRATORY CARE, SENIOR HEALTH AND TOBACCO EDUCATION. WE OFFER DISEASE SPECIFIC SUPPORT GROUPS SUCH AS STROKE, CANCER AND DIABETES, WHICH ARE PART OF THE COMMUNITY-BASED CLINICAL SERVICES. SUPPORT GROUPS ARE FACILITATED BY PHYSICIANS OR NURSES AND SOCIAL WORKERS. ADDITIONALLY, WE PROVIDE AN ONCOLOGY LIFE COACH AND HELP-LINES, WHICH COMMUNITY MEMBERS CAN CALL TO ASK QUESTION E.G., CANCER RELATED INFORMATION. WE ALSO PROVIDE HOMELESS ASSISTANCE, HOUSING VOUCHERS AND CONNECTION TO MEDICAL HOMES AND A BLOOD DONOR CENTER. RECOGNIZED WITH A GOLD PLUS QUALITY ACHIEVEMENT DESIGNATION FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION, OUR STROKE COMMUNITY LECTURE PROGRAM IS WELL ATTENDED WITH NEARLY 800 PEOPLE RECEIVING EDUCATION ABOUT THE RISK FACTORS, SIGNS AND SYMPTOMS RELATED TO STROKE AND WHAT TO DO.OVER 75,000 PEOPLE WERE SERVED THROUGH THESE EFFORTS. HOSPITAL EMPLOYEES ARE INVOLVED IN MANY LOCAL, COUNTY, STATE AND NATIONAL ORGANIZATIONS THAT PROMOTE HEALTH, PRIMARY PREVENTION, WORKFORCE DEVELOPMENT AND ADVOCACY EFFORTS RELATED TO THE HOSPITAL'S MISSION. RECOGNIZING THE NEED TO REFLECT THE DIVERSITY OF OUR PATIENT POPULATION AND THE COMMUNITIES WE SERVE, RECRUITMENT OF UNDERREPRESENTED MINORITIES IS A PRIORITY. WE PARTICIPATED IN THE DIVERSITY CAREER FAIR. MILLER CHILDREN'S HOSPITAL LONG BEACH (MCHLB) PROVIDES SPECIALIZED PEDIATRIC CARE FOR CHILDREN AND YOUNG ADULTS, WITH CONDITIONS RANGING FROM COMMON TO COMPLEX-AS WELL AS MATERNITY CARE FOR EXPECTANT MOTHERS-ALL UNDER ONE ROOF. ONLY FIVE PERCENT OF ALL HOSPITALS ARE CHILDREN'S HOSPITALS, MAKING THEM UNIQUE NOT ONLY TO CHILDREN'S HEALTH CARE NEEDS IN THE COMMUNITY, BUT ACROSS THE REGION. MCHLB IS ONE OF ONLY EIGHT FREE-STANDING CHILDREN'S HOSPITALS IN CALIFORNIA. THE PEDIATRIC HOSPITAL OPENED IN 1970, WITH MANY INNOVATIVE PATIENT AND FAMILY CENTERED CARE FEATURES, SUCH AS PATIENT ROOMS TO ACCOMMODATE A PARENTS' OVERNIGHT STAY. MILLER CHILDREN'S OPENED WITH 65 ACTIVE PEDIATRIC PHYSICIANS AND SURGEONS ALONG WITH SERVICES SUCH AS AN EXPANDED NICU, CLEFT PALATE PROGRAM, ALLERGY, ENT, ENDOCRINE, URUOLOGY AND GENERAL SURGERY. MILLER CHILDREN'S HOSPITAL LONG BEACH (MCHLB) IS A 373-BED NOT-FOR-PROFIT, PEDIATRIC TEACHING HOSPITAL THAT TREATS MORE THAN 8,000 CHILDREN EACH YEAR AND HAS BECOME A REGIONAL PEDIATRIC DESTINATION FOR MORE THAN 84,000 CHILDREN, WHO NEED SPECIALIZED CARE IN THE OUTPATIENT SPECIALTY AND SATELLITE CENTERS. THE MEMORIALCARE CENTER FOR WOMEN AT MILLER CHILDREN'S HOSPITAL LONG BEACH DELIVERS MORE THAN 6,000 BABIES EACH YEAR, 1,000 NICU BABIES, AND NEARLY 800 HIGH-RISK BIRTHS EACH YEAR. MORE THAN 750 PEDIATRIC SPECIALISTS AND SUB-SPECIALISTS, AS WELL AS NEARLY 100 OB/GYNS, INCLUDING 10 HIGH-RISK PREGNANCY SPECIALISTS (MATERNAL FETAL SUB-SPECIALISTS), ENSURE THAT THE HIGHEST QUALITY, COMPASSIONATE CARE IS GIVEN TO EACH PATIENT AND THEIR FAMILY. MILLER CHILDREN'S 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, AND INCLUDE 20 CALIFORNIA CHILDREN SERVICES (CCS) APPROVED SPECIAL CARE CENTERS. THESE CENTERS PROVIDE SPECIALIZED CARE FOR CHILDREN WITH CHRONIC CONDITIONS, SUCH AS