2024-11-14T13:41:40-06:00 2023-12-31 135565207 KPMG LLP 550 SOUTH HOPE STREET SUITE 1500 LOS ANGELES CA 90071 990 2023-01-01 951643327 HOAG MEMORIAL HOSPITAL PRESBYTERIAN HOAG 9497644624 ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 ANDREW GUARNI EVP AND CFO 9497647261 2024-11-13 1 0 HOLLY MOEN P01800653 2139724000 2024-11-03 2023 2024-10-15 13:58:12Z ROBERT BRAITHWAITE ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 1843487493 0 X WWW.HOAG.ORG X 1944 CA OUR MISSION AS A NOT-FOR-PROFIT, FAITH- BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE. 17 17 10058 877 5010976 512761 55211303 44526989 1485406894 1647359569 76013312 109343462 29876087 42257473 1646507596 1843487493 9399443 9249318 0 0 703347225 838815236 0 0 0 887938180 837072802 1600684848 1685137356 45822748 158350137 4246917299 4532479353 1440069401 1481883192 2806847898 3050596161 X OUR MISSION AS A NOT-FOR-PROFIT, FAITH-BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO THE COMMUNITIES WE SERVE. 0 0 1119413505 9249318 1683708660 SEE SCHEDULE O 1119413505 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1088 0 1 10058 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 17 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X ANDREW GUARNI 9497644624 ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 RESHMA BLOCK BOARD MEMBER 2.00 0.00 X 0 0 0 CINDY STOKKE CHAIR 2.00 0.00 X X 0 0 0 ROBERT BRUNSWICK CHAIR-ELECT 2.00 0.00 X X 0 0 0 ERIC ALCOULOUMRE MD SECRETARY 2.00 2.00 X X 0 0 0 DAN YOUNG PAST CHAIR 2.00 0.00 X 0 0 0 VICKI BOOTH BOARD MEMBER 2.00 0.00 X 0 0 0 CHRIS CALLERO BOARD MEMBER 2.00 0.00 X 0 0 0 DENNIS GILMORE BOARD MEMBER 2.00 0.00 X 0 0 0 RICHARD HASKELL MD BOARD MEMBER 2.00 0.00 X 0 0 0 PAUL HEESCHEN BOARD MEMBER 2.00 0.00 X 0 0 0 KAREN LINDEN BOARD MEMBER 2.00 2.00 X 0 0 0 PAMELA MASSEY BOARD MEMBER 2.00 0.00 X 0 0 0 BABAK RAD MD BOARD MEMBER 2.00 0.00 X 0 0 0 MARICELA RIOS FAUST BOARD MEMBER 2.00 0.00 X 0 0 0 JAMIE SHEPHERDSON BOARD MEMBER 2.00 5.00 X 0 0 0 RICK TAKETA BOARD MEMBER 2.00 0.00 X 0 0 0 GEORGE WOOD BOARD MEMBER 2.00 0.00 X 0 0 0 ROBERT BRAITHWAITE PRESIDENT AND CEO 50.00 9.00 X 2233775 0 51598 ANDREW GUARNI EVP AND CFO 50.00 6.00 X 1122664 0 48127 RICK MARTIN VP SR PATIENT CARE SVC AND CNO 50.00 0.00 X 672685 0 57719 MARCY BROWN VP SR CHIEF OPERATIONS OFFICER 50.00 0.00 X 691383 0 40934 SANFORD SMITH VP SR REAL ESTATE & FACILITIES 50.00 0.00 X 616020 0 51945 FLYNN ANDRIZZI FOUNDATION PRESIDENT 2.00 52.00 X 949564 0 37958 JAN BLUE VP SR CHIEF ADMIN OFFICER 50.00 0.00 X 821982 0 51519 ERIC CHEUNG VP SR & CHIEF LEGAL OFFICER 50.00 0.00 X 685770 0 60457 MARTIN FEE VP SR AND CCO 50.00 0.00 X 573061 0 39000 MARGARET T CONK VP SR CHIEF CLINICAL INST OFF. 50.00 0.00 X 663558 0 46445 KRIS IYER VP SR & CHIEF PHYS DEV OFFICER 2.00 52.00 X 590833 0 41085 KATHY AZEEZ NARAIN VP CHIEF DIGITAL INNOVA OFF 50.00 0.00 X 562192 0 16500 MICHAEL BRANT-ZAWADSKI VP ADDICTION RESEARCH ADMIN 50.00 0.00 X 598151 0 51065 ALLYSON BROOKS EXEC DIR MED WOMENS HEALTH 50.00 0.00 X 510526 0 54523 MICHAEL KRUG EXEC DIR CHIEF HR OFFICER 50.00 0.00 X 544765 0 41715 ARPI BEKMEZIAN VP CHIEF QUALITY OFFICER 50.00 0.00 X 509739 0 46862 12346668 0 737452 2196 0 1 0 PACIFIC HOSPITALIST ASSOC 361 HOSPITAL RD STE 521 NEWPORT BEACH CA 92663 PHYSICIAN SERVICES 17188358 NEWPORT CRTICAL CARE PHYS MED 62 ENDLESS VIS ALISO VIEJO CA 92656 PHYSICIAN SERVICES 5674640 BLULAB BRAND LLC 525 SONOMA MOUNTAIN RD PETALUMA CA 94954 MARKETING SERVICES 5590800 RENOVO SOLUTIONS 4 EXECUTIVES CIRCLE STE 185 IRVINE CA 92614 MAINTENANCE SERVICES 5028360 EMERALD TEXTILES LLC P O BOX 7854 SAN FRANCISCO CA 941207854 LINEN SERVICES 4166623 117 23907474 20619515 44526989 PATIENT SERVICES 622110 1487226106 1487226106 HMO CAPITATED PAYMENT 622110 124053855 124053855 MOB RENTAL INCOME 531190 29522285 29522285 CLINICAL TRIALS 541715 6557323 6557323 1647359569 42016305 84099 41932206 98126 98126 35200 35200 67214781 14250 0 0 67214781 14250 67229031 67229031 HOI SERVICES 561110 16896386 12202642 4693744 OTHER REVENUE 900099 11400596 11400596 REFUNDS/REBATES 900099 10666057 10666057 3259234 2079796 233133 946305 42222273 1843487493 1683708660 5010976 110240868 X 9249318 9249318 9395767 620121 8775646 192590 192590 662961605 496765899 166195706 30423567 8288143 22135424 92235277 49818145 42417132 43606430 35256460 8349970 4872745 4330 4868415 1030272 1030272 60051 60051 200111079 129362595 70748484 3029861 418996 2610865 21061894 12980405 8081489 22322560 14389624 7932936 54809332 42198685 12610647 1311100 954832 356268 735002 370014 364988 25280903 25000 25255903 103841030 36649976 67191054 11002397 11002397 MEDICAL SUPPLIES 268270927 267197866 1073061 QA FEE 50941102 50941102 DUES & SUBSCRIPTIONS 26287032 5627561 20659471 LICENSES & TAXES 13670071 1076496 12593575 28435444 8159039 20276405 1685137356 1119413505 565723851 0 92057628 31323509 52883699 68588592 0 0 233332933 309179266 0 0 0 0 699582 0 16832357 17269735 22861176 32696822 2331719403 1145109944 1157837924 1186609459 547406199 681196986 1923906201 2009390360 0 0 3427942 2879412 195671658 193345212 4246917299 4532479353 307281628 370767372 0 0 0 0 362904322 361421121 0 0 0 0 556915020 556294845 0 0 212968431 193399854 1440069401 1481883192 X 2806259831 3050008094 588067 588067 2806847898 3050596161 4246917299 4532479353 X 158350137 166128141 -80730015 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 60051 60051 0 PART II-B, LINE 1: LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES ALLOCATED TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN. 165489602 2332591 17818659 5970300 179670552 184029760 -158581 -12677007 5704570 165489602 164655908 3030230 23223391 6879769 184029760 143701793 5819236 21695599 6560720 164655908 130966595 6011242 13990511 7266555 143701793 0.04240 0.54650 0.41110 0 1 1 113166933 113166933 1323755108 645343430 678411678 173523766 107307657 66216109 522393518 392458857 129934661 198880078 198880078 1186609459 BOARD DESIGNATED INV 1761741132 F UNDER INDENTURE AGREEMENT 227497590 F MALPRACTICE RESERVES 20151638 F 2009390360 RIGHT OF USE LIABILITIES 61830072 OTHER 41172396 HOSPITAL FEE 37225434 SELF INSURANCE LIABILITIES 40781318 NOTE PAYABLE 7016413 CAPITATED CONTRACTS 5374221 193399854 X PART X, LINE 2: ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2023 AND 2022. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS, PROGRAM RELATED 775612287 EUROPE (INCLUDING ICELAND & GREENLAND) INVESTMENTS, PROGRAM RELATED 48611088 NORTH AMERICA INVESTMENTS, PROGRAM RELATED 12393565 EAST ASIA AND THE PACIFIC INVESTMENTS, PROGRAM RELATED 8902527 MIDDLE EAST AND NORTH AFRICA INVESTMENTS, PROGRAM RELATED 422308 0 0 0 0 0 0 845941775 0 845941775 1 0 1 1 1 0 SCHEDULE F, PART I, LINE 3, COLUMN F ACCOUNTING METHOD THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUES OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED DECEMBER 31, 2023. 