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 Go to www.irs.gov/form990 for instructions and the latest informtion.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
University of Southern California
 
Employer identification number

95-1642394
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) . . .
    2,771,162   2,771,162 0.050 %
b Medicaid (from Worksheet 3, column a) . . . . .     265,366,375 256,209,269 9,157,106 0.170 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     268,137,537 256,209,269 11,928,268 0.220 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     896,758   896,758 0.020 %
f Health professions education (from Worksheet 5) . . .     55,575,508 19,153,972 36,421,536 0.680 %
g Subsidized health services (from Worksheet 6) . . . .     168,346,039 113,062,966 55,283,073 1.030 %
h Research (from Worksheet 7) .     307,744,050 307,744,050    
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     423,503   423,503 0.010 %
j Total. Other Benefits . .     532,985,858 439,960,988 93,024,870 1.740 %
k Total. Add lines 7d and 7j .     801,123,395 696,170,257 104,953,138 1.960 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
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     31,583   31,583 0 %
3 Community support     0   0 0 %
4 Environmental improvements     0   0 0 %
5 Leadership development and
training for community members
           
6 Coalition building     5,338   5,338 0 %
7 Community health improvement advocacy            
8 Workforce development     1,604   1,604 0 %
9 Other            
10 Total     38,525   38,525 0 %
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
Yes
 
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
-8,437,086
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
343,350,790
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
434,196,146
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-90,845,356
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 %
1SEE PART VI
 
AMBULATORY SURGICAL 20 %    
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
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?3Name, 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 KECK HOSPITAL OF USC
1500 SAN PABLO STREET
LOS ANGELES,CA90089
WWW.KECKMEDICINE.ORG
930000459
X X   X   X       A
2 USC NORRIS CANCER HOSPITAL
1441 EASTLAKE AVENUE
LOS ANGELES,CA90089
WWW.CANCER.KECKMEDICINE.ORG
930000267
X X   X   X       A
3 USC VERDUGO HILLS HOSPITAL
1812 VERDUGO BLVD
GLENDALE,CA91208
www.uscvhh.org
930000173
X X         X     B
Schedule H (Form 990) 2017
Page 4
Schedule H (Form 990) 2017
Page 4
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)
A
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):
12
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 16
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 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): keckmedicine.org/community-benefit
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) 2017
Page 5
Schedule H (Form 990) 2017
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
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 SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 6
Part VFacility Information (continued)

Billing and Collections
A
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) 2017
Page 7
Schedule H (Form 990) 2017
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
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) 2017
Page 4
Schedule H (Form 990) 2017
Page 4
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)
B
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):
3
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 16
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 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): USCVHH.ORG/GIVING/COMMUNITY-BENEFIT
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) 2017
Page 5
Schedule H (Form 990) 2017
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
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 SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
Page 6
Schedule H (Form 990) 2017
Page 6
Part VFacility Information (continued)

Billing and Collections
B
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) 2017
Page 7
Schedule H (Form 990) 2017
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
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) 2017
Page 8
Schedule H (Form 990) 2017
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