PULMONARY, GASTROENTEROLOGY, ORTHOPEDICS, CARDIOLOGY, REHABILITATION, DIABETES, ASTHMA, AUTISM, AND HEMATOLOGY/ONCOLOGY (CANCER) CONDITIONS. MILLER CHILDREN'S PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS IN THE AREAS OF CHILDHOOD CANCER, MATERNAL HEALTH, SAFETY AND DISASTER PREPAREDNESS, HEALTH FAIRS, HEALTH SCREENINGS, RESPIRATORY CARE AND TOBACCO EDUCATION. COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES WHICH INCLUDE PERINATAL DIABETES AND PREGNANCY PROGRAM, CHILD SAFETY EFFORTS AND ASTHMA OUTREACH AND EDUCATION FOR CHILDREN. LONG BEACH MEMORIAL MEDICAL CENTER (CONTINUED) MILLER CHILDREN'S ADMINISTERS THE REGIONAL PERINATAL PROGRAM AND THE CALIFORNIA DIABETES & PREGNANCY PROGRAM (SWEET SUCCESS). THESE PROGRAMS TRAIN CLINICAL STAFF AT SWEET SUCCESS AFFILIATED HOSPITALS REGARDING DIABETES AND PREGNANCY. OUR CHILD SAFETY EFFORTS INCLUDE: CAR SEAT, BIKE HELMET DISTRIBUTION AND PEDESTRIAN SAFETY. THE LONG BEACH ALLIANCE FOR CHILDREN WIH ASTHMA PROVIDES COMMUNITY HEALTH WORKERS USING THE PROMOTORES MODEL; PROVIDE ASTHMA CONTROL EDUCATION TO PHYSICIANS, NURSES AND THE COMMUNITY. THE BICKERSTAFF PEDIATRIC/FAMILY HIV CENTER PROVIDES CARE TO HIV INFECTED/EXPOSED CHILDREN AND THEIR PARENTS. INFECTIOUS DISEASE SERVICES BOTH OUTPATIENT AND INPATIENT CONSULTATION SERVICES, EDUCATION TO MEDICAL STUDENTS AND RESIDENTS ARE PROVIDED. ON STAFF IS A PSYCHIATRIST TO ASSIST WITH PSYCHIATRIC NEEDS AT THE BICKERSTAFF PEDIATRIC FAMILY CENTER. THE BICKERSTAFF PEDIATRIC/FAMILY HIV CENTER'S MISSION IS TO PROVIDE SENSITIVE, CULTURALLY APPROPRIATE, COMPREHENSIVE FAMILY-CENTERED MEDICAL CARE AND CASE MANAGEMENT SERVICES TO CHILDREN AND THEIR FAMILIES INFECTED AND AFFECTED BY THE HIV VIRUS IN LONG BEACH AND SURROUNDING COMMUNITIES. MILLER CHILDREN'S HOSPITAL HOSTS A NUMBER OF OUTPATIENT CLINICS THAT ARE OFFERED TO CHILDREN AND YOUTH IN THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. THESE SPECIALTY CARE CLINICS ACT AS A "MEDICAL HOME" AND HAVE SPECIALLY DESIGNATED MULTIDISCIPLINARY TEAMS RESPONSIBLE FOR ALL CARE COORDINATION AND CASE MANAGEMENT OF PATIENTS IN THESE PROGRAMS. COMMUNITY HOSPITAL LONG BEACH (CHLB) JOINED THE MEMORIALCARE HEALTH SYSTEM AND SPECIFICALLY THE LONG BEACH MEMORIAL AND MILLER CHILDREN'S HOSPITAL LONG BEACH CAMPUS ON APRIL 29, 2011. THESE THREE HOSPITALS ARE UNDER THE SAME TAX IDENTIFICATION NUMBER BUT ARE SEPARATELY LICENSED HOSPITALS. CHLB IS A 208-BED ACUTE-CARE HOSPITAL THAT HAS BEEN PROVIDING WARM AND PERSONALIZED TOP-QUALITY MEDICAL CARE THAT ITS PATIENTS HAVE COME TO TREASURE AND TRUST SINCE FIRST OPENING ITS DOORS IN 1924. COMMUNITY HOSPITAL LONG BEACH HAS MORE THAN 265 BOARD-CERTIFIED PHYSICIANS SERVICING THE GREATER LONG BEACH AREA, AND OFFERS INTENSIVE CARE, STATE-OF-THE-ART IMAGING, A COMPREHENSIVE CANCER CARE CENTER, CARDIOVASCULAR DIAGNOSTICS, BEHAVIORAL HEALTH, WOMEN'S HEART SCREENINGS, OCCUPATIONAL MEDICINE, WELLNESS AND DIABETES SERVICES AND MORE. ADDITIONALLY, COMMUNITY HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT OFFERING HIGH-TECH CARE AND MINIMAL WAIT TIMES. COMMUNITY HOSPITAL LONG BEACH PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH COMMUNITY HEALTH EDUCATION, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES. THE DIABETES 101 PROGRAM WAS LAUNCHED TO PROVIDE EDUCATION AND SUPPORT FOR PEOPLE WITH DIABETES AND THEIR FAMILIES, AND TO ATTEMPT TO ALTER THE BEHAVIORAL RISK FACTORS THAT LEAD TO AND EXACERBATE THIS DISEASE. THE PROGRAM OFFERS DIABETES EDUCATION CLASSES, SUPPORT GROUPS, AND FREE HEALTH SCREENINGS. AS PART OF THE COMMUNITY BASED CLINICAL SERVICES, THE WOMEN'S HEART HEALTH PROGRAM PROVIDES A LOW COST SCREENING ASSESSMENT CONDUCTED BY A TEAM OF COMMUNITY HOSPITAL CLINICANS. THE MAIN OBJECTIVE OF THE SCREENING IS TO HELP WOMEN IDENTIFY THEIR INDIVIDUAL HEART DISEASE RISK FACTORS AND DEVELOP AN EFFECTIVE STRATEGY TO MODIFY THEIR RISK. AS PART OF THE HEALTH CARE SUPPORT SERVICES, THE BEHAVIORAL HEALTH UNIT OF COMMUNITY HOSPITAL IS INVOLVED IN VARIOUS ACTIVITIES TO EDUCATE THE PUBLIC ON MENTAL HEALTH ISSUES. COMMUNITY HOSPITAL LONG BEACH HAS A NURSING EDUCATION PROGRAM PARTNERING WITH CAL STATE UNIVERSITY LONG BEACH AND LONG BEACH CITY COLLEGE. COMMUNITY HOSPITAL LONG BEACH IS A COMMUNITY PARTNER IN PROVIDING DEDICATED SPACE FOR EXAMINATIONS OF VICTIMS OF SEXUAL ASSAULT. IN 1994, COMMUNITY HOSPITAL WAS SELECTED AS THE SITE FOR THE SEXUAL ASSAULT RESPONSE TEAM (SART) PROGRAM. SART IS A MULTIDISCIPLINARY TEAM APPROACH FOR THE CARE OF VICTIMS OF SEXUAL ASSAULT OF ALL AGES AND IS PROVIDED FOR THE CITY OF LONG BEACH AND SURROUNDING AREAS. MEMORIALCARE MEDICAL FOUNDATION MEMORIALCARE MEDICAL FOUNDATION (MMF) IS A NOT-FOR-PROFIT MEDICAL MANAGEMENT ORGANIZATION THAT CONTRACTS EXCLUSIVELY WITH MEMORIALCARE MEDICAL GROUP (FORMERLY BRISTOL PARK MEDICAL GROUP), MEMORIAL PROMPT CARE AND FAMILY MEDICINE AND GREATER NEWPORT PHYSICIANS TO OFFER COMPREHENSIVE MEDICAL CARE TO PATIENTS. MMF MANAGES MORE THAN 30 LOCATIONS THROUGHOUT ORANGE AND LOS ANGELES COUNTIES IN THE AREAS OF INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, GERIATRICS MEDICINE, PULMONOLOGY, GASTROENTEROLOGY, NEUROLOGY, PHYSIATRY, SLEEP MEDICINE AND ACUPUNCTURE. IN ADDITION, MMF OFFERS TELEPHONE ADVICE NURSES, AS WELL AS LAB AND X-RAY SERVICES AT MOST LOCATIONS. ORANGE COAST MEMORIAL MEDICAL CENTER HISTORY OCMMC BECAME A MEMBER OF THE NOT-FOR-PROFIT MEMORIALCARE MEDICAL CENTERS (PARENT COMPANY MEMORIALCARE HEALTH SYSTEM) IN JANUARY, 1996. IN MAY 1997, THE HOSPITAL WAS GRANTED NOT-FOR-PROFIT STATUS RETROACTIVE TO DECEMBER 26, 1995, THE DATE OF INCORPORATION. FORMERLY, OCMMC WAS KNOWN AS FHP HOSPITAL AND OPERATED AS A FOR-PROFIT FACILITY. OCMMC IS A 218 LICENSED ACUTE-CARE HOSPITAL. SERVICES OCMMC, IN COOPERATION WITH 563 PHYSICIANS AND MORE THAN 1,200 EMPLOYEES, OFFERS A HIGH LEVEL OF PROFESSIONAL CARE IN NEARLY EVERY MEDICAL SPECIALTY. THE HOSPITAL ACCEPTS MOST HEALTH INSURANCE PLANS AND IS AFFILIATED WITH WELL-KNOWN MEDICAL GROUPS INCLUDING AFFILIATED DOCTORS OF ORANGE COUNTY, ALAMITOS IPA, BRISTOL PARK MEDICAL GROUP, EDINGER MEDICAL GROUP, MEMORIAL PROMPT CARE & FAMILY MEDICINE, MONARCH HEALTHCARE, MEMORIAL HEALTHCARE IPA AND TALBERT MEDICAL GROUP. MISSION