1 1 X 1 X 1 X 1 1 0 1 1 13506711 0 13506711 0.00750 159894929 80335010 79559919 0.04420 8378 0 8378 0.00000 173410018 80335010 93075008 0.05170 3564660 0 3564660 0.00200 240963 0 240963 0.00010 203125 0 203125 0.00010 0 0 0.00000 8486873 0 8486873 0.00470 12495621 12495621 0.00690 185905639 80335010 105570629 0.05860 8486873 8486873 0.00470 3564660 3564660 0.00200 444088 444088 0.00020 12495621 12495621 0.00690 0 52024525 249037494 393166472 -144128978 X 1 1 1 HOAG ORTHOPEDIC INSTITUTE SPECIALTY HOSPITAL 0.51000 0.44000 2 HOI ASC HOLDINGSLLC HOLDING COMPANY 0.30600 0.26400 3 MAIN STREET SPECIAL SURGERY CENTER 0.26110 0.22530 4 ORTHOPEDIC SURGERY CENTER SURGERY CENTER - OC 0.30600 0.26400 5 SOUTHERN CALIFORNIA SURGERY CENTER 0.17380 0.15000 6 HOAG ORTHOPEDIC INSTITUTE SURGERY CENTER - BH 0.15610 0.13460 7 DIAGNOSTIC AND INTERVENTIONAL SURGERY CENTER 0.15610 0.13460 8 HOAG ORTHOPEDIC NETWORK SURGERY CENTER 0.51000 0.44000 9 HOAG ORTHOPEDIC INSTITUTE SURGERY CENTER 0.51000 0.44000 10 CALIFORNIA SPECIALTY SURGERY CENTER 0.17450 0.15060 11 ORTHOCALIFORNIA IPA SURGERY CENTER 0.51000 0.44000 2 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN ONE HOAG DRIVE NEWPORT BEACH CA 92663 WWW.HOAG.ORG CO194920 X X X X 2 HOAG ORTHOPEDIC INSTITUTE 16250 SAND CANYON AVENUE IRVINE CA 92618 WWW.HOAGORTHOPEDICINSTITUTE.COM 200835010044 X ORTHOPEDIC HOSPITAL HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM COMMUNITY REPRESENTATIVES TARGETED INTERVIEWS, SURVEY TOOLS, AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN. HOAG UTILIZED A MIXED-METHODS APPROACH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING DATA SOURCES INFORMED THIS REPORT: - KEY STAKEHOLDER INTERVIEWS: SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH 18 INDIVIDUALS. INTERVIEWEES WERE SELECTED IN COLLABORATION WITH HOAG HOSPITAL COMMUNITY BENEFIT STAFF. INTERVIEWS WERE CONDUCTED TO OBTAIN INFORMATION ABOUT THE HEALTH NEEDS OF ORANGE COUNTY RESIDENTS FROM A SYSTEMS-LEVEL PERSPECTIVE. PARTICIPATING INTERVIEWEES REPRESENTED THE FOLLOWING: HEALTH EDUCATORS/SERVICE PROVIDERS, MEDICAL RESEARCH, EXECUTIVE DIRECTORS/CEO'S OF COMMUNITY ORGANIZATIONS, LOCAL FUNDING AGENCIES, HEALTH SERVICES COORDINATORS, COUNTY HEALTH OFFICER, COUNTY PUBLIC HEALTH NURSE, MENTAL HEALTH SPECIALISTS, AND CITY OFFICIALS.- PROVIDER SURVEY. THE PROVIDER SURVEY WAS DEVELOPED AND ADMINISTERED ONLINE TO INDIVIDUALS AT ORGANIZATIONS/DEPARTMENTS THAT PROVIDE HEALTH SERVICES TO COMMUNITY MEMBERS. THE SURVEY WAS DISTRIBUTED TO A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. THE SURVEY WAS AVAILABLE IN 6 LANGUAGES. DURING THE TWO-MONTH SURVEY ADMINISTRATION TIMEFRAME, A TOTAL OF 210 RESPONSES WERE COLLECTED AND USED FOR ANALYSIS. THE PURPOSE OF THE SURVEY WAS TO OBTAIN PROVIDERS' PERSPECTIVES AND EXPERIENCES REGARDING PRIORITY HEALTH NEEDS, AND THE AVAILABILITY AND PROVISION OF HEALTH SERVICES THROUGHOUT ORANGE COUNTY.- COMMUNITY MEMBER SURVEY. THE COMMUNITY SURVEY WAS DEVELOPED BY ADVANCEOC AND DISTRIBUTED ONLINE. THE SURVEY WAS TRANSLATED INTO 10 LANGUAGES AND ADMINISTERED TO COMMUNITY MEMBERS THROUGH DIRECT OUTREACH AT COMMUNITY EVENTS, CANVASSING, EMAIL, AND SOCIAL MEDIA. THE SURVEY WAS DISTRIBUTED THROUGH A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. A TOTAL OF 806 RESPONSES WERE COLLECTED.- FOCUS GROUPS. THE STUDY TEAM CONDUCTED NINE FOCUS GROUPS IN ORANGE COUNTY IN AUGUST 2022 WITH 98 PARTICIPANTS. EACH SESSION LASTED APPROXIMATELY 1 HOUR AND WAS RECORDED AND TRANSCRIBED USING IN-LANGUAGE NOTE TAKING. THREE FOCUS GROUPS WERE CONDUCTED IN SPANISH, 1 IN CHINESE (MANDARIN) AND 1 IN FARSI (PERSIAN). SCHEDULE H, PART V, SECTION B, LINE 6 HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A COMBINED CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A FACILITY 1HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTSFACILITY 2HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS SCHEDULE H, PART V, SECTION B, LINE 10A FACILITY 1HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTSFACILITY 2HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS SCHEDULE H, PART V, SECTION B, LINE 11 THE 2022 CHNA IDENTIFIED THE FOLLOWING AS HOAG'S PRIORITIZED SIGNIFICANT NEEDS TO BE ADDRESSED: MENTAL HEALTH AND BEHAVIORAL HEALTH, ACCESS TO CARE, AND CANCER/CHRONIC DISEASE. FOR EACH HEALTH NEED THE HOSPITALS PLAN TO ADDRESS, THE STRATEGIES BELOW OUTLINE THE ACTIONS THE HOSPITALS INTEND TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT AND PLANNED COLLABORATION WITH OTHER ORGANIZATIONS. MENTAL HEALTH AND BEHAVIORAL HEALTH STRATEGIES:1) PROVIDE MENTAL HEALTH CARE SERVICES THROUGH HOAG'S MENTAL HEALTH CENTER PRIMARILY FOCUSED ON THE LOW-INCOME POPULATION2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON MENTAL HEALTH THAT GOES BEYOND OUR SCOPE OF CARE. THIS INCLUDES PARTNERSHIPS WITH LOCAL FQHCS AND BE WELL OC.3) PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES (INTERNSHIPS, INTERNAL AND EXTERNAL PROFESSIONAL DEVELOPMENT) FOR THE MENTAL HEALTH PROFESSION. 4) USE EXISTING PATHWAYS TO EXPAND OUR CONTINUUM OF CARE FOR MENTAL HEALTH.ACCESS TO CARE STRATEGIES:1) PROVIDE FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. 2) OFFER INFORMATION AND ENROLLMENT ASSISTANCE FOR NO COST AND LOW-COST INSURANCE PROGRAMS. 3) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 4) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT REDUCE BARRIERS TO ACCESSING CARE. 5) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 6) PROVIDE TRANSPORTATION SUPPORT FOR SENIORS TO INCREASE ACCESS TO HEALTH CARE SERVICES.CANCER AND CHRONIC DISEASE STRATEGIES:1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON CANCER/CHRONIC DISEASE PREVENTION AND MANAGEMENT. 3) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 4) OFFER CHRONIC DISEASE PREVENTION, MANAGEMENT, EDUCATION, CARE NAVIGATION, SCREENINGS AND SUPPORT GROUPS. 5) CONTINUE TO PROVIDE WELLNESS AND PREVENTION PROGRAMS TO VULNERABLE COMMUNITIES.TO ACCOMPLISH SOME OF THESE STRATEGIES HOAG WILL ALSO COLLABORATE WITH COMMUNITY PARTNERS. SHARING RESOURCES AND ENHANCING THE CAPACITY OF PARTNER ORGANIZATIONS SUPPORTS THE ACHIEVEMENTS OF OUR GOALS. POTENTIAL COLLABORATIVE PARTNERS INCLUDE, BUT ARE NOT LIMITED TO:- FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) - OC PUBLICLY FUNDED HEALTH INSURANCE PLAN - CAL OPTIMA- BE WELL OC- ORANGE COUNTY HEALTH CARE AGENCY - COMMUNITY HEALTH CENTERS AND COMMUNITY CLINICS - COMMUNITY-BASED ORGANIZATIONS- FAITH BASED ORGANIZATIONS- FAMILY RESOURCE CENTERS- LOCAL MUNICIPALITIES- MENTAL HEALTH ASSOCIATIONS- SCHOOL DISTRICTS AND SCHOOLS- LOCAL FOOD BANKS - SENIOR CENTERS AND ADULT DAY CENTERS - ADVOCACY GROUPSKNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE IDENTIFIED COMMUNITY HEALTH NEEDS, HOAG CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN BE ADDRESSED EFFECTIVELY GIVEN THE FACILITIES' AREAS OF FOCUS AND EXPERTISE. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA WILL NOT BE PRIORITIZED, HOWEVER AN EXPLANATION IS PROVIDED BELOW ON VARIOUS EFFORTS THAT ADDRESS THESE NEEDS:- COMMUNITY AND FAMILY SAFETY- OTHER ORGANIZATIONS IN THE COMMUNITY HAVE THE EXPERTISE AND COMPETENCY TO EFFECTIVELY ADDRESS THESE NEEDS. HOAG PARTNERS WITH HUMAN OPTIONS IN PROVIDING SUPPORT GROUPS AND WORKSHOPS AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING FOCUSED ON DOMESTIC VIOLENCE PREVENTION AND PARENTING CLASSES. - COVID-19/CONTAGIOUS AND INFECTIOUS DISEASES-WHILE HOAG IS NOT PRIORITIZING COVID-19 IN THE IMPLEMENTATION PLAN AT THIS POINT IN THE PANDEMIC, HOAG WILL CONTINUE TO DELIVER VACCINES, TESTING, AND MEDICAL CARE TO ADDRESS COVID-19 IN THE COMMUNITY. HOAG WILL ALSO CONNECT WITH LOCAL CLINICS AND THE ORANGE COUNTY HEALTH CARE AGENCY TO REFER OUT SERVICES TO ADDRESS THESE UNMET NEEDS. - ECONOMIC INSECURITY- HOAG PARTNERS WITH THE SECOND HARVEST FOOD BANK TO PROVIDE FRESH PRODUCE AND GROCERIES TWICE A MONTH TO THOSE IN NEED. HOAG WILL PARTNER WITH CAL OPTIMA HEALTH PLAN TO LAUNCH THE MEDICALLY TAILORED MEAL PROGRAM FOR ELIGIBLE PATIENTS UPON HOSPITAL DISCHARGE. IN ADDITION, HOAG HOSTS A DIAPER DISTRIBUTION IN PARTNERSHIP WITH COMMUNITY ACTION PARTNERSHIP OC TO PROVIDE DIAPERS TO THOSE FAMILIES IN NEED. HOAG ALSO PARTNERS WITH CIELO, A NONPROFIT ORGANIZATION THAT PROVIDES EDUCATIONAL WORKSHOPS RELATED TO WORKFORCE DEVELOPMENT, BUSINESS AND ENTREPRENEURIAL SKILLS, AND FINANCIAL AND COMPUTER LITERACY. PROJECT SELF SUFFICIENCY IS ANOTHER COLLABORATIVE PARTNER THAT PROVIDES SUPPORT AND RESOURCES FOR SINGLE PARENTS ENROLLED IN COLLEGE. HOAG IS ALSO STARTING A NEW PARTNERSHIP WITH UNITED WAY'S SPARK POINT PROGRAM TO ADVANCE ECONOMIC SECURITY FOR LOW-INCOME AND UNDER RESOURCED FAMILIES. - ENVIRONMENT/CLIMATE CHANGE- OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THIS NEED. - HOUSING AND HOMELESSNESS- HOAG PARTNERS WITH SHARE OUR SELVES AND FAMILIES FORWARD TO PROVIDE RENTAL AND MOTEL ASSISTANCE TO THOSE ELIGIBLE APPLICANTS. HOAG ALSO PARTNERS WITH SERVING PEOPLE IN NEED (SPIN) TO PROVIDE GUIDED ASSISTANCE TO PERMANENT HOUSING PLACEMENT. SCHEDULE H, PART V, SECTION B, LINE 13H HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO 400% THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HMHP AND HOI'S POLICY ALSO PROVIDES FOR DISCRETIONARY DETERMINATION OF CHARITY CARE TAKING INTO CONSIDERATION INDIVIDUAL FACTS AND CIRCUMSTANCES. SCHEDULE H, PART V, SECTION B, LINE 15E PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS CAN BE FOUND ON THE HOAG.ORG WEBSITE, VIA FINANCIAL COUNSELORS, BY MAIL, AND BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8400 FOR HOAG AND (949) 764-8404 FOR HOI. SCHEDULE H, PART V, SECTION B, LINE 16A FACILITY 1HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE/FACILITY 2HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16B FACILITY 1HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE/FACILITY 2HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16C FACILITY 1HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE/FACILITY 2HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ 12 1 - MAIN ST SPECIALTY SURGERY CENTER 280 MAIN STREET 100 ORANGE CA 92660 OUTPATIENT SURGERY CENTER 2 - ORTHOPEDIC SURGERY CENTER OF OC 22 CORPORATE PLAZA DR STE 150 NEWPORT BEACH CA 92660 OUTPATIENT ORTHOPEDIC SURGERY CENTER 3 - DIAGNOSTIC & INTERVENTIONAL SURGICAL CTR 13160 MINDANAO WAY STE 150 MARINA DEL REY CA 90292 OUTPATIENT SURGERY CENTER 4 - CALIFORNIA SPECIALTY SURGERY CENTER 26371 CROWN VALLEY PARKWAY MISSION VIEJO CA 92691 OUTPATIENT SURGERY CENTER 5 - NEWPORT IMAGING CENTER 360 SAN MIGUEL NEWPORT BEACH CA 92660 IMAGING CENTER 6 - HOAG ORTHOPEDIC INS SURGERY CTR BH 9090 WILSHIRE BLVD SUITE 102 BEVERLY HILLS CA 90211 OUTPATIENT ORTHOPEDIC SURGERY CENTER 7 - HOAG OUTPATIENT CENTERS LLC 500 SUPERIOR AVE SUITE 120 NEWPORT BEACH CA 92663 OUTPATIENT SURGERY CENTER 8 - NEWPORT BEACH ENDOSCOPY CENTER LLC 1525 SUPERIOR AVE SUITE 114 NEWPORT BEACH CA 92663 OUTPATIENT SURGERY CENTER 9 - IRVINE ENDOSCOPY PARTNERS LLC 16405 SAND CANYON AVE SUITE 110 IRVINE CA 92618 OUTPATIENT SURGERY CENTER 10 - IRVINE SURGICAL PARTNERS LLC 16405 SAND CANYON AVE SUITE 100 IRVINE CA 92618 OUTPATIENT SURGERY CENTER 11 - NEWPORT SURGICAL PARTNERS LLC 1901 NEWPORT BOULEVARD SUITE 120 COASTA MESA CA 92627 OUTPATIENT SURGERY CENTER 12 - NEWPORT BAY SURGERY CENTER LLC 3333 W PACIFIC COAST HWY SUITE 100 NEWPORT BEACH CA 92663 OUTPATIENT SURGERY CENTER PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY. PART I, LINE 7: HOAG UTILIZES A RELATIVE VALUE UNIT (RVU) COST ACCOUNTING METHOD TO ALLOCATE EXPENSES. UNDER THIS APPROACH, RVUS ARE ASSIGNED TO CHARGE CODES POSTED BY EACH COST CENTER, AND EXPENSES FROM THE GENERAL LEDGER ARE ALLOCATED TO THE COST CENTERS BASED ON A WEIGHTED RVU SYSTEM. THIS METHOD CAPTURES ALL DIRECT COSTS ASSOCIATED WITH PATIENT CARE. INDIRECT OR OVERHEAD COSTS, WHICH ORIGINATE FROM COST CENTERS THAT DO NOT DIRECTLY PROVIDE PATIENT SERVICES, ARE ALLOCATED TO DIRECT COST CENTERS ACCORDING TO THEIR RESOURCE UTILIZATION. THIS COST ALLOCATION METHODOLOGY IS APPLIED CONSISTENTLY ACROSS ALL HOSPITAL PATIENTS, REGARDLESS OF PATIENT TYPE (INPATIENT, OUTPATIENT, ETC.) OR PAYER CATEGORY. PART III, LINE 2: THE ORGANIZATION CALCULATES BAD DEBT EXPENSE BASED ON A COMBINATION OF FACTORS, INCLUDING ACTUAL WRITE-OFFS OF UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH OUR BAD DEBT POLICY, RECOVERIES OF PREVIOUSLY WRITTEN-OFF BAD DEBTS, AND ESTIMATES OF RESERVES FOR AGED ACCOUNTS. THESE ESTIMATES ARE DETERMINED BY CONSIDERING THE FINANCIAL CLASS OF THE ACCOUNT AND THE TIME ELAPSED SINCE THE PATIENT'S DISCHARGE. PART III, LINE 8: MEDICARE PROGRAM COSTS ARE COMPUTED ON THE ANNUAL COST REPORT IN A PRECISE MANNER. ROUTINE SERVICE COSTS ARE DERIVED BY MULTIPLYING MEDICARE VOLUME, IN THIS CASE PATIENT DAYS, BY THE COST PER DAY CALCULATED ON THE COST REPORT FOR EACH PARTICULAR SERVICE TYPE (ADULTS & PEDS, ICU, CCU, ETC.). ANCILLARY COSTS ARE DERIVED BY MULTIPLYING MEDICARE VOLUME, IN THIS CASE GROSS CHARGES, BY THE SPECIFIC COST-TO-CHARGE RATIO FOR EACH DISTINCT ANCILLARY SERVICE. THE FULLY LOADED COSTS (DIRECT AND OVERHEAD ALLOCATION) FOR ROUTINE AND ANCILLARY SERVICES RENDERED TO MEDICARE PATIENTS IS LINED UP WITH MEDICARE PAYMENTS RECEIVED TO ARRIVE AT THE COMPUTED SHORTFALL. PART III, LINE 9B: PATIENTS IN THE PROCESS OF QUALIFYING FOR GOVERNMENT FINANCIAL ASSISTANCE OR THE FA PROGRAM WILL NOT BE ASSIGNED TO COLLECTIONS PRIOR TO 180 DAYS FROM THE DATE OF INITIAL POST-DISCHARGE/TREATMENT BILLING. IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE PROGRAM AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH HOAG BY NEGOTIATING AN EXTENDED PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, HOAG SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY OR OTHER ASSIGNEE, UNLESS THAT ENTITY HAS AGREED TO COMPLY WITH GUIDELINES OUTLINED IN CALIFORNIA HEALTH AND SAFETY CODE SECTION 127400 ET SEQ. INSURED OR UNINSURED PATIENTS, WHO AT THE SOLE DISCRETION OF HOAG ARE REASONABLY COOPERATING TO SETTLE AN OUTSTANDING HOSPITAL BILL BY MAKING REGULAR AND REASONABLE PAYMENTS TOWARDS THEIR OUTSTANDING HOSPITAL BILL, WILL NOT BE SENT TO AN OUTSIDE COLLECTION AGENCY IF DOING SO WOULD NEGATIVELY IMPACT THE PATIENT'S CREDIT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT HMHP CONDUCTED A NEW 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY THAT WAS ADOPTED MAY 2023. PRIORITIZED NEEDS FROM THIS