SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
CEDARS-SINAI MEDICAL CENTER
 
Employer identification number

95-1644600
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.
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
 
%
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
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
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) . . . 		    13,097,186   13,097,186 0.410 %
b Medicaid (from Worksheet 3, column a) . . . . .     323,315,009 245,263,524 78,051,485 2.450 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     9,407,189 8,259,688 1,147,501 0.040 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     345,819,384 253,523,212 92,296,172 2.900 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     25,352,895 92,896 25,259,999 0.790 %
f Health professions education (from Worksheet 5) . . .     83,185,345 10,412,602 72,772,743 2.290 %
g Subsidized health services (from Worksheet 6) . . . .     1,952,167 1,546,566 405,601 0.010 %
h Research (from Worksheet 7) .     203,560,208 125,431,581 78,128,627 2.450 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,213,040   4,213,040 0.130 %
j Total. Other Benefits . .     318,263,655 137,483,645 180,780,010 5.670 %
k Total. Add lines 7d and 7j .     664,083,039 391,006,857 273,076,182 8.570 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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     87,400   87,400 0 %
3 Community support     1,356,842   1,356,842 0.040 %
4 Environmental improvements     1,900   1,900 0 %
5 Leadership development and
training for community members		     12,350   12,350 0 %
6 Coalition building     83,125   83,125 0 %
7 Community health improvement advocacy     210,520   210,520 0.010 %
8 Workforce development     652,537   652,537 0.020 %
9 Other     221,350   221,350 0.010 %
10 Total     2,626,024   2,626,024 0.080 %
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
24,983,770
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
0
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
644,659,412
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
931,487,940
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-286,828,528
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:
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

Yes

 
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) 2016
Schedule H (Form 990) 2016
Page
Part VFacility 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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BLVD
LOS ANGELES,CA90048
WWW.CEDARS-SINAI.EDU
930000110 		X X   X   X X      
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
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Part VFacility 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)
CEDARS-SINAI MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://CEDARS-SINAI.EDU/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2016
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Schedule H (Form 990) 2016
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CEDARS-SINAI MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
CEDARS-SINAI MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
Page 7
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CEDARS-SINAI MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3J: TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES, AND TO PROVIDE A FRAMEWORK FOR PRIORITIZING ITS COMMUNITY HEALTH PROGRAMS, CEDARS-SINAI CONDUCTS A WIDE-RANGING COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRIMARY TOOL USED TO DETERMINE A HOSPITAL'S "COMMUNITY BENEFIT" PLANS, THAT IS, HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES. CEDARS-SINAI'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED FOR JULY 1, 2016 THROUGH JUNE 30, 2019. THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT WILL GO INTO EFFECT JULY 1, 2019.COMMUNITY BENEFIT SERVICE AREACEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. ITS COMMUNITY BENEFIT SERVICE AREA FOR 2016-2019 INCLUDES LARGE PORTIONS OF LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND SMALLER PORTIONS OF SPA 8 (SOUTH BAY). THE SERVICE AREA INCLUDES 52 ZIP CODES, REPRESENTING 25 CITIES OR NEIGHBORHOODS. CEDARS-SINAI DETERMINES THE COMMUNITY BENEFIT SERVICE AREA BY ASSIGNING ZIPCODES BASED UPON PATIENT DISCHARGES; THE CURRENT UNDERSTANDING OF COMMUNITY NEEDS BASED UPON THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT; AND LONG-STANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 1,827,324. THE TOTAL POPULATION FOR LOS ANGELES COUNTY 10,136,509.RACE/ETHNICITYTHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: HISPANIC/LATINO (49.6%), WHITE (19.7%), BLACK/AFRICAN AMERICAN (18.0%), ASIAN (10.1%), AMERICAN INDIAN/ALASKAN NATIVE (0.2%), NATIVE HAWAIIAN/PACIFIC ISLANDER (.1%), OTHER (2.3%)AGELESS THAN 18 YEARS (23%), 18-24 (11%), 25-64 (55%), GREATER THAN 65 YEARS (11%)GENDERFEMALE (50.3%), MALE (49.7%)SOCIOECONOMIC STATUSPOVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THEY ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2014 (THE MOST RECENT YEAR FOR AVAILABLE DATA), THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS AN ANNUAL INCOME OF $11,670 AND FOR A FAMILY OF FOUR WAS $23,850.FAMILIES LIVING BELOW THE POVERTY LINE IN CEDARS-SINAI SERVICE AREA (24.0%); LOS ANGELES COUNTY (14.9%)HOUSEHOLDSIN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA THERE ARE 651,344 HOUSEHOLDS AND 704,249 HOUSING UNITS. OVER THE LAST DECADE, HOUSEHOLDS GREW BY 4%. HOUSING UNITS (3.8%) GREW AT APPROXIMATELY THE SAME RATE.HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $43,878 AND THE AVERAGE HOUSEHOLD INCOME IS $63,878.UNEMPLOYMENTTHE UNEMPLOYMENT RATES OF CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA CITIES SHOW A DIVERSE RANGE FROM 6.1% IN CULVER CITY TO 10.8% IN HUNTINGTON PARK AND INGLEWOOD. LOS ANGELES CITY HAS AN UNEMPLOYMENT RATE OF 8.7%.EDUCATIONAL ATTAINMENTAMONG ADULTS, AGES 25 AND OLDER, 29.1% OF ADULTS LACK A HIGH SCHOOL DIPLOMA; THIS IS HIGHER THAN THE COUNTY RATE OF 23.2%. 19.2% OF COMMUNITY BENEFIT SERVICE AREA ADULTS ARE HIGH SCHOOL GRADUATES AND 34.1% ARE COLLEGE GRADUATES. IN LOS ANGELES COUNTY 20.6% OF RESIDENTS ARE HIGH SCHOOL GRADUATES AND 36.5% ARE COLLEGE GRADUATES.DATA COLLECTIONSECONDARY DATASECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH AND SUBSTANCE ABUSE AND PREVENTIVE PRACTICES. ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE COMMUNITY BENEFIT SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, WHEN EXAMINING DATA BY SPA, THE SPA 4, 5, AND 6 GEOGRAPHIC AREAS ARE PRESENTED.SOURCES OF DATA INCLUDE NIELSEN CLARITAS, ACCESSED THROUGH THE HEALTHY COMMUNITIES INSTITUTE, THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, THE CALIFORNIA HEALTH INTERVIEW SURVEY, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, THE LOS ANGELES COUNTY HEALTH SURVEY, THE LOS ANGELES HOMELESS SERVICES AUTHORITY, THE UNIFORM DATA SYSTEM, THE NATIONAL CANCER INSTITUTE, THE CALIFORNIA DEPARTMENT OF EDUCATION, AND OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA STATE, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.SECONDARY DATA FOR THE COMMUNITY BENEFIT 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 INCLUDED AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURES CEDARS-SINAI DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES. 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.INITIALLY, SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA COLLECTED AND ANALYZED PRIOR TO THE INTERVIEWS. THESE DATA WERE THEN USED TO HELP GUIDE THE INTERVIEWS. THE NEEDS ASSESSMENT INTERVIEWS WERE STRUCTURED TO OBTAIN GREATER DEPTH AND RICHNESS OF INFORMATION AND BUILD ON THE SECONDARY DATA REVIEW. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO IDENTIFY THE MAJOR HEALTH ISSUES IN THE COMMUNITY, AND SOCIOECONOMIC, BEHAVIORAL, ENVIRONMENTAL OR CLINICAL FACTORS CONTRIBUTING TO POOR HEALTH. THEY WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES AND BARRIERS RELATIVE TO THE SIGNIFICANT HEALTH NEEDS, AND IDENTIFY RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS. THE INTERVIEWS FOCUSED ON THESE SIGNIFICANT HEALTH NEEDS:*ACCESS TO CARE*ASTHMA*CANCER*COMMUNITY SAFETY*DENTAL CARE*DIABETES*HEART DISEASE*HIV/AIDS*HOMELESSNESS/HOUSING*MENTAL HEALTH*OVERWEIGHT AND OBESITY*PREVENTIVE PRACTICES*SUBSTANCE ABUSEINTERVIEW PARTICIPANTS WERE ASKED TO PROVIDE ADDITIONAL COMMENTS TO SHARE WITH CEDARS-SINAI. ANALYSIS OF THE PRIMARY DATA OCCURRED THROUGH A PROCESS THAT COMPARED AND COMBINED RESPONSES TO IDENTIFY THEMES. ALL RESPONSES TO EACH QUESTION WERE EXAMINED TOGETHER AND CONCEPTS AND THEMES WERE THEN SUMMARIZED TO REFLECT THE RESPONDENTS' EXPERIENCES AND OPINIONS. THE RESULTS OF THE PRIMARY DATA COLLECTION WERE REVIEWED IN CONJUNCTION WITH THE SECONDARY DATA. PRIMARY DATA FINDINGS WERE USED TO CORROBORATE THE SECONDARY DATA-DEFINED HEALTH NEEDS, SERVING AS A CONFIRMING DATA SOURCE.CHRONIC DISEASEHEALTH STATUSAMONG THE RESIDENTS IN SPA 4, 30.2% RATE THEMSELVES AS BEING IN FAIR OR POOR HEALTH. IN SPA 5, 9.8%, AND IN SPA 6, 27.3% OF RESIDENTS INDICATE THEY HAVE FAIR OR POOR HEALTH STATUS. THE LEVEL OF FAIR OR POOR HEALTH INCREASES AMONG SENIORS. IN SPA 4, 45.8% OF SENIORS HAVE A SELF-RATED FAIR OR POOR HEALTH STATUS. 19.3% OF SENIORS IN SPA 5 AND 44.1% OF SENIORS IN SPA 6 CONSIDER THEMSELVES TO BE IN FAIR/POOR HEALTH.DISABILITYIN THE COMMUNITY BENEFIT SERVICE AREA, 26.3% OF ADULTS IN SPA 4, 25.5% IN SPA 5 AND 39.4% OF ADULTS IN SPA 6 HAD A PHYSICAL, MENTAL OR EMOTIONAL DISABILITY. THE RATE OF DISABILITY IN THE COUNTY IS 28.6%.ASTHMATHE POPULATION DIAGNOSED WITH ASTHMA IN SPA 4 IS 11.7%, IN SPA 5 7% OF THE POPULATION HAS ASTHMA, AND IN SPA 6 6.8% HAS ASTHMA. AMONG THOSE WITH ASTHMA, 56.9% IN SPA 4, 28.6% IN SPA 5 AND 39.8% IN SPA 6 TAKE MEDICATION TO CONTROL THEIR SYMPTOMS. AMONG YOUTH IN SPA 4, 10.6% HAVE BEEN DIAGNOSED WITH ASTHMA, 7.8% OF YOUTH IN SPA 5 AND 9.5% OF YOUTH IN SPA 6 HAVE BEEN DIAGNOSED WITH ASTHMA.DIABETESDIABETES IS A GROWING CONCERN IN THE COMMUNITY. 14.7% OF ADULTS IN SPA 6, 8.4% IN SPA 4, AND 4% IN SPA 5 REPORTED THEY HAVE BEEN DIAGNOSED WITH DIABETES. FOR ADULTS WITH DIABETES, 69.6% IN SPA 5 AND 77.7% IN SPA 6 WERE VERY CONFIDENT THEY CAN CONTROL THEIR DIABETES; HOWEVER ONLY 23.3% OF RESPONDENTS IN SPA 4 FELT VERY CONFIDENT.RATES OF DIABETES REPORTED BY AFRICAN AMERICAN (26.6%) AND ASIAN (16.4%) RESIDENTS OF SERVICE PLANNING AREAS 4, 5 AND 6 WERE HIGHER THAN RATES FOR THOSE GROUPS AT COUNTY AND STATE LEVELS. RATES REPORTED BY LATINOS (8.4%) AND WHITES (5.7%) WERE LOWER.