AND VISION THE MISSION AND VISION STATEMENTS OF OCMMC REFLECT A COMMITMENT TO UPHOLDING THE HIGHEST STANDARDS OF CARE AND MEETING THE NEEDS OF THE COMMUNITY. THE SENIOR ADMINISTRATIVE TEAM AND MEDICAL EXECUTIVE COMMITTEE AS WELL AS THE OCMMC BOARD OF DIRECTORS ACTIVELY PARTICIPATED IN THE DEVELOPMENT AND APPROVAL OF THE STATEMENTS. THEY READ AS FOLLOWS: MISSION TO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. VISION TO BE THE PREFERRED, OPERATIONALLY EXCELLENT, FISCALLY SOUND PROVIDER OF COMPREHENSIVE, HIGH- QUALITY HEALTH CARE SERVICES. THE MISSION AND VISION STATEMENTS ARE AN INTEGRAL PART OF THE EMPLOYEE ORIENTATION PROCESS AND ARE REVIEWED BY EACH EMPLOYEE DURING THEIR ANNUAL UPDATE. IN ADDITION, THE STATEMENTS WERE INTRODUCED AT THE MEDICAL EXECUTIVE COMMITTEE AND INCORPORATED INTO THE HOSPITAL BYLAWS. THE BOARD OF DIRECTORS ALSO REVIEWED AND APPROVED THE MISSION AND VISION STATEMENTS. ORGANIZATIONAL COMMITMENT ORANGE COAST MEMORIAL MEDICAL CENTER HAS CREATED AN ENVIRONMENT WHICH FOSTERS COMMUNITY OUTREACH. DEPARTMENT DIRECTORS, EMPLOYEES, PHYSICIANS, SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS ALL PARTICIPATE IN DEVELOPING AND IMPLEMENTING OUTREACH ACTIVITIES AND NEW PROGRAMS. AS OUTLINED IN THE MISSION AND VISION STATEMENTS, OCMMC IS COMMITTED TO ENSURING PROGRAMS AND SERVICES ARE MEETING THE NEEDS OF THE COMMUNITY. COMMUNITY NEED IS A MAJOR CONSIDERATION WHEN THE HOSPITAL EVALUATES A NEW SERVICE OR A COMMUNITY HEALTH EVENT. DEPARTMENT DIRECTORS, EMPLOYEES AND PHYSICIANS ARE DIRECTLY INVOLVED IN THE PLANNING AND IMPLEMENTATION OF PROGRAMS TO BENEFIT THE COMMUNITY, EITHER INDIVIDUALLY OR THROUGH THEIR ROLES ON VARIOUS COMMITTEES WHICH REVIEW AND RECOMMEND OUTREACH PROGRAMS AND NEW SERVICES. THEY ALSO WORK WITH LOCAL SCHOOL DISTRICTS, COMMUNITY ORGANIZATIONS AND HEALTH PLANS TO DEVELOP SERVICES, HEALTH FAIRS, EDUCATIONAL SEMINARS, MEDIA ARTICLES AND OTHER PROGRAMS THAT BENEFIT THE OVERALL HEALTH OF PEOPLE SERVED BY OCMMC. IN ADDITION, MANY OF THE ACTIVITIES ARE STAFFED VOLUNTARILY BY PHYSICIANS AND EMPLOYEES. SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS PROVIDE RECOMMENDATIONS, ENDORSEMENTS AND ALLOCATION OF FUNDS TO ENSURE THE HOSPITAL FULFILLS ITS COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF ITS COMMUNITY. THE BOARD IS COMPRISED OF TEN COMMUNITY MEMBERS ALONG WITH PHYSICIANS, REPRESENTATIVES OF THE HOSPITAL, AND REPRESENTATIVES FROM MEMORIALCARE. COMMUNITY MEMBERS SERVING ON THE BOARD HELP THE HOSPITAL GAUGE THE NEEDS OF THE COMMUNITY AND DETERMINE WHETHER OCMMC'S PROGRAMS ARE ADDRESSING THEM EFFECTIVELY. COMMUNITY STAKEHOLDERS ARE AN IMPORTANT PART OF OCMMC'S COMMITMENT TO DELIVERING QUALITY COMMUNITY BENEFIT PROGRAMS TO THE LOCAL COMMUNITY. A COMMITTEE MADE UP OF LOCAL PHYSICIANS, COMMUNITY VOLUNTEERS, SCHOOL DISTRICT AND NON-PROFIT ORGANIZATION LEADERS HELP ENSURE THAT COMMUNITY BENEFIT PROGRAMMING AT OCMMC IS DIRECTED TOWARDS THE NEEDS OF THE VULNERABLE, ARE PLANNED IN SUCH A WAY TO ENSURE SUSTAINABILITY, AND EVALUATED TO DETERMINE OUTCOME MEASURES. THE PUBLIC RELATIONS DEPARTMENT IS