PART I, LINE 3C:
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LLUMC USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
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PART I, LINE 6A:
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LLUH, ON BEHALF OF LLUMC, SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO OSHPD.
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PART I, LINE 7:
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WE USED THE WORKSHEETS AVAILABLE IN THE INSTRUCTION SECTION OF SCHEDULE H TO DERIVE THE AMOUNTS REPORTED IN THIS SECTION.PART I, LINE 7G: HOME CARE -$0 & UNREIMBURSED ORGAN COSTS PART I, LINE 7 COLUMN E: HEALTH PROFESSIONALS EDUCATION & RESEARCH -$54,170,389PART I, LINE 7: MEDICAL CARE SERVICES - $60,590,126, COMMUNITY HEALTHIMPROVEMENT - $3,029,892 PART III, LINE 3: BAD DEBT - $2,610,915 PART III, LINE 8: N/A
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PART I, LINE 7G:
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WE DID NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES.
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PART II, COMMUNITY BUILDING ACTIVITIES:
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REFER TO 990, PART III, LN 4A & SCHEDULE O FOR MORE INFORMATION LOMA LINDA UNIVERSITY MEDICAL CENTER - COMMUNITY HEALTH BENEFIT SELECTED PROGRAM HIGHLIGHTS
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PART III, LINE 2:
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LLUMC USES THE NEW REVENUE STANDARD, "MODIFIED RETROSPECTIVE METHOD". PATIENT SERVICE REVENUES ARE PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND EXPECTED COLLECTIONS BASED ON HISTORICAL COLLECTIONS. SEE FOOTNOTE TO FY2021 LLUMC'S COMBINED FINANCIAL STATEMENTS, PAGE 14-17, NOTES TOCOMBINED FINANCIAL STATEMENTS
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PART III, LINE 3:
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ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED FOR PATIENTS ELIGIBLE UNDER LLUMC'S FINANCIAL ASSISTANCE POLICY IS DERIVED BY DEVELOPING A COST-TO-CHARGE RATIO OF 16.24% (ADJUSTED PATIENT CARE COSTS/GROSS PATIENT CHARGES) AND MULTIPLYING AGAINST BAD DEBT EXPENSE. LLUMC'S ESTIMATED COSTS OF CARE FOR ELIGIBLE PATIENTS REPRESENT THE AMOUNT OF BAD DEBT EXPENSE RELATED TO COMMUNITY BENEFIT. THE RATIONALE FOR THIS METHODOLOGY IS THAT ELIGIBLE PATIENTS WILL QUALIFY FOR DEEPLY DISCOUNTED OR FULLY DISCOUNTED PAYMENT FINANCIAL ASSISTANCE THAT WOULD RESULT IN ADJUSTED CHARGES THAT ARE COMPARABLE WITH ACTUAL COST.
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PART III, LINE 4:
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THE FOOTNOTE TO FY2021 LLUMC'S COMBINED FINANCIAL STATEMENTS THATDESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 14-17, NOTES TO COMBINED FINANCIAL STATEMENTS.
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PART III, LINE 9B:
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AS A FAITH BASED ORGANIZATION, LLUMC STRIVES TO MEET THE HEALTH CARE NEEDS OF PATIENTS IN ITS GEOGRAPHIC SERVICE AREA. THE FIRST AND FOREMOST RESPONSIBILITY OF LLUMC IS TO SEE THAT ITS PATIENTS RECEIVE COMPASSIONATE, TIMELY, AND APPROPRIATE MEDICAL CARE WITH CONSIDERATION FOR PATIENT PRIVACY, DIGNITY, AND INFORMED CONSENT.ELIGIBILITY UNDER THE LLUMC FINANCIAL ASSISTANCE POLICY IS PROVIDED FOR ANY PATIENT WHOSE FAMILY INCOME IS LESS THAN 350% OF THE CURRENT FEDERAL POVERTY LEVEL, IF NOT COVERED BY THIRD PARTY INSURANCE OR, IF COVERED BY THIRD PARTY INSURANCE WHICH DOES NOT RESULT IN FULL PAYMENT OF THE ACCOUNT.FOR FURTHER INFORMATION, PLEASE REFER TO OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY.