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3J: (CONTINUED)HEART DISEASEFOR ADULTS IN SPA 4, 2.4% HAVE BEEN DIAGNOSED WITH HEART DISEASE, 4.8% OF SPA 5 ADULTS AND 8.6% OF SPA 6 ADULTS HAVE BEEN DIAGNOSED WITH HEART DISEASE. AMONG THESE ADULTS, 66.7% IN SPA 5 AND 62.4% IN SPA 6 ARE VERY CONFIDENT THEY CAN MANAGE THEIR CONDITION. IN SPA 4, 29.4% ARE VERY CONFIDENT THEY CAN MANAGE THEIR CONDITION.SPAS 4, 5 AND 6 SHOW HIGHER RATES OF HEART DISEASE AMONG AFRICAN AMERICANS (9.7%) THAN WERE REPORTED AT THE COUNTY (7.1%) OR STATE (5.2%) LEVEL; RATES WERE LOWER FOR THE OTHER THREE RACIAL GROUPS DETAILED.HIGH BLOOD PRESSUREA CO-MORBIDITY FACTOR FOR DIABETES AND HEART DISEASE IS HYPERTENSION (HIGH BLOOD PRESSURE). IN SPA 4, 28.6% OF ADULTS REPORTED HAVING BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. IN SPA 5, 26.8% OF ADULTS HAVE HIGH BP AND IN SPA 6, 35.7% OF ADULTS HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. OF THESE, 66.2% IN SPA 4, 60.6% IN SPA 5 AND 55.5% IN SPA 6 REPORTED TAKING MEDICATION FOR THEIR HIGH BLOOD PRESSURE.IN SPAS 4, 5 AND 6 AFRICAN AMERICANS HAVE THE HIGHEST RATES OF HYPERTENSION, WITH WELL OVER HALF (59.6%) SAYING THEY HAVE HIGH BLOOD PRESSURE; THIS IS HIGHER THAN THE RATES REPORTED FOR L.A. COUNTY AND CALIFORNIA. ASIANS (28.9%) AND WHITES (34.7%) ALSO REPORTED SLIGHTLY HIGHER RATES, WITH LATINOS REPORTING SLIGHTLY LOWER RATES (21.3%) THAN COUNTY AND STATE LEVELS.CANCERCANCER INCIDENCE RATES ARE AVAILABLE AT THE COUNTY LEVEL. IN LOS ANGELES COUNTY, CANCER LEVELS ARE LOWER OVERALL, THAN AT THE STATE LEVEL; HOWEVER, THE COLORECTAL CANCER RATE (41.3 PER 100,000 PERSONS), UTERINE CANCERS, (25.1 PER 100,000), OVARIAN CANCER, (12.5 PER 100,000) AND THYROID CANCER (12.5 PER 100,000 PERSONS) EXCEED THE STATE RATES.HIV/AIDSIN 2013, 442 CASES OF HIV/AIDS WERE DIAGNOSED IN SPA 4 FOR A RATE OF 39 PER 100,000 PERSONS, 51 CASES WERE DIAGNOSED IN SPA 5 (8 PER 100,000 PERSONS), AND 159 CASES OF HIV/AIDS WERE DIAGNOSED IN SPA 6 FOR A RATE OF 16 PER 100,000 PERSONS. THE RATE OF HIV/AIDS DIAGNOSED IN 2013 HAS DECREASED FROM 2012.RATES OF NEW DIAGNOSES ARE HIGHEST AMONG MALES, YOUNG ADULTS 20-29, AND BLACKS/AFRICAN AMERICANS. 83% OF THE NEW CASES WERE REPORTEDLY VIA MALE-TO-MALE SEXUAL CONTACT, 10% VIA HETEROSEXUAL SEX, AND 6% WERE CASES WHERE IV DRUG USE WAS IMPLICATED.IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDSCEDARS-SINAI DEVELOPED AND APPROVED AN IMPLEMENTATION STRATEGY TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION STRATEGY ADDRESSED THE FOLLOWING HEALTH NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND RESOURCES.PRIORITY GEOGRAPHYHEALTH NEEDS WERE PRIORITIZED BY AREAS OF HIGHEST NEED IN CEDARS-SINAI'S COMMUNITY BENEFIT SERVICE AREA, WITH A PARTICULAR FOCUS ON SERVICE PLANNING AREAS 4 AND 6, THESE PLANNING AREAS INCLUDE DIVERSE, LOW-INCOME COMMUNITIES WITH MORE UNINSURED ADULTS AND CHILDREN AND GREATER HEALTH CHALLENGES THAN IN OTHER PARTS OF LOS ANGELES. HIGH-NEED POPULATIONS CLOSER TO CEDARS-SINAI WERE ALSO ADDRESSED.PRIORITY HEALTH NEEDSACCESS TO CARE: SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING ACCESS-TO-CARE PRIORITY HEALTH NEEDS:*PRIMARY CARE*SPECIALTY CARE*MENTAL HEALTH*PREVENTIVE CARECHRONIC DISEASE: COMMUNITY BENEFIT EFFORTS ALSO FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE:*CARDIOVASCULAR DISEASE*DIABETES*CANCER*OVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY*PREVENTIVE CARE*HEALTH EDUCATIONIMPACTSTRATEGIES TO ADDRESS THE PRIORITY HEALTH NEEDS WERE IDENTIFIED AND IMPACT MEASURES TRACKED. INFORMATION GAPSINFORMATION GAPS THAT IMPACT THE ABILITY TO ASSESS HEALTH NEEDS WERE IDENTIFIED. SPECIFICALLY, CANCER INCIDENCE RATES ARE NOT AVAILABLE AT A RATE MORE LOCAL THAN LOS ANGELES COUNTY. SOME OF THE SECONDARY DATA ARE NOT ALWAYS COLLECTED ON A REGULAR BASIS, MEANING THAT SOME DATA ARE SEVERAL YEARS OLD. SPECIFICALLY, THE RESULTS OF THE MOST RECENT LOS ANGELES COUNTY HEALTH SURVEY (A POPULATION BASED TELEPHONE SURVEY THAT PROVIDES INFORMATION CONCERNING THE HEALTH OF LOS ANGELES COUNTY RESIDENTS) WERE NOT YET AVAILABLE DURING THE CONDUCT OF THIS CHNA.
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING CEDARS-SINAI'S MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.TARGETED, ONE-HOUR TELEPHONE INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. THIRTY-SIX (36) INTERVIEWS WERE COMPLETED FROM SEPTEMBER THROUGH NOVEMBER, 2015.INTERVIEWEES INCLUDED REPRESENTATIVES FROM A WIDE RANGE OF COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS REPRESENTATIVES FROM LOCAL GOVERNMENT AGENCIES, INCLUDING THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH .
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 6A: GIVEN SHARED SERVICE AREAS, CEDARS-SINAI PARTNERED WITH UCLA HEALTH, KAISER FOUNDATION HOSPITAL - WEST LOS ANGELES AND PROVIDENCE ST. JOHN'S HEALTH CENTER TO BUILD THE PRIMARY DATA COLLECTION TOOL AND CONDUCT THE INTERVIEWS. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY CEDARS-SINAI, IN PARTNERSHIP WITH UCLA HEALTH, KAISER FOUNDATION HOSPITAL - WEST LOS ANGELES AND PROVIDENCE ST. JOHN'S HEALTH CENTER, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT.
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: COMMUNITY BENEFIT PROGRAMS, SERVICES, PARTNERSHIPS AND STRATEGIESPRIORITY HEALTH NEEDSACCESS TO CARE: SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING ACCESS-TO-CARE PRIORITY HEALTH NEEDS: *PRIMARY CARE *SPECIALTY CARE *MENTAL HEALTH *PREVENTIVE CARECHRONIC DISEASE: COMMUNITY BENEFIT EFFORTS ALSO FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE: *CARDIOVASCULAR DISEASE *DIABETES *CANCER *OVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY *PREVENTIVE CARE *HEALTH EDUCATIONACCESS TO CARE PRIMARY CARE, SPECIALTY CARE, MENTAL HEALTH CARE, PREVENTIVE CARE COACH FOR KIDS AND THEIR FAMILIESCOMMUNITY OUTREACH ASSISTANCE FOR CHILDREN'S HEALTH (COACH) CEDARS-SINAI OPERATES TWO STATE-OF-THE-ART MOBILE MEDICAL CLINICS STAFFED BY AN EXPERT TEAM OF BILINGUAL REGISTERED NURSES, NURSE PRACTITIONERS, SOCIAL WORKERS AND HEALTH CARE PROFESSIONALS. COACH PREVENTIVE HEALTH CARE SERVICES INCLUDE WELL-CHILD AND IMMUNIZATION CLINICS FOR CHILDREN, DENTAL SCREENINGS AND FLUORIDE VARNISH FOR CHILDREN, BMI CLINICS FOR ADULTS, NUTRITION AND FITNESS EDUCATION, AND LINKAGES TO MEDICAL HOMES. COACH SERVES COMMUNITIES IN DOWNTOWN/SKID ROW, PICO-UNION/CENTRAL LOS ANGELES, SOUTH LOS ANGELES, WATTS, COMPTON, INGLEWOOD, LENNOX, CRENSHAW/MID-CITY, AND HOLLYWOOD/WEST HOLLYWOOD. HEALTH CARE SERVICES ARE PROVIDED AT ELEMENTARY, MIDDLE, AND HIGH SCHOOLS, COMMUNITY-BASED AGENCIES, FAMILY HOMELESS SHELTERS AND PUBLIC HOUSING DEVELOPMENTS. COACH COLLABORATES WITH MORE THAN 200 PUBLIC AND PRIVATE COMMUNITY ORGANIZATIONS.IMPACTIN FY14 AND FY15, COACH PROVIDED MORE THAN 61,000 ENCOUNTERS. THE FOLLOWING SERVICES WERE PROVIDED:MEDICAL VISITS - 8,416 ENCOUNTERSCASE MANAGEMENT VISITS - 1,824 ENCOUNTERSDENTAL VISITS - 6,024 ENCOUNTERSMENTAL HEALTH VISITS - 5,166 ENCOUNTERSHEALTH EDUCATION VISITS - 30,391 ENCOUNTERSNUTRITION VISITS - 9,732 ENCOUNTERSTOTAL - 61,553 ENCOUNTERSSAFETY NET CLINICS AMBULATORY CARE CLINIC THE GENERAL INTERNAL MEDICINE CLINIC IN THE CEDARS-SINAI AMBULATORY CARE CENTER PROVIDED OUTPATIENT SERVICES TO THE ADULT POPULATION. THIS CARE INCLUDED SCREENING, PREVENTIVE HEALTH MEASURES, AND MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE. ATTENDING PHYSICIANS AND MEDICAL RESIDENTS CARED FOR PATIENTS IN A PRIMARY CARE SETTING, USING THE RESOURCES OF THE MEDICAL CENTER, INCLUDING IMAGING, PHARMACY AND LABORATORY SERVICES.SABAN COMMUNITY CLINIC CEDARS-SINAI PHYSICIANS PROVIDED ADOLESCENT AND ADULT PATIENTS ACCESS TO PRIMARY CARE AT THE SABAN COMMUNITY CLINIC FOR PREGNANCY AND OTHER MEDICAL CONDITIONS AND ANCILLARY SERVICES, I.E., LAB AND X-RAY. CEDARS-SINAI PROVIDED SUPERVISORIAL CLINICAL STAFF AND MEDICAL AND SPECIALTY RESIDENTS FOR SIX PRIMARY AND SPECIALTY CLINICS EVERY WEEK, FINANCIALLY SUPPORTED SABAN COMMUNITY CLINIC'S MEDICAL DIRECTOR IN THE PROVISION OF PRIMARY CARE TO SABAN COMMUNITY CLINIC PATIENTS, AND PROVIDED FUNDING FOR INFRASTRUCTURE NEEDS.VENICE FAMILY CLINIC CEDARS-SINAI PROVIDED INTERNAL MEDICINE RESIDENTS FOR PROVISION OF PRIMARY CARE TO UNINSURED AND UNDERINSURED VENICE FAMILY CLINIC PATIENTS, AS WELL AS SPECIALIZED LAB SERVICES TO SUPPORT QUALITY CARE FOR VENICE FAMILY CLINIC PATIENTS. ADDITIONALLY, CEDARS-SINAI ACTIVELY PARTICIPATES IN THE VENICE FAMILY CLINIC WESTSIDE ACCESS STAKEHOLDER COLLABORATIVE, WHICH SEEKS TO GARNER REGIONAL EXPERTISE TO INCREASE ACCESS TO CARE FOR HOMELESS AND LOW INCOME POPULATIONS ON THE WEST SIDE OF LOS ANGELES COUNTY.IMPACT IN FY14 AND FY15, CEDARS-SINAI SUPPORT OF SAFETY NET CLINICS PROVIDED 37,963 PATIENT ENCOUNTERS FOR PRIMARY CARE AND SPECIALTY CARE SERVICES. CEDARS-SINAI MEDICAL RESIDENTS PROVIDED CARE AT SABAN COMMUNITY CLINIC, VENICE FAMILY CLINIC, L.A. CHRISTIAN HEALTH CENTER AND CLINICA OSCAR ROMERO.CEDARS-SINAI COMMUNITY CLINIC INITIATIVE: STRENGTHENING L.A.'S SAFETY NET CEDARS-SINAI RECOGNIZES THE CRITICAL ROLE OF PARTNERSHIPS IN PROMOTING ACCESS TO HIGH-QUALITY CARE FOR UNDERSERVED POPULATIONS. THE MEDICAL CENTER IS BUILDING MULTI-DIMENSIONAL PARTNERSHIPS THAT INCLUDE SIGNIFICANT INVESTMENTS TO STRENGTHEN THE SAFETY CLINIC NETWORK ACROSS LOS ANGELES, AS WELL AS INDIVIDUAL CAPACITY-BUILDING GRANTS TO CLINICS.IMPACT IN FY15, CEDARS-SINAI PROVIDED THREE GRANTS TOTALING OVER $1.9M TO DEVELOP PROGRAMS PROMOTING LEADERSHIP AND EFFECTIVENESS AT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES. EACH PROGRAM ADDRESSED A DIFFERENT SET OF CHALLENGES FACING COMMUNITY CLINICS, INCLUDING DEVELOPING THE NEXT GENERATION OF LEADERS, FURTHERING A CULTURE OF QUALITY, AND PROMOTING FINANCIAL ACUMEN AND PREPARATION FOR PAYMENT REFORM. OVER 32 CLINICS HAVE PARTICIPATED IN THE PROGRAMS, AND 23 HAVE ENGAGED IN SIGNIFICANT YEAR-LONG PROGRAMS FOCUSED ON PERFORMANCE IMPROVEMENT PROJECTS AND IN-DEPTH FINANCIAL BENCHMARKING.