A FACILITY REPORTING GROUP A KECK HOSPITAL OF USC & USC NORRIS CANCER HOSPITAL PART V, SECTION B, LINE 5: FIFTEEN TARGETED INTERVIEWS (DURING FEBRUARY & MARCH 2016) WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITALS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITIES." COMMUNITY INPUT WAS OBTAINED FROM REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: CLINICIA MONSENOR OSCAR A. ROMERO USC MRS T.H. CHAN DIVISION OCCUPATIONAL SCIENCE AND OCCUPATIONAL THERAPY SOUTHERN CALIFORNIA CLINICAL & TRANSLATIONAL SCIENCE INSTITUTE EAST LA COMMUNTY CORPORATION USC PRICE SCHOOL OF PUBLIC POLICY KECK HOSPITAL - USC NORRIS CANCER HOSPITAL CALIFORNIA DIVISION, AMERICAN CANCER SOCIETY LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH LA COUNTY DEPARTMENT OF HEALTH SERVICES AMBULATORY CARE NETWORK USC DIVISION OF BIOKINESIOLOGY AND PHYSICAL THERAPY AT THE OSTROW SCHOOL OF DENTISTRY WESPARK CANCER SUPPORT CENTER PROYECTO PASTORAL DR. FRANCISCO BRAVO MEDICAL MAGNET HIGH SCHOOL USC HEALTH SCIENCES CAMPUS COMMUNITY PARTNERSHIPS IDREAM FOR RACIAL HEALTH EQUITY Secondary data were collected from a variety of sources to present Los Angeles County demographic profile, social and economic factors, health access, mortality, birth characteristics, chronic disease, health behaviors, mental health, substance abuse, and preventive practices. Sources of data include 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 California State. PART V, SECTION B, LINE 6(A): THE CHNA WAS CONDUCTED FOR KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL. PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY ADOPTED BY EACH HOSPITAL ACTIVELY ADDRESSES THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA AS "PRIORITY HEALTH NEEDS." THE NEEDS THAT WILL BE ADDRESSED BY KECK HOSPITAL OF USC THROUGH ITS COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES ARE: - ACCESS TO CARE - CHRONIC DISEASES - OVERWEIGHT/OBESITY THE NEEDS THAT WILL BE ADDRESSED BY USC NORRIS CANCER HOSPITAL THROUGH ITS COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES ARE: - CANCER - ACCESS TO CARE - CHRONIC DISEASES - OVERWEIGHT/OBESITY The Implementation Strategies adopted by Keck Hospital of USC and Norris Cancer Hospital actively address health needs that were identified in the CHNA as priority health needs. Keck Hospital of USC and Norris Cancer Hospital plan to meet the identified priority health needs through a commitment of resources with specific programs and services. For each health need the hospital plans to address, the Implementation Strategy for each hospital describes: actions the hospitals intend to take, including programs and resources they plan to commit, planned collaboration between the hospitals and community organizations, and anticipated impacts of these actions. Certain other health needs were identified but are not specifically addressed in the Implementation Strategy. These include, for example: dental health, mental health, community safety, STDs and substance abuse. While the hospitals address these issues on a day to day basis in the normal course of operations, they have chosen not to focus these Implementation Plans on these other needs because they believe they can have a greater impact on the priority health needs selected. These other health needs are less aligned with the Hospitals' strategic initiatives. PART V, SECTION B, LINE 16(A)-(C): WWW.KECKMEDICINE.ORG/FINANCIAL-ASSISTANCE-PROGRAM/ PART V, SECTION B, LINE 16(J): PLEASE REFER TO PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN PART VI. PART V, SECTION B, LINE 20(E): THE HOSPITALS NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE INDIVIDUALS REGARDING THE INDIVIDUALS' BILLS.
B FACILITY REPORTING GROUP B USC VERDUGO HILLS HOSPITAL PART V, SECTION B, LINE 5: Two community focus groups held on Tuesday, April 5 and Thursday, April 7, 2016 were attended by 48 people including health care professionals, social service providers, city and public health officials, members from the local police department and other community leaders. Participants were invited by the Glendale Hospital Collaborative, leveraging its extensive networks and relationships within the greater Glendale area and the Glendale Healthier Community Coalition. These stakeholders represented a broad range of geographic, public health, and population interest in compliance with the ACA. The goal of this component of the CHNA was to identify broad health outcomes and drivers (which, combined are health needs), as well as assets and gaps in resources, through the perceptions and knowledge of varied and multiple stakeholders. The CHNA included the collection of over 300 data indicators that helped illustrate the health states of the community. Secondary data were collected from a wide range of local, county, state, and national sources to present demographics, mortality, morbidity, health behaviors, clinical care, social and economic factors, and physical environment. These categories are based on the Mobilizing Action Toward Community Health (MATCH) framework, which illustrates the interrelationships among the elements of health and their relationship to each other: social and economic factors, health behaviors, clinical care, physical, environmental, and health outcomes. COMMUNITY INPUT WAS OBTAINED FROM REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: GLENDALE FIRE DEPARTMENT YWCA OF GLENDALE FAMILY PROMISE OF THE VERDUGOS DIGNITY HEALTH GLENDALE MEMORIAL HOSPITAL GLENDALE ADVENTIST MEDICAL CENTER PLANNED PARENTHOOD, PASADENA & SAN GABRIEL VALLEY GLENDALE COMMUNITY COLLEGE COMMUNITY FOUNDATION OF THE VERDUGOS GLENDALE CHAMBER OF COMMERCE CITY OF GLENDALE ASCENSIA CALIFORNIA STATE UNIVERSITY, NORTHRIDGE DIDI HIRSCH MENTAL HEALTH SERVICES GLENDALE COMMUNITY FREE HEALTH CLINIC WELLNESS WORKS