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ObjectId: 201430419349300218 - Submission: 2014-02-10
TIN: 94-2219349
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
Attach to Form 990.
See separate instructions.
OMB No. 1545-0047
20
12
Open to Public Inspection
Name of the organization
TARZANA TREATMENT CENTERS INC
Employer identification number
94-2219349
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a
...
1a
Yes
b
If "Yes," was it a written policy?
.......................
1b
Yes
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
Applied uniformly to all hospital facilities
Applied uniformly to most hospital facilities
Generally tailored to individual hospital facilities
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines
(FPG)
as a factor in determining eligibility for providing
free
care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for
free
care:
3a
Yes
100%
150%
200%
Other
%
b
Did the organization use FPG as a factor in determining eligibility for providing
discounted
care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care:
.........
3b
Yes
200%
250%
300%
350%
400%
Other
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based
criteria for determining eligibility for free or discounted care. Include in the description whether the organization
used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or
discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"?
..............
4
Yes
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year?
............................
5a
No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?
......
5b
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?
..............
5c
6a
Did the organization prepare a community benefit report during the tax year?
..........
6a
Yes
b
If "Yes," did the organization make it available to the public?
..............
6b
Yes
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a)
Number of activities or programs (optional)
(b)
Persons served (optional)
(c)
Total community benefit expense
(d)
Direct offsetting revenue
(e)
Net community benefit expense
(f)
Percent of total expense
a
Financial Assistance at cost
(from Worksheet 1)
..
510,028
510,028
1.050 %
b
Medicaid (from Worksheet 3,
column a)
....
c
Costs of other means-tested
government programs (from
Worksheet 3, column b)
.
d
Total
Financial Assistance
and Means-Tested
Government Programs
.
510,028
510,028
1.050 %
Other Benefits
e
Community health
improvement services and
community benefit operations
(from Worksheet 4)
..
f
Health professions education
(from Worksheet 5)
..
g
Subsidized health services
(from Worksheet 6)
..
h
Research (from Worksheet 7)
i
Cash and in-kind
contributions for community
benefit (from Worksheet 8)
j
Total.
Other Benefits
..
k
Total.
Add lines 7d and 7j
.
510,028
510,028
1.050 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50192T
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities
Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a)
Number of activities or programs (optional)
(b)
Persons served (optional)
(c)
Total community building expense
(d)
Direct offsetting
revenue
(e)
Net community building expense
(f)
Percent of total expense
1
Physical improvements and housing
2
Economic development
3
Community support
4
Environmental improvements
5
Leadership development and training for community members
6
Coalition building
7
Community health improvement advocacy
8
Workforce development
9
Other
10
Total
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15?
..........................
1
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount.
......
2
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit.
......
3
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME)
.....
5
722,769
6
Enter Medicare allowable costs of care relating to payments on line 5
.....
6
765,923
7
Subtract line 6 from line 5. This is the surplus (or shortfall)
........
7
-43,154
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Cost accounting system
Cost to charge ratio
Other
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year?
..........
9a
Yes
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI
.......................
9b
No
Part IV
Management Companies and Joint Ventures
(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a)
Name of entity
(b)
Description of primary
activity of entity
(c)
Organization's
profit % or stock
ownership %
(d)
Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e)
Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part V
Facility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?
1
Name, address, and primary website address
Other (Describe)
Facility reporting group
1
TARZANA TREATMENT CENTERS INC
18646 OXNARD STREET
TARZANA
,
CA
91356
X
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part V
Facility Information
(continued)
Section B. Facility Policies and Practices
(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
TARZANA TREATMENT CENTERS INC
Name of hospital facility or facility reporting group
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)
1
Yes
No
Community Health Needs Assessment
(Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1
During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.
...................
1
Yes
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
A definition of the community served by the hospital facility
b
Demographics of the community
c
Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d
How data was obtained
e
The health needs of the community
f
Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g
The process for identifying and prioritizing community health needs and services to meet the community health needs
h
The process for consulting with persons representing the community’s interests
i
Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j
Other (describe in Part VI)
2
Indicate the tax year the hospital facility last conducted a CHNA: 20
12
3
In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted
....................
3
Yes
4
Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI
................................
4
No
5
Did the hospital facility make its CHNA report widely available to the public?