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PART VI, LINE 2:
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THE COMMUNITY HEALTH NEEDS ASSESSMENT 2019 AS THE BASELINE FOR 2020-2022 IMPLEMENTATION STRATEGY: IN 2019, LOMA LINDA UNIVERSITY HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH NON-PROFIT, COMMUNITY-BASED PARTNERS AND THEIR COMMUNITY HEALTH WORKERS IN ORDER TO IMPLEMENT A SOCIAL DETERMINANTS OF HEALTH SURVEY WITH 1060 COMMUNITY MEMBERS AND DATA FROM THE LLUH PATIENT POPULATION; TO CONDUCT COMMUNITY CONVERSATIONS IN BOTH ENGLISH AND SPANISH (FOCUS GROUPS) WITH OVER 200 COMMUNITY MEMBERS; AND TO SURVEY 74 FAMILIES ON CHILDREN'S HEALTH. SEVENTY-NINE PERCENT OF THE PEOPLE WHO PARTICIPATED IN THE EXTENSIVE SURVEY EFFORT WERE FROM HOUSEHOLDS LIVING ON $50,000 A YEAR OR LESS, WITH 44% OF PARTICIPANTS LIVING ON $25,000 OR LESS. THE CHNA ACHIEVED A STATISTICALLY SIGNIFICANT SAMPLING OF COMMUNITY MEMBERS LIVING ON LOWER INCOMES AND ACHIEVED REPRESENTATION FOR THE 4.85 MILLION PEOPLE IN OUR REGION, IN KEEPING WITH COMMUNITY BENEFIT GUIDELINES FOR IDENTIFYING THE UN-MET HEALTH NEEDS OF THE MOST VULNERABLE MEMBERS OF THE COMMUNITY. MOST IMPORTANTLY, THE NEEDS IDENTIFIED THROUGH THE METHODOLOGY OF THIS STUDY WERE THOSE THE COMMUNITY MEMBERS IDENTIFIED AS THE MOST PRESSING NEEDS IN THEIR COMMUNITIES. OVER AND OVER AGAIN, THE DIFFICULTIES PEOPLE FACE DAY-TO-DAY IN AFFORDING THE ESSENTIALS AND BY THE EXPERIENCE OF POVERTY WERE ECHOED AS PEOPLE SHARED THE CHALLENGES WITH COST OF LIVING IN OUR REGION. THE TRIPLE IMPACT OF THE NEED FOR JOBS, AFFORDABILITY OF HOUSING, AND THE ABILITY TO AFFORD HEALTHY FOODS EXPERIENCED BY COMMUNITY MEMBERS MOVED POVERTY AND ACCESS TO ESSENTIALS TO THE TOP OF THE AREAS OF GREATEST NEED REPRESENTING A CLUSTER OF THE FOLLOWING: INCOME INSECURITY (OR THE NEED FOR JOBS), FOOD INSECURITY, AND AFFORDABLE HOUSING OR HOUSING INSECURITY. THE POPULATION DATA FROM LLUH & SAC HEALTH SYSTEM, AN FQHC PARTNER IN LLUH'S COMMUNITY HEALTH INVESTMENT STRATEGY, PROVIDED SUMMARY DATA ON THE TOP HEALTH NEEDS OF SOME OF THE MOST VULNERABLE POPULATIONS IN OUR REGION. FROM THE TWO SYSTEMS DATA, THE TRENDS INDICATE THAT THE CHRONIC DISEASE BURDEN IN LOWER INCOME POPULATIONS IN OUR COMMUNITY FORM A SET OF HEALTH CONDITIONS COLLECTIVELY REFERRED TO AS "LIFESTYLE