{"success":true,"data":{"_id":912154439,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"See attachment 3","primary_activities":"St. Francis medical center (sfmc) services the healthcare and social needs of the communities of southeast los angeles. It operates a 384-bed acute care hospital, 5 community-based health clinics, and the largest and busiest private emergency trauma center in los angeles county. In addition, sfmc operates a state-of-the-art neonatal intensive care center, childrens' counseling center for abused and neglected children, st. Francis career college, and a broad range of educational and community service programs. Additional information about st. Francis medical center's charitable activities can be found on schedule o.\n\nThe Daughters of Charity Health System (\"DCHS\") is a regional health care system of hospitals and medical centers (\"Local Health Ministries\") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, St. Francis Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. St. Francis Medical Center is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. During fiscal year ended June 30, 2010, St. Francis Medical Center provided total quantifiable community benefits of $177.6 million. After offsetting direct revenue, St. Francis Medical Center provided unsponsored community benefits of $42.7 million, at cost. Total unsponsored community benefits of $42.7 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $41.7 million, and quantifiable unsponsored benefits to the broader community at a cost of $1.0 million. Form 990 Part IV, Line 12A, and Part XI, Line 2b and 2c The financial statements of the organization are consolidated with the Daughters of Charity Health System in accordance with GAAP and audited by an independent public accounting firm. The Daughters of Charity Health System's Board and Audit Committee of the Board has responsibility for oversight of the audit of the consolidated financial statements and selection of the independent public accounting firm. Form 990 Part VI, Line 6 St. Francis Medical Center has one member, Daughters of Charity Health System, a California nonprofit religious corporation. Form 990 Part VI, Line 7a The Member's Board of Directors may appoint the organization's directors and officers. Form 990 Part VI, Line 7b The sole member has broad powers including the power to amend the Bylaws and Articles of Incorporation, and approve, interpret and change any statement of mission, philosophy, role or purpose of St. Francis Medical Center. The member has the right to approve any merger, dissolution, consolidation or reorganization of St. Francis Medical Center. In addition, the member has the right to approve capital and operating budgets, approve debt incurred or guaranteed, approve the disposition of the assets, and establish policy concerning quality of care, finance and resources. Finally, the member has such other powers and rights as provided by the California Nonprofit Corporation Law. Form 990, Part VI, Line 11a Grant Thornton LLP and the System's finance staff work together to gather the required tax information necessary to complete the tax returns. The initial draft return is reviewed by Grant Thornton and the System's finance staff. After the return is discussed and reviewed, recommended changes are reflected on the return and a draft tax return is prepared. The draft tax return is presented to and reviewed with the Finance Committee of the Board. After approval of the tax return by the Finance Committee of the Board, a final version of the draft return is prepared. The full Board of Directors of the organization receives the final version of the draft return prior to the return being filed. Form 990, Part VI, Line 12c Daughters of Charity Health System (\"DCHS\") has a Conflict of Interest Policy that covers DCHS and all of its affiliates. The policy provides for a systematic and ongoing method of requiring individuals who have decision making responsibility to disclose and address potential and actual conflicts of interest. Covered individuals are required to complete an annual statement disclosing any conflicts of interest and have a duty to update the disclosure for any potential conflicts of interest that arise during the year. The Presidents/CEOs of the health ministries report the conflict of interest findings and resolutions to their respective Board of Directors. This policy is reviewed annually for compliance by the DCHS's Corporate Responsibility Officer. Form 990, Part VI, Line 15a and 15b The Daughters of Charity Health System (\"DCHS\") compensation programs cover DCHS and all of its affiliated Local Health Ministries. The CEO of each Local Health Ministry is employed by DCHS. The DCHS compensation programs are designed to recruit, retain, and motivate qualified executives. The programs are designed for positions that have a significant impact on the high-level strategic and policy direction of the Daughters of Charity Health System and its affiliated Local Health Ministries. All of the Local Health Ministry CEOs are paid directly by the Daughters of Charity Health System and covered by the Daughters of Charity Health System compensation programs. Market data analyses are made of comparable organizations within the industry and within the region. Total compensation is established for all executive positions to target similar total compensation of comparable organization market compensation. Base pay is established for all executive positions to target the median range of comparable organization market compensation. The Daughters of Charity Health System utilizes a benefits committee to review compensation and benefits. The Daughters of Charity Health System Board of Directors reviews and approves compensation recommended by the benefits committee, and documents its conclusion that the proposed compensation is reasonable. In evaluating and finalizing its determination of base pay and total compensation for comparable positions at comparable organizations in comparable markets, DCHS utilizes available market data analyses including the DCHS benefits committee, independent compensation consultant, Form 990 of other organizations, written employment contracts, compensation survey or study, recommendation of the benefits committee and approval by the DCHS Board of Directors. Form 990, Part VI, Line 19 St. Francis Medical Center makes its Form 990 available upon request.","year":2009,"name":"ST FRANCIS MEDICAL CENTER","phone":"3109007307","website":"WWW.STFRANCISMEDICALCENTER.ORG","type":"990","principal_officer":"GERALD KOZAI","year_formation":2001,"state_legal_domicile":"CA","total_volunteers":282,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"3630 EAST IMPERIAL HIGHWAY, LYNWOOD, CA, 90262, USA","city":"LYNWOOD","state":"CA","country":"USA","zip_code":"90262"},"Governance":{"501c determination":true,"Number of voting members":15,"Number of independent voting members":12,"Number of employees total":2471,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":2471,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":322950724,"Contributions":{"value":8960926,"Grant revenue":62878,"Related organizations":8898048},"Program revenue":{"value":305552863,"Total revenue":{"value":305552863,"VARIOUS":305552863},"Unrelated business revenue":0},"Investment income":{"value":6484240,"Investment income total":6484240,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":1952695,"Other total":1776137,"Royalties revenue":0,"Net rental income":176558,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":317372642,"Grant expense":{"value":1566087,"Grants to domestic orgs":10000,"Grants to domestic individuals":1556087,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":177469470,"Current officers":1804407,"Disqualified persons":0,"Other salaries and wages":137841075,"Pension plan contributions":12247497,"Other employee benefits":14797423,"Payroll taxes":10779068},"Other expenses":{"value":138337085,"Management services":267244,"Legal":824426,"Accounting":36634,"Lobbying services":0,"Investment management fees":0,"Other services":47234033,"Advertising":217649,"Office expenses":5309634,"Information technology":5823638,"Royalties":0,"Occupancy":7334447,"Travel":310484,"Conferences and meetings":68655,"Interest":6936423,"Payments to affiliates":0,"Depreciation and depletion":12070404,"Insurance":7686692,"Travel entertainment public officials":0,"Itemized Expenses":{"value":44216722,"VARIOUS":44216722}}},"Assets":{"value":332461538,"Savings and temp cash investments":102452314,"Accounts receivable":66777315,"Other net note and loans":303727,"Inventories for sale or use":4704076,"Prepaid expenses deferred charges":1347139,"Land, building, equipment":156137939,"Other assets":739028},"Liabilities":{"value":205674265,"Accounts payable, accrued":31377199,"Grants payable":251746,"Deferred, revenue":0,"Other liabilities":174045320},"Fund balance":{"value":126787273},"Form990Details":{"program_service_accomplishments":[{"description":"ST. FRANCIS MEDICAL CENTER (SFMC) SERVICES THE HEALTHCARE AND SOCIAL NEEDS OF THE COMMUNITIES OF SOUTHEAST LOS ANGELES. IT OPERATES A 384-BED ACUTE CARE HOSPITAL, 5 COMMUNITY-BASED HEALTH CLINICS, AND THE LARGEST AND BUSIEST PRIVATE EMERGENCY TRAUMA CENTER IN LOS ANGELES COUNTY. IN ADDITION, SFMC OPERATES A STATE-OF-THE-ART NEONATAL INTENSIVE CARE CENTER, CHILDRENS' COUNSELING CENTER FOR ABUSED AND NEGLECTED CHILDREN, ST. FRANCIS CAREER COLLEGE, AND A BROAD RANGE OF EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS. ADDITIONAL INFORMATION ABOUT ST. FRANCIS MEDICAL CENTER'S CHARITABLE ACTIVITIES CAN BE FOUND ON SCHEDULE O.","expense":257413671,"grants":1556087,"revenue":305552863}],"program_service_revenue_detail":[{"business_code":"622110","description":"NET PATIENT REVENUE","total_revenue":300222330,"related_or_exempt_function_income":300222330},{"business_code":"621400","description":"CLINIC REVENUE","total_revenue":732416,"related_or_exempt_function_income":732416},{"business_code":"900099","description":"EDUCATIONAL REVENUE","total_revenue":4307389,"related_or_exempt_function_income":4307389},{"business_code":"900099","description":"OTHER PROGRAM 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LIABILITIES","amount":351160}],"total_liability":174045320}},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_200":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":true,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":9494617,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":69573660,"cost_of_care_reimbursed_by_medicare":66774891,"medicare_surplus_or_shortfall":2798769,"cost_accounting_system":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":27862,"total_community_benefit_expense":18039958,"direct_offsetting_revenue":437500,"net_community_benefit_expense":17602458,"total_expense_percentage":0.0625},"unreimbursed_medicaid":{"persons_served":53417,"total_community_benefit_expense":143154427,"direct_offsetting_revenue":134470591,"net_community_benefit_expense":8683836,"total_expense_percentage":0.0309},"total_financial_assistance":{"persons_served":81279,"total_community_benefit_expense":161194385,"direct_offsetting_revenue":134908091,"net_community_benefit_expense":26286294,"total_expense_percentage":0.0934},"community_health_services":{"persons_served":74875,"total_community_benefit_expense":4352527,"net_community_benefit_expense":4352527,"total_expense_percentage":0.0155},"health_professions_education":{"persons_served":1351,"total_community_benefit_expense":2756924,"net_community_benefit_expense":2756924,"total_expense_percentage":0.0098},"subsidized_health_services":{"total_community_benefit_expense":9181813,"net_community_benefit_expense":9181813,"total_expense_percentage":0.0326},"cash_and_inkind_contributions":{"persons_served":3093,"total_community_benefit_expense":35670,"net_community_benefit_expense":35670,"total_expense_percentage":0.0001},"total_other_benefits":{"persons_served":79319,"total_community_benefit_expense":16326934,"net_community_benefit_expense":16326934,"total_expense_percentage":0.058},"total_community_benefits":{"persons_served":160598,"total_community_benefit_expense":177521319,"direct_offsetting_revenue":134908091,"net_community_benefit_expense":42613228,"total_expense_percentage":0.1514}},"community_building":{"community_support":{"persons_served":76,"total_community_benefit_expense":1671,"net_community_benefit_expense":1671,"total_expense_percentage":0.0},"leadership_development":{"persons_served":276,"total_community_benefit_expense":62212,"net_community_benefit_expense":62212,"total_expense_percentage":0.0002},"coalition_building":{"total_community_benefit_expense":17200,"net_community_benefit_expense":17200,"total_expense_percentage":0.0001},"workforce_development":{"persons_served":63,"total_community_benefit_expense":36574,"net_community_benefit_expense":36574,"total_expense_percentage":0.0001},"total_community_building_activities":{"persons_served":415,"total_community_benefit_expense":117657,"net_community_benefit_expense":117657,"total_expense_percentage":0.0004}},"hospital_facilities":[{"business_name_line1":"ST FRANCIS MEDICAL CENTER","address_line1":"3630 E IMPERIAL HIGHWAY","city":"LYNWOOD","state":"CA","zip":"90262","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"TRAUMA CENTER","name":"ST FRANCIS MEDICAL CENTER","address":"3630 E IMPERIAL HIGHWAY, LYNWOOD, CA, 90262"}],"part_vi_explanations":{"affiliated_health_care_system":"If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, SFMC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SFMC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community.","annual_community_benefit":"St. Francis Medical Center (SFMC) prepares an annual Community Benefit Report. It is developed in conjunction with SFMC's strategic planning process that is based on the Community Needs Assessment, organizational capacity, and resource allocation. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Quarterly reports are presented to the SFMC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SFMC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SFMC's Community Benefit Report is developed using results from the Community Needs Assessment, data and input provided by the managers and directors responsible for specific community benefit programs, feedback from the Community Benefits Committee, and direction from the vice president of Mission Integration. St. Francis Medical Center's Board of Directors reviews and gives final approval of SFMC's Community Benefit Report. Continual monitoring and evaluation of existing Healthy Community Initiatives provide vital information to the strategic planning process for community benefit programs.","bad_debt_footnote":"SFMC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2010 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients.","community_building_activities":"Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. SFMC's Community Building Activities address some of the key root causes of health issues, including education and job skills training. The hospital provides programs that advance reading, learning, and work place skills, and that introduce students and youth to jobs that can lead to fulfilling careers and self-sufficiency. As productive, working adults, many of the problems related to unemployment, such as homelessness, lack of health insurance, and poverty, can be prevented. Programs also help to cultivate a community service orientation in students and youth, the future leaders who will be the health improvement advocates in the years to come. In addition, SFMC participates in collaborative partnerships with other public and private organizations that advance health and wellness within the community. VOLUNTEER SERVICES The Volunteer Services Program delivers orientation, training and supervision for volunteers to support SFMC's operations on its main campus and at community clinics. With a focus on imparting and improving customer service and support service skills, the program enhances service delivery to patients, patients' families, visitors, and SFMC associates. The program also introduces student volunteers to possible future health care careers and provides job skills training opportunities. Senior volunteers are provided with opportunities to contribute their skills and experience in various departments, which supports their mental, emotional and spiritual health. Collaborative partners include - Gardena One Stop (GAIN Program); Retired Seniors Volunteer Program (RSVP); Senior Community Service Employment Program (Ser Jobs for Progress). For FY 2010, 276 volunteers performed 43,419 hours of service to assist 62 departments and 227 new volunteers were trained. JOB SHADOWING In an effort to introduce young men and women to health care careers, SFMC offers students from the Elizabeth Street Learning Center in Cudahy the opportunity to follow a physician, nurse, or other health care professionals once a week for three weeks. Students receive a first-hand look at the day-to-day duties in clinical and non-clinical health care areas, including nursing units, laboratory, diagnostic imaging, finance, dietary services, and outreach programs. For FY 2010, 28 students shadowed 18 SFMC leadership and staff members and physicians. NASEAU READING PROGRAM The NASEAU Reading Program is a remedial reading program designed for elementary school students whose reading, spelling and comprehension skills are two or more levels below their current grade level. The 4-6 week after-school program provides one-on-one instruction to participants and has grown from accommodating 20 students per year to 35 in FY 2010. Instructors from surrounding private and public schools refer students to the program. The program's high level of individualized attention enables children to dramatically improve their English language and reading skills, thus eliminating a significant obstacle to their development into self-sufficient, productive adults. For FY 2010, 35 elementary students were enrolled in the NASEAU Reading Program and 10 students graduated from the program. Collaborative partners include - Marshall Elementary School; Roosevelt Elementary School; Cesar Chavez Elementary; St. Emydius School; Will Rogers Elementary; Wilson Elementary; Tweedy Elementary; and Washington Elementary. NATIONAL YOUTH LEADERSHIP FORUM Each year, SFMC gives high school honor students the chance to participate in an intense exploration of the medical field. Through the National Youth Leadership Forum on Medicine, students step into the shoes of physicians and staff as they tour the Emergency Department, Diagnostic Imaging, Laboratory, Cardiology, Surgical Services, and other key units of the medical center. For FY 2010, 41 students toured with 9 SFMC leadership members and physicians. STUDENT AND COMMUNITY ORGANIZATION TOURS Throughout the year, St. Francis Medical Center receives requests from various schools and community organizations for tours of the hospital. The Community Affairs Department responds to these to requests and coordinates tours that educate students and community members on the function of various departments and the roles of the doctors, nurses, and staff members in each unit. The tours also introduce them to a variety of health care career options. Tour groups have included elementary school groups, high school health and safety classes, international medical students, girl and boy scout troops, and girls and boys clubs. For FY 2010, 35 students and community members received educational tours of SFMC. COMMUNITY BOARD PARTICIPATION SFMC associates represent the medical center on boards of community agencies and organizations, and through this participation, help build a healthier community. Boards and organizations include Service Planning Area 7, Compton Task Force, Huntington Park Chamber of Commerce, LA Immunization, Salvation Army Southeast Board of Directors, Compton Collaborative, Compton Alumni Board of Directors. For FY 2010, SFMC associates contributed 344 hours to 7 community boards and organizations.","community_information":"Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS Age & Ethnicity Hispanics comprise the largest ethnic group in SFMC's service area at 55.36%, followed by Whites at 17.79%, Blacks at 13.93%, Asians at 9.53% and other at 3.38%. According to projections of race/ethnicity in the SFMC SPAs, the Hispanic population will comprise 59.72 percent of the total population by 2020. All other major ethnic groups will comprise less of the total population by 2020, with whites decreasing from 17.79 percent to 15.25 percent, blacks decreasing from 13.93 percent to 12.60 percent, and Asian/Pacific Islanders decreasing from 9.53 percent to 9.27 percent over the same time period. This is significant because some ethnicities have higher rates of incidence of certain diseases. For example, heart disease is the number one cause of death in Latino communities, which makes up the largest percentage of SFMC's service area population. SFMC is addressing this through its Vida Sana/Healthy Life Community Wellness program. The largest age group within the service area is age 15-34 at 29.95%. However, the population in the SFMC service area, similar to county, state, and national trends, is aging. From 2008 to 2015 in the SFMC service area, the most rapidly growing age groups are those between the ages of 55 and 64 and 65 and over. According to projections on age, those within the 65 and over age group will comprise 12.15 percent of the SFMC service area population by 2020, compared to 9.27 percent in 2008. Similarly, those within the combined age groups of 45 to 54 and 55 to 64 will comprise 24.02 percent of the SFMC service area population by 2020, compared to 21.77 percent in 2008. In contrast, it is projected that the population within the lower age groups will see a decrease. SFMC has a long established Senior Program that includes Senior Wellness education, flu immunizations, and Senior Dinners that promote social interaction, staying active, and mental and emotional well-being. By working in collaboration with the city sponsored Senior Centers, SFMC is making efforts to expand participation, and in conjunction with its Health Benefits Resource Center will help to link seniors to needed health and social services. Economic Well-Being In 2008, both SPAs 6 and 7 had higher estimated percentages of individuals with incomes below 300% of the Federal Poverty Level (FPL) than L.A. County, and SPA 6 by a large margin. Overcrowded housing negatively impacts both quality of life as well as the incidence of health problems. In 2008, SPAs 6 and 7 also had higher estimated percentages of overcrowded households than L.A. County, with SPA 6 having the highest percentage. The cities of Lynwood, Compton, Paramount, Huntington Park, Bell, Downey, South Gate, Maywood, and Bell Gardens comprise SPAs 6 and 7, communities which comprise a major portion of SFMC's service area. Education/Workforce Readiness Compounding the problem of unemployment, among the SFMC SPAs in 2008, SPA 6 had the highest percentage of population without a high school diploma (47%) and the lowest percentage of population with any level of college education (26% some college or above) by considerable margins. Thus, SPA 6 is least likely to experience any significant job recovery under circumstances of economic improvement in the near term. SPA 7 had the second highest percentage of population without a high school diploma (36.7%) among SFMC SPAs. The St. Francis Career College continues to address the obstacles which prevent students from advancing their education. The Career College offers GED preparation, training for careers in health care, and support services to help ensure a student's successful completion of the program, along with career advancement training. Access to Health Care Uninsured According to a recent report by the UCLA Center for Health Policy Research, nearly two million Californians lost their health insurance in 2008 and 2009, and 8.2 million Californians (nearly one-quarter of the nonelderly population) lacked health insurance for all or part of the year in 2009. L.A. County, in which SFMC resides, had the largest total number of uninsured residents, with 2.7 million nonelderly adults and children (28.9 percent of the total population) experiencing some period of uninsurance in 2009 compared to 24.3 percent for the state. SFMC's Health Benefits Resource Center assists individuals and families with health benefits enrollment, and provides linkages to education and social services. Although insurance coverage rates in the SFMC SPAs showed higher rates of job-based coverage and Medi-Cal/Healthy Families and lower rates of uninsured than the county from 2001 to 2007, it should be noted that these percentages have likely changed considerably in the SFMC SPAs since 2008 with the increase in joblessness, data for which was not yet available for the 2010 Needs Assessment. Chronic Disease Compared to other SFMC SPAs and L.A. County, SPA 6 has the highest percentages of adults living with at least one of several chronic health conditions. Hypertension is by far the most prevalent among adults within all SFMC SPAs and the county overall, with SPA 6 reporting the highest percentage at 29 percent. The next most prevalent chronic condition among adults is diabetes, followed by asthma. The percentage of obese children in SFMC SPAs 6 and 7 remains higher than for those in L.A. County and SPA 8, increasing from 26.8 percent and 24.5 percent, respectively in 2002-03 to 28.9 percent and 26 percent, respectively in 2007. Moreover, in 2007, the percentages of obese children in SPAs 6 and 7 were significantly higher than percentages of all other SPAs combined. For adults in SFMC SPAs 6, 7, and 8, percentages of obesity remained higher than those for L.A. County from 2002-03 to 2007, and the percentages for SPAs 6 and 7 were significantly higher than the percentages for all other SPAs combined during the 2002-03 to 2007 time period. Percentages of adults diagnosed with diabetes in SFMC SPAs 6 and 7 remained higher than the percentages for L.A. County over the same time period, and were significantly higher than the percentages of all other SPAs combined in both 2005 and 2007. SFMC's Vida Sana/Healthy Life Community Wellness program expanded this year to include teens and children in its nutrition education and fitness activities. Its primary focuses are heart health, diabetes prevention and management, and obesity awareness. SFMC's new Diabetes Intervention Program directly addresses this disease (page 21). Leading Causes of Death The leading causes of mortality in L.A. County from 2000 to 2007 were heart disease, cancer, stroke, chronic lower-respiratory diseases, and diabetes. Trends for the leading causes of mortality in the SFMC service area for the 2000-2007 period mirrored those for the county, but with higher rates for each leading cause of death (Figure 11). OVERALL RESULTS AND PRIORITY NEEDS All data showed that the needs of children and families in the SFMC service area are great, and in fact often greater than most segments of Los Angeles County and the state of California. The communities served by SFMC are characterized by: Significant poverty High teen pregnancy rates High unemployment Prevalent crime and violence Educational deficiencies A lack of health insurance coverage The most prominent health care issues and concerns highlighted in the Needs Assessment are that residents of the SFMC service area continue to face significant barriers in accessing needed health care. SFMC has been designated as a Disproportionate Share Hospital because of the high number of patients who are uninsured and underinsured. It is of note that approximately 79% of SFMC's reimbursements for service are derived from Medi-Cal, Medicare, and LA County. In addition, communities within SFMC's Service Area have been designated as Medically Underserved Areas and Health Profession Shortage Areas by the Federal Government. Lack of insurance and cost of care, and the lack of access to information about available health care services are among the most pressing concerns articulated by stakeholder, service provider, and beneficiary focus group participants. The consensus among focus group participants is that centralized information outlets about available health care services, including grocery stores, schools, churches, and community centers, would be an effective step toward improving health care access. Regarding primary health issues, data show that major health concerns remain in the SFMC service area, especially chronic conditions and diseases such as heart disease, diabetes, obesity, asthma. The SFMC service area also reported a high prevalence of teen births. More opportunities are needed for education advancement, and in SPA 6, safety and violence remain key concerns, with homicide co","costing_method_used":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges.","debt_collection_policy":"SFMC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SFMC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SFMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SFMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SFMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SFMC. SFMC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SFMC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients.","needs_assessment":"Describe how the organization assesses the health care needs of the communities it serves. In an effort to identify the most critical health care needs in SFMC's service area, a Community Needs Assessment is conducted every three years. The most recent assessment was completed in 2010. It is an integral part of the Medical Center's Strategic Planning process, which is managed by the Medical Center's Management Council. The results of the Needs Assessment are integrated into the Medical Center's long-range planning activity, as well as program specific planning. During the annual update of the Medical Center's strategic plan, data derived from the Community Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY To ensure differing perspectives and thoroughness, the Community Needs Assessment used a variety of methods to collect information about health and social characteristics of the community served by SFMC. The assessment drew primarily from the following information sources: the SFMC 2007 Needs Assessment, the U.S. Census Bureau American Community Survey, the Los Angeles County Department of Public Health, and focus groups with SFMC stakeholders, service providers, and beneficiaries. For the purposes of the 2010 report, the SFMC service area corresponds to Service Provider Areas (SPAs) 6, 7, and 8. Secondary Demographic and Health-Related Data was obtained from a number of secondary public health reports and health databases including L.A. HealthDataNow!, Los Angeles County Health Survey (2007; 2005), The California Health Interview Survey (CHIS) Ask CHIS!, Mortality in Los Angeles County 2007: Leading causes of death and premature death with trends for 1998-2007, Key Indicators of Public Health (2009; 2007; 2005, Health Indicators for Women in Los Angeles County Highlighting Disparities by Ethnicity and Poverty Level, An Epidemiologic Profile of HIV and AIDS in Los Angeles County 2009, U.S. Census Bureau American Community Survey (ACS), Bureau of Labor Statistics (www.bls.gov/data), L.A. County Seniors Count! Survey of the Older Adult Population, Acute Communicable Disease Control Program Annual Morbidity Report And Special Studies Report 2008 Los Angeles County Department of Public Health, Death Profiles by Zip Code (2007; 2005; 2002-03), Current Population Reports Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050 P25-1130 Issued February 1996. Focus Groups Focus groups were conducted to collect qualitative information on health care issues that could elaborate and enhance information gleaned from secondary data sources. Five focus groups were conducted with key stakeholders in the SFMC service area. Participants were identified and recruited by SFMC staff. The groups were mixed by age, race/ethnicity and gender. Forty-six individuals participated in separate focus groups, including: o Beneficiaries - Individuals or family members of individuals who receive care or services from SFMC. Separate groups were conducted for English-speaking (N=4) and Spanish-speaking beneficiaries (N=12), with a moderator fluent in Spanish conducting the latter o Seniors - Senior and elderly community members who participate in activities at the SFMC Center for Senior Services (N=8) o Providers - Physicians, nurses, technicians and support personnel who provide health care and social services to the community on a daily basis at SFMC (N=9) o Stakeholders - St. Francis Medical Center staff, SFMC board and SFMC Foundation board of trustee members, community, education, and church leaders, and representatives from local public agencies and private organizations (N=13) The focus group discussions with these participants assessed: o The most important current health care and social concerns in the community that SFMC serves o The availability of health care services and specific areas of service need o Personal experiences with SFMC services and perceptions of service quality o Barriers to accessing health care and SFMC services, and ways to improve access The results from the focus groups are a rich source of perceptions and impressions of SFMC, its programs and services, and knowledge of the surrounding community. This data were used to support secondary data and identify unique aspects of the SFMC community related to health and well-being.","other_information":"Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.). SFMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. SFMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SFMC operates one of the busiest Emergency Departments in Southern California treating over 69,000 patients last year. In 1996, in response to a dramatic lack of Trauma services in Southeast Los Angeles, SFMC established its Trauma Center. The Level II Trauma Center is designated by the Los Angeles County Emergency Medical Services Agency and cared for 1,393 trauma victims last year. SFMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. SFMC's board of directors is comprised primarily of members of the Daughters of Charity, a religious order and members from the community which SFMC serves. SFMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SFMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person - body, mind, and spirit.","patient_education_assistance":"Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. Patients who present at SFMC's Emergency Department and SFMC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SFMC's Health Benefits Resource Center (HBRC). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SFMC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement.","percent_of_total_expense":"Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $9,494,618 which is not included in the line 7 calculation.","reports_filed_with_states":"CA","shortfall_as_community_benefit":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges.","subsidized_health_services":"St. Francis Medical Center's Subsidized Services include its community clinics in Lynwood, Compton, Downey, and Huntington Park. The mission of these clinics is to bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics' operations are substantial. In FY 2010 alone, the clinics received 49,218 patient visits. SFMC's Community Clinics provide general medicine, obstetrics and pediatric health care services to children and families in its service area. They also offer Child Health Disability Program (CHDP) Examinations and Immunizations (i.e., TB, Hepatitis B, polio, diphtheria, and hepatitis) for newborns and children up to 18 years old. In addition, the Comprehensive Perinatal Services Program (CPSP) is offered to pregnant women. This program assesses a mother's financial, medical and psychosocial needs; provides comprehensive education; and makes referrals to social services, counselors, and nutritionists, as well as to medical and mental health professionals to ensure a healthy start for mom and baby. SFMC's Subsidized Services also include stipends to physicians to ensure Trauma, Obstetric, and Safety Net coverage for the community. SFMC plays a critical role in the Los Angeles County Trauma Network and Hospital Safety Net. It operates one of the busiest private Emergency/Trauma Centers in Los Angeles County, treating more than 69,011 Emergency Department patients and 1,393 Trauma Patients in fiscal year 2010."}},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":10000,"reported_domestic_individual_grants":1556087,"reported_domestic_org_grants_program_services":10000,"reported_domestic_individual_grants_program_services":1556087,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":953922511,"irc_section":"501(c)(3)","cash":10000,"purpose":"General support","address_line1":"2131 W THIRD STREET","city":"LOS ANGELES","state":"CA","zip":"90057","name":"ST VINCENT FOUNDATION","address":"2131 W THIRD STREET, LOS ANGELES, CA, 90057"}],"individual_grants":[{"type":"STUDENTS OF ST FRANCIS CAREER COLLEGE","recipient_count":251,"cash":1556087}],"total_domestic_grants":1566087,"total_domestic_program_services":1566087,"detail_org_grants_total":10000,"detail_individual_grants_total":1556087,"detail_domestic_grants_total":1566087,"supplemental_information":[{"identifier":"GRANTS PAID BY ST FRANCIS MEDICAL CENTER","form_and_line_reference":"SCHEDULE I, PARTS 1 & 3","explanation":"ST FRANCIS CAREER COLLEGE AT ST FRANCIS MEDICAL CENTER RECEIVES APPLICATIONS FOR SCHOLARSHIPS AND IDENTIFIES THE SCHOLARSHIP RECIPIENT. THE SCHOLARSHIPS ARE APPLIED DIRECTLY TO THE STUDENTS' TUITION ACCOUNT TO ENSURE IT IS SPENT ON ITS INTENDED 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Member","average_hours_per_week":2.0,"individual_trustee_or_director":true},{"title":"CFO","average_hours_per_week":40.0,"reportable_comp_from_org":429369,"reportable_comp_from_related_orgs":0,"other_compensation":28546,"officer":true},{"title":"CEO","average_hours_per_week":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":1430731,"other_compensation":140713,"officer":true},{"title":"SR Vice President CQO","average_hours_per_week":40.0,"reportable_comp_from_org":297466,"reportable_comp_from_related_orgs":0,"other_compensation":25219,"key_employee":true},{"title":"VP Patient Care Services","average_hours_per_week":40.0,"reportable_comp_from_org":248263,"reportable_comp_from_related_orgs":0,"other_compensation":25227,"key_employee":true},{"title":"VP Business Development","average_hours_per_week":40.0,"reportable_comp_from_org":261435,"reportable_comp_from_related_orgs":0,"other_compensation":28435,"key_employee":true},{"title":"VP Ambulatory and Support Svs","average_hours_per_week":40.0,"reportable_comp_from_org":232967,"reportable_comp_from_related_orgs":0,"other_compensation":19880,"key_employee":true},{"title":"VP Human Resources","average_hours_per_week":40.0,"reportable_comp_from_org":226714,"reportable_comp_from_related_orgs":0,"other_compensation":21377,"key_employee":true},{"title":"Sen Dir-Pharmacy & Lab Svs","average_hours_per_week":40.0,"reportable_comp_from_org":215296,"reportable_comp_from_related_orgs":0,"other_compensation":21747,"highest_compensated_employee":true},{"title":"RN II","average_hours_per_week":40.0,"reportable_comp_from_org":188685,"reportable_comp_from_related_orgs":0,"other_compensation":19720,"highest_compensated_employee":true},{"title":"Tech, Cath Lab CVRT 10hr","average_hours_per_week":40.0,"reportable_comp_from_org":175764,"reportable_comp_from_related_orgs":0,"other_compensation":24033,"highest_compensated_employee":true},{"title":"VP of Dev't & CEO Foundation","reportable_comp_from_org":185682,"reportable_comp_from_related_orgs":0,"other_compensation":22319,"highest_compensated_employee":true},{"title":"RN II","average_hours_per_week":40.0,"reportable_comp_from_org":178001,"reportable_comp_from_related_orgs":0,"other_compensation":21382,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2156721,"book_value":2156721},"buildings":{"other_cost_or_other_basis":198298474,"book_value":105896714,"depreciation":92401760},"leasehold_improvements":{"other_cost_or_other_basis":0,"book_value":0,"depreciation":0},"equipment":{"other_cost_or_other_basis":93419945,"book_value":32922052,"depreciation":60497893},"other_land_buildings":{"other_cost_or_other_basis":1638642,"book_value":1638642,"depreciation":0},"total_book_value":142614129},"other_assets":{"assets":[{"description":"OTHER LONG-TERM ASSETS","book_value":110537},{"description":"DUE FROM RELATED PARTIES","book_value":23310148},{"description":"DUE FROM GOVERNMENT AGENCIES","book_value":10633994}],"total_book_value":34054679},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"OTHER NON-CURRENT LIABILITIES","amount":139802},{"description":"PENSION OBLIGATION","amount":92691000},{"description":"DUE TO GOVERNMENTAL AGENCIES","amount":5462295},{"description":"DUE TO RELATED PARTIES","amount":130377438},{"description":"OTHER ACCRUED LIABILITIES","amount":12518}],"total_liability":228683053},"supplemental_information":[{"identifier":"Part X Line 2","explanation":"Daughters of Charity Health System and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2012. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_200":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":6936420,"reimbursed_by_medicare":79042841,"cost_of_care_reimbursed_by_medicare":81612612,"medicare_surplus_or_shortfall":-2569771,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":19208,"total_community_benefit_expense":16704035,"net_community_benefit_expense":16704035,"total_expense_percentage":0.0448},"unreimbursed_medicaid":{"persons_served":72626,"total_community_benefit_expense":158843558,"direct_offsetting_revenue":153454562,"net_community_benefit_expense":5388996,"total_expense_percentage":0.0144},"total_financial_assistance":{"persons_served":91834,"total_community_benefit_expense":175547593,"direct_offsetting_revenue":153454562,"net_community_benefit_expense":22093031,"total_expense_percentage":0.0592},"community_health_services":{"activities_or_programs":16,"persons_served":71596,"total_community_benefit_expense":3793308,"net_community_benefit_expense":3793308,"total_expense_percentage":0.0102},"health_professions_education":{"activities_or_programs":6,"persons_served":1479,"total_community_benefit_expense":2535964,"net_community_benefit_expense":2535964,"total_expense_percentage":0.0068},"subsidized_health_services":{"activities_or_programs":4,"persons_served":0,"total_community_benefit_expense":8585008,"net_community_benefit_expense":8585008,"total_expense_percentage":0.023},"cash_and_inkind_contributions":{"activities_or_programs":13,"persons_served":3336,"total_community_benefit_expense":29333,"net_community_benefit_expense":29333,"total_expense_percentage":0.0001},"total_other_benefits":{"activities_or_programs":39,"persons_served":76411,"total_community_benefit_expense":14943613,"net_community_benefit_expense":14943613,"total_expense_percentage":0.0401},"total_community_benefits":{"activities_or_programs":39,"persons_served":168245,"total_community_benefit_expense":190491206,"direct_offsetting_revenue":153454562,"net_community_benefit_expense":37036644,"total_expense_percentage":0.0993}},"community_building":{"community_support":{"activities_or_programs":5,"persons_served":208,"total_community_benefit_expense":8268,"net_community_benefit_expense":8268,"total_expense_percentage":0.0},"leadership_development":{"activities_or_programs":2,"persons_served":50,"total_community_benefit_expense":2633,"net_community_benefit_expense":2633,"total_expense_percentage":0.0},"coalition_building":{"persons_served":0,"total_community_benefit_expense":16225,"net_community_benefit_expense":16225,"total_expense_percentage":0.0001},"workforce_development":{"activities_or_programs":3,"persons_served":472,"total_community_benefit_expense":240844,"net_community_benefit_expense":240844,"total_expense_percentage":0.0006},"total_community_building_activities":{"activities_or_programs":10,"persons_served":730,"total_community_benefit_expense":267970,"net_community_benefit_expense":267970,"total_expense_percentage":0.0007}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"St Francis Medical Center","address_line1":"3630 E IMPERIAL HIGHWAY","city":"Lynwood","state":"CA","zip":"90262","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"Trauma Center","name":"St Francis Medical Center","address":"3630 E IMPERIAL HIGHWAY, Lynwood, CA, 90262"}],"facility_policies":[{"business_name_line1":"St Francis Medical Center","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"permit_legal_judicial_process":true,"collection_activities":true,"reporting_to_credit_agency":true,"engaged_legal_judicial_process":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"average_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"St Francis Medical Center"}],"supplemental_information":[{"explanation":"St. Francis Medical Center (SFMC) prepares an annual Community Benefit Report. It is developed in conjunction with SFMC's strategic planning process that is based on the Community Health Needs Assessment, organizational capacity, and resource allocation. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Quarterly reports are presented to the SFMC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SFMC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SFMC's Community Benefit Report is developed using results from the Community Health Needs Assessment, data and input provided by the managers and directors responsible for specific community benefit programs, feedback from the Community Benefits Committee, and direction from the vice president of Mission Integration. St. Francis Medical Center's Board of Directors reviews and gives final approval of SFMC's Community Benefit Report. Continual monitoring and evaluation of existing Healthy Community Initiatives provide vital information to the strategic planning process for community benefit programs."},{"explanation":"St. Francis Medical Center's Subsidized Services include its community clinics in Lynwood, Compton, Downey, and Huntington Park. The mission of these clinics is to bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics' operations are substantial. In FY 2012 alone, the clinics received 42,952 patient visits. SFMC's Community Clinics provide general medicine, obstetrics and pediatric health care services to children and families in its service area. They also offer Child Health Disability Program (CHDP) Examinations and Immunizations (i.e., TB, Hepatitis B, polio, diphtheria, and hepatitis) for newborns and children up to 18 years old. In addition, the Comprehensive Perinatal Services Program (CPSP) is offered to pregnant women. This program assesses a mother's financial, medical and psychosocial needs; provides comprehensive education; and makes referrals to social services, counselors, and nutritionists, as well as to medical and mental health professionals to ensure a healthy start for mom and baby. SFMC's Subsidized Services also include stipends to physicians to ensure Trauma, Obstetric, and Safety Net coverage for the community. SFMC plays a critical role in the Los Angeles County Trauma Network and Hospital Safety Net. It operates one of the busiest private Emergency/Trauma Centers in Los Angeles County, treating more than 70,138 Emergency Department patients and 1,706 Trauma Patients in fiscal year 2012."},{"explanation":"Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $6,936,420 which is not included in the line 7 calculation."},{"explanation":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges."},{"explanation":"SFMC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2012 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients."},{"explanation":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges."},{"explanation":"SFMC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SFMC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SFMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SFMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SFMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SFMC. SFMC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SFMC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"explanation":"In an effort to identify the most critical health care needs in SFMC's service area, a Community Health Needs Assessment is conducted every three years. The most recent assessment was completed in 2010. It is an integral part of the Medical Center's Strategic Planning process, which is managed by the Medical Center's Management Council. The results of the Needs Assessment are integrated into the Medical Center's long-range planning activity, as well as program specific planning. During the annual update of the Medical Center's strategic plan, data derived from the Community Health Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY To ensure differing perspectives and thoroughness, the Community Health Needs Assessment used a variety of methods to collect information about health and social characteristics of the community served by SFMC. The assessment drew primarily from the following information sources: the SFMC 2007 Needs Assessment, the U.S. Census Bureau American Community Survey, the Los Angeles County Department of Public Health, and focus groups with SFMC stakeholders, service providers, and beneficiaries. For the purposes of the 2010 report, the SFMC service area corresponds to Service Provider Areas (SPAs) 6, 7, and 8. Secondary Demographic and Health-Related Data was obtained from a number of secondary public health reports and health databases including L.A. HealthDataNow!, Los Angeles County Health Survey (2007; 2005), The California Health Interview Survey (CHIS) Ask CHIS!, Mortality in Los Angeles County 2007: Leading causes of death and premature death with trends for 1998-2007, Key Indicators of Public Health (2009; 2007; 2005, Health Indicators for Women in Los Angeles County Highlighting Disparities by Ethnicity and Poverty Level, An Epidemiologic Profile of HIV and AIDS in Los Angeles County 2009, U.S. Census Bureau American Community Survey (ACS), Bureau of Labor Statistics (www.bls.gov/data), L.A. County Seniors Count! Survey of the Older Adult Population, Acute Communicable Disease Control Program Annual Morbidity Report And Special Studies Report 2008 Los Angeles County Department of Public Health, Death Profiles by Zip Code (2007; 2005; 2002-03), Current Population Reports Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050 P25-1130 Issued February 1996. Focus Groups Focus groups were conducted to collect qualitative information on health care issues that could elaborate and enhance information gleaned from secondary data sources. Five focus groups were conducted with key stakeholders in the SFMC service area. Participants were identified and recruited by SFMC staff. The groups were mixed by age, race/ethnicity and gender. Forty-six individuals participated in separate focus groups, including: o Beneficiaries - Individuals or family members of individuals who receive care or services from SFMC. Separate groups were conducted for English-speaking (N=4) and Spanish-speaking beneficiaries (N=12), with a moderator fluent in Spanish conducting the latter o Seniors - Senior and elderly community members who participate in activities at the SFMC Center for Senior Services (N=8) o Providers - Physicians, nurses, technicians and support personnel who provide health care and social services to the community on a daily basis at SFMC (N=9) o Stakeholders - St. Francis Medical Center staff, SFMC board and SFMC Foundation board of trustee members, community, education, and church leaders, and representatives from local public agencies and private organizations (N=13) The focus group discussions with these participants assessed: o The most important current health care and social concerns in the community that SFMC serves o The availability of health care services and specific areas of service need o Personal experiences with SFMC services and perceptions of service quality o Barriers to accessing health care and SFMC services, and ways to improve access The results from the focus groups are a rich source of perceptions and impressions of SFMC, its programs and services, and knowledge of the surrounding community. This data were used to support secondary data and identify unique aspects of the SFMC community related to health and well-being."},{"explanation":"Patients who present at SFMC's Emergency Department and SFMC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SFMC's Health Benefits Resource Center (HBRC). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SFMC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement."},{"explanation":"DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS Age & Ethnicity Hispanics comprise the largest ethnic group in SFMC's service area at 55.36%, followed by Whites at 17.79%, Blacks at 13.93%, Asians at 9.53% and other at 3.38%. According to projections of race/ethnicity in the SFMC SPAs, the Hispanic population will comprise 59.72 percent of the total population by 2020. All other major ethnic groups will comprise less of the total population by 2020, with whites decreasing from 17.79 percent to 15.25 percent, blacks decreasing from 13.93 percent to 12.60 percent, and Asian/Pacific Islanders decreasing from 9.53 percent to 9.27 percent over the same time period. This is significant because some ethnicities have higher rates of incidence of certain diseases. For example, heart disease is the number one cause of death in Latino communities, which makes up the largest percentage of SFMC's service area population. SFMC is addressing this through its Vida Sana/Healthy Life Community Wellness program. The largest age group within the service area is age 15-34 at 29.95%. However, the population in the SFMC service area, similar to county, state, and national trends, is aging. From 2008 to 2015 in the SFMC service area, the most rapidly growing age groups are those between the ages of 55 and 64 and 65 and over. According to projections on age, those within the 65 and over age group will comprise 12.15 percent of the SFMC service area population by 2020, compared to 9.27 percent in 2008. Similarly, those within the combined age groups of 45 to 54 and 55 to 64 will comprise 24.02 percent of the SFMC service area population by 2020, compared to 21.77 percent in 2008. In contrast, it is projected that the population within the lower age groups will see a decrease. SFMC has a long established Senior Program that includes Senior Wellness education, flu immunizations, and Senior Dinners that promote social interaction, staying active, and mental and emotional well-being. By working in collaboration with the city sponsored Senior Centers, SFMC is making efforts to expand participation, and in conjunction with its Health Benefits Resource Center will help to link seniors to needed health and social services. Economic Well-Being In 2008, both SPAs 6 and 7 had higher estimated percentages of individuals with incomes below 300% of the Federal Poverty Level (FPL) than L.A. County, and SPA 6 by a large margin. Overcrowded housing negatively impacts both quality of life as well as the incidence of health problems. In 2008, SPAs 6 and 7 also had higher estimated percentages of overcrowded households than L.A. County, with SPA 6 having the highest percentage. The cities of Lynwood, Compton, Paramount, Huntington Park, Bell, Downey, South Gate, Maywood, and Bell Gardens are part of SPAs 6 and 7, communities which comprise a major portion of SFMC's service area. Education/Workforce Readiness Compounding the problem of unemployment, SPA 6 had the highest percentage of population without a high school diploma (47%) and the lowest percentage of population with any level of college education (26% some college or above) by considerable margins. Thus, SPA 6 is least likely to experience any significant job recovery under circumstances of economic improvement in the near term. SPA 7 had the second highest percentage of population without a high school diploma (36.7%). St. Francis Career College continues to address the obstacles which prevent students from advancing their education. The Career College offers training for careers in health care and support services to help ensure a student's successful completion of the program, along with career advancement training. Access to Health Care Uninsured According to a report by the UCLA Center for Health Policy Research that was published at the time of our 2010 Needs Assessment, nearly two million Californians lost their health insurance in 2008 and 2009, and 8.2 million Californians (nearly one-quarter of the nonelderly population) lacked health insurance for all or part of the year in 2009. L.A. County, in which SFMC resides, had the largest total number of uninsured residents, with 2.7 million nonelderly adults and children (28.9 percent of the total population) experiencing some period of uninsurance in 2009 compared to 24.3 percent for the state. SFMC's Health Benefits Resource Center assesses health benefit eligibility for individuals and families, assists them with health benefits enrollment, and provides linkages to education and social services. Although insurance coverage rates in the SFMC SPAs showed higher rates of job-based coverage and Medi-Cal/Healthy Families and lower rates of uninsured than the county from 2001 to 2007, it should be noted that these percentages have likely changed considerably in the SFMC SPAs since 2008 with the increase in joblessness, data for which was not yet available for the most recent Needs Assessment that was completed by SFMC in 2010. Chronic Disease Compared to other SFMC SPAs and L.A. County, SPA 6 has the highest percentages of adults living with at least one of several chronic health conditions. Hypertension is by far the most prevalent among adults within all SFMC SPAs and the county overall, with SPA 6 reporting the highest percentage at 29 percent. The next most prevalent chronic condition among adults is diabetes, followed by asthma. The percentage of obese children in SFMC SPAs 6 and 7 remains higher than for those in L.A. County and SPA 8, increasing from 26.8 percent and 24.5 percent, respectively in 2002-03, to 28.9 percent and 26 percent, respectively in 2007. Moreover, in 2007, the percentages of obese children in SPAs 6 and 7 were significantly higher than percentages of all other SPAs combined. For adults in SFMC SPAs 6, 7, and 8, percentages of obesity remained higher than those for L.A. County from 2002-03 to 2007, and the percentages for SPAs 6 and 7 were significantly higher than the percentages for all other SPAs combined during the 2002-03 to 2007 time period. Percentages of adults diagnosed with diabetes in SFMC SPAs 6 and 7 remained higher than the percentages for L.A. County over the same time period, and were significantly higher than the percentages of all other SPAs combined in both 2005 and 2007. SFMC's Vida Sana/Healthy Life Community Wellness program, which addresses heart health, diabetes prevention and management, and obesity awareness, expanded last year to include teens and children in its nutrition education and fitness activities. This enhanced scope builds upon a key community asset - a strong family focus within the Latino culture. By including parents and children in the wellness program, family members are able to support one another. This improves the likelihood of their maintaining healthy lifestyle changes. Leading Causes of Death The leading causes of mortality in L.A. County from 2000 to 2007 were heart disease, cancer, stroke, chronic lower-respiratory diseases, and diabetes. Trends for the leading causes of mortality in the SFMC service area for the 2000-2007 period mirrored those for the county, but with higher rates for each leading cause of death. OVERALL RESULTS AND PRIORITY NEEDS All data showed that the needs of children and families in the SFMC service area are great, and in fact often greater than most segments of Los Angeles County and the state of California. The communities served by SFMC are characterized by: Significant poverty High teen pregnancy rates High unemployment Prevalent crime and violence Educational deficiencies A lack of health insurance coverage The most prominent health care issues and concerns highlighted in the Needs Assessment are that residents of the SFMC service area continue to face significant barriers in accessing needed health care. SFMC has been designated as a Disproportionate Share Hospital because of the high number of patients who are uninsured and underinsured. It is of note that approximately 80% of SFMC's reimbursements for service are derived from Medi-Cal, Medicare, and LA County. In addition, communities within SFMC's Service Area have been designated as Medically Underserved Areas and Health Profession Shortage Areas by the Federal Government. Lack of insurance and cost of care, and the lack of access to information about available health care services are among the most pressing concerns articulated by stakeholder, service provider, and beneficiary focus group participants. The consensus among focus group participants is that centralized information outlets about available health care services, including grocery stores, schools, churches, and community centers, would be an effective step toward improving health care access. Regarding primary health issues, data show that major health concerns remain in the SFMC service area, especially chronic conditions and diseases such as heart disease, diabetes, obesity, asthma. The SFMC service area also reported a high prevalence of teen"},{"explanation":"SFMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. SFMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SFMC operates one of the busiest Emergency Departments in Southern California treating over 70,000 patients last year. In 1996, in response to a dramatic lack of Trauma services in Southeast Los Angeles, SFMC established its Trauma Center. The Level II Trauma Center is designated by the Los Angeles County Emergency Medical Services Agency and cared for 1,706 trauma victims last year. SFMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. SFMC's board of directors is comprised primarily of members of the Daughters of Charity, a religious order and members from the community which SFMC serves. SFMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SFMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person - body, mind, and spirit."},{"explanation":"The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 160 years ago. As a member of the Daughters of Charity Health System, SFMC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SFMC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community."},{"explanation":"SFMC annually updates its Community Benefit Report and SFMC files a copy of its Community Benefit Report on an annual basis with the State of California."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":0,"reported_domestic_individual_grants":191135,"reported_domestic_individual_grants_program_services":191135,"individual_grants":[{"type":"Students of St. Francis Center Career College","recipient_count":165,"cash":191135}],"total_domestic_grants":191135,"total_domestic_program_services":191135,"detail_individual_grants_total":191135,"detail_domestic_grants_total":191135,"supplemental_information":[{"identifier":"GRANTS PAID BY ST. FRANCIS MEDICAL CENTER","form_and_line_reference":"SCHEDULE I, PARTS 1 & 3","explanation":"ST. FRANCIS CAREER COLLEGE AT ST. FRANCIS MEDICAL CENTER RECEIVES APPLICATIONS FOR SCHOLARSHIPS AND IDENTIFIES THE SCHOLARSHIP RECIPIENT. The scholarships are applied directly to the students' tuition account to ensure it is spent on its intended purpose."}],"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"discretionary_spending_account":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Jesse Guevara","base_compensation_filing_org":413156,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":20390,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":16213,"other_compensation_related_orgs":0,"total_compensation_filing_org":457915,"total_compensation_related_orgs":0,"name":"Jesse Guevara"},{"person_name":"Gerald 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Chan","base_compensation_filing_org":287044,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17063,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":10422,"other_compensation_related_orgs":0,"total_compensation_filing_org":322685,"total_compensation_related_orgs":0,"name":"Marsha C Chan"},{"person_name":"Beverly S 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Kato","base_compensation_filing_org":225044,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13221,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1670,"other_compensation_related_orgs":0,"total_compensation_filing_org":248091,"total_compensation_related_orgs":0,"name":"Laura S Kato"},{"person_name":"Gerald Boden","base_compensation_filing_org":210853,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13591,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4443,"other_compensation_related_orgs":0,"total_compensation_filing_org":237043,"total_compensation_related_orgs":0,"name":"Gerald Boden"},{"person_name":"Linda 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Garcia","base_compensation_filing_org":175764,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":15877,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":199797,"total_compensation_related_orgs":0,"name":"Adam Garcia"},{"person_name":"Mary Eileen Drees","base_compensation_filing_org":177007,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":14163,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":8675,"other_compensation_related_orgs":0,"total_compensation_filing_org":208001,"total_compensation_related_orgs":0,"name":"Mary Eileen Drees"},{"person_name":"Patricia Whaley","base_compensation_filing_org":177526,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8156,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13226,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":475,"other_compensation_related_orgs":0,"total_compensation_filing_org":199383,"total_compensation_related_orgs":0,"name":"Patricia Whaley"},{"person_name":"Robert Issai","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":964428,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":1686618,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":238693,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":51698,"other_compensation_filing_org":0,"other_compensation_related_orgs":1970763,"total_compensation_filing_org":0,"total_compensation_related_orgs":3225582,"name":"Robert Issai"}],"supplemental_information":[{"identifier":"Auto Allowance","form_and_line_reference":"Schedule J, Part I, Line 1","explanation":"The CFO, Senior Vice President CQO, and VP of Business Development receive an auto allowance. The payments are reported as taxable compensation and reported on Form W-2. Compensation Schedule J, Part I, Line 3 The CEO is an employee of Daughters of Charity Health System. DCHs uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, and approval by the board or compensation committee, form 990 of other organizations, and written contracts."},{"identifier":"Severance Arrangements","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years."},{"identifier":"RETIREMENT PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"The following individuals participated in supplemental nonqualified retirement plans that are included in compensation reported on Form 990, Part VII, Section A, Column C: Robert Issai $46,330 Gerald Kozai $8,427"},{"identifier":"Compensation Information","form_and_line_reference":"Schedule J, Part II","explanation":"Other Reportable Compensation in Schedule J, Part II, column B(iii) includes a one-time reporting of compensation related to termination of a non-qualified retirement plan for certain listed individuals. The annual accrual for this amount was reported in prior years as Deferred Compensation in Schedule J, Part II, column D and is being reported on the Form W-2 again as a result of the termination of the plan. The total of the prior year accruals is reported in Schedule J, Part II, column F and should be subtracted from the total compensation reported in Schedule J, Part II, column E to arrive at the true total compensation for the reporting year."}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":true,"third_parties_used":false},"noncash_contributions":{"other_noncash_contributions":[{"description":"Equipment","reported":true,"revenue_reported_on_990":226978,"contribution_count":5,"method_of_determining_revenues":"cost"}]}},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":true,"other_transfer_to_other_org":true},"transactions":[{"business_name_line1":"Caritas Business Services","amount_involved":945571,"method_of_amount_determination":"Cost","transaction_type":"L","name":"Caritas Business Services"},{"business_name_line1":"Daughters of Charity Health System","amount_involved":84103,"method_of_amount_determination":"Cost","transaction_type":"R","name":"Daughters of Charity Health System"},{"business_name_line1":"Daughters of Charity Health System","amount_involved":37326223,"method_of_amount_determination":"Cost","transaction_type":"O","name":"Daughters of Charity Health System"},{"business_name_line1":"St Francis Foundation","amount_involved":2895760,"method_of_amount_determination":"Cost","transaction_type":"C","name":"St Francis Foundation"},{"business_name_line1":"Seton Medical Center","amount_involved":5226480,"method_of_amount_determination":"Cost","transaction_type":"D","name":"Seton Medical Center"},{"business_name_line1":"Seton Medical Center","amount_involved":8697624,"method_of_amount_determination":"Cost","transaction_type":"Q","name":"Seton Medical Center"},{"business_name_line1":"St Vincent Medical Center","amount_involved":3509622,"method_of_amount_determination":"Cost","transaction_type":"D","name":"St Vincent Medical Center"},{"business_name_line1":"O'connor Hospital","amount_involved":2580674,"method_of_amount_determination":"Cost","transaction_type":"D","name":"O'connor Hospital"},{"business_name_line1":"SAINT Louise Regional Hospital","amount_involved":4756503,"method_of_amount_determination":"Cost","transaction_type":"D","name":"SAINT Louise Regional Hospital"},{"business_name_line1":"St Francis Foundation","amount_involved":32686,"method_of_amount_determination":"Cost","transaction_type":"M","name":"St Francis Foundation"},{"business_name_line1":"St Francis Foundation","amount_involved":634651,"method_of_amount_determination":"Cost","transaction_type":"N","name":"St Francis Foundation"},{"business_name_line1":"St Francis Foundation","amount_involved":374347,"method_of_amount_determination":"Cost","transaction_type":"P","name":"St Francis Foundation"}],"supplemental_information":[{"identifier":"Schedule R, Part II","explanation":"The following organizations listed below are related to the filing organization including the organization itself: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Daughters of Charity Health System 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Hotel Dieu, Inc. 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Robert F. Kennedy Medical Center 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2154440 Col (B): Primary Activity - Hospital - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-3745227 Line (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. Kennedy Medical Center St. Francis Medical Center 3630 East Imperial Highway Lynwood, CA 90262 EIN: 91-2154439 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Saint Louise Regional Hospital 9400 No Name Uno Gilroy, CA 95020 EIN: 91-2154437 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Saint Louise Regional Hospital Foundation 18550 De Paul Drive Morgan Hill, CA 95037 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital St. Vincent Medical Center 2131 West 3rd Street Los Angeles, CA 90057 EIN: 91-2154438 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System St. Vincent de Paul Ethics Corporation 3630 East Imperial Hwy Lynwood, Ca 90262 EIN: 95-4426405 Col (B): Primary Activity - Supports DCHS Ministries Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center St. Vincent Dialysis Center 2131 West 3rd Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - St. Vincent Medical Center St. Vincent Foundation 2131 West 3rd Street Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center St. Vincent Senior Center Nutrition Program, Inc. 2131 West 3rd Street Los Angeles, CA 90057-1901 EIN: 95-3696693 Col (B): Primary Activity - Nutrition Program Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - 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Schedule J, Part II, Column (b)(iii), other reportable compensation, for individuals compensated by Daughters of Charity Health System is comprised of the following: Robert Issai: One-Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $869,695 Long-Term Disability Insurance: $140,736 Other Compensation: $59,657 Total: $1,070,088 Gerald Kozai: One-Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $351,235 Long-Term Disability Insurance: $60,240 Other Compensation: $25,466 Total: $436,941"}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":true,"third_parties_used":false},"noncash_contributions":{"other_noncash_contributions":[{"description":"Medical Supplies","reported":true,"revenue_reported_on_990":508521,"contribution_count":1,"method_of_determining_revenues":"FMV"}]}},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SEE PART VII","direct_controlling_business_name_line1":"NA","name":"SEE PART VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","direct_controlling_business_name_line1":"NA","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"See Part VII","direct_controlling_business_name_line1":"NA","name":"See Part VII"}],"transaction_flags":{"dividends_from_related_organization_indicator":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":3049297,"method_of_amount_determination":"cost","transaction_type":"c","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":828679,"method_of_amount_determination":"cost","transaction_type":"o","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":85181,"method_of_amount_determination":"cost","transaction_type":"q","name":"St Francis Medical Center of Lynwood Fnd"}],"supplemental_information":[{"form_and_line_reference":"Schedule R, Part II","explanation":"The following organizations listed below are related to the filing organization: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Col (G): Section 512(b)(13) Controlled Entity - No Daughters of Charity Health System 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Hotel Dieu, Inc. 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Col (G): Section 512(b)(13) Controlled Entity - No Robert F. Kennedy Medical Center 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2154440 Col (B): Primary Activity - Hospital - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-3745227 Col (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. Kennedy Medical Center Col (G): Section 512(b)(13) Controlled Entity - No St. Vincent Dialysis Center 2131 West Third Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway, Suite 400 Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center COl (G): Section 512(b)(13) Controlled Entity - Yes Saint Louise Regional Hospital 9400 No Name Uno Gilroy, CA 95020 EIN: 91-2154437 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Saint Louise Regional Hospital Foundation 9400 No Name Uno Gilroy, CA 95020 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital Col (G): Section 512(b)(13) Controlled Entity - No St. Vincent Medical Center 2131 West Third Street Los Angeles, CA 90057 EIN: 91-2154438 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No St. Vincent de Paul Ethics Corporation 3630 East Imperial Hwy Lynwood, CA 90262 EIN: 95-4426405 Col (B): Primary Activity - Supports DCHS Ministries Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Foundation 2200 West Third Street, Ste 200 Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - No St. Vincent Senior Center Nutrition Program, Inc. 2131 West Third Street Los Angeles, CA 90057-1901 EIN: 95-3696693 Col (B): Primary Activity - Nutrition Program Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Seton Medical Center Foundation 1900 Sullivan Avenue Daly City, CA 94015 EIN: 94-2824033 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Seton Medical Center Col (G): Section 512(b)(13) Controlled Entity - No DCHS Medical Foundation 400 Race Street San Jose, CA 95126 EIN: 41-3691852 Col (B): Primary Activity - Medical Foundation Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - 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SERVICES","average_hours_per_week":40.0,"reportable_comp_from_org":227045,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"key_employee":true},{"title":"VP AMBULATORY AND SUPPORT SVCS","average_hours_per_week":40.0,"reportable_comp_from_org":233148,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"key_employee":true},{"title":"VP HUMAN RESOURCES","average_hours_per_week":40.0,"reportable_comp_from_org":205717,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"key_employee":true},{"title":"RN II","average_hours_per_week":40.0,"reportable_comp_from_org":213020,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"highest_compensated_employee":true},{"title":"TECH, CATH LAB CVRT 10HR","average_hours_per_week":40.0,"reportable_comp_from_org":199761,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"highest_compensated_employee":true},{"title":"RN II","average_hours_per_week":40.0,"reportable_comp_from_org":192491,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"highest_compensated_employee":true},{"title":"Sen Director-Pharmacy & Lab Sv","average_hours_per_week":40.0,"reportable_comp_from_org":192409,"reportable_comp_from_related_orgs":0,"other_compensation":22563,"highest_compensated_employee":true},{"title":"RN III","average_hours_per_week":40.0,"reportable_comp_from_org":190695,"reportable_comp_from_related_orgs":0,"other_compensation":18404,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2156721,"book_value":2156721},"buildings":{"other_cost_or_other_basis":190828132,"book_value":104167749,"depreciation":86660383},"leasehold_improvements":{"other_cost_or_other_basis":126285,"book_value":41144,"depreciation":85141},"equipment":{"other_cost_or_other_basis":78702556,"book_value":29560174,"depreciation":49142382},"other_land_buildings":{"other_cost_or_other_basis":13834873,"book_value":13834873,"depreciation":0},"total_book_value":149760661},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"OTHER NON-CURRENT LIABILITIES","amount":132379},{"description":"PENSION OBLIGATION","amount":37395820},{"description":"DUE TO GOVERNMENT AGENCIES","amount":1194964},{"description":"DUE TO RELATED PARTIES","amount":129696803},{"description":"OTHER LIABILITIES","amount":231501}],"total_liability":168651467},"supplemental_information":[{"identifier":"Part X Line 2","explanation":"Daughters of Charity Health System and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2011. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_200":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":8811606,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":72472202,"cost_of_care_reimbursed_by_medicare":76530645,"medicare_surplus_or_shortfall":-4058443,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":15486,"total_community_benefit_expense":15406204,"direct_offsetting_revenue":1903597,"net_community_benefit_expense":13502607,"total_expense_percentage":0.0365},"unreimbursed_medicaid":{"persons_served":50633,"total_community_benefit_expense":147702909,"direct_offsetting_revenue":142666201,"net_community_benefit_expense":5036708,"total_expense_percentage":0.0136},"total_financial_assistance":{"persons_served":66119,"total_community_benefit_expense":163109113,"direct_offsetting_revenue":144569798,"net_community_benefit_expense":18539315,"total_expense_percentage":0.0501},"community_health_services":{"persons_served":81026,"total_community_benefit_expense":4016783,"net_community_benefit_expense":4016783,"total_expense_percentage":0.0109},"health_professions_education":{"persons_served":1522,"total_community_benefit_expense":2723057,"net_community_benefit_expense":2723057,"total_expense_percentage":0.0074},"subsidized_health_services":{"total_community_benefit_expense":8121440,"net_community_benefit_expense":8121440,"total_expense_percentage":0.022},"cash_and_inkind_contributions":{"persons_served":3575,"total_community_benefit_expense":55728,"net_community_benefit_expense":55728,"total_expense_percentage":0.0002},"total_other_benefits":{"persons_served":86123,"total_community_benefit_expense":14917008,"net_community_benefit_expense":14917008,"total_expense_percentage":0.0405},"total_community_benefits":{"persons_served":152242,"total_community_benefit_expense":178026121,"direct_offsetting_revenue":144569798,"net_community_benefit_expense":33456323,"total_expense_percentage":0.0906}},"community_building":{"community_support":{"persons_served":182,"total_community_benefit_expense":4033,"net_community_benefit_expense":4033,"total_expense_percentage":0.0006},"total_community_building_activities":{"persons_served":182,"total_community_benefit_expense":4033,"net_community_benefit_expense":4033,"total_expense_percentage":0.0006}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"ST FRANCIS MEDICAL CENTER","address_line1":"3630 E IMPERIAL HIGHWAY","city":"LYNWOOD","state":"CA","zip":"90262","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"TRAUMA CENTER","name":"ST FRANCIS MEDICAL CENTER","address":"3630 E IMPERIAL HIGHWAY, LYNWOOD, CA, 90262"}],"facility_policies":[{"business_name_line1":"ST FRANCIS MEDICAL CENTER","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"permit_legal_judicial_process":true,"collection_activities":true,"reporting_to_credit_agency":true,"engaged_legal_judicial_process":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"average_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"ST FRANCIS MEDICAL CENTER"}],"supplemental_information":[{"explanation":"St. Francis Medical Center (SFMC) prepares an annual Community Benefit Report. It is developed in conjunction with SFMC's strategic planning process that is based on the Community Needs Assessment, organizational capacity, and resource allocation. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Quarterly reports are presented to the SFMC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SFMC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SFMC's Community Benefit Report is developed using results from the Community Needs Assessment, data and input provided by the managers and directors responsible for specific community benefit programs, feedback from the Community Benefits Committee, and direction from the vice president of Mission Integration. St. Francis Medical Center's Board of Directors reviews and gives final approval of SFMC's Community Benefit Report. Continual monitoring and evaluation of existing Healthy Community Initiatives provide vital information to the strategic planning process for community benefit programs."