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The following response pertains to all Hospital Facilities: Community input was provided by a broad range of community members using key informant interviews, group interviews, focus groups, community events and listening sessions. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from county public health departments, school districts, local non-profits, regional public and private organizations as well as leaders, representatives, or members who reside and/or provide services in an under-resourced or medically underserved, low-income, and minority communities. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6a: KFH Anaheim & KFH Irvine: Hoag Memorial Hospital, St. Jude Medical Center, St. Joseph Medical Center, Mission Hospital, CHOC Children's Hospital KFH Antioch: John Muir Health, Sutter Health Bay Area KFH Downey: PIH Health Hospitals, St. Francis Medical Center KFH Fremont: Eden Medical Center, KFH San Leandro, St. Rose Hospital, UCSF Benioff Children's Hospital Oakland, Washington Hospital Healthcare System KFH Fontana: KFH Ontario KFH Fresno: Adventist Health Hanford, Adventist Health Reedley, Adventist Health Selma, Clovis Community Medical Center, Community Regional Medical, Fresno Heart and Surgery, Kaweah Delta Health Care District, Madera Community Hospital, San Joaquin Valley Rehabilitation Hospital, Sierra View Medical Center, Saint Agnes Community Medical Center, Valley Children's Healthcare KFH Honolulu: Adventist Health Castle, Kahi Mohala, Kahuku Medical Center, Kapiolani Medical Center for Women & Children, Kuakini Medical Center, Pali Momi Medical Center, The Queen's Medical Center, The Queen's Medical Center West Oahu, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children Honolulu, Straub Medical Center, Wahiawa General Hospital KFH Los Angeles: KFH West Los Angeles KFH Manteca: Adventist Health Lodi Memorial, Dameron Hospital, Dignity Health St. Joseph's Medical Center, Sutter Health KFH Moreno Valley: KFH Riverside KFH Oakland: Alta Bates Summit Medical Center, John Muir Health, UCSF Benioff Children's Hospital Oakland KFH Ontario: KFH Fontana KFH Panorama City: Dignity Health Northridge Hospital Medical Center, Providence Holy Cross Medical Center, Providence St. Joseph Medical Center KFH Redwood City: Dignity Health Sequoia Hospital, KFH South San Francisco, Lucile Packard Children's Hospital Stanford, Seton Medical Center and Seton Coastside, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills-Peninsula Medical Center KFH Richmond: John Muir Health KFH Riverside: KFH Moreno Valley KFH Sacramento: Dignity Health, Sutter Health, University of California - Davis Medical Center KFH San Diego (Clairemont) & KFH San Diego (Zion): Palomar Health, Rady Children's Hospital San Diego, Scripps Health, Sharp HealthCare, Tri-City Medical Center, University of California - San Diego Health KFH San Francisco: Chinese Hospital, Dignity Health Saint Francis Memorial Hospital, Dignity Health St. Mary's Medical Center, Sutter Health - California Pacific Medical Center, University of California - San Francisco Medical Center KFH San Jose: El Camino Hospital, KFH Santa Clara, Lucile Packard Children's Hospital Stanford, O'Connor Hospital-Verity, Stanford Health Care, Saint Louise Regional Hospital-Verity KFH San Leandro: Eden Medical Center, KFH Fremont, St. Rose Hospital, UCSF Benioff Children's Hospital Oakland, Washington Hospital Healthcare System KFH San Rafael: Marin General Hospital, Sutter Health Novato Community Hospital KFH Santa Clara: El Camino Hospital, KFH San Jose, Lucile Packard Children's Hospital Stanford, O'Connor Hospital-Verity, Stanford Health Care, Saint Louise Regional Hospital-Verity KFH Santa Rosa: St. Joseph Health, Santa Rosa Memorial Hospital, Sutter Health Santa Rosa Regional Hospital KFH South Bay: Providence Little Company of Mary Medical Center, Torrance Memorial Medical Center KFH South Sacramento: Dignity Health, Sutter Health, University of California, Davis Medical Center KFH South San Francisco: Dignity Health Sequoia Hospital, Lucile Packard Children's Hospital Stanford, Seton Medical Center and Seton Coastside, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills Peninsula Medical Center, KFH Redwood City KFH Sunnyside & KFH Westside: Adventist Medical Center, Legacy Health System, Oregon Health & Science University, PeaceHealth Southwest Medical Center, Providence Health, Tuality Community Hospital KFH Vacaville: NorthBay Healthcare, Sutter Health KFH Vallejo: Sutter Health KFH Walnut Creek: John Muir Health, San Ramon Regional Medical Center, Stanford Health Care-ValleyCare KFH West Los Angeles: Cedars Sinai, Providence Saint John's Health Center, UCLA Health, KFH Los Angeles KFH Woodland Hills: Valley Care Community Consortium, Ventura County Public Health KULA HOSPITAL, LANAI COMMUNITY HOSPITAL & MAUI MEMORIAL MEDICAL CENTER: MOLOKAI GENERAL HOSPITAL (QUEEN'S) MOLOKAI GENERAL HOSPITAL (QUEEN'S)
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Line 6b:
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KFH Antioch: Contra Costa County Health Services, Contra Costa County Employment & Human Services KFH Baldwin Park: San Gabriel Valley Consortium on Homelessness, San Gabriel Valley Mental Health Consortium, National Alliance on Mental Illness KFH Downey: Interfaith Food Center, Santa Fe Springs, Kaiser Permanente Watts Counseling and Learning Center, Compton Youth Build, Los Angeles County Service Area 7 Health Action Lab Coalitions KFH Fontana & KFH Ontario: Oral Health Action Coalition-Inland Empire, Hospital Association of Southern California Homeless Systems Assessment of Care, San Bernardino County Homeless Partnership, Office of Homeless Services, the High Desert Food Collaborative, Kaiser Permanente San Bernardino County Area Community Mental and Behavioral Health Convening KFH Fremont: Alameda County Health Care Services, Alameda County Public Health Department, Community Health Center Network, Alameda County Behavioral Health Care Services, First 5 Alameda County KFH Fresno: United Health Centers, Cal Viva Health Net, Fresno County Public Health