AMERICAN DIABETES ASSOCIATION PARTNERS IN CARE FOUNDATION HEALTHCARE MANAGEMENT SERVICES LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SPA 1&2 ARMENIAN RELIEF SOCIETY, SEPAN CHAPTER BLUE SHIELD OF CALIFORNIA GLENDALE COMMUNITY SERVICES AND PARKS LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH THE CAMPBELL CENTER AMERICAN CANCER SOCIETY BOY SCOUTS OF AMERICA VERDUGO HILLS COUNCIL AMERICAN RED CROSS GLENDALE CHAPTER GLENDALE NEWS PRESS ARMENIAN AMERICAN MEDICAL SOCIETY PARTNERS IN CARE FOUNDATION PACIFIC CLINICS HEALTH SERVICES ADVISORY GROUP DOOR OF HOPE GLENDALE POLICE DEPARTMENT CITY OF GLENDALE YMCA OF THE FOOTHILLS GLENDALE COMMUNITIES INITIATIVE GLENDALE HEALTHY KIDS USC VERDUGO HILLS HOSPITAL YMCA PART V, SECTION B, LINE 6(A): VERDUGO HILLS HOSPITAL COLLABORATED WITH Glendale Adventist Medical Center and Glendale Memorial Hospital and Health Center to work with the Center for Nonprofit Management consulting team in conducting the Community Health Needs Assessment. PART V, SECTION B, LINE 11: The significant health needs identified from the CHNA were prioritized by community stakeholders through a structured process using defined criteria. This Implementation Strategy focuses on the priority health needs that will be addressed by USC Verdugo Hills Hospital through its community benefit programs and activities. They are: - Access to care - Cancer - Diabetes - Mental health - Overweight/obesity The Implementation Strategy adopted by USC Verdugo Hills Hospital actively addresses health needs that were identified in the CHNA as priority health needs. USC Verdugo Hills Hospital plans to meet the identified priority health needs through a commitment of resources with specific programs and services. For each health need the hospital plans to address, the Implementation Strategy describes: actions the hospital intends to take, including programs and resources it plans to commit, planned collaboration between the hospital and community organizations, and anticipated impacts of these actions. In addition to the specific strategies for the selected priority health needs, USC Verdugo Hills Hospital will investigate the development of a community grants program to provide financial and in-kind support to community organizations addressing these needs. Other health needs were identified but are not specifically addressed in the Implementation Strategy. These include: cardiovascular disease, geriatric support,communicable/infectious diseases, dental care, homelessness/housing, poverty, preventive wellness, STDs, substance abuse, transportation, and violence/injury. While these issues are addressed on a day-to-day basis in the normal course of operations, the hospital has chosen not to focus this Implementation Plan on these other needs as it believes that it can have a greater impact on the priority health needs that were selected. These other health needs are less aligned with the Hospitals strategic initiatives. Additionally, while some of these needs are not being directly addressed, it should also be noted that health needs can influence one another. For example, reducing weight and improving nutrition and physical activity have been shown to positively influence cardiovascular disease. PART V, SECTION B, LINE 16(A)-(C): HTTPS://USCVHH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-INFORMATION PART V, SECTION B, LINE 16(J): PLEASE REFER TO PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN PART VI. PART V, SECTION B, LINE 20(E): THE HOSPITALS NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE INDIVIDUALS REGARDING THE INDIVIDUALS' BILLS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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?1
Name and address Type of Facility (describe)
1 USC ENGEMANN STUDENT HEALTH CENTER (UPC)
1031 WEST 34TH STREET
LOS ANGELES,CA900893261
OUTPATIENT CLINIC
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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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 3C: THE DISCOUNT AMOUNT IS BASED ON FAMILY INCOME COMPARED TO THE FEDERAL POVERTY LEVEL ("FPL") FOR THE CURRENT YEAR. PATIENTS WITH FAMILY INCOME UNDER 200% FPL WILL BE ELIGIBLE FOR FREE CARE FOR THE DATES OF SERVICES FOR WHICH AN APPLICATION IS COMPLETED. UNINSURED OR UNDER-INSURED PATIENTS WITH FAMILY INCOME BETWEEN 201% AND 350% FPL WILL BE ELIGIBLE FOR CARE AT A SLIDING SCALE DISCOUNT. UNINSURED PATIENTS WHOSE FAMILY INCOME EXCEEDS 350% OF THE FPL WILL RECEIVE THE COMPACT DISCOUNTED RATE. If it is determined that the family income is above 400% of the FPL, the hospitals may still consider the patient eligible for financial assistance and require the following information be provided: individual or family net worth, including assets, both liquid and non-liquid, liabilities and claims against assets; employment status will be considered in the context of whether the likelihood of future earnings will be sufficient to meet the cost of paying for healthcare services within a reasonable period of time; unusual expenses or liabilities; and additional information as required for special circumstances.