CHARGED WITH INFORMING EMPLOYEES, PHYSICIANS AND THE COMMUNITY ABOUT NEW PROGRAMS AND OUTREACH ACTIVITIES. NEWSLETTERS, EMPLOYEE FORUMS, MEETINGS, RADIO PROGRAMS AND PRESS RELEASES ARE SOME OF THE AVENUES USED TO DISSEMINATE INFORMATION AND SECURE INVOLVEMENT. AT SIGNIFICANT EXPENSE AND EFFORT, THE HOSPITAL ALSO PROMOTES ITS ACTIVITIES TO THE COMMUNITY-AT-LARGE THROUGH PAID ADVERTISEMENTS, DIRECT MAIL LITERATURE, FLYERS AND VIA THE HOSPITAL'S WEBSITE. THE FOREMOST TOOL FOR PROMOTING COMMUNITY OUTREACH PROGRAMS IS A COMMUNITY NEWSLETTER, WHICH IS DISTRIBUTED QUARTERLY AND SENT TO NEARLY 100,000 HOUSEHOLDS IN THE PRIMARY AND SECONDARY MARKET AREAS. ONE PARTICULAR EXAMPLE IS THE VIETNAMESE OUTREACH PROGRAM WHICH INCLUDES MONTHLY SCREENINGS AND EDUCATIONAL EVENTS THAT ARE ADVERTISED ON VIETNAMESE RADIO STATIONS AND ON VIETNAMESE TELEVISION PROGRAMS TO EFFECTIVELY COMMUNICATE WITH THE VIETNAMESE COMMUNITY. WE RECOGNIZE THE PRESENCE OF SEVERAL VULNERABLE POPULATIONS WITHIN THE OCMMC SERVICE AREA. THE HOSPITAL STRIVES TO PROVIDE COMMUNITY BENEFIT ACTIVITIES TO THE LOCAL VULNERABLE THAT HELP TO BRIDGE THE GAPS THEY MAY HAVE IN REACHING HEALTH CARE SERVICES. ONE PARTICULAR EXAMPLE IS THE VIETNAMESE OUTREACH PROGRAM. BICULTURAL AND BILINGUAL VIETNAMESE STAFF CONDUCT COMMUNITY-BASED MONTHLY SCREENINGS AND EDUCATIONAL EVENTS. COMMUNITY AWARENESS OF THESE EVENTS IS SECURED THROUGH REGULAR VIETNAMESE RADIO AND TV PROGRAMS. OCMMC HAS PARTICIPATED IN A COMMUNITY-WIDE HEALTH NEEDS ASSESSMENT. THE DATA WITHIN THE REPORT HELP THE COMMUNITY BENEFIT STAFF TO IDENTIFY THOSE AT GREATEST RISK FOR PARTICULAR DISEASES AND CONDITIONS. THE DATA IS USED TO ENGAGE THE COMMUNITY STAKEHOLDERS IN DIALOGUE THAT HELPS PRODUCE BALANCED COMMUNITY HEALTH CARE SERVICES. FOR 2009/2010 THE PRIORITIES HAVE INCLUDED: PRIORITY I - ESTABLISHMENT OF A SUSTAINABLE COMMUNITY BENEFITS STRUCTURE AT OCMMC PRIORITY II - COMPREHENSIVE REVIEW OF COMMUNITY BENEFIT PROGRAMS/ACTIVITIES PRIORITY III - CONTINUED IMPLEMENTATION OF 2008/2009 FOCUS AREAS: A. OBESITY PREVENTION AND EDUCATION B. CARDIOVASCULAR DISEASE PREVENTION C. CANCER PREVENTION AND EDUCATION D. VIETNAMESE ETHNIC OUTREACH WITH THE REVIEW OF THE 2010 COMMUNITY NEEDS ASSESSMENT IN LATE 2010, THE CBOC WILL BE ABLE TO DETERMINE THE FOCUS OF COMMUNITY BENEFIT PROGRAMS OVER THE NEXT THREE YEARS. EVIDENCE OF THIS WILL BE PRESENTED IN THE 2010/2011 REPORT. SADDLEBACK MEMORIAL MEDICAL CENTER A 325 BED ACUTE CARE, NOT-FOR-PROFIT HOSPITAL WITH TWO LOCATIONS, LAGUNA HILLS AND SAN CLEMENTE, SADDLEBACK MEMORIAL MEDICAL CENTER HAS BEEN MEETING THE HEALTHCARE NEEDS OF SOUTH ORANGE COUNTY RESIDENTS SINCE 1974. SADDLEBACK MEMORIAL TREATS MORE THAN HALF A MILLION PEOPLE EACH YEAR, INCLUDING INPATIENTS, OUTPATIENTS, NEW BABIES AND PATIENTS IN THE EMERGENCY DEPARTMENT. IN ADDITION TO 24-HOUR EMERGENCY CARE, SADDLEBACK MEMORIAL OFFERS COMPLETE CRITICAL, SURGICAL AND OBSTETRICAL SERVICES, AS WELL AS A VARIETY OF EDUCATIONAL CLASSES AND PROGRAMS IN KEEPING WITH ITS MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND THE COMMUNITY. ITS CENTERS OF EXCELLENCE