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: (CONTINUED)PROVIDING ACCESS TO HEALTH CARE FOR NUMBER OF MEDI-CAL PATIENTS TREATED, CEDARS-SINAI MEDICAL CENTER IS IN THE TOP 12 PERCENT OF ALL HOSPITALS IN CALIFORNIA. CEDARS-SINAI IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE FOR THE COMMUNITY AND TREATING ALL OF OUR PATIENTS WITH DIGNITY, COMPASSION, AND RESPECT. THIS INCLUDES PROVIDING FULL FINANCIAL ASSISTANCE (NO CHARGE) OR PROVIDING SERVICES AT GREATLY DISCOUNTED PRICES TO ELIGIBLE PEOPLE WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THEIR CARE.IMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED $138 MILLION TO PAY FOR THE UNFUNDED COST OF CARING FOR MEDI-CAL PATIENTS, AS WELL AS $65 MILLION IN TRADITIONAL CHARITY CARE FOR INDIGENT PATIENTS WHO DID NOT HAVE HEALTH CARE COVERAGE.PSYCHOLOGICAL TRAUMA CENTER (PTC) - SHARE AND CARE SINCE 1981, CEDARS-SINAI'S SCHOOL-BASED MENTAL HEALTH PROGRAMS HELP VICTIMS OF TRAUMA, FILLING CRUCIAL NEEDS FOR PREVENTION, THERAPY, CRISIS INTERVENTION, AND TRAINING THAT WOULD OTHERWISE BE UNMET. PROGRAMS AND TRAININGS - FOR CHILDREN, TEACHERS AND SCHOOL PRINCIPALS - RUN BY LICENSED MENTAL HEALTH PRACTITIONERS, ENHANCE AN AT-RISK CHILD'S ABILITY TO LEARN IN THE CLASSROOM, CHANGE DESTRUCTIVE BEHAVIORS AND ENVISION A BRIGHTER AND HAPPIER FUTURE. THE PTC'S SHARE AND CARE PROGRAM FOCUSES ON A SERIES OF ART-THERAPY 12-WEEK GROUP CURRICULA THAT SUPPORT A THERAPEUTIC ENVIRONMENT TO IMPROVE STUDENTS' ABILITY TO CONCENTRATE ON THEIR LESSONS. THE THERAPY GROUPS FOCUS ON TRAUMA, LOSS AND GRIEF, SELF-ESTEEM, BULLYING, SOCIALIZATION, ANGER MANAGEMENT, DIVORCE, SHYNESS, STUDENTS WITH AN INCARCERATED PARENT, AND SUBSTANCE ABUSE.IMPACT THE FOLLOWING INFORMATION OUTLINES THE IMPACT OF THE ACTIONS THAT WERE UNDERTAKEN ON THE SELECTED SIGNIFICANT HEALTH NEEDS. *PROVIDED MENTAL HEALTH SERVICES TO OVER 1,800 STUDENTS IN 29 SCHOOLS IN 122 CLASSROOMS (20 ELEMENTARY SCHOOLS, 6 MIDDLE SCHOOLS AND 2 HIGH SCHOOLS) *TOTAL CHILDREN'S THERAPY GROUPS FACILITATED: 6,447. *TOTAL ENCOUNTERS WITH CHILDREN, TEACHERS AND PARENTS: 56,652. *TOTAL CONTACTS: CHILDREN INDIVIDUALLY AND IN THERAPY GROUPS: 15,376; CHILDREN IN CLASSROOMS: 2,549; TEACHERS: 6,274; PARENTS: 4,848 *DEVELOPED A NEW PROGRAM COMPONENT AND TRAINED 120 TEACHERS. *PROVIDED EDUCATION FOR 525 TEACHERS AT THE LOS ANGELES UNIFIED SCHOOL DISTRICT'S NEW TEACHER SUMMITS. *CONDUCTED EDUCATION SESSION FOR 75 CHARTER SCHOOL TEACHERS. *EXPANDED TO 2 NEW ELEMENTARY SCHOOLS. *CONTINUED PARENT TRAININGS WITH A FOCUS ON POSITIVE PARENTING, POSITIVE COMMUNICATION, SUBSTANCE ABUSE AWARENESS AND BULLYING: 155 PARENT TRAINING GROUPS WITH 2,153 PARENT CONTACTS MADE IN THOSE TRAININGS. *SCHOOL PRINCIPAL TRAININGS WERE OFFERED MONTHLY AT THE 29 PARTNER SCHOOLS. COMMUNITY MENTAL HEALTH GRANTS THE COMMUNITY MENTAL HEALTH GRANT PROGRAM FOCUSES GRANTS ON THE MENTAL HEALTH NEEDS OF VULNERABLE POPULATIONS-PARTICULARLY THE UNINSURED, UNDERINSURED, AND UNINSURABLE. IMPACT IN FY14 AND FY15 $1,336,750 IN GRANTS WERE AWARDED TO 21 ORGANIZATIONS PROVIDING DIRECT SERVICES TO MARGINALIZED COMMUNITY MEMBERS FACING SIGNIFICANT ECONOMIC BARRIERS AS WELL AS, IN MANY CASES, COMORBIDITIES. THE VAST MAJORITY OF GRANTEES SERVE VULNERABLE POPULATIONS IN LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS) 4 AND 6. CEDARS-SINAI FURTHER REFINED ITS GIVING CRITERIA TO EMPHASIZE ORGANIZATIONS SERVING UNDERINSURED AND UNINSURED CLIENTS. IN FY14 AND FY15, THERE WERE 11,365 INDIVIDUALS SERVED.TEENLINE - SUICIDE PREVENTION HOTLINE TEENLINE, A CEDARS-SINAI SUPPORTED ORGANIZATION THAT IS HOUSED ON THE MEDICAL CENTER'S PREMISES, PROVIDES CRISIS INTERVENTION AND PREVENTION, PEER COUNSELING AND REFERRALS FOR ADOLESCENTS AGES 12 TO 19. THE TEEN-TO-TEEN PROGRAM HELPS YOUNG PEOPLE COPE IN TIMES OF TRAUMA AND STRESS BY OFFERING ADVICE AND REFERRALS. TEENLINE'S OUTREACH SERVICES PROVIDED EDUCATION TO SCHOOLS AND ADOLESCENT-SERVING AGENCIES. THE TEEN LINE HOTLINE, ANSWERED BY INTENSIVELY TRAINED HIGH SCHOOL STUDENTS, IS OPEN DAILY AND RECEIVES CALLS FROM TEENS ACROSS THE NATION. IMPACT IN FY14 AND FY15, THE TEENLINE RESPONDED TO 23,128 CALLS TO THE SUICIDE HOTLINE.CHRONIC DISEASEHEALTHY HABITS CEDARS-SINAI'S HEALTHY HABITS PROGRAMS PROVIDE NUTRITION EDUCATION AND OBESITY PREVENTION BY HELPING CHILDREN AND FAMILIES LEARN ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY WITH A WIDE RANGE OF EDUCATION, CAPACITY BUILDING AND TECHNICAL ASSISTANCE PROGRAMS RUN BY TRAINED HEALTH EDUCATORS, REACHING ELEMENTARY AND MIDDLE SCHOOL STUDENTS, PARENTS OF PRESCHOOL CHILDREN, AND FAMILIES IN UNDERSERVED COMMUNITIES. IMPACT *EXPANDED HEALTHY HABITS FOR KIDS AND HEALTHY HABITS FOR FAMILIES TO SIXTEEN ELEMENTARY SCHOOLS. *TAUGHT PROGRAM LESSONS/WORKSHOPS FOR A TOTAL OF 71,627 PARTICIPANT ENCOUNTERS, INCLUDING 7,668 ELEMENTARY STUDENTS AND 351 MIDDLE SCHOOL STUDENTS THROUGH HEALTHY HABITS PROGRAMS IN SCHOOLS. *REACHED NEAR 800 PARENTS FROM SCHOOLS AND PRESCHOOLS THROUGH HEALTHY HABITS PARENT WORKSHOPS. *IMPLEMENTED HEALTHY HABITS FOR FAMILIES ADULT HEALTH EDUCATION AT TEN SCHOOLS WITH OVER 1,700 ENCOUNTERS. *PROVIDED FREE WORKOUTS THROUGH EXERCISE IN THE PARK PROGRAM TO OVER 610 INDIVIDUALS. *FACILITATED 6 GROCERY STORE TOUR PROGRAMS TO 83 INDIVIDUAL PARTICIPANTS. *FACILITATED HEALTHY HABITS FOR TEACHERS TRAINING FOR 189 TEACHERS IN 5 SCHOOLS.
CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: (CONTINUED)*IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION, PROVIDED HANDS-ONLY CPR TRAINING TO OVER 620 PARENTS, TEACHERS AND SCHOOL STAFF. AS A RESULT OF HEALTHY HABITS: *84% OF ELEMENTARY STUDENTS ARE EATING MORE FRUITS. *75% OF ELEMENTARY STUDENTS ARE EATING MORE VEGETABLES. *78% OF ELEMENTARY STUDENTS ARE EATING LESS JUNK FOOD. *77% OF ELEMENTARY STUDENTS ARE DRINKING FEWER SUGARY DRINKS. *85% OF PARENTS REPORTED THAT THEIR CHILD MADE A HEALTHY SNACK AT HOME. *OVER HALF OF THIRD GRADE STUDENTS ENGAGE DAILY IN AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY. *OVER 75% OF TEACHERS INCORPORATE PHYSICAL ACTIVITY DURING SCHOOL DAY. *88% OF SECOND GRADE FAMILIES DO REGULAR PHYSICAL ACTIVITY TOGETHER. SUPPORT GROUPS CEDARS-SINAI PROVIDES COMPREHENSIVE SUPPORT GROUPS THAT FOCUS ON ASSISTING WITH LIFE'S CHANGES AND ADJUSTMENTS.PROGRAMS AND ACTIVITIES*APHASIA SUPPORT GROUP*BIG VOICES GROUP*BRIDGING THE GAP*DIABETES SUPPORT GROUP*WEIGHT LOSS SURGERY SUPPORT*GOOD BEGINNINGS PARENT NICU SUPPORT GROUP*HEART TRANSPLANT SUPPORT GROUP*MECHANICAL CIRCULATORY DEVICE SUPPORT GROUP*MULTI-ORGAN TRANSPLANT RELAXATION AND SUPPORT GROUP*NEUROENDOCRINE TUMOR SUPPORT GROUP*ONE STROKE AHEAD SUPPORT GROUP*THINK TANK COGNITIVE REHABILITATION SUPPORT*YES I CAN SUPPORT GROUPIMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED MORE THAN 7,400 PARTICIPANT ENCOUNTERS.PROGRAMS FOR ADULTS CEDARS-SINAI IS COMMITTED TO IMPROVING THE NUMBER OF QUALITY LIFE YEARS FOR ADULTS AND SENIORS IN OUR COMMUNITY. THE HOSPITAL PROVIDED ADULT-FOCUSED COMMUNITY PROGRAMS, SCREENINGS, EDUCATIONAL AND SELF-HELP PROGRAMS, HEALTH FAIRS, IMMUNIZATION CLINICS AND EXERCISE PROGRAMS. THESE PROGRAMS OCCUR IN UNDERSERVED COMMUNITIES, CHURCHES, SYNAGOGUES, NEIGHBORHOOD COMMUNITY CENTERS AS WELL AS AT THE MEDICAL CENTER.PROGRAMS AND ACTIVITIES*CARDIOVASCULAR DISEASE, DIABETES, HYPERTENSION AND RELATED PREVENTIVE PROGRAMS AND SERVICES*INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION PROGRAMS*HEALTH PROMOTION AND PREVENTION PROGRAMS FOR SENIORS*PHYSICAL EXERCISE PROGRAMS FOR SENIORS*HEALTH FAIRSIMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED MORE THAN 61,000 PARTICIPANT ENCOUNTERS.CANCER SERVICES CEDARS-SINAI MAKES CANCER EDUCATION, SUPPORT AND RESOURCES SERVICES AVAILABLE TO THE COMMUNITY.PROGRAMS AND ACTIVITIES*CANCER EXERCISE*CANCER SURVIVORSHIP SERVICES*KIDNEY CANCER SUPPORT GROUP*PHYSICAL FITNESS/CANCER SURVIVORSHIP*SARCOMA CANCER SUPPORT GROUP*STRESS REDUCTION*YOGA RESTORATIVE AND STRENGTHENING SUPPORT GROUPIMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED MORE THAN 5,980 PARTICIPANT ENCOUNTERSHEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS:NUMEROUS AND DIVERSE PROGRAMS, PARTNERSHIPS AND STRATEGIES ARE INCLUDED IN THE IMPLEMENTATION STRATEGY TO MAXIMIZE EFFECTIVENESS IN ADDRESSING HEALTH NEEDS IN THE COMMUNITIES SERVED BY CEDARS-SINAI. THERE WERE IDENTIFIED SIGNIFICANT HEALTH NEEDS THAT DID NOT MEET THE CRITERIA FOR DEVELOPING AND IMPLEMENTING A HEALTH FOCUS AREA, AND THUS MAY NOT BE ADDRESSED IN THIS IMPLEMENTATION STRATEGY. THIS IS NOT INTENDED TO MINIMIZE THE IMPORTANCE OF THOSE HEALTH NEEDS; IT IS A REALITY OF HAVING A STRATEGIC FOCUS ON EFFECTIVENESS TO IMPROVE COMMUNITY HEALTH. THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA BUT NOT INCLUDED IN THE HEALTH FOCUS AREAS FOR THIS IMPLEMENTATION STRATEGY ARE: ASTHMA, COMMUNITY SAFETY, DENTAL CARE, HIV/AIDS, HOMELESSNESS AND HOUSING, AND SUBSTANCE ABUSE. THESE HEALTH NEEDS DID NOT MEET THE CRITERIA DEVELOPED FOR THE PURPOSES OF SELECTING HEALTH FOCUS AREAS.CEDARS-SINAI MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.CEDARS-SINAI.EDU/PATIENTS/PATIENT-AND-VISITOR-RESOURCES/BILLING-AND-INSURANCE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-POLICY.ASPXCEDARS-SINAI MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.CEDARS-SINAI.EDU/PATIENTS/PATIENT-AND-VISITOR-RESOURCES/BILLING-AND-INSURANCE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-POLICY.ASPXPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.CEDARS-SINAI.EDU/PATIENTS/PATIENT-AND-VISITOR-RESOURCES/BILLING-AND-INSURANCE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-POLICY.ASPX
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Page 9
Schedule H (Form 990) 2016
Page 9
Part VFacility Information (continued)

Section D. 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?17
Name and address Type of Facility (describe)
1 1 - CEDARS-SINAI MEDICAL CENTER
310 SAN VICENTE BLVD
WEST HOLLYWOOD,CA90048 		OUTPATIENT SURGICAL
2 2 - CEDARS-SINAI MEDICAL CENTER
8723 ALDEN DRIVE
LOS ANGELES,CA90048 		OUTPATIENT SERVICES-AMBULATORY CARE/ENDOCRINOLOGY/PRIMARY ADULT CARE
3 3 - CEDARS-SINAI MEDICAL CENTER
8631 W 3RD STREET
LOS ANGELES,CA90048 		OUTPATIENT SERVICES-BLOOD DRAW/CARDIOLOGY/PITUITARY CTR/RADIOLOGY/ETC.
4 4 - CEDARS-SINAI MEDICAL CENTER
8536 WILSHIRE BLVD
BEVERLY HILLS,CA90211 		OUTPATIENT SERVICES-NUCLEAR CARDIAC STRESS
5 5 - CEDARS-SINAI MEDICAL CENTER
444 S SAN VICENTE BLVD
LOS ANGELES,CA90048 		OUTPATIENT SERVICES-GAMMA KNIFE/PAIN CTR/PRENATAL DIAG/REHAB/ETC.
6 6 - CEDARS-SINAI MEDICAL CENTER
8635 W 3RD STREET
BEVERLY HILLS,CA90211 		OUTPATIENT SERVICES-ORGAN TRANSPLANT/ETC.
7 7 - CEDARS-SINAI MEDICAL CENTER
9090 WILSHIRE BLVD
BEVERLY HILLS,CA90211 		OUTPATIENT SERVICES-CANCER TREATMENT CENTER
8 8 - CEDARS-SINAI MEDICAL CENTER
127 S SAN VICENTE BLVD
LOS ANGELES,CA90048 		OUTPATIENT SERVICES-NEUROSCIENCES/HEART INST/IMAGING/LAB SVC
9 9 - CEDARS-SINAI MEDICAL CENTER
8900 BEVERLY BLVD
WEST HOLLYWOOD,CA90048 		OUTPATIENT SERVICES-COMPREHENSIVE TRANSPLANT CENTER
10 10 - CEDARS-SINAI MEDICAL CENTER
110 GEORGE BURNS ROAD
LOS ANGELES,CA90048 		OUTPATIENT SERVICES-IMAGING CLINIC
11 11 - 90210 SURGERY MEDICAL CENTER LLC
450 N ROXBURY SUITE 600
BEVERLY HILLS,CA90210 		OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-GENERAL SURGERY
12 12 - ENDOSCOPY CTR OF SANTA MONICA LLC
12400 WILSHIRE BLVD STE 100
LOS ANGELES,CA90025 		OUTPATIENT SERVICES-ENDOSCOPY
13 13 - KERLAN-JOBE SURGERY CENTER LLC
6801 PARK TERRACE STE 300
LOS ANGELES,CA90045 		OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-ORTHOPEDIC SURGERY
14 14 - PRECISION AMBULATORY SURGERY CTR LLC
450 N ROXBURY SUITE 250
BEVERLY HILLS,CA90210 		OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-GENERAL SURGERY
15 15 - SANTA MONICA SURGICAL PARTNERS LLC
2121 WILSHIRE BLVD SUITE 201
SANTA MONICA,CA90404 		OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-GENERAL SURGERY
16 16 - SANTA MONICA IMAGING GROUP LLC
200 N ROBERTSON BLVD STE 101
BEVERLY HILLS,CA90211 		OUTPATIENT SERVICES-IMAGING CLINIC
17 17 - WEST VALLEY IMAGING GROUP LLC
1510 COTNER AVENUE
LOS ANGELES,CA90025 		OUTPATIENT SERVICES-IMAGING CLINIC
Schedule H (Form 990) 2016
Page 10
Schedule H (Form 990) 2016
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE AMOUNTS ON LINE 7 WERE DERIVED FROM COST ACCOUNTING SYSTEM. COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTS SEGMENTS - INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYERS - PRIVATE INSURANCE, MEDICARE, MEDI-CAL, UNINSURED AND SELF-PAY.
PART II, COMMUNITY BUILDING ACTIVITIES: CEDARS-SINAI, GEOGRAPHICALLY LOCATED IN THE CENTER OF LOS ANGELES, PROVIDES AN ARRAY OF COMMUNITY SUPPORT TO VULNERABLE AND NEIGHBORING COMMUNITIES. WITH A HISTORY OF OVER 100 YEARS SERVING THE COMMUNITY, CEDARS-SINAI PARTICIPATES IN COMMUNITY-BUILDING AND HEALTH IMPROVEMENT ADVOCACY IN PARTNERSHIP WITH A WIDE ARRAY OF CONSTITUENTS. EXAMPLES OF COMMUNITY BUILDING PARTNERS INCLUDE: RAND CORPORATION, JEWISH FEDERATION COUNCIL OF GREATER LA, AND UNIVERSITY OF SOUTHERN CALIFORNIA (USC). ADDITIONALLY, CEDARS-SINAI INVESTS STRATEGICALLY IN WORKFORCE DEVELOPMENT AND MENTORING PROGRAMS AIMED AT HIGH SCHOOL AND MIDDLE SCHOOL-AGED STUDENTS. WORKFORCE DEVELOPMENT AND MENTORING PROGRAMS ARE IMPLEMENTED THROUGHOUT THE MEDICAL CENTER, TARGETING LOW INCOME AND UNDERREPRESENTED STUDENTS, EXPOSING THEM TO CAREERS IN HEALTH, SCIENCES AND HOSPITAL ADMINISTRATIVE FUNCTIONS. MULTIPLE PROGRAMS ENGAGE STUDENTS IN HANDS-ON EXPERIENCES RANGING FROM A TWO-YEAR SHADOWING AND MENTORING HIGH SCHOOL PROGRAM CALLED YOUTH EMPLOYMENT DEVELOPMENT, TO TOURS OF OUR WOMEN'S GUILD SIMULATION CENTER, PROVIDING EXPOSURE TO THE TRAINING METHODS FOR ALL LEVELS OF CLINICAL EXPERTISE. THE YOUTH EMPLOYMENT DEVELOPMENT PROGRAM HAS COMPLETED A RIGOROUS EVALUATION AND SHOWS THAT PARTICIPATION IN THE PROGRAM IMPACTS GREATER LIKELINESS TO COMPLETE FOUR-YEAR COLLEGE DEGREES AND PURSUE HEALTH PROFESSIONS.