PART I, LINE 7: THE AMOUNTS REPORTED IN PART I, LINE 7 FOLLOW THE FORM 990, SCHEDULE H INSTRUCTIONS BY ADDRESSING ALL PATIENT SEGMENTS. THE TOTAL PERCENTAGE OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST ON LINE 7 WAS CALCULATED (USING A COST TO CHARGE RATIO) FOR FY18 ON A UNIVERSITY-WIDE BASIS AS REQUIRED PER THE FORM 990 INSTRUCTIONS. THE CALCULATION ON A HOSPITAL-ONLY BASIS WOULD RESULT IN A TOTAL PERCENTAGE OF 7.73%, CONSISTENT WITH PEER ORGANIZATIONS. PART II, LINE 8: ECONOMIC DEVELOPMENT: USC Verdugo Hills Hospital actively supported issues impacting community health and safety by partnering with the La Caada Flintridge Chamber of Commerce, Crescenta Valley Chamber of Commerce, the Glendale Chamber of Commerce,Sunland-Tujunga Chamber of Commerce, the Montrose Verdugo City Chamber of Commerce and the Glendale Kiwanis Club. COMMUNITY SUPPORT: USC Verdugo Hills Hospital collaborated with a number of community partners in support of community health organizations and the business community. Efforts included outreach and planning to support community efforts. Examples of organizational partnership meetings included the Glendale Healthy Community Coalition and Glendale Healthy Kids. COALITION BUILDING AND ADVOCACY: Hospital representatives serve on a number of local, regional, and state level organizations and committees that address health improvement and support professional health organizations. USC Verdugo Hills Hospital engaged in advocacy efforts that supported access to health care. WORKFORCE DEVELOPMENT: Keck Medicine of USC continued its efforts to engage students from local Los Angeles schools that typically enroll underserved students. 83 students from the Bravo Medical Magnet High School participated in a job shadowing and mentoring program. Each semester, three classes of students spend 7.5 hours a week working with staff in a variety of roles and departments. Established in 1970, USC's Med-COR Program, which stands for Medical Counseling Organizing and Recruiting, works with high school students of color to help prepare them for careers in the health professions. 18 students were provided structured academic enrichment in the areas of mathematics, science, and English, as well as academic counseling, SAT assistance, and summer internships at local hospitals. The program serves students from four local schools: Francisco Bravo Medical Magnet High School, King-Drew Medical Magnet High School, Orthopedic Hospital Medical Magnet High School, and Van Nuys High School. An internship experience engaged 12th grade Pasadena Unified School District students in a series of lectures about health care. The students heard from hospital staff and toured the hospital. They viewed a surgery and got to see the behind the scenes work of a number of departments, including the laboratory and pharmacy. Keck Medicine and Keck Hospital worked with AltaMed Health Services (a Federally Qualified Health Center) to co-sponsor AmeriCorps interns. The focus is to promote health career development in local schools and job training.
PART III, LINE 2: THE DETERMINATION OF CHARITY CARE GENERALLY SHOULD BE MADE AT THE TIME OF ADMISSION, OR SHORTLY THEREAFTER. HOWEVER, EVENTS AFTER DISCHARGE MAY CHANGE THE ABILITY OF THE PATIENT TO PAY. DESIGNATION AS CHARITY CARE WILL ONLY BE CONSIDERED AFTER ALL PAYMENT SOURCES HAVE BEEN EXHAUSTED. HOSPITAL CHARGES FOR PATIENT ACCOUNTS IDENTIFIED AS CHARITY CARE AT THE TIME OF ADMISSION OR SERVICE ARE NOT RECOGNIZED BY THE FACILITY AS NET REVENUES OR NET RECEIVABLES. IF PATIENT ACCOUNTS ARE IDENTIFIED AS CHARITY CARE SUBSEQUENT TO THE FACILITY RECOGNIZING THE CHARGES AS REVENUE, AN ADJUSTMENT IS REQUIRED TO CLASSIFY APPROPRIATELY THE REVENUE AND ANY BAD DEBT EXPENSE PREVIOUSLY RECORDED. PART III, LINE 4: NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, GOVERNMENT PROGRAMS AND OTHERS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED. THE MAJORITY OF THE HOSPITALS' SERVICES ARE RENDERED TO PATIENTS WITH COMMERCIAL OR MANAGED CARE INSURANCE, OR UNDER THE FEDERAL MEDICARE AND CALIFORNIA STATE MEDI-CAL PROGRAMS. REIMBURSEMENT FROM THESE VARIOUS PAYORS IS BASED ON A COMBINATION OF PROSPECTIVELY DETERMINED RATES, DISCOUNTS FROM CHARGES AND HISTORICAL COSTS. AMOUNTS RECEIVED UNDER THE MEDICARE PROGRAM ARE SUBJECT TO RETROACTIVE SETTLEMENTS BASED ON REVIEW AND FINAL DETERMINATION BY PROGRAM INTERMEDIARIES OR THEIR AGENTS. PROVISIONS FOR CONTRACTUAL ADJUSTMENTS AND RETROACTIVE SETTLEMENTS RELATED TO THOSE PAYERS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADDITIONAL INFORMATION BECOMES KNOWN OR AS FINAL SETTLEMENTS ARE DETERMINED. HEALTHCARE SERVICES REVENUES ALSO INCLUDE THE REVENUES ASSOCIATED WITH THE PROFESSIONAL SERVICES AGREEMENT WITH THE COUNTY OF LOS ANGELES. THE ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS. PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8: THE MEDICARE SHORTFALL OF ($90,845,356) REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITALS. ACCORDINGLY, THE HOSPITALS MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. THE COSTING METHODOLOGY USED TO CALCULATE MEDICARE ALLOWABLE COSTS OF CARE REPORTED ON PART III, LINE 6 WAS USING A COST-TO-CHARGE RATIO.