},{"explanation":"St. Francis Medical Center's Subsidized Services include its community clinics in Lynwood, Compton, Downey, and Huntington Park. The mission of these clinics is to bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics' operations are substantial. In FY 2011 alone, the clinics received 48,497 patient visits. SFMC's Community Clinics provide general medicine, obstetrics and pediatric health care services to children and families in its service area. They also offer Child Health Disability Program (CHDP) Examinations and Immunizations (i.e., TB, Hepatitis B, polio, diphtheria, and hepatitis) for newborns and children up to 18 years old. In addition, the Comprehensive Perinatal Services Program (CPSP) is offered to pregnant women. This program assesses a mother's financial, medical and psychosocial needs; provides comprehensive education; and makes referrals to social services, counselors, and nutritionists, as well as to medical and mental health professionals to ensure a healthy start for mom and baby. SFMC's Subsidized Services also include stipends to physicians to ensure Trauma, Obstetric, and Safety Net coverage for the community. SFMC plays a critical role in the Los Angeles County Trauma Network and Hospital Safety Net. It operates one of the busiest private Emergency/Trauma Centers in Los Angeles County, treating more than 69,363 Emergency Department patients and 1,339 Trauma Patients in fiscal year 2011."},{"explanation":"Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $8,811,606 which is not included in the line 7 calculation."},{"explanation":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges."},{"explanation":"SFMC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2011 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients."},{"explanation":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges."},{"explanation":"SFMC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SFMC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SFMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SFMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SFMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SFMC. SFMC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SFMC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"explanation":"In an effort to identify the most critical health care needs in SFMC's service area, a Community Needs Assessment is conducted every three years. The most recent assessment was completed in 2010. It is an integral part of the Medical Center's Strategic Planning process, which is managed by the Medical Center's Management Council. The results of the Needs Assessment are integrated into the Medical Center's long-range planning activity, as well as program specific planning. During the annual update of the Medical Center's strategic plan, data derived from the Community Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY To ensure differing perspectives and thoroughness, the Community Needs Assessment used a variety of methods to collect information about health and social characteristics of the community served by SFMC. The assessment drew primarily from the following information sources: the SFMC 2007 Needs Assessment, the U.S. Census Bureau American Community Survey, the Los Angeles County Department of Public Health, and focus groups with SFMC stakeholders, service providers, and beneficiaries. For the purposes of the 2010 report, the SFMC service area corresponds to Service Provider Areas (SPAs) 6, 7, and 8. Secondary Demographic and Health-Related Data was obtained from a number of secondary public health reports and health databases including L.A. HealthDataNow!, Los Angeles County Health Survey (2007; 2005), The California Health Interview Survey (CHIS) Ask CHIS!, Mortality in Los Angeles County 2007: Leading causes of death and premature death with trends for 1998-2007, Key Indicators of Public Health (2009; 2007; 2005, Health Indicators for Women in Los Angeles County Highlighting Disparities by Ethnicity and Poverty Level, An Epidemiologic Profile of HIV and AIDS in Los Angeles County 2009, U.S. Census Bureau American Community Survey (ACS), Bureau of Labor Statistics (www.bls.gov/data), L.A. County Seniors Count! Survey of the Older Adult Population, Acute Communicable Disease Control Program Annual Morbidity Report And Special Studies Report 2008 Los Angeles County Department of Public Health, Death Profiles by Zip Code (2007; 2005; 2002-03), Current Population Reports Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050 P25-1130 Issued February 1996. Focus Groups Focus groups were conducted to collect qualitative information on health care issues that could elaborate and enhance information gleaned from secondary data sources. Five focus groups were conducted with key stakeholders in the SFMC service area. Participants were identified and recruited by SFMC staff. The groups were mixed by age, race/ethnicity and gender. Forty-six individuals participated in separate focus groups, including: o Beneficiaries - Individuals or family members of individuals who receive care or services from SFMC. Separate groups were conducted for English-speaking (N=4) and Spanish-speaking beneficiaries (N=12), with a moderator fluent in Spanish conducting the latter o Seniors-Senior and elderly community members who participate in activities at the SFMC Center for Senior Services (N= 8) o Providers - Physicians, nurses, technicians and support personnel who provide health care and social services to the community on a daily basis at SFMC (N=9) o Stakeholders - St. Francis Medical Center staff, SFMC board and SFMC Foundation board of trustee members, community, education, and church leaders, and representatives from local public agencies and private organizations (N=13) The focus group discussions with these participants assessed: o The most important current health care and social concerns in the community that SFMC serves o The availability of health care services and specific areas of service need o Personal experiences with SFMC services and perceptions of service quality o Barriers to accessing health care and SFMC services, and ways to improve access The results from the focus groups are a rich source of perceptions and impressions of SFMC, its programs and services, and knowledge of the surrounding community. This data were used to support secondary data and identify unique aspects of the SFMC community related to health and well-being."},{"explanation":"Patients who present at SFMC's Emergency Department and SFMC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SFMC's Health Benefits Resource Center (HBRC). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SFMC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement."},{"explanation":"DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS Age & Ethnicity Hispanics comprise the largest ethnic group in SFMC's service area at 55.36%, followed by Whites at 17.79%, Blacks at 13.93%, Asians at 9.53% and other at 3.38%. According to projections of race/ethnicity in the SFMC SPAs, the Hispanic population will comprise 59.72 percent of the total population by 2020. All other major ethnic groups will comprise less of the total population by 2020, with whites decreasing from 17.79 percent to 15.25 percent, blacks decreasing from 13.93 percent to 12.60 percent, and Asian/Pacific Islanders decreasing from 9.53 percent to 9.27 percent over the same time period. This is significant because some ethnicities have higher rates of incidence of certain diseases. For example, heart disease is the number one cause of death in Latino communities, which makes up the largest percentage of SFMC's service area population. SFMC is addressing this through its Vida Sana/Healthy Life Community Wellness program. The largest age group within the service area is age 15-34 at 29.95%. However, the population in the SFMC service area, similar to county, state, and national trends, is aging. From 2008 to 2015 in the SFMC service area, the most rapidly growing age groups are those between the ages of 55 and 64 and 65 and over. According to projections on age, those within the 65 and over age group will comprise 12.15 percent of the SFMC service area population by 2020, compared to 9.27 percent in 2008. Similarly, those within the combined age groups of 45 to 54 and 55 to 64 will comprise 24.02 percent of the SFMC service area population by 2020, compared to 21.77 percent in 2008. In contrast, it is projected that the population within the lower age groups will see a decrease. SFMC has a long established Senior Program that includes Senior Wellness education, flu immunizations, and Senior Dinners that promote social interaction, staying active, and mental and emotional well-being. By working in collaboration with the city sponsored Senior Centers, SFMC is making efforts to expand participation, and in conjunction with its Health Benefits Resource Center will help to link seniors to needed health and social services. Economic Well-Being In 2008, both SPAs 6 and 7 had higher estimated percentages of individuals with incomes below 300% of the Federal Poverty Level (FPL) than L.A. County, and SPA 6 by a large margin. Overcrowded housing negatively impacts both quality of life as well as the incidence of health problems. In 2008, SPAs 6 and 7 also had higher estimated percentages of overcrowded households than L.A. County, with SPA 6 having the highest percentage. The cities of Lynwood, Compton, Paramount, Huntington Park, Bell, Downey, South Gate, Maywood, and Bell Gardens comprise SPAs 6 and 7, communities which comprise a major portion of SFMC's service area. Education/Workforce Readiness Compounding the problem of unemployment, among the SFMC SPAs in 2008, SPA 6 had the highest percentage of population without a high school diploma (47%) and the lowest percentage of population with any level of college education (26% some college or above) by considerable margins. Thus, SPA 6 is least likely to experience any significant job recovery under circumstances of economic improvement in the near term. SPA 7 had the second highest percentage of population without a high school diploma (36.7%) among SFMC SPAs. St. Francis Career College continues to address the obstacles which prevent students from advancing their education. The Career College offers training for careers in health care and support services to help ensure a student's successful completion of the program, along with career advancement training. Access to Health Care Uninsured According to a recent report by the UCLA Center for Health Policy Research, nearly two million Californians lost their health insurance in 2008 and 2009, and 8.2 million Californians (nearly one-quarter of the nonelderly population) lacked health insurance for all or part of the year in 2009. L.A. County, in which SFMC resides, had the largest total number of uninsured residents, with 2.7 million nonelderly adults and children (28.9 percent of the total population) experiencing some period of uninsurance in 2009 compared to 24.3 percent for the state. SFMC's Health Benefits Resource Center assists individuals and families with health benefits enrollment, and provides linkages to education and social services. Although insurance coverage rates in the SFMC SPAs showed higher rates of job-based coverage and Medi-Cal/Healthy Families and lower rates of uninsured than the county from 2001 to 2007, it should be noted that these percentages have likely changed considerably in the SFMC SPAs since 2008 with the increase in joblessness, data for which was not yet available for the most recent Needs Assessment that was completed by SFMC in 2010. Chronic Disease Compared to other SFMC SPAs and L.A. County, SPA 6 has the highest percentages of adults living with at least one of several chronic health conditions. Hypertension is by far the most prevalent among adults within all SFMC SPAs and the county overall, with SPA 6 reporting the highest percentage at 29 percent. The next most prevalent chronic condition among adults is diabetes, followed by asthma. The percentage of obese children in SFMC SPAs 6 and 7 remains higher than for those in L.A. County and SPA 8, increasing from 26.8 percent and 24.5 percent, respectively in 2002-03 to 28.9 percent and 26 percent, respectively in 2007. Moreover, in 2007, the percentages of obese children in SPAs 6 and 7 were significantly higher than percentages of all other SPAs combined. For adults in SFMC SPAs 6, 7, and 8, percentages of obesity remained higher than those for L.A. County from 2002-03 to 2007, and the percentages for SPAs 6 and 7 were significantly higher than the percentages for all other SPAs combined during the 2002-03 to 2007 time period. Percentages of adults diagnosed with diabetes in SFMC SPAs 6 and 7 remained higher than the percentages for L.A. County over the same time period, and were significantly higher than the percentages of all other SPAs combined in both 2005 and 2007. SFMC's Vida Sana/Healthy Life Community Wellness program expanded this year to include teens and children in its nutrition education and fitness activities. Its primary focuses are heart health, diabetes prevention and management, and obesity awareness. SFMC's new Diabetes Intervention Program directly addresses this disease (page 21). Leading Causes of Death The leading causes of mortality in L.A. County from 2000 to 2007 were heart disease, cancer, stroke, chronic lower-respiratory diseases, and diabetes. Trends for the leading causes of mortality in the SFMC service area for the 2000-2007 period mirrored those for the county, but with higher rates for each leading cause of death (Figure 11). OVERALL RESULTS AND PRIORITY NEEDS All data showed that the needs of children and families in the SFMC service area are great, and in fact often greater than most segments of Los Angeles County and the state of California. The communities served by SFMC are characterized by: Significant poverty High teen pregnancy rates High unemployment Prevalent crime and violence Educational deficiencies A lack of health insurance coverage The most prominent health care issues and concerns highlighted in the Needs Assessment are that residents of the SFMC service area continue to face significant barriers in accessing needed health care. SFMC has been designated as a Disproportionate Share Hospital because of the high number of patients who are uninsured and underinsured. It is of note that approximately 80% of SFMC's reimbursements for service are derived from Medi-Cal, Medicare, and LA County. In addition, communities within SFMC's Service Area have been designated as Medically Underserved Areas and Health Profession Shortage Areas by the Federal Government. Lack of insurance and cost of care, and the lack of access to information about available health care services are among the most pressing concerns articulated by stakeholder, service provider, and beneficiary focus group participants. The consensus among focus group participants is that centralized information outlets about available health care services, including grocery stores, schools, churches, and community centers, would be an effective step toward improving health care access. Regarding primary health issues, data show that major health concerns remain in the SFMC service area, especially chronic conditions and diseases such as heart disease, diabetes, obesity, asthma. The SFMC service area also reported a high prevalence of teen births. More opportunities are needed for education advancement, and in SPA 6, safety and violence remain key concerns, with homicide consistently ranking as the sixth leading cause of death from 2000 to 2007. While the community surrounding St"},{"explanation":"SFMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. SFMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SFMC operates one of the busiest Emergency Departments in Southern California treating over 69,000 patients last year. In 1996, in response to a dramatic lack of Trauma services in Southeast Los Angeles, SFMC established its Trauma Center. The Level II Trauma Center is designated by the Los Angeles County Emergency Medical Services Agency and cared for 1,339 trauma victims last year. SFMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. SFMC's board of directors is comprised primarily of members of the Daughters of Charity, a religious order and members from the community which SFMC serves. SFMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SFMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person - body, mind, and spirit."},{"explanation":"The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, SFMC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SFMC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community."},{"explanation":"SFMC annually updates its Community Benefits Report and SFMC files a copy of its Community Benefits Report on an annual basis with the State of California."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":10555576,"reported_domestic_individual_grants":208170,"reported_domestic_org_grants_program_services":10555576,"reported_domestic_individual_grants_program_services":208170,"total_501c3_and_government_organizations":2,"total_other_organizations":0,"grants":[{"ein":912145484,"irc_section":"501(c)(3)","cash":1679631,"purpose":"General support","address_line1":"26000 Altamont Rd","city":"Los Altos Hills","state":"CA","zip":"94022","name":"daughters of charity health System","address":"26000 Altamont Rd, Los Altos Hills, CA, 94022"},{"ein":912154436,"irc_section":"501(c)(3)","cash":8875945,"purpose":"General Support","address_line1":"2105 Forest Avenue","city":"San Jose","state":"CA","zip":"95128","name":"O'Connor Hospital","address":"2105 Forest Avenue, San Jose, CA, 95128"}],"individual_grants":[{"type":"students of st francis career college","recipient_count":111,"cash":208170}],"total_domestic_grants":10763746,"total_domestic_program_services":10763746,"detail_org_grants_total":10555576,"detail_individual_grants_total":208170,"detail_domestic_grants_total":10763746,"supplemental_information":[{"identifier":"GRANTS PAID BY ST FRANCIS MEDICAL CENTER","form_and_line_reference":"SCHEDULE I, PARTS 1 & 3","explanation":"ST FRANCIS CAREER COLLEGE AT ST FRANCIS MEDICAL CENTER RECEIVES APPLICaTIONS FOR SCHOLARSHIPS AND IDENTIFIES THE SCHOLARSHIP RECIPIENT. The scholarships are applied directly to the students' tuition account to ensure it is spent on its intended 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The payments are reported as taxable compensation and reported on Form W-2. Compensation Schedule J, Part I, Line 3 The CEO is an employee of Daughters of Charity Health System. DCHs uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, and approval by the board or compensation committee, form 990 of other organizations, and written contracts."},{"identifier":"RETIREMENT PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"The following individuals participated in supplemental nonqualified retirement plans that are included in compensation reported on Form 990, Part VII, Section A, Column C: Robert Issai $88,572 Gerald Kozai $16,835"}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":true,"third_parties_used":false},"noncash_contributions":{"other_noncash_contributions":[{"description":"Medical Equipment","reported":true,"revenue_reported_on_990":310413,"contribution_count":1,"method_of_determining_revenues":"COST"}]}},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"SEe Part VII","name":"SEe Part VII"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"ST LOUISE REGIONAL HOSPITAL","amount_involved":1373409,"transaction_type":"p","name":"ST LOUISE REGIONAL HOSPITAL"},{"business_name_line1":"SETON MEDICAL CENTER","amount_involved":5778412,"transaction_type":"o","name":"SETON MEDICAL CENTER"},{"business_name_line1":"SETON MEDICAL CENTER","amount_involved":749798,"transaction_type":"p","name":"SETON MEDICAL CENTER"},{"business_name_line1":"Caritas Business Services","amount_involved":362539,"transaction_type":"l","name":"Caritas Business Services"},{"business_name_line1":"O'Connor Hospital","amount_involved":9185630,"transaction_type":"o","name":"O'Connor Hospital"},{"business_name_line1":"O'Connor Hospital","amount_involved":6387673,"transaction_type":"p","name":"O'Connor Hospital"},{"business_name_line1":"O'Connor Hospital","amount_involved":8875945,"transaction_type":"b","name":"O'Connor Hospital"},{"business_name_line1":"SAINT VINCENT MEDICAL CENTER","amount_involved":8967945,"transaction_type":"o","name":"SAINT VINCENT MEDICAL CENTER"},{"business_name_line1":"SAINT VINCENT MEDICAL CENTER","amount_involved":10495111,"transaction_type":"p","name":"SAINT VINCENT MEDICAL CENTER"},{"business_name_line1":"St Francis medical center of lynwood fdn","amount_involved":4412555,"transaction_type":"c","name":"St Francis medical center of lynwood fdn"},{"business_name_line1":"St Francis medical center of lynwood fdn","amount_involved":775224,"transaction_type":"n","name":"St Francis medical center of lynwood fdn"},{"business_name_line1":"St Francis medical center of lynwood fdn","amount_involved":613896,"transaction_type":"p","name":"St Francis medical center of lynwood fdn"},{"business_name_line1":"Daughters of Charity health system","amount_involved":30435409,"transaction_type":"o","name":"Daughters of Charity health system"},{"business_name_line1":"Daughters of Charity health system","amount_involved":1679631,"transaction_type":"b","name":"Daughters of Charity health system"}],"supplemental_information":[{"identifier":"Schedule R, Part II","explanation":"The following organizations listed below are related to the filing organization including the organization itself: Daughters of Charity Ministry Services Corporation 3663 Martin Luther King Jr. Blvd. Lynwood, CA 90262 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501 (c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Daughters of Charity Health System 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Director Controlling Entity Name - Daughters of Charity Health System Hotel Dieu, Inc. 3663 Martin Luther King Blvd. Lynwood, California 90262 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Director Controlling Entity Name - Daughters of Charity Ministry Services Corporation O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Robert F. Kennedy Medical Center 26000 Altamont Road Los Altos Hills, CA 94022 EIN: 91-2154440 Col (B): Primary Activity - Hospital - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022 EIN: 95-3745227 Line (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. Kennedy Medical Center St. Francis Medical Center 3630 East Imperial Highway Lynwood, CA 90262 EIN: 91-2154439 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Saint Louise Regional Hospital 9400 No Name Uno Gilroy, CA 95020 EIN: 91-2154437 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Saint Louise Regional Hospital Foundation 18550 De Paul Drive Morgan Hill, CA 95037 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital St. Vincent Medical Center 2131 West 3rd Street Los Angeles, CA 90057 EIN: 91-2154438 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System St. Vincent de Paul Ethics Corporation 3630 East Imperial Hwy Lynwood, Ca 90262 EIN: 95-4426405 Col (B): Primary Activity - Supports DCHS Ministries Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501 (c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center St. Vincent Dialysis Center 2131 West 3rd Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - St. Vincent Medical Center St. Vincent Foundation 2131 West 3rd Street Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center St. Vincent Senior Center Nutrition Program, Inc. 2131 West 3rd Street Los Angeles, Ca 90057-1901 EIN: 95-3696693 Col (B): Primary Activity - Nutrition Program Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Seton Medical Center Foundation 1900 Sullivan Avenue Daly City, CA 94015 EIN: 94-2824033 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Seton Medical Center"},{"identifier":"Schedule R, Part III","explanation":"O'Connor Health Center 1, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0419045 Col (B): Primary Activity - Development and Rental Col (C): Legal Domicile - CA Col (D): Direct Controlling Entity Name - O'Connor Hospital Col (E): Predominant Income - Investment or other income excluded from tax under section 512, 513, or 514 Col (F): Share of Total Income - $523,745 Col (G): Share of end-of-year assets - $3,856,536 Col (H): Disproportionate Allocations - No Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) -$0 Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - 75% Campbell-Gateway Square, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN 77-0313494 Col (B): Primary Activity - Development and Rental Col (C): Legal Domicile - CA Col (D): Direct Controlling Entity Name - O'Connor Hospital Col (E): Predominant Income - Unrelated Business Income Col (F): Share of Total Income - $733,880 Col (G): Share of end-of-year assets - $6,055,051 Col (H): Disproportionate Allocations - No Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) -$0 Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - 65%"},{"identifier":"Schedule R, Part IV","explanation":"Marillac Insurance Company, Ltd. c/o Aon Insurance Managers (Cayman), Ltd. 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Francis Medical Center"}],"supplemental_information":[{"explanation":"St. Francis Medical Center (SFMC) prepares an annual Community Benefit Report. It is developed in conjunction with SFMC's strategic planning process that is based on the Community Health Needs Assessment, organizational capacity, and resource allocation. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Quarterly reports are presented to the SFMC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SFMC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SFMC's Community Benefit Report is developed using results from the Community Health Needs Assessment, data and input provided by the managers and directors responsible for specific community benefit programs, feedback from the Community Benefits Committee, and direction from the vice president of Mission Integration. St. Francis Medical Center's Board of Directors reviews and gives final approval of SFMC's Community Benefit Report. Continual monitoring and evaluation of existing Healthy Community Initiatives provide vital information to the strategic planning process for community benefit programs."},{"explanation":"St. Francis Medical Center's Subsidized Services include its community clinics in Lynwood, Compton, Downey, and Huntington Park. The mission of these clinics is to bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics' operations are substantial. In FY 2013 alone, the clinics received 38,211 patient visits. SFMC's Community Clinics provide general medicine, obstetrics and pediatric health care services to children and families in its service area. They also offer Child Health Disability Program (CHDP) Examinations and Immunizations (i.e., TB, Hepatitis B, polio, diphtheria, and hepatitis) for newborns and children up to 18 years old. In addition, the Comprehensive Perinatal Services Program (CPSP) is offered to pregnant women. This program assesses a mother's financial, medical and psychosocial needs; provides comprehensive education; and makes referrals to social services, counselors, and nutritionists, as well as to medical and mental health professionals to ensure a healthy start for mom and baby. SFMC's Subsidized Services also include stipends to physicians to ensure Trauma, Obstetric, and Safety Net coverage for the community. SFMC plays a critical role in the Los Angeles County Trauma Network and Hospital Safety Net. It operates one of the busiest private Emergency/Trauma Centers in Los Angeles County, treating more than 74,896 Emergency Department patients and 2,322 Trauma Patients in fiscal year 2013."},{"explanation":"Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $11,508,819 which is not included in the line 7 calculation."},{"explanation":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges."},{"explanation":"SFMC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2013 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients."},{"explanation":"SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges."},{"explanation":"SFMC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SFMC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SFMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SFMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SFMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SFMC. SFMC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SFMC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"explanation":"See disclosure for Part VI, Question 2."},{"explanation":"The CHNA report can be accessed at: http://stfrancis.dochs.org/about-us/community-benefit/"},{"explanation":"Due to limited resources, SFMC did develop a specific community benefit strategy to address Lung Cancer/Emphysema, Sexually Transmitted Diseases, Respiratory Disease Among Children, Lack of Access to Affordable Childcare, and High Rates of Teen Births; however, some of these issues are addressed indirectly through SFMC's current and planned community benefit programs which promote overall health improvement and wellness. For example, the hospital's Vida Sana Community Wellness Program includes health education sessions on heart health, stroke awareness, and diabetes management. These courses emphasize smoking cessation to help prevent coronary heart disease, stroke, and diabetes. Stopping smoking also reduces the risk for lung cancer and emphysema. Also, SFMC has strong relationships with public and private agencies with programs addressing the health needs that are not among SFMC's priority targets. Our Health Benefits Resource Center provides linkages and referrals to these social and health services. Los Angeles County has a Sexually Transmitted Disease hotline and program for referrals. The County also has resources and referrals for affordable childcare, and the County and the Los Angeles Unified School District have established programs which encompass teen pregnancy awareness, education, and prevention."},{"explanation":"In an effort to identify the most critical health care needs in SFMC's service area, a Community Health Needs Assessment is conducted every three years. The most recent assessment was completed in 2013. It is an integral part of the Medical Center's Strategic Planning process, which is managed by the Medical Center's Management Council. The results of the Needs Assessment are integrated into the Medical Center's long-range planning activity, as well as program specific planning. During the annual update of the Medical Center's strategic plan, data derived from the Community Health Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY To ensure differing perspectives and thoroughness, the Community Health Needs Assessment used a variety of methods to collect information about health and social characteristics of the community served by SFMC. The assessment drew primarily from the following information sources: Key Indicators of Health reports from 2002/2003, 2007, 2009 and 2013, the Los Angeles County Department of Public Health Office of Health Assessment and Epidemiology, California Health Interview Survey from 2003, 2005, 2007, and 2009, the U.S. Census Bureau, American Community Survey 2010, Public Use Microdata Sample, the Los Angeles County Department of Public Health, California Department of Public Health, and focus groups with SFMC stakeholders, service providers, and beneficiaries. For the purposes of the 2013 report, the SFMC service area corresponds to Service Provider Areas (SPAs) 6, 7, and 8. Focus Groups Focus groups were conducted to collect qualitative information on health care issues that could elaborate and enhance information gleaned from secondary data sources. Four focus groups were conducted with key stakeholders in the SFMC service area. Participants were identified and recruited by SFMC staff. The groups were mixed by age, race/ethnicity and gender. Sixty-seven individuals participated in separate focus groups, including: o Beneficiaries - Individuals or family members of individuals who received care or services from SFMC. Separate groups were conducted for English-speaking (N=7) and Spanish-speaking beneficiaries (N=30), with a moderator fluent in Spanish conducting the latter o Providers - Physicians, nurses, technicians and support personnel who provide health care and social services to the community on a daily basis at SFMC and in the community (N=18) o Stakeholders - St. Francis Medical Center board members, representatives from local elected officials' offices an d local chambers of commerce, and community, education, and health care leaders (N=12) The focus group discussions with these participants assessed: o The most important current health care and social concerns in the community that SFMC serves o Community assets including health care services available in the community and services that support health and wellness o Personal experiences with SFMC services and perceptions of service quality o Barriers to accessing health care and SFMC services, and ways to improve access The results from the focus groups are a rich source of perceptions and impressions of SFMC, its programs and services, and knowledge of the surrounding community. This data was used to support secondary data and identify unique aspects of the SFMC community related to health and well-being."},{"explanation":"Patients who present at SFMC's Emergency Department and SFMC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SFMC's Health Benefits Resource Center (HBRC). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SFMC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement."},{"explanation":"DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS Age & Ethnicity Hispanics comprise the largest ethnic group in SFMC's service area at 56.8%, followed by Whites at 16.3%, Blacks at 13.0%, Asians at 9.9% and others at 4%. According to projections of race/ethnicity in the SFMC SPAs, the Hispanic population will comprise 59.8 percent of the total population by 2021. All other major ethnic groups will comprise less of the total population by 2021, with whites decreasing from 16.3 percent to 14.2 percent, blacks decreasing from 13 percent to 11.8 percent, and Asian/Pacific Islanders increasing from 9.9 percent to 10.3 percent over the same time period. This is significant because some ethnicities have higher rates of incidence of certain diseases. For example, heart disease is the number one cause of death in Latino communities, which makes up the largest percentage of SFMC's service area population. SFMC is addressing this through its Vida Sana/Healthy Life Community Wellness program. The largest age group within the service area is age 15-34 at 30.8%. However, the population in the SFMC service area, similar to county, state, and national trends, is aging. From 2011 to 2016 in the SFMC service area, the most rapidly growing age groups are those between the ages of 55 and 64 and 65 and over. According to projections on age, those within the 65 and over age group will comprise 13.5 percent of the SFMC service area population by 2021, compared to 9.8 percent in 2011. Similarly, those within the combined age groups of 45 to 54 and 55 to 64 will comprise 24.1 percent of the SFMC service area population by 2021, compared to 23.4 percent in 2011. In contrast, it is projected that the population within the lower age groups will see a decrease. SFMC has a long established Senior Program that includes Senior Wellness education, flu immunizations, and Senior Dinners that promote social interaction, staying active, and mental and emotional well-being. By working in collaboration with the city sponsored Senior Centers, SFMC is making efforts to expand participation, and in conjunction with its Health Benefits Resource Center will help to link seniors to needed health and social services. Economic Well-Being In SFMC's primary service area, including the cities of Huntington Park, Bell, Cudahy, Bell Gardens, Compton, Downey, Lynwood, Maywood, South Gate, and South Los Angeles, an average of 23.5% of households were below 100% of the Federal Poverty Level. Poor economic status is an underlying cause of lower health status due to decreased access to health care, affordable nutritious food, and fitness options. Education/Workforce Readiness In SFMC's primary service area, 52% of the population did not graduate from high school as compared with 24% in Los Angeles County. Higher education is linked to improved job opportunities, which in turn, impacts economic well-being and overall health status. St. Francis Career College (SFCC) addressed the obstacles which prevented students from advancing their education for 25 years. The Career College offered training for careers in health care and support services to help ensure a student's successful completion of the program, along with career advancement training. Unfortunately, over the past few years SFCC faced ongoing challenges with the high cost to subsidize its operations. The college worked hard to to streamline expenses and made notable gains; however, rising costs and decreasing resources required further evaluation of the college's ability to continue its programs. Following a thorough discernment process, it was determined necessary to identify a new collaborative sponsor to operate SFCC. On July 1, 2013, American Career College assumed sponsorship of SFCC. With values in alignment with St. Francis Medical Center's, American Career College at St. Francis, as it is now known, continues to provide high quality career training in the Lynwood community. Health Status The percent of adults 18-64 years old with reported fair to poor health status was highest among Latinos followed by African-Americans. St. Francis Medical Center's Healthy Community Initiatives (HCI) addresses poor health status by bringing health screenings, immunizations, and health education directly to area schools, churches, businesses, and community organizations via its HCI nurse, educator, staff, and mobile health unit. For individuals and families without access to primary care, HCI provides them with important preventive services and health care resources. Access to Health Care Uninsured In 2011, 38.2% of adults in SPA 6 and 32.4% in SPA 7 had no health insurance. This is compared to 20.9% of adults in California and 28.5% in LA County. This represents an increase in both SPAs since 2007 and is likely related to the economic downturn and increase in joblessness that the area experienced beginning in 2008. Many individuals access health insurance through their places of employment. SFMC's Health Benefits Resource Center increases access to health care by linking families to medical coverage offered by government-sponsored programs and/or private agencies. The Center assesses health benefit eligibility for individuals and families, assists them with health benefits enrollment, and provides referrals to health education and social services. Chronic Disease Compared to L.A. County, SPAs 6, 7, and 8 had higher overall percentages for most chronic conditions in adults. Obesity was at 23.6% for LA County, and averaged 28.5% for the three SPAs. Overweight percentages were at 37.1% for LA County and 40.1% for the SPAs. Diabetes data showed 9.5% for LA County and 11.6% for SPAs 6, 7, and 8. Hypertension was 24.0% and 25.8%, respectively. Two chronic conditions did, however, reflect lower percentages, with LA County at 25.6% and the SPAs at 24.9% for high cholesterol, and LA County at 12.2% and the SPAs averaging 11.1% for depression. In children, obesity percentages were 22.4% in LA County and 25.1% in SPAs 6, 7, and 8. Asthma rates were 9.0% in LA County and averaged 10.3% in the SPAs. SFMC's Vida Sana/Healthy Life Community Wellness program, which addresses heart health, diabetes prevention and management, and obesity awareness, expanded two years ago to include teens and children in its nutrition education and fitness activities. This enhanced scope builds upon a key community asset - a strong family focus within the Latino culture. By including parents and children in the wellness program, family members are able to support one another. This improves the likelihood of their maintaining healthy lifestyle changes. Leading Causes of Death The leading causes of death in SPAs 6 and 7 from 2000 to 2009 were coronary heart disease, stroke, lung cancer/emphysema, and diabetes. In SPA 6, the leading causes of death were coronary heart disease, lung cancer, stroke, and emphysema. OVERALL RESULTS AND PRIORITY NEEDS All data showed that the needs of children and families in the SFMC service area are great, and in fact often greater than most segments of Los Angeles County and the state of California. Priority Needs were identified as follows: o Lack of access to affordable health insurance coverage and health services o High rates of coronary heart disease, stroke, lung cancer/emphysema, diabetes, obesity, hypertension, sexually transmitted diseases, respiratory disease among children, low breastfeeding rates, lack of access to affordable, quality childcare, poor overall health status, and high rate of teen births One of the most prominent health care issues and concerns highlighted in the Needs Assessment are that residents of the SFMC service area continue to face significant barriers in accessing needed health care. SFMC has been designated as a Disproportionate Share Hospital because of the high number of patients who are uninsured and underinsured. It is of note that approximately 76% of SFMC's reimbursements for service are derived from Medi-Cal, Medicare, and LA County. In addition, communities within SFMC's Service Area have been designated as Medically Underserved Areas and Health Profession Shortage Areas by the Federal Government. According to stakeholder and provider focus group participants, among the primary health concerns in the SFMC service area over the last two to three years are diabetes, obesity, high blood pressure, and pulmonary disease. Stakeholder participants felt that African-American and Latino community members continue to be disproportionately affected by these health concerns. Focus group participants believe that chronic conditions are related to a lack of access to affordable, healthy foods and nutrition education, and cultural factors impacting food preferences, meal preparation, and diet. Stakeholder and provider focus group participants noted that the primary barriers to health care access and general healthy living in the SFMC service area are linguistic isolation and illiteracy among immigrant communities; lac"},{"explanation":"SFMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. SFMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SFMC operates one of the busiest Emergency Departments in Southern California treating nearly 75,000 patients last year. In 1996, in response to a dramatic lack of Trauma services in Southeast Los Angeles, SFMC established its Trauma Center. The Level II Trauma Center is designated by the Los Angeles County Emergency Medical Services Agency and cared for 2,322. SFMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. SFMC's board of directors is comprised primarily of members of the Daughters of Charity, a religious order and members from the community which SFMC serves. SFMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SFMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person - body, mind, and spirit."