PART III, LINE 2: PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE MEDICAL CENTER ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECEIVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, AND OTHER RELEVANT INFORMATION.
PART III, LINE 4: AUDITED FINANCIAL STATEMENTS - PAGE 13PART III, LINE 6 - COSTING METHODOLOGY: REVENUE AND ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT WHICH WAS COMPILED UNDER MEDICARE COSTING RULES AND REGULATIONS AS ISSUED BY THE HEALTH CARE FINANCING ADMINISTRATION AND ENFORCED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES.
PART III, LINE 8: - RATIONALE FOR MEDICARE SHORTFALL AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: IT IS OUR BELIEF THAT ALL OF THE $286,828,528 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS.
PART III, LINE 9B: REASONABLE EFFORTS BASED ON BILLING STATEMENT NOTIFICATION AND AMOUNTS NOT ELIGIBLE:CEDARS-SINAI SHALL NOTIFY PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAMS BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR THE CARE AND REFRAIN FROM INITIATING SUCH EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE CEDARS-SINAI PROVIDES THE BILLING STATEMENT FOR THE CARE IF THE PATIENT HAS NOT SUBMITTED AN APPLICATION OR CEDARS-SINAI HAS DETERMINED THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THE AMOUNTS SOUGHT TO BE COLLECTED BASED ON THE PATIENT'S APPLICATION.NOTIFICATIONS TO PATIENTS 30 DAYS BEFORE ACTIONS: IN ADDITION TO THE FOREGOING, AT LEAST 30 DAYS BEFORE FIRST INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, CEDARS-SINAI SHALL HAVE PROVIDED THE PATIENT WITH A WRITTEN NOTICE THAT INDICATES FINANCIAL ASSISTANCE IS AVAILABLE AS DESCRIBED IN THIS POLICY, IDENTIFY ALL THE EXTRAORDINARY COLLECTION ACTION THAT CEDARS-SINAI INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE, AND THAT STATE A DEADLINE AFTER WHICH SUCH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED (WHICH DATE SHALL BE NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED). THE NOTICE SHALL INCLUDE THE PLAIN LANGUAGE SUMMARY OF CEDARS-SINAI'S FINANCIAL ASSISTANCE PROGRAMS.ADDITIONAL ORAL NOTICE BEFORE ACTIONS: IN ADDITION TO ALL WRITTEN NOTICES, PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, CEDARS-SINAI SHALL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY THE PATIENT ABOUT CEDARS-SINAI'S FINANCIAL ASSISTANCE PROGRAMS AND ABOUT HOW THE PATIENT MAY OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS.
PART VI, LINE 2: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FISCAL YEAR ENDED 6/30/16. SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J.
PART VI, LINE 3: NOTICES, SUMMARIES AND WRITTEN COMMUNICATIONS:CEDARS-SINAI PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL FINANCIAL ASSISTANCE FOR THE FINANCIALLY QUALIFIED PATIENTS:A) POSTED SIGNAGE - NOTICE OF THIS POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGS AS DEEMED APPROPRIATE.B) NOTICES HAND-DELIVERED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS (OR OTHERWISE PRIOR TO DISCHARGE), PATIENTS SHALL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THIS POLICY AND CEDARS-SINAI'S OTHER FINANCIAL ASSISTANCE PROGRAMS IN THE FORM OF THE SUMMARY OF FINANCIAL ASSISTANCE POLICY AND OTHER PROGRAMS. PATIENTS WILL BE ASKED TO ACKNOWLEDGE RECEIPT OF THIS VIA AN ELECTRONIC SIGNATURE. THE NOTICE TO A SPECIFIC PATIENT WILL BE CONSIDERED CONTINUALLY IN EFFECT UNTIL A REVISION TO THE FORM IS REQUIRED (AND A NEW ACKNOWLEDGEMENT OBTAINED) OR THREE YEARS FROM THE DATE OF THE ORIGINAL ACKNOWLEDGEMENT.C) PATIENT STATEMENT NOTICES - CEDARS-SINAI WILL PRINT A NOTICE ON THE SIDE OF THE LAST PAGE OF THE PATIENT BILLING STATEMENTS THAT WILL DESCRIBE ITS FINANCIAL ASSISTANCE PROGRAMS AND THAT WILL INFORM PATIENTS HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY AND OTHER ASSISTANCE PROGRAMS.D) OTHER WRITTEN COMMUNICATIONS - IN ORDER TO ADMINISTER THE REQUIREMENTS OF THIS POLICY, CEDARS-SINAI MAY PROVIDE PATIENTS WITH ADDITIONAL WRITTEN COMMUNICATIONS. STANDARD LETTERS AND NOTICES TO PATIENTS IN THIS REGARD ARE INCLUDED IN THE ATTACHMENTS TO THIS POLICY. CEDARS-SINAI MAY PRINT ANY WRITTEN NOTICE OR COMMUNICATION DESCRIBED IN THIS POLICY, INCLUDING ANY PLAIN LANGUAGE SUMMARY OF THE POLICY, ON A BILLING STATEMENT OR ALONG WITH OTHER DESCRIPTIVE OR EXPLANATORY MATTER, PROVIDED THAT THE REQUIRED INFORMATION IS CONSPICUOUSLY PLACED AND OF SUFFICIENT SIZE TO BE CLEARLY READABLE. CEDARS-SINAI MAY PROVIDE ELECTRONICALLY ANY WRITTEN NOTICE OR COMMUNICATION DESCRIBED IN THIS POLICY TO ANY PATIENT WHO INDICATES HE OR SHE PREFERS TO RECEIVE THE WRITTEN NOTICE OR COMMUNICATION ELECTRONICALLY.PUBLICIZING THE POLICY:CEDARS-SINAI SHALL TAKE VARIOUS EFFORTS TO WIDELY PUBLICIZE ITS FINANCIAL ASSISTANCE PROGRAMS. THESE EFFORTS WILL CHANGE FROM TIME TO TIME AND WILL GENERALLY INCLUDE THE DISTRIBUTION OF INFORMATION TO TARGETED COMMUNITY ORGANIZATIONS, AMONG A VARIETY OF OTHER MEANS OF ALERTING THE CEDARS-SINAI COMMUNITY TO THE AVAILABILITY OF CEDARS-SINAI FINANCIAL ASSISTANCE PROGRAMS. THIS POLICY, THE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE ON THE CEDARS-SINAI WEBSITE.ADDITIONAL FINANCIAL RESOURCES AVAILABLE TO PATIENTS - COOPERATION REQUIRED FROM PATIENTS. ALTERNATIVE MEANS OF FUNDING (I.E., EXTERNAL AGENCY OR FOUNDATION) TO COVER THE COST OF SERVICES FOR PATIENTS WILL BE EXPLORED BEFORE FULL OR PARTIAL FINANCIAL ASSISTANCE UNDER THIS POLICY IS APPROVED. PATIENTS APPROVED FOR ASSISTANCE UNDER THIS POLICY AGREE TO CONTINUOUSLY COOPERATE IN THE PROCESS NEEDED TO OBTAIN REIMBURSEMENT FOR CEDARS-SINAI'S SERVICES FROM THIRD PARTY SOURCES SUCH AS THE CALIFORNIA VICTIMS OF CRIME FUNDS, THE COUNTY TRAUMA PROGRAM, THE MEDI-CAL PROGRAM, AND HEALTH PLANS THAT OFFER COVERAGE THROUGH THE CALIFORNIA HEALTH BENEFIT EXCHANGE. A PATIENT'S APPLICATION FOR THIRD PARTY COVERAGE FOR THE PATIENT'S HEALTH CARE COSTS SHALL NOT PRECLUDE ELIGIBILITY FOR ASSISTANCE UNDER THIS POLICY. A PATIENT SHALL, AS A CONDITION TO FULL OR PARTIAL FINANCIAL ASSISTANCE, APPLY FOR COVERAGE UNDER MEDI-CAL, HEALTHY FAMILIES, AND THE COUNTY TRAUMA PROGRAM AS APPLICABLE AND, WHERE APPROPRIATE, COVERAGE UNDER THE EXCHANGE. THE FOREGOING SHALL ALSO APPLY TO PATIENTS RESIDING OUT OF STATE AND THEIR APPLICATION FOR MEDICAID WITHIN THEIR STATE.CEDARS-SINAI WILL MAKE APPROPRIATE REFERRALS TO LOCAL COUNTY AGENCIES INCLUDING HEALTHY FAMILIES, COVERED CALIFORNIA, MEDI-CAL OR OTHER PROGRAMS TO DETERMINE POTENTIAL ELIGIBILITY. CEDARS-SINAI SHALL BE ENTITLED TO BILL ANY THIRD PARTY INSURER PROVIDING COVERAGE TO A PATIENT. HEALTH INSURERS AND HEALTH PLANS ARE PROHIBITED FROM REDUCING THEIR REIMBURSEMENT OF A CLAIM TO CEDARS-SINAI EVEN IF CEDARS-SINAI HAS WAIVED ALL OR A PORTION OF A PATIENT'S BILL PURSUANT TO THIS POLICY.