DISEASE." GIVEN THE CORRELATION BETWEEN POVERTY, ACCESS TO CARE, AND THE PREVALENCE OF REDUCED OR POOR HEALTH DUE TO CHRONIC STRESS AT THE LOWER END OF THE SOCIOECONOMIC SPECTRUM, THE TOP HEALTH CONDITIONS PEOPLE ARE STRUGGLING IN OUR REGION ARE COLLECTIVELY REFERRED TO LIFESTYLE DISEASES WHERE THE SOCIAL DETERMINANTS OF HEALTH CONTRIBUTE TO HIGHER PREVALENCE RATES: ASTHMA, BEHAVIORAL HEALTH, CARDIOVASCULAR DISEASE, HYPERTENSION, AND OBESITY. IN ADDITION TO ACCESS TO CARE, A CORE FOCUS AREA OF COMMUNITY BENEFIT INVESTMENT STRATEGIES ON BEHALF OF THE MOST VULNERABLE, CONCERNS IN THE COMMUNITY OVER BEHAVIORAL HEALTH (INCLUDING SUBSTANCE USE) WAS BY FAR THE TOP RATED HEALTH CONCERNS OF THE COMMUNITY ACROSS ALL AGE GROUPS. ADDITIONALLY, THE PREVALENCE OF ISOLATION EXPERIENCED BY COMMUNITY MEMBERS WAS AN UNEXPECTED NEED IDENTIFIED: 1 IN 3 ADULTS WHO PARTICIPATED IN SURVEYS REPORTED FEELING ISOLATED. FINALLY, THE REMAINING AREA OF GREATEST NEED IDENTIFIED DUE TO THE AGGREGATION OF THE FINDINGS WAS THE NEED FOR SAFE PLACES TO PLAY FOR CHILDREN IN GREEN SPACES. OVER AND OVER AGAIN, COMMUNITY MEMBERS SHARED A LACK OF ACCESS TO SAFE GREEN SPACES WHERE FAMILIES AND ESPECIALLY CHILDREN COULD EXERCISE AND BE IN COMMUNITY WITH ONE ANOTHER. CRIME, LACK OF INFRASTRUCTURE, AND/OR LACK OF ACCESS DUE TO GEOGRAPHY WERE THE TOP REASONS WHY MANY COMMUNITIES LACK BASIC ACCESS TO SAFE GREEN SPACES WHERE FAMILIES AND ESPECIALLY CHILDREN COULD EXERCISE AND BE IN COMMUNITY WITH ONE ANOTHER. CRIME, LACK OF INFRASTRUCTURE, AND/OR LACK OF ACCESS DUE TO GEOGRAPHY WERE THE TOP REASONS WHY MANY COMMUNITIES LACK BASIC ACCESS.
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PART VI, LINE 3:
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LLUMC POST NOTICES INFORMING THE PUBLIC OF THE CHARITY CARE/DISCOUNT PAYMENT POLICY. SUCH NOTICES SHALL BE POSTED IN HIGH VOLUME INPATIENT, AND OUTPATIENT SERVICE AREAS OF LLUMC, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF LLUMC. NOTICES ARE ALSO POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.1) THES NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN LLUMC'S SERVICE AREA.2) A COPY OF THIS CHARITY CARE/DISCOUNT PAYMENT POLICY IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LLUMC WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER.