},{"explanation":"The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 160 years ago. As a member of the Daughters of Charity Health System, SFMC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SFMC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community."},{"explanation":"SFMC annually updates its Community Benefit Report and SFMC files a copy of its Community Benefit Report on an annual basis with the State of California."},{"explanation":"Not applicable - St. Francis Medical Center has 1 hospital facility."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":7631890,"reported_domestic_individual_grants":36001,"reported_domestic_org_grants_program_services":7631890,"reported_domestic_individual_grants_program_services":36001,"total_501c3_and_government_organizations":4,"grants":[{"ein":413691852,"irc_section":"501(c)(3)","cash":3050000,"purpose":"General Support","address_line1":"400 Race St","city":"San Jose","state":"CA","zip":"95126","name":"DCHS Medical Foundation","address":"400 Race St, San Jose, CA, 95126"},{"ein":912145484,"irc_section":"501(c)(3)","cash":4496072,"purpose":"General Support","address_line1":"26000 Altamont Rd","city":"Los Altos Hills","state":"CA","zip":"94022","name":"Daughters of Charity Health System","address":"26000 Altamont Rd, Los Altos Hills, CA, 94022"},{"ein":953922511,"irc_section":"501(c)(3)","cash":10000,"purpose":"Fundraising Events","address_line1":"2131 West Third St","city":"Los Angeles","state":"CA","zip":"90057","name":"St Vincent Foundation","address":"2131 West Third St, Los Angeles, CA, 90057"},{"ein":953190773,"irc_section":"501(c)(3)","cash":58994,"purpose":"Fundraising Events","address_line1":"3630 E Imperial Hwy","city":"Lynwood","state":"CA","zip":"90262","name":"St Francis Medical Center of Lynwood Fnd","address":"3630 E Imperial Hwy, Lynwood, CA, 90262"}],"individual_grants":[{"type":"Students of St Francis Career College","recipient_count":26,"cash":36001}],"total_domestic_grants":7667891,"total_domestic_program_services":7667891,"detail_org_grants_total":7615066,"detail_individual_grants_total":36001,"detail_domestic_grants_total":7651067,"supplemental_information":[{"identifier":"GRANTS PAID BY ST. FRANCIS MEDICAL CENTER","form_and_line_reference":"SCHEDULE I, PARTS I & III","explanation":"St. Francis Medical Center is part of a related group of tax exempt organizations, which includes Daughters of Charity Health System, DCHS Medical Foundation, St. Vincent Foundation, and St. Francis Medical Center of Lynwood Foundation. Grants are made to support these related tax exempt organization's exempt purposes. ST. FRANCIS CAREER COLLEGE AT ST. FRANCIS MEDICAL CENTER RECEIVES APPLICaTIONS FOR SCHOLARSHIPS AND IDENTIFIES THE SCHOLARSHIP RECIPIENT. The scholarships are applied directly to the students' tuition account to ensure it is spent on its intended purpose."}],"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"discretionary_spending_account":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Jesse 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The payments are reported as taxable compensation and reported on Form W-2. Compensation Schedule J, Part I, Line 3 The CEO is an employee of Daughters of Charity Health System. DCHs uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, and approval by the board or compensation committee, form 990 of other organizations, and written contracts."},{"identifier":"Severance Arrangements","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years."},{"identifier":"RETIREMENT PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"The following individuals participated in supplemental nonqualified retirement plans that are included in compensation reported on Form 990, Part VII, Section A, Column C: Robert Issai $149,219 Gerald Kozai $52,095"},{"identifier":"Compensation Information","form_and_line_reference":"Schedule J, Part II","explanation":"Other Reportable Compensation in Schedule J, Part II, column B(iii) includes a one-time reporting of compensation related to termination of a non-qualified retirement plan for certain listed individuals. The annual accrual for this amount was reported in prior years as Deferred Compensation in Schedule J, Part II, column D and is being reported on the Form W-2 again as a result of the termination of the plan. The total of the prior year accruals is reported in Schedule J, Part II, column F and should be subtracted from the total compensation reported in Schedule J, Part II, column E to arrive at the true total compensation for the reporting year."}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":true,"third_parties_used":false},"noncash_contributions":{"other_noncash_contributions":[{"description":"Equipment","reported":true,"revenue_reported_on_990":385094,"contribution_count":4,"method_of_determining_revenues":"FMV"}]}},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"transaction_flags":{"dividends_from_related_organization":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":true,"other_transfer_to_other_org":true},"transactions":[{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":2340085,"method_of_amount_determination":"cost","transaction_type":"c","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":734980,"method_of_amount_determination":"cost","transaction_type":"o","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":378012,"method_of_amount_determination":"cost","transaction_type":"q","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":58994,"method_of_amount_determination":"cost","transaction_type":"b","name":"St Francis Medical Center of Lynwood Fnd"}],"supplemental_information":[{"identifier":"Schedule R, Part II","explanation":"The following organizations listed below are related to the filing organization including the organization itself: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Daughters of Charity Health System 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Hotel Dieu, Inc. 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Robert F. Kennedy Medical Center 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2154440 Col (B): Primary Activity - Hospital - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-3745227 Line (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. Kennedy Medical Center St. Francis Medical Center 3630 East Imperial Highway Lynwood, CA 90262 EIN: 91-2154439 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Saint Louise Regional Hospital 9400 No Name Uno Gilroy, CA 95020 EIN: 91-2154437 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Saint Louise Regional Hospital Foundation 9400 No Name Uno Gilroy, CA 95020 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital St. Vincent Medical Center 2131 West 3rd Street Los Angeles, CA 90057 EIN: 91-2154438 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System St. Vincent de Paul Ethics Corporation 3630 East Imperial Hwy Lynwood, Ca 90262 EIN: 95-4426405 Col (B): Primary Activity - Supports DCHS Ministries Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center St. Vincent Dialysis Center 2131 West 3rd Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - St. Vincent Medical Center St. Vincent Foundation 2200 W. Third St, Ste 200 Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center St. Vincent Senior Center Nutrition Program, Inc. 2131 West 3rd Street Los Angeles, CA 90057-1901 EIN: 95-3696693 Col (B): Primary Activity - Nutrition Program Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Seton Medical Center Foundation 1900 Sullivan Avenue Daly City, CA 94015 EIN: 94-2824033 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Seton Medical Center DCHS Medical Foundation 400 Race Street San Jose, CA 95126 EIN: 41-3691852 Col (B): Primary Activity - Medical Foundation Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System"},{"identifier":"Schedule R, Part III","explanation":"O'Connor Health Center 1, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0419045 Col (B): Primary Activity - Development and Rental Col (C): Legal Domicile - CA Col (D): Direct Controlling Entity Name - O'Connor Hospital Col (E): Predominant Income - Investment or other income excluded from tax under section 512, 513, or 514 Col (F): Share of Total Income - $564,699 Col (G): Share of end-of-year assets - $3,627,804 Col (H): Disproportionate Allocations - No Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) - $0 Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - 75% Campbell-Gateway Square, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0313494 Col (B): Primary Activity - Development and Rental Col (C): Legal Domicile - CA Col (D): Direct Controlling Entity Name - O'Connor Hospital Col (E): Predominant Income - Unrelated Business Income Col (F): Share of Total Income - $763,148 Col (G): Share of end-of-year assets - $5,997,347 Col (H): Disproportionate Allocations - No Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) - $0 Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - 65%"},{"identifier":"Schedule R, Part IV","explanation":"Marillac Insurance Company, Ltd. c/o Aon Insurance Managers (Cayman), Ltd. P.O. Box 69, Grand Cayman KY1-1102 EIN: 98-0417930 Col (B): Primary Activity - Insurance Col (C): Legal Domicile - CJ Col (D): Direct Controlling Entity Name - Daughters of Charity Health System Col (E): Type of Entity - C Corporation Col (F): Share of Total Income - $20,335 Col (G): Share of end-of-year assets - $68,201,871 Col (H): Percentage ownership - 100%"}]},"source_xml":"201420929349300532_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"See Attachment 1","primary_activities":"St. Francis Medical Center (\"SFMC\") services the healthcare and social needs of the communities of southeast Los Angeles. It operates a 384-bed acute care hospital, two community-based health clinics, and the largest and busiest private emergency trauma center in Los Angeles County. In addition, SFMC provides comprehensive heart and vascular services, a full array of imaging services, and operates a state-of-the-art neonatal intensive care center, Children's Counseling Center for abused and neglected children, and a broad range of educational and community service programs. Additional information about SFMC's charitable activities can be found on Schedule O.\n\nThe Daughters of Charity Health System (\"DCHS\") is a regional health care system of hospitals and medical centers (\"Local Health Ministries\") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, St. Francis Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. St. Francis Medical Center is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. During fiscal year ended June 30, 2015, St. Francis Medical Center provided total quantifiable community benefits of $229.7 million. After offsetting direct revenue, St. Francis Medical Center provided unsponsored community benefits of $15.7 million, at cost. 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addressed through specific hospital services and community outreach programs developed in direct response to current needs. To target the health need of access to health care and overall health improvement, SFMC has various programs to achieve its various objectives, including: o The Health Benefits Resource Center (\"HBRC\") serves as a full-service, one-stop hub that effectively links individuals and families to health care and social services, as well as health care education and resources to meet essential needs. HBRC provides health benefits enrollment assistance, physician referral, and community education registration. Through the HBRC, SFMC hopes to increase access to health care by linking families to medical coverage offered by government-sponsored programs and/or private agencies; increase access to nutritious food and fight hunger by linking families to the CalFresh Program; provide uninsured/self-pay patients who received medical care at SFMC the opportunity to explore health care options to increase access to the continuum of health care, reduce the financial burden to the patient, and contribute to hospital cost savings and reimbursement; offer information about available programs and/or resources for which families may be eligible; increase awareness and understanding of the Affordable Care Act and its health care options and assist eligible community members to enroll; and refer individuals to the Legal Support Services, which provides legal services at no cost to HBRC clients who need assistance regarding issues which may affect health and wellness. SFMC has set-up various benchmarks and outcome indicators to measure the success of the HBRC. o SFMC's Community Health Clinics (located in Lynwood, Compton, Downey, and Huntington Park) bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics provide general family practice and pediatric health care services. Additionally, the South Los Angeles Access to Care program (within the SFMC Community Health Clinic in Compton) provides bilingual/bi-cultural preventive, primary, acute and chronic comprehensive health care services to adults, infants, and children who reside in specified South Los Angeles communities recognized as having limited access to health care. The South Los Angeles Access to Care program seeks to reduce the number of families who, due to a lack of preventative and primary care, fail to seek medical attention until a condition worsens to the point of requiring costly emergency care at SFMC. Through these Clinics, SFMC hopes to increase the community's access to primary health care services, measuring its success by various benchmarks and outcome indicators outlined in the full implementation strategy. o Welcome Baby is a program, initiated through a grant from First 5 LA, which offers personalized prenatal, post-partum, and hospital visits with a professionally trained Parent Coach, from pregnancy through the baby's first 9 months. The objective of the Welcome Baby program is to improve access to primary health prevention, parent education, and linkage to social services for SFMC's maternity patients. SFMC has set-up various benchmarks and outcome indicators outlined in the full implementation strategy to measure the success of the Welcome Baby Program. o Patient Transportation is provided to individuals without any means of transportation for outpatient care and treatment, which improves health care outcomes by enabling patients who lack the resources for reliable transportation to keep scheduled health screenings, treatment, and court appearances, and after discharge. To target the health needs of high rates of heart disease, stroke, hypertension, diabetes, and obesity, SFMC has various programs established to achieve its various objectives, including: o Healthy Community Initiatives (\"HCI\") brings health screenings, immunizations, and health education directly to area schools, churches, businesses and community organizations via its HCI nurse, educator, staff, and mobile unit. For individuals and families without access to primary care, HCI provides them with important preventive services and health care resources. Through the HCI program, SFMC seeks to: (i) empower residents to lower their behavioral risk factors for certain conditions including heart disease, stroke hypertension, obesity, and diabetes by increasing the number of low income, underserved children, adults and seniors who receive culturally and linguistically appropriate health education, (ii) prevent the spread of communicable disease by increasing immunization rates for low-income, underserved and uninsured children in Southeast Los Angeles, and (iii) promote community health by offering childbirth education, parenting classes, behavioral risk factor educational programs in schools, and a series of wellness classes. Outcomes will be measured by various benchmarks and outcome indicators outlined in the full implementation strategy. o The Vida Sana/Healthy Life Community Wellness Program promotes healthier communities through a six-month, coordinated program that advances heart health, diabetes, and obesity awareness; disease prevention and education; diet and nutrition; stress reduction; and physical fitness activities to establish healthy lifestyle habits. The purpose of Vida Sana is to create a community and family environment that promotes and supports family participants to adopt healthier lifestyles. Through the program, SFMC aims to increase the physical activity of participants, increase consumption of fruits and vegetables, reduce weight or pace of weight gain, and improve behaviors for a healthy lifestyle. Outcomes will be measured by various benchmarks and outcome indicators outlined in the full implementation strategy. o To address the health need of stroke awareness and prevention, SFMC dedicated a comprehensive array of resources, integrated with long-range planning and partnerships, to become an approved STEMI Receiving Center and approved Primary Stroke Center for Los Angeles. As part of the hospital's coordinated effort, the Vida Sana, HCI, and SeniorCircle Wellness programs have integrated specific classes and seminars on Stroke Awareness and Prevention into their ongoing health education series. To address the need of low breastfeeding rates, SFMC continues to implement the Ten Steps of Successful Breastfeeding within its facilities, which aims to increase breastfeeding rates through the education of health care providers, maternity patients, and programs that support exclusive breastfeeding. These Ten Steps include: o Having a written breastfeeding policy that is routinely communicated to all health care staff o Training all health care staff in skills necessary to implement the policy o Informing all pregnant women about the benefits and management of breastfeeding o Helping mothers initiate breastfeeding within one hour of birth o Showing mothers how to breastfeed and how to maintain lactation even if they are separated from their infants. o Giving new born infants no food or drink other than breast milk, unless medically indicated o Practicing \"room in\"-allowing mothers and infants to remain together 24 hours a day o Encouraging breastfeeding on demand o Giving no pacifiers or artificial nipples to breastfeeding infants o Fostering the establishment of breastfeeding support groups and referring mothers to them on discharge from the hospital or clinic To address the poor overall health status of its community, SFMC has outlined various strategies to accomplish its objectives of: (i) improving the health and well-being of seniors through age-specific health education and opportunities to socialize with seniors, (ii) increase education and awareness among the community's youth about choices they can make to help prevent trauma and injury to themselves and others, (iii) to decrease symptoms of emotional and behavioral distress in elementary school-aged children, which is a barrier to learning and to future self-sufficiency, and (iv) provide educational growth and career ladder opportunities for adults who are currently in entry-level health care positions as well as those seeking job re-training due to a loss of employment. To accomplish these objectives, SFMC has outlined various actions/activities it plans to undertake, including: holding bi-monthly senior dinner events; coordinate 6 health and wellness education sessions, including seminars that continue to address Stroke Prevention and Awareness and Heart Disease; provide 2 free senior flu clinics; facilitate coalition building within South Los Angeles that addresses violence and injury prevention"}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":2379218,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":2379218,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":453691852,"irc_section":"501(c)(3)","cash":2274233,"purpose":"General Support","address_line1":"400 Race Street","city":"San Jose","state":"CA","zip":"95126","name":"DCHS Medical Foundation","address":"400 Race Street, San Jose, CA, 95126"},{"ein":203187437,"irc_section":"501(c)(3)","cash":101981,"purpose":"Adult Education / Job Placement Programs","address_line1":"PO Box 2474","city":"Downey","state":"CA","zip":"90242","name":"Southern California Crossroads","address":"PO Box 2474, Downey, CA, 90242"}],"total_domestic_grants":2379218,"total_domestic_program_services":2379218,"detail_org_grants_total":2376214,"detail_domestic_grants_total":2376214,"supplemental_information":[{"form_and_line_reference":"Grants Paid by St. Francis Medical Center","explanation":"Schedule I, Part I, Line 1: St. Francis Medical Center is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support this related tax exempt organization's exempt purpose. A grant (in the form of rental payments made on behalf of the organization) was also awarded to Southern California Crossroads, an unrelated 501(c)(3) organization which serves the community surrounding St. Francis Medical Center. The grant was made to support this tax exempt organization's exempt purpose of assisting under privileged individuals who come from low income families in violence plagued 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The payments are reported as taxable compensation and reported on Form W-2."},{"form_and_line_reference":"Methods Used to Establish Compensation for CEO by a Related Organization","explanation":"Schedule J, Part I, Line 3: The President & CEO is an employee of Daughters of Charity Health System (\"DCHS\"). DCHS uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, approval by the board or compensation committee, Form 990 of other organizations, and written contracts."},{"form_and_line_reference":"Severance Arrangements","explanation":"Schedule J, Part I, Line 4a: Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years."},{"form_and_line_reference":"Nonqualified Retirement Plan","explanation":"Schedule J, Part I, Line 4b: The following individuals participated in supplemental nonqualified retirement plans that are included in compensation reported on Form 990, Part VII, Section A, Column (F) and Schedule J, Part II, Column (c): Robert Issai $104,257 Gerald Kozai $ 52,445 Kurt L. Weinmeister $ 4,724 Laura S. Kato $ 2,054 Mary Lynne Knighten $ 1,067"},{"form_and_line_reference":"Explanation of Other Reportable Compensation","explanation":"Schedule J, Part II Certain individuals listed on Schedule J, Part II received a retention payment during the 2014 calendar year, which is reported as \"Other Reportable Compensation\" on Schedule J, Part II, Column (b)(iii). The payments were made to retain employees whose continuity of employment was essential during the transaction period of solicitation of proposals for the sale of the Daughters of Charity Health System, which includes this filing organization. These payments were approved in advance by the Board of Directors of Daughters of Charity Health System."}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","direct_controlling_business_name_line1":"NA","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"See Part VII","direct_controlling_business_name_line1":"NA","name":"See Part VII"}],"transaction_flags":{"dividends_from_related_organization_indicator":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":6283938,"method_of_amount_determination":"Cost","transaction_type":"c","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":847478,"method_of_amount_determination":"Cost","transaction_type":"o","name":"St Francis Medical Center of Lynwood Fnd"},{"business_name_line1":"St Francis Medical Center of Lynwood Fnd","amount_involved":283612,"method_of_amount_determination":"Cost","transaction_type":"q","name":"St Francis Medical Center of Lynwood Fnd"}],"supplemental_information":[{"form_and_line_reference":"Schedule R, Part II","explanation":"The following organizations listed below are related to the filing organization: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Col (G): Section 512(b)(13) Controlled Entity - No Daughters of Charity Health System 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Hotel Dieu, Inc. 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-475156 Col (B): Primary Activity - Low income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Col (G): Section 512(b)(13) Controlled Entity - No Robert F. 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Inc."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_350":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":9210290,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":63181435,"cost_of_care_reimbursed_by_medicare":117131979,"medicare_surplus_or_shortfall":-53950544,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":9656,"total_community_benefit_expense":11040280,"direct_offsetting_revenue":0,"net_community_benefit_expense":11040280,"total_expense_percentage":0.0255},"unreimbursed_medicaid":{"persons_served":123102,"total_community_benefit_expense":234877527,"direct_offsetting_revenue":162004097,"net_community_benefit_expense":72873430,"total_expense_percentage":0.1685},"unreimbursed_costs":{"persons_served":0,"total_community_benefit_expense":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_financial_assistance":{"persons_served":132758,"total_community_benefit_expense":245917807,"direct_offsetting_revenue":162004097,"net_community_benefit_expense":83913710,"total_expense_percentage":0.194},"community_health_services":{"persons_served":64912,"total_community_benefit_expense":3946288,"direct_offsetting_revenue":3440290,"net_community_benefit_expense":505998,"total_expense_percentage":0.0012},"health_professions_education":{"persons_served":676,"total_community_benefit_expense":190089,"direct_offsetting_revenue":0,"net_community_benefit_expense":190089,"total_expense_percentage":0.0004},"subsidized_health_services":{"persons_served":0,"total_community_benefit_expense":2030418,"direct_offsetting_revenue":0,"net_community_benefit_expense":2030418,"total_expense_percentage":0.0047},"research":{"persons_served":0,"total_community_benefit_expense":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0},"cash_and_inkind_contributions":{"persons_served":2185,"total_community_benefit_expense":1129270,"direct_offsetting_revenue":1875,"net_community_benefit_expense":1127395,"total_expense_percentage":0.0026},"total_other_benefits":{"persons_served":67773,"total_community_benefit_expense":7296065,"direct_offsetting_revenue":3442165,"net_community_benefit_expense":3853900,"total_expense_percentage":0.0089},"total_community_benefits":{"persons_served":200531,"total_community_benefit_expense":253213872,"direct_offsetting_revenue":165446262,"net_community_benefit_expense":87767610,"total_expense_percentage":0.2029}},"community_building":{"other_community_building_activities":{"persons_served":593,"total_community_benefit_expense":209822,"direct_offsetting_revenue":0,"net_community_benefit_expense":209822,"total_expense_percentage":0.0005},"total_community_building_activities":{"persons_served":593,"total_community_benefit_expense":209822,"direct_offsetting_revenue":0,"net_community_benefit_expense":209822,"total_expense_percentage":0.0005}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"St Francis Medical Center","address_line1":"3630 East Imperial Highway","city":"Lynwood","state":"CA","zip":"90262","website":"https://stfrancis.verity.org/","state_license_number":"930000157","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"Trauma Center","name":"St Francis Medical Center","address":"3630 East Imperial Highway, Lynwood, CA, 90262"}],"facility_policies":[{"business_name_line1":"St Francis Medical Center","first_licensed_current_or_prior_year":false,"tax_exempt_current_or_prior_year":false,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":13,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":false,"chna_conducted_with_non_facilities":false,"chna_report_widely_available":true,"report_available_on_own_website":true,"own_website_url":"See Part V, Section C","paper_copy_public_inspection":true,"implementation_strategy_adopted":true,"implementation_strategy_adopted_year":15,"strategy_posted_website":true,"strategy_website_url":"See Part V, Section 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C","fap_available_on_request_no_charge":true,"fap_application_available_on_request_no_charge":true,"fap_summary_available_on_request_no_charge":true,"fap_notice_displayed":true,"fap_notified_all_patients":true,"fap_notified_before_discharge":true,"fap_notified_upon_admission":true,"community_notified_fap":true,"fap_actions_on_nonpayment":true,"permit_report_to_credit_agency":true,"collection_activities":false,"nondiscriminatory_emergency_care_policy":true,"medicare_rates":true,"amounts_generally_billed":false,"gross_charges":false,"documented_eligibility_determination":true,"name":"St Francis Medical Center"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3c:"},{"form_and_line_reference":"Part I, Line 6a:"},{"form_and_line_reference":"Part I, Line 7, column (f):"},{"form_and_line_reference":"Part I, Line 7g:"},{"form_and_line_reference":"Part I, Line 7:"},{"form_and_line_reference":"Part II:"},{"form_and_line_reference":"Part III, Line 2:"},{"form_and_line_reference":"Part III, Line 3:"},{"form_and_line_reference":"Part III, Line 4:"},{"form_and_line_reference":"Part III, Line 8:"},{"form_and_line_reference":"Part III, line 9b:"},{"form_and_line_reference":"Part VI, Question 2:"},{"form_and_line_reference":"Part VI Question 3:"},{"form_and_line_reference":"Part VI Question 4:"},{"form_and_line_reference":"Part VI Question 5:"},{"form_and_line_reference":"Part VI Question 6:"},{"form_and_line_reference":"Part VI Question 7:"},{"form_and_line_reference":"Part V, Section B, Lines 2, 3j, 6a, 6b, 7d, 10a, 13b, 13h, 15e, 16i, 18d,","explanation":"19d, 20e, 21c, 21d, 22d, 23, and 24: N/A"},{"form_and_line_reference":"Part V, Section B, Line 5:","explanation":"See disclosure for Part VI, Question 2: Needs Assessment"},{"form_and_line_reference":"Part V, Section B, Line 7a:","explanation":"St. Francis Medical Centers most recent Community Health Needs Assessment (\"CHNA\") can be accessed on the organization's website at https://stfrancis.verity.org/about-us/community-benefit/"},{"form_and_line_reference":"Part V, Section B, Line 10a:","explanation":"St. Francis Medical Centers most recently adopted implementation strategy is posted on its website via the organizations Community Benefit Plan for the fiscal year-ending June 30, 2017, which can be found at: http://stfrancis.verity.org/about-us/community-benefit/"},{"form_and_line_reference":"Part V, Section B, Line 11:","explanation":"SFMCs Community Benefit Plan targets the following priority health needs: 1. Health Care Access 2. Coronary Heart Disease 3. Stroke 4. Hypertension 5. Diabetes 6. Low Breastfeeding Rates 7. Poor Overall Health Status These issues are addressed through specific hospital services and community outreach programs developed in direct response to current needs. To target the health need of access to health care and overall health improvement, SFMC has various programs to achieve its identified objectives, including: 1. The Health Benefits Resource Center (HBRC) serves as a full-service, one-stop hub that effectively links individuals and families to health care and social services, as well as health care education and resources to meet essential needs. HBRC provides health benefits enrollment assistance, physician referral, and community education registration. Through the HBRC, SFMC hopes to increase access to health care by linking families to medical coverage offered by government-sponsored programs and/or private agencies; increase access to nutritious food and fight hunger by linking families to the CalFresh Program; provide uninsured/self-pay patients who received medical care at SFMC the opportunity to explore health care options to increase access to the continuum of health care, reduce the financial burden to the patient, and contribute to hospital cost savings and reimbursement; offer information about available programs and/or resources for which families may be eligible; increase awareness and understanding of the Affordable Care Act and its health care options and assist eligible community members to enroll; and refer individuals to the Legal Support Services, which provides legal services at no cost to HBRC clients who need assistance regarding issues which may affect health and wellness. SFMC has set-up various benchmarks and outcome indicators to measure the success of the HBRC. 2. SFMCs Community Health Clinics (located in Lynwood, Compton, Downey, and Huntington Park) bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics provide general family practice and pediatric health care services. Additionally, the South Los Angeles Access to Care program (within the SFMC Community Health Clinic in Compton) provides bilingual/bi-cultural preventive, primary, acute and chronic comprehensive health care services to adults, infants, and children who reside in specified South Los Angeles communities recognized as having limited access to health care. The South Los Angeles Access to Care program seeks to reduce the number of families who, due to a lack of preventative and primary care, fail to seek medical attention until a condition worsens to the point of requiring costly emergency care at SFMC. Through these Clinics, SFMC hopes to increase the communitys access to primary health care services, measuring its success by various benchmarks and outcome indicators outlined in the full implementation strategy. (Note: The South Los Angeles Access to Care program concluded with the expiration of the grant funding period in June 2015. Also, due to financial challenges, plans to transition the clinics to the health systems Medical Foundation did not materialize. As a result, clinic operations were consolidated, and the Compton and Huntington Park clinics were closed in June and October 2015, respectively. In February 2016, management and operations of the Lynwood and Downey clinics were assumed by the St. Francis Multi-Specialty Group, which could provide the necessary organizational structure to ensure continued access to community-based care at these locations. Patients are provided with the same level of care and access to the hospitals services as before). 3. Welcome Baby is a program, initiated through a grant from First 5 LA, which offers personalized prenatal, post-partum, and hospital visits with a professionally trained Parent Coach, from pregnancy through the babys first 9 months. The objective of the Welcome Baby program is to improve access to primary health prevention, parent education, and linkage to social services for SFMCs maternity patients. SFMC has set-up various benchmarks and outcome indicators outlined in the full implementation strategy to measure the success of the Welcome Baby Program. 4. Patient Transportation is provided to individuals without any means of transportation for outpatient care and treatment, which improves health care outcomes by enabling patients who lack the resources for reliable transportation to keep scheduled health screenings, treatment, and court appearances, and after discharge. To target the health needs of high rates of heart disease, stroke, hypertension, diabetes, and obesity, SFMC has various programs established to achieve its identified objectives, including: 1. Healthy Community Initiatives (HCI) brings health screenings, immunizations, and health education directly to area schools, churches, businesses and community organizations via its HCI nurse, educator, staff, and mobile unit. For individuals and families without access to primary care, HCI provides them with important preventive services and health care resources. Through the HCI program, SFMC seeks to (i) empower residents to lower their behavioral risk factors for certain conditions including heart disease, stroke hypertension, obesity, and diabetes by increasing the number of low income, underserved children, adults and seniors who receive culturally and linguistically appropriate health education, (ii) prevent the spread of communicable disease by increasing immunization rates for low-income, underserved and uninsured children in Southeast Los Angeles, and (iii) promote community health by offering childbirth education, parenting classes, behavioral risk factor educational programs in schools, and a series of wellness classes. Outcomes will be measured by various benchmarks and outcome indicators outlined in the full implementation strategy. 2. The Vida Sana/Healthy Life Community Wellness Program promotes healthier communities through a six-month, coordinated program that advances heart health, diabetes, and obesity awareness; disease prevention and education; diet and nutrition; stress reduction; and physical fitness activities to establish healthy lifestyle habits. The purpose of Vida Sana is to create a community and family environment that promotes and supports family participants to adopt healthier lifestyles. Through the program, SFMC aims to increase the physical activity of participants, increase consumption of fruits and vegetables, reduce weight or pace of weight gain, and improve behaviors for a healthy lifestyle. Outcomes will be measured by various benchmarks and outcome indicators outlined in the full implementation strategy. 3. To address the health need of stroke awareness and prevention, SFMC dedicated a comprehensive array of resources, integrated with long-range planning and partnerships, to become an approved STEMI Receiving Center and approved Primary Stroke Center for Los Angeles. As part of the hospitals coordinated effort, the Vida Sana, HCI, and SeniorCircle Wellness programs have integrated specific classes and seminars on Stroke Awareness and Prevention into their ongoing health education series. To address the need of low breastfeeding rates, SFMC continues to implement the Ten Steps of Successful Breastfeeding within its facilities, which aims to increase breastfeeding rates through the education of health care providers, maternity patients, and programs that support exclusive breastfeeding. These Ten Steps include: 1. Having a written breastfeeding policy that is routinely communicated to all health care staff 2. Training all health care staff in skills necessary to implement the policy 3. Informing all pregnant women about the benefits and management of breastfeeding 4. Helping mothers initiate breastfeeding within one hour of birth 5. Showing mothers how to breastfeed and how to maintain lactation even if they are separated from their infants. 6. Giving new born infants no food or drink other than breast milk, unless medically indicated 7. Practicing \"room-in\"-allowing mothers and infants to remain together 24 hours a day 8. Encouraging breastfeeding on demand 9. Giving no pacifiers or artificial nipples to breastfeeding infants 10. Fostering the establishment of breastfeeding support groups and referring mothers to them on discharge from the hospital or clinic To address the poor overall health status of its community, SFMC has outlined various strategies to accomplish its objectives of (i) improving the health and well-being of seniors through age-specific health education and opportunities to socialize with seniors, (ii) increase education and awareness among the communitys youth about choices they can make to help prevent trauma and injury to themselves and others, (iii) to decrease sympt"},{"form_and_line_reference":"Part V, Section B, Lines 16a, 16b, and 16c:","explanation":"The organizations FAP, FAP application form, and the plain language summary of the FAP can be found on the organizations website at https://stfrancis.verity.org/patients-and-visitors/financial-assistance-2/ . These documents were not on the website at the start of the June 30, 2017 tax year (the tax year starting in 2016, when the IRC Section 501r regulations came into effect), but has since been corrected at the time of the filing of this return."