INCLUDE: -SADDLEBACK WOMEN'S HOSPITAL, WITH LDRP SUITES, A FETAL DIAGNOSTICS CENTER FOR HIGH-RISK PREGNANCIES, A NEONATAL INTENSIVE CARE UNIT AND MEMORIALCARE BREAST CENTER; - SADDLEBACK HEART INSTITUTE AND WELLNESS CENTER, INCLUDING TWO CARDIAC CATHETERIZATION LABORATORIES, AN OPEN-HEART SURGERY PROGRAM, A CARDIAC REHABILITATION PROGRAM, EDUCATIONAL CLASSES, SCREENINGS AND SUPPORT GROUPS; -SADDLEBACK REHABILITATION AND ORTHOPEDIC SERVICES AND TALEGA OUTPATIENT REHABILITATION CENTER, OFFERING INPATIENT AND OUTPATIENT REHABILITATION PROGRAMS AND COMPREHENSIVE ORTHOPEDIC SERVICES, INCLUDING HIP AND KNEE REPLACEMENTS; -SADDLEBACK CANCER SERVICES, WITH A FULL LINE ON ONCOLOGY TREATMENTS AND STATE-OF THE-ART RADIOLOGY SERVICES; -SADDLEBACK HOME CARE SERVICES, PROVIDING SKILLED HOME CARE AND HOSPICE SERVICES. SUPPLEMENTAL INFORMATION FORM 990, PART IV, LINE 2 THE FOLLOWING ORGANIZATIONS WERE REQUIRED TO FILE A SCHEDULE B: LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), AND SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC). FORM 990, PART IV, LINE 4 THE FOLLOWING ORGANIZATIONS ENGAGED IN LOBBYING ACTIVITIES: LBMMC, OCMMC AND SMMC. FORM 990, PART IV, LINE 10 THE FOLLOWING ORGANIZATIONS HELD ASSESTS IN ENDOWMENT FUNDS THROUGH RELATED ORGANIZATIONS: LBMMC AND SMMC. FORM 990, PART IV, LINE 11D THE FOLLOWING ORGANIZATIONS REPORTED AN AMOUNT FOR OTHER ASSETS ON PART X, LINE 15 THAT WAS ABOVE 5% OF TOTAL ASSETS: LBMMC AND SMMC. FORM 990, PART IV, LINE 18 THE FOLLOWING ORGANIZATION HAD MORE THAN $15,000 OF GROSS RECEIPTS FROM FUNDRAISING EVENTS: OCMMC . FORM 990, PART IV, LINE 20A THE FOLLOWING ORGANIZATIONS OPERATED ONE OR MORE HOSPITALS: LBMMC, OCMMC AND SMMC. FOMR 990, PART IV, LINE 20B THE FOLLOWING ORGANIZATIONS ARE REQUIRED TO ATTACH THEIR AUDITED FINANCIAL STATEMENTS TO THIS RETURN: LBMMC, OCMMC AND SMMC. FORM 990, PART IV, LINE 28C THE FOLLOWING ORGANIZATION HAD BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: LBMMC AND MMF. FORM 990, PART IV, LINE 33 THE FOLLOWING ORGANIZATION OWNED 100% OF A DISREGARDED ENTITY: SMMC AND MMF. FORM 990, PART V, LINE 7A/B THE FOLLOWING ORGANIZATION PROVIDED GOODS AND SERVICES TO A DONOR IN EXCHANGE FOR A CONTRIBUTION OF $75 OR MORE AND NOTIFIED THE DONOR: OCMMC. DESCRIPTION OF BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 2 PATRICK KAPSNER, JUDY SHUBIN AND MARK SCHAEFER HAVE A BUSINESS RELATIONSHIP. MARK CIANCIOLA AND JEFFREY RIKER HAVE A BUSINESS RELATIONSHIP. SIGNIFICANT CHANGES TO THE ORGANIZATIONS GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES WERE MADE TO THE MMF GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990 WAS FILED CONSISTING OF HOW DIRECTORS ARE SELECTED AND THE TERMS EACH CAN SERVE, TERMS OF OFFICERS, AS WELL AS METHODS OF REMOVAL AND RESIGNATION OF OFFICERS, EXPECTED ATTENDANCE AT ALL REGULAR AND SPECIAL BOARD MEETINGS AND THE VALIDITY OF TRANSACTIONS DISCUSSED AT SPECIAL BOARD MEETINGS. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 MEMORIAL HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC) AND MEMORIALCARE MEDICAL FOUNDATION (MMF). DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A THE MHS BOARD, AS THE TAX-EXEMPT PARENT AND CORPORATE MEMBER, HAS THE RIGHT TO ELECT AND REMOVE THE MEMBERS OF THE GOVERNING BODIES OF LBMMC, OCMMC, SMMC AND MMF. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B THE EXERCISE OF THE FOLLOWING POWERS IS RESERVED TO THE CORPORATION'S MEMBER, MEMORIAL HEALTH SERVICES: A. ADOPT MISSION, PHILOSOPHY AND VALUES STATEMENTS OF THE CORPORATION AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS. B. AMEND ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. C. ELECT AND REMOVE DIRECTORS OF THE CORPORATION. D. SELL, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION. E. MERGE, CONSOLIDATE OR VOLUNTARILY DISSOLVE THE CORPORATION. F. FORM A SUBSIDIARY OR ENTER INTO AN AGREEMENT TO ACT AS A GENERAL PARTNER. G. RETAIN AN ATTORNEY OR FIRM OF ATTORNEYS TO PROVIDE LEGAL SERVICES FOR THE CORPORATION. H. AUTHORIZE THE PURCHASE OF INSURANCE PROVIDING COVERAGE FOR THE CORPORATION AND ITS PROPERTIES AS WELL AS THE ESTABLISHMENT AND OPERATION OF A PROGRAM OF RISK MANAGEMENT. I. RETAIN AN ACCOUNTANT OR FIRM OF ACCOUNTANTS TO PROVIDE ACCOUNTING AND AUDITING SERVICES FOR THE CORPORATION. J. ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION. K. INCUR INDEBTEDNESS, AS SO DEFINED, IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. L. AUTHORIZE ANY UNBUDGETED EXPENDITURE IN EXCESS OF $250,000 FOR CAPITAL IMPROVEMENTS TO THE PROPERTIES OWNED BY THE CORPORATION AND NOT APPROVED BY THE BUDGET PROCEDURE. M. ADOPT A STRATEGIC LONG-RANGE OR MASTER PLAN FOR THE CORPORATION AND TO RETAIN ANY CONSULTANTS WITH RESPECT THERETO. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE 990 WAS PREPARED BY THE ACCOUNTING DEPARTMENT WITH INFORMATION GATHERED FROM LEGAL AND UPPER MANAGEMENT. THE 990 WAS REVIEWED BY THE CONTROLLERS OF EACH FACILITY AND THE CFO. THE 990 FOR MEMORIAL HEALTH SERVICES (MHS) IS REVIEWED BY THE MHS CFO PRIOR TO RELEASE TO THE IRS. THE CFO REVIEWED THE 990 WITH THE MHS BOARD AT THE APRIL 2014 BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE GENERAL COUNSEL'S OFFICE ANNUALLY SURVEYS EACH DIRECTOR AND OFFICER AND REQUIRES AFFIRMATION THAT THE CONFLICT OF INTEREST POLICY HAS BEEN READ AND UNDERSTOOD. THE RESULTS OF THE SURVEY ARE REPORTED TO THE GOVERNANCE COMMITTEE OF THE PARENT WHICH IS RESPONSIBLE FOR GOVERNANCE OVERSIGHT AND NOMINATIONS. CONFLICTS ARE EVALUATED FOR BEING OCCASIONAL OR DISABLING IN NATURE. THE GENERAL COUNSEL MAKES THE INITIAL EVALUATION AND ADVISES THE GOVERNANCE COMMITTEE IN ITS DELIBERATIONS. IF AND AS AN OCCASIONAL CONFLICT IS IDENTIFIED, THE GENERAL COUNSEL ADVISES THE SUBJECT DIRECTOR AND GOVERNANCE IN A "REBUTTABLE PRESUMPTION" TYPE PROCESS. SHOULD A DISABLING CONFLICT BE IDENTIFIED, THE DIRECTOR RESIGNS OR IS REMOVED UPON THE RECOMMENDATION OF THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND BOARD. IN ADDITION, AN ANNUAL NOTICE IS SENT BY EMAIL TO EACH EMPLOYEE HAVING EMAIL REGARDING THE ACCEPTANCE OF GIFTS. PROCESS USED TO DETERMINE COMPENSATION FORM 990, PART VI, LINES 15A & 15B COOK & CO. IS RETAINED