PART III, LINE 9B: AS PART OF THEIR MISSION, THE HOSPITALS PROVIDE SERVICES AND A BROAD ARRAY OF BENEFITS TO THE COMMUNITY. THE HOSPITALS' PATIENT ACCEPTANCE POLICY IS BASED ON THEIR MISSION STATEMENTS AND THEIR COMMUNITY SERVICES RESPONSIBILITIES. ACCORDINGLY, THE HOSPITALS ACCEPT PATIENTS IN IMMEDIATE NEED OF CARE, REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITALS DO NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE BASED ON ESTABLISHED POLICIES OF THE HOSPITALS. THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS DUE FOR ALL OR A PORTION OF THE PATIENT'S BILL. SEE ALSO SCHEDULE H, PART III, LINE 4. PART IV, LINE 1, COLUMN (A) NAME OF ENTITY: BEVERLY HILLS DOCTORS SURGERY CENTER LLC
PART VI, LINE 2: NEEDS ASSESSMENT: In 2016, Keck Hospital of USC conducted a Community Health Needs Assessment (CHNA) as required by state and federal law. California Senate Bill 697 and the Patient Protection and Affordable Care Act and IRS section 501(r)(3) direct tax exempt hospitals to conduct a CHNA and develop an Implementation Strategy every three years. This CHNA was carried out in partnership with USC Norris Cancer Hospital. THE CHNA INCORPORATED COMPONENTS OF PRIMARY DATA COLLECTION AND SECONDARY DATA ANALYSIS THAT FOCUS ON THE HEALTH AND SOCIAL NEEDS OF THE SERVICE AREA. SECONDARY DATA WERE COLLECTED FROM A VARIETY OF SOURCES. FIFTEEN TARGETED INTERVIEWS GATHERED INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR REGIONAL, STATE, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY." INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. In 2016, USC Verdugo Hills Hospital conducted a Community Health Needs Assessment (CHNA) as required by state and federal law. California Senate Bill 697 and the Patient Protection and Affordable Care Act and IRS section 501(r)(3) direct tax exempt hospitals to conduct a CHNA and develop an Implementation Strategy every three years. This Community Health Needs Assessment was carried out in partnership with Glendale Adventist Medical Center and Glendale Memorial Hospital and Health Center. The CHNA incorporated components of primary data collection and secondary data analysis that focus on the health and social needs of the service area. Secondary data were collected from a wide range of local, county, and state sources. Two focus groups were convened to obtain information and opinions from 48 persons who represented the broad interests of the community served by the hospital. Participants in the focus group included individuals who are leaders and representatives of medically underserved, low-income, minority, and chronic disease populations, or regional, state, or local health or other departments or agencies that have current data or other information relevant to the health needs of the community served by the hospital facility.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: USC HOSPITALS SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. THESE NOTICES WILL BE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT AREAS OF THE HOSPITALS. NOTICES SHALL ALSO BE POSTED IN THE ADMITTING AND FINANCIAL SERVICES DEPARTMENTS. EACH HOSPITAL SHALL PROVIDE PATIENTS WITH A WRITTEN DOCUMENT THAT CONTAINS INFORMATION ABOUT AVAILABILITY OF THE HOSPITALS' DISCOUNT PAYMENT AND CHARITY CARE POLICIES, INCLUDING INFORMATION ABOUT ELIGIBILITY, AS WELL AS CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PERSON MAY OBTAIN FURTHER INFORMATION ABOUT THESE POLICIES. THE NOTICE SHALL ALSO BE PROVIDED TO PATIENTS WHO RECEIVE OUTPATIENT CARE AND WHO MAY BE BILLED FOR THE CARE, BUT WHO WERE NOT ADMITTED. THE NOTICE SHALL BE PROVIDED IN ENGLISH, AND IN LANGUAGES OTHER THAN ENGLISH. THE LANGUAGES TO BE PROVIDED SHALL BE DETERMINED IN A MANNER SIMILAR TO THAT REQUIRED PURSUANT TO SECTION 12693.30 OF THE INSURANCE CODE (THRESHOLD LANGUAGES ARE SPANISH AND THOSE LANGUAGES SPOKEN BY 5% OF PATIENTS). DATA MAILERS SENT TO PATIENTS AS PART OF THE ROUTINE BILLING PROCESS WILL CONTAIN INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM. WRITTEN CORRESPONDENCE TO THE PATIENT REQUIRED BY THIS ARTICLE SHALL ALSO BE IN THE LANGUAGE SPOKEN BY THE PATIENT, CONSISTENT WITH SECTION 12693.30 OF THE INSURANCE CODE AND APPLICABLE STATE AND FEDERAL LAW. AT USC VERDUGO HILLS HOSPITAL, THE FAIR PRICING POLICY IS DESCRIBED TO PATIENTS AND FAMILIES UPON REGISTRATION. THE POLICY IS POSTED AND FORMS ARE MAILED TO PATIENTS AT TIME OF INITIAL BILLING. THE HOSPITALS ALSO ASSIST PATIENTS WITH UNDERSTANDING AND LINKING THEM TO MEDI-CAL.