.............
5
Yes
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
Hospital facility’s website
b
Available upon request from the hospital facility
c
Other (describe in Part VI)
6
If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA
b
Execution of the implementation strategy
c
Participation in the development of a community-wide plan
d
Participation in the execution of a community-wide plan
e
Inclusion of a community benefit section in operational plans
f
Adoption of a budget for provision of services that address the needs identified in the CHNA
g
Prioritization of health needs in its community
h
Prioritization of services that the hospital facility will undertake to meet health needs in its community
i
Other (describe in Part VI)
7
Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs
........
7
No
8a
Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?
...........................
8a
No
b
If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax?
......
8b
c
If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part V
Facility Information
(continued)
Financial Assistance Policy
Yes
No
9
Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?
9
Yes
10
Used federal poverty guidelines (FPG) to determine eligibility for providing
free
care?
...........
10
Yes
If "Yes," indicate the FPG family income limit for eligibility for free care:
200.000000000000
%
If "No," explain in Part VI the criteria the hospital facility used.
11
Used FPG to determine eligibility for providing
discounted
care?
.................
11
Yes
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:
200.000000000000
%
If "No," explain in Part VI the criteria the hospital facility used.
12
Explained the basis for calculating amounts charged to patients?
.................
12
Yes
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
Income level
b
Asset level
c
Medical indigency
d
Insurance status
e
Uninsured discount
f
Medicaid/Medicare
g
State regulation
h
Other (describe in Part VI)
13
Explained the method for applying for financial assistance?
...................
13
Yes
14
Included measures to publicize the policy within the community served by the hospital facility?
.......
14
Yes
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
The policy was posted on the hospital facility’s website
b
The policy was attached to billing invoices
c
The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d
The policy was posted in the hospital facility’s admissions offices
e
The policy was provided, in writing, to patients on admission to the hospital facility
f
The policy was available upon request
g
Other (describe in Part VI)
Billing and Collections
15
Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?
.......
15
Yes
16
Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
Reporting to credit agency
b
Lawsuits
c
Liens on residences
d
Body attachments
e
Other similar actions (describe in Part VI)
17
Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?
..........
17
No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
Reporting to credit agency
b
Lawsuits
c
Liens on residences
d
Body attachments
e
Other similar actions (describe in Part VI)
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part V
Facility Information
(continued)
18
Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
Notified individuals of the financial assistance policy on admission
b
Notified individuals of the financial assistance policy prior to discharge
c
Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills
d
Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e
Other (describe in Part VI)
Policy Relating to Emergency Medical Care
Yes
No
19
Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?
..........
19
No
If “No,” indicate why:
a
The hospital facility did not provide care for any emergency medical conditions
b
The hospital facility’s policy was not in writing
c
The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d
Other (describe in Part VI)
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20
Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b
The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c
The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d
Other (describe in Part VI)
21
During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?
............................
21
No
If “Yes,” explain in Part VI.
22
During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual?
.........................
22
No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part V
Facility Information
(continued)
Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?
9
Name and address
Type of Facility (describe)
1
TARZANA TREATMENT CENTERS INC
907 WEST LANCASTER BLVD
LANCASTER
,
CA
93534
PRIMARY MEDICAL CARE, SUBSTANCE ABUSE & MENTAL HEALTH, ETC.
2
TARZANA TREATMENT CENTERS INC
44447 N 10TH STREET WEST
LANCASTER
,
CA
93534
RESIDENTIAL ALCOHOL & DRUG TREATMENT, MENTAL HEALTH SERVICES, ETC.
3
TARZANA TREATMENT CENTERS INC
44443 N 10TH STREET WEST
LANCASTER
,
CA
93534
TEEN & YOUNG ADULT SPECIFIC SERVICES, ETC.
4
TARZANA TREATMENT CENTERS INC
2101 MAGNOLIA AVENUE
LONG BEACH
,
CA
90806
RESIDENTIAL REHAB ALCOHOL & DRUG TREATMENT (WOMEN & CHILDREN), ETC.