BY THE COMPENSATION COMMITTEE TO PROVIDE ADVICE AND COUNSEL REGARDING ITS COMPENSATION PROGRAM PROVIDED TO MEMORIALCARE'S SENIOR MANAGEMENT TEAM (VP'S AND ABOVE). COOK & CO. PROVIDES OBJECTIVE, THIRD-PARTY ADVICE ON THE REASONABLENESS OF COMPENSATION AND BENEFIT LEVELS PROVIDED IN COMPARISON WITH THOSE OF OTHER SIMILARLY SITUATED ORGANIZATIONS, AND THE APPROPRIATENESS OF THE OVERALL COMPENSATION PROGRAM IN LIGHT OF ORGANIZATION'S PERFORMANCE AND OTHER RELEVANT FACTORS USED IN DETERMINING THE REASONABLENESS OF COMPENSATION. FINAL REVIEW AND APPROVAL BY THE MHS BOARD OF DIRECTORS. REVIEW OF MANAGERS, PROGRAM DIRECTORS, DIRECTORS AND EXECUTIVE DIRECTORS COMPENSATION IS CONDUCTED BY THE MHS COMPENSATION DIRECTOR IN CONJUNCTION WITH THE COMPENSATION VALUE ADDED TEAM. FINAL APPROVAL IS OBTAINED FROM THE MHS COO AND THE MHS VP PEOPLE & CULTURE. ALL MANAGEMENT WAS LAST REVIEWED ON OCTOBER 15, 2013. THE REVIEW THAT WAS PERFORMED FOR FY13 WAS COMPLETED ON OCTOBER 15, 2012. FORM 990, PART VI, LINE 16A THE FOLLOWING ORGANIZATIONS INVESTED IN, CONTRIBUTED ASSETS TO, OR PARTICIPATED IN A JOINT VENTURE OR SIMILAR ARRANGEMENT WITH A TAXABLE ENTITY DURING THE YEAR: OCMMC, SMMC AND MMF. WRITTEN POLICY AND PROCEDURES FOR JOINT VENTURES FORM 990, PART VI, LINE 16B OCMMC HAS ADOPTED A WRITTEN POLICY OR PROCEDURE REQUIRING IT TO EVALUATE ITS PARTICIPATION IN JOINT VENUTRE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW, AND TAKEN STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. OTHER FEES FOR SERVICES (NON-EMPLOYEES) FORM 990, PART IX, LINE 11G PURCHASED MEDICAL SERVICES $138,630,746 CONTRACTED PHYSICIAN SERVICES $ 31,291,011 OTHER PROFESSIONAL FEES $ 35,453,224 OTHER PURCHASED SERVICES $ 62,404,860 ------------ TOTAL $267,779,841 ============ OTHER CHANGES IN NET ASSETS OR FUND BALANCE FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS (LBMMC) $ (58,369) FUND BALANCE ASC (SMMC) $ (4,156,228) NON-CONTROLLING EQUITY OF JV (OCMMC) $ 1,593,772 MOVE NON-CONTROLLING INTEREST FROM CONTROLLING INTEREST (OCMMC) $ (1,533,715) FUND BALANCE ASC (OCMMC) $ 713,488 CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS (OCMMC) $ (31,586) OTHER CHANGES IN NET ASSETS (OCMMC) $ (56,077) ROUNDING (OCMMC) $ (1) NON-CONTROLLING EQUITY OF JV (MMF) $ 30,644,593 MOVE NON-CONTROLLING INTEREST FROM CONTROLLING INTEREST (MMF) $ (3,414,257) TRANSFER OF GNP EQUITY TO MHS (MMF) $ 32,530,000 ACQUISITIONS (MMF) $ 1,356,473 PURCHASE OF BEACH SURGICAL (MMF) $ 13,437,527 FUND BALANCE ASC (MMF) $ 5,623,582 ------------ TOTAL $ 76,649,202 ============ CONSOLIDATED AUDITED FINANCIALS AND INDEPENDENT AUDITOR FORM 990, PART XII, LINE 2B THE MEMBERS OF THE GROUP ARE INCLUDED IN CONSOLIDATED AUDITED FINANCIALS AND MHS' AUDIT COMMITTEE SELECTS AN INDEPENDENT AUDITOR ON BEHALF OF THE CONSOLIDATED GROUP. A-133 AUDIT FORM 990, PART XII, LINES 3A AND 3B THE FOLLOWING ORGANIZATION WAS REQUIRED TO UNDERGO AN AUDIT OR AUDITS, AND COMPLETED THE AUDIT, AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AS A RESULT OF A FEDERAL AWARD: LBMMC. 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