PART VI, LINE 4: COMMUNITY INFORMATION: KECK HOSPITAL OF USC KECK HOSPITAL OF USC IS LOCATED EAST OF DOWNTOWN LOS ANGELES ON USC'S HEALTH SCIENCES CAMPUS. THE HOSPITAL DRAWS PRIMARILY ADULT PATIENTS REGIONALLY FROM SOUTHERN CALIFORNIA, WITH A PRIMARY SERVICE AREA OF LOS ANGELES COUNTY, CALIFORNIA. USC NORRIS CANCER HOSPITAL IS ALSO LOCATED EAST OF DOWNTOWN LOS ANGELES ON USC'S HEALTH SCIENCES CAMPUS. THE HOSPITAL TREATS ADULT CANCER PATIENTS. WHILE THE HOSPITAL DRAWS PATIENTS REGIONALLY, STATEWIDE AND INTERNATIONALLY, ITS PRIMARY SERVICE AREA IS LOS ANGELES COUNTY, CALIFORNIA. The population of L.A. County is 9,974,203. Children and youth (ages 0-17) make up 23.6% of the population; 40.2% are 18-44 years of age; 24.7% are 45-64; and 11.5% of the population are older adults, 65 years of age and older. The majority population race/ethnicity in the Los Angeles County is Hispanic or Latino (48.1%). Whites make up 27.2% of the population. Asians comprise 13.8% of the population, and African Americans are 8% of the population. Native Americans, Hawaiians, and other races combined total 2.8% of the population. In LA County, Spanish is spoken in 39.4% of the homes, 43.2% of the residents speak English only, and 10.8% speak an Asian language. Educational attainment is considered a key driver of health status, with low levels of education linked to poverty and poor health. In the county, 76.8% of the adult population, 25 years and older, have obtained a high school diploma or higher education. This is lower than the state rate of 81.5%. The rate of poverty in the county is 18.4%, which is higher than the state overall(16.4%). Poverty increases for the population at or below 200% of FPL as 40.9% of county residents are at 200% of FPL. In Los Angeles County, children suffer with higher rates of poverty than the general population. In the service area, 26% of children, under age 18 years, are living in poverty. Among families where there is a female head of household and children under 18 years old, 38.9% in the county live in poverty. USC VERDUGO HILLS HOSPITAL USC Verdugo Hills Hospital is located at 1812 Verdugo Boulevard, Glendale, California 91208. The hospital serves the communities of Altadena, Eagle Rock, Glendale, Highland Park, La Caada Flintridge, La Crescenta, Montrose, Pasadena, Sunland, Sylmar, Tujunga, and Verdugo City. The population of the service area is 555,265. Children and youth (ages 0-17) make up 20.8% of the population; 36.5% are 18-44 years of age; 27.9% are 45-64; and 14.8% of the population are older adults, 65 years of age and older. The racial/ethnic composition of the area is highly diverse and geographically concentrated. Over half of the population (54%) in the city of Glendale is foreign born, with large concentrations of Armenian and Mexican immigrants. Overall, 61% of households in the service area do not speak English at home: 44% of households in the Glendale ZIP codes reported speaking an Indo-European language at home, while 57% to 63% of households in Highland Park and Sylmar reported speaking Spanish at home. Educational attainment is considered a key driver of health status with low levels of education linked to poverty and poor health. In the service area, 84.5% of the adult population, 25 years and older, have obtained a high school diploma or higher education. This is higher than the state rate of 81.5%. The unemployment rate in the service area was 7.5%. however, in some locations, (Highland Park and areas of Glendale) (ZIP Codes 91204 and 91205), the unemployment rates were up to 9.5%. Overall, a lower percentage of families in the service area live below poverty (11%) than in the county overall(15%), and 8% of families with children live below poverty in the service area.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH GRANTS, CASH CONTRIBUTIONS AND SPONSORSHIPS TO COMMUNITY NONPROFIT ORGANIZATIONS AND CHARITY EVENTS WERE MADE TO: -DORR INSTITUTE FOR ARTHRITIS: OPERATION WALK -PROYECTO PASTORAL -USC NORRIS COMPREHENSIVE CANCER CENTER -ADDITIONAL SUPPORT AND IN-KIND DONATIONS TO COMMUNITY PARTNERS, INCLUDING CHARITY EVENTS AND EVENT SPONSORSHIPS. COMMUNITY HEALTH IMPROVEMENT SERVICES: KECK HOSPITAL OF USC Community Health Education Health education classes and events were made available to the public at no cost. Community health education targeted the community at large, populations with, or at risk of, chronic disease, and populations with health disparities. Examples of community health education activities included: - In partnership with the American Heart & Stroke Association, Keck Hospital sponsored a teaching garden at Hollenbeck Middle School and Lincoln High School for the purpose of teaching students about healthy eating, nutrition and health and general health promotion principles. -Keck Hospital of USC hosted education seminars and workshops on a variety of topics open to the public and provided health education informational materials. - Public health education in the media and community health awareness events to encourage healthy behaviors and prevent chronic and communicable diseases. - The community was served by a number of support groups, open to the public and offered free of charge, which included: -Bariatric Support Group -Caregiver Support Group -Deep Brain Stimulation Support Group -Mindfulness Support Group -Parkinson's Support Group -Pulmonary Hypertension Support Group -Stroke Support Group -Transplant Recipient and Caregiver Support -Ventricular Assist Device (VAD) Support Group - The hospital supported a weekly Farmers Market at Hazard Park in East Los Angeles. Profits from the market provided funding for fresh fruits and vegetables for the local community. Additionally, a weekly Farmer's Market was held on the campus of the Keck School of Medicine located in Boyle Heights, providing fresh fruits and vegetables to local families. - The 21st Proyecto Pastoral Women's Health Conference was held at the Dolores Mission in Boyle Heights. Keck Medicine of USC was a sponsor of this year's event. Over 400 women attended workshops and lectures that focused on health, wellness, and personal empowerment. Blood pressure screenings were provided to 200 attendees. - Sidewalk education events at LAC+USC and Union Station provided disease prevention education to 300 participants. - The 23rd Parkinson's Update educational symposium reached 350 persons with Parkinson's disease, their families and caregivers with disease-specific international. -The annual Carnival of Love on Skid Row provided services for 250 homeless Los Angeles residents. Keck Medicine of USC participated and distributed hygiene kits, sunscreen, health education materials, and blood pressure screening for 66 persons. -The hospital held a Stroke Seminar at the Downtown Women's Center serving women experiencing homelessness and formerly homeless women. 