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":2472080,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":2472080,"total_501c3_and_government_organizations":1,"grants":[{"ein":453691852,"irc_section":"501(c)(3)","cash":2472080,"purpose":"General Support","address_line1":"400 Race Street","city":"San Jose","state":"CA","zip":"95126","name":"Verity Medical Foundation","address":"400 Race Street, San Jose, CA, 95126"}],"total_domestic_grants":2472080,"total_domestic_program_services":2472080,"detail_org_grants_total":2472080,"detail_domestic_grants_total":2472080,"supplemental_information":[{"form_and_line_reference":"Schedule I, Part I, Line 2:","explanation":"St. Francis Medical Center is a part of a group of related tax-exempt organizations, which includes Verity Medical Foundation. During the June 30, 2016 fiscal year, St. Francis Medical Center made equity transfers to Verity Medical Foundation, whose sole corporate member is also Verity Health System of California, Inc. Proper use of transferred amounts is monitored through common control throughout the health system."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"St. Francis Medical Center is a part of a group of related tax-exempt organizations, which includes Verity Medical Foundation. During the June 30, 2016 fiscal year, St. Francis Medical Center made equity transfers to Verity Medical Foundation, whose sole corporate member is also Verity Health System of California, Inc. Proper use of transferred amounts is monitored through common control throughout the health system.","form_and_line_reference":"Schedule I, Part I, Line 2:"}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"discretionary_spending_account":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Robert Issai","title":"Board Member through Dec. 2015","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":1123278,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":233622,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":48949,"other_compensation_filing_org":0,"other_compensation_related_orgs":2709323,"total_compensation_filing_org":0,"total_compensation_related_orgs":4115172,"name":"Robert Issai"},{"person_name":"Gerald Kozai","title":"President & CEO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":595180,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":111112,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":52858,"other_compensation_filing_org":0,"other_compensation_related_orgs":395266,"total_compensation_filing_org":0,"total_compensation_related_orgs":1154416,"name":"Gerald Kozai"},{"person_name":"Nancy Wilson","title":"Interim 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Services","base_compensation_filing_org":166679,"bonus_filing_org":24499,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11763,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":11736,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":51112,"other_compensation_related_orgs":0,"total_compensation_filing_org":265789,"total_compensation_related_orgs":0,"name":"Mary Lynne Knighten"},{"person_name":"Linda Camino","title":"Registered Nurse 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III","base_compensation_filing_org":223090,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":19520,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":242610,"total_compensation_related_orgs":0,"name":"Uchenna Enewally"},{"person_name":"Mary Eileen Drees","title":"VP Dev. & CEO SFF","base_compensation_filing_org":171546,"bonus_filing_org":20072,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":10956,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17705,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":31147,"other_compensation_related_orgs":0,"total_compensation_filing_org":251426,"total_compensation_related_orgs":0,"name":"Mary Eileen Drees"},{"person_name":"Judith Binderman","title":"VP Chief Medical Info 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II","base_compensation_filing_org":186300,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":22540,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10618,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":33060,"other_compensation_related_orgs":0,"total_compensation_filing_org":252518,"total_compensation_related_orgs":0,"name":"Grace Belinda Casupang"}],"supplemental_information":[{"form_and_line_reference":"Discretionary Spending Account","explanation":"Schedule J, Part I, Line 1: Mary Eileen Drees received a discretionary spending account in the form of an auto allowance (as there was no accountable plan or substantiation of expenses). The amount is reported as taxable compensation on Form 990, Part VII, Section A, Column (D) and Schedule J, Part II, Column (b)(iii)."},{"form_and_line_reference":"Methods Used to Establish Compensation for CEO by a Related Organization","explanation":"Schedule J, Part I, Line 3: The President & CEO is an employee of Verity Health System of California, Inc. (\"VHS\"). VHS uses the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, approval by the board or compensation committee, Form 990 of other organizations, and written contracts."},{"form_and_line_reference":"Severance Payments","explanation":"Schedule J, Part I, Line 4a: The following individual received a severance payment from a related organization during the 2015 calendar year, which is reported as taxable compensation on Form 990, Part VII, Section A, Column (E) and Schedule J, Part II, Column (b)(iii): Robert Issai $1,893,008 Additionally, some of the individuals listed on Schedule J, Part II have a severance provision as a part of their employment arrangement. The severance provision ranges from 6 months to 2 years, dependent on the job title, length of service, and reason for termination."},{"form_and_line_reference":"Nonqualified Retirement Plan","explanation":"Schedule J, Part I, Line 4b: The following individuals participated in a supplemental nonqualified retirement plan provided by a related organization, which is included in compensation reported on Form 990, Part VII, Section A, Column (F) and Schedule J, Part II, Column (c): Robert Issai $58,059 Gerald Kozai $32,649"},{"form_and_line_reference":"Explanation of Other Reportable Compensation","explanation":"Schedule J, Part II, Column (b)(iii): Two individuals listed on Schedule J, Part II received a one-time payout of a 401(a)(17) plan; the taxable amount of that payout is reflected as other reportable compensation on Schedule J, Part II, Column (b)(iii)."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":770482943,"business_name_line1":"Daughters of Charity Ministry Svcs 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2016","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":88000,"reportable_comp_from_related_orgs":0,"other_compensation":0,"officer":true,"name":"Anil Jain"},{"person_name":"Robert Merritt","title":"VP-AMBULATORY & SPECIALTY SVCS","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":199381,"reportable_comp_from_related_orgs":0,"other_compensation":6886,"key_employee":true,"name":"Robert Merritt"},{"person_name":"Linda Camino","title":"RN Spec. II","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":251661,"reportable_comp_from_related_orgs":0,"other_compensation":25254,"highest_compensated_employee":true,"name":"Linda Camino"},{"person_name":"Uchenna Enewally","title":"Registered Nurse","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":244093,"reportable_comp_from_related_orgs":0,"other_compensation":7323,"highest_compensated_employee":true,"name":"Uchenna Enewally"},{"person_name":"Susan Gabayeron","title":"RN Day Shift Supervisor","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":257613,"reportable_comp_from_related_orgs":0,"other_compensation":7800,"highest_compensated_employee":true,"name":"Susan Gabayeron"},{"person_name":"Adam Garcia","title":"Tech, Cath Lab CVRT II","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":237811,"reportable_comp_from_related_orgs":0,"other_compensation":37634,"highest_compensated_employee":true,"name":"Adam Garcia"},{"person_name":"Gerado Mercado","title":"Registered Nurse II","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":237127,"reportable_comp_from_related_orgs":0,"other_compensation":19107,"highest_compensated_employee":true,"name":"Gerado Mercado"}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":1819699,"book_value":1819699},"buildings":{"other_cost_or_other_basis":172714109,"book_value":61447260,"depreciation":111266849},"equipment":{"other_cost_or_other_basis":141534159,"book_value":29432402,"depreciation":112101757},"other_land_buildings":{"other_cost_or_other_basis":7037631,"book_value":2273341,"depreciation":4764290},"total_book_value":94972702},"other_assets":{"assets":[{"description":"DUE FROM RELATED ORGANIZATIONS","book_value":316474161}],"total_book_value":316474161},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"PENSION OBLIGATION","amount":103787000},{"description":"DUE TO RELATED ORGANIZATIONS","amount":73298735},{"description":"ASSET RETIREMENT OBLIGATION","amount":183431}],"total_liability":177269166,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"SCHEDULE D, PART X, LINE 2:","explanation":"Verity Health System of California, Inc. and its affiliated not-for-profit entities have received favorable determination letters from the Internal Revenue Service, stating that they are exempt from federal income tax under the provisions of Section 501(a) of the Internal Revenue Code of 1986 (IRC) as organizations described in Sections 501(c)(3), except from income taxes pertaining to unrelated business income. Verity Heath System of California, Inc. has for-profit partnerships and LLC entities. Income taxes by either the for-profit or not-for-profit entities are immaterial to the consolidated financial statements. Uncertain tax positions are recorded if the positions are more likely than not to be sustained on the basis of the technical merits of the positions. For the year-ended June 30, 2017, there are no material uncertain positions under Fin 48 (ASC 740) disclosed in the footnotes to the consolidated financial statements of Verity Health System of California, Inc."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_350":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":12742494,"bad_debt_expense_attributable_to_financial_assistance":5096998,"reimbursed_by_medicare":106618590,"cost_of_care_reimbursed_by_medicare":125694200,"medicare_surplus_or_shortfall":-19075610,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":5880,"total_community_benefit_expense":7598575,"net_community_benefit_expense":7598575,"total_expense_percentage":0.017},"unreimbursed_medicaid":{"persons_served":128843,"total_community_benefit_expense":242034747,"direct_offsetting_revenue":242034747},"total_financial_assistance":{"persons_served":134723,"total_community_benefit_expense":249633322,"direct_offsetting_revenue":242034747,"net_community_benefit_expense":7598575,"total_expense_percentage":0.017},"community_health_services":{"persons_served":45782,"total_community_benefit_expense":3022560,"direct_offsetting_revenue":2559304,"net_community_benefit_expense":463256,"total_expense_percentage":0.001},"health_professions_education":{"persons_served":4419,"total_community_benefit_expense":678977,"net_community_benefit_expense":678977,"total_expense_percentage":0.0015},"subsidized_health_services":{"total_community_benefit_expense":1936123,"net_community_benefit_expense":1936123,"total_expense_percentage":0.0043},"cash_and_inkind_contributions":{"persons_served":880,"total_community_benefit_expense":1651585,"net_community_benefit_expense":1651585,"total_expense_percentage":0.0037},"total_other_benefits":{"persons_served":51081,"total_community_benefit_expense":7289245,"direct_offsetting_revenue":2559304,"net_community_benefit_expense":4729941,"total_expense_percentage":0.0105},"total_community_benefits":{"persons_served":185804,"total_community_benefit_expense":256922567,"direct_offsetting_revenue":244594051,"net_community_benefit_expense":12328516,"total_expense_percentage":0.0275}},"community_building":{"other_community_building_activities":{"persons_served":781,"total_community_benefit_expense":186939,"direct_offsetting_revenue":18022,"net_community_benefit_expense":168917,"total_expense_percentage":0.0004},"total_community_building_activities":{"persons_served":781,"total_community_benefit_expense":186939,"direct_offsetting_revenue":18022,"net_community_benefit_expense":168917,"total_expense_percentage":0.0004}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"St Francis Medical Center","address_line1":"3630 East Imperial Highway","city":"Lynwood","state":"CA","zip":"90262","website":"https://stfrancis.verity.org/","state_license_number":"930000157","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"Trauma Center","name":"St Francis Medical Center","address":"3630 East Imperial Highway, Lynwood, CA, 90262"}],"facility_policies":[{"business_name_line1":"St Francis Medical Center","first_licensed_current_or_prior_year":false,"tax_exempt_current_or_prior_year":false,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":16,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":false,"chna_conducted_with_non_facilities":false,"chna_report_widely_available":true,"report_available_on_own_website":true,"own_website_url":"see part v, section c","paper_copy_public_inspection":true,"implementation_strategy_adopted":false,"strategy_website_url":"see part v, section c","organization_incurred_excise_tax":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":350.0,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"underinsurance_status_criteria":true,"residency_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"described_information":true,"described_supporting_documentation":true,"provided_hospital_contact":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_website_url":"See Part V, Section C","fap_application_available_on_website":true,"fap_application_available_on_website_url":"See Part V, Section C","fap_summary_on_website":true,"fap_summary_on_website_url":"See Part V, Section C","fap_available_on_request_no_charge":true,"fap_application_available_on_request_no_charge":true,"fap_summary_available_on_request_no_charge":true,"notified_fap_copy_bill_display":true,"community_notified_fap":true,"fap_translated":true,"fap_actions_on_nonpayment":true,"permit_report_to_credit_agency":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"made_presumptive_eligibility_determination":true,"nondiscriminatory_emergency_care_policy":true,"lookback_medicare_private":true,"prospective_medicare_medicaid":true,"amounts_generally_billed":false,"gross_charges":false,"name":"St Francis Medical Center"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 6A: Annual community benefit report","explanation":"ST. FRANCIS MEDICAL CENTER (SFMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. IT IS DEVELOPED IN CONJUNCTION WITH SFMCS STRATEGIC PLANNING PROCESS THAT IS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT, ORGANIZATIONAL CAPACITY, AND RESOURCE ALLOCATION. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES ARE PROVIDED BY MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS. QUARTERLY REPORTS ARE PRESENTED TO THE SFMC BOARD OF DIRECTORS AND VERITY HEALTH SYSTEM (VHS) CORPORATE OFFICES. AN ANNUAL UPDATE IS PREPARED AND PRESENTED TO THE SFMC BOARD OF DIRECTORS FOR APPROVAL. THE ANNUAL UPDATE IS MADE AVAILABLE TO MEDICAL CENTER LEADERSHIP, KEY STAKEHOLDERS, VHS, AND THE COMMUNITY. THE ANNUAL UPDATE IS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697. SFMCS COMMUNITY BENEFIT REPORT IS DEVELOPED USING RESULTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA AND INPUT PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS, AND DIRECTION FROM SFMCS MANAGEMENT COUNCIL. ST. FRANCIS MEDICAL CENTERS BOARD OF DIRECTORS REVIEWS AND GIVES FINAL APPROVAL OF SFMC'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF SFMCS CURRENT COMMUNITY HEALTH INITIATIVES PROVIDE VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS."},{"form_and_line_reference":"PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE","explanation":"FORM 990, PART IX, LINE 25, COLUMN A FOR SFMC REFLECTS A BAD DEBT EXPENSE OF $12,741,494 WHICH IS NOT INCLUDED IN THE LINE 7 CALCULATION."},{"form_and_line_reference":"PART I, LINE 7G: SUBSIDIZED SERVICES","explanation":"ST. FRANCIS MEDICAL CENTERS SUBSIDIZED SERVICES INCLUDE ITS COMMUNITY CLINICS IN LYNWOOD, COMPTON, DOWNEY, AND HUNTINGTON PARK. THE MISSION OF THESE CLINICS IS TO BRING PRIMARY HEALTH CARE SERVICES TO CHILDREN AND FAMILIES WHO HAVE LIMITED ACCESS TO ITS MAIN CAMPUS AND ESSENTIAL HEALTH CARE SERVICES. SFMCS COMMUNITY CLINICS PROVIDE GENERAL MEDICINE, OBSTETRICS AND PEDIATRIC HEALTH CARE SERVICES TO CHILDREN AND FAMILIES IN ITS SERVICE AREA. THEY ALSO OFFER CHILD HEALTH DISABILITY PROGRAM (CHDP) EXAMINATIONS AND IMMUNIZATIONS (I.E., TB, HEPATITIS B, POLIO, DIPHTHERIA, AND HEPATITIS) FOR NEWBORNS AND CHILDREN UP TO 18 YEARS OLD. IN ADDITION, THE COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP) IS OFFERED TO PREGNANT WOMEN. THIS PROGRAM ASSESSES A MOTHERS FINANCIAL, MEDICAL AND PSYCHOSOCIAL NEEDS; PROVIDES COMPREHENSIVE EDUCATION; AND MAKES REFERRALS TO SOCIAL SERVICES, COUNSELORS, AND NUTRITIONISTS, AS WELL AS TO MEDICAL AND MENTAL HEALTH PROFESSIONALS TO ENSURE A HEALTHY START FOR MOM AND BABY. DUE TO ONGOING FINANCIAL CHALLENGES, CLINIC OPERATIONS WERE PHASED DOWN IN FISCAL YEAR 2017. AS DESCRIBED IN PART V, SECTION B, LINE 11, THE COMPTON AND HUNTINGTON PARK CLINICS WERE CLOSED IN JUNE AND OCTOBER 2015, RESPECTIVELY. IN FEBRUARY 2016, MANAGEMENT AND OPERATIONS OF THE LYNWOOD AND DOWNEY CLINICS WERE ASSUMED BY THE ST. FRANCIS MULTI-SPECIALTY GROUP, WHICH COULD PROVIDE THE NECESSARY ORGANIZATIONAL STRUCTURE TO ENSURE CONTINUED ACCESS TO COMMUNITY-BASED CARE AT THESE LOCATIONS. As a result of the transition, the clinics had a decrease in patient visits, totaling 6,443 in FY 2017."},{"form_and_line_reference":"PART I, LINE 7: COSTING METHODOLOGY","explanation":"SFMC UTILIZES A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE ORGANIZATIONS RELATIONSHIP OF COSTS TO CHARGES."},{"form_and_line_reference":"PART II:","explanation":"SEE PART VI, QUESTION 5"},{"form_and_line_reference":"PART III, LINE 2: Bad Debt Expense","explanation":"BAD DEBT EXPENSE IS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERS BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA."},{"form_and_line_reference":"PART III, LINE 4: BAD DEBT EXPENSE","explanation":"SFMC IS INCLUDED IN THE Verity Health System of California, Inc. (VHS) CONSOLIDATED AUDITED FINANCIAL STATEMENTS. Health care services are provided free of charge or at a significant discount based on a sliding scale to individuals who meet certain financial criteria. VHS makes an effort to determine if a patient qualifies for charity care upon admission. If a patient is determined to qualify for charity care, services are rendered to the patient free of cost. The costs of providing these services are included in unsponsored community benefit expense and included as a deduction to net patient service revenue in the consolidated statement of operations. VHS estimates the cost of charity care by calculating a ratio of cost to usual and customary charges and applying that ratio to the usual and customary uncompensated charges associated with providing care to patients that qualify for charity care. The amount of charity care at cost was $10,444 and $13,981 for the years ended June 30, 2017 and 2016, respectively. After satisfaction of amounts due from insurance and the application of financial discounts to patients balances, and after exhausting all reasonable efforts to collect from the patients, a significant portion of VHSs uninsured and self-pay patient accounts are referred to third-party agencies based on VHSs established guidelines for further collection activities. As a result, VHS records a significant provision for doubtful accounts related to these uninsured patients in the period the services are rendered based on historical collection experience. As part of VHSs mission to serve the community, VHS provides care to patients even though they may lack adequate insurance or may participate in programs that do not pay full charges. Reserves for charity care and uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheets. uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheets."},{"form_and_line_reference":"PART III, LINE 8: MEDICARE","explanation":"AS A NOT-FOR-PROFIT HOSPITAL IT IS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. SFMC ACCEPTS MEDICARE WHICH RESULTS IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. SFMC UTILIZES A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE ORGANIZATIONS RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 SHOULD BE REFLECTED AS A COMMUNITY BENEFIT."},{"form_and_line_reference":"PART III, LINE 9B: COLLECTION POLICY","explanation":"SFMC FOLLOWS THE COLLECTION PRACTICES AS OUTLINED IN VHS CHARITY CARE AND FINANCIAL DISCOUNT AND FINANCIAL ASSISTANCE OPERATING POLICIES. FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FINANCIAL DISCOUNT, SFMC PROVIDES THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATES THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDES INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. SFMC DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES. SFMC DOES NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. SFMC DOES NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT AGENCY OR COMMENCE CIVIL ACTION FOR NONPAYMENT OF A PATIENT DEBT PRIOR TO 150 DAYS AFTER THE INITIAL BILLING OF THE PATIENT. SFMC DOES NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. SFMC EXPECTS ITS EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM SFMC. SFMC EXPECTS ITS EXTERNAL COLLECTION AGENCIES TO FOLLOW FAIR DEBT AND COLLECTION PRACTICES, ASSEMBLY BILL AB774 AND ACT IN A MANNER THAT TREATS INDIVIDUALS WITH DIGNITY, RESPECT AND COMPASSION. IN ADDITION, FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE, SFMC DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED, UNINSURED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES OR ASSETS. SFMC DOES NOT ASSIGN ELIGIBLE PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. SFMC DOES NOT USE LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS."},{"form_and_line_reference":"PART VI, QUESTION 2: Needs Assessment","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN SFMCS SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2016 (TAX YEAR 2015). IT IS AN INTEGRAL PART OF THE MEDICAL CENTERS STRATEGIC PLANNING PROCESS, WHICH IS MANAGED BY THE MEDICAL CENTER'S MANAGEMENT COUNCIL. THE RESULTS OF THE NEEDS ASSESSMENT ARE INTEGRATED INTO THE MEDICAL CENTER'S LONG-RANGE PLANNING ACTIVITY, AS WELL AS PROGRAM SPECIFIC PLANNING. DURING THE ANNUAL UPDATE OF THE MEDICAL CENTERS STRATEGIC PLAN, DATA DERIVED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT IS INTEGRATED WITH THE EXTERNAL ENVIRONMENT ANALYSIS AND THE ORGANIZATIONAL ANALYSIS. METHODOLOGY: TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE COMMUNITY HEALTH NEEDS ASSESSMENT USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH AND SOCIAL CHARACTERISTICS OF THE COMMUNITY SERVED BY SFMC. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: KEY INDICATORS OF HEALTH REPORTS FROM 2002/2003, 2007, 2009, 2013, and 2016, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH ASSESSMENT AND EPIDEMIOLOGY, CALIFORNIA HEALTH INTERVIEW SURVEY FROM 2003, 2005, 2007, AND 2009, THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY 2010, PUBLIC USE MICRODATA SAMPLE, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, AND FOCUS GROUPS WITH SFMC STAKEHOLDERS, SERVICE PROVIDERS, AND BENEFICIARIES. FOR THE PURPOSES OF THE FISCAL YEAR 2016 REPORT, THE SFMC SERVICE AREA CORRESPONDS TO SERVICE PROVIDER AREAS (SPAS) 6, 7, AND 8. FOCUS GROUPS: FOCUS GROUPS WERE CONDUCTED TO COLLECT QUALITATIVE INFORMATION ON HEALTH CARE ISSUES THAT COULD ELABORATE AND ENHANCE INFORMATION GLEANED FROM SECONDARY DATA SOURCES. FOUR FOCUS GROUPS WERE CONDUCTED WITH KEY STAKEHOLDERS IN THE SFMC SERVICE AREA. Focus groups and interviews occurred in August 2016. PARTICIPANTS WERE IDENTIFIED AND RECRUITED BY SFMC STAFF. THE GROUPS WERE MIXED BY AGE, RACE/ETHNICITY AND GENDER. SIXTY-SEVEN INDIVIDUALS PARTICIPATED IN SEPARATE FOCUS GROUPS, INCLUDING: 1) BENEFICIARIES INDIVIDUALS OR FAMILY MEMBERS OF INDIVIDUALS WHO RECEIVED CARE OR SERVICES FROM SFMC. SEPARATE GROUPS WERE CONDUCTED FOR ENGLISH-SPEAKING (N=7) AND SPANISH-SPEAKING BENEFICIARIES (N=30), WITH A MODERATOR FLUENT IN SPANISH CONDUCTING THE LATTER 2) PROVIDERS PHYSICIANS, NURSES, TECHNICIANS AND SUPPORT PERSONNEL WHO PROVIDE HEALTH CARE AND SOCIAL SERVICES TO THE COMMUNITY ON A DAILY BASIS AT SFMC AND IN THE COMMUNITY (N=18) 3) STAKEHOLDERS ST. FRANCIS MEDICAL CENTER BOARD MEMBERS, REPRESENTATIVES FROM LOCAL ELECTED OFFICIALS OFFICES AN D LOCAL CHAMBERS OF COMMERCE, AND COMMUNITY, EDUCATION, AND HEALTH CARE LEADERS (N=12) THE FOCUS GROUP DISCUSSIONS WITH THESE PARTICIPANTS ASSESSED: - THE MOST IMPORTANT CURRENT HEALTH CARE AND SOCIAL CONCERNS IN THE COMMUNITY THAT SFMC SERVES - COMMUNITY ASSETS INCLUDING HEALTH CARE SERVICES AVAILABLE IN THE COMMUNITY AND SERVICES THAT SUPPORT HEALTH AND WELLNESS - PERSONAL EXPERIENCES WITH SFMC SERVICES AND PERCEPTIONS OF SERVICE QUALITY - BARRIERS TO ACCESSING HEALTH CARE AND SFMC SERVICES, AND WAYS TO IMPROVE ACCESS THE RESULTS FROM THE FOCUS GROUPS ARE A RICH SOURCE OF PERCEPTIONS AND IMPRESSIONS OF SFMC, ITS PROGRAMS AND SERVICES, AND KNOWLEDGE OF THE SURROUNDING COMMUNITY. THIS DATA WAS USED TO SUPPORT SECONDARY DATA AND IDENTIFY UNIQUE ASPECTS OF THE SFMC COMMUNITY RELATED TO HEALTH AND WELL-BEING. OVERALL RESULTS AND PRIORITY NEEDS: ALL DATA SHOWED THAT THE NEEDS OF CHILDREN AND FAMILIES IN THE SFMC SERVICE AREA ARE GREAT, AND IN FACT OFTEN GREATER THAN MOST SEGMENTS OF LOS ANGELES COUNTY AND THE STATE OF CALIFORNIA. PRIORITY NEEDS WERE IDENTIFIED AS FOLLOWS: - LACK OF ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGE AND HEALTH SERVICES - HIGH RATES OF CORONARY HEART DISEASE, STROKE, LUNG CANCER/EMPHYSEMA, DIABETES, OBESITY, HYPERTENSION, SEXUALLY TRANSMITTED DISEASES, RESPIRATORY DISEASE AMONG CHILDREN, LOW BREASTFEEDING RATES, LACK OF ACCESS TO AFFORDABLE, QUALITY CHILDCARE, POOR OVERALL HEALTH STATUS, AND HIGH RATE OF TEEN BIRTHS ONE OF THE MOST PROMINENT HEALTH CARE ISSUES AND CONCERNS HIGHLIGHTED IN THE NEEDS ASSESSMENT ARE THAT RESIDENTS OF THE SFMC SERVICE AREA CONTINUE TO FACE SIGNIFICANT BARRIERS IN ACCESSING NEEDED HEALTH CARE. SFMC HAS BEEN DESIGNATED AS A DISPROPORTIONATE SHARE HOSPITAL BECAUSE OF THE HIGH NUMBER OF PATIENTS WHO ARE UNINSURED AND UNDERINSURED. IT IS OF NOTE THAT APPROXIMATELY 75% OF SFMCS REIMBURSEMENTS FOR SERVICE ARE DERIVED FROM MEDI-CAL, MEDICARE, AND LA COUNTY. IN ADDITION, COMMUNITIES WITHIN SFMCS SERVICE AREA HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSION SHORTAGE AREAS BY THE FEDERAL GOVERNMENT. ACCORDING TO STAKEHOLDER AND PROVIDER FOCUS GROUP PARTICIPANTS, AMONG THE PRIMARY HEALTH CONCERNS IN THE SFMC SERVICE AREA OVER THE LAST TWO TO THREE YEARS ARE DIABETES, OBESITY, HIGH BLOOD PRESSURE, AND PULMONARY DISEASE. STAKEHOLDER PARTICIPANTS FELT THAT AFRICAN-AMERICAN AND LATINO COMMUNITY MEMBERS CONTINUE TO BE DISPROPORTIONATELY AFFECTED BY THESE HEALTH CONCERNS. FOCUS GROUP PARTICIPANTS BELIEVE THAT CHRONIC CONDITIONS ARE RELATED TO A LACK OF ACCESS TO AFFORDABLE, HEALTHY FOODS AND NUTRITION EDUCATION, AND CULTURAL FACTORS IMPACTING FOOD PREFERENCES, MEAL PREPARATION, AND DIET. STAKEHOLDER AND PROVIDER FOCUS GROUP PARTICIPANTS NOTED THAT THE PRIMARY BARRIERS TO HEALTH CARE ACCESS AND GENERAL HEALTHY LIVING IN THE SFMC SERVICE AREA ARE LINGUISTIC ISOLATION AND ILLITERACY AMONG IMMIGRANT COMMUNITIES; LACK OF FREE OR LOW-COST SERVICES; LONG WAITING PERIODS FOR SPECIALTY CARE AMONG LOW INCOME POPULATIONS; LACK OF ADEQUATE TRANSPORTATION; LACK OF CHILDCARE; AND LACK OF TRUST. WHILE THE COMMUNITY SURROUNDING ST. FRANCIS MEDICAL CENTER HAS ATTEMPTED TO ADDRESS MANY OF THESE ISSUES, A CRUCIAL LACK OF RESOURCES COUPLED WITH THE DECLINE IN THE ECONOMY THREATEN THE STABILITY OF THE ALREADY FRAGILE HEALTH CARE ENVIRONMENT. MANY SOCIAL AND HEALTH CONCERNS REMAIN PRESSING, AND NEW CHALLENGES BROUGHT ON BY FUTURE UNCERTAINTY IN HEALTH CARE REFORM EXACERBATE EXISTING NEEDS."},{"form_and_line_reference":"PART VI QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE","explanation":"DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY. PATIENTS WHO PRESENT AT SFMCS EMERGENCY DEPARTMENT AND SFMCS ADMITTING DEPARTMENT ARE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTS OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE, ALONG WITH THE CONTACT NUMBER FOR SFMCS HEALTH BENEFITS RESOURCE CENTER (HBRC). THE FLYER IS IN ENGLISH AND SPANISH. THE PACKET INCLUDES A MEDI-CAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION. SHOULD THEY MAKE AN APPOINTMENT WITH HBRC, PATIENTS CAN FILL OUT THE FORMS PRIOR TO THEIR APPOINTMENT. HBRC STAFF VISITS CASH/SELF-PAY PATIENTS AT BEDSIDE, SCREENS PATIENTS AND IDENTIFIES THE PROGRAMS FOR WHICH THEY ARE ELIGIBLE. IF THEY HAVE NO LINKAGE, HBRC PROVIDES INFORMATION ABOUT OTHER PROGRAMS FOR WHICH THEY MAY QUALIFY SUCH AS CHARITY CARE. IN ADDITION, THERE ARE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT SFMC HAS FINANCIAL ASSISTANCE AND CHARITABLE PROGRAMS AVAILABLE FOR QUALIFIED LOW INCOME, UNINSURED PATIENTS WHO MAY NOT HAVE THE ABILITY TO MEET THE FINANCIAL OBLIGATION OF THEIR HOSPITAL SERVICES AND A CONTACT NUMBER TO CALL. AFTER DISCHARGE, THE BACK OF THE MONTHLY PATIENT BILLS INCLUDES THIS SAME STATEMENT."},{"form_and_line_reference":"PART VI QUESTION 4: COMMUNITY INFORMATION","explanation":"AGE & ETHNICITY: HISPANICS COMPRISE THE LARGEST ETHNIC GROUP IN SFMCS SERVICE AREA AT 56.8%, FOLLOWED BY WHITES AT 16.3%, BLACKS AT 13.0%, ASIANS AT 9.9% AND OTHERS AT 4%. ACCORDING TO PROJECTIONS OF RACE/ETHNICITY IN THE SFMC SPAS, THE HISPANIC POPULATION WILL COMPRISE 59.8 PERCENT OF THE TOTAL POPULATION BY 2021. ALL OTHER MAJOR ETHNIC GROUPS WILL COMPRISE LESS OF THE TOTAL POPULATION BY 2021, WITH WHITES DECREASING FROM 16.3% TO 14.2%, BLACKS DECREASING FROM 13% TO 11.8%, AND ASIAN/PACIFIC ISLANDERS INCREASING FROM 9.9% TO 10.3% OVER THE SAME TIME PERIOD. THIS IS SIGNIFICANT BECAUSE SOME ETHNICITIES HAVE HIGHER RATES OF INCIDENCE OF CERTAIN DISEASES. FOR EXAMPLE, HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN LATINO COMMUNITIES, WHICH MAKES UP THE LARGEST PERCENTAGE OF SFMCS SERVICE AREA POPULATION. SFMC IS ADDRESSING THIS THROUGH ITS VIDA SANA/HEALTHY LIFE COMMUNITY WELLNESS PROGRAM. THE LARGEST AGE GROUP WITHIN THE SERVICE AREA IS AGE 15-34 AT 30.8%. HOWEVER, THE POPULATION IN THE SFMC SERVICE AREA, SIMILAR TO COUNTY, STATE, AND NATIONAL TRENDS, IS AGING. FROM 2011 TO 2016 IN THE SFMC SERVICE AREA, THE MOST RAPIDLY GROWING AGE GROUPS ARE THOSE BETWEEN THE AGES OF 55 AND 64 AND 65 AND OVER. ACCORDING TO PROJECTIONS ON AGE, THOSE WITHIN THE 65 AND OVER AGE GROUP WILL COMPRISE 13.5% OF THE SFMC SERVICE AREA POPULATION BY 2021, COMPARED TO 9.8% IN 2011. SIMILARLY, THOSE WITHIN THE COMBINED AGE GROUPS OF 45 TO 54 AND 55 TO 64 WILL COMPRISE 24.1% OF THE SFMC SERVICE AREA POPULATION BY 2021, COMPARED TO 23.4% IN 2011. IN CONTRAST, IT IS PROJECTED THAT THE POPULATION WITHIN THE LOWER AGE GROUPS WILL SEE A DECREASE. SFMC HAS A LONG ESTABLISHED SENIOR PROGRAM THAT INCLUDES SENIOR WELLNESS EDUCATION, FLU IMMUNIZATIONS, AND SENIOR DINNERS THAT PROMOTE SOCIAL INTERACTION, STAYING ACTIVE, AND MENTAL AND EMOTIONAL WELL-BEING. BY WORKING IN COLLABORATION WITH THE CITY SPONSORED SENIOR CENTERS, SFMC IS MAKING EFFORTS TO EXPAND PARTICIPATION, AND IN CONJUNCTION WITH ITS HEALTH BENEFITS RESOURCE CENTER WILL HELP TO LINK SENIORS TO NEEDED HEALTH AND SOCIAL SERVICES. ECONOMIC WELL-BEING: IN SFMCS PRIMARY SERVICE AREA, INCLUDING THE CITIES OF HUNTINGTON PARK, BELL, CUDAHY, BELL GARDENS, COMPTON, DOWNEY, LYNWOOD, MAYWOOD, SOUTH GATE, AND SOUTH LOS ANGELES, AN AVERAGE OF 23.5% OF HOUSEHOLDS WERE BELOW 100% OF THE FEDERAL POVERTY LEVEL. POOR ECONOMIC STATUS IS AN UNDERLYING CAUSE OF LOWER HEALTH STATUS DUE TO DECREASED ACCESS TO HEALTH CARE, AFFORDABLE NUTRITIOUS FOOD, AND FITNESS OPTIONS. EDUCATION/WORKFORCE READINESS: IN SFMCS PRIMARY SERVICE AREA, 52% OF THE POPULATION DID NOT GRADUATE FROM HIGH SCHOOL AS COMPARED WITH 24% IN LOS ANGELES COUNTY. HIGHER EDUCATION IS LINKED TO IMPROVED JOB OPPORTUNITIES, WHICH IN TURN, IMPACTS ECONOMIC WELL-BEING AND OVERALL HEALTH STATUS. ST. FRANCIS CAREER COLLEGE (SFCC) ADDRESSED THE OBSTACLES WHICH PREVENTED STUDENTS FROM ADVANCING THEIR EDUCATION FOR 25 YEARS. THE CAREER COLLEGE OFFERED TRAINING FOR CAREERS IN HEALTH CARE AND SUPPORT SERVICES TO HELP ENSURE A STUDENTS SUCCESSFUL COMPLETION OF THE PROGRAM, ALONG WITH CAREER ADVANCEMENT TRAINING. UNFORTUNATELY, OVER THE PAST FEW YEARS SFCC FACED ONGOING CHALLENGES WITH THE HIGH COST TO SUBSIDIZE ITS OPERATIONS. THE COLLEGE WORKED HARD TO STREAMLINE EXPENSES AND MADE NOTABLE GAINS; HOWEVER, RISING COSTS AND DECREASING RESOURCES REQUIRED FURTHER EVALUATION OF THE COLLEGES ABILITY TO CONTINUE ITS PROGRAMS. FOLLOWING A THOROUGH DISCERNMENT PROCESS, IT WAS DETERMINED NECESSARY TO IDENTIFY A NEW COLLABORATIVE SPONSOR TO OPERATE SFCC. ON JULY 1, 2013, AMERICAN CAREER COLLEGE ASSUMED SPONSORSHIP OF SFCC. WITH VALUES IN ALIGNMENT WITH ST. FRANCIS MEDICAL CENTERS, AMERICAN CAREER COLLEGE AT ST. FRANCIS (ACCSF), AS IT IS NOW KNOWN, CONTINUES TO PROVIDE HIGH QUALITY CAREER TRAINING IN THE LYNWOOD COMMUNITY. ST. FRANCIS MEDICAL CENTER ENJOYS A COLLABORATIVE RELATIONSHIP WITH ACCSF AND REMAINS COMMITTED TO SUPPORTING EDUCATIONAL OPPORTUNITIES FOR THE COMMUNITYS YOUTH. HEALTH STATUS: THE PERCENT OF ADULTS 18-64 YEARS OLD WITH REPORTED FAIR TO POOR HEALTH STATUS WAS HIGHEST AMONG LATINOS FOLLOWED BY AFRICAN-AMERICANS. ST. FRANCIS MEDICAL CENTERS HEALTHY COMMUNITY INITIATIVES (HCI) ADDRESSES POOR HEALTH STATUS BY BRINGING HEALTH SCREENINGS, IMMUNIZATIONS, AND HEALTH EDUCATION DIRECTLY TO AREA SCHOOLS, CHURCHES, BUSINESSES, AND COMMUNITY ORGANIZATIONS VIA ITS HCI NURSE, EDUCATOR, STAFF, AND MOBILE HEALTH UNIT. FOR INDIVIDUALS AND FAMILIES WITHOUT ACCESS TO PRIMARY CARE, HCI PROVIDES THEM WITH IMPORTANT PREVENTIVE SERVICES AND HEALTH CARE RESOURCES. ACCESS TO HEALTH CARE: UNINSURED IN 2011, 38.2% OF ADULTS IN SPA 6 AND 32.4% IN SPA 7 HAD NO HEALTH INSURANCE. THIS IS COMPARED TO 20.9% OF ADULTS IN CALIFORNIA AND 28.5% IN LA COUNTY. THIS REPRESENTS AN INCREASE IN BOTH SPAS SINCE 2007 AND IS LIKELY RELATED TO THE ECONOMIC DOWNTURN AND INCREASE IN JOBLESSNESS THAT THE AREA EXPERIENCED BEGINNING IN 2008. MANY INDIVIDUALS ACCESS HEALTH INSURANCE THROUGH THEIR PLACES OF EMPLOYMENT. SFMCS HEALTH BENEFITS RESOURCE CENTER INCREASES ACCESS TO HEALTH CARE BY LINKING FAMILIES TO MEDICAL COVERAGE OFFERED BY GOVERNMENT-SPONSORED PROGRAMS AND/OR PRIVATE AGENCIES. THE CENTER ASSESSES HEALTH BENEFIT ELIGIBILITY FOR INDIVIDUALS AND FAMILIES, ASSISTS THEM WITH HEALTH BENEFITS ENROLLMENT, AND PROVIDES REFERRALS TO HEALTH EDUCATION AND SOCIAL SERVICES. CHRONIC DISEASE COMPARED TO L.A. COUNTY, SPAS 6, 7, AND 8 HAD HIGHER OVERALL PERCENTAGES FOR MOST CHRONIC CONDITIONS IN ADULTS. OBESITY WAS AT 23.6% FOR LA COUNTY, AND AVERAGED 28.5% FOR THE THREE SPAS. OVERWEIGHT PERCENTAGES WERE AT 37.1% FOR LA COUNTY AND 40.1% FOR THE SPAS. DIABETES DATA SHOWED 9.5% FOR LA COUNTY AND 11.6% FOR SPAS 6, 7, AND 8. HYPERTENSION WAS 24.0% AND 25.8%, RESPECTIVELY. TWO CHRONIC CONDITIONS DID, HOWEVER, REFLECT LOWER PERCENTAGES, WITH LA COUNTY AT 25.6% AND THE SPAS AT 24.9% FOR HIGH CHOLESTEROL, AND LA COUNTY AT 12.2% AND THE SPAS AVERAGING 11.1% FOR DEPRESSION. IN CHILDREN, OBESITY PERCENTAGES WERE 22.4% IN LA COUNTY AND 25.1% IN SPAS 6, 7, AND 8. ASTHMA RATES WERE 9.0% IN LA COUNTY AND AVERAGED 10.3% IN THE SPAS. SFMCS VIDA SANA/HEALTHY LIFE COMMUNITY WELLNESS PROGRAM, WHICH ADDRESSES HEART HEALTH, DIABETES PREVENTION AND MANAGEMENT, AND OBESITY AWARENESS, INCLUDE ADULTS, SENIORS, TEENS AND CHILDREN IN ITS NUTRITION EDUCATION AND FITNESS ACTIVITIES. THIS ENHANCED SCOPE BUILDS UPON A KEY COMMUNITY ASSET - A STRONG FAMILY FOCUS WITHIN THE LATINO CULTURE. BY INCLUDING PARENTS AND CHILDREN IN THE WELLNESS PROGRAM, FAMILY MEMBERS ARE ABLE TO SUPPORT ONE ANOTHER. THIS IMPROVES THE LIKELIHOOD OF THEIR MAINTAINING HEALTHY LIFESTYLE CHANGES. LEADING CAUSES OF DEATH THE LEADING CAUSES OF DEATH IN SPAS 6 AND 7 FROM 2000 TO 2009 WERE CORONARY HEART DISEASE, STROKE, LUNG CANCER/EMPHYSEMA, AND DIABETES. IN SPA 6, THE LEADING CAUSES OF DEATH WERE CORONARY HEART DISEASE, LUNG CANCER, STROKE, AND EMPHYSEMA. IN FISCAL YEAR 2014, ST. FRANCIS MEDICAL CENTER RECEIVED DESIGNATION AS AN APPROVED STEMI RECEIVING CENTER (PROVIDING LIVE-SAVING INTERVENTION FOR PATIENTS UNDERGOING A HEART ATTACK) AND AN APPROVED PRIMARY STROKE CARE CENTER BY THE LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY."},{"form_and_line_reference":"PART VI QUESTION 5: PROMOTION OF COMMUNITY HEALTH","explanation":"SFMC PROVIDES HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING EMERGENCY SERVICES, TO MEMBERS OF THE PUBLIC WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, OR NATIONAL ORIGIN, OR TO THE INDIVIDUALS ABILITY TO PAY. SFMC OPERATES A FULL-TIME EMERGENCY DEPARTMENT. EMERGENCY MEDICAL SERVICES ARE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. SFMC OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN SOUTHERN CALIFORNIA TREATING MORE THAN 64,480 PATIENTS LAST YEAR. IN 1996, IN RESPONSE TO A DRAMATIC LACK OF TRAUMA SERVICES IN SOUTHEAST LOS ANGELES, SFMC ESTABLISHED ITS TRAUMA CENTER. THE LEVEL II TRAUMA CENTER IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AND CARED FOR 1,498 PATIENTS IN FY 2017. SFMC HAS AN OPEN MEDICAL STAFF AND PROVIDES STAFF PRIVILEGES IN THE MEDICAL CENTER TO COMMUNITY PRACTITIONERS. IN 2017, SFMCS BOARD OF DIRECTORS WAS COMPRISED OF MEMBERS WITH FINANCIAL, LEGAL, BUSINESS, AND HEALTH CARE BACKGROUNDS WHO UNDERSTAND THE VISION AND VALUES OF SFMC, AS WELL AS THE NEEDS OF THE COMMUNITY AND THE RESOURCES REQUIRED TO MEET THOSE NEEDS. SFMC REINVESTS ITS SURPLUS FUNDS IN CAPITAL REPLACEMENT OR EXPANSION OF FACILITIES AND EQUIPMENT, DEBT AMORTIZATION, IMPROVEMENT IN PATIENT CARE AND SERVICES, AND OTHER COMMUNITY BENEFIT SERVICES INCLUDING CHARITY CARE. SFMC IS COMMITTED TO SERVING THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, RESPECTING THE DIGNITY OF EACH PATIENT, AND MEETING THE HEALTH CARE NEEDS OF THE WHOLE PERSON BODY, MIND, AND SPIRIT. COMMUNITY BUILDING ACTIVITIES: SFMCS COMMUNITY BUILDING ACTIVITIES ADDRESS SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDES PROGRAMS THAT ADVANCE LEARNING AND WORK PLACE SKILLS, AND THAT INTRODUCE STUDENTS AND YOUTH TO JOBS THAT CAN LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. AS PRODUCTIVE, WORKING ADULTS, MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELP TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, SFMC PARTICIPATES IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY. VOLUNTEER SERVICES: THE VOLUNTEER SERVICES PROGRAM DELIVERS ORIENTATION, TRAINING AND SUPERVISION FOR VOLUNTEERS TO SUPPORT SFMCS OPERATIONS. WITH A FOCUS ON IMPARTING AND IMPROVING CUSTOMER SERVICE AND SUPPORT SERVICE SKILLS, THE PROGRAM ENHANCES SERVICE DELIVERY TO PATIENTS, PATIENTS FAMILIES, VISITORS, AND SFMC EMPLOYEES. THE PROGRAM ALSO INTRODUCES STUDENT VOLUNTEERS TO POSSIBLE FUTURE HEALTH CARE CAREERS AND PROVIDES JOB SKILLS TRAINING OPPORTUNITIES. SENIOR VOLUNTEERS ARE PROVIDED WITH OPPORTUNITIES TO CONTRIBUTE THEIR SKILLS AND EXPERIENCE IN VARIOUS DEPARTMENTS, WHICH SUPPORTS THEIR MENTAL, EMOTIONAL AND SPIRITUAL HEALTH. COLLABORATIVE PARTNERS INCLUDE LOCAL COLLEGES AND HIGH SCHOOLS; HUB CITIES CONSOTIUM; ARCHDIOCESE YOUTH EMPLOYEMENT SERVICES; LYNWOOD UNIFIED SCHOOL DISTRICT; AND ELEVATE YOUR G.A.M.E. IN FISCAL YEAR 2016, 484 VOLUNTEERS PERFORMED MORE THAN 46,965 HOURS OF SERVICE TO ASSIST 35 DEPARTMENTS. STUDENT AND COMMUNITY ORGANIZATION TOURS: THROUGHOUT THE YEAR, ST. FRANCIS MEDICAL CENTER RECEIVES REQUESTS FROM VARIOUS SCHOOLS AND COMMUNITY ORGANIZATIONS FOR TOURS OF THE HOSPITAL. THE COMMUNITY AFFAIRS DEPARTMENT RESPONDS TO THESE REQUESTS AND COORDINATES TOURS THAT EDUCATE STUDENTS AND COMMUNITY MEMBERS ON THE FUNCTION OF VARIOUS DEPARTMENTS AND THE ROLES OF THE DOCTORS, NURSES, AND STAFF MEMBERS IN EACH UNIT. THE TOURS ALSO INTRODUCE THEM TO A VARIETY OF HEALTH CARE CAREER OPTIONS. TOUR GROUPS HAVE INCLUDED ELEMENTARY SCHOOL GROUPS, HIGH SCHOOL HEALTH AND SAFETY CLASSES, INTERNATIONAL MEDICAL STUDENTS, GIRL AND BOY SCOUT TROOPS, AND GIRLS AND BOYS CLUBS. IN FY 2016, 61 STUDENTS AND INTERNATIONAL HEALTH CARE DELEGATES RECEIVED EDUCATIONAL TOURS OF SFMC, VISITING DEPARTMENTS INCLUDING THE HEALTH BENEFITS RESOURCE CENTER, NEONATAL INTENSIVE CARE UNIT, EMERGENCY DEPARTMENT, MOBILE HEALTH UNIT, TRAUMA CENTER, IMAGING RADIOLOGY, SURGERY, ORTHOPEDIC CLINIC, INTENSIVE CARE UNIT, AND HYPERBARIC OXYGEN THERAPY. COMMUNITY BOARD PARTICIPATION: SFMC EMPLOYEES REPRESENT THE MEDICAL CENTER ON BOARDS OF COMMUNITY AGENCIES AND ORGANIZATIONS, AND THROUGH THIS PARTICIPATION, HELP BUILD A HEALTHIER COMMUNITY. BOARDS AND ORGANIZATIONS INCLUDE LA IMMUNIZATION, LYNWOOD SAFE AND HEALTHY COMMUNITIES COALITION, HUNTINGTON PARK CHAMBER OF COMMERCE, AND LYNWOOD CHAMBER OF COMMERCE. IN FY 2017, SFMC EMPLOYEES CONTRIBUTED MORE THAN 200 HOURS TO COMMUNITY BOARDS AND ORGANIZATIONS."