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PART VI, LINE 4:
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LOMA LINDA UNIVERSITY HEALTH'S PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S SAN BERNARDINO, RIVERSIDE, AND ONTARIO METROPOLITAN AREAS. SAN BERNARDINO AND RIVERSIDE COUNTIES MAKE UP THE GEOGRAPHIC AREA HISTORICALLY NAMED "THE INLAND EMPIRE" DUE TO THE REGION'S RICH DIVERSITY OF NATIVE PEOPLES AND AGRICULTURAL HISTORY. THE REGION TOTALS 27,000 SQUARE MILES AND IS SITUATED APPROXIMATELY 60 MILES EAST FROM THE LOS ANGELES METROPOLITAN AREA AND THE PACIFIC OCEAN, THE INLAND EMPIRE IS HOME TO A QUICKLY GROWING POPULATION OVER 4.6 MILLION PEOPLE AND IS THE 3RD MOST POPULOUS METROPOLITAN AREA IN THE STATE OF CALIFORNIA AND THE 13TH MOST POPULOUS METROPOLITAN AREA IN THE UNITED STATES. THE TWO COUNTIES ARE HOME TO SOME OF THE MOST DIVERSE PEOPLE IN CALIFORNIA, WITH HISPANIC POPULATIONS NOW REPRESENTING THE MAJORITY OF THE POPULATION. SAN BERNARDINO AND RIVERSIDE COUNTY HEALTH RANKINGS PUBLISHED ONLINE AT COUNTYHEALTHRANKINGS.ORG, THE RANKINGS HELP COUNTIES UNDERSTAND WHAT INFLUENCES THE HEALTH OF RESIDENTS AND AVERAGE LIFESPANS BY GEOGRAPHIC REGION. THE RANKINGS ARE UNIQUE IN THEIR ABILITY TO MEASURE THE CURRENT OVERALL HEALTH OF NEARLY EVERY COUNTY IN ALL 50 STATES. THEY ALSO LOOK AT A VARIETY OF MEASURES THAT AFFECT THE FUTURE HEALTH OF COMMUNITIES, SUCH AS HIGH SCHOOL GRADUATION RATES, ACCESS TO HEALTHY FOODS, RATES OF SMOKING, OBESITY AND TEEN BIRTHS. LLUH'S GOAL IS TO BRING PEOPLE TOGETHER TO LOOK AT THE MANY FACTORS THAT INFLUENCE HEALTH AND OPPORTUNITIES TO REDUCE HEALTH GAPS. FOR PROGRAMS AND INTERVENTIONS TO HAVE A LASTING IMPACT, THEY MUST FOCUS ON STRATEGIES THAT IMPROVE HEALTH FROM A POPULATION STANDPOINT. FOR LLUH, WE ARE STRATEGICALLY POSITIONED IN TWO COUNTIES THAT TOGETHER, FACE SIGNIFICANT ECONOMIC CHALLENGES. SAN BERNARDINO RANKS 41ST OUT OF 58 COUNTIES IN CALIFORNIA IN TERMS OF HEALTH FACTORS WHILE RIVERSIDE RANKS 35TH. DESPITE THE CHALLENGE, LLUH BELIEVES THAT OUR COMMUNITY IS RESILIENT AND WITH OUR COMMUNITY PARTNERS, WE ARE ADDRESSING POVERTY THROUGH WORKFORCE DEVELOPMENT AND HEALTH & WELLNESS. WITH A TOTAL OF 249,000 CONFIRMED CASES AS OF THE TIME OF THIS REPORT, AND OVER 2,800 DEATHS DUE TO COVID-19 ACROSS SAN BERNARDINO AND RIVERSIDE COUNTIES, THE PANDEMIC HAS A GREATLY IMPACTED THOSE LIVING IN THE REGION, WITH SOME OF THE BIGGEST CHALLENGES BEING FOOD INSECURITY, UNEMPLOYMENT, HOUSING BURDEN, AND SOCIAL ISOLATION. AS A RESULT OF THE PANDEMIC, THE NUMBER OF FOOD INSECURE HOUSEHOLDS HAS RISEN CONSIDERABLY, WITH LOCAL FOOD BANKS MORE THAN DOUBLING THE AMOUNT OF THEIR FOOD DISTRIBUTIONS. THE MOST