100 women learned about stroke risk factors and symptoms and received educational materials. Community Based Clinical Services - The Roxanna Todd Hodges Stroke Clinic offered screening events in the community that provided blood pressure screening for 82 persons. In addition to the screenings, health education was provided on stroke prevention. Community Based Clinical Services -The Roxana Todd Hodges Stroke Clinic offered screening events in the community that provided blood pressure screening for 82 persons. In addition to the screenings, health education was provided on stroke prevention. -Keck Medicine of USC supported the Health Pavilion at the 2018 Los Angeles Times Festival of Books, attracting tens of thousands of guests for a weekend of screenings and health-related activities. -LA Marathon - the hospitals and doctors of USC provided medical support and supplies for the runners in the LA Marathon. Health Care Support Services - Taxi vouchers were made available to patients and families for whom accessing transportation is a barrier to obtaining care. - Keck Medicine of USC provided access to an electronic health library available to the public on its website. The site provided information on health conditions, wellness, and prevention. Telemedicine -Keck Hospital of USC provided tele-stroke consultations to several California emergency departments. This enabled patients to access critical specialty services, regardless of their ability to pay. USC NORRIS CANCER HOSPITAL Community Health Education Health education classes and events were made available to the public at no cost. Community health education targeted the community at large, populations with, or at risk of, chronic disease, and populations with health disparities. Examples of community health education activities included: - USC Norris Cancer Hospital hosted education seminars and workshops on a variety of topics open to the public and provided health education informational materials. - Public health education in the media and community health awareness events to encourage healthy behaviors and prevent cancer. - The community was served by a number of support groups, open to the public and offered free of charge, which included: -Adolescent and Young Adult Cancer Support Group for Parents and Caregivers. -Bladder Cancer Support Group -Caregiver Support Group -Lung Cancer Support Group -Mindfulness Support Group -PROSTATE CANCER SUPPORT GROUP - Look Good Feel Better is an American Cancer Society-affiliated program open to all women with cancer who are undergoing chemotherapy, radiation, or other forms of treatment. - The hospital supported a weekly Farmers Market at Hazard Park in East Los Angeles. Profits from the market provided for fresh fruits and vegetables for local community. Additionally, a weekly Farmer's Market was held on the campus of the Keck School of Medicine located in Boyle Heights, providing fresh fruits and vegetables to local families. - The 21st Proyecto Pastoral Women's Health Conference was held at the Dolores Mission in Boyle Heights. Keck Medicine of USC was a sponsor of this year's event. Over 400 women attended workshops and lectures that focused on health, wellness, and personal empowerment. Blood pressure screenings were provided to 200 attendees. - Sidewalk education events at LAC+USC and Union Station provided disease prevention education to 300 participants. - The annual Carnival of Love on Skid Row provided services for 250 homeless Los Angeles residents. Keck Medicine of USC participated and distributed hygiene kits, sunscreen, health education materials, and blood pressure screening for 66 persons. - Over 160 persons with cancer engaged in yoga classes to increase relaxation and flexibility. - Cancer survivors shared their personal stories through their written work as pert of our Survivors author Series. Artist and author, Stewart Liff, spoke about his career as an award-winning visual management expert. As a Stage III COLORECTAL CANCER SURVIVOR, STEWART SHARED HIS COMPELLING PERSONAL STORY AND UNIQUE INSIGHTS INTO HOW WE CAN BEST ADAPT, PRESEVERE, AND MOVE FORWARD AFTER CANCER AND OTHER LIFE CHALLENGES BY FOSTERING CONNECTEDNESS AND BUILDING A PERSONAL TEAM OF CHAMPIONS. -We provided cancer survivors with opportunities to express their cancer journey through art. We welcome Jean Richardson, artist and cancer survivor. She shared her life journey and how art plays an important role in the survivorship. The survivor art series occurred three times in the year. Community Based Clinical Services - The Roxanna Todd Hodges Stroke Clinic offered screening events in the community that provided blood pressure screening for 82 persons. In addition to the screenings, health education information on stroke prevention was provided. -Keck Medicine of USC supported the Health Pavilion at the 2018 Los Angeles Times Festival of Books, attracting tens of thousands of guests for a weekend of screenings and health-related activities. - LA Marathon - the hospitals and doctors of USC provided medical support and supplies for the runners in the LA Marathon. Health Care Support Services - Taxi vouchers were made available to patients and families for whom accessing transportation is a barrier to obtaining care. - Keck Medicine of USC provided access to an electronic health library available to the public on its website. The site provided information on health conditions, wellness, and prevention. - CancerHelp is a computer-based cancer education program from the National Cancer Institute. This program is available to patients, staff and the public.