},{"form_and_line_reference":"PART VI QUESTION 6: AFFILIATED HEALTH CARE SYSTEM","explanation":"ST. FRANCIS MEDICAL CENTER IS A PART OF VERITY HEALTH SYSTEM. VERITY HEALTH SYSTEM SEEKS TO BUILD UPON THE RICH LEGACY LEFT BY THE DAUGHTERS OF CHARITY HEALTH SYSTEM THROUGH A TRANSFORMATION OF ITS HEALTH CARE PRACTICES. THAT WORK INCLUDES A FOCUS ON MORE EFFICIENT DELIVERY OF QUALITY HEALTH CARE AND AN ENHANCED ALIGNMENT WITH ITS PHYSICIAN PARTNERS. VERITY IS A NON-PROFIT, NON-RELIGIOUS HEALTH CARE SYSTEM COMMITTED TO PROVIDING COMMUNITY BENEFIT THROUGH A VARIETY OF COMMUNITY-BASED OUTREACH PROGRAMS AND WELLNESS ACTIVITIES. UNDER THE LEADERSHIP OF VERITY HEALTH SYSTEM, ST. FRANCIS MEDICAL CENTER IS BUILDING A BRIGHT, VIBRANT FUTURE THAT WILL ALLOW IT TO TRANSFORM THE WAYS IN WHICH EXCELLENT MEDICAL CARE IS DELIVERED TO ITS COMMUNITY. THE HOSPITAL IS FORGING STRATEGIC PARTNERSHIPS, RESTORING FACILITIES, GROWING PROGRAMS, AND ENHANCING SERVICE TO ITS PATIENTS AND THEIR FAMILIES. THE HOSPITAL EMPLOYEES AND PHYSICIANS WHO ARE KNOWN FOR THEIR COMPASSION AND CARING ARE WORKING TOGETHER TO INCREASE EFFECTIVENESS AND EFFICIENCY. SFMC IS ENJOYING RENEWED RELATIONSHIPS WITH LONG-TIME SUPPORTERS AND NEW RELATIONSHIPS WITH INDIVIDUALS WHO HAVE BEEN EAGER TO JOIN SFMC. AS SFMC LOOKS TO THE FUTURE, IT LOOKS FORWARD TO EXPANDING AND CREATING NEW CLINICAL PROGRAMS AND TO MAKING HEALTH CARE MORE ACCESSIBLE AND AFFORDABLE IN EVERY MARKET ITS SERVE, WHILE REMAINING COMMITTED TO PROVIDING QUALITY, COMPASSIONATE CARE TO THE PATIENTS AND COMMUNITY THE HOSPITAL IS PRIVILEGED TO SERVE. THE ULTIMATE GOAL IS TO POSITION ST. FRANCIS MEDICAL CENTER AND THE VERITY HOSPITALS TO SERVE THEIR COMMUNITIES FOR GENERATIONS TO COME, TO ENGAGE THEIR WORKFORCE IN MEANINGFUL WAYS AND TO ALIGN PROFESSIONAL STAFF IN THOSE EFFORTS. THE STRATEGIC FOCUS WILL BE ON IMPLEMENTING SOUND BUSINESS PRACTICES WHILE PROVIDING COMPASSIONATE CARE, BUILDING NEW CLINICAL PROGRAMS WITH PHYSICIAN PARTNERS WHO SHARE THE ORGANIZATIONS COMMITMENT TO SERVING THE HEALTH CARE NEEDS OF RESIDENTS, AND ENGAGING COLLABORATIVE PARTNERS DEDICATED WITH SFMC TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY. SFMC IS THE ONLY COMPREHENSIVE, NON-PROFIT HEALTH CARE INSTITUTION SERVING THE ONE MILLION RESIDENTS OF SOUTHEAST LOS ANGELES. A 384-BED FACILITY, SFMC OFFERS A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES PROVIDED BY MORE THAN 1,800 ASSOCIATES AND 380 AFFILIATED PHYSICIANS. WITH 21,063 INPATIENT ADMISSIONS IN FY2017 AND 140,618 OUTPATIENT VISITS, SFMC OPERATES ONE OF THE LARGEST AND BUSIEST PRIVATE EMERGENCY TRAUMA CENTERS IN LOS ANGELES COUNTY. OUR FAMILY LIFE CENTER DELIVERED 5,202 BABIES IN FY2017, 671 OF WHOM WERE CARED FOR IN THE STATE-OF-THE-ART NEONATAL INTENSIVE CARE UNIT. TOTAL SURGERIES PERFORMED WERE 5,422 AND TOTAL ED VISITS FOR FISCAL YEAR WERE 64,480. OUR HEART AND VASCULAR CENTER, MATERNAL-CHILD HEALTH PROGRAM, ORTHOPEDICS/JOINT REPLACEMENT PROGRAM, IMAGING SERVICES, BEHAVIORAL HEALTH AND WOUND CARE FACILITIES OFFER COMPREHENSIVE SERVICES TO THE COMMUNITY. OUR PRIMARY STROKE CARE CENTER AND STEMI RECEIVING CENTER, BOTH APPROVED BY THE LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY, FILL A MAJOR GAP IN SOUTHEAST LOS ANGELES. IN ADDITION TO OUR ACUTE AND OUTPATIENT HEALTH CARE SERVICES, SFMC OPERATES A BROAD RANGE OF EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS. SFMC IS DEDICATED TO NURTURING HEALTHY CHILDREN AND FAMILIES, FOSTERING SELF-SUFFICIENCY, ENHANCING INDIVIDUAL AND COMMUNITY WELL-BEING, AND ACHIEVING EXCELLENCE IN FACILITIES AND TECHNOLOGY. SFMCS ULTIMATE GOAL IS TO DRAMATICALLY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY."},{"form_and_line_reference":"PART VI QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT","explanation":"SFMC ANNUALLY UPDATES ITS COMMUNITY BENEFIT REPORT AND SFMC FILES A COPY OF ITS COMMUNITY BENEFIT REPORT ON AN ANNUAL BASIS WITH THE STATE OF CALIFORNIA."},{"form_and_line_reference":"PART V, SECTION B, LINE 5:","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN SFMCS SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2016 (TAX YEAR 2015). IT IS AN INTEGRAL PART OF THE MEDICAL CENTERS STRATEGIC PLANNING PROCESS, WHICH IS MANAGED BY THE MEDICAL CENTER'S MANAGEMENT COUNCIL. THE RESULTS OF THE NEEDS ASSESSMENT ARE INTEGRATED INTO THE MEDICAL CENTER'S LONG-RANGE PLANNING ACTIVITY, AS WELL AS PROGRAM SPECIFIC PLANNING. DURING THE ANNUAL UPDATE OF THE MEDICAL CENTERS STRATEGIC PLAN, DATA DERIVED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT IS INTEGRATED WITH THE EXTERNAL ENVIRONMENT ANALYSIS AND THE ORGANIZATIONAL ANALYSIS. METHODOLOGY: TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE COMMUNITY HEALTH NEEDS ASSESSMENT USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH AND SOCIAL CHARACTERISTICS OF THE COMMUNITY SERVED BY SFMC. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: KEY INDICATORS OF HEALTH REPORTS FROM 2002/2003, 2007, 2009, 2013, and 2016, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH ASSESSMENT AND EPIDEMIOLOGY, CALIFORNIA HEALTH INTERVIEW SURVEY FROM 2003, 2005, 2007, AND 2009, THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY 2010, PUBLIC USE MICRODATA SAMPLE, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, AND FOCUS GROUPS WITH SFMC STAKEHOLDERS, SERVICE PROVIDERS, AND BENEFICIARIES. FOR THE PURPOSES OF THE FISCAL YEAR 2016 REPORT, THE SFMC SERVICE AREA CORRESPONDS TO SERVICE PROVIDER AREAS (SPAS) 6, 7, AND 8. FOCUS GROUPS: FOCUS GROUPS WERE CONDUCTED TO COLLECT QUALITATIVE INFORMATION ON HEALTH CARE ISSUES THAT COULD ELABORATE AND ENHANCE INFORMATION GLEANED FROM SECONDARY DATA SOURCES. FOUR FOCUS GROUPS WERE CONDUCTED WITH KEY STAKEHOLDERS IN THE SFMC SERVICE AREA. Focus groups and interviews occurred in August 2016. PARTICIPANTS WERE IDENTIFIED AND RECRUITED BY SFMC STAFF. THE GROUPS WERE MIXED BY AGE, RACE/ETHNICITY AND GENDER. SIXTY-SEVEN INDIVIDUALS PARTICIPATED IN SEPARATE FOCUS GROUPS, INCLUDING: 1) BENEFICIARIES INDIVIDUALS OR FAMILY MEMBERS OF INDIVIDUALS WHO RECEIVED CARE OR SERVICES FROM SFMC. SEPARATE GROUPS WERE CONDUCTED FOR ENGLISH-SPEAKING (N=7) AND SPANISH-SPEAKING BENEFICIARIES (N=30), WITH A MODERATOR FLUENT IN SPANISH CONDUCTING THE LATTER 2) PROVIDERS PHYSICIANS, NURSES, TECHNICIANS AND SUPPORT PERSONNEL WHO PROVIDE HEALTH CARE AND SOCIAL SERVICES TO THE COMMUNITY ON A DAILY BASIS AT SFMC AND IN THE COMMUNITY (N=18) 3) STAKEHOLDERS ST. FRANCIS MEDICAL CENTER BOARD MEMBERS, REPRESENTATIVES FROM LOCAL ELECTED OFFICIALS OFFICES AN D LOCAL CHAMBERS OF COMMERCE, AND COMMUNITY, EDUCATION, AND HEALTH CARE LEADERS (N=12) THE FOCUS GROUP DISCUSSIONS WITH THESE PARTICIPANTS ASSESSED: - THE MOST IMPORTANT CURRENT HEALTH CARE AND SOCIAL CONCERNS IN THE COMMUNITY THAT SFMC SERVES - COMMUNITY ASSETS INCLUDING HEALTH CARE SERVICES AVAILABLE IN THE COMMUNITY AND SERVICES THAT SUPPORT HEALTH AND WELLNESS - PERSONAL EXPERIENCES WITH SFMC SERVICES AND PERCEPTIONS OF SERVICE QUALITY - BARRIERS TO ACCESSING HEALTH CARE AND SFMC SERVICES, AND WAYS TO IMPROVE ACCESS THE RESULTS FROM THE FOCUS GROUPS ARE A RICH SOURCE OF PERCEPTIONS AND IMPRESSIONS OF SFMC, ITS PROGRAMS AND SERVICES, AND KNOWLEDGE OF THE SURROUNDING COMMUNITY. THIS DATA WAS USED TO SUPPORT SECONDARY DATA AND IDENTIFY UNIQUE ASPECTS OF THE SFMC COMMUNITY RELATED TO HEALTH AND WELL-BEING. OVERALL RESULTS AND PRIORITY NEEDS: ALL DATA SHOWED THAT THE NEEDS OF CHILDREN AND FAMILIES IN THE SFMC SERVICE AREA ARE GREAT, AND IN FACT OFTEN GREATER THAN MOST SEGMENTS OF LOS ANGELES COUNTY AND THE STATE OF CALIFORNIA. PRIORITY NEEDS WERE IDENTIFIED AS FOLLOWS: - LACK OF ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGE AND HEALTH SERVICES - HIGH RATES OF CORONARY HEART DISEASE, STROKE, LUNG CANCER/EMPHYSEMA, DIABETES, OBESITY, HYPERTENSION, SEXUALLY TRANSMITTED DISEASES, RESPIRATORY DISEASE AMONG CHILDREN, LOW BREASTFEEDING RATES, LACK OF ACCESS TO AFFORDABLE, QUALITY CHILDCARE, POOR OVERALL HEALTH STATUS, AND HIGH RATE OF TEEN BIRTHS ONE OF THE MOST PROMINENT HEALTH CARE ISSUES AND CONCERNS HIGHLIGHTED IN THE NEEDS ASSESSMENT ARE THAT RESIDENTS OF THE SFMC SERVICE AREA CONTINUE TO FACE SIGNIFICANT BARRIERS IN ACCESSING NEEDED HEALTH CARE. SFMC HAS BEEN DESIGNATED AS A DISPROPORTIONATE SHARE HOSPITAL BECAUSE OF THE HIGH NUMBER OF PATIENTS WHO ARE UNINSURED AND UNDERINSURED. IT IS OF NOTE THAT APPROXIMATELY 75% OF SFMCS REIMBURSEMENTS FOR SERVICE ARE DERIVED FROM MEDI-CAL, MEDICARE, AND LA COUNTY. IN ADDITION, COMMUNITIES WITHIN SFMCS SERVICE AREA HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSION SHORTAGE AREAS BY THE FEDERAL GOVERNMENT. ACCORDING TO STAKEHOLDER AND PROVIDER FOCUS GROUP PARTICIPANTS, AMONG THE PRIMARY HEALTH CONCERNS IN THE SFMC SERVICE AREA OVER THE LAST TWO TO THREE YEARS ARE DIABETES, OBESITY, HIGH BLOOD PRESSURE, AND PULMONARY DISEASE. STAKEHOLDER PARTICIPANTS FELT THAT AFRICAN-AMERICAN AND LATINO COMMUNITY MEMBERS CONTINUE TO BE DISPROPORTIONATELY AFFECTED BY THESE HEALTH CONCERNS. FOCUS GROUP PARTICIPANTS BELIEVE THAT CHRONIC CONDITIONS ARE RELATED TO A LACK OF ACCESS TO AFFORDABLE, HEALTHY FOODS AND NUTRITION EDUCATION, AND CULTURAL FACTORS IMPACTING FOOD PREFERENCES, MEAL PREPARATION, AND DIET. STAKEHOLDER AND PROVIDER FOCUS GROUP PARTICIPANTS NOTED THAT THE PRIMARY BARRIERS TO HEALTH CARE ACCESS AND GENERAL HEALTHY LIVING IN THE SFMC SERVICE AREA ARE LINGUISTIC ISOLATION AND ILLITERACY AMONG IMMIGRANT COMMUNITIES; LACK OF FREE OR LOW-COST SERVICES; LONG WAITING PERIODS FOR SPECIALTY CARE AMONG LOW INCOME POPULATIONS; LACK OF ADEQUATE TRANSPORTATION; LACK OF CHILDCARE; AND LACK OF TRUST. WHILE THE COMMUNITY SURROUNDING ST. FRANCIS MEDICAL CENTER HAS ATTEMPTED TO ADDRESS MANY OF THESE ISSUES, A CRUCIAL LACK OF RESOURCES COUPLED WITH THE DECLINE IN THE ECONOMY THREATEN THE STABILITY OF THE ALREADY FRAGILE HEALTH CARE ENVIRONMENT. MANY SOCIAL AND HEALTH CONCERNS REMAIN PRESSING, AND NEW CHALLENGES BROUGHT ON BY FUTURE UNCERTAINTY IN HEALTH CARE REFORM EXACERBATE EXISTING NEEDS."},{"form_and_line_reference":"PART V, SECTION B, LINE 7A:","explanation":"The CHNA report can be accessed on the hospital's website at: https://stfrancis.verity.org/about-us/community-benefit/ Part V, Section B, Line 10A: ST. FRANCIS MEDICAL CENTERS (SFMC) has recently adopted a community benefit plan which can be found AT: HTTP://STFRANCIS.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/"},{"form_and_line_reference":"PART V, SECTION B, LINE 11:","explanation":"SFMCS COMMUNITY BENEFIT PLAN TARGETS THE FOLLOWING PRIORITY HEALTH NEEDS: 1. HEALTH CARE ACCESS 2. CORONARY HEART DISEASE 3. STROKE 4. HYPERTENSION 5. DIABETES 6. LOW BREASTFEEDING RATES 7. POOR OVERALL HEALTH STATUS THESE ISSUES ARE ADDRESSED THROUGH SPECIFIC HOSPITAL SERVICES AND COMMUNITY OUTREACH PROGRAMS DEVELOPED IN DIRECT RESPONSE TO CURRENT NEEDS. TO TARGET THE HEALTH NEED OF ACCESS TO HEALTH CARE AND OVERALL HEALTH IMPROVEMENT, SFMC HAS VARIOUS PROGRAMS TO ACHIEVE ITS IDENTIFIED OBJECTIVES, INCLUDING: - THE HEALTH BENEFITS RESOURCE CENTER (HBRC) SERVES AS A FULL-SERVICE, ONE-STOP HUB THAT EFFECTIVELY LINKS INDIVIDUALS AND FAMILIES TO HEALTH CARE AND SOCIAL SERVICES, AS WELL AS HEALTH CARE EDUCATION AND RESOURCES TO MEET ESSENTIAL NEEDS. HBRC PROVIDES HEALTH BENEFITS ENROLLMENT ASSISTANCE, PHYSICIAN REFERRAL, AND COMMUNITY EDUCATION REGISTRATION. THROUGH THE HBRC, SFMC HOPES TO INCREASE ACCESS TO HEALTH CARE BY LINKING FAMILIES TO MEDICAL COVERAGE OFFERED BY GOVERNMENT-SPONSORED PROGRAMS AND/OR PRIVATE AGENCIES; INCREASE ACCESS TO NUTRITIOUS FOOD AND FIGHT HUNGER BY LINKING FAMILIES TO THE CALFRESH PROGRAM; PROVIDE UNINSURED/SELF-PAY PATIENTS WHO RECEIVED MEDICAL CARE AT SFMC THE OPPORTUNITY TO EXPLORE HEALTH CARE OPTIONS TO INCREASE ACCESS TO THE CONTINUUM OF HEALTH CARE, REDUCE THE FINANCIAL BURDEN TO THE PATIENT, AND CONTRIBUTE TO HOSPITAL COST SAVINGS AND REIMBURSEMENT; OFFER INFORMATION ABOUT AVAILABLE PROGRAMS AND/OR RESOURCES FOR WHICH FAMILIES MAY BE ELIGIBLE; INCREASE AWARENESS AND UNDERSTANDING OF THE AFFORDABLE CARE ACT AND ITS HEALTH CARE OPTIONS AND ASSIST ELIGIBLE COMMUNITY MEMBERS TO ENROLL; AND REFER INDIVIDUALS TO THE LEGAL SUPPORT SERVICES, WHICH PROVIDES LEGAL SERVICES AT NO COST TO HBRC CLIENTS WHO NEED ASSISTANCE REGARDING ISSUES WHICH MAY AFFECT HEALTH AND WELLNESS. SFMC HAS SET-UP VARIOUS BENCHMARKS AND OUTCOME INDICATORS TO MEASURE THE SUCCESS OF THE HBRC. - SFMCS COMMUNITY HEALTH CLINICS (LOCATED IN LYNWOOD, COMPTON, DOWNEY, AND HUNTINGTON PARK) BRING PRIMARY HEALTH CARE SERVICES TO CHILDREN AND FAMILIES WHO HAVE LIMITED ACCESS TO ITS MAIN CAMPUS AND ESSENTIAL HEALTH CARE SERVICES. THE CLINICS PROVIDE GENERAL FAMILY PRACTICE AND PEDIATRIC HEALTH CARE SERVICES. ADDITIONALLY, THE SOUTH LOS ANGELES ACCESS TO CARE PROGRAM (WITHIN THE SFMC COMMUNITY HEALTH CLINIC IN COMPTON) PROVIDES BILINGUAL/BI-CULTURAL PREVENTIVE, PRIMARY, ACUTE AND CHRONIC COMPREHENSIVE HEALTH CARE SERVICES TO ADULTS, INFANTS, AND CHILDREN WHO RESIDE IN SPECIFIED SOUTH LOS ANGELES COMMUNITIES RECOGNIZED AS HAVING LIMITED ACCESS TO HEALTH CARE. THE SOUTH LOS ANGELES ACCESS TO CARE PROGRAM SEEKS TO REDUCE THE NUMBER OF FAMILIES WHO, DUE TO A LACK OF PREVENTATIVE AND PRIMARY CARE, FAIL TO SEEK MEDICAL ATTENTION UNTIL A CONDITION WORSENS TO THE POINT OF REQUIRING COSTLY EMERGENCY CARE AT SFMC. THROUGH THESE CLINICS, SFMC HOPES TO INCREASE THE COMMUNITYS ACCESS TO PRIMARY HEALTH CARE SERVICES, MEASURING ITS SUCCESS BY VARIOUS BENCHMARKS AND OUTCOME INDICATORS OUTLINED IN THE FULL IMPLEMENTATION STRATEGY. - NOTE: THE SOUTH LOS ANGELES ACCESS TO CARE PROGRAM CONCLUDED WITH THE EXPIRATION OF THE GRANT FUNDING PERIOD IN JUNE 2015. ALSO, DUE TO FINANCIAL CHALLENGES, PLANS TO TRANSITION THE CLINICS TO THE HEALTH SYSTEMS MEDICAL FOUNDATION DID NOT MATERIALIZE. AS A RESULT, CLINIC OPERATIONS WERE CONSOLIDATED, AND THE COMPTON AND HUNTINGTON PARK CLINICS WERE CLOSED IN JUNE AND OCTOBER 2015, RESPECTIVELY. IN FEBRUARY 2016, MANAGEMENT AND OPERATIONS OF THE LYNWOOD AND DOWNEY CLINICS WERE ASSUMED BY THE ST. FRANCIS MULTI-SPECIALTY GROUP, WHICH COULD PROVIDE THE NECESSARY ORGANIZATIONAL STRUCTURE TO ENSURE CONTINUED ACCESS TO COMMUNITY-BASED CARE AT THESE LOCATIONS. PATIENTS ARE PROVIDED WITH THE SAME LEVEL OF CARE AND ACCESS TO THE HOSPITALS SERVICES AS BEFORE. WELCOME BABY IS A PROGRAM, INITIATED THROUGH A GRANT FROM FIRST 5 LA, WHICH OFFERS PERSONALIZED PRENATAL, POST-PARTUM, AND HOSPITAL VISITS WITH A PROFESSIONALLY TRAINED PARENT COACH, FROM PREGNANCY THROUGH THE BABYS FIRST 9 MONTHS. THE OBJECTIVE OF THE WELCOME BABY PROGRAM IS TO IMPROVE ACCESS TO PRIMARY HEALTH PREVENTION, PARENT EDUCATION, AND LINKAGE TO SOCIAL SERVICES FOR SFMCS MATERNITY PATIENTS. SFMC HAS SET-UP VARIOUS BENCHMARKS AND OUTCOME INDICATORS OUTLINED IN THE FULL IMPLEMENTATION STRATEGY TO MEASURE THE SUCCESS OF THE WELCOME BABY PROGRAM. - PATIENT TRANSPORTATION IS PROVIDED TO INDIVIDUALS WITHOUT ANY MEANS OF TRANSPORTATION FOR OUTPATIENT CARE AND TREATMENT, WHICH IMPROVES HEALTH CARE OUTCOMES BY ENABLING PATIENTS WHO LACK THE RESOURCES FOR RELIABLE TRANSPORTATION TO KEEP SCHEDULED HEALTH SCREENINGS, TREATMENT, AND COURT APPEARANCES, AND AFTER DISCHARGE. TO TARGET THE HEALTH NEEDS OF HIGH RATES OF HEART DISEASE, STROKE, HYPERTENSION, DIABETES, AND OBESITY, SFMC HAS VARIOUS PROGRAMS ESTABLISHED TO ACHIEVE ITS IDENTIFIED OBJECTIVES, INCLUDING: - HEALTHY COMMUNITY INITIATIVES (HCI) BRINGS HEALTH SCREENINGS, IMMUNIZATIONS, AND HEALTH EDUCATION DIRECTLY TO AREA SCHOOLS, CHURCHES, BUSINESSES AND COMMUNITY ORGANIZATIONS VIA ITS HCI NURSE, EDUCATOR, STAFF, AND MOBILE UNIT. FOR INDIVIDUALS AND FAMILIES WITHOUT ACCESS TO PRIMARY CARE, HCI PROVIDES THEM WITH IMPORTANT PREVENTIVE SERVICES AND HEALTH CARE RESOURCES. THROUGH THE HCI PROGRAM, SFMC SEEKS TO (I) EMPOWER RESIDENTS TO LOWER THEIR BEHAVIORAL RISK FACTORS FOR CERTAIN CONDITIONS INCLUDING HEART DISEASE, STROKE HYPERTENSION, OBESITY, AND DIABETES BY INCREASING THE NUMBER OF LOW INCOME, UNDERSERVED CHILDREN, ADULTS AND SENIORS WHO RECEIVE CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH EDUCATION, (II) PREVENT THE SPREAD OF COMMUNICABLE DISEASE BY INCREASING IMMUNIZATION RATES FOR LOW-INCOME, UNDERSERVED AND UNINSURED CHILDREN IN SOUTHEAST LOS ANGELES, AND (III) PROMOTE COMMUNITY HEALTH BY OFFERING CHILDBIRTH EDUCATION, PARENTING CLASSES, BEHAVIORAL RISK FACTOR EDUCATIONAL PROGRAMS IN SCHOOLS, AND A SERIES OF WELLNESS CLASSES. OUTCOMES WILL BE MEASURED BY VARIOUS BENCHMARKS AND OUTCOME INDICATORS OUTLINED IN THE FULL IMPLEMENTATION STRATEGY. - THE VIDA SANA/HEALTHY LIFE COMMUNITY WELLNESS PROGRAM PROMOTES HEALTHIER COMMUNITIES THROUGH A SIX-MONTH, COORDINATED PROGRAM THAT ADVANCES HEART HEALTH, DIABETES, AND OBESITY AWARENESS; DISEASE PREVENTION AND EDUCATION; DIET AND NUTRITION; STRESS REDUCTION; AND PHYSICAL FITNESS ACTIVITIES TO ESTABLISH HEALTHY LIFESTYLE HABITS. THE PURPOSE OF VIDA SANA IS TO CREATE A COMMUNITY AND FAMILY ENVIRONMENT THAT PROMOTES AND SUPPORTS FAMILY PARTICIPANTS TO ADOPT HEALTHIER LIFESTYLES. THROUGH THE PROGRAM, SFMC AIMS TO INCREASE THE PHYSICAL ACTIVITY OF PARTICIPANTS, INCREASE CONSUMPTION OF FRUITS AND VEGETABLES, REDUCE WEIGHT OR PACE OF WEIGHT GAIN, AND IMPROVE BEHAVIORS FOR A HEALTHY LIFESTYLE. OUTCOMES WILL BE MEASURED BY VARIOUS BENCHMARKS AND OUTCOME INDICATORS OUTLINED IN THE FULL IMPLEMENTATION STRATEGY. TO ADDRESS THE HEALTH NEED OF STROKE AWARENESS AND PREVENTION, SFMC DEDICATED A COMPREHENSIVE ARRAY OF RESOURCES, INTEGRATED WITH LONG-RANGE PLANNING AND PARTNERSHIPS, TO BECOME AN APPROVED STEMI RECEIVING CENTER AND APPROVED PRIMARY STROKE CENTER FOR LOS ANGELES. AS PART OF THE HOSPITALS COORDINATED EFFORT, THE VIDA SANA, HCI, AND SENIOR CIRCLE WELLNESS PROGRAMS HAVE INTEGRATED SPECIFIC CLASSES AND SEMINARS ON STROKE AWARENESS AND PREVENTION INTO THEIR ONGOING HEALTH EDUCATION SERIES. TO ADDRESS THE NEED OF LOW BREASTFEEDING RATES, SFMC CONTINUES TO IMPLEMENT THE TEN STEPS OF SUCCESSFUL BREASTFEEDING WITHIN ITS FACILITIES, WHICH AIMS TO INCREASE BREASTFEEDING RATES THROUGH THE EDUCATION OF HEALTH CARE PROVIDERS, MATERNITY PATIENTS, AND PROGRAMS THAT SUPPORT EXCLUSIVE BREASTFEEDING. THESE TEN STEPS INCLUDE: 1. HAVING A WRITTEN BREASTFEEDING POLICY THAT IS ROUTINELY COMMUNICATED TO ALL HEALTH CARE STAFF 2. TRAINING ALL HEALTH CARE STAFF IN SKILLS NECESSARY TO IMPLEMENT THE POLICY 3. INFORMING ALL PREGNANT WOMEN ABOUT THE BENEFITS AND MANAGEMENT OF BREASTFEEDING 4. HELPING MOTHERS INITIATE BREASTFEEDING WITHIN ONE HOUR OF BIRTH 5. SHOWING MOTHERS HOW TO BREASTFEED AND HOW TO MAINTAIN LACTATION EVEN IF THEY ARE SEPARATED FROM THEIR INFANTS. 6. GIVING NEW BORN INFANTS NO FOOD OR DRINK OTHER THAN BREAST MILK, UNLESS MEDICALLY INDICATED 7. Practicing 'room in' - allowing mothers and infants to remain together 24 hours a day 8. ENCOURAGING BREASTFEEDING ON DEMAND 9. GIVING NO PACIFIERS OR ARTIFICIAL NIPPLES TO BREASTFEEDING INFANTS 10. FOSTERING THE ESTABLISHMENT OF BREASTFEEDING SUPPORT GROUPS AND REFERRING MOTHERS TO THEM ON DISCHARGE FROM THE HOSPITAL OR CLINIC TO ADDRESS THE POOR OVERALL HEALTH STATUS OF ITS COMMUNITY, SFMC HAS OUTLINED VARIOUS STRATEGIES TO ACCOMPLISH ITS OBJECTIVES OF (I) IMPROVING THE HEALTH AND WELL-BEING OF SENIORS THROUGH AGE-SPECIFIC HEALTH EDUCATION AND OPPORTUNITIES TO SOCIALIZE WITH SENIORS, (II) INCREASE EDUCATION AND AWARENESS AMONG THE COMMUNITYS YOUTH ABOUT CHOICES THEY CAN MAKE TO HELP PREVENT TRAUMA AND INJURY TO THEMSELVES AND OTHERS, (III) TO DECREASE SYMPTOMS OF E"},{"form_and_line_reference":"Part V, Line 13b","explanation":"SFMC uses an outside agency that looks at an individual's credit score and location to determine if the person is eligible for financial assistance."},{"form_and_line_reference":"Part V, Section B, Lines 16a, 16b, and 16c","explanation":"The organization's FAP, FAP application form, and the plain language summary of the FAP can be found on the organization's website at https://stfrancis.verity.org/about-us/community-benefit/"}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Gerald Kozai","title":"President & CEO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":815519,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":24000,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":12038,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":0,"total_compensation_related_orgs":851557,"name":"Gerald Kozai"},{"person_name":"Linda Camino","title":"RN Spec. II","base_compensation_filing_org":251661,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":7550,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17704,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":276915,"total_compensation_related_orgs":0,"name":"Linda Camino"},{"person_name":"Uchenna Enewally","title":"Registered Nurse","base_compensation_filing_org":244093,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":7323,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":251416,"total_compensation_related_orgs":0,"name":"Uchenna Enewally"},{"person_name":"Susan Gabayeron","title":"RN Day Shift Supervisor","base_compensation_filing_org":257613,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":7800,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":265413,"total_compensation_related_orgs":0,"name":"Susan Gabayeron"},{"person_name":"Adam Garcia","title":"Tech, Cath Lab CVRT II","base_compensation_filing_org":237811,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":7134,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":30500,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":275445,"total_compensation_related_orgs":0,"name":"Adam Garcia"},{"person_name":"Gerado Mercado","title":"Registered Nurse II","base_compensation_filing_org":237127,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":7114,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":11993,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":256234,"total_compensation_related_orgs":0,"name":"Gerado Mercado"},{"person_name":"Robert Merritt","title":"VP-AMBULATORY & SPECIALTY SVCS","base_compensation_filing_org":199381,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":5981,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":905,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":206267,"total_compensation_related_orgs":0,"name":"Robert Merritt"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":953745227,"business_name_line1":"Robert F Kennedy Medical Center Found","primary_activities_text":"inactive","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"12-I","controlled_organization_indicator":false,"legal_domicile_state":"CA","direct_controlling_business_name_line1":"VHS","address_line1":"2040 E Mariposa Avenue","city":"el segundo","state":"CA","zip":"90245","name":"Robert F Kennedy Medical 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FRANCIS MEDICAL CENTER UTILIZED A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES."},{"form_and_line_reference":"PART I, LINE 7G:","explanation":"SUBSIDIZED SERVICESST. FRANCIS MEDICAL CENTER'S SUBSIDIZED SERVICES INCLUDE ITS EMERGENCY DEPARTMENT, WHICH WAS ONE OF THE BUSIEST PRIVATE EMERGENCY ROOMS IN LOS ANGELES COUNTY. THE EMERGENCY DEPARTMENT PLAYS A CRITICAL ROLE IN LA COUNTY'S EMERGENCY MEDICAL SERVICES.PART II: COMMUNITY BUILDING ACTIVITIESST. FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ADDRESS SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDED PROGRAMS THAT ADVANCE LEARNING AND WORKPLACE SKILLS, AND THAT INTRODUCE STUDENTS AND YOUTH TO JOBS THAT CAN LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. BY PROVIDING EDUCATION AND TRAINING OPPORTUNITIES, INDIVIDUALS WILL MORE LIKELY QUALIFY AND HAVE IMPROVED ACCESS TO GAINFUL WORK, AND MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELP TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, ST. FRANCIS MEDICAL CENTER PARTICIPATES IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY."},{"form_and_line_reference":"PART III, LINES 2, 3, AND 4: BAD DEBT EXPENSE","explanation":"ST. FRANCIS MEDICAL CENTER IS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC., WHICH INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING."},{"form_and_line_reference":"PART III, LINE 2: METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE","explanation":"BAD DEBT EXPENSE WAS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERED BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA.PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER FAP METHODOLOGYTHE ESTIMATED AMOUNT OF ST. FRANCIS MEDICAL CENTER'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS UNDETERMINABLE AND THUS RECORDED AS ZERO."},{"form_and_line_reference":"PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019, 2020 OR 2021. INSTEAD, THE VHS \"MONTHLY OPERATING REPORTS\" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE.UNDER VHS'S FINANCIAL ASSISTANCE POLICY, HEALTH CARE SERVICES WERE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MADE AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT WAS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES ARE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES ARE INCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATED PRIOR TO CEASING TO OPERATE THE HOSPITALS, THE COST OF CHARITY CARE BY CALCULATING A RATIO OF COST TO USUAL AND CUSTOMARY CHARGES AND APPLYING THAT RATIO TO THE USUAL AND CUSTOMARY UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO PATIENTS THAT QUALIFY FOR CHARITY CARE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS' BALANCES, AND AFTER EXHAUSTING ALL REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PORTION OF VHS' UNINSURED AND SELF-PAY PATIENT ACCOUNTS WERE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHS' ESTABLISHED GUIDELINES FOR FURTHER COLLECTION ACTIVITIES. AS A RESULT, VHS RECORDED A PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE.AS PART OF VERITY HEALTH SYSTEM'S MISSION TO SERVE THE COMMUNITY, VHS PROVIDED CARE TO PATIENTS EVEN THOUGH THEY MAY HAVE LACKED ADEQUATE INSURANCE OR MAY HAVE PARTICIPATED IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.PART III, LINE 8: MEDICAREAS A NONPROFIT HOSPITAL, IT WAS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. ST. FRANCIS MEDICAL CENTER ACCEPTED MEDICARE WHICH RESULTED IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. ST. FRANCIS MEDICAL CENTER UTILIZED AN ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 IS REFLECTED AS A COMMUNITY BENEFIT.PART III, LINE 9B: COLLECTION POLICYST. FRANCIS MEDICAL CENTER FOLLOWED THE COLLECTION PRACTICES AS OUTLINED IN THE VERITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY AND BILLING COLLECTION POLICY.FOR PATIENTS WHO QUALIFIED FOR CHARITY CARE AND FINANCIAL DISCOUNT, ST. FRANCIS MEDICAL CENTER PROVIDED THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATED THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDED INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. ST. FRANCIS MEDICAL CENTER DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES. ST. FRANCIS MEDICAL CENTER DOES NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. ST. FRANCIS MEDICAL CENTER DOES NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT AGENCY OR COMMENCE CIVIL ACTION FOR NONPAYMENT OF A PATIENT DEBT PRIOR TO 150 DAYS AFTER THE INITIAL BILLING OF THE PATIENT. ST. FRANCIS MEDICAL CENTER DOES NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. ST. FRANCIS MEDICAL CENTER HAS AGREEMENTS WITH ITS EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM ST. FRANCIS MEDICAL CENTER. ST. FRANCIS MEDICAL CENTER HAS AGREEMENTS WITH ITS EXTERNAL COLLECTION AGENCIES TO FOLLOW FAIR DEBT AND COLLECTION PRACTICES, ASSEMBLY BILL AB774 AND ACT IN A MANNER THAT TREATS INDIVIDUALS WITH DIGNITY, RESPECT AND COMPASSION."},{"form_and_line_reference":"PART VI, QUESTION 2: NEEDS ASSESSMENT","explanation":"IN ADDITION TO IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS IN THE CHNA, ST. FRANCIS MEDICAL CENTER EVALUATED THE PROGRAMS AND ACTIVITIES IT HAD IMPLEMENTED IN RESPONSE TO COMMUNITY NEED THROUGH ITS COMMUNITY BENEFIT REPORT.ST. FRANCIS MEDICAL CENTER PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT. IT HIGHLIGHTED THE COMMUNITY'S NEEDS AND ST. FRANCIS MEDICAL CENTER'S PROGRAMS AND ACTIVITIES THAT DIRECTLY RESPONDED TO THE NEEDS. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES WERE PROVIDED BY MANAGER AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS. QUARTERLY REPORTS WERE PRESENTED TO THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS AND VERITY HEALTH SYSTEM CORPORATE OFFICERS. AN ANNUAL REPORT WAS PREPARED AND PRESENTED TO THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS FOR APPROVAL.THE ANNUAL REPORT WAS MADE AVAILABLE ON THE HOSPITAL'S WEBSITE TO HOSPITAL LEADERSHIP, KEY STAKEHOLDERS, VHS, AND COMMUNITY ORGANIZATIONS AND MEMBERS. THE ANNUAL REPORT WAS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697.ST. FRANCIS MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS DEVELOPED USING RESULTS FROM THE CHNA, DATA AND FEEDBACK PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS, AND INPUT FROM THE HOSPITAL'S SENIOR MANAGEMENT TEAM. ST. FRANCIS MEDICAL CENTER'S BOARD OF DIRECTORS REVIEWED AND GAVE FINAL APPROVAL OF ST. FRANCIS MEDICAL CENTER'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF ST. FRANCIS MEDICAL CENTER'S CURRENT COMMUNITY HEALTH INITIATIVES PROVIDE VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS, WHILE ST. FRANCIS MEDICAL CENTER OPERATED THE HOSPITAL.PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS WHO PRESENTED AT ST. FRANCIS MEDICAL CENTER'S EMERGENCY DEPARTMENT AND ST. FRANCIS MEDICAL CENTER'S ADMITTING DEPARTMENT WERE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTED OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE, ALONG WITH THE CONTACT NUMBER FOR ST. FRANCIS MEDICAL CENTER'S HEALTH BENEFITS RESOURCE CENTER (HBRC). THE FLYER WAS IN ENGLISH AND SPANISH. THE PACKET INCLUDED A MEDI-CAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION. SHOULD THEY HAVE MADE AN APPOINTMENT WITH HBRC, PATIENTS COULD FILL OUT THE FORMS PRIOR TO THEIR APPOINTMENT.HBRC STAFF VISITED CASH/SELF-PAY PATIENTS AT BEDSIDE, SCREENED PATIENTS AND IDENTIFIED THE PROGRAMS FOR WHICH THEY WERE ELIGIBLE. IF THEY HAD NO LINKAGE, HBRC PROVIDED INFORMATION ABOUT OTHER PROGRAMS FOR WHICH THEY MAY HAVE QUALIFIED SUCH AS CHARITY CARE.IN ADDITION, WHILE ST. FRANCIS MEDICAL CENTER OPERTATED THE HOSPITAL THERE WERE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT ST. FRANCIS MEDICAL CENTER HAD FINANCIAL ASSISTANCE AND CHARITABLE PROGRAMS AVAILABLE FOR QUALIFIED LOW INCOME, UNINSURED PATIENTS WHO MAY NOT HAVE THE ABILITY TO MEET THE FINANCIAL OBLIGATION OF THEIR HOSPITAL SERVICES AND A CONTACT NUMBER TO CALL. AFTER DISCHARGE, THE BACK OF THE MONTHLY PATIENT BILLS INCLUDED THIS SAME STATEMENT."},{"form_and_line_reference":"PART VI, QUESTION 4: COMMUNITY INFORMATION","explanation":"ST. FRANCIS MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE, EDUCATIONAL PROGRAMS AND SUPPORT SERVICES TO THE 1,000,000 RESIDENTS OF COMMUNITIES IN SOUTHEAST LOS ANGELES COUNTY INCLUDING LYNWOOD, SOUTH GATE, DOWNEY, HUNTINGTON PARK, BELL, CUDAHY, PARAMOUNT, BELL GARDENS, MAYWOOD, COMPTON, AND SOUTH AND SOUTHEAST SECTIONS OF LOS ANGELES. THE LARGEST AGE GROUP IS 25-34 YEARS OLD (15.2%) FOLLOWED BY AGE 35-44 (13.7%). HISPANICS COMPRISE THE LARGEST ETHNIC GROUP (80.9%), FOLLOWED BY BLACK/AFRICAN AMERICAN (13.4%), AND WHITE (3.4%). 44.3% OF THE PRIMARY SERVICE AREA DID NOT COMPLETE HIGH SCHOOL. ST. FRANCIS MEDICAL CENTER SERVES A SIGNIFICANTLY HIGHER NUMBER OF MEDICALLY INDIGENT PATIENTS THAN THE AVERAGE HEALTH CARE FACILITY. IT IS RECOGNIZED AS A DISPROPORTIONATE SHARE HOSPITAL DUE TO THE NUMBER OF LOW-INCOME PATIENTS FOR WHICH IT PROVIDES CARE AND TREATMENT. THE WEIGHTED AVERAGE OF THE MEDIAN HOUSEHOLD INCOME IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA IS $42,060. ALTHOUGH THE 2020 FEDERAL POVERTY GUIDELINE FOR A FAMILY OF FOUR IS $25,750, ACCORDING TO THE COVERED CALIFORNIA INCOME GUIDELINE, A FAMILY OF FOUR EARNING LESS THAN $97,200 PER YEAR QUALIFIES FOR GOVERNMENT ASSISTANCE. 78.95% OF ST. FRANCIS MEDICAL CENTER'S REIMBURSEMENTS FOR SERVICE ARE DERIVED FROM MEDI-CAL AND MEDICARE. HEALTH INSURANCE COVERAGE IS A KEY COMPONENT TO ACCESSING HEALTH CARE. BARRIERS TO CARE CAN RESULT IN UNMET HEALTH NEEDS, DELAYS IN PROVISION OF APPROPRIATE TREATMENT, AND INCREASED COSTS FROM AVOIDABLE ER VISITS AND HOSPITALIZATIONS. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 100% INSURANCE COVERAGE FOR ALL POPULATION GROUPS. AMONG SERVICE AREA CHILDREN, AGES 0 TO 17, 96.9% ARE INSURED. 85.2% OF AREA ADULTS HAVE INSURANCE. IN THE SERVICE AREA, 80.8% OF THE TOTAL POPULATION HAS HEALTH INSURANCE. DOWNEY 90242 HAS THE HIGHEST RATE OF HEALTH INSURANCE COVERAGE (87.2%) AND LOS ANGELES 90003 HAS THE LOWEST RATE OF HEALTH INSURANCE COVERAGE (78.2%) IN THE SERVICE AREA, FOLLOWED BY MAYWOOD (78.5%) AND HUNTINGTON PARK (78.6%). HEALTH CARE COVERAGE IS HIGHER AMONG SERVICE AREA CHILDREN, 0 TO 18, (92.5%). DOWNEY 90241 HAS THE LOWEST RATE OF HEALTH INSURANCE COVERAGE FOR CHILDREN (88.3%) IN THE SERVICE AREA. 72.8% OF ADULTS, AGES 19-64, IN THE SERVICE AREA HAVE HEALTH INSURANCE COVERAGE, WITH THE LOWEST LEVEL FOUND IN MAYWOOD (67.7%), FOLLOWED BY LOS ANGELES 90003 (68.4%) AND HUNTINGTON PARK (68.6%)."},{"form_and_line_reference":"PART VI, QUESTION 5: PROMOTING THE HEALTH OF THE COMMUNITY","explanation":"WHILE OPERATING, ST. FRANCIS MEDICAL CENTER WAS THE ONLY COMPREHENSIVE, NON-PROFIT HEALTH CARE INSTITUTION SERVING THE ONE MILLION RESIDENTS OF SOUTHEAST LOS ANGELES. A 384-BED FACILITY, ST. FRANCIS MEDICAL CENTER OFFERED A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES PROVIDED BY MORE THAN 2,000 ASSOCIATES AND 450 AFFILIATED PHYSICIANS. ST. FRANCIS MEDICAL CENTER OPERATED ONE OF THE LARGEST AND BUSIEST PRIVATE EMERGENCY TRAUMA CENTERS IN LOS ANGELES COUNTY. THE HOSPITAL'S HEART AND VASCULAR CENTER, MATERNAL-CHILD HEALTH PROGRAM, ORTHOPEDICS/JOINT REPLACEMENT PROGRAM, IMAGING SERVICES, BEHAVIORAL HEALTH AND WOUND CARE FACILITIES OFFERED COMPREHENSIVE SERVICES TO THE COMMUNITY. THE PRIMARY STROKE CARE CENTER AND STEMI RECEIVING CENTER, BOTH APPROVED BY THE LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY, FILLED A MAJOR GAP IN SOUTHEAST LOS ANGELES. IN ADDITION TO ITS ACUTE AND OUTPATIENT HEALTH CARE SERVICES, ST. FRANCIS MEDICAL CENTER OPERATED A BROAD RANGE OF EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS. ST. FRANCIS MEDICAL CENTER WAS DEDICATED TO NURTURING HEALTHY CHILDREN AND FAMILIES, FOSTERING SELF-SUFFICIENCY, ENHANCING INDIVIDUAL AND COMMUNITY WELL-BEING, AND ACHIEVING EXCELLENCE IN FACILITIES AND TECHNOLOGY. ST. FRANCIS MEDICAL CENTER'S ULTIMATE GOAL WAS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY.ST. FRANCIS MEDICAL CENTER PROVIDED HOSPITAL, MEDICAL, AND SURGICAL CARE TO MEMBERS OF THE PUBLIC WITHOUT REGARD TO AGE, RACE, COLOR, RELIGION, ANCESTRY, NATIONAL ORIGIN, DISABILITY, MEDICAL CONDITION, GENETIC INFORMATION, MARITAL STATUS, SEX, GENDER, GENDER IDENTITY, GENDER EXPRESSION, SEXUAL ORIENTATION, CITIZENSHIP, PRIMARY LANGUAGE, IMMIGRATION STATUS, OR TO THE INDIVIDUAL'S ABILITY TO PAY. ST. FRANCIS MEDICAL CENTER OPERATED A FULL-TIME EMERGENCY DEPARTMENT. EMERGENCY MEDICAL SERVICES WERE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. ST. FRANCIS MEDICAL CENTER OPERATED ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN SOUTHERN CALIFORNIA. IN 1996, IN RESPONSE TO A DRAMATIC LACK OF TRAUMA SERVICES IN SOUTHEAST LOS ANGELES, ST. FRANCIS MEDICAL CENTER ESTABLISHED ITS TRAUMA CENTER. THE LEVEL II TRAUMA CENTER IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS. ST. FRANCIS MEDICAL CENTER HAD AN OPEN MEDICAL STAFF AND PROVIDED STAFF PRIVILEGES IN THE MEDICAL CENTER TO COMMUNITY PRACTITIONERS. BOARD PARTICIPATION:IN FISCAL YEAR 2020, ST. FRANCIS MEDICAL CENTER'S BOARD OF DIRECTORS WAS COMPRISED OF MEMBERS WITH FINANCIAL, LEGAL, BUSINESS, AND HEALTH CARE BACKGROUNDS WHO UNDERSTAND THE VISION AND VALUES OF ST. FRANCIS MEDICAL CENTER, AS WELL AS THE NEEDS OF THE COMMUNITY AND THE RESOURCES REQUIRED TO MEET THOSE NEEDS. ST. FRANCIS MEDICAL CENTER WAS ALSO REPRESENTED ON BOARDS AND COALITIONS OF COMMUNITY AGENCIES AND ORGANIZATIONS. THROUGH THE ONGOING COLLABORATION OF ST. FRANCIS MEDICAL CENTER WITH ORGANIZATIONS WHICH SHARED A COMMITMENT TO MEETING THE COMMUNITY'S HEALTH CARE NEEDS AND TO ADDRESSING THE ISSUES THAT AFFECT OVERALL HEALTH AND WELL-BEING, RESOURCES WERE STRENGTHENED AND BEST PRACTICES WERE OPTIMIZED, RESULTING IN OUTREACH PROGRAMS WITH THE GREATEST POSITIVE IMPACT. ST. FRANCIS MEDICAL CENTER REINVESTED ITS SURPLUS FUNDS IN CAPITAL REPLACEMENT OR EXPANSION OF FACILITIES AND EQUIPMENT, DEBT AMORTIZATION, IMPROVEMENT IN PATIENT CARE AND SERVICES, AND OTHER COMMUNITY BENEFIT SERVICES INCLUDING CHARITY CARE.ST. FRANCIS MEDICAL CENTER WAS COMMITTED TO SERVING THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, RESPECTING THE DIGNITY OF EACH PATIENT, AND MEETING THE HEALTH CARE NEEDS OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT.COMMUNITY BUILDING ACTIVITIES:ST. FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ADDRESSED SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDED PROGRAMS THAT ADVANCE LEARNING AND WORKPLACE SKILLS, AND THAT INTRODUCED STUDENTS AND YOUTH TO JOBS THAT COULD LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. BY PROVIDING EDUCATION AND TRAINING OPPORTUNITIES, INDIVIDUALS WOULD LIKELY QUALIFY AND HAVE IMPROVED ACCESS TO GAINFUL WORK, AND MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELPED TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, ST. FRANCIS MEDICAL CENTER PARTICIPATED IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY.VOLUNTEER SERVICES:THE VOLUNTEER SERVICES PROGRAM DELIVERED ORIENTATION, TRAINING AND SUPERVISION TO VOLUNTEERS WHO SUPPORT ST. FRANCIS MEDICAL CENTER'S DAY-TO-DAY OPERATIONS. WITH A FOCUS ON IMPARTING AND IMPROVING THE CUSTOMER AND SUPPORT SERVICE SKILLS OF STUDENT AND ADULT VOLUNTEERS, THE PROGRAM ENHANCED SERVICE DELIVERY TO PATIENTS, PATIENTS' FAMILIES, VISITORS, AND ST. FRANCIS MEDICAL CENTER EMPLOYEES. THE PROGRAM ALSO INTRODUCED STUDENT VOLUNTEERS TO POSSIBLE FUTURE HEALTH CARE CAREERS AND PROVIDED JOB SKILLS TRAINING OPPORTUNITIES. SENIOR VOLUNTEERS WERE PROVIDED WITH OPPORTUNITIES TO CONTRIBUTE THEIR SKILLS AND EXPERIENCE IN VARIOUS DEPARTMENTS, WHICH SUPPORTED THEIR MENTAL, EMOTIONAL AND SPIRITUAL HEALTH.COLLABORATIVE PARTNERS INCLUDED - LOCAL COLLEGES AND HIGH SCHOOLS; HUB CITIES CONSOTIUM; ARCHDIOCESE YOUTH EMPLOYEMENT SERVICES; LYNWOOD UNIFIED SCHOOL DISTRICT; AND ELEVATE YOUR G.A.M.E. COMMUNITY BENEFIT PLANNING AND REPORTING:COMMUNITY BENEFIT PLANNING AND REPORTING INCLUDED STAFF AND TIME DEDICATED TO PLANNING AND REPORTING THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS AND TO FACILITATING THE TRIENNIAL CHNA. COMMUNITY BENEFIT PROGRAM DIRECTORS AND MARKETING AND COMMUNICATIONS STAFF TRACKED COMMUNITY BENEFIT PROGRAM DATA TO EVALUATE AND SUPPORT THE DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. THE ST. FRANCIS MEDICAL CENTER FOUNDATION SUPPORTED COMMUNITY BENEFIT PROGRAMS AND SERVICES OFFERED BY ST. FRANCIS MEDICAL CENTER THROUGH GRANT APPLICATIONS AND THE MANAGEMENT OF GRANTS AND DONATIONS. NO ADDITIONAL FOUNDATION SPONSORED FUND-RAISING ACTIVITIES WERE PLANNED OR CONDUCTED DURING THE YEAR DUE TO THE BANKRUPTCY FILING."},{"form_and_line_reference":"PART VI, QUESTION 6: AFFILIATED HEALTHCARE SYSTEM","explanation":"VERITY HEALTH SYSTEM OF CALIFORNIA, INC., (\"VHS\"), IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS THAT OPERATED SIX ACUTE CARE HOSPITALS: O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, AND SETON MEDICAL CENTER (INCLUDING THE SETON MEDICAL CENTER COASTSIDE CAMPUS) (COLLECTIVELY, THE \"HOSPITALS\") AND OTHER FACILITIES IN THE STATE OF CALIFORNIA. SETON MEDICAL CENTER AND SETON MEDICAL CENTER COASTSIDE OPERATE UNDER ONE CONSOLIDATED ACUTE CARE LICENSE. THE ASSETS OF O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL WERE SOLD TO SANTA CLARA COUNTY ON FEBRUARY 28, 2019.AFTER FY2020 THE ASSETS OF ST. FRANCIS MEDICAL CENTER WERE SOLD TO PRIME HEALTHCARE AND SETON MEDICAL CENTER AND SETON COASTSIDE TO AHMC HEALTHCARE INC.ON AUGUST 31, 2018, VHS AND THE HOSPITALS (ALONG WITH OTHER VHS-AFFILIATED ENTITIES) EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (THE \"BANKRUPTCY CODE\"). THE CASES (COLLECTIVELY, THE \"BANKRUPTCY CASES\") ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA (THE \"BANKRUPTCY COURT\"). ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. FOR ALL BANKRUPTCY CASE FILINGS AND MORE DETAIL REGARDING VHS, PLEASE SEE KCCLLC.NET/VERITYHEALTH AND THE DECLARATION OF RICHARD G. ADCOCK IN SUPPORT OF EMERGENCY FIRST-DAY MOTIONS [DOCKET NOS. 8 AND 12].THE HOSPITALS WERE ORIGINALLY SPONSORED BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, PROVINCE OF THE WEST (THE \"DAUGHTERS OF CHARITY\"), TO SUPPORT THE MISSION OF THE CATHOLIC CHURCH THROUGH A COMMITMENT TO THE SICK AND POOR. THE DAUGHTERS OF CHARITY BEGAN THEIR HEALTHCARE MISSION IN CALIFORNIA IN 1858 WITH THE OPENING OF LOS ANGELES INFIRMARY, SUBSEQUENTLY KNOWN AS ST. VINCENT MEDICAL CENTER. THE DAUGHTERS OF CHARITY EXPANDED ITS HOSPITALS TO SAN JOSE IN 1889 AND SAN FRANCISCO IN 1893. THE DAUGHTERS OF CHARITY MINISTERED TO ILL, POVERTY-STRICKEN INDIVIDUALS FOR MORE THAN 150 YEARS. IN MARCH 1995, THE DAUGHTERS OF CHARITY MERGED THEIR HOSPITALS WITH CATHOLIC HEALTHCARE WEST (\"CHW\"). IN JUNE 2001, THE DAUGHTERS OF CHARITY HEALTH SYSTEM (\"DCHS\") WAS FORMED. IN OCTOBER 2001, THE DAUGHTERS OF CHARITY WITHDREW FROM CHW. IN 2002, DCHS COMMENCED OPERATIONS AND WAS THE SOLE CORPORATE MEMBER OF THE HOSPITALS, WHICH AT THAT TIME WERE CALIFORNIA NONPROFIT RELIGIOUS CORPORATIONS.IN JULY 2015, THE DCHS BOARD OF DIRECTORS SELECTED BLUEMOUNTAIN CAPITAL MANAGEMENT LLC (\"BLUEMOUNTAIN\"), A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE THE HOSPITAL OPERATIONS. THE PARTIES ENTERED INTO A SYSTEM RESTRUCTURING AND SUPPORT AGREEMENT, DCHS'S NAME WAS CHANGED TO \"VERITY HEALTH SYSTEM, AND BLUEMOUNTAIN FORMED INTEGRITY HEALTHCARE, LLC (\"INTEGRITY\") TO PROVIDE MANAGEMENT SERVICES UNDER A NEW MANAGEMENT SERVICES AGREEMENT, WHICH WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL CHARITABLE TRUST DIVISION. IN JULY 2017, NANTWORKS, LLC ACQUIRED A CONTROLLING INTEREST IN INTEGRITY.THROUGHOUT THEIR HISTORY AND CONTINUING THROUGH AUGUST 13,2020, THE HOSPITALS CONTINUED THE RICH TRADITION OF SERVING THE UNDER-SERVED AND PROVIDING ESSENTIAL HEALTH CARE SERVICES TO THEIR COMMUNITIES. THESE EXPANSIVE SERVICES ARE DETAILED IN MULTIPLE SECTIONS OF THIS FORM 990."