5
TARZANA TREATMENT CENTERS INC
5190 ATLANTIC AVENUE
LONG BEACH
,
CA
90805
DUAL DIAGNOSIS TREATMENT (FOR SUBSTANCE ABUSE & MENTAL HEALTH), OUTPATIENT,
6
TARZANA TREATMENT CENTERS INC
7101 BAIRD AVENUE
RESEDA
,
CA
91335
HIV, MENTAL HEALTH, OUTPATIENT, ETC.
7
TARZANA TREATMENT CENTERS INC
18700 OXNARD STREET
TARZANA
,
CA
91356
TEEN & YOUNG ADULT SPECIFIC SERVICES, ETC.
8
TARZANA TREATMENT CENTERS INC
8330 RESEDA BLVD
NORTHRIDGE
,
CA
91324
FAMILY MEDICAL CARE, PRIMARY CARE, ETC.
9
TARZANA TREATMENT CENTERS INC
422 W AVENUE P SUITE C280
PALMDALE
,
CA
93550
FAMILY MEDICAL CARE, PRIMARY CARE, ETC.
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1
Required descriptions.
Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2
Needs assessment.
Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3
Patient education of eligibility for 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 financial assistance policy.
4
Community information.
Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5
Promotion of community health.
Provide any other information important to describing how the organization’s hospital facilities 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.).
6
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.
7
State filing of community benefit report.
If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8
Facility reporting group(s).
If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier
ReturnReference
Explanation
PART I, LINE 7: DIRECT AND ALLOCATED INDIRECT PROGRAM COSTS REPRESENTS THE TOTAL PROGRAM COSTS. TOTAL PROGRAM COSTS IN EXCESS OF PROGRAM REVENUE (FROM ALL SOURCES) ARE DEEMED TO BE THE CHARITY AT COST.
PART III, LINE 8: ALLOCATED COSTS INCURRED TO TREAT MEDICARE PATIENTS EXCEEDED REVENUE RECEIVED BY $43,154. THIS AMOUNT WAS NOT REIMBURSED, AND SHOULD BE TREATED AS A COMMUNITY BENEFIT.
TARZANA TREATMENT CENTERS, INC.
PART V, SECTION B, LINE 3: THE PROCESS TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY INVOLVED DESIGNING THE ASSESSMENT TOOLS, COLLECTING PRIMARY AND SECONDARY DATA, AND ANALYZING THE DATA. THE TEAM IDENTIFIED EXISTING STUDIES IN THE COMMUNITY THROUGH REVIEW OF EPIDEMIOLOGICAL DATA, SURVEYS OF COMMUNITY MEMBERS AND CONSUMERS OF MENTAL HEALTH AND ADDICTIONS SERVICES, AND KEY INFORMANT INTERVIEWS WITH DIRECT SERVICE PROVIDERS IN THE COMMUNITY.
TARZANA TREATMENT CENTERS, INC.
PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIZED COMMUNITY HEALTH NEEDS BY PATIENT SURVEY AND KEY INFORMANT QUESTIONNAIRES. THE RESPONSES ENABLED THE RANKING OF HEALTH ISSUES. BASED ON THE SURVEY RESULTS, THE TOP TEN HEALTH PRIORITIES ARE: (1)ACCESS TO SUBSTANCE USE DISORDER (SUD) PROGRAMS AND SERVICES, (2) TOBACCO CONTROL, (3) DENTAL HEALTH, (4) INFECTIOUS DISEASES, (5) HEALTH INSURANCE, (6) VIOLENCE PREVENTION, (7) SEXUALLY TRANSMITTED INFECTIONS (STI), (8) MENTAL HEALTH SERVICES, (9) HIV/AIDS SERVICES, (10) CHILD SAFETY SERVICES. THE TOP NINE HEALTH NEEDS EXPRESSED ARE: (1) ACCESS TO MEDICAL CARE, (2) MENTAL HEALTH, (3) SUBSTANCED ABUSE DISORDER, (4) HOMELESSNESS, (5) CHRONIC DISEASE MANAGEMENT, (6) CONTINUOUS CARE, (7) DENTAL CARE, (8) OBESITY/WEIGHT MANAGEMENT, (9) WOMEN'S HEALTH. THE HEALTH NEEDS INCLUDING DENTAL HEALTH, VIOLENCE PREVENTION, CHILD SAFETY SERVICES, HOMELESSNESS, CHRONIC DISEASE MANAGEMENT, CONTINUOUS CARE, EDUCATION AND PREVENTION, OBESITY/WEIGHT MANAGEMENT AND WOMEN'S WILL NOT BE ADDRESSED BY THE INPATIENT FACILITY DUE TO THE LACK OF FINANCIAL AND STAFF RESOURCES TO PROVIDE SERVICES TO ADDRESS SUCH NEEDS. HOWEVER, TARZANA TREATMENT CENTERS WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNER AGENCIES BY PROVIDING REFERRALS TO HELP PATIENTS MEET THEIR OWN HEALTH NEEDS.