CHNA WILL BE USED TO PLAN AND EVALUATE PROGRAMMING FOR 3 YEARS, 2023-2025. A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H EACH TAX YEARS. HMHP'S 2022 CHNA AND 2023-2025 IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTSIN ADDITION TO THE COMMUNITY WIDE NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, HOAG CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IN VARIOUS WAYS. MANY OF THE COMMUNITY BENEFIT STAFF SERVE ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AS WELL AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. CLIENTS THAT ACCESS SERVICES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING ALSO COMPLETE A SCREENING TOOL WHICH ALLOWS US TO ASSESS FUTURE PROGRAMMING NEEDS FOR THE COMMUNITY. COMMUNITY HEALTH STAFF ALSO HOLD A SEAT WITH THE ORANGE COUNTY HEALTH CARE AGENCY'S HEALTH IMPROVEMENT PARTNERSHIP AND ORANGE COUNTY GRANTMAKERS WHICH BRINGS TOGETHER VARIOUS HEALTH RELATED ORGANIZATIONS AND PHILANTHROPIC FUNDERS TO DISCUSS COMMUNITY NEEDS, PROGRAMMING, AND COLLABORATIVE OPPORTUNITIES. HOAG'S CENTER FOR HEALTHY LIVING ALSO HOSTS A MONTHLY PROFESSIONAL NETWORK RESOURCE EXCHANGE MEETING WHICH BRINGS TOGETHER COMMUNITY LEADERS FROM THE NONPROFIT SECTOR, LOCAL SCHOOL DISTRICTS, AND HEALTH RELATED SERVICES TO DISCUSS RECENT HEALTH TRENDS AND OPPORTUNITIES TO MEET THOSE NEEDS. COMMUNITY HEALTH STAFF ALSO INTERFACES WITH VARIOUS CITY OFFICIALS IN ORANGE COUNTY WHICH ALLOWS HOAG TO BE ENGAGED AND COLLABORATE ON ISSUES THAT ARISE. OUR ROBUST COMMUNITY BENEFIT GRANTS PROGRAM ALSO PROVIDES US WITH A LENS INTO COMMUNITY NEED AS WE INTERFACE WITH OVER 80 NONPROFIT ORGANIZATIONS WHO APPLY FOR PROGRAM FUNDING. THE APPLICATION PROCESS FOR FUNDING PROVIDES US WITH A LEARNING OPPORTUNITY ABOUT THE ORGANIZATIONS MISSION AS WELL AS GAPS AND NEEDS THEIR COMMUNITY IS FACED WITH. SCHEDULE H, PART VI, LINE 3 HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL.HOAG INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS:- FINANCIAL ASSISTANCE NOTICES PRINTED IN ENGLISH AND SPANISH ARE ALSO PLACED IN THE PUBLIC ADMISSION AREAS AT HOAG HOSPITALS AND THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING- STATEMENTS MAILED TO THE PATIENT INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING THE PATIENT OF HOAG FINANCIAL ASSISTANCE PROGRAM AND THE APPROPRIATE CONTACT INFORMATION.- PATIENT CAN ALSO VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNCILOR OR BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER TO ANSWER ANY QUESTIONS REGARDING FINANCIAL ASSISTANCE OPTIONS.- HMHP DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES 88 ZIP CODES AND ALL 582 CENSUS TRACTS IN ROANGE COUNTY. HOAG'S PATIENT POPULATION COMES FROM ALL 34 CITIES AND UNINCORPORATED COMMUNITIES IN ORANGE COUNTY. AMONG THE TOP 5 CITIES SERVED BY HOAG (IRVINE, HUNTINGTON BEACH, COSTA MESA, NEWPORT BEACH AND SANTA ANA), THE AVERAGE AGE OF PATIENTS RANGES FROM 29 YEARS TO 48 YEARS OLD WITH YOUNGER PATIENTS ON AVERAGE RESIDING IN THE CITIES OF COSTA MESA AND SANTA ANA. AMONG HOAG'S OBSTETRICIAN VISITS, THE AVERAGE AGE OF COSTA MESA AND SANTA ANA PATIENTS IS 29 YEARS. FOR EMERGENCY DEPARTMENT VISITS, THE YOUNGEST PATIENTS RESIDE IN COSTA MESA AND IRVINE AND THE OLDEST PATIENTS RESIDE IN NEWPORT BEACH.THE NUMBER OF MEDICAID PATIENTS RANGE FROM 8% IN THE CITIES OF HUNTINGTON BEACH AND IRVINE TO AS MUCH AS 25% AND 21% IN THE CITIES OF COSTA MESA AND SANTA ANA, RESPECTIVELY. MEDICAID PATIENTS SKEW FEMALE, AND THEY TEND TO REPRESENT A HIGHER PERCENTAGE OF PATIENTS VISITING THE EMERGENCY DEPARTMENT.ORANGE COUNTY IS HOME TO 3.19 MILLION PEOPLE PER THE LATEST 2020 DECENNIAL CENSUS WITH A MEDIAN AGE OF 38.3 YEARS. THE 2020 CENSUS SHOWS 45% OF ORANGE COUNTY'S POPULATION IS WHITE, WHILE 55% REPRESENT ANOTHER RACIAL GROUP OR MULTI-RACIAL GROUPS. THE COUNTY'S LARGEST NON-WHITE ETHNIC AND RACIAL GROUPS ARE HISPANIC/LATINO AND ASIAN NATIVE HAWAIIAN AND PACIFIC ISLANDER. APPROXIMATELY 34% OF ORANGE COUNTY RESIDENTS CONSIDER THEMSELVES OF HISPANIC ETHNICITY, WHILE 22% ARE ASIAN NATIVE HAWAIIAN AND PACIFIC ISLANDER. ALTOGETHER, AROUND 30% OF RESIDENTS IN ORANGE COUNTY ARE FOREIGN-BORN, AND ABOUT 45% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE ORANGE COUNTY COMMUNITY EARNS ONE OF THE HIGHEST ANNUAL MEDIAN INCOMES IN THE U.S., BUT ALSO BEARS SOME OF THE HIGHEST COSTS OF LIVING. 2020 MEDIAN HOUSEHOLD INCOME IN ORANGE COUNTY IS $94,441; HOWEVER, ORANGE COUNTY IS ALSO RANKED AS ONE OF THE 10 MOST EXPENSIVE COUNTIES IN CALIFORNIA IN 2021 ACCORDING TO THE INSIGHT CENTER. THE CALIFORNIA FAMILY NEEDS CALCULATOR PUBLISHED BY THE INSIGHT CENTER REPORTS THAT A FAMILY OF 4 WITH 2 SCHOOL AGED CHILDREN NEEDS TO EARN AN HOURLY WAGEOF $23.99 PER ADULT IN THE HOUSEHOLD OR $101,336 AS A HOUSEHOLD TO PAY FOR BASIC LIVING EXPENSES IN ORANGE COUNTY. ORANGE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $94,441, WHICH IS APPROXIMATELY $7,000 SHORT OF WHAT IS NEEDED TO MAKE ENDS MEET. THIS INCOME DISPARITY WILL CONTINUE TO PUT PRESSURE ON SOCIAL SERVICES IN ORANGE COUNTY TO FILL THE GAP AND WILL EXACERBATE HOUSING AND FINANCIAL INSECURITIES THAT LEAD TO POOR HEALTH AND HOMELESSNESS.FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2022 CHNA AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO:- AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM- ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK)- CHAPMAN MEDICAL CENTER - ORANGE - CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO- CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE- FOUNTAIN VALLEY RGNL HOSP AND MED CTR - FOUNTAIN VALLEY- GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE- HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH- KAISER PERMANENTE (IRVINE, ANAHEIM)- KINDRED HOSPITAL (SANTA ANA, WESTMINSTER)- LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA- MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH- MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO- ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY- SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE)- ST. JOSEPH HOSPITAL - ORANGE- ST. JUDE MEDICAL CENTER - FULLERTON- UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE- WESTERN MEDICAL CENTER - SANTA ANA SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH HOAG MEMORIAL HOSPITAL PRESBYTERIAN PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. HOAG MEMORIAL HOSPITAL PRESBYTERIAN IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: - COMMUNITY HEALTH STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION.- HOAG HOSPITAL AND SHAREOURSELVES HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984. THIS LONG-STANDING RELATIONSHIP BETWEEN SHAREOURSELVES AND HOAG HAS ENSURED PRIMARY CARE SERVICES FOR THE MOST VULNERABLE WITH STRATEGIC GOALS THAT WORK TO IMPROVE THE OVERALL WELL-BEING OF OUR SHARED COMMUNITY. THIS COLLABORATIVE PARTNERSHIP HAS ENABLED AN INCREASED ACCESS TO PRIMARY CARE ALLOWING FOR TIMELY, EFFICIENT, AND QUALITY HEALTH CARE FOR THOSE IN NEED AS WELL AS REDUCED UTILIZATION OF EMERGENCY DEPARTMENT DUE TO ACCESS FOR MEDICAL CARE AT SHAREOURSELVES. - HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY CENTER (AFC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL OWNS THE AFC FACILITY AND PROVIDES IT AT NO CHARGE, INCLUDING MAINTENANCE SERVICES AS SPECIFIED IN THE LEASE, TO THE AGENCY. ADDITIONALLY, THE HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS.- HOAG HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THROUGH A CREDENTIALING PROCESS. MEMBERSHIP AND PRIVILEGES ARE GRANTED TO QUALIFIED MD'S, DO'S, AND OTHER ALLIED HEALTH PROFESSIONALS BY THE MEDICAL STAFF AND HOAG HOSPITAL BOARD OF DIRECTORS.- AS A NOT-FOR-PROFIT INSTITUTION, GOVERNANCE IS PROVIDED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 17 VOTING MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS.- THE BOARD OF DIRECTORS ALLOCATE A SIGNIFICANT PORTION OF THE NET OPERATING INCOME TO PROMOTING THE HEALTH OF THE COMMUNITY, SPECIFICALLY SERVING THE NEEDS OF THE UNINSURED AND LOW INCOME COMMUNITIES THROUGH CHARITY CARE AND A VARIETY OF FREE OR LOW COST SERVICES AND PROGRAMS PROVIDED BY THE DEPARTMENT OF COMMUNITY HEALTH.- IN AN EFFORT TO INCREASE THE COMMUNITY POOL OF AVAILABLE TRAINED AND EDUCATED HEALTH PROFESSIONALS, HOAG INVESTS ANNUALLY IN HEALTH PROFESSIONAL TRAINING AND DEVELOPMENT. THE HOSPITAL CURRENTLY WORKS WITH A NUMBER OF PROFESSIONAL GROUPS IN THIS ENDEAVOR, INCLUDING NURSES, PHYSICAL THERAPISTS, PHARMACISTS, LABORATORY PROFESSIONALS, SOCIAL WORKERS, AND HEALTH SCHOLARS PROGRAM.- HOAG PROVIDES UNCOMPENSATED CARE (CHARITY) TO PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE. HOAG'S CHARITY CARE AND SELF-PAY DISCOUNT POLICY STATES THAT SELF-PAY AND UNINSURED PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE MAY QUALIFY FOR CHARITY OR DISCOUNTS ON A SLIDING SCALE FOR INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. TOTAL QUANTIFIABLE COMMUNITY BENEFIT EXPENDITURES (EXCLUDING MEDICARE COST OF UNREIMBURSED CARE) FOR CY2023 AMOUNTED TO OVER $82 MILLION.THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING (MHSCHL) IS A ROBUST ONE-STOP SHOP OF INTERCONNECTED AND SUPPORTIVE SERVICES THAT PROMOTE HEALTH AND WELL-BEING. THE CENTER HOUSES A WIDE VARIETY OF NON-PROFIT PARTNER AGENCIES AND THE PROGRAMS THAT ADDRESS KEY ISSUES AFFECTING THE HEALTH OF OUR COMMUNITY. A KEY COMPONENT WHICH MAKES THE COLLABORATIVE UNIQUE AND IS ESSENTIALLY THE GLUE BETWEEN THE COMMUNITY AND THE CENTER, IS OUR CENTRALIZED REGISTRATION AND CASE MANAGEMENT TEAM. THIS TEAM ASSURES THAT ALL CLIENT'S COMING INTO THE CENTER FILL OUT A SCREENER WHICH SEEKS TO IDENTIFY SOCIO-ECONOMIC STRESSORS, POTENTIAL HEALTH RISKS, MENTAL AND EMOTIONAL HEALTH ISSUES, LEGAL ISSUES, ACCESS TO HEALTH CARE, AND OTHER LIFE STRESSORS THAT CAN AFFECT ONE'S QUALITY OF LIFE. OUR CASE-MANAGEMENT TEAM PLAYS A CRITICAL ROLE IN LINKING CLIENTS TO THE APPROPRIATE SERVICES, WHILE ALSO MONITORING CLIENT'S PROGRESSION THROUGH THE REFERRAL PROCESS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIA 1 ACCESS CALIFORNIA SERVICES 300 W CARL KARCHER WAY ANAHEIM CA 92801 330826205 501 (C) (3) 75000 0 FMV HEALTH COVERAGE AND MENTAL HEALTH SVS AGE WELL SENIOR SERVICES (SOUTH COUNTY SR SVC) 23101 LAKE CENTER DR SUITE 325 LAKE FOREST CA 92630 931163563 501 (C) (3) 75000 0 FMV MEALS-ON WHEELS - HOMEBOUND ELDERLY ALZHEIMER'S FAMILY SERVICES CENTER 9451 INDIANAPOLIS AVE HUNTINGTON BEACH CA 92646 953463978 501 (C) (3) 1376466 0 FMV OPERATIONS/COMMUNITY EDUC/OUTREACH PRG. ALZHEIMERS ORANGE COUNTY 2515 MCCABE WAY SUITE 200 IRVINE CA 92614 953702013 501 (C) (3) 60000 0 FMV SPANISH SPEAKING DEMENTIA CAREGIVER AMERICAN ACADEMY OF PEDIATRICS 5000 CAMPUS DRIVE NEWPORT BEACH CA 92660 953731523 501 (C) (3) 50000 0 FMV CY24 GRANT: CLINIC IN THE PARK BIG BROTHERS BIG SISTERS OF ORANGE COUNTY 1801 E EDINGER AVE STE 101 SANTA ANA CA 92705 951992702 501 (C) (3) 25000 0 FMV HS BIGS SCHOOL-BASED MENTORING PRG BRACKEN'S KITCHEN 13941 NAUTILUS DR GARDEN GROVE CA 92843 951992702 501 (C) (3) 55000 0 FMV FOOD FEEDING PROGRAM. EVENT SPONSORSHIP CANCER KINSHIP 307 PLACENTIA AVE STE 203 NEWPORT BEACH CA 92663 874802655 501 (C) (3) 25000 0 FMV SURVIVOR EMPOWERMENT/NAVIGATION PRG CASA TERESA INC PO BOX 429 ORANGE CA 92856 953251986 501 (C) (3) 25000 0 FMV EMERGENCY MATERNITY SHELTER CHOC CHILDREN'S FOUNDATION 1201 W LA VETA AVE ORANGE CA 92868 956097416 501 (C) (3) 1170900 0 FMV CHOC DIAB CENTER OPERATING GRANT CITY OF COSTA MESA PO BOX 1200 695 W 19TH ST COSTA MESA CA 92627 956005030 501 (C) (3) 75000 0 FMV MEDICAL TRANSPORTATION PROGRAM CITY OF HUNTINGTON BEACH 2000 MAIN ST HUNTINGON BEACH CA 92648 956000723 501 (C) (3) 50000 0 FMV TRANSPORTATION PRG- SENIORS ON THE GO CITY OF NEWPORT BEACH 801 NARCISSUS AVE CORONA DEL MAR CA 92625 956000751 501 (C) (3) 50000 0 FMV TRANSPORTATION PROGRAM - OASIS SENIOR COMMUNITY ACTION PARTNERSHIP OF OC 11870 MONARCH ST GARDEN GROVE CA 92841 952452787 501 (C) (3) 100000 0 FMV FINANCIAL EMPOWERMENT PROGRAM COMMUNITY FOR INNOVATIONS ENTREPRENEURSHIP (CIELO 16787 BEACH BLVD STE233 HUNTINGTON BEACH CA 92647 611495237 501 (C) (3) 55000 0 FMV CENTREPRENUERSHIP PRG, EVENT SPONSORSHIP COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY (CHIO 1505 E 17TH ST SUITE 121 SANTA ANA CA 92705 472671013 501 (C) (3) 55000 0 FMV COMMUNITY HEALTH ACCESS PRG COMMUNITY SENIORSERV 1200 N KNOLLWOOD CIRCLE ANAHEIM CA 92801 952771715 501 (C) (3) 50000 0 FMV SENIOR NUTRITION PROGRAM COUNCIL ON AGING ORANGE COUNTY 2 EXECUTIVE CIRCLE STE 175 IRVINE CA 92614 952874089 501 (C) (3) 115000 0 FMV VISITOR PRG, SMILEMAKERS, COMEDY SPONSOR CRIME SURVIVORS INC PO BOX 54552 IRVINE CA 92619 300229425 501 (C) (3) 25870 0 FMV MENTAL HEALTH/SUPPORT VICTIMS OF CRIME EPILEPSY SUPPORT NETWORK OF OC 1500 ADAMS ST SUITE 301 COSTA MESA CA 92626 270681680 501 (C) (3) 35000 0 FMV SUPPORT AND EDUCATIONAL PROGRAMS FAMILIES FORWARD 8 THOMAS IRVINE CA 92618 330086043 501 (C) (3) 130000 0 FMV FAMILY COUNSELING, RENTAL ASSISTANCE GIRLS INC 1801 E EDINGER AVE SUITE 255A SANTA ANA CA 92705 951810150 501 (C) (3) 105000 0 FMV BUILDING BLOCKS, EVENT SPONSORSHIP HOPE HARBORLAUREL HOUSE 1 HOPE DR TUSTIN CA 92782 330098433 501 (C) (3) 25000 0 FMV HOME FOR TEENS IN CRISIS, SPONSORSHIP HUMAN OPTIONS PO BOX 53745 IRIVNE CA 92619 953667817 501 (C) (3) 55500 0 FMV MENTAL HEALTH SVS TO VICTIMS-D. VIOLENCE HURTT CLINIC 1 HOPE DR TUSTIN CA 92782 330906866 501 (C) (3) 25000 0 FMV CARE NAVIGATION PROGRAM INNOVATIVE HOUSING OPPORTUNITIES 501 N GOLDEN CIRCLE STE 100 SANTA ANA CA 92705 953068902 501 (C) (3) 25000 0 FMV RESIDENT SERVICES PROGRAM IRVINE ADULT DAY HEALTH SERVICES 20 LAKE ROAD IRVINE CA 92604 330599371 501 (C) (3) 50000 0 FMV TRANSPORTATION PROGRAM - NURSING CARE KOREAN COMMUNITY SERVICES INC 451 W LINCOLN AVE STE 100 ANAHEIM CA 92805 953245254 501 (C) (3) 100000 0 FMV MEDICAITON & INTEGRATED CARE IN IRVINE LAGUNA BEACH COMMUNITY CLINIC 362 THIRD ST LAGUNA BEACH CA 92651 952637633 501 (C) (3) 50000 0 FMV A MEDICAL HOME - COMPREHENSIVE CARE PRG LAGUNA BEACH SENIORS INC (THE SUSIQ) 380 THIRD ST LAGUNA BEACH CA 92651 952983350 501 (C) (3) 25000 0 FMV BEHAVIORAL HEALTH PROGRAM FOR SENIORS LATINO HEALTH ACCESS 450 W 