},{"form_and_line_reference":"PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT","explanation":"THE COMMUNITY BENEFIT REPORT IS TYPICALLY FILED WITH THE STATE OF CALIFORNIA. THE ORGANIZATION LAST FILED THE COMMUNITY BENEFIT REPORT IN FISCAL YEAR 2019."},{"form_and_line_reference":"PART V, SECTION B, LINE 5: ASSESSMENT PROCESS AND METHODS","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT (\"CHNA\") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS. TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE CHNA USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH, SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED BY ST. FRANCIS MEDICAL CENTER. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: SECONDARY DATA COLLECTIONSECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.PRIMARY DATA COLLECTIONSFMC CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SFMC PARTICIPATED IN THE LA PARTNERSHIP, A COLLABORATIVE OF LA COUNTY HOSPITALS, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA COMMUNITY FOUNDATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), TO DEVELOP PRIMARY DATA QUESTIONS.INTERVIEWSTWENTY-ONE INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE COLLABORATIVE HOSPITAL PARTNERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- MOST SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY- SOCIAL, CULTURAL, BEHAVIORAL, ENVIRONMENTAL OR MEDICAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY- WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS- EFFECTIVE STRATEGIES OR ACTIONS FOR ADDRESSING THE NEEDS- SERVICES MOST CHALLENGING TO ACCESS- POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS- POTENTIAL AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS- ADDITIONAL COMMENTS AND CONCERNSIN ADDITION, STRATEGIC QUESTIONS, WHICH FOCUSED ON SPECIFIC HEALTH NEEDS, WERE INCLUDED. THESE QUESTIONS MATCHED STAKEHOLDER EXPERTISE OR EXPERIENCE WITH THE SIGNIFICANT HEALTH NEEDS. FOR EXAMPLE, A STAKEHOLDER WHO WORKED FOR A MENTAL HEALTH SERVICES AGENCY WAS ASKED SPECIFIC QUESTIONS ABOUT MENTAL HEALTH CONCERNS, BARRIERS AND RESOURCES.FOCUS GROUPSTWENTY FOCUS GROUPS WERE CONDUCTED FROM SEPTEMBER 2018 TO FEBRUARY 2019 AND ENGAGED 232 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN ORGANIZATION CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION.BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- SUGGESTIONS FOR ADDRESSING THE COMMUNITY ISSUES AND NEEDS.- OTHER COMMENTS OR CONCERNS.SURVEYSA SURVEY WAS PROVIDED TO SELECTED STAKEHOLDERS, REPRESENTING COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS AND NONPROFIT ORGANIZATIONS, WHO HAD NOT BEEN REACHED THROUGH AN INTERVIEW OR FOCUS GROUP. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE SURVEYS WERE COMPLETED FROM JANUARY 25 TO FEBRUARY 8, 2019. TWELVE (12) SURVEYS WERE COLLECTED. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- GAPS OR CHALLENGES TO ADDRESS THESE NEEDS.- RESOURCES AVAILABLE TO HELP ADDRESS THE NEEDS.FOR THE PURPOSES OF THE 2019 REPORT, THE ST. FRANCIS MEDICAL CENTER SERVICE AREA INCLUDES 17 ZIP CODES IN 11 CITIES/COMMUNITIES. THE SERVICE AREA IS LOCATED IN LA CITY COUNCIL DISTRICTS 8 AND 15 AND COMPRISES PORTIONS OF SERVICE PLANNING AREAS (SPAS) 6 AND 7."},{"form_and_line_reference":"PART V, SECTION B, LINE 6A:","explanation":"THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THIS PARTNERSHIP WAS ESTABLISHED BECAUSE THERE IS SIGNIFICANT OVERLAP IN THE SERVICE AREAS OF ST. FRANCIS MEDICAL CENTER WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS ON JUNE 18, 2019.PART V, SECTION B, LINE 7A AND 10:ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS OR \"VERITY HEALTH SYSTEM\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLYADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. ON AUGUST 13, 2020, THE ST. FRANCIS MEDICAL CENTER ASSETS WERE SOLD TO PRIME HEALTHCARE AND ST. FRANCIS CEASED TO OPERATE ANY HOSPITAL. THEREFORE, THE ST. FRANCIS MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED IN AUGUST 2020. THE CHNA REPORT WAS AVAILABLE AT HTTPS://STFRANCIS.VERITY.ORG. AS SUCH, THE LINK IS NO LONGER VALID. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."},{"form_and_line_reference":"PART V, SECTION B, LINE 11:","explanation":"SIGNIFICANT HEALTH NEEDS THE HOSPITAL ADDRESSED PRIOR TO SFMC CEASING TO OPERATE THE HOSPITAL USING DATA INCLUDED IN ITS 2019 CHNA REPORT, ST. FRANCIS MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH CARE NEEDS IT WOULD ADDRESS IN ITS 2020-2022 IMPLEMENTATION PLAN:1. ACCESS TO CARE2. CHRONIC DISEASES3. VIOLENCE AND INJURY PREVENTION4. BIRTH INDICATORSTHESE ISSUES ARE ADDRESSED THROUGH SPECIFIC HOSPITAL SERVICES AND COMMUNITY OUTREACH PROGRAMS DEVELOPED IN DIRECT RESPONSE TO CURRENT NEEDS.ACCESS TO CAREST. FRANCIS MEDICAL CENTER ADDRESSES ACCESS TO CARE BY TAKING THEFOLLOWING ACTIONS:- PROVIDE FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENTWITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.- PROVIDE FINANCIAL COUNSELING AND HEALTH INSURANCE ENROLLMENT ASSISTANCETHROUGH THE HEALTH BENEFITS RESOURCE CENTER. OFFER SUPPORT FOR FAMILIESWHO MAY HAVE EXPERIENCED DIFFICULTY WITH ENROLLMENT, UTILIZATION, RETENTION AND/OR ACCESS TO THEIR HEALTH BENEFITS.- PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARESERVICES.ST. FRANCIS MEDICAL CENTER PROVIDES NO COST AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IT ALSO SUBSIDIZES ITS EMERGENCY DEPARTMENT TO COVER THE COST OF UNCOMPENSATED CARE TO HELP ENSURE THAT CRITICAL SERVICES ARE AVAILABLE AROUND THE CLOCK FOR THE COMMUNITY.THE HEALTH BENEFITS RESOURCE CENTER (\"HBRC\") IS A ONE-STOP INFORMATION AND REFERRAL SERVICE CENTER THAT LINKS FAMILIES TO VALUABLE GOVERNMENT-SPONSORED HEALTH BENEFITS AND SOCIAL SERVICES AND COMMUNITY PROGRAMS TO PROMOTE HEALTHY FAMILIES, SUCH AS COVERED CALIFORNIA, MEDI-CAL, MEDICARE, MEDICAL ACCESS PROGRAM (FORMERLY AIM -ACCESS FOR INFANTS AND MOTHER), AND CALFRESH (FORMERLY KNOWN AS THE FOODSTAMP PROGRAM). IN ADDITION TO PROVIDING ASSISTANCE WITH THE APPLICATION PROCESS, HBRC OFFERS ONGOING CASE MANAGEMENT SUPPORT FOR FAMILIES WHO MAY EXPERIENCE ANY TYPE OF DIFFICULTY RELATED TO THEIR ENROLLMENT, UTILIZATION, RETENTION AND/OR ACCESS TO THEIR BENEFITS. THE CENTER PERFORMS ONGOING OUTREACH TO EDUCATE THE COMMUNITY ABOUT BENEFITS ANDSAFEGUARDS THAT COME WITH PARTICIPATION IN GOVERNMENT-SPONSORED PROGRAMS. HBRC PROVIDES A DEPENDABLE, TRUSTED REFERRAL MECHANISM TO SOCIAL SERVICES AND RESOURCE AGENCIES FOR ADULTS, FAMILIES, AND SENIORS. HBRC ENROLLMENT SPECIALISTS ARE BILINGUAL AND CULTURALLY SENSITIVE TO BOTH THE ENGLISH AND SPANISH SPEAKING POPULATIONS. THEY WORK ONE-ON-ONE WITH FAMILIES TO ESTABLISH A TRUSTING RELATIONSHIP AND TO PROVIDE A SAFE AND SUPPORTIVE ENVIRONMENT. TO REACH MORE RESIDENTS, HBRC PROVIDES AN EMERGENCY DEPARTMENT-BASED ENROLLMENT SPECIALIST WHO CAN RESPOND TO EMERGENCY PATIENTS AT THE BEDSIDE.DUE TO THE COVID-19 PANDEMIC, HBRC SUSPENDED IN-PERSON APPOINTMENTS IN MARCH 2020, BUT CONTINUED TO PROVIDE HEALTH BENEFIT RESOURCE SERVICES VIA PHONE CONSULTATIONS. IN JUNE 2020, HBRC BEGAN DEVELOPING A PLAN TO SAFELY RESUME IN-PERSON APPOINTMENTS WITH DIRECTION FROM SFMC'S INFECTION PREVENTION MANGER AND FOLLOWING LOS ANGELES COUNTY DEPARTMENT OF HEALTH GUIDELINES.PATIENT TRANSPORTATION IS PROVIDED TO INDIVIDUALS WITHOUT ANY MEANS OF TRANSPORTATION FOLLOWING DISCHARGE, AND TO PARENTS OF INFANTS RECEIVING CARE IN THE HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) WHO DO NOT HAVE A WAY OF TRAVELING TO AND FROM THE MEDICAL CENTER TO VISIT THEIR BABY. TRANSPORTATION IS ALSO ARRANGED FOR INDIVIDUALS RECEIVING INPATIENT BEHAVIORAL HEALTH SERVICES AT ST. FRANCIS MEDICAL CENTER WHO MAY NEED TRANSPORTATION FOR COURT APPEARANCES OR FOLLOWING DISCHARGE.ST. FRANCIS MEDICAL CENTER CONDUCTS THESE STRATEGIES WITH THE OVERARCHING GOAL TO INCREASE ACCESS TO HEALTH CARE FOR THE MEDICALLY UNDERSERVED.CHRONIC DISEASES ST. FRANCIS MEDICAL CENTER ADDRESSES CHRONIC DISEASES BY TAKING THE FOLLOWING ACTIONS:- OFFER COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS, AND IMMUNIZATIONS THROUGH THE HEALTHY COMMUNITY INITIATIVES AND LIVING WELL, HEALTHY FUTURE EDUCATIONAL SERIES.- SUPPORT SENIOR WELLNESS THROUGH THE SENIOR CIRCLE OUTREACH PROGRAM.- PROVIDE HEALTH SCREENINGS AND HEALTH EDUCATION AT ELEMENTARY SCHOOLS.- ENGAGE IN ADVOCACY TO PROMOTE POLICIES THAT ADDRESS HEALTHY EATING, PHYSICAL ACTIVITY, AND WELLNESS IN THE COMMUNITY.HEALTHY COMMUNITY INITIATIVES (\"HCI\") PROVIDES SCREENINGS AND HEALTH EDUCATION TO DIRECTLY ADDRESS THE HIGH INCIDENCE OF HEART DISEASE, STROKE, DIABETES AND OBESITY IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA. HCI BRINGS HEALTH SCREENINGS FOR BLOOD PRESSURE, GLUCOSE, BODY FAT (BMI), AND HEIGHT AND WEIGHT ALONG WITH CORRESPONDING HEALTH EDUCATION ON NUTRITION, HEALTHY COOKING, AND MANAGING DIABETES TO AREA SCHOOLS, CHURCHES, BUSINESSES AND COMMUNITY ORGANIZATIONS VIA ITS HCI NURSE/NURSE EDUCATOR. IT ALSO HOLDS AN ANNUAL SENIOR AND FAMILY HEALTH FAIR OFFERING FREE HEALTH SCREENINGS, HEALTH EDUCATION, AND CONNECTIONS TO COMMUNITY SERVICES. FOR INDIVIDUALS AND FAMILIES WITHOUT ACCESS TO PRIMARY CARE, HCI PROVIDES THEM WITH IMPORTANT PREVENTIVE SERVICES, THE FIRST STEP IN IDENTIFYING HEALTH CONDITIONS LIKE OBESITY AND DIABETES, HEALTH CARE RESOURCES, AND LINKAGES TO ESSENTIAL FOLLOW-UP CARE AND TREATMENT.IN ADDITION, ST. FRANCIS MEDICAL CENTER IS A DESIGNATED PRIMARY STROKE CENTER AND AN APPROVED STEMI RECEIVING CENTER FOR LA COUNTY EMERGENCY MEDICAL SERVICES, PROVIDING IMMEDIATE EMERGENCY TREATMENT AND INTERVENTION FOR STROKE AND HEART ATTACK VICTIMS.THE SENIOR CIRCLE WELLNESS PROGRAM INCLUDES SESSIONS ON HEALTH TOPICS IMPORTANT TO OLDER ADULTS, INCLUDING HEART DISEASE, STROKE AWARENESS AND PREVENTION, DIET AND EXERCISE, AND DIABETES MANAGEMENT. MONTHLY SENIOR LUNCHEONS FEATURE PRESENTATIONS LED BY HEALTH CARE PROFESSIONALS, AS WELL AS FREE HEALTH SCREENINGS FOR BLOOD PRESSURE, GLUCOSE, CHOLESTEROL, AND HEIGHT AND WEIGHT. A NEW LIVING WELL, HEALTHY FUTURE SERIES HAS BEEN INTRODUCED AND FOCUSES ON MAINTAINING BRAIN HEALTH AND PREVENTING AND COPING WITH DEMENTIAS AND OTHER BRAIN-RELATED CONDITIONS.THE HEALTHY COMMUNITY INITIATIVES NURSE/NURSE EDUCATOR PROVIDES SCHOOL-BASED HEALTH SCREENINGS AND HEALTH EDUCATION AT THREE SOUTH LA ELEMENTARY SCHOOLS IN NEED OF SCHOOL NURSE SERVICES. AUDIO, VISION, SCOLIOSIS, AND DENTAL SCREENINGS ARE OFFERED TO STUDENTS, AS WELL AS HEALTH EDUCATION ON TOPICS SUCH AS CPR, FIRST AID, MEDICATION ADMINISTRATION, ASTHMA, FOOD ALLERGY AND ANAPHYLAXIS, EPILEPSY, LICE, GROWTH AND DEVELOPMENT, AND DENTAL EMERGENCIES FOR STUDENTS, PARENTS, AND FACULTY AND STAFF.ST. FRANCIS MEDICAL CENTER'S HEALTHY COMMUNITY INITIATIVES DIRECTOR PARTICIPATES ON COMMUNITY BOARDS AND COALITIONS TO ADDRESS ISSUES THAT AFFECT OVERALL HEALTH AND WELL-BEING. COLLABORATIVE PARTNERS SHARE A COMMITMENT TO MEETING THE COMMUNITY'S HEALTH CARE NEEDS AND INCLUDE LYNWOOD UNIFIED SCHOOL DISTRICT HEALTHY COLLABORATION, IMMUNIZE LA, AND HUNTINGTON PARK CHAMBER OF COMMERCE. THROUGH THESE COLLABORATIONS, RESOURCES ARE STRENGTHENED AND BEST PRACTICES ARE OPTIMIZED, RESULTING IN OUTREACH PROGRAMS WITH THE GREATEST POSITIVE IMPACT.ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO REDUCE THE IMPACT OF CHRONIC DISEASES ON HEALTH AND INCREASE THE FOCUS ON CHRONIC DISEASE PREVENTION, TREATMENT AND SELF-MANAGEMENT. IN MARCH 2020, HCI EVENTS WERE PUT ON HOLD DUE TO THE CORONAVIRUS OUTBREAK. IT IS ANTICIPATED THAT ACTIVITIES WILL RESUME WHEN COVID-19 RESTRICTIONS ARE EASED AND SFMC CAN SAFELY COORDINATE EVENTS, FOLLOWING STATE AND LOCAL GUIDELINES.VIOLENCE AND INJURY PREVENTIONST. FRANCIS MEDICAL CENTER ADDRESSES VIOLENCE AND INJURY PREVENTION BY TAKING THE FOLLOWING ACTIONS:- CONDUCT AN INJURY PREVENTION PROGRAM IN PARTNERSHIP WITH SOUTHERN CALIFORNIA CROSSROADS AND THE SOUTH LOS ANGELES TRAUMA RECOVERY CENTER.THE INJURY PREVENTION PROGRAM WORKS WITH SCHOOLS, HOSPITALS, AND OTHER PUBLIC AND PRIVATE ORGANIZATIONS TO ADDRESS SAFETY AND HELP PREVENT TRAUMATIC INJURY. THE PROGRAM TARGETS ISSUES THAT ARE OFTEN UNDERLYING FACTORS IN THE CAUSE OF INJURIES, SUCH AS SAFETY, BULLYING, DOMESTIC AND GANG VIOLENCE, AND SELF-ESTEEM.WITH FIRSTHAND KNOWLEDGE OF THE DEVASTATING EFFECTS OF VIOLENCE AND INJURY ON PATIENTS AND FAMILY MEMBERS, ST. FRANCIS MEDICAL CENTER'S TRAUMA TEAM OF PHYSICIANS, NURSES, AND STAFF LEAD THE HOSPITAL'S INJURY PREVENTION EFFORTS. THEY SERVE AS PRESENTERS AT VIOLENCE PREVENTION CONFERENCES, ORGANIZE SAFETY AND INJURY PREVENTION PROGRAMS FOR STUDENTS AND YOUTH, AND WORK WITH ELECTED OFFICIALS AND COMMUNITY GROUPS TO COALESCE PREVENTION EFFORTS.ST. FRANCIS MEDICAL CENTER DEDICATES A FULL-TIME STAFF MEMBER, ITS INJURY PREVENTION COORDINATOR, TO DEVELOP AND COORDINATE TRAUMA AND INJURY PREVENTION PROGRAMS, REPRESENT ST. FRANCIS MEDICAL CENTER AT COALITION MEETINGS, AND ORGANIZE COMMUNITY-BASED PROGRAMS THAT ENGAGE AND EMPOWER YOUTH AND YOUNG ADULTS."},{"form_and_line_reference":"COLLABORATIVE PARTNERSHIPS HAVE STRENGTHENED ST. FRANCIS MEDICAL CENTER'S","explanation":"ABILITY TO REACH AT-RISK INDIVIDUALS. IN 2013, THE HOSPITAL JOINED EFFORTS WITH SOUTHERN CALIFORNIA CROSSROADS (\"CROSSROADS\") TO ESTABLISH AN EDUCATION AND WORK SKILLS PROGRAM IN OUR COMMUNITY. CROSSROADS IS A NON-PROFIT ORGANIZATION COMMITTED TO ASSISTING UNDERPRIVILEGED INDIVIDUALS LIVING IN VIOLENCE-PLAGUED NEIGHBORHOODS LEAD HEALTHY, PEACEFUL AND PRODUCTIVE LIVES THROUGH PREVENTION, INTERVENTION, AND RE-ENTRY INTO SOCIETY. THE PROGRAM WAS ORGANIZED BY SFMC'S INJURY PREVENTION COORDINATOR, WHO ALSO SERVES AS THE CROSSROADS' PROGRAM DIRECTOR. ST. FRANCIS MEDICAL CENTER PROVIDES DEDICATED WORKSPACE AND FACILITIES FOR THE PROGRAM IN A NEARBY PROFESSIONAL OFFICE BUILDING.THE CROSSROADS PROGRAM PROVIDES GED PREPARATION, JOB TRAINING AND PLACEMENT, AND SUPPORT SERVICES, WITH THE GOAL OF HELPING YOUNG MEN AND WOMEN AGES 18 TO 24 TRANSFORM THEIR LIVES AND ACHIEVE POSITIVE, PRODUCTIVE LIFESTYLES. THE PROGRAM REACHES OUT TO THE HOSPITAL'S TRAUMA PATIENTS WHO ARE VICTIMS OF VIOLENCE, INCLUDING EX-OFFENDERS AND HIGH SCHOOL DROP-OUTS, AND OTHER PATIENTS IDENTIFIED AS \"AT RISK.\"PARTICIPANTS ENGAGE IN A VARIETY OF COMPREHENSIVE SERVICES THAT ENABLE THEM TO CONTINUE THEIR EDUCATION AND RECEIVE TRAINING AND SKILLS FOR FUTURE EMPLOYMENT AND THAT HELP TO PREPARE THEM TO SUCCESSFULLY COMPETE IN THE LABOR MARKET.THE PROGRAM ALSO DEVELOPS LINKAGES BETWEEN THE SERVICES OF STATE CORRECTIONAL AGENCIES, LOCAL PAROLE OFFICES, LOCAL DRUG AND ALCOHOL TREATMENT CENTERS, AND AREA WORKFORCE INVESTMENT BOARDS, AND COORDINATES AND LEVERAGES RESOURCES BETWEEN OTHER PROJECT GRANTEES AND TRAINING SERVICE PROVIDERS.GANG PREVENTION AND INTERVENTION CONFERENCE - THE INJURY PREVENTION PROGRAM ALSO COLLABORATES WITH CROSSROADS IN THE PLANNING AND EXECUTION OF THE ANNUAL LOS ANGELES GANG PREVENTION AND INTERVENTION CONFERENCE. THE ANNUAL CONFERENCE FOCUSES ON YOUTH AND GANG VIOLENCE AND HOW COMMUNITIES IN CITIES HERE AND ABROAD ARE IMPACTED. THE EVENT BRINGS TOGETHER EXPERTS AND PRACTITIONERS FROM THE FIELDS OF HEALTH, SOCIAL SERVICES, AND LAW ENFORCEMENT ALONG WITH CIVIC AND COMMUNITY LEADERS TO SHARE EXPERTISE AND DATA-PROVEN MODELS TO IMPROVE VIOLENCE REDUCTION SERVICES, PRACTICES AND POLICIES. THE CONFERENCE EMPHASIZES COLLABORATION AND CROSS-SECTOR PARTNERSHIPS, WITH A GOAL OF CHANGING THE STRUCTURE OF GANG PREVENTION, INTERVENTION, AND SUPPRESSION PRACTICE TO INCORPORATE A COMPREHENSIVE MODEL.DUE TO COVID-19, THE 2020 GANG PREVENTION AND INTERVENTION CONFERENCE WAS SUSPENDED INDEFINITELY.ST. FRANCIS MEDICAL CENTER FURTHER COLLABORATED WITH CROSSROADS TO ESTABLISH THE SOUTH LOS ANGELES TRAUMA RECOVERY CENTER (\"TRC\"). SUPPORTED THROUGH FUNDING FROM THE CALIFORNIA VICTIM COMPENSATION BOARD (\"CALVCB\"), THE TRC HELPS CENTRALIZE AND COORDINATE A RANGE OF FREE SERVICES FOR VICTIMS OF VIOLENT CRIME AND FAMILIES OF HOMICIDE VICTIMS. THE SOUTH LA TRAUMA RECOVERY CENTER PROVIDES FUNDAMENTAL INTEGRATED SERVICES.1. OUTREACH TO HARD-TO-REACH POPULATIONS CONDUCTED BY VICTIM ADVOCATES. INFORMATIONAL PAMPHLETS, FLYERS, AND PUBLIC SERVICE ANNOUNCEMENTS ARE MADE AVAILABLE AT NEIGHBORHOOD LIQUOR STORES, CORNER MARKETS, PARKS, AND OTHER PLACES THAT RESIDENTS CONGREGATE OR HAVE BEEN IDENTIFIED AS HIGH-CRIME AREAS. IN ADDITION, THE HEALTH BENEFITS RESOURCE CENTER AT ST. FRANCIS MEDICAL CENTER PROVIDES REFERRALS TO THE TRC AND ASSISTS TRC CLIENTS IN APPLYING FOR HEALTH INSURANCE, CALFRESH BENEFITS, AND OTHER BASIC NEEDS.2. TRAINING FOR LAW ENFORCEMENT AGENCIES, COMMUNITY-BASED AGENCIES AND OTHER HEALTH CARE PRACTITIONERS. TRAINING SESSION TOPICS INCLUDE IDENTIFYING CRIME, UNDERSTANDING THE IMPACT OF CRIME ON BEHAVIOR AND HEALTH, AND THE IMPORTANCE OF TREATING TRAUMA ARISING FROM VICTIMIZATION. 3. DIRECT SERVICES FOR CRIME VICTIMS AND FAMILY MEMBERS OF HOMICIDE VICTIMS USING AN EVIDENCE-BASED TREATMENT MODEL.THE SOUTH LA TRC'S DIRECT SERVICES ARE PRIMARILY OFFERED ON SITE AT CROSSROADS AND AT ST. FRANCIS MEDICAL CENTER, WITH PARTNER AGENCIES PROVIDING SERVICES AT THEIR SITES OR IN VICTIMS' HOMES ON AN AS NEEDED BASIS. ALL CRIME VICTIMS AND FAMILIES OF HOMICIDE VICTIMS ARE ELIGIBLE FOR SERVICES.DIRECT SERVICES, CUSTOMIZED FOR EACH INDIVIDUAL AND TAKING INTO ACCOUNT THE TYPE OF CRIME EXPERIENCED, FALL INTO THE FOLLOWING THREE CATEGORIES: MEDICAL CARE: FOLLOW UP ON INJURIES, REHABILITATION, MEDICATION MANAGEMENT, PHYSICAL THERAPY AND HEALTHY LIVING PROGRAMS.MENTAL HEALTH: SHORT TERM COUNSELING, CRISIS INTERVENTION, ASSESSMENT AND SAFETY PLANNING; LONG TERM THERAPY, GROUP THERAPY, PSYCHIATRIC FOLLOW-UP (AS NEEDED), COUNSELING FOR CHILDREN (AS NEEDED), ADVOCACY (INCLUDES COMPLETING THE APPLICATION FOR VICTIM COMPENSATION FUNDS, PROVIDING INFORMATION ON GRIEF AND TRAUMA, NAVIGATING THE CRIMINAL JUSTICE SYSTEM, AND ASSISTING WITH VICTIM IMPACT STATEMENTS) AND CLINICAL CASE MANAGEMENT.INFORMATION AND REFERRALS FOR NON-DIRECT SERVICES: LEGAL SERVICES, BENEFITS ENROLLMENT, VOCATIONAL AND EDUCATIONAL SUPPORT, JOB PLACEMENT, TRANSITIONAL HOUSING, TRANSPORTATION (INCLUDING LA METRO TAP CARDS AND/OR TAXI VOUCHERS), SUBSTANCE ABUSE, EMERGENCY SHELTERS, AND OTHERS.ADDITIONAL SERVICES PROVIDED TO SEXUAL ASSAULT VICTIMS INCLUDE MEDICAL EXAMINATIONS, TREATMENT, TESTING FOR HIV AND SEXUALLY TRANSMITTED ILLNESS; TRANSFER TO A LOCAL SART (SEXUAL ASSAULT RESPONSE TEAM), IF NEEDED; ADVOCACY AND SUPPORT DURING INTERACTIONS WITH LAW ENFORCEMENT; COURT ACCOMPANIMENT; AND REFERRALS AND CRISIS HOTLINES.GANG REDUCTION AND YOUTH DEVELOPMENT (\"GRYD\") - THROUGH A GRANT AWARDED TO ST. FRANCIS MEDICAL CENTER FOUNDATION FROM THE CITY OF LOS ANGELES MAYOR'S OFFICE AS PART OF A CITY-WIDE EFFORT TO REDUCE GANG INVOLVEMENT BY YOUTH, GRYD ADDRESSES GANG VIOLENCE IN A COMPREHENSIVE AND COORDINATED WAY, BY WORKING WITH COLLABORATIVE COMMUNITY-BASED AGENCIES THAT HAVE A SHARED COMMITMENT TO CURTAIL VIOLENCE AND INJURY. GRYD FOCUSES ON YOUTH AGES 10-15 WHO ARE IDENTIFIED AS HIGH-RISK FOR GANG RECRUITMENT. GRANT PROGRAM SERVICES ARE PROVIDED THROUGH ST. FRANCIS MEDICAL CENTERS' INJURY AND PREVENTION PARTNER, CROSSROADS, WHICH CONDUCTS SCREENINGS AND ASSESSMENTS TO IDENTIFY YOUTH AT HIGH-RISK FOR JOINING GANGS. UP TO 150 YOUTH ARE SERVED AT ANY ONE TIME THROUGH A SIX-MONTH PROGRAM.AS PART OF THE GRYD COLLABORATION, ST. FRANCIS MEDICAL CENTER WORKS WITH THE UNIFIED SCHOOL DISTRICTS OF LOS ANGELES, COMPTON, LYNWOOD, AND EL RANCHO, ST. LAWRENCE BRINDISI SCHOOL, COLLEGE BRIDGE ACADEMY, THE LOS ANGELES POLICE DEPARTMENT, AND THE DEPARTMENT OF CHILD AND FAMILY SERVICES, AMONG OTHERS. ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO REDUCE THE IMPACT OF VIOLENCE AND INJURY IN THE COMMUNITY.BIRTH INDICATORSST. FRANCIS MEDICAL CENTER ADDRESSES BIRTH INDICATORS BY TAKING THE FOLLOWING ACTIONS:- COLLABORATION WITH LOS ANGELES COUNTY FIRST 5 LA WELCOME BABY PROGRAM.- FOR FAMILIES RESIDING WITHIN A BEST START COMMUNITY, THE WELCOME BABY PROGRAM PROVIDES TWO PRENATAL VISITS, A HOSPITAL VISIT, AND FIVE POSTPARTUM VISITS.- FOR FAMILIES RESIDING OUTSIDE A BEST START COMMUNITY, THE WELCOME BABY PROGRAM PROVIDES A HOSPITAL VISIT AND TWO POSTPARTUM VISITS. - USING UNIVERSAL RISK SCREENING DURING THE WELCOME BABY HOSPITAL VISIT, THE FAMILIES WHO NEED ADDITIONAL SUPPORT ARE IDENTIFIED.- FAMILIES RECEIVE INFORMATION AND SUPPORT DURING EACH WELCOME BABY VISIT ON TOPICS THAT MAY INCLUDE: BREASTFEEDING, HOME SAFETY, THE IMPORTANCE OF A MEDICAL HOME, WELL-CHILD VISITS AND IMMUNIZATIONS, SMOKING CESSATION, CRYING PATTERNS, PARENT-TO-CHILD TEMPERAMENT, AND POST-PARTUM DEPRESSION. - INCREASE BREASTFEEDING THROUGH THE BABY FRIENDLY HOSPITAL INITIATIVE.THE WELCOME BABY PROGRAM PROVIDES ACCESS TO PRENATAL CARE. THE PROGRAM OFFERS PERSONALIZED PRENATAL, POST-PARTUM, AND HOSPITAL VISITS WITH A PROFESSIONALLY TRAINED PARENT COACH, FROM PREGNANCY THROUGH THE BABY'S FIRST 9 MONTHS, FOR FAMILIES LIVING WITHIN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA THAT ARE DESIGNATED BY LA COUNTY AS FIRST 5 LA'S BEST START COMMUNITIES AND WHO MEET THE WELCOME BABY PROGRAM ELIGIBILITY CRITERIA.AVAILABLE AT NO COST TO ALL MATERNITY PATIENTS, THE WELCOME BABY CONTINUUM OF CARE INCLUDES BREASTFEEDING SUPPORT FROM WELCOME BABY STAFF (WHO ARE ALL CERTIFIED LACTATION EDUCATORS), REFERRALS TO COMMUNITY RESOURCES, AND AN IN-HOME VISIT BY A REGISTERED NURSE WITHIN THE FIRST WEEK FOLLOWING MOM AND BABY'S DISCHARGE FROM THE HOSPITAL.ALL FAMILIES RESIDING OUTSIDE OF THE BEST START COMMUNITIES ARE ELIGIBLE FOR THE WELCOME BABY HOSPITAL VISIT. IF THEY DO NOT MEET WELCOME BABY PROGRAM CRITERIA, THEY MAY STILL RECEIVE REFERRALS AND LINKAGES TO SERVICES, IF NEEDED. AND UP TO TWO ADDITIONAL HOME VISITS, IF NEEDED."},{"form_and_line_reference":"WELCOME BABY ADDRESSES THE FIRST 5 LA GOAL AREAS:","explanation":"1) THAT CHILDREN MAINTAIN A HEALTHY WEIGHT; 2) THAT CHILDREN ARE SAFE FROM ABUSE AND NEGLECT; AND 3) THAT CHILDREN ARE READY FOR KINDERGARTEN. FIRST 5 LA AND PARTNER HOSPITALS WORK TOGETHER TO REACH THESE GOALS BY FOCUSING ON HEALTH AND WELLNESS BEFORE A BABY'S BIRTH AND CONTINUING THROUGH A CHILD'S FIRST CRITICAL MONTHS.USING PARENT COACHES, WELCOME BABY ADDRESSES PRENATAL TESTING, HOME PLANNING/SAFETY, LABOR SIGNS, BREASTFEEDING, DEPRESSION SCREENING, FAMILY NUTRITION, OBSERVATION FOR JAUNDICE AND HYDRATION, INFANT ASSESSMENTS, AND GROWTH AND DEVELOPMENT MILESTONES. THROUGH BOTH PRENATAL AND POSTPARTUM HOSPITAL AND HOME-BASED VISITS, PARENT COACHES DEVELOP A RELATIONSHIP WITH THE FAMILIES AND PROVIDE EDUCATION IN A CONVENIENT AND COMFORTABLE SETTING, AND THEY HELP TO ENSURE PARENTS ARE CONNECTED TO APPROPRIATE HEALTH CARE SERVICES.TO ADDRESS THE COMMUNITY'S LOW BREASTFEEDING RATES, ST. FRANCIS MEDICAL CENTER CONTINUES TO IMPLEMENT BABY FRIENDLY USA'S TEN STEPS OF SUCCESSFUL BREASTFEEDING WITHIN ITS FACILITY. BABY-FRIENDLY USA IS THE U.S. AUTHORITY FOR THE IMPLEMENTATION OF THE BABY-FRIENDLY HOSPITAL INITIATIVE, A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). THE BABY-FRIENDLY PROGRAM AIMS TO INCREASE BREASTFEEDING RATES THROUGH THE EDUCATION OF HEALTH CARE PROVIDERS, MATERNITY PATIENTS, AND PROGRAMS THAT SUPPORT EXCLUSIVE BREASTFEEDING. THE TEN STEPS INCLUDE:1. HAVING A WRITTEN BREASTFEEDING POLICY THAT IS ROUTINELY COMMUNICATED TO ALL HEALTH CARE STAFF.2. TRAINING ALL HEALTH CARE STAFF IN SKILLS NECESSARY TO IMPLEMENT THE POLICY.3. INFORMING ALL PREGNANT WOMEN ABOUT THE BENEFITS AND MANAGEMENT OF BREASTFEEDING.4. HELPING MOTHERS INITIATE BREASTFEEDING WITHIN ONE HOUR OF BIRTH. 5. SHOWING MOTHERS HOW TO BREASTFEED AND HOW TO MAINTAIN LACTATION EVEN IF THEY ARE SEPARATED FROM THEIR INFANTS.6. GIVING NEWBORN INFANTS NO FOOD OR DRINK OTHER THAN BREAST MILK, UNLESS MEDICALLY INDICATED.7. PRACTICING \"ROOM IN\" - ALLOWING MOTHERS AND INFANTS TO REMAIN TOGETHER 24 HOURS A DAY.8. ENCOURAGING BREASTFEEDING ON DEMAND.9. GIVING NO PACIFIERS OR ARTIFICIAL NIPPLES TO BREASTFEEDING INFANTS.10. FOSTERING THE ESTABLISHMENT OF BREASTFEEDING SUPPORT GROUPS AND REFERRING MOTHERS TO THEM ON DISCHARGE FROM THE HOSPITAL OR CLINIC.THROUGH ONGOING EVALUATION OF ITS PROGRAM AND CONTINUED EDUCATION OF DOCTORS, NURSES, AND PATIENTS, ST. FRANCIS MEDICAL CENTER IS DEDICATED TO INCREASING BOTH THE BREASTFEEDING INITIATION AND EXCLUSIVE BREASTFEEDING RATES. THE BABY-FRIENDLY HOSPITAL INITIATIVE EMAPHSIZES PRACTICE OF THE TEN STEPS, RATHER THAN SETTING PERCENTAGE TARGETS. THROUGH CONSISTENT PRACTICE OF THE STEPS, THE EXPECTATION IS THAT EXCLUSIVE BREASTFEEDING RATES WILL INCREASE CORRESPONDINGLY.ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO IMPROVE MATERNAL AND INFANT HEALTH.ST. FRANCIS MEDICAL CENTER HAS CHOSEN TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, ST. FRANCIS MEDICAL CENTER IS NOT DEVELOPING A SPECIFIC COMMUNITY BENEFIT STRATEGY TO ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA: DENTAL CARE, ECONOMIC INSECURITY, FOOD INSECURITY, HOUSING AND HOMELESSNESS, MENTAL HEALTH, OVERWEIGHT AND OBESITY, PNEUMONIA AND INFLUENZA, PREVENTIVE PRACTICES, SEXUALLY TRANSMITTED INFECTIONS, AND SUBSTANCE USE AND MISUSE.ST. FRANCIS MEDICAL CENTER DOES INDIRECTLY ADDRESS A NUMBER OF THESE HEALTH NEEDS; HOWEVER, THESE NEEDS ARE NOT BE DIRECTLY TARGETED THROUGH THE IMPLEMENTATION STRATEGY:- SUBSTANCE USE AND MISUSE: SOUTHERN CALIFORNIA CROSSROADS HAS A SUBSTANCE ABUSE COMPONENT.- ECONOMIC INSECURITY: SOUTHERN CALIFORNIA CROSSROADS HAS GED PREPARATION AND A WORK SKILLS COMPONENT.- FOOD INSECURITY: HEALTH BENEFITS RESOURCE CENTER HAS A CALFRESH ELIGIBILITY WORKER ON SITE TO ASSIST WITH ENROLLMENT IN THE STATE FOOD AND NUTRITION PROGRAM.- OVERWEIGHT AND OBESITY: HEALTHY COMMUNITY INITIATIVES PROVIDES BMI HEALTH SCREENINGS AT VARIOUS HOSPITAL AND COMMUNITY-BASED EVENTS ALONG WITH NUTRITION EDUCATION TO PROMOTE A BALANCED DIET AND A HEALTHY WEIGHT.- PREVENTIVE PRACTICES: HEALTHY COMMUNITY INITIATIVES OFFERS ADULT IMMUNIZATIONS AT ITS ANNUAL COMMUNITY HEALTH FAIR AND FLU VACCINES FOR SENIORS.- MENTAL HEALTH: ST. FRANCIS MEDICAL CENTER HAS A BEHAVIORAL HEALTH UNIT, WHICH IS AT CAPACITY YEAR-ROUND AND REFLECTS THE GREAT NEED FOR MENTAL HEALTH SERVICES IN THE HOSPITAL'S SERVICE AREA."},{"form_and_line_reference":"PART V, SECTION B, LINES 16A, 16B AND 16C:","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.IN ADDITION, AS OF AUGUST 14, 2020, ST. FRANCIS MEDICAL CENTER HOSPITAL ASSETS WERE SOLD TO PRIME HEALTHCARE, WHICH CONTINUES TO OPERATE THE HOSPITAL. THEREFORE, THE ST. FRANCIS MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTPS://VERITY.ORG/SFMC/FINANCIALASSISTANCE.PHP PRIOR TO THE WEBSITE TERMINATION. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."},{"form_and_line_reference":"PART V, SECTION B","explanation":"FACILITY REPORTING GROUP A"},{"form_and_line_reference":"FACILITY REPORTING GROUP A CONSISTS OF:","explanation":"- FACILITY 1: ST. FRANCIS MEDICAL CENTER"},{"form_and_line_reference":"ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 5:","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT (\"CHNA\") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS. TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE CHNA USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH, SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED BY ST. FRANCIS MEDICAL CENTER. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: SECONDARY DATA COLLECTIONSECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.PRIMARY DATA COLLECTIONSFMC CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SFMC PARTICIPATED IN THE LA PARTNERSHIP, A COLLABORATIVE OF LA COUNTY HOSPITALS, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA COMMUNITY FOUNDATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), TO DEVELOP PRIMARY DATA QUESTIONS.INTERVIEWSTWENTY-ONE INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE COLLABORATIVE HOSPITAL PARTNERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- MOST SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY- SOCIAL, CULTURAL, BEHAVIORAL, ENVIRONMENTAL OR MEDICAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY- WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS- EFFECTIVE STRATEGIES OR ACTIONS FOR ADDRESSING THE NEEDS- SERVICES MOST CHALLENGING TO ACCESS- POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS- POTENTIAL AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS- ADDITIONAL COMMENTS AND CONCERNSIN ADDITION, STRATEGIC QUESTIONS, WHICH FOCUSED ON SPECIFIC HEALTH NEEDS, WERE INCLUDED. THESE QUESTIONS MATCHED STAKEHOLDER EXPERTISE OR EXPERIENCE WITH THE SIGNIFICANT HEALTH NEEDS. FOR EXAMPLE, A STAKEHOLDER WHO WORKED FOR A MENTAL HEALTH SERVICES AGENCY WAS ASKED SPECIFIC QUESTIONS ABOUT MENTAL HEALTH CONCERNS, BARRIERS AND RESOURCES.FOCUS GROUPSTWENTY FOCUS GROUPS WERE CONDUCTED FROM SEPTEMBER 2018 TO FEBRUARY 2019 AND ENGAGED 232 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN ORGANIZATION CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION.BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- SUGGESTIONS FOR ADDRESSING THE COMMUNITY ISSUES AND NEEDS.- OTHER COMMENTS OR CONCERNS.SURVEYSA SURVEY WAS PROVIDED TO SELECTED STAKEHOLDERS, REPRESENTING COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS AND NONPROFIT ORGANIZATIONS, WHO HAD NOT BEEN REACHED THROUGH AN INTERVIEW OR FOCUS GROUP. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE SURVEYS WERE COMPLETED FROM JANUARY 25 TO FEBRUARY 8, 2019. TWELVE (12) SURVEYS WERE COLLECTED. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- GAPS OR CHALLENGES TO ADDRESS THESE NEEDS.- RESOURCES AVAILABLE TO HELP ADDRESS THE NEEDS.FOR THE PURPOSES OF THE 2019 REPORT, THE ST. FRANCIS MEDICAL CENTER SERVICE AREA INCLUDES 17 ZIP CODES IN 11 CITIES/COMMUNITIES. THE SERVICE AREA IS LOCATED IN LA CITY COUNCIL DISTRICTS 8 AND 15 AND COMPRISES PORTIONS OF SERVICE PLANNING AREAS (SPAS) 6 AND 7."},{"form_and_line_reference":"ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 6A:","explanation":"THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THIS PARTNERSHIP WAS ESTABLISHED BECAUSE THERE IS SIGNIFICANT OVERLAP IN THE SERVICE AREAS OF ST. FRANCIS MEDICAL CENTER WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS ON JUNE 18, 2019."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":2818767,"reported_domestic_org_grants_program_services":2818767,"total_501c3_and_government_organizations":1,"grants":[{"ein":912145484,"irc_section":"501(C)(3)","cash":2818767,"purpose":"DISSOLUTION TRANSFER","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM OF CALIFORNIA INC","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"}],"total_domestic_grants":2818767,"total_domestic_program_services":2818767,"detail_org_grants_total":2818767,"detail_domestic_grants_total":2818767,"supplemental_information":[{"form_and_line_reference":"PART I, LINE 2:","explanation":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. 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REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"RICHARD ADCOCK","title":"EX-OFFICIO MEMBER (THRU 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ST. FRANCIS MEDICAL CENTER UTILIZED A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES."},{"form_and_line_reference":"PART I, LINE 7G:","explanation":"SUBSIDIZED SERVICESST. FRANCIS MEDICAL CENTER'S SUBSIDIZED SERVICES INCLUDE ITS EMERGENCY DEPARTMENT, WHICH WAS ONE OF THE BUSIEST PRIVATE EMERGENCY ROOMS IN LOS ANGELES COUNTY. THE EMERGENCY DEPARTMENT PLAYS A CRITICAL ROLE IN LA COUNTY'S EMERGENCY MEDICAL SERVICES.PART II: COMMUNITY BUILDING ACTIVITIESST. FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ADDRESS SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDED PROGRAMS THAT ADVANCE LEARNING AND WORKPLACE SKILLS, AND THAT INTRODUCE STUDENTS AND YOUTH TO JOBS THAT CAN LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. BY PROVIDING EDUCATION AND TRAINING OPPORTUNITIES, INDIVIDUALS WILL MORE LIKELY QUALIFY AND HAVE IMPROVED ACCESS TO GAINFUL WORK, AND MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELP TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, ST. FRANCIS MEDICAL CENTER PARTICIPATES IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY."},{"form_and_line_reference":"PART III, LINES 2, 3, AND 4: BAD DEBT EXPENSE","explanation":"ST. FRANCIS MEDICAL CENTER IS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC., WHICH INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING."},{"form_and_line_reference":"PART III, LINE 2: METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE","explanation":"BAD DEBT EXPENSE WAS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERED BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA.PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER FAP METHODOLOGYTHE ESTIMATED AMOUNT OF ST. FRANCIS MEDICAL CENTER'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS UNDETERMINABLE AND THUS RECORDED AS ZERO."},{"form_and_line_reference":"PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019, 2020 OR 2021. INSTEAD, THE VHS \"MONTHLY OPERATING REPORTS\" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE.UNDER VHS'S FINANCIAL ASSISTANCE POLICY, HEALTH CARE SERVICES WERE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MADE AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT WAS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES ARE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES ARE INCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATED PRIOR TO CEASING TO OPERATE THE HOSPITALS, THE COST OF CHARITY CARE BY CALCULATING A RATIO OF COST TO USUAL AND CUSTOMARY CHARGES AND APPLYING THAT RATIO TO THE USUAL AND CUSTOMARY UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO PATIENTS THAT QUALIFY FOR CHARITY CARE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS' BALANCES, AND AFTER EXHAUSTING ALL REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PORTION OF VHS' UNINSURED AND SELF-PAY PATIENT ACCOUNTS WERE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHS' ESTABLISHED GUIDELINES FOR FURTHER COLLECTION ACTIVITIES. AS A RESULT, VHS RECORDED A PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE.AS PART OF VERITY HEALTH SYSTEM'S MISSION TO SERVE THE COMMUNITY, VHS PROVIDED CARE TO PATIENTS EVEN THOUGH THEY MAY HAVE LACKED ADEQUATE INSURANCE OR MAY HAVE PARTICIPATED IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.PART III, LINE 8: MEDICAREAS A NONPROFIT HOSPITAL, IT WAS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. ST. FRANCIS MEDICAL CENTER ACCEPTED MEDICARE WHICH RESULTED IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. ST. FRANCIS MEDICAL CENTER UTILIZED AN ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 IS REFLECTED AS A COMMUNITY BENEFIT.PART III, LINE 9B: COLLECTION POLICYST. FRANCIS MEDICAL CENTER FOLLOWED THE COLLECTION PRACTICES AS OUTLINED IN THE VERITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY AND BILLING COLLECTION POLICY.FOR PATIENTS WHO QUALIFIED FOR CHARITY CARE AND FINANCIAL DISCOUNT, ST. FRANCIS MEDICAL CENTER PROVIDED THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATED THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDED INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. ST. FRANCIS MEDICAL CENTER DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES. ST. FRANCIS MEDICAL CENTER DOES NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. ST. FRANCIS MEDICAL CENTER DOES NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT AGENCY OR COMMENCE CIVIL ACTION FOR NONPAYMENT OF A PATIENT DEBT PRIOR TO 150 DAYS AFTER THE INITIAL BILLING OF THE PATIENT. ST. FRANCIS MEDICAL CENTER DOES NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. ST. FRANCIS MEDICAL CENTER HAS AGREEMENTS WITH ITS EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM ST. FRANCIS MEDICAL CENTER. ST. FRANCIS MEDICAL CENTER HAS AGREEMENTS WITH ITS EXTERNAL COLLECTION AGENCIES TO FOLLOW FAIR DEBT AND COLLECTION PRACTICES, ASSEMBLY BILL AB774 AND ACT IN A MANNER THAT TREATS INDIVIDUALS WITH DIGNITY, RESPECT AND COMPASSION."},{"form_and_line_reference":"PART VI, QUESTION 2: NEEDS ASSESSMENT","explanation":"IN ADDITION TO IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS IN THE CHNA, ST. FRANCIS MEDICAL CENTER EVALUATED THE PROGRAMS AND ACTIVITIES IT HAD IMPLEMENTED IN RESPONSE TO COMMUNITY NEED THROUGH ITS COMMUNITY BENEFIT REPORT.ST. FRANCIS MEDICAL CENTER PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT. IT HIGHLIGHTED THE COMMUNITY'S NEEDS AND ST. FRANCIS MEDICAL CENTER'S PROGRAMS AND ACTIVITIES THAT DIRECTLY RESPONDED TO THE NEEDS. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES WERE PROVIDED BY MANAGER AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS. QUARTERLY REPORTS WERE PRESENTED TO THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS AND VERITY HEALTH SYSTEM CORPORATE OFFICERS. AN ANNUAL REPORT WAS PREPARED AND PRESENTED TO THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS FOR APPROVAL.THE ANNUAL REPORT WAS MADE AVAILABLE ON THE HOSPITAL'S WEBSITE TO HOSPITAL LEADERSHIP, KEY STAKEHOLDERS, VHS, AND COMMUNITY ORGANIZATIONS AND MEMBERS. THE ANNUAL REPORT WAS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697.ST. FRANCIS MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS DEVELOPED USING RESULTS FROM THE CHNA, DATA AND FEEDBACK PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS, AND INPUT FROM THE HOSPITAL'S SENIOR MANAGEMENT TEAM. ST. FRANCIS MEDICAL CENTER'S BOARD OF DIRECTORS REVIEWED AND GAVE FINAL APPROVAL OF ST. FRANCIS MEDICAL CENTER'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF ST. FRANCIS MEDICAL CENTER'S CURRENT COMMUNITY HEALTH INITIATIVES PROVIDE VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS, WHILE ST. FRANCIS MEDICAL CENTER OPERATED THE HOSPITAL.PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS WHO PRESENTED AT ST. FRANCIS MEDICAL CENTER'S EMERGENCY DEPARTMENT AND ST. FRANCIS MEDICAL CENTER'S ADMITTING DEPARTMENT WERE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTED OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE, ALONG WITH THE CONTACT NUMBER FOR ST. FRANCIS MEDICAL CENTER'S HEALTH BENEFITS RESOURCE CENTER (HBRC). THE FLYER WAS IN ENGLISH AND SPANISH. THE PACKET INCLUDED A MEDI-CAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION. SHOULD THEY HAVE MADE AN APPOINTMENT WITH HBRC, PATIENTS COULD FILL OUT THE FORMS PRIOR TO THEIR APPOINTMENT.HBRC STAFF VISITED CASH/SELF-PAY PATIENTS AT BEDSIDE, SCREENED PATIENTS AND IDENTIFIED THE PROGRAMS FOR WHICH THEY WERE ELIGIBLE. IF THEY HAD NO LINKAGE, HBRC PROVIDED INFORMATION ABOUT OTHER PROGRAMS FOR WHICH THEY MAY HAVE QUALIFIED SUCH AS CHARITY CARE.IN ADDITION, WHILE ST. FRANCIS MEDICAL CENTER OPERTATED THE HOSPITAL THERE WERE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT ST. FRANCIS MEDICAL CENTER HAD FINANCIAL ASSISTANCE AND CHARITABLE PROGRAMS AVAILABLE FOR QUALIFIED LOW INCOME, UNINSURED PATIENTS WHO MAY NOT HAVE THE ABILITY TO MEET THE FINANCIAL OBLIGATION OF THEIR HOSPITAL SERVICES AND A CONTACT NUMBER TO CALL. AFTER DISCHARGE, THE BACK OF THE MONTHLY PATIENT BILLS INCLUDED THIS SAME STATEMENT."},{"form_and_line_reference":"PART VI, QUESTION 4: COMMUNITY INFORMATION","explanation":"ST. FRANCIS MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE, EDUCATIONAL PROGRAMS AND SUPPORT SERVICES TO THE 1,000,000 RESIDENTS OF COMMUNITIES IN SOUTHEAST LOS ANGELES COUNTY INCLUDING LYNWOOD, SOUTH GATE, DOWNEY, HUNTINGTON PARK, BELL, CUDAHY, PARAMOUNT, BELL GARDENS, MAYWOOD, COMPTON, AND SOUTH AND SOUTHEAST SECTIONS OF LOS ANGELES. THE LARGEST AGE GROUP IS 25-34 YEARS OLD (15.2%) FOLLOWED BY AGE 35-44 (13.7%). HISPANICS COMPRISE THE LARGEST ETHNIC GROUP (80.9%), FOLLOWED BY BLACK/AFRICAN AMERICAN (13.4%), AND WHITE (3.4%). 44.3% OF THE PRIMARY SERVICE AREA DID NOT COMPLETE HIGH SCHOOL. ST. FRANCIS MEDICAL CENTER SERVES A SIGNIFICANTLY HIGHER NUMBER OF MEDICALLY INDIGENT PATIENTS THAN THE AVERAGE HEALTH CARE FACILITY. IT IS RECOGNIZED AS A DISPROPORTIONATE SHARE HOSPITAL DUE TO THE NUMBER OF LOW-INCOME PATIENTS FOR WHICH IT PROVIDES CARE AND TREATMENT. THE WEIGHTED AVERAGE OF THE MEDIAN HOUSEHOLD INCOME IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA IS $42,060. ALTHOUGH THE 2020 FEDERAL POVERTY GUIDELINE FOR A FAMILY OF FOUR IS $25,750, ACCORDING TO THE COVERED CALIFORNIA INCOME GUIDELINE, A FAMILY OF FOUR EARNING LESS THAN $97,200 PER YEAR QUALIFIES FOR GOVERNMENT ASSISTANCE. 78.95% OF ST. FRANCIS MEDICAL CENTER'S REIMBURSEMENTS FOR SERVICE ARE DERIVED FROM MEDI-CAL AND MEDICARE. HEALTH INSURANCE COVERAGE IS A KEY COMPONENT TO ACCESSING HEALTH CARE. BARRIERS TO CARE CAN RESULT IN UNMET HEALTH NEEDS, DELAYS IN PROVISION OF APPROPRIATE TREATMENT, AND INCREASED COSTS FROM AVOIDABLE ER VISITS AND HOSPITALIZATIONS. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 100% INSURANCE COVERAGE FOR ALL POPULATION GROUPS. AMONG SERVICE AREA CHILDREN, AGES 0 TO 17, 96.9% ARE INSURED. 85.2% OF AREA ADULTS HAVE INSURANCE. IN THE SERVICE AREA, 80.8% OF THE TOTAL POPULATION HAS HEALTH INSURANCE. DOWNEY 90242 HAS THE HIGHEST RATE OF HEALTH INSURANCE COVERAGE (87.2%) AND LOS ANGELES 90003 HAS THE LOWEST RATE OF HEALTH INSURANCE COVERAGE (78.2%) IN THE SERVICE AREA, FOLLOWED BY MAYWOOD (78.5%) AND HUNTINGTON PARK (78.6%). HEALTH CARE COVERAGE IS HIGHER AMONG SERVICE AREA CHILDREN, 0 TO 18, (92.5%). DOWNEY 90241 HAS THE LOWEST RATE OF HEALTH INSURANCE COVERAGE FOR CHILDREN (88.3%) IN THE SERVICE AREA. 72.8% OF ADULTS, AGES 19-64, IN THE SERVICE AREA HAVE HEALTH INSURANCE COVERAGE, WITH THE LOWEST LEVEL FOUND IN MAYWOOD (67.7%), FOLLOWED BY LOS ANGELES 90003 (68.4%) AND HUNTINGTON PARK (68.6%)."