TARZANA TREATMENT CENTERS, INC.
PART V, SECTION B, LINE 16E: SEND TO COLLECTION AGENCY
TARZANA TREATMENT CENTERS, INC.
PART V, SECTION B, LINE 20D: THE HOSPITAL DOES NOT CHARGE MEDICARE/MEDICAID RECIPIENTS BEYOND COPAY REQUIREMENTS AS SET FORTH BY THE GOVERNMENT OR THE HEALTH PLAN.
PART VI, LINE 2: TTC'S FINANCIAL ASSISTANCE POLICIES CLEARLY STATE THE ELIGIBILITY CRITERIA (I.E. INCOME, ASSETS) AND THE PROCESS USED BY TTC TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. SUCH PROCESS TAKES INTO ACCOUNT WHERE AND HOW FAR A PARTICULAR PATIENT FALLS RELATIVE TO EXISTING FEDERAL POVERTY LEVELS (FPL).ANY PATIENT WHO BELIEVES THAT THEY ARE QUALIFIED MAY APPLY FOR FINANCIAL ASSISTANCE UNDER TTC'S CHARITY CARE POLICY OR DISCOUNT PAYMENT POLICY. TTC STAFF USE THEIR BEST EFFORTS TO ENSURE ALL FINANCIAL ASSISTANCE POLICIES ARE APPLIED CONSISTENTLY.IN DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, TTC STAFF ASSISTS THE PATIENT IN DETERMINING IF HE/SHE IS ELIGIBLE FOR GOVERNMENT-SPONSORED PROGRAMS.
PART VI, LINE 3: DIRECTORS ENSURE THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE FACILITY'S FINANCIAL ASSISTANCE POLICIES. WHEN COMMUNICATING TO PATIENTS REGARDING THE FINANCIAL ASSISTANCE POLICY, STAFF DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. TTC SHARES THE FINANCIAL ASSISTANCE POLICY WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. EACH FACILITY POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS SUCH AS ADMITTING/REGISTRATION AND BILLING OFFICE. EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR CHARITY CARE OR A DISCOUNTED PAYMENT.
PART VI, LINE 4: TTC IS LOCATED IN THE WESTERN HALF OF THE SAN FERNANDO VALLEY (SFV) WITHIN LOS ANGELES COUNTY. THIS AREA OF APPROXIMATELY 200 SQUARE MILES INCLUDES THE DENSELY POPULATED CENTRAL PORTIONS OF THE SFV, WHICH CONSISTS PRIMARILY OF SUBURBAN AND COMMERCIAL DEVELOPMENT. THE FAR WESTERN PORTIONS OF THE SFV ARE MORE SPARSELY POPULATED, BUT HAVE SHOWN INCREASED SUBURBAN AND COMMERICAL DEVELOPMENT IN RECENT YEARS. THIS FAR WESTERN PORTION HAS THE FASTEST GROWING POPULATION OF THE REGION. TTC TREATS INDIVIDUALS FROM THE ENTIRE LOS ANGELES COUNTY. APPROXIMATELY 1.8 MILLION PEOPLE RESIDE IN THE SFV WHICH IS PROJECTED TO INCREASE TO OVER 1.9 MILLION PEOPLE BY THE YEAR 2017 (U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, 2011).IT IS UNDERSTANDABLE THAT WE WOULD SEE A LARGER PROPORTION OF CLIENTS (ESTIMATED AT 606,097 PEOPLE) FROM OUR MORE IMMEDIATE GEOGRAPHIC AREA. THE CITIES THAT COMPRISE OUR IMMEDIATE SERVICE AREA INCLUDE