4TH STREET SANTA ANA CA 92701 330562943 501 (C) (3) 70000 0 FMV WOMEN HEALTH/PREVENTION-CHRONIC DISEASE LGBTQ CENTER ORANGE COUNTY 1605 N SPURGEON ST SANTA ANA CA 92701 952934041 501 (C) (3) 50000 0 FMV MENTAL HEALTH PROGRAM MARIPOSA WOMEN AND FAMILY CENTER 200 E KATELLA AVE ORANGE CA 92867 953626580 501 (C) (3) 25000 0 FMV COMMUNITY COUNSELING PROGRAM FOR SUD MERCY HOUSE PO BOX 1905 SANTA ANA CA 92701 330315864 501 (C) (3) 25000 0 FMV FAMILY CARE CENTER PROGRAM MIND OC - BEWELL OC 18650 MACARTHUR BLVD ST 220 IRVINE CA 92612 833901590 501 (C) (3) 1000000 0 FMV MENTAL HEALTH SYSTEM DEVELOPMENT GRANT MOMS 1128 W SANTA ANA BLVD SANTA ANA CA 92703 330518078 501 (C) (3) 105000 0 FMV MATERNAL CHILD HEALTH COORDINATION NAMI ORANGE COUNTY 24822 JERONIMO LANE LAKE FOREST CA 92630 953726369 501 (C) (3) 250000 0 FMV MENTAL HEALTH & EDUCATION+NAMI IN LOBBY NEWPORT MESA SCHOOLS FOUNDATION PO BOX 1368 NEWPORT BEACH CA 92659 953545785 501 (C) (3) 10000 0 FMV DISCRETIONARY GRANT:TEACHERS PROGRAM ONE OC KID HEALTHY 1901 E FOUTH ST STE 100 SANTA ANA CA 92705 952021700 501 (C) (3) 25000 0 FMV PADRES EN ACCION-HEALTHY STUDENT/FAMILY ORANGE COUNTY ASIAN AND PACIFIC ISLANDER COMMUNITY 12912 BROOKHURST ST STE 410 GARDEN GROVE CA 92840 912047245 501 (C) (3) 25000 0 FMV HEALTHY OPPORTUNITY-PROMOTE EMPOWERMENT ORANGE COUNTY COMMUNITY HOUSING CORP 501 N GOLDEN CIRCLE DR STE 200 SANTA ANA CA 92705 953221290 501 (C) (3) 25000 0 FMV STEPPINGUP PROGRAM ORANGE COUNTY HUMAN RELATIONS GROUNDSWELL 1801 E EDINGER AVE STE 115 SANTA ANA CA 92705 330438086 501 (C) (3) 80000 0 FMV WALK IN MY SHOES YOUTH CONF+ BRIDGES PRG ORANGE COUNTY UNITED WAY 18012 MITCHELL SOUTH IRVINE CA 92614 330047994 501 (C) (3) 125000 0 FMV OC FREE TAX PREP, SPARKPOINT FINANCIAL PEDIATRIC ADOLESCENT DIABETES RESEARCH EDU (PADRE 1201 W LA VETA AVE ORANGE CA 92868 330099451 501 (C) (3) 55000 0 FMV TYPE 1 DIABETES EDUCATION, SPONSORSHIP PHOENIX HOUSE ORANGE COUNTY INC 11600 ELDRIDGE AVE LAKE VIEW TERRACE CA 91342 222268070 501 (C) (3) 100000 0 FMV USE DISORDER TREATMENT FOR OC ADULTS PROJECT SELF SUFFICIENCY 307 PLACENTIA STE 203 NEWPORT BEACH CA 92663 330597719 501 (C) (3) 55000 0 FMV HOMELESS PREVENTION/RAPID REHOUSING PRG PROJECT YOUTHORANGE COUNTY BAR FOUNDATION 1605 E 17TH ST SANTA ANA CA 92705 237068923 501 (C) (3) 50000 0 FMV STOP SHORT OF ADDICTION PUBLIC LAW CENTER 601 W CIVIC CENTER DR SANTA ANA CA 92701 953709253 501 (C) (3) 100000 0 FMV FAMILY LAW RADIANT HEALTH CENTERSAIDS SERVICE FOUNDATION 17982 SKYPARK CIRCLE STE J IRVINE CA 92614 330126481 501 (C) (3) 25000 0 FMV HIV MEDICAL CASE MANAGEMENT PROGRAM SAVE OUR YOUTH 2045 MEYER PL BLDG E COSTA MESA CA 92627 330585600 501 (C) (3) 50000 0 FMV HOLLISTIC APPROACH-IMPROVE TEEN HEALTH SECOND HARVEST FOOD BANK 8014 MARINE WAY IRVINE CA 92618 953033494 501 (C) (3) 75000 0 FMV FEEDING FAMILIES SERVING KIDS HOPEDR RIBA'S HEALTH CLUB 2100 W ALTON AVE 2 SANTA ANA CA 92704 471518476 501 (C) (3) 30000 0 FMV HEALTH CLUB AND BEING HEALTHY FROM A-Z SERVING PEOPLE IN NEED (SPIN) 151 KALMUS DRIVE STE H2 COSTA MESA CA 92626 330329687 501 (C) (3) 50000 0 FMV GUIDED ASSISTANCE TO PERMANENT PLACEMENT SHARE OUR SELVES CLINIC 1550 SUPERIOR AVE COSTA MESA CA 92627 953222316 501 (C) (3) 990000 0 FMV ACCESS TO CARE EXPANSION,RNTL ASSISTANCE SOUTH COUNTY OUTREACH 7 WHATNEY STE B IRVINE CA 92618 330330233 501 (C) (3) 25000 0 FMV HUNGER & HOMELESS PREVENTION THE CAMBODIAN FAMILY 1626 E 4TH STREET SANTA ANA CA 92701 953854831 501 (C) (3) 50000 0 FMV BODY, MIND, AND SPIRITUAL WELLNESS PRG THE PURPOSE OF RECOVERY 23 CORPORATE PLAZA DR STE 225 NEWPORT BEACH CA 92660 850914885 501 (C) (3) 25000 0 FMV SPANISH SPEAKING RECOVERY COMM. SUPPORT VETERANS LEGAL INSTITUTE 1231 WARNER AVE TUSTIN CA 92780 471608069 501 (C) (3) 25000 0 FMV WOMEN VETERANS FREE LEGAL CLINICS VIETNAMESE AMERICAN CANCER FOUNDATION 17150 NEWHOPE ST STE 203 FOUNTAIN VALLEY CA 92708 912170415 501 (C) (3) 25000 0 FMV WOMEN'S HEALTH INITIATIVE YOUNG LIVES REDEEMED 1105 E COMMONWEALTH AVE STE A-2 FULLERTON CA 92831 471849084 501 (C) (3) 35000 0 FMV ORANGE COUNTY WELLNESS PROJECT 60 0 PART I, LINE 2: IN ORDER TO BE ELIGIBLE FOR A COMMUNITY BENEFIT GRANT, AN APPLICANT ORGANIZATION (OR FISCAL AGENT) MUST BE DESIGNATED BY THE IRS AS A TAX EXEMPT NON-PROFIT AND SUBMIT A COPY OF THEIR EXEMPT STATUS FOR VERIFICATION. THE ORGANIZATION MUST HAVE AN EXECUTIVE DIRECTOR AND AN ESTABLISHED BOARD OF DIRECTORS THAT MEETS REGULARLY. PRIOR TO FUNDING, RESEARCH IS CONDUCTED REGARDING THE REPUTATION AND PERFORMANCE OF THE ORGANIZATION. APPLICANTS MUST APPLY FOR A GRANT EACH YEAR THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. REQUESTS MUST INCLUDE: W-9, TAX EXEMPT VERIFICATION, PREVIOUS AND CURRENT YEAR BUDGETS, PROJECT BUDGETS, LIST OF BOARD OF DIRECTORS, PROGRAM GOALS AND OBJECTIVES, AND MEASURABLE OUTCOMES FOR THE SPECIFIED PROGRAM THAT IS BEING FUNDED. AN INTERVIEW WITH THE EXECUTIVE DIRECTOR AND ONE OR MORE BOARD MEMBERS MAY BE CONDUCTED AS WELL AS A SITE VISIT IN ORDER TO FAMILIARIZE OURSELVES WITH THE ORGANIZATION AND THE PROGRAMS OFFERED. DEPARTMENT STAFF MAY ACTIVELY PARTICIPATE WITH THE ORGANIZATION BY PROVIDING IN-KIND SERVICES AND BOARD PARTICIPATION. ONCE A GRANT REQUEST HAS BEEN APPROVED AND FUNDED, WE REQUIRE A 6-MONTH PROGRESS REPORT AND A FINAL 12 MONTH REPORT ON THE IMPLEMENTATION STRATEGY AND MEASURABLE OUTCOMES. THROUGHOUT THE FUNDING PERIOD OF A SPECIFIED PROGRAM, THERE MAY BE OCCASIONAL MEETINGS WITH THE DIRECTOR AND PROGRAM PERSONNEL TO RECEIVE REPORTS ON PROGRESS AND UPDATES OF THE ACTIVITIES CONDUCTED AS WELL AS THE NUMBER OF INDIVIDUALS SERVED. THIS PROCESS ALLOWS US TO MONITOR THAT THE GRANT FUNDS ARE BEING USED FOR THE INTENDED PURPOSES. X X X X X 0 1 0 0 0 0 0 0 0 ROBERT BRAITHWAITE PRESIDENT AND CEO 1347500 0 760500 0 125775 0 28050 0 24822 0 2286647 0 118243 0 ANDREW GUARNI EVP AND CFO 823387 0 271683 0 27594 0 40650 0 8752 0 1172066 0 15310 0 FLYNN ANDRIZZI FOUNDATION PRESIDENT 522812 0 397632 0 29120 0 16500 0 22492 0 988556 0 20070 0 JAN BLUE VP SR CHIEF ADMIN OFFICER 629775 0 166226 0 25981 0 43950 0 8652 0 874584 0 0 0 ERIC CHEUNG VP SR & CHIEF LEGAL OFFICER 540344 0 142076 0 3350 0 39000 0 22516 0 747286 0 0 0 MARCY BROWN VP SR CHIEF OPERATIONS OFFICER 545926 0 135581 0 9876 0 24750 0 17227 0 733360 0 4831 0 RICK MARTIN VP SR PATIENT CARE SVC AND CNO 483275 0 145130 0 44280 0 50550 0 8178 0 731413 0 29825 0 MARGARET T CONK VP SR CHIEF CLINICAL INST OFF. 525925 0 132846 0 4787 0 39000 0 8465 0 711023 0 0 0 SANFORD SMITH VP SR REAL ESTATE & FACILITIES 440122 0 163565 0 12333 0 43950 0 8961 0 668931 0 0 0 MICHAEL BRANT-ZAWADSKI VP ADDICTION RESEARCH ADMIN 490335 0 93464 0 14352 0 39000 0 12922 0 650073 0 0 0 KRIS IYER VP SR & CHIEF PHYS DEV OFFICER 456302 0 124667 0 9864 0 40650 0 1205 0 632688 0 0 0 MARTIN FEE VP SR AND CCO 448316 0 112502 0 12243 0 39000 0 390 0 612451 0 6150 0 MICHAEL KRUG EXEC DIR CHIEF HR OFFICER 237925 0 270404 0 36436 0 34468 0 7918 0 587151 0 0 0 KATHY AZEEZ NARAIN VP CHIEF DIGITAL INNOVA OFF 471154 0 89968 0 1070 0 16500 0 987 0 579679 0 0 0 ALLYSON BROOKS EXEC DIR MED WOMENS HEALTH 422829 0 82164 0 