PART VI, LINE 4: CEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES LARGE PORTIONS OF SERVICE PLANNING AREAS SPAS) 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND SMALLER PORTIONS OF SPA 8 (SOUTH BAY) IN LOS ANGELES COUNTY. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES 52 ZIP CODES, REPRESENTING 25 CITIES OR NEIGHBORHOODS. TO DETERMINE THE COMMUNITY BENEFIT SERVICE AREA, CEDARS-SINAI TAKES INTO ACCOUNT THE ZIP CODES OF INPATIENTS DISCHARGED FROM THE HOSPITAL; THE CURRENT UNDERSTANDING OF COMMUNITY NEED BASED ON THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT; AND LONG-STANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. THERE ARE 6 OTHER HOSPITALS SERVING THE COMMMUNITIES. THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA IS PRESENTED BELOW BY COMMUNITY, ZIP CODE AND SERVICE PLANNING AREA (SPA).CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREAGEOGRAPHIC AREA ZIP CODE SPABALDWIN HILLS 90008 SPA 6BEVERLY HILLS 90210, 90211, 90212 SPA 5CENTRAL LA 90013, 90014, 90015, 90017 SPA 4CENTURY CITY 90067 SPA 5CRENSHAW 90016, 90018 SPA 6CULVER CITY 90230, 90232 SPA 5DOWNTOWN LA 90010, 90021, 90071, 90079 SPA 4FAIRFAX/MID-CITY 90019, 90036 SPA 4HOLLYWOOD 90028, 90038 SPA 4HYDE PARK 90043 SPA 6INGLEWOOD 90301, 90302, 90303, 90305 SPA 8L.A./COLISEUM & MLK BLVD 90011 SPA 6L.A./MLK & HOBART 90062 SPA 6LADERA HEIGHTS 90056 SPA 5LENNOX 90304 SPA 8SOUTH CENTRAL LA 90001, 90002, 90003, 90044, 90047 SPA 6SOUTH LOS ANGELES 90059 SPA 6UNIVERSITY 90037, 90089 SPA 6USC 90007 SPA 6WEST HOLLYWOOD 90046, 90048, 90069 SPA 4WEST LA/PALMS 90034 SPA 5WEST LA/RANCHO 90025, 90035, 90064 SPA 5WESTWOOD 90024 SPA 5WILSHIRE 90006, 90057 SPA 4WILSHIRE/KOREATOWN 90004, 90005, 90020 SPA 4 & 6THE POPULATION OF THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA IS 1,827,324. FROM 2010 TO 2015, THE POPULATION INCREASED BY 3.4%, SLIGHTLY HIGHER THAN THE RATE EXPERIENCED COUNTYWIDE.OF THE AREA POPULATION, 49.7% ARE MALE AND 50.3% ARE FEMALE. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 23% OF THE POPULATION; 66.3% ARE ADULTS, AGES 18-64; AND 10.7% OF THE POPULATION ARE SENIORS, 65 AND OVER. THE MEDIAN AGE IN THE COMMUNITY BENEFIT SERVICE AREA IS 34.2, LOWER THAN THE COUNTY'S MEDIAN AGE OF 36.0.IN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA, 49.6% OF THE POPULATION IS HISPANIC/LATINO; 19.7% OF THE RESIDENTS ARE WHITE; 18% ARE AFRICAN AMERICAN; 10.1% ARE ASIAN; AND 2.7% ARE AMERICAN INDIAN/ALASKAN NATIVE OR OTHER RACE/ETHNICITY. THIS IS A LOWER PERCENTAGE OF WHITES AND ASIANS, AND A HIGHER PERCENTAGE OF BLACKS, THAN FOUND AT THE COUNTY LEVEL.THE LANGUAGES SPOKEN AT HOME BY AREA RESIDENTS MIRROR THE RACIAL/ETHNIC MAKE-UP OF THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA COMMUNITIES. ENGLISH IS SPOKEN IN THE HOME AMONG 39.3% OF THE POPULATION. SPANISH IS SPOKEN AT HOME AMONG 46.1% OF THE POPULATION; 7.9% OF THE POPULATION SPEAK AN ASIAN LANGUAGE; AND 5.3% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME.WHEN COMMUNITIES IN SPAS 4, 5, AND 6 ARE EXAMINED BY LANGUAGE SPOKEN IN THE HOME, A NUMBER OF COMMUNITIES HAVE HIGH PERCENTAGES OF SPANISH SPEAKERS INCLUDING: CENTRAL LOS ANGELES, L.A./COLISEUM, SOUTH CENTRAL LOS ANGELES, UNIVERSITY, AND WILSHIRE. NEIGHBORHOODS WITH A HIGH PERCENTAGE OF ASIAN LANGUAGE SPEAKERS INCLUDE: WESTWOOD, CENTRAL LOS ANGELES, FAIRFAX, WILSHIRE AND UNIVERSITY (90089). BEVERLY HILLS, WESTWOOD, CENTURY CITY, HOLLYWOOD, WEST HOLLYWOOD AND WEST LOS ANGELES HAVE HIGHER RATES OF RESIDENTS WHO SPEAK INDO-EUROPEAN LANGUAGES AT HOME.POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THEY ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2014 (THE MOST RECENT YEAR FOR AVAILABLE DATA), THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS AN ANNUAL INCOME OF $11,670 AND FOR A FAMILY OF FOUR WAS $23,850. AMONG THE RESIDENTS REPRESENTED IN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA, SPA 6 HAS THE HIGHEST POVERTY RATES: 34.2% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 69.7% ARE AT 200% OR BELOW FPL. IN SPA 4, 27.1% ARE AT OR BELOW 100% FPL AND 57.4% BELOW 200% FPL; WHILE IN SPA 5 2.2% ARE AT OR BELOW 100% FPL AND 15% BELOW 200% FPL. RATES OF POVERTY IN SPA 4 AND SPA 6 ARE HIGHER THAN FOUND IN THE COUNTY. A VIEW OF CHILDREN IN POVERTY BY SERVICE PLANNING AREA (SPA) INDICATES THAT 44.1% OF CHILDREN IN SPA 6 LIVE BELOW THE FPL, WITH 36.7% OF CHILDREN IN SPA 4 ALSO AT POVERTY LEVEL. IN SPA 6, 76.9% OF CHILDREN ARE CATEGORIZED AS LOW-INCOME (<200% FPL), WHILE 68.4% OF CHILDREN IN SPA 4 AND 4.3% OF CHILDREN IN SPA 5 ARE LOW-INCOME. ACCORDING TO THE 2014 CALIFORNIA HEALTH INTERVIEW SURVEY, 51.9% OF ADULT RESIDENTS OF SPA 4 AND 46.1% OF SPA 6 ADULTS LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL REPORTED FOOD INSECURITY. THIS WAS HIGHER THAN BOTH THE STATE AVERAGE OF 38.4%, AND THE COUNTY LEVEL OF 39.5%. 6.4% OF LOW-INCOME ADULTS IN SPA 5 ARE FOOD INSECURE.FAMILIES IN POVERTY PAINT AN IMPORTANT PICTURE OF THE POPULATION WITHIN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA. ALMOST ONE-QUARTER (24%) OF FAMILIES IN THE COMMUNITY BENEFIT SERVICE AREA LIVE IN POVERTY. WHEN EXAMINED BY ZIP CODE, COMMUNITY POVERTY RATES ARE HIGH AMONG FAMILIES IN CENTRAL LOS ANGELES, L.A./COLISEUM, SOUTH CENTRAL LOS ANGELES, SOUTH LOS ANGELES, UNIVERSITY, USC, AND WILSHIRE NEIGHBORHOODS. THE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $43,878 AND THE AVERAGE HOUSEHOLD INCOME IS $63,878. THESE RATES ARE LOWER THAN THE COUNTY RATES.THE PERCENTAGE OF STUDENTS ELIGIBLE FOR THE FREE OR REDUCED PRICE MEAL PROGRAM IS ONE INDICATOR OF SOCIOECONOMIC STATUS. AMONG LOS ANGELES UNIFIED SCHOOL DISTRICT SCHOOLS, OVER THREE-FOURTHS (75.6%) OF THE STUDENT POPULATION ARE ELIGIBLE FOR THE FREE OR REDUCED PRICE MEAL PROGRAM, INDICATING A HIGH LEVEL OF LOW-INCOME FAMILIES. IN THE INGLEWOOD UNIFIED SCHOOL DISTRICT 78.3% OF STUDENTS QUALIFY FOR THE PROGRAM. 90% OF LENNOX SCHOOL DISTRICT STUDENTS ARE ELIGIBLE FOR THE FREE OR REDUCED PRICE MEAL PROGRAM. THESE RATES ARE HIGHER THAN COUNTY AND STATE RATES.RESIDENTS IN SPA 6 HAVE HIGHER RATES OF PARTICIPATION IN GOVERNMENT SPONSORED PUBLIC PROGRAMS COMPARED TO RESIDENTS IN SPA 4 AND SPA 5. IN SPA 4, 51.9% OF RESIDENTS BELOW 200% OF THE FPL CANNOT AFFORD FOOD AND 17.4% UTILIZE FOOD STAMPS. IN SPA 6, 46.1% OF RESIDENTS BELOW 200% FPL CANNOT AFFORD FOOD AND 26.6% UTILIZE FOOD STAMPS. THESE RATES INDICATE A CONSIDERABLE PERCENTAGE OF RESIDENTS WHO MAY QUALIFY FOR FOOD STAMPS BUT DO NOT ACCESS THIS RESOURCE. WIC BENEFITS ARE MORE READILY ACCESSED. AMONG CHILDREN IN SPA 4, 36.9% ACCESS WIC, AND IN SPA 6 67.1% ACCESS WIC BENEFITS. SPA 5 RESPONDENTS DID NOT REPORT ACCESSING WIC FOR THEIR CHILDREN. AMONG SPA 6 RESIDENTS, 16% ARE TANF/CALWORKS RECIPIENTS; 5.6% OF SPA 4 RESIDENTS AND 2.3% OF SPA 5 RESIDENTS ARE TANF/CALWORKS RECIPIENTS.24.8% OF THE POPULATION IN SPA 4, 5.2% IN SPA 5, AND 48.5% IN SPA 6 HAD MEDI-CAL COVERAGE, I.E. MEDICAID INSURANCE IN CALIFORNIA. IN SPA 4, 29.5% HAVE EMPLOYMENT-BASED INSURANCE. OVER HALF THE POPULATION HAD EMPLOYMENT-BASED INSURANCE IN SPA 5 (54%). IN SPA 6, 19% OF THE POPULATION HAS EMPLOYMENT-BASED INSURANCE.