GREATLY IMPACTED BY THE LACK OF ACCESS TO FOOD HAS BEEN MINORITY POPULATIONS AND FAMILIES WITH CHILDREN. UNEMPLOYMENT IN SAN BERNARDINO AND RIVERSIDE COUNTIES REACHED A PEAK OF 15% LEAVING 300,000 PEOPLE WITHOUT WORK, A SIGNIFICANT INCREASE FROM THE PREVIOUS, PRE-PANDEMIC RATE OF 4%. HOWEVER, UNEMPLOYMENT RATES IN THE REGION HAVE SINCE BEEN RECOVERING SLOWLY BUT STEADILY (AS OF OCTOBER 2020, THE UNEMPLOYMENT RATE IS AT 9%). LESS INCOME, COMBINED WITH AN ALREADY EXPENSIVE HOUSING MARKET THAT HAS RENT PRICES RISING AT A FASTER RATE THAN OTHER SOUTHERN CALIFORNIA COUNTIES, HAS INCREASED THE HOUSING BURDEN ON MANY HOUSEHOLDS IN THE REGION. ADDITIONALLY, ISOLATION, WHICH HAD ALREADY BEEN IDENTIFIED AS A GREAT NEED OF OUR COMMUNITY BEFORE THE SPREAD OF COVID-19, HAS BECOME EVEN MORE OF A CHALLENGE DUE TO PHYSICAL DISTANCING MEASURES AND A LACK OF ACCESS TO TECHNOLOGY. AS THE REGIONAL ACADEMIC, QUATERNARY, AND SPECIALTY CARE PROVIDER, LLUH SERVICE REGION COVERS ALMOST ONE QUARTER OF THE GEOGRAPHIC LANDMASS OF THE STATE OF CALIFORNIA, ESPECIALLY WHEN ACCOUNTING FOR THE SERVICE REGION OF CHILDREN'S HOSPITAL INTO INYO AND MONO COUNTIES. IN ADDITION TO THE 4.6 MILLION RESIDENTS OF THESE TWO COUNTIES, IT IS ESTIMATED DUE TO SEASONAL AGRICULTURAL WORK THAT THERE ARE ESTIMATED TO BE 296,000 IMMIGRANTS WHO ARE UNDOCUMENTED IN OUR TWO COUNTIES, WITH LLUH AS THE REGIONAL SAFETY-NET PROVIDER FOR ALL PEOPLE. IN 2019, LLUH HOSPITALS TREATED 53,455 PEOPLE IN OUR HOSPITALS, WITH 1.8 MILLION PEOPLE IN THE OUTPATIENT SYSTEM WITH 135,603 OF THOSE OUTPATIENT VISITS TO OUR EMERGENCY DEPARTMENTS AS A LEVEL-1 TRAUMA CENTER.
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PART VI, LINE 5:
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LLUH HAS A CENTRALIZED COMMUNITY BENEFIT MODEL MANAGED BY AN INSTITUTE DEVOTED TO PROMOTING COMMUNITY HEALTH WITH PUBLIC HEALTH EXPERTISE: LLUH HAS A UNIQUE, BEST-PRACTICE MODEL IN THE IMPLEMENTATION OF COMMUNITY BENEFIT IN ORDER TO ACHIEVE COLLECTIVE IMPACT WITH THEIR INVESTMENT AND PROGRAM STRATEGY: SINCE 2006, ALL LICENSED HOSPITALS WITHIN THE LLUH SYSTEM HAVE CENTRALIZED THEIR COMMUNITY BENEFIT INVESTMENTS THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS TO MORE STRATEGICALLY ALIGN AND IMPLEMENT COMMUNITY HEALTH INVESTMENTS AND SINCE THE BEGINNING, LLUH HAS REPORTED PROGRAMMATICALLY AT THE HEALTH SYSTEM LEVEL TO MAXIMIZE OUTCOMES. THE COMMUNITY BENEFIT NUMBERS ARE REPORTED FINANCIALLY AND INDEPENDENTLY ON EACH LICENSED HOSPITAL'S 990 SCHEDULE H BASED ON THEIR INDIVIDUAL HOSPITAL FINANCIALS WITH ATTENTIVE MANAGEMENT TO BOTH THE COLLECTIVE AND INDIVIDUAL PROGRAMS, ACTIVITIES, AND OUTCOMES REPORTED IN THE ANNUAL SYSTEM COMMUNITY BENEFIT REPORT, IN COMPLIANCE WITH THE ACA (2010) AND CALIFORNIA'S AB 204 (2019). THE CENTRALIZED MODEL ALLOWS THE HOSPITALS TO ACCOMPLISH MORE IMPACT IN THE COMMUNITY FROM THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) AND IN MORE EFFECTIVELY WORKING WITH PARTNER ORGANIZATIONS WITH SIMILAR GOALS. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS IS COMMITTED TO SUPPORTING IMPLEMENTATION OF LLUH'S HOSPITAL COMMUNITY BENEFIT INVESTMENTS AND FULFILLMENT OF THE PRIORITY FOCUS AREAS, IN CLOSE COLLABORATION WITH THE COMMUNITY, TO COMMUNITY-BASED RESEARCH, AND TO SERVICE-LEARNING AT LOMA LINDA UNIVERSITY HEALTH (LLUH). THE INSTITUTE PLAYS A CENTRALIZING, COORDINATING, AND IMPLEMENTATION FUNCTION FOR THE FOUR LICENSED HOSPITALS AT LLUH'S COMMUNITY BENEFIT INVESTMENT DOLLARS. OUR INSTITUTE IS COMMITTED TO STRATEGICALLY WORKING WITH OUR COMMUNITY PARTNERS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY THROUGH ACTIVITIES SUCH AS RESEARCH, TEACHING, AND SERVICE-BASED LEARNING. COMMUNITY PARTICIPATION IS AT THE CORE OF OUR EFFORTS, WITH STRUCTURED LEARNING OPPORTUNITIES FOR UNDERREPRESENTED MINORITY STUDENTS, TRAINING PROGRAMS FOR COMMUNITY HEALTH WORKERS, AND COMMUNITY RESEARCH PROJECTS. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS: SEEKS TO WORK "WITH" THE COMMUNITY RATHER THAN "IN" THE COMMUNITY; STRIVES TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY, WHILE RECOGNIZING AND CAPITALIZING ON ITS ASSETS; SEEKS TO INTEGRATE SERVICES FROM RESEARCH TO TEACHING THROUGH COMMUNITY-BASED PARTICIPATION AND SERVICE-BASED LEARNING; PROVIDES A SUPPORTING AND COORDINATING ROLE ACROSS THE VARIOUS SCHOOLS AND THE MEDICAL CENTER. OUR COMMUNITY BENEFIT OBJECTIVES INCLUDE: IMPROVING ACCESS TO HEALTH SERVICES; ENHANCING THE ROLE OF PUBLIC HEALTH IN HEALTH CARE SERVICES; SERVING THOSE WHO LIVE IN POVERTY OR OTHER VULNERABLE POPULATIONS; PROMOTING AND ENHANCING COMMUNITY BUILDING ACTIVITIES; AND COMMITTING TO COMMUNITY HEALTH IMPROVEMENT THROUGHOUT THE ORGANIZATION.
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PART VI, LINE 6:
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EXPLANATION: AFFILIATED HEALTHCARE SYSTEMWE ARE AFFILIATED WITH LOMA LINDA UNIVERSITY HEALTH SYSTEM WHICH INCLUDES 4 HOSPITALS, A UNIVERSITY, AND A FACULTY MEDICAL GROUP; COLLECTIVELY PLAYING AN ACTIVE ROLE IN PROMOTING THE HEALTH OF THEIR COMMUNITIES. A DETAILED COMMUNITY BENEFIT REPORT OF THE HOSPITAL'S ACTIVITIES WILL BE PROVIDED UPON REQUEST.
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PART VI, LINE 7, REPORTS FILED WITH STATES
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CA
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