5533 0 39000 0 16473 0 565999 0 0 0 ARPI BEKMEZIAN VP CHIEF QUALITY OFFICER 463156 0 45001 0 1582 0 39000 0 8741 0 557480 0 0 0 PART I, LINE 4B THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH PLAN DOCUMENTS. CERTAIN EXECUTIVES PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION DURING THE CURRENT YEAR: ROBERT BRAITHWAITE - $118,243 ANDREW GUARNI - $15,310 RICK MARTIN - $29,825 MARTIN FEE - $6,150 MARCY BROWN - $4,831 FLYNN ANDRIZZI - $20,070 A CALIFORNIA PUBLIC FINANCE AUTHORITY 474447476 13057EFR0 2022-04-06 370003643 SEE PART VI 0 0 0 A 385333879 158351382 226982497 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 PART I, COLUMN C PART I, COLUMN C, CUSIP#: THE CUSIP LISTED IN PART I IS THE FINAL MATURITY OF SERIES 2022B-2 PORTION OF THE ISSUE, THE FINAL MATURITY OF THE SERIES 2022B-1 PORTION IS 13057EFQ2, AND THE FINAL MATURITY OF THE SERIES 2022A PORTION IS 130578EEX8. PART I, COLUMN F, DESCRIPTION OF PURPOSE: THE PROCEEDS OF THE BONDS ARE BEING USED TO FINANCE A PORTION OF THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING, FURNISHING AND INSTALLATION OF VARIOUS FACILITIES AT THE BORROWER'S IRVINE CAMPUS. PART II, LINE 3, TOTAL PROCEEDS: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND THROUGH 12/31/2023. PART IV, LINE 3: THE SERIES 2022A PORTION OF THE ISSUE IS FIXED, BUT SERIES 2022B-1 & 2022B-2 ARE VARIABLE RATE BONDS. FORM 990, PART III, LINE 4A THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN COMMUNITY BENEFIT PROGRAM WAS FORMALIZED IN 1995 AND HAS GROWN SIGNIFICANTLY SINCE THAT TIME. WE HAVE SERVED OVER 100 NONPROFIT COMMUNITY ORGANIZATIONS IN A VARIETY OF HEALTH AND SOCIAL SERVICE CATEGORIES. WE CONTINUE TO EMPHASIZE THE DEVELOPMENT OF SUSTAINED COLLABORATIVE RELATIONSHIPS AND THE PROVISION OF UNDUPLICATED SERVICES TO DISADVANTAGED RESIDENTS IN OUR COMMUNITY AS CORE ELEMENTS OF THE PROGRAM. THE DEPARTMENT OF COMMUNITY HEALTH PROVIDES DIRECT SERVICES AND COLLABORATES WITH OTHER NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATIONS TO PROMOTE THE HEALTH OF OUR COMMUNITIES. THE DEPARTMENT COORDINATES HOAG'S COMMUNITY BENEFIT ACTIVITIES, DRIVEN BY THE HEALTH NEEDS OF OUR SURROUNDING COMMUNITIES, WHICH ARE REGULARLY REVIEWED IN AN ONGOING MANNER. THE DEPARTMENT PROVIDES SERVICES WHICH ARE UNDUPLICATED IN THE COMMUNITY. THESE CURRENTLY INCLUDE MENTAL HEALTH SERVICES, COMMUNITY NURSE NAVIGATION, CASE MANAGEMENT AND OUTREACH, COMMUNITY-BASED PROGRAM GRANTS, HEALTH PROFESSIONS EDUCATION & TRAINING AND OTHER HEALTH AND WELLNESS PROGRAMS AND SERVICES. IN ORDER TO PROMOTE EFFECTIVE ACCESS TO HEALTH CARE AND RELATED SERVICES, THE DEPARTMENT WORKS IN COLLABORATION WITH A NUMBER OF NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATIONS TO PROVIDE INSURANCE COVERAGE AS WELL AS FREE SERVICES TO UNDERSERVED AND VULNERABLE RESIDENTS, MANY OF WHOM ARE UNDOCUMENTED. CHARITY CARE IS AN INTEGRAL COMPONENT OF THE BENEFIT THAT HOAG PROVIDES TO THE COMMUNITY. THE CURRENT HOSPITAL CHARITY CARE AND SELF PAY DISCOUNT POLICY PROVIDES ASSISTANCE ON A SLIDING SCALE FOR UNINSURED AND SELF-PAY PATIENTS WITH FAMILY INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. PROGRAM SERVICE ACCOMPLISHMENTS MENTAL HEALTH CENTER: - PROVIDED 4313 MENTAL HEALTH THERAPY SESSIONS. - RESOURCE BROKERING, AND/OR CASE MANAGEMENT PROVIDED TO 251 INDIVIDUALS. - 2645 INDIVIDUALS PARTICIPATED IN MENTAL HEALTH COMMUNITY WORKSHOPS AND GROUPS. - THE MENTAL HEALTH CENTER PROVIDED PROFESSIONAL TRAINING AND WORKFORCE DEVELOPMENT TO 909 INDIVIDUALS FROM NONPROFIT PARTNERS. - PROVIDED A SUPERVISED CLINICAL INTERNSHIP TRAINING PROGRAM FOR 16 MASTER OF SOCIAL WORK (MSW) STUDENTS AND 2 BACHELOR OF SCIENCE IN HUMAN SERVICES (BS). EACH INTERN WAS PROVIDED WITH WEEKLY ONE-HOUR LONG SUPERVISION AND ONE AND A HALF HOUR LONG GROUP SUPERVISION. COMMUNITY BENEFIT GRANTS PROGRAM: - PROVIDED PROGRAM GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS FUNDED TOTALING OVER $7M - PRIORITY FOCUS AREAS INCLUDED: ACCESS TO HEALTH CARE, MENTAL HEALTH AND BEHAVIORAL HEALTH, AND CANCER AND CHRONIC DISEASE. MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING: THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING (MHSCHL) IS A ONE-STOP-SHOP FOR HEALTH AND SOCIAL SERVICES. THROUGH CO-LOCATION AND COLLABORATION WITH PARTNER AGENCIES, THE CENTER PROVIDES FREE CLASSES, WORKSHOPS AND SUPPORTIVE SERVICES TO THE COMMUNITY. - CRISIS CASE MANAGEMENT AND RESOURCE BROKERING PROVIDED TO 5027 INDIVIDUALS. - PUBLIC LAW CENTER PROVIDED 131 INDIVIDUALS WITH LEGAL CONSULTATION OR REPRESENTATION IN THE AREA OF FAMILY LAW DIVORCE, DV, CHILD CUSTODY ETC. - PARTNERED WITH UNITED WAY'S OC FREE TAX PREP SERVICE TO PROVIDE 315 LOW-INCOME TAX RETURNS AT NO-COST TO THE TAXPAYER. TOTAL REFUNDS IN THE AMOUNT OF $320,770 WERE RETURNED TO TAXPAYERS. - CHIOC CONNECTED 61 INDIVIDUALS TO AFFORDABLE, QUALITY HEALTH CARE AND SOCIAL SERVICES. - PROJECT SELF-SUFFICIENCY PROVIDED 200 INDIVIDUALS WITH FINANCIAL ASSISTANCE, LONG-TERM CASE MANAGEMENT, AND OTHER RESOURCES TO PROVIDE A PATH FOR A SUCCESSFUL ACADEMIC JOURNEY TOWARD ECONOMIC SELF-RELIANCE. - PARTNERED WITH OC DIAPER BANK TO DISTRIBUTE 192,450 DIAPERS/PULL UPS TO NEEDY FAMILIES. - PROVIDED WELLNESS CLASSES SUCH AS YOGA, ZUMBA AND OTHER FITNESS CLASSES TO 9,249 INDIVIDUALS. - PARTNERED WITH SECOND HARVEST FOOD BANK TO PROVIDE 7,630 INDIVIDUALS WITH FRESH PRODUCE AND GROCERIES THROUGH OUR BIWEEKLY FOOD DISTRIBUTION. - IN PARTNERSHIP WITH SHARE OURSELVES AND FAMILIES FORWARD, PROVIDED $107,560 IN EMERGENCY HOUSING ASSISTANCE. - PROVIDED MONTHLY PROFESSIONAL NETWORKING AND RESOURCE EXCHANGE MEETINGS FOR 435 PROFESSIONALS TO NETWORK WITH COMMUNITY PARTNERS. - PARTNERED WITH GIRLS INC TO PROVIDE 2,182 STUDENTS WITH AFTERSCHOOL STEM ACTIVITIES AND SPRING/SUMMER CAMPS. - PARTNERED WITH NMUSD AND IKEA IN HOSTING A BACK-TO-SCHOOL RESOURCE FAIR SERVING OVER 2,000 INDIVIDUALS. - TRAINED AND CERTIFIED 167 INDIVIDUALS WITH CPR CERTIFICATION. - PARTNERED WITH CLINIC IN THE PARK TO PROVIDE BOOSTER SEATS AND CAR SEAT SAFETY TRAINING TO 49 CAREGIVERS. - IN COLLABORATION WITH HUNTINGTON BEACH ADULT EDUCATION, 588 INDIVIDUALS PARTICIPATED IN THE ENGLISH AS A SECOND LANGUAGE CLASSES. - THE COMMUNITY HEALTH WORKERS/PROMOTORES PROGRAM PROVIDED OUTREACH THROUGH 7,158 DOOR-TO-DOOR ENCOUNTERS. COMMUNITY NURSE NAVIGATION PROGRAM THE CNN PROGRAM FOCUS ON PREVENTION AND MANAGEMENT OF CHRONIC DISEASES WITHIN THE UNDERINSURED AND MARGINALIZED POPULATION. THE CNN PROGRAM HAS 3 FULL-TIME BILINGUAL REGISTERED NURSES. CLIENT CARE IS PROVIDED INDIVIDUALLY AND IN GROUP SETTINGS VIA THE FOLLOWING MODALITIES: IN PERSON, ZOOM, AND TELEPHONE. BELOW ARE A FEW HIGHLIGHTS FROM 2023: - 422 INDIVIDUALS PROVIDED WITH HEALTH NAVIGATION SERVICES - 1,347 PARTICIPANTS IN HEALTH EDUCATION WORKSHOPS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS OFFICER ROBERT BRAITHWAITE, OFFICER ANDREW GUARNI, AND BOARD MEMBER PAUL HEESCHEN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS OF THE CORPORATION WERE RESTATED EFFECTIVE SEPTEMBER 12, 2023. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE MEMBERS OF THE CORPORATION CONSIST OF THE FOLLOWING: I. THE GEORGE HOAG FAMILY FOUNDATION (THE "GHF FOUNDATION") AND II. THE ASSOCIATION OF PRESBYTERIAN MEMBERS (THE "APM"), FORMED BY THE CONSTITUENT REFORMED PRESBYTERIAN CHURCHES LOCATED IN ORANGE COUNTY, CALIFORNIA WHICH INCLUDE DENOMINATIONS OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA) AND ECO: A COVENANT ORDER OF EVANGELICAL PRESBYTERIANS. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT DIRECTORS: THE BYLAWS OF THE CORPORATION WERE RESTATED EFFECTIVE SEPTEMBER 12, 2023. FROM JANUARY 1, 2023 THROUGH SEPTEMBER 11, 2023, YES, THE CORPORATION HAD MEMBERS WHO HAD THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. THE CORPORATION HAD A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS HAD THE RIGHT TO APPOINT DIRECTORS TO THE CORPORATION'S BOARD. BEGINNING SEPTEMBER 12, 2023, THE ORGANIZATION NO LONGER HAD ANY MEMBERS, STOCKHOLDERS, OR OTHER PERSONS WHO HAD THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDER: FROM JANUARY 1, 2023 THROUGH SEPTEMBER 11, 2023, IN ADDITION TO THE POWER TO ELECT AND REMOVE DIRECTORS TO AND FROM THE BOARD OF DIRECTORS, THE RESPONSIBILITIES OF THE MEMBERS INCLUDE BUT ARE NOT BE LIMITED TO: (A) TO ASSURE THE BOARD CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD; (C) TO APPROVE ANY CHANGE IN THE NAME OF THE CORPORATION; (D) TO APPROVE ANY CHANGES TO THE CORPORATION'S MISSION STATEMENT; (E) TO APPROVE ANY SALE, ALIENATION OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE CORPORATION; (F) TO APPROVE CHANGES TO THE CORPORATION'S GOVERNANCE STRUCTURE. EFFECTIVE SEPTEMBER 12, 2023, THE RESTATED BYLAWS PROVIDE THAT THE ROLE AND RESPONSIBILITIES OF THE MEMBERS, ACTING THROUGH THE MEMBER REPRESENTATIVES, CONSIST OF OVERSIGHT AND MONITORING OF THE CORPORATION'S MISSION AND PURPOSES, TO BE IMPLEMENTED THROUGH THE FOLLOWING: (A) TO ASSURE THE BOARD CARRIES OUT THE CORPORATION'S MISSION THROUGH THE EXERCISE OF THE ROLES AND RESPONSIBILITIES SET OUT IN THIS SECTION 3. (B) TO CONSIDER THE QUALIFICATIONS AND SUITABILITY OF DIRECTOR NOMINEES TO BE ELECTED TO THE BOARD AND TO ADVISE THE BOARD THEREON (C) TO APPROVE ANY CHANGE IN THE LEGAL NAME OF THE CORPORATION OR THE REVISION OR ADDITION OF A DBA USED TO IDENTIFY THE CORPORATION. (D) TO APPROVE ANY CHANGES TO THE CORPORATION'S: (I) PURPOSES AS SET OUT IN ITS ARTICLES OF INCORPORATION; OR (II) MISSION STATEMENT AS SET OUT IN THESE BYLAWS; OR (III) FOUNDING TRADITIONS STATEMENT AS SET OUT IN THESE BYLAWS. (E) TO APPROVE ANY SALE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (F) TO APPROVE CHANGES TO THE CORPORATION'S GOVERNANCE STRUCTURE. (G) TO APPROVE ANY CHANGE OF CONTROL OF THE CORPORATION (H) TO APPROVE ANY DISSOLUTION OF THE CORPORATION. (I) TO PARTICIPATE IN THE SELECTION OF THE CORPORATION'S CEO. (J) TO ASSURE THAT THE CORPORATION AT ALL TIMES MAINTAINS A PROMINENT AND ACCESSIBLE CHAPEL AND A ROBUST CHAPLAINCY PROGRAM IN EACH OF ITS GENERAL HOSPITAL FACILITIES, AS WELL AS ITS FAITH-BASED COMMUNITY NURSE PROGRAM, AND TO APPROVE ANY CHANGE IN THESE THAT WILL HAVE THE EFFECT OF REDUCING ITS SCOPE. (K) TO PARTICIPATE IN THE SELECTION AND ORIENTATION OF THE CORPORATION'S DIRECTOR OF CHAPLAINCY PROGRAM. (L) TO ATTEND MEETINGS OF THE BOARD OF DIRECTORS AS PROVIDED IN SECTION 5(A) BELOW. (M) TO RECEIVE NOTICE OF THE REMOVAL OF A DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE CORPORATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD THE REVIEW OF THE FORM 990 PRIOR TO ISSUANCE. FORM 990 IS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS SOURCES. THE CORPORATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. FORM 990 IS INITIALLY REVIEWED BY MANAGEMENT, INCLUDING AN OFFICER OF THE CORPORATION. MANAGEMENT THEN PRESENTS THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, WHICH DISCUSSES KEY DISCLOSURES AND OTHER INFORMATION INCLUDED IN FORM 990. IN ADDITION, AN ELECTRONIC VERSION OF FORM 990 IS POSTED TO A SECURE WEBSITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY: THE CORPORATION HAS A COMPREHENSIVE BOARD CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, SENIOR EXECUTIVES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE QUESTIONNAIRE ARE SUBMITTED FOR REVIEW AND RECOMMENDATION TO THE CHIEF COMPLIANCE OFFICER, FOLLOWED BY REVIEW AND CONSIDERATION BY THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD, OR THE BOARD, AS DETERMINED BY THE CONFLICT-OF-INTEREST POLICY. IF, SUBSEQUENT TO COMPLETION OF THE ANNUAL QUESTIONNAIRE, ANY COVERED PERSON BECOMES AWARE OF AN INTEREST THAT COULD GIVE RISE TO A CONFLICT OF INTEREST, THE COVERED PERSON IS OBLIGATED TO PROMPTLY DISCLOSE THE INTEREST. THE AUDIT & COMPLIANCE COMMITTEE OR THE BOARD, AS DETERMINED BY THE CONFLICT-OF-INTEREST POLICY, SHALL DETERMINE IF A DISCLOSED INTEREST MAY RESULT IN A CONFLICT OF INTEREST. THE PERSON WITH THE POTENTIAL CONFLICT OF INTEREST MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE AUDIT & COMPLIANCE OR THE BOARD CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS. THE AUDIT & COMPLIANCE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION BEFORE REACHING A DETERMINATION. WHERE A CONFLICT IS DETERMINED TO EXIST, THE AUDIT & COMPLIANCE COMMITTEE OR BOARD, SHALL NOT ENGAGE IN A CONTRACT, TRANSACTION, OR ARRANGEMENT, UNLESS THE BOARD OF DIRECTORS OR AUDIT & COMPLIANCE COMMITTEE HAVE INVESTIGATED ALTERNATIVES AND DEVELOPED AND IMPLEMENTED A PLAN FOR MANAGING THE CONFLICT. ANY DIRECTOR HAVING A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS PROHIBITED FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION OR ARRANGEMENT, AND IS EXCUSED FROM THE PORTION OF THE MEETING WHERE THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS DISCUSSED. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION OF CEO: THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 39 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2023. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. FORM 990, PART VI, LINE 15B PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION OF THE COO, CFO AND ALL SENIOR VICE PRESIDENTS (KEY EMPLOYEES): THE PROCESS IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 39 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2023. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. FORM 990, PART VI, SECTION C, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES (HMO, HOSP.: PROGRAM SERVICE EXPENSES 39,579,546. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,579,546. HOSPITAL BASED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 43,707,260. MANAGEMENT AND GENERAL EXPENSES 6,146,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,853,414. PURCHASED SERVICES/CONSULTING: PROGRAM SERVICE EXPENSES 46,075,789. MANAGEMENT AND GENERAL EXPENSES 64,602,330. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,678,119. FORM 990, PART XI, LINE 9: INVESTMENTS IN JV AND OTHER 24,221,537. EQUITY TRANSFER TO HOAG CLINIC -92,786,643. EQUITY TRANSFER TO HMTS -5,414,053. NET ASSET CHANGE FROM HOAG FOUNDATION -6,750,856. 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