PART VI, LINE 5: CEDARS-SINAI MEDICAL CENTER IS DRIVEN BY ITS MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROVIDE LEADERSHIP AND EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. IN COLLABORATION WITH EXPERT MEDICAL STAFF, ADMINISTRATIVE LEADERS AND COMMUNITY PARTNERS, CEDARS-SINAI HAS MADE A SIGNIFICANT CONTRIBUTION-BOTH IN QUANTIFIABLE AND NON-QUANTIFIABLE TERMS-TO THE BENEFIT OF THE COMMUNITY. CEDARS-SINAI PROVIDES A BREADTH OF SERVICES TO MEET IDENTIFIED HEALTH NEEDS IN THE COMMUNITY. MANY CEDARS-SINAI PROGRAMS ARE OPERATED AT A FINANCIAL LOSS, BUT CONTINUE TO BE OFFERED BECAUSE THEY ARE AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION TO SERVE THE COMMUNITY'S HEALTH NEEDS.CEDARS-SINAI IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF MEMBERS OF THE COMMUNITY. FURTHERMORE, THE COMMUNITIES ARE SERVED BY AN OPEN MEDICAL STAFF. ALSO, ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY.DURING THE TAX YEAR, CEDARS-SINAI'S COMMUNITY BENEFIT EXPENSES TOTALED OVER $270,000,000 DIVIDED AMONG FIVE MAJOR CATEGORIES. FOR PURPOSES OF ESTIMATING CEDARS-SINAI'S FINANCIAL CONTRIBUTION TO COMMUNITY BENEFIT, THE FOLLOWING DEFINITIONS ARE USED:UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - INCLUDES THE UNREIMBURSED COST OF FREE AND DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO MEET THE ORGANIZATION'S CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE, DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF THE SERVICES. IF THERE IS ANY SUBSIDY DONATED FOR THESE SERVICES, THAT AMOUNT IS DEDUCTED FROM THE GROSS AMOUNT. TRADITIONAL CHARITY CARE IS INCLUDED IN THE INTERNAL REVENUE SERVICE (IRS) FORM 990 SCHEDULE H PART I LINE 7A.UNPAID COST OF STATE PROGRAMS - THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7B. IN THE STATE OF CALIFORNIA THE MEDICAID PROGRAM IS CALLED MEDI-CAL.UNREIMBURSED COSTS OF SPECIALTY GOVERNMENT PROGRAMS - ALSO PROVIDES COMMUNITY BENEFIT UNDER SUCH PROGRAMS AS THE VETERANS ADMINISTRATION, LOS ANGELES POLICE DEPARTMENT, LOS ANGELES COUNTY TRAUMA, AND OTHER PROGRAMS TO BENEFIT THE INDIGENT. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THESE VARIOUS MEANS-TESTED PROGRAMS. IF THIS COMMUNITY BENEFIT WAS NOT PROVIDED, THE FEDERAL, STATE OR LOCAL GOVERNMENTS WOULD NEED TO FURNISH THESE SERVICES. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7C.UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR MEDICARE PATIENTS - PRIMARILY BENEFITS THE ELDERLY. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDICARE PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDICARE PROGRAM. INCLUDED IN THESE AMOUNTS ARE $30,889,000 FOR THE YEAR ENDED JUNE 30, 2017 OF UNPAID COSTS OF SERVICES PROVIDED TO PATIENTS IN THE MEDICARE PROGRAM THAT ARE ALSO ELIGIBLE FOR THE MEDI-CAL PROGRAM (DUAL ELIGIBLE BENEFICIARIES). APPROXIMATELY 28% OF ALL MEDICARE PATIENTS SERVED BY CEDARS-SINAI ARE DUAL ELIGIBLE. THIS IS SIGNIFICANT IN THAT THESE PATIENTS TEND TO BE MORE COSTLY THAN NON-DUAL ELIGIBLE PATIENTS DUE TO THE COROLLARY SOCIO-ECONOMIC CHALLENGES THEY FACE. THESE PATIENTS OFTEN REQUIRE MORE FREQUENT CARE AND MORE COSTLY CARE WHEN COMPARED TO TRADITIONAL MEDICARE ONLY PATIENTS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B.COMMUNITY BENEFIT PROGRAMS, AS WELL AS EDUCATION AND TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS - COST OF SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY. THIS CATEGORY INCLUDES UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY BENEFIT OPERATIONS, AND CASH DONATIONS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7 E, F, AND I. BELOW ARE SOME EXAMPLES OF COSTS INCLUDED IN THIS CATEGORY OF THE COMMUNITY BENEFIT CONTRIBUTION:HEALTH PROFESSIONS EDUCATIONAS AN ACADEMIC MEDICAL CENTER, CEDARS-SINAI OFFERS GRADUATE MEDICAL EDUCATION AND MANY OTHER EDUCATION PROGRAMS FOR A VARIETY OF HEALTH PROFESSIONALS. THEY INCLUDE OFFERING GRADUATE EDUCATION TRAINING PROGRAMS IN OVER 70 PHYSICIAN SPECIALTY AND SUBSPECIALTY AREAS; AND OTHER HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDING DEGREE PROGRAMS AND EXTENSIVE EDUCATIONAL RESOURCES FOR ASPIRING AND CURRENT NURSES, DIETICIANS, PSYCHOLOGISTS, PARAMEDICS, PATHOLOGISTS, RESEARCHERS, REHABILITATION PROFESSIONALS AND CHAPLAINS.COMMUNITY HEALTH IMPROVEMENT* CLINICAL SERVICES ARE PROVIDED TO UNDERSERVED COMMUNITIES DAILY, THROUGH AN ON-SITE PRIMARY ADULT CARE CLINIC; AND THROUGH MOBILE MEDICAL UNITS AND FREE AND COMMUNITY CLINICS THROUGHOUT LOS ANGELES - ALL SERVING UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS.* EACH YEAR, CEDARS-SINAI TAKES PART IN COMMUNITY-BASED ACTIVITIES INCLUDING HEALTH FAIRS, EXERCISE PROGRAMS, AND SCREENING PROGRAMS FOR CONDITIONS SUCH AS CARDIOVASCULAR DISEASE, DEPRESSION, DIABETES AND HYPERTENSION, AS WELL IMMUNIZATION PROGRAMS, LECTURES AND WORKSHOPS. ALSO OFFERED ARE DISEASE-SPECIFIC SUPPORT GROUPS, PATIENT EDUCATION PROGRAMS AND PROGRAM AFFILIATES.* CEDARS-SINAI PLANS AND IMPLEMENTS LONG-TERM COMPREHENSIVE STRATEGIES TO MEET THE HEALTH NEEDS OF UNDERSERVED COMMUNITIES. SIGNATURE COMMUNITY BENEFIT PROGRAMS SEEK TO IMPROVE HEALTH IN COMMUNITIES BY BUILDING STRONG PARTNERSHIPS, BUILDING COMMUNITY CAPACITIES AND PROVIDING DIRECT EDUCATION.RESEARCH PROGRAMS - TO DEVELOP NEW TREATMENTS AND DIAGNOSTIC TECHNIQUES THAT BENEFIT PATIENTS AT CEDARS-SINAI AS WELL AS PATIENTS THROUGHOUT THE NATION AND THE WORLD. CEDARS-SINAI'S CURRENTLY HAS MORE THAN 1,500 RESEARCH PROJECTS AND HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE DEVELOPMENT OF NEW MEDICAL TECHNOLOGY, MEDICAL KNOWLEDGE AND PRACTICE. CEDARS-SINAI RANKS AMONG THE NATION'S TOP 15 INDEPENDENT HOSPITALS IN NATIONAL INSTITUTES OF HEALTH (NIH) RESEARCH FUNDING - CEDARS-SINAI RECEIVED OVER $125 MILLION IN RESEARCH FUNDING THIS YEAR. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7H.
PART VI, LINE 7, REPORTS FILED WITH STATES CA
Schedule H (Form 990) 2016
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