},{"form_and_line_reference":"PART VI, QUESTION 5: PROMOTING THE HEALTH OF THE COMMUNITY","explanation":"WHILE OPERATING, ST. FRANCIS MEDICAL CENTER WAS THE ONLY COMPREHENSIVE, NON-PROFIT HEALTH CARE INSTITUTION SERVING THE ONE MILLION RESIDENTS OF SOUTHEAST LOS ANGELES. A 384-BED FACILITY, ST. FRANCIS MEDICAL CENTER OFFERED A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES PROVIDED BY MORE THAN 2,000 ASSOCIATES AND 450 AFFILIATED PHYSICIANS. ST. FRANCIS MEDICAL CENTER OPERATED ONE OF THE LARGEST AND BUSIEST PRIVATE EMERGENCY TRAUMA CENTERS IN LOS ANGELES COUNTY. THE HOSPITAL'S HEART AND VASCULAR CENTER, MATERNAL-CHILD HEALTH PROGRAM, ORTHOPEDICS/JOINT REPLACEMENT PROGRAM, IMAGING SERVICES, BEHAVIORAL HEALTH AND WOUND CARE FACILITIES OFFERED COMPREHENSIVE SERVICES TO THE COMMUNITY. THE PRIMARY STROKE CARE CENTER AND STEMI RECEIVING CENTER, BOTH APPROVED BY THE LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY, FILLED A MAJOR GAP IN SOUTHEAST LOS ANGELES. IN ADDITION TO ITS ACUTE AND OUTPATIENT HEALTH CARE SERVICES, ST. FRANCIS MEDICAL CENTER OPERATED A BROAD RANGE OF EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS. ST. FRANCIS MEDICAL CENTER WAS DEDICATED TO NURTURING HEALTHY CHILDREN AND FAMILIES, FOSTERING SELF-SUFFICIENCY, ENHANCING INDIVIDUAL AND COMMUNITY WELL-BEING, AND ACHIEVING EXCELLENCE IN FACILITIES AND TECHNOLOGY. ST. FRANCIS MEDICAL CENTER'S ULTIMATE GOAL WAS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY.ST. FRANCIS MEDICAL CENTER PROVIDED HOSPITAL, MEDICAL, AND SURGICAL CARE TO MEMBERS OF THE PUBLIC WITHOUT REGARD TO AGE, RACE, COLOR, RELIGION, ANCESTRY, NATIONAL ORIGIN, DISABILITY, MEDICAL CONDITION, GENETIC INFORMATION, MARITAL STATUS, SEX, GENDER, GENDER IDENTITY, GENDER EXPRESSION, SEXUAL ORIENTATION, CITIZENSHIP, PRIMARY LANGUAGE, IMMIGRATION STATUS, OR TO THE INDIVIDUAL'S ABILITY TO PAY. ST. FRANCIS MEDICAL CENTER OPERATED A FULL-TIME EMERGENCY DEPARTMENT. EMERGENCY MEDICAL SERVICES WERE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. ST. FRANCIS MEDICAL CENTER OPERATED ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN SOUTHERN CALIFORNIA. IN 1996, IN RESPONSE TO A DRAMATIC LACK OF TRAUMA SERVICES IN SOUTHEAST LOS ANGELES, ST. FRANCIS MEDICAL CENTER ESTABLISHED ITS TRAUMA CENTER. THE LEVEL II TRAUMA CENTER IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS. ST. FRANCIS MEDICAL CENTER HAD AN OPEN MEDICAL STAFF AND PROVIDED STAFF PRIVILEGES IN THE MEDICAL CENTER TO COMMUNITY PRACTITIONERS. BOARD PARTICIPATION:IN FISCAL YEAR 2020, ST. FRANCIS MEDICAL CENTER'S BOARD OF DIRECTORS WAS COMPRISED OF MEMBERS WITH FINANCIAL, LEGAL, BUSINESS, AND HEALTH CARE BACKGROUNDS WHO UNDERSTAND THE VISION AND VALUES OF ST. FRANCIS MEDICAL CENTER, AS WELL AS THE NEEDS OF THE COMMUNITY AND THE RESOURCES REQUIRED TO MEET THOSE NEEDS. ST. FRANCIS MEDICAL CENTER WAS ALSO REPRESENTED ON BOARDS AND COALITIONS OF COMMUNITY AGENCIES AND ORGANIZATIONS. THROUGH THE ONGOING COLLABORATION OF ST. FRANCIS MEDICAL CENTER WITH ORGANIZATIONS WHICH SHARED A COMMITMENT TO MEETING THE COMMUNITY'S HEALTH CARE NEEDS AND TO ADDRESSING THE ISSUES THAT AFFECT OVERALL HEALTH AND WELL-BEING, RESOURCES WERE STRENGTHENED AND BEST PRACTICES WERE OPTIMIZED, RESULTING IN OUTREACH PROGRAMS WITH THE GREATEST POSITIVE IMPACT. ST. FRANCIS MEDICAL CENTER REINVESTED ITS SURPLUS FUNDS IN CAPITAL REPLACEMENT OR EXPANSION OF FACILITIES AND EQUIPMENT, DEBT AMORTIZATION, IMPROVEMENT IN PATIENT CARE AND SERVICES, AND OTHER COMMUNITY BENEFIT SERVICES INCLUDING CHARITY CARE.ST. FRANCIS MEDICAL CENTER WAS COMMITTED TO SERVING THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, RESPECTING THE DIGNITY OF EACH PATIENT, AND MEETING THE HEALTH CARE NEEDS OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT.COMMUNITY BUILDING ACTIVITIES:ST. FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ADDRESSED SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDED PROGRAMS THAT ADVANCE LEARNING AND WORKPLACE SKILLS, AND THAT INTRODUCED STUDENTS AND YOUTH TO JOBS THAT COULD LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. BY PROVIDING EDUCATION AND TRAINING OPPORTUNITIES, INDIVIDUALS WOULD LIKELY QUALIFY AND HAVE IMPROVED ACCESS TO GAINFUL WORK, AND MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELPED TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, ST. FRANCIS MEDICAL CENTER PARTICIPATED IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY.VOLUNTEER SERVICES:THE VOLUNTEER SERVICES PROGRAM DELIVERED ORIENTATION, TRAINING AND SUPERVISION TO VOLUNTEERS WHO SUPPORT ST. FRANCIS MEDICAL CENTER'S DAY-TO-DAY OPERATIONS. WITH A FOCUS ON IMPARTING AND IMPROVING THE CUSTOMER AND SUPPORT SERVICE SKILLS OF STUDENT AND ADULT VOLUNTEERS, THE PROGRAM ENHANCED SERVICE DELIVERY TO PATIENTS, PATIENTS' FAMILIES, VISITORS, AND ST. FRANCIS MEDICAL CENTER EMPLOYEES. THE PROGRAM ALSO INTRODUCED STUDENT VOLUNTEERS TO POSSIBLE FUTURE HEALTH CARE CAREERS AND PROVIDED JOB SKILLS TRAINING OPPORTUNITIES. SENIOR VOLUNTEERS WERE PROVIDED WITH OPPORTUNITIES TO CONTRIBUTE THEIR SKILLS AND EXPERIENCE IN VARIOUS DEPARTMENTS, WHICH SUPPORTED THEIR MENTAL, EMOTIONAL AND SPIRITUAL HEALTH.COLLABORATIVE PARTNERS INCLUDED - LOCAL COLLEGES AND HIGH SCHOOLS; HUB CITIES CONSOTIUM; ARCHDIOCESE YOUTH EMPLOYEMENT SERVICES; LYNWOOD UNIFIED SCHOOL DISTRICT; AND ELEVATE YOUR G.A.M.E. COMMUNITY BENEFIT PLANNING AND REPORTING:COMMUNITY BENEFIT PLANNING AND REPORTING INCLUDED STAFF AND TIME DEDICATED TO PLANNING AND REPORTING THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS AND TO FACILITATING THE TRIENNIAL CHNA. COMMUNITY BENEFIT PROGRAM DIRECTORS AND MARKETING AND COMMUNICATIONS STAFF TRACKED COMMUNITY BENEFIT PROGRAM DATA TO EVALUATE AND SUPPORT THE DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. THE ST. FRANCIS MEDICAL CENTER FOUNDATION SUPPORTED COMMUNITY BENEFIT PROGRAMS AND SERVICES OFFERED BY ST. FRANCIS MEDICAL CENTER THROUGH GRANT APPLICATIONS AND THE MANAGEMENT OF GRANTS AND DONATIONS. NO ADDITIONAL FOUNDATION SPONSORED FUND-RAISING ACTIVITIES WERE PLANNED OR CONDUCTED DURING THE YEAR DUE TO THE BANKRUPTCY FILING."},{"form_and_line_reference":"PART VI, QUESTION 6: AFFILIATED HEALTHCARE SYSTEM","explanation":"VERITY HEALTH SYSTEM OF CALIFORNIA, INC., (\"VHS\"), IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS THAT OPERATED SIX ACUTE CARE HOSPITALS: O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, AND SETON MEDICAL CENTER (INCLUDING THE SETON MEDICAL CENTER COASTSIDE CAMPUS) (COLLECTIVELY, THE \"HOSPITALS\") AND OTHER FACILITIES IN THE STATE OF CALIFORNIA. SETON MEDICAL CENTER AND SETON MEDICAL CENTER COASTSIDE OPERATE UNDER ONE CONSOLIDATED ACUTE CARE LICENSE. THE ASSETS OF O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL WERE SOLD TO SANTA CLARA COUNTY ON FEBRUARY 28, 2019.AFTER FY2020 THE ASSETS OF ST. FRANCIS MEDICAL CENTER WERE SOLD TO PRIME HEALTHCARE AND SETON MEDICAL CENTER AND SETON COASTSIDE TO AHMC HEALTHCARE INC.ON AUGUST 31, 2018, VHS AND THE HOSPITALS (ALONG WITH OTHER VHS-AFFILIATED ENTITIES) EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (THE \"BANKRUPTCY CODE\"). THE CASES (COLLECTIVELY, THE \"BANKRUPTCY CASES\") ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA (THE \"BANKRUPTCY COURT\"). ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. FOR ALL BANKRUPTCY CASE FILINGS AND MORE DETAIL REGARDING VHS, PLEASE SEE KCCLLC.NET/VERITYHEALTH AND THE DECLARATION OF RICHARD G. ADCOCK IN SUPPORT OF EMERGENCY FIRST-DAY MOTIONS [DOCKET NOS. 8 AND 12].THE HOSPITALS WERE ORIGINALLY SPONSORED BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, PROVINCE OF THE WEST (THE \"DAUGHTERS OF CHARITY\"), TO SUPPORT THE MISSION OF THE CATHOLIC CHURCH THROUGH A COMMITMENT TO THE SICK AND POOR. THE DAUGHTERS OF CHARITY BEGAN THEIR HEALTHCARE MISSION IN CALIFORNIA IN 1858 WITH THE OPENING OF LOS ANGELES INFIRMARY, SUBSEQUENTLY KNOWN AS ST. VINCENT MEDICAL CENTER. THE DAUGHTERS OF CHARITY EXPANDED ITS HOSPITALS TO SAN JOSE IN 1889 AND SAN FRANCISCO IN 1893. THE DAUGHTERS OF CHARITY MINISTERED TO ILL, POVERTY-STRICKEN INDIVIDUALS FOR MORE THAN 150 YEARS. IN MARCH 1995, THE DAUGHTERS OF CHARITY MERGED THEIR HOSPITALS WITH CATHOLIC HEALTHCARE WEST (\"CHW\"). IN JUNE 2001, THE DAUGHTERS OF CHARITY HEALTH SYSTEM (\"DCHS\") WAS FORMED. IN OCTOBER 2001, THE DAUGHTERS OF CHARITY WITHDREW FROM CHW. IN 2002, DCHS COMMENCED OPERATIONS AND WAS THE SOLE CORPORATE MEMBER OF THE HOSPITALS, WHICH AT THAT TIME WERE CALIFORNIA NONPROFIT RELIGIOUS CORPORATIONS.IN JULY 2015, THE DCHS BOARD OF DIRECTORS SELECTED BLUEMOUNTAIN CAPITAL MANAGEMENT LLC (\"BLUEMOUNTAIN\"), A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE THE HOSPITAL OPERATIONS. THE PARTIES ENTERED INTO A SYSTEM RESTRUCTURING AND SUPPORT AGREEMENT, DCHS'S NAME WAS CHANGED TO \"VERITY HEALTH SYSTEM, AND BLUEMOUNTAIN FORMED INTEGRITY HEALTHCARE, LLC (\"INTEGRITY\") TO PROVIDE MANAGEMENT SERVICES UNDER A NEW MANAGEMENT SERVICES AGREEMENT, WHICH WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL CHARITABLE TRUST DIVISION. IN JULY 2017, NANTWORKS, LLC ACQUIRED A CONTROLLING INTEREST IN INTEGRITY.THROUGHOUT THEIR HISTORY AND CONTINUING THROUGH AUGUST 13,2020, THE HOSPITALS CONTINUED THE RICH TRADITION OF SERVING THE UNDER-SERVED AND PROVIDING ESSENTIAL HEALTH CARE SERVICES TO THEIR COMMUNITIES. THESE EXPANSIVE SERVICES ARE DETAILED IN MULTIPLE SECTIONS OF THIS FORM 990."},{"form_and_line_reference":"PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT","explanation":"THE COMMUNITY BENEFIT REPORT IS TYPICALLY FILED WITH THE STATE OF CALIFORNIA. THE ORGANIZATION LAST FILED THE COMMUNITY BENEFIT REPORT IN FISCAL YEAR 2019."},{"form_and_line_reference":"PART V, SECTION B, LINE 5: ASSESSMENT PROCESS AND METHODS","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT (\"CHNA\") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS. TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE CHNA USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH, SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED BY ST. FRANCIS MEDICAL CENTER. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: SECONDARY DATA COLLECTIONSECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.PRIMARY DATA COLLECTIONSFMC CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SFMC PARTICIPATED IN THE LA PARTNERSHIP, A COLLABORATIVE OF LA COUNTY HOSPITALS, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA COMMUNITY FOUNDATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), TO DEVELOP PRIMARY DATA QUESTIONS.INTERVIEWSTWENTY-ONE INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE COLLABORATIVE HOSPITAL PARTNERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- MOST SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY- SOCIAL, CULTURAL, BEHAVIORAL, ENVIRONMENTAL OR MEDICAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY- WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS- EFFECTIVE STRATEGIES OR ACTIONS FOR ADDRESSING THE NEEDS- SERVICES MOST CHALLENGING TO ACCESS- POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS- POTENTIAL AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS- ADDITIONAL COMMENTS AND CONCERNSIN ADDITION, STRATEGIC QUESTIONS, WHICH FOCUSED ON SPECIFIC HEALTH NEEDS, WERE INCLUDED. THESE QUESTIONS MATCHED STAKEHOLDER EXPERTISE OR EXPERIENCE WITH THE SIGNIFICANT HEALTH NEEDS. FOR EXAMPLE, A STAKEHOLDER WHO WORKED FOR A MENTAL HEALTH SERVICES AGENCY WAS ASKED SPECIFIC QUESTIONS ABOUT MENTAL HEALTH CONCERNS, BARRIERS AND RESOURCES.FOCUS GROUPSTWENTY FOCUS GROUPS WERE CONDUCTED FROM SEPTEMBER 2018 TO FEBRUARY 2019 AND ENGAGED 232 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN ORGANIZATION CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION.BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- SUGGESTIONS FOR ADDRESSING THE COMMUNITY ISSUES AND NEEDS.- OTHER COMMENTS OR CONCERNS.SURVEYSA SURVEY WAS PROVIDED TO SELECTED STAKEHOLDERS, REPRESENTING COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS AND NONPROFIT ORGANIZATIONS, WHO HAD NOT BEEN REACHED THROUGH AN INTERVIEW OR FOCUS GROUP. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE SURVEYS WERE COMPLETED FROM JANUARY 25 TO FEBRUARY 8, 2019. TWELVE (12) SURVEYS WERE COLLECTED. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- GAPS OR CHALLENGES TO ADDRESS THESE NEEDS.- RESOURCES AVAILABLE TO HELP ADDRESS THE NEEDS.FOR THE PURPOSES OF THE 2019 REPORT, THE ST. FRANCIS MEDICAL CENTER SERVICE AREA INCLUDES 17 ZIP CODES IN 11 CITIES/COMMUNITIES. THE SERVICE AREA IS LOCATED IN LA CITY COUNCIL DISTRICTS 8 AND 15 AND COMPRISES PORTIONS OF SERVICE PLANNING AREAS (SPAS) 6 AND 7."},{"form_and_line_reference":"PART V, SECTION B, LINE 6A:","explanation":"THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THIS PARTNERSHIP WAS ESTABLISHED BECAUSE THERE IS SIGNIFICANT OVERLAP IN THE SERVICE AREAS OF ST. FRANCIS MEDICAL CENTER WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS ON JUNE 18, 2019.PART V, SECTION B, LINE 7A AND 10:ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS OR \"VERITY HEALTH SYSTEM\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLYADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. ON AUGUST 13, 2020, THE ST. FRANCIS MEDICAL CENTER ASSETS WERE SOLD TO PRIME HEALTHCARE AND ST. FRANCIS CEASED TO OPERATE ANY HOSPITAL. THEREFORE, THE ST. FRANCIS MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED IN AUGUST 2020. THE CHNA REPORT WAS AVAILABLE AT HTTPS://STFRANCIS.VERITY.ORG. AS SUCH, THE LINK IS NO LONGER VALID. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."},{"form_and_line_reference":"PART V, SECTION B, LINE 11:","explanation":"SIGNIFICANT HEALTH NEEDS THE HOSPITAL ADDRESSED PRIOR TO SFMC CEASING TO OPERATE THE HOSPITAL USING DATA INCLUDED IN ITS 2019 CHNA REPORT, ST. FRANCIS MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH CARE NEEDS IT WOULD ADDRESS IN ITS 2020-2022 IMPLEMENTATION PLAN:1. ACCESS TO CARE2. CHRONIC DISEASES3. VIOLENCE AND INJURY PREVENTION4. BIRTH INDICATORSTHESE ISSUES ARE ADDRESSED THROUGH SPECIFIC HOSPITAL SERVICES AND COMMUNITY OUTREACH PROGRAMS DEVELOPED IN DIRECT RESPONSE TO CURRENT NEEDS.ACCESS TO CAREST. FRANCIS MEDICAL CENTER ADDRESSES ACCESS TO CARE BY TAKING THEFOLLOWING ACTIONS:- PROVIDE FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENTWITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.- PROVIDE FINANCIAL COUNSELING AND HEALTH INSURANCE ENROLLMENT ASSISTANCETHROUGH THE HEALTH BENEFITS RESOURCE CENTER. OFFER SUPPORT FOR FAMILIESWHO MAY HAVE EXPERIENCED DIFFICULTY WITH ENROLLMENT, UTILIZATION, RETENTION AND/OR ACCESS TO THEIR HEALTH BENEFITS.- PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARESERVICES.ST. FRANCIS MEDICAL CENTER PROVIDES NO COST AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IT ALSO SUBSIDIZES ITS EMERGENCY DEPARTMENT TO COVER THE COST OF UNCOMPENSATED CARE TO HELP ENSURE THAT CRITICAL SERVICES ARE AVAILABLE AROUND THE CLOCK FOR THE COMMUNITY.THE HEALTH BENEFITS RESOURCE CENTER (\"HBRC\") IS A ONE-STOP INFORMATION AND REFERRAL SERVICE CENTER THAT LINKS FAMILIES TO VALUABLE GOVERNMENT-SPONSORED HEALTH BENEFITS AND SOCIAL SERVICES AND COMMUNITY PROGRAMS TO PROMOTE HEALTHY FAMILIES, SUCH AS COVERED CALIFORNIA, MEDI-CAL, MEDICARE, MEDICAL ACCESS PROGRAM (FORMERLY AIM -ACCESS FOR INFANTS AND MOTHER), AND CALFRESH (FORMERLY KNOWN AS THE FOODSTAMP PROGRAM). IN ADDITION TO PROVIDING ASSISTANCE WITH THE APPLICATION PROCESS, HBRC OFFERS ONGOING CASE MANAGEMENT SUPPORT FOR FAMILIES WHO MAY EXPERIENCE ANY TYPE OF DIFFICULTY RELATED TO THEIR ENROLLMENT, UTILIZATION, RETENTION AND/OR ACCESS TO THEIR BENEFITS. THE CENTER PERFORMS ONGOING OUTREACH TO EDUCATE THE COMMUNITY ABOUT BENEFITS ANDSAFEGUARDS THAT COME WITH PARTICIPATION IN GOVERNMENT-SPONSORED PROGRAMS. HBRC PROVIDES A DEPENDABLE, TRUSTED REFERRAL MECHANISM TO SOCIAL SERVICES AND RESOURCE AGENCIES FOR ADULTS, FAMILIES, AND SENIORS. HBRC ENROLLMENT SPECIALISTS ARE BILINGUAL AND CULTURALLY SENSITIVE TO BOTH THE ENGLISH AND SPANISH SPEAKING POPULATIONS. THEY WORK ONE-ON-ONE WITH FAMILIES TO ESTABLISH A TRUSTING RELATIONSHIP AND TO PROVIDE A SAFE AND SUPPORTIVE ENVIRONMENT. TO REACH MORE RESIDENTS, HBRC PROVIDES AN EMERGENCY DEPARTMENT-BASED ENROLLMENT SPECIALIST WHO CAN RESPOND TO EMERGENCY PATIENTS AT THE BEDSIDE.DUE TO THE COVID-19 PANDEMIC, HBRC SUSPENDED IN-PERSON APPOINTMENTS IN MARCH 2020, BUT CONTINUED TO PROVIDE HEALTH BENEFIT RESOURCE SERVICES VIA PHONE CONSULTATIONS. IN JUNE 2020, HBRC BEGAN DEVELOPING A PLAN TO SAFELY RESUME IN-PERSON APPOINTMENTS WITH DIRECTION FROM SFMC'S INFECTION PREVENTION MANGER AND FOLLOWING LOS ANGELES COUNTY DEPARTMENT OF HEALTH GUIDELINES.PATIENT TRANSPORTATION IS PROVIDED TO INDIVIDUALS WITHOUT ANY MEANS OF TRANSPORTATION FOLLOWING DISCHARGE, AND TO PARENTS OF INFANTS RECEIVING CARE IN THE HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) WHO DO NOT HAVE A WAY OF TRAVELING TO AND FROM THE MEDICAL CENTER TO VISIT THEIR BABY. TRANSPORTATION IS ALSO ARRANGED FOR INDIVIDUALS RECEIVING INPATIENT BEHAVIORAL HEALTH SERVICES AT ST. FRANCIS MEDICAL CENTER WHO MAY NEED TRANSPORTATION FOR COURT APPEARANCES OR FOLLOWING DISCHARGE.ST. FRANCIS MEDICAL CENTER CONDUCTS THESE STRATEGIES WITH THE OVERARCHING GOAL TO INCREASE ACCESS TO HEALTH CARE FOR THE MEDICALLY UNDERSERVED.CHRONIC DISEASES ST. FRANCIS MEDICAL CENTER ADDRESSES CHRONIC DISEASES BY TAKING THE FOLLOWING ACTIONS:- OFFER COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS, AND IMMUNIZATIONS THROUGH THE HEALTHY COMMUNITY INITIATIVES AND LIVING WELL, HEALTHY FUTURE EDUCATIONAL SERIES.- SUPPORT SENIOR WELLNESS THROUGH THE SENIOR CIRCLE OUTREACH PROGRAM.- PROVIDE HEALTH SCREENINGS AND HEALTH EDUCATION AT ELEMENTARY SCHOOLS.- ENGAGE IN ADVOCACY TO PROMOTE POLICIES THAT ADDRESS HEALTHY EATING, PHYSICAL ACTIVITY, AND WELLNESS IN THE COMMUNITY.HEALTHY COMMUNITY INITIATIVES (\"HCI\") PROVIDES SCREENINGS AND HEALTH EDUCATION TO DIRECTLY ADDRESS THE HIGH INCIDENCE OF HEART DISEASE, STROKE, DIABETES AND OBESITY IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA. HCI BRINGS HEALTH SCREENINGS FOR BLOOD PRESSURE, GLUCOSE, BODY FAT (BMI), AND HEIGHT AND WEIGHT ALONG WITH CORRESPONDING HEALTH EDUCATION ON NUTRITION, HEALTHY COOKING, AND MANAGING DIABETES TO AREA SCHOOLS, CHURCHES, BUSINESSES AND COMMUNITY ORGANIZATIONS VIA ITS HCI NURSE/NURSE EDUCATOR. IT ALSO HOLDS AN ANNUAL SENIOR AND FAMILY HEALTH FAIR OFFERING FREE HEALTH SCREENINGS, HEALTH EDUCATION, AND CONNECTIONS TO COMMUNITY SERVICES. FOR INDIVIDUALS AND FAMILIES WITHOUT ACCESS TO PRIMARY CARE, HCI PROVIDES THEM WITH IMPORTANT PREVENTIVE SERVICES, THE FIRST STEP IN IDENTIFYING HEALTH CONDITIONS LIKE OBESITY AND DIABETES, HEALTH CARE RESOURCES, AND LINKAGES TO ESSENTIAL FOLLOW-UP CARE AND TREATMENT.IN ADDITION, ST. FRANCIS MEDICAL CENTER IS A DESIGNATED PRIMARY STROKE CENTER AND AN APPROVED STEMI RECEIVING CENTER FOR LA COUNTY EMERGENCY MEDICAL SERVICES, PROVIDING IMMEDIATE EMERGENCY TREATMENT AND INTERVENTION FOR STROKE AND HEART ATTACK VICTIMS.THE SENIOR CIRCLE WELLNESS PROGRAM INCLUDES SESSIONS ON HEALTH TOPICS IMPORTANT TO OLDER ADULTS, INCLUDING HEART DISEASE, STROKE AWARENESS AND PREVENTION, DIET AND EXERCISE, AND DIABETES MANAGEMENT. MONTHLY SENIOR LUNCHEONS FEATURE PRESENTATIONS LED BY HEALTH CARE PROFESSIONALS, AS WELL AS FREE HEALTH SCREENINGS FOR BLOOD PRESSURE, GLUCOSE, CHOLESTEROL, AND HEIGHT AND WEIGHT. A NEW LIVING WELL, HEALTHY FUTURE SERIES HAS BEEN INTRODUCED AND FOCUSES ON MAINTAINING BRAIN HEALTH AND PREVENTING AND COPING WITH DEMENTIAS AND OTHER BRAIN-RELATED CONDITIONS.THE HEALTHY COMMUNITY INITIATIVES NURSE/NURSE EDUCATOR PROVIDES SCHOOL-BASED HEALTH SCREENINGS AND HEALTH EDUCATION AT THREE SOUTH LA ELEMENTARY SCHOOLS IN NEED OF SCHOOL NURSE SERVICES. AUDIO, VISION, SCOLIOSIS, AND DENTAL SCREENINGS ARE OFFERED TO STUDENTS, AS WELL AS HEALTH EDUCATION ON TOPICS SUCH AS CPR, FIRST AID, MEDICATION ADMINISTRATION, ASTHMA, FOOD ALLERGY AND ANAPHYLAXIS, EPILEPSY, LICE, GROWTH AND DEVELOPMENT, AND DENTAL EMERGENCIES FOR STUDENTS, PARENTS, AND FACULTY AND STAFF.ST. FRANCIS MEDICAL CENTER'S HEALTHY COMMUNITY INITIATIVES DIRECTOR PARTICIPATES ON COMMUNITY BOARDS AND COALITIONS TO ADDRESS ISSUES THAT AFFECT OVERALL HEALTH AND WELL-BEING. COLLABORATIVE PARTNERS SHARE A COMMITMENT TO MEETING THE COMMUNITY'S HEALTH CARE NEEDS AND INCLUDE LYNWOOD UNIFIED SCHOOL DISTRICT HEALTHY COLLABORATION, IMMUNIZE LA, AND HUNTINGTON PARK CHAMBER OF COMMERCE. THROUGH THESE COLLABORATIONS, RESOURCES ARE STRENGTHENED AND BEST PRACTICES ARE OPTIMIZED, RESULTING IN OUTREACH PROGRAMS WITH THE GREATEST POSITIVE IMPACT.ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO REDUCE THE IMPACT OF CHRONIC DISEASES ON HEALTH AND INCREASE THE FOCUS ON CHRONIC DISEASE PREVENTION, TREATMENT AND SELF-MANAGEMENT. IN MARCH 2020, HCI EVENTS WERE PUT ON HOLD DUE TO THE CORONAVIRUS OUTBREAK. IT IS ANTICIPATED THAT ACTIVITIES WILL RESUME WHEN COVID-19 RESTRICTIONS ARE EASED AND SFMC CAN SAFELY COORDINATE EVENTS, FOLLOWING STATE AND LOCAL GUIDELINES.VIOLENCE AND INJURY PREVENTIONST. FRANCIS MEDICAL CENTER ADDRESSES VIOLENCE AND INJURY PREVENTION BY TAKING THE FOLLOWING ACTIONS:- CONDUCT AN INJURY PREVENTION PROGRAM IN PARTNERSHIP WITH SOUTHERN CALIFORNIA CROSSROADS AND THE SOUTH LOS ANGELES TRAUMA RECOVERY CENTER.THE INJURY PREVENTION PROGRAM WORKS WITH SCHOOLS, HOSPITALS, AND OTHER PUBLIC AND PRIVATE ORGANIZATIONS TO ADDRESS SAFETY AND HELP PREVENT TRAUMATIC INJURY. THE PROGRAM TARGETS ISSUES THAT ARE OFTEN UNDERLYING FACTORS IN THE CAUSE OF INJURIES, SUCH AS SAFETY, BULLYING, DOMESTIC AND GANG VIOLENCE, AND SELF-ESTEEM.WITH FIRSTHAND KNOWLEDGE OF THE DEVASTATING EFFECTS OF VIOLENCE AND INJURY ON PATIENTS AND FAMILY MEMBERS, ST. FRANCIS MEDICAL CENTER'S TRAUMA TEAM OF PHYSICIANS, NURSES, AND STAFF LEAD THE HOSPITAL'S INJURY PREVENTION EFFORTS. THEY SERVE AS PRESENTERS AT VIOLENCE PREVENTION CONFERENCES, ORGANIZE SAFETY AND INJURY PREVENTION PROGRAMS FOR STUDENTS AND YOUTH, AND WORK WITH ELECTED OFFICIALS AND COMMUNITY GROUPS TO COALESCE PREVENTION EFFORTS.ST. FRANCIS MEDICAL CENTER DEDICATES A FULL-TIME STAFF MEMBER, ITS INJURY PREVENTION COORDINATOR, TO DEVELOP AND COORDINATE TRAUMA AND INJURY PREVENTION PROGRAMS, REPRESENT ST. FRANCIS MEDICAL CENTER AT COALITION MEETINGS, AND ORGANIZE COMMUNITY-BASED PROGRAMS THAT ENGAGE AND EMPOWER YOUTH AND YOUNG ADULTS."},{"form_and_line_reference":"COLLABORATIVE PARTNERSHIPS HAVE STRENGTHENED ST. FRANCIS MEDICAL CENTER'S","explanation":"ABILITY TO REACH AT-RISK INDIVIDUALS. IN 2013, THE HOSPITAL JOINED EFFORTS WITH SOUTHERN CALIFORNIA CROSSROADS (\"CROSSROADS\") TO ESTABLISH AN EDUCATION AND WORK SKILLS PROGRAM IN OUR COMMUNITY. CROSSROADS IS A NON-PROFIT ORGANIZATION COMMITTED TO ASSISTING UNDERPRIVILEGED INDIVIDUALS LIVING IN VIOLENCE-PLAGUED NEIGHBORHOODS LEAD HEALTHY, PEACEFUL AND PRODUCTIVE LIVES THROUGH PREVENTION, INTERVENTION, AND RE-ENTRY INTO SOCIETY. THE PROGRAM WAS ORGANIZED BY SFMC'S INJURY PREVENTION COORDINATOR, WHO ALSO SERVES AS THE CROSSROADS' PROGRAM DIRECTOR. ST. FRANCIS MEDICAL CENTER PROVIDES DEDICATED WORKSPACE AND FACILITIES FOR THE PROGRAM IN A NEARBY PROFESSIONAL OFFICE BUILDING.THE CROSSROADS PROGRAM PROVIDES GED PREPARATION, JOB TRAINING AND PLACEMENT, AND SUPPORT SERVICES, WITH THE GOAL OF HELPING YOUNG MEN AND WOMEN AGES 18 TO 24 TRANSFORM THEIR LIVES AND ACHIEVE POSITIVE, PRODUCTIVE LIFESTYLES. THE PROGRAM REACHES OUT TO THE HOSPITAL'S TRAUMA PATIENTS WHO ARE VICTIMS OF VIOLENCE, INCLUDING EX-OFFENDERS AND HIGH SCHOOL DROP-OUTS, AND OTHER PATIENTS IDENTIFIED AS \"AT RISK.\"PARTICIPANTS ENGAGE IN A VARIETY OF COMPREHENSIVE SERVICES THAT ENABLE THEM TO CONTINUE THEIR EDUCATION AND RECEIVE TRAINING AND SKILLS FOR FUTURE EMPLOYMENT AND THAT HELP TO PREPARE THEM TO SUCCESSFULLY COMPETE IN THE LABOR MARKET.THE PROGRAM ALSO DEVELOPS LINKAGES BETWEEN THE SERVICES OF STATE CORRECTIONAL AGENCIES, LOCAL PAROLE OFFICES, LOCAL DRUG AND ALCOHOL TREATMENT CENTERS, AND AREA WORKFORCE INVESTMENT BOARDS, AND COORDINATES AND LEVERAGES RESOURCES BETWEEN OTHER PROJECT GRANTEES AND TRAINING SERVICE PROVIDERS.GANG PREVENTION AND INTERVENTION CONFERENCE - THE INJURY PREVENTION PROGRAM ALSO COLLABORATES WITH CROSSROADS IN THE PLANNING AND EXECUTION OF THE ANNUAL LOS ANGELES GANG PREVENTION AND INTERVENTION CONFERENCE. THE ANNUAL CONFERENCE FOCUSES ON YOUTH AND GANG VIOLENCE AND HOW COMMUNITIES IN CITIES HERE AND ABROAD ARE IMPACTED. THE EVENT BRINGS TOGETHER EXPERTS AND PRACTITIONERS FROM THE FIELDS OF HEALTH, SOCIAL SERVICES, AND LAW ENFORCEMENT ALONG WITH CIVIC AND COMMUNITY LEADERS TO SHARE EXPERTISE AND DATA-PROVEN MODELS TO IMPROVE VIOLENCE REDUCTION SERVICES, PRACTICES AND POLICIES. THE CONFERENCE EMPHASIZES COLLABORATION AND CROSS-SECTOR PARTNERSHIPS, WITH A GOAL OF CHANGING THE STRUCTURE OF GANG PREVENTION, INTERVENTION, AND SUPPRESSION PRACTICE TO INCORPORATE A COMPREHENSIVE MODEL.DUE TO COVID-19, THE 2020 GANG PREVENTION AND INTERVENTION CONFERENCE WAS SUSPENDED INDEFINITELY.ST. FRANCIS MEDICAL CENTER FURTHER COLLABORATED WITH CROSSROADS TO ESTABLISH THE SOUTH LOS ANGELES TRAUMA RECOVERY CENTER (\"TRC\"). SUPPORTED THROUGH FUNDING FROM THE CALIFORNIA VICTIM COMPENSATION BOARD (\"CALVCB\"), THE TRC HELPS CENTRALIZE AND COORDINATE A RANGE OF FREE SERVICES FOR VICTIMS OF VIOLENT CRIME AND FAMILIES OF HOMICIDE VICTIMS. THE SOUTH LA TRAUMA RECOVERY CENTER PROVIDES FUNDAMENTAL INTEGRATED SERVICES.1. OUTREACH TO HARD-TO-REACH POPULATIONS CONDUCTED BY VICTIM ADVOCATES. INFORMATIONAL PAMPHLETS, FLYERS, AND PUBLIC SERVICE ANNOUNCEMENTS ARE MADE AVAILABLE AT NEIGHBORHOOD LIQUOR STORES, CORNER MARKETS, PARKS, AND OTHER PLACES THAT RESIDENTS CONGREGATE OR HAVE BEEN IDENTIFIED AS HIGH-CRIME AREAS. IN ADDITION, THE HEALTH BENEFITS RESOURCE CENTER AT ST. FRANCIS MEDICAL CENTER PROVIDES REFERRALS TO THE TRC AND ASSISTS TRC CLIENTS IN APPLYING FOR HEALTH INSURANCE, CALFRESH BENEFITS, AND OTHER BASIC NEEDS.2. TRAINING FOR LAW ENFORCEMENT AGENCIES, COMMUNITY-BASED AGENCIES AND OTHER HEALTH CARE PRACTITIONERS. TRAINING SESSION TOPICS INCLUDE IDENTIFYING CRIME, UNDERSTANDING THE IMPACT OF CRIME ON BEHAVIOR AND HEALTH, AND THE IMPORTANCE OF TREATING TRAUMA ARISING FROM VICTIMIZATION. 3. DIRECT SERVICES FOR CRIME VICTIMS AND FAMILY MEMBERS OF HOMICIDE VICTIMS USING AN EVIDENCE-BASED TREATMENT MODEL.THE SOUTH LA TRC'S DIRECT SERVICES ARE PRIMARILY OFFERED ON SITE AT CROSSROADS AND AT ST. FRANCIS MEDICAL CENTER, WITH PARTNER AGENCIES PROVIDING SERVICES AT THEIR SITES OR IN VICTIMS' HOMES ON AN AS NEEDED BASIS. ALL CRIME VICTIMS AND FAMILIES OF HOMICIDE VICTIMS ARE ELIGIBLE FOR SERVICES.DIRECT SERVICES, CUSTOMIZED FOR EACH INDIVIDUAL AND TAKING INTO ACCOUNT THE TYPE OF CRIME EXPERIENCED, FALL INTO THE FOLLOWING THREE CATEGORIES: MEDICAL CARE: FOLLOW UP ON INJURIES, REHABILITATION, MEDICATION MANAGEMENT, PHYSICAL THERAPY AND HEALTHY LIVING PROGRAMS.MENTAL HEALTH: SHORT TERM COUNSELING, CRISIS INTERVENTION, ASSESSMENT AND SAFETY PLANNING; LONG TERM THERAPY, GROUP THERAPY, PSYCHIATRIC FOLLOW-UP (AS NEEDED), COUNSELING FOR CHILDREN (AS NEEDED), ADVOCACY (INCLUDES COMPLETING THE APPLICATION FOR VICTIM COMPENSATION FUNDS, PROVIDING INFORMATION ON GRIEF AND TRAUMA, NAVIGATING THE CRIMINAL JUSTICE SYSTEM, AND ASSISTING WITH VICTIM IMPACT STATEMENTS) AND CLINICAL CASE MANAGEMENT.INFORMATION AND REFERRALS FOR NON-DIRECT SERVICES: LEGAL SERVICES, BENEFITS ENROLLMENT, VOCATIONAL AND EDUCATIONAL SUPPORT, JOB PLACEMENT, TRANSITIONAL HOUSING, TRANSPORTATION (INCLUDING LA METRO TAP CARDS AND/OR TAXI VOUCHERS), SUBSTANCE ABUSE, EMERGENCY SHELTERS, AND OTHERS.ADDITIONAL SERVICES PROVIDED TO SEXUAL ASSAULT VICTIMS INCLUDE MEDICAL EXAMINATIONS, TREATMENT, TESTING FOR HIV AND SEXUALLY TRANSMITTED ILLNESS; TRANSFER TO A LOCAL SART (SEXUAL ASSAULT RESPONSE TEAM), IF NEEDED; ADVOCACY AND SUPPORT DURING INTERACTIONS WITH LAW ENFORCEMENT; COURT ACCOMPANIMENT; AND REFERRALS AND CRISIS HOTLINES.GANG REDUCTION AND YOUTH DEVELOPMENT (\"GRYD\") - THROUGH A GRANT AWARDED TO ST. FRANCIS MEDICAL CENTER FOUNDATION FROM THE CITY OF LOS ANGELES MAYOR'S OFFICE AS PART OF A CITY-WIDE EFFORT TO REDUCE GANG INVOLVEMENT BY YOUTH, GRYD ADDRESSES GANG VIOLENCE IN A COMPREHENSIVE AND COORDINATED WAY, BY WORKING WITH COLLABORATIVE COMMUNITY-BASED AGENCIES THAT HAVE A SHARED COMMITMENT TO CURTAIL VIOLENCE AND INJURY. GRYD FOCUSES ON YOUTH AGES 10-15 WHO ARE IDENTIFIED AS HIGH-RISK FOR GANG RECRUITMENT. GRANT PROGRAM SERVICES ARE PROVIDED THROUGH ST. FRANCIS MEDICAL CENTERS' INJURY AND PREVENTION PARTNER, CROSSROADS, WHICH CONDUCTS SCREENINGS AND ASSESSMENTS TO IDENTIFY YOUTH AT HIGH-RISK FOR JOINING GANGS. UP TO 150 YOUTH ARE SERVED AT ANY ONE TIME THROUGH A SIX-MONTH PROGRAM.AS PART OF THE GRYD COLLABORATION, ST. FRANCIS MEDICAL CENTER WORKS WITH THE UNIFIED SCHOOL DISTRICTS OF LOS ANGELES, COMPTON, LYNWOOD, AND EL RANCHO, ST. LAWRENCE BRINDISI SCHOOL, COLLEGE BRIDGE ACADEMY, THE LOS ANGELES POLICE DEPARTMENT, AND THE DEPARTMENT OF CHILD AND FAMILY SERVICES, AMONG OTHERS. ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO REDUCE THE IMPACT OF VIOLENCE AND INJURY IN THE COMMUNITY.BIRTH INDICATORSST. FRANCIS MEDICAL CENTER ADDRESSES BIRTH INDICATORS BY TAKING THE FOLLOWING ACTIONS:- COLLABORATION WITH LOS ANGELES COUNTY FIRST 5 LA WELCOME BABY PROGRAM.- FOR FAMILIES RESIDING WITHIN A BEST START COMMUNITY, THE WELCOME BABY PROGRAM PROVIDES TWO PRENATAL VISITS, A HOSPITAL VISIT, AND FIVE POSTPARTUM VISITS.- FOR FAMILIES RESIDING OUTSIDE A BEST START COMMUNITY, THE WELCOME BABY PROGRAM PROVIDES A HOSPITAL VISIT AND TWO POSTPARTUM VISITS. - USING UNIVERSAL RISK SCREENING DURING THE WELCOME BABY HOSPITAL VISIT, THE FAMILIES WHO NEED ADDITIONAL SUPPORT ARE IDENTIFIED.- FAMILIES RECEIVE INFORMATION AND SUPPORT DURING EACH WELCOME BABY VISIT ON TOPICS THAT MAY INCLUDE: BREASTFEEDING, HOME SAFETY, THE IMPORTANCE OF A MEDICAL HOME, WELL-CHILD VISITS AND IMMUNIZATIONS, SMOKING CESSATION, CRYING PATTERNS, PARENT-TO-CHILD TEMPERAMENT, AND POST-PARTUM DEPRESSION. - INCREASE BREASTFEEDING THROUGH THE BABY FRIENDLY HOSPITAL INITIATIVE.THE WELCOME BABY PROGRAM PROVIDES ACCESS TO PRENATAL CARE. THE PROGRAM OFFERS PERSONALIZED PRENATAL, POST-PARTUM, AND HOSPITAL VISITS WITH A PROFESSIONALLY TRAINED PARENT COACH, FROM PREGNANCY THROUGH THE BABY'S FIRST 9 MONTHS, FOR FAMILIES LIVING WITHIN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA THAT ARE DESIGNATED BY LA COUNTY AS FIRST 5 LA'S BEST START COMMUNITIES AND WHO MEET THE WELCOME BABY PROGRAM ELIGIBILITY CRITERIA.AVAILABLE AT NO COST TO ALL MATERNITY PATIENTS, THE WELCOME BABY CONTINUUM OF CARE INCLUDES BREASTFEEDING SUPPORT FROM WELCOME BABY STAFF (WHO ARE ALL CERTIFIED LACTATION EDUCATORS), REFERRALS TO COMMUNITY RESOURCES, AND AN IN-HOME VISIT BY A REGISTERED NURSE WITHIN THE FIRST WEEK FOLLOWING MOM AND BABY'S DISCHARGE FROM THE HOSPITAL.ALL FAMILIES RESIDING OUTSIDE OF THE BEST START COMMUNITIES ARE ELIGIBLE FOR THE WELCOME BABY HOSPITAL VISIT. IF THEY DO NOT MEET WELCOME BABY PROGRAM CRITERIA, THEY MAY STILL RECEIVE REFERRALS AND LINKAGES TO SERVICES, IF NEEDED. AND UP TO TWO ADDITIONAL HOME VISITS, IF NEEDED."},{"form_and_line_reference":"WELCOME BABY ADDRESSES THE FIRST 5 LA GOAL AREAS:","explanation":"1) THAT CHILDREN MAINTAIN A HEALTHY WEIGHT; 2) THAT CHILDREN ARE SAFE FROM ABUSE AND NEGLECT; AND 3) THAT CHILDREN ARE READY FOR KINDERGARTEN. FIRST 5 LA AND PARTNER HOSPITALS WORK TOGETHER TO REACH THESE GOALS BY FOCUSING ON HEALTH AND WELLNESS BEFORE A BABY'S BIRTH AND CONTINUING THROUGH A CHILD'S FIRST CRITICAL MONTHS.USING PARENT COACHES, WELCOME BABY ADDRESSES PRENATAL TESTING, HOME PLANNING/SAFETY, LABOR SIGNS, BREASTFEEDING, DEPRESSION SCREENING, FAMILY NUTRITION, OBSERVATION FOR JAUNDICE AND HYDRATION, INFANT ASSESSMENTS, AND GROWTH AND DEVELOPMENT MILESTONES. THROUGH BOTH PRENATAL AND POSTPARTUM HOSPITAL AND HOME-BASED VISITS, PARENT COACHES DEVELOP A RELATIONSHIP WITH THE FAMILIES AND PROVIDE EDUCATION IN A CONVENIENT AND COMFORTABLE SETTING, AND THEY HELP TO ENSURE PARENTS ARE CONNECTED TO APPROPRIATE HEALTH CARE SERVICES.TO ADDRESS THE COMMUNITY'S LOW BREASTFEEDING RATES, ST. FRANCIS MEDICAL CENTER CONTINUES TO IMPLEMENT BABY FRIENDLY USA'S TEN STEPS OF SUCCESSFUL BREASTFEEDING WITHIN ITS FACILITY. BABY-FRIENDLY USA IS THE U.S. AUTHORITY FOR THE IMPLEMENTATION OF THE BABY-FRIENDLY HOSPITAL INITIATIVE, A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). THE BABY-FRIENDLY PROGRAM AIMS TO INCREASE BREASTFEEDING RATES THROUGH THE EDUCATION OF HEALTH CARE PROVIDERS, MATERNITY PATIENTS, AND PROGRAMS THAT SUPPORT EXCLUSIVE BREASTFEEDING. THE TEN STEPS INCLUDE:1. HAVING A WRITTEN BREASTFEEDING POLICY THAT IS ROUTINELY COMMUNICATED TO ALL HEALTH CARE STAFF.2. TRAINING ALL HEALTH CARE STAFF IN SKILLS NECESSARY TO IMPLEMENT THE POLICY.3. INFORMING ALL PREGNANT WOMEN ABOUT THE BENEFITS AND MANAGEMENT OF BREASTFEEDING.4. HELPING MOTHERS INITIATE BREASTFEEDING WITHIN ONE HOUR OF BIRTH. 5. SHOWING MOTHERS HOW TO BREASTFEED AND HOW TO MAINTAIN LACTATION EVEN IF THEY ARE SEPARATED FROM THEIR INFANTS.6. GIVING NEWBORN INFANTS NO FOOD OR DRINK OTHER THAN BREAST MILK, UNLESS MEDICALLY INDICATED.7. PRACTICING \"ROOM IN\" - ALLOWING MOTHERS AND INFANTS TO REMAIN TOGETHER 24 HOURS A DAY.8. ENCOURAGING BREASTFEEDING ON DEMAND.9. GIVING NO PACIFIERS OR ARTIFICIAL NIPPLES TO BREASTFEEDING INFANTS.10. FOSTERING THE ESTABLISHMENT OF BREASTFEEDING SUPPORT GROUPS AND REFERRING MOTHERS TO THEM ON DISCHARGE FROM THE HOSPITAL OR CLINIC.THROUGH ONGOING EVALUATION OF ITS PROGRAM AND CONTINUED EDUCATION OF DOCTORS, NURSES, AND PATIENTS, ST. FRANCIS MEDICAL CENTER IS DEDICATED TO INCREASING BOTH THE BREASTFEEDING INITIATION AND EXCLUSIVE BREASTFEEDING RATES. THE BABY-FRIENDLY HOSPITAL INITIATIVE EMAPHSIZES PRACTICE OF THE TEN STEPS, RATHER THAN SETTING PERCENTAGE TARGETS. THROUGH CONSISTENT PRACTICE OF THE STEPS, THE EXPECTATION IS THAT EXCLUSIVE BREASTFEEDING RATES WILL INCREASE CORRESPONDINGLY.ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO IMPROVE MATERNAL AND INFANT HEALTH.ST. FRANCIS MEDICAL CENTER HAS CHOSEN TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, ST. FRANCIS MEDICAL CENTER IS NOT DEVELOPING A SPECIFIC COMMUNITY BENEFIT STRATEGY TO ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA: DENTAL CARE, ECONOMIC INSECURITY, FOOD INSECURITY, HOUSING AND HOMELESSNESS, MENTAL HEALTH, OVERWEIGHT AND OBESITY, PNEUMONIA AND INFLUENZA, PREVENTIVE PRACTICES, SEXUALLY TRANSMITTED INFECTIONS, AND SUBSTANCE USE AND MISUSE.ST. FRANCIS MEDICAL CENTER DOES INDIRECTLY ADDRESS A NUMBER OF THESE HEALTH NEEDS; HOWEVER, THESE NEEDS ARE NOT BE DIRECTLY TARGETED THROUGH THE IMPLEMENTATION STRATEGY:- SUBSTANCE USE AND MISUSE: SOUTHERN CALIFORNIA CROSSROADS HAS A SUBSTANCE ABUSE COMPONENT.- ECONOMIC INSECURITY: SOUTHERN CALIFORNIA CROSSROADS HAS GED PREPARATION AND A WORK SKILLS COMPONENT.- FOOD INSECURITY: HEALTH BENEFITS RESOURCE CENTER HAS A CALFRESH ELIGIBILITY WORKER ON SITE TO ASSIST WITH ENROLLMENT IN THE STATE FOOD AND NUTRITION PROGRAM.- OVERWEIGHT AND OBESITY: HEALTHY COMMUNITY INITIATIVES PROVIDES BMI HEALTH SCREENINGS AT VARIOUS HOSPITAL AND COMMUNITY-BASED EVENTS ALONG WITH NUTRITION EDUCATION TO PROMOTE A BALANCED DIET AND A HEALTHY WEIGHT.- PREVENTIVE PRACTICES: HEALTHY COMMUNITY INITIATIVES OFFERS ADULT IMMUNIZATIONS AT ITS ANNUAL COMMUNITY HEALTH FAIR AND FLU VACCINES FOR SENIORS.- MENTAL HEALTH: ST. FRANCIS MEDICAL CENTER HAS A BEHAVIORAL HEALTH UNIT, WHICH IS AT CAPACITY YEAR-ROUND AND REFLECTS THE GREAT NEED FOR MENTAL HEALTH SERVICES IN THE HOSPITAL'S SERVICE AREA."},{"form_and_line_reference":"PART V, SECTION B, LINES 16A, 16B AND 16C:","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.IN ADDITION, AS OF AUGUST 14, 2020, ST. FRANCIS MEDICAL CENTER HOSPITAL ASSETS WERE SOLD TO PRIME HEALTHCARE, WHICH CONTINUES TO OPERATE THE HOSPITAL. THEREFORE, THE ST. FRANCIS MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTPS://VERITY.ORG/SFMC/FINANCIALASSISTANCE.PHP PRIOR TO THE WEBSITE TERMINATION. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."},{"form_and_line_reference":"PART V, SECTION B","explanation":"FACILITY REPORTING GROUP A"},{"form_and_line_reference":"FACILITY REPORTING GROUP A CONSISTS OF:","explanation":"- FACILITY 1: ST. FRANCIS MEDICAL CENTER"},{"form_and_line_reference":"ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 5:","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT (\"CHNA\") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS. TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE CHNA USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH, SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED BY ST. FRANCIS MEDICAL CENTER. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: SECONDARY DATA COLLECTIONSECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.PRIMARY DATA COLLECTIONSFMC CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SFMC PARTICIPATED IN THE LA PARTNERSHIP, A COLLABORATIVE OF LA COUNTY HOSPITALS, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA COMMUNITY FOUNDATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), TO DEVELOP PRIMARY DATA QUESTIONS.INTERVIEWSTWENTY-ONE INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE COLLABORATIVE HOSPITAL PARTNERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- MOST SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY- SOCIAL, CULTURAL, BEHAVIORAL, ENVIRONMENTAL OR MEDICAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY- WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS- EFFECTIVE STRATEGIES OR ACTIONS FOR ADDRESSING THE NEEDS- SERVICES MOST CHALLENGING TO ACCESS- POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS- POTENTIAL AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS- ADDITIONAL COMMENTS AND CONCERNSIN ADDITION, STRATEGIC QUESTIONS, WHICH FOCUSED ON SPECIFIC HEALTH NEEDS, WERE INCLUDED. THESE QUESTIONS MATCHED STAKEHOLDER EXPERTISE OR EXPERIENCE WITH THE SIGNIFICANT HEALTH NEEDS. FOR EXAMPLE, A STAKEHOLDER WHO WORKED FOR A MENTAL HEALTH SERVICES AGENCY WAS ASKED SPECIFIC QUESTIONS ABOUT MENTAL HEALTH CONCERNS, BARRIERS AND RESOURCES.FOCUS GROUPSTWENTY FOCUS GROUPS WERE CONDUCTED FROM SEPTEMBER 2018 TO FEBRUARY 2019 AND ENGAGED 232 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN ORGANIZATION CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION.BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- SUGGESTIONS FOR ADDRESSING THE COMMUNITY ISSUES AND NEEDS.- OTHER COMMENTS OR CONCERNS.SURVEYSA SURVEY WAS PROVIDED TO SELECTED STAKEHOLDERS, REPRESENTING COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS AND NONPROFIT ORGANIZATIONS, WHO HAD NOT BEEN REACHED THROUGH AN INTERVIEW OR FOCUS GROUP. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE SURVEYS WERE COMPLETED FROM JANUARY 25 TO FEBRUARY 8, 2019. TWELVE (12) SURVEYS WERE COLLECTED. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- GAPS OR CHALLENGES TO ADDRESS THESE NEEDS.- RESOURCES AVAILABLE TO HELP ADDRESS THE NEEDS.FOR THE PURPOSES OF THE 2019 REPORT, THE ST. FRANCIS MEDICAL CENTER SERVICE AREA INCLUDES 17 ZIP CODES IN 11 CITIES/COMMUNITIES. THE SERVICE AREA IS LOCATED IN LA CITY COUNCIL DISTRICTS 8 AND 15 AND COMPRISES PORTIONS OF SERVICE PLANNING AREAS (SPAS) 6 AND 7."},{"form_and_line_reference":"ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 6A:","explanation":"THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THIS PARTNERSHIP WAS ESTABLISHED BECAUSE THERE IS SIGNIFICANT OVERLAP IN THE SERVICE AREAS OF ST. FRANCIS MEDICAL CENTER WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS ON JUNE 18, 2019."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":2818767,"reported_domestic_org_grants_program_services":2818767,"total_501c3_and_government_organizations":1,"grants":[{"ein":912145484,"irc_section":"501(C)(3)","cash":2818767,"purpose":"DISSOLUTION TRANSFER","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM OF CALIFORNIA INC","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"}],"total_domestic_grants":2818767,"total_domestic_program_services":2818767,"detail_org_grants_total":2818767,"detail_domestic_grants_total":2818767,"supplemental_information":[{"form_and_line_reference":"PART I, LINE 2:","explanation":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"RICHARD ADCOCK","title":"EX-OFFICIO MEMBER (THRU 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08/2020)","base_compensation_filing_org":213346,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":6082,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":3380,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1825,"other_compensation_related_orgs":0,"total_compensation_filing_org":224633,"total_compensation_related_orgs":0,"name":"KAREN CHAPMAN-EXEC DIRINTRM"}]},"ScheduleN":{"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false,"received_compensation":false},"dispositions":[{"business_name_line1":"PRIME HEALTHCARE SERVICES INC","ein":330943449,"irc_section":"CORPORATION","distribution_date":"2020-08-13T00:00:00","description":"SALE OF HOSPITAL ASSETS","fair_market_value":272982798,"method_of_fmv_determination":"BOOK VALUE","address_line1":"3480 E GUASTI RD","city":"ONTARIO","state":"CA","zip":"91761","name":"PRIME HEALTHCARE SERVICES INC","address":"3480 E GUASTI RD, ONTARIO, CA, 91761"}],"supplemental_information":[{"form_and_line_reference":"SCHEDULE N, PART II:","explanation":"IN ADDITION TO THE ASSETS REPORTED ON PART II, CERTAIN TRANSACTIONS WITHIN THE HEALTH SYSTEM WERE WRITTEN-OFF AS PART OF THE BANKRUPTCY PLAN. PLEASE SEE FORM 990, PART XI, LINE 9 AND SCHEDULE O FOR MORE INFORMATION."},{"form_and_line_reference":"SCHEDULE N, PART II, LINE 2B:","explanation":"ON AUGUST 12, 2020, PRIME HEALTHCARE SERVICES, INC. PURCHASED ST. FRANCIS MEDICAL CENTER IN AN ASSET PURCHASE AGREEMENT. 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