- The Patient Education and Community Outreach Center (PEOC) and Jennifer Diamond Cancer Resource Library is a state-of-the-art facility with print and electronic cancer education and resource materials devoted to patients, their families and community members seeking information on cancer. The center also provided outreach activities and conducted informational programs. USC VERDUGO HILLS HOSPITAL Community Health Education Health Education Seminars The hospital made health education sessions available to the public. Sessions addressed disease prevention and health and wellness, cancer prevention and treatment, art therapy, suicide prevention, heart health, weight loss, nutrition and wellbeing, men's health and women's health, meningitis, mental health, bone and joint health, brain health, stroke awareness and healthy aging. In FY18, health education seminars reached over 2,440 persons. Community CPR Classes available to the community included: hands-only CPR, infant CPR, CPR renewal and CPR instructor training; 520 persons were reached. BEGINNINGS Early Pregnancy Class As part of the hospital's Family Education Program, classes addressed pregnancy-related health topics including nutrition, common discomforts of pregnancy, relaxation techniques, and baby's development in the womb. CLASSES WERE OFFERED MONTHLY AND WERE OPEN TO THE PUBLIC; 24 persons participated. A decision to deliver at the hospital was not required to participate. NEW MOTHERS FORUM SUPPORT GROUP Weekly discussion groups were open to the public and helped new mothers ease through the adjustments of motherhood. The support group was facilitated by a family education program instructor; 266 individual encounters were provided. Breastfeeding Support Group and Workshops Support groups and workshops offered breast-feeding advice and support to new mothers. The support groups were facilitated by a lactation specialist. Open and free to the public, babies in arms were welcomed. A total of 617 encounters were provided. Community Support Groups Health and wellness support groups encompassing a variety of health and quality of life issues met regularly at the hospital. Health Fairs and Health Awareness Events The hospital participated in community events, provided first aid, and hosted educational booths, providing the public with information on risk prevention and disease management. USC Verdugo Hills Hospital hosted its annual Health and Wellbeing Fair and participated in the St. Dominic Church Health Ministry Health Fair, Glendale Educational Foundation Kids Fitness Challenge, JPL Safety Fair, Montrose Chamber of Commerce Oktoberfest, Golden Futures Senior Expo, La Canada Elementary Nutrition Week, Crescenta Valley Hometown Country Fair, and YMCA Fiesta Days Run. At these events, the hospital provided health education, resource information and referrals to health and community services. In addition, they provided stroke screenings for 60 persons, blood pressure screening for 240 persons, cholesterol and glucose screenings for 180 persons and vision screenings for 180 persons. Balance and speech screenings were also provided for 70 persons. Community Based Clinical Services La Caada Unified School District TB Tests USC Verdugo Hills Hospital administered free TB screenings to La Caada Unified School District (LCUSD) parent volunteers. This community program provided TB tests to 328 persons. Influenza Immunization Clinic USC Verdugo Hills Hospital offered free flu vaccines in the community; 200 vaccines were administered. Mammogram Screenings USC Verdugo Hills Hospital provided 24 low-cost mammogram screenings for women in La Caada Flintridge, Glendale, and Montrose. Health Care Support Services Transportation Services Transportation is a documented barrier to accessing health care services. The hospital paid for taxi vouchers, ambulance services, and van transportation for low-income patients and families who could not afford transportation to obtain needed health care services. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION SPONSORS NUMEROUS OUTREACH PROGRAMS THROUGHOUT THE LOCAL COMMUNITY, INCLUDING HEALTH FAIRS, FREE HEALTH SCREENINGS AND FLU SHOTS, EDUCATIONAL BOOTHS, AND SPEAKER SERIES THAT ARE FREE AND OPEN TO THE PUBLIC. IN ADDITION, THE PHYSICIAN FACULTY OF THE KECK SCHOOL OF MEDICINE PROVIDE HEALTH CARE SERVICES TO INDIGENT PATIENTS OF THE COUNTY OF LOS ANGELES THROUGH A CONTRACTUAL RELATIONSHIP WITH THE COUNTY. THESE PATIENTS ARE OFFERED ACCESS TO A WIDE VARIETY OF TREATMENTS THROUGH CLINICAL TRIALS THAT THEY NORMALLY WOULD NOT HAVE ACCESS TO ABSENT THE RELATIONSHIP BETWEEN THE COUNTY AND USC.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT FOR EACH HOSPITAL IS FILED IN CALIFORNIA.
Schedule H (Form 990) 2017
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