AGOURA, CALABASAS, CANOGA PARK, CHATSWORTH, ENCINO, HIDDEN HILLS, NORTHRIDGE, PORTER RANCH, RESEDA, SHERMAN OAKS, TARZANA, TOPANGA, WINNETKA AND WOODLAND HILLS. THE ZIP CODES INCLUDED IN OUR IMMEDIATE SERVICE AREA ARE 90290, 91301 THROUGH 91306, 91311, 91316, 91324, 91335, 91364, 91367, 91406, 91423 AND 91436.BASED ON THE AMERICAN COMMUNITY SURVEY IN 2011, PEOPLE OF HISPANIC ORIGIN CONSTITUTE ABOUT 42% OF THE SAN FERNANDO VALLEY HOUSEHOLD POPULATION, WHICH IS SOMEWHAT LESS THAN THE 48% HISPANIC IN LOS ANGELES CITY AND THE 48% IN THE LOS ANGELES COUNTY. NON-HISPANIC WHITES COMPRISE 42% OF THE HOUSEHOLD POPULATION, WHICH IS SLIGHTLY HIGHER THAN THE HISPANIC PERCENTAG. THE ASIAN POPULATION IS 11% AND AFRICAN-AMERICANS CONSTITUTE ABOUT 4%.HIGH SCHOOL DIPLOMAS HAVE BEEN EARNED BY 83% OF THE 25 YEARS AND OLDER POPULATION, AND THE PROPORTION EXCEEDS 90% IN SEVERAL COMMUNITIES. BACHELOR DEGREES ARE HELD BY 32% OF THE POPULATION. 67% OF THE POPULATION (16 AND OVER) PARTICIPATES IN THE LABOR FORCE. THE PROPORTION IS FAIRLY CONSTANT ACROSS THE CITIES OF SAN FERNANDO VALLEY. THE EMPLOYED RESIDENTS TOTALED 846,911 IN 2011. THE SFV MEDIAN HOUSEHOLD INCOME EXCEEDED $59,451 IN 2011, TOPPING LOS ANGELES CITY'S BY $13,127, AND LOS ANGELES COUNTY'S BY $3,185 AND THE NATION'S BY $6,689, BUT FALLING ABOUT $2,181 BELOW CALIFORNIA'S MEDIAN. THE RACIAL AND ETHNIC COMPOSITION OF SPA 2 REMAINS DIVERSE, ESPECIALLY IN THE SFV WHERE MANY CULTURES HAVE CONVERGED IN ONE AREA AND NO RACIAL GROUP CURRENTLY REPRESENTS A MAJORITY. THE RACIAL COMPOSITION OF THE SFV IS 41.7% NON-HISPANIC WHITE, 41.4% LATINO, 11% ASIAN/PACIFIC ISLANDER, AND 3.5% AFRICAN-AMERICAN. WITH RESPECT TO EDUCATION, WITHIN THE SFV, APPROXIMATELY 21% OF THE POPULATION, 25 YEARS AND OLDER, HAVE NOT COMPLETED HIGH SCHOOL EDUCATION. INCOME LEVELS ILLUSTRATE THE DISPARITIES THAT EXIST IN SPA 2. APPROXIMATELY 23% OF THE HOUSEHOLDS IN THE SFV REPORTED ANNUAL INCOMES BELOW $25,000. THE RACIAL AND ETHNIC COMPOSITION OF PATIENTS TREATED IN TARZANA'S INPATIENT UNIT IN 2012-2013 IS 52% NON-HISPANIC WHITE, 28% LATINO, 13% AFRICAN-AMERICAN AND 6% ASIAN-PACIFIC ISLANDER. ONLY 19% WERE WORKING FULL-TIME/PART-TIME, 62% WERE NOT IN THE LABOR FORCE AND 19% UNEMPLOYED SEEKING WORK. ABOUT 62% ARE MALE, 58% HAVE COMPLETED 12TH GRADE, AND 13% HAVE COMPLETED AT LEAST TWO YEARS OF COLLEGE. THE MOST FREQUENT REASON FOR ADMISSION WAS DETOXIFICATION AND STABILIZATION FROM USING HEROIN (36%) AND ALCOHOL (34%).
Schedule H (Form 990) 2012
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