KFH Los Angeles: A Place Called Home, Asian Pacific AIDS Intervention Team, Bienestar, Bravo Medical Magnet High School, Brotherhood Crusade, California Community Foundation, CHIRLA, Esperanza Community Housing Corporation, Foothill Family Services, Heart of Los Angeles, Hollywood Community Housing Corporation, Hollywood DMH, JWCH Institute, LA Care, LA Conservation Corps Sheila Kuehl, LA Promise Fund, Los Angeles Christian Health Services, Los Angeles Neighborhood Legal Services, LURN, Mayor's Office of Resident Engagement, Mi Centro Latino Equality Alliance, My Friends Place, Pasadena Black Infant Health Program, Pasadena Public Health Department, Pasadena Public Health Department, Tobacco Control, Pasadena Unified School District, PATH, RootDownLA, South Central Family Health Services, SPA 4 Health Office, St. Barnabas, St. Francis Center, STEM Academy, StepUp on 2nd, TEACH Public Schools, The Center at Blessed Sacrament, The Los Angeles LGBT Center, To Help Everyone Health and Wellness Centers, TransLatin Coalition, Youth Policy Institute KFH Manteca: First 5 San Joaquin, Health Net, Health Plan of San Joaquin, Community Medical Centers, San Joaquin County Public Health Services KFH Modesto: Stanislaus County Health Services Agency, Stanislaus County Behavioral Health Services, Stanislaus County Office of Education, First 5 Stanislaus County KFH Moreno Valley: Clinicas de Salud del Pueblo, Riverside Community Health Foundation, University of California - Riverside School of Medicine KFH Oakland: Alameda County Health Care Services, Alameda County Public Health Department, Alameda County Behavioral Health Services, First 5 Alameda County KFH Redwood City: San Mateo County Health Department, County of San Mateo Human Services Agency, Peninsula Health Care District KFH Richmond: Contra Costa County Health Care Services, West Contra Costa Unified School District, Community Clinic Consortium of Contra Costa and Solano Counties, Richmond Office of Neighborhood Safety KFH Riverside: Borrego Health, Riverside Community Health Foundation, University of California - Riverside School of Medicine KFH Sacramento: Sacramento County Department of Public Health, Yolo County Department of Health and Human Services KFH San Francisco: African American Community Health Equity Council, APA Family Support Services, Asian Pacific Islander Health Parity Coalition, Chicano Latino Indigena Health Equity Coalition, Bayview Hunter's Point Foundation for Community Improvement, Instituto Familiar de la Raza, Rafiki Wellness, Metta Fund, San Francisco Community Clinic Consortium, San Francisco Human Services Network, San Francisco Interfaith Council, San Francisco Department of Public Health, San Francisco Mayor's Office, San Francisco Unified School District, University of California - San Francisco KFH San Jose: Santa Clara County Community Benefit Coalition, Hospital Council of Northern & Central California, Santa Clara County Public Health Department KFH San Leandro: Alameda County Health Care Services, Alameda County Public Health Department, Community Health Center Network, Alameda County Behavioral Health Care Services, First 5 Alameda County KFH San Rafael: Marin County Health and Human Services, Hospital Council of Northern and Central California, Northbay Leadership Council, Marin County Office of Education, Marin Community Foundation, San Rafael Chamber of Commerce KFH Santa Clara: Santa Clara County Community Benefit Coalition, Hospital Council of Northern & Central California, Santa Clara County Public Health Department KFH Santa Rosa: Sonoma County Department of Health Services KFH South Bay: Boys and Girls Clubs LA Harbor, Boys and Girls Clubs of Metro Los Angeles, Boys and Girls Clubs of the South Bay, Compton Youthbuild, Kaiser Permanente Watts Counseling and Learning Center, Positive Results Corporation, Save Black Boys, ShareFest Community Development Inc., South Bay Coalition to End Homelessness KFH South Sacramento: Sacramento County Public Health Department KFH South San Francisco: Hospital Consortium of San Mateo County, County of San Mateo Human Services Agency, Peninsula Health Care District, Stanford Health Care KFH Sunnyside & KFH Westside: Health Share of Oregon, Clackamas County Public Health Division, Clark County Public Health Department, Multnomah County Health Department, Washington County Public Health Division, Community Action, Immigrant & Refugee Community Organization, Oregon Community Health Workers Association, Oregon Health Equity Alliance 8, Our House of Portland KFH Vacaville: Solano County Health and Social Services, Community Health Insights KFH Vallejo: Napa County Health and Human Services, Solano County Health and Social Services, Community Health Insights KFH Walnut Creek: Contra Costa County Health Services Department, Contra Costa County Employment & Human Services
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Line 11 Part 1: significant needs identified in
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Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. Health Need: Access to care The following response pertains to all Hospital Facilities: - Charitable health coverage: Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - Medical financial assistance: Provide financial assistance to low-income individuals who receive care at KAISER FOUNDATION HOSPITALS facilities and cannot afford medical expenses. - Medicaid: Provide high-quality medical care to Medicaid participants who would otherwise struggle to access care. - Support screening for social and non-medical service needs and connect low-income individuals and families to community and government resources. - Increase access to health care coverage and care for underserved communities through targeted outreach, enrollment, and retention strategies. Health Need: Mental and behavioral health The following response pertains to these hospital facilities: Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Panorama City, Ontario, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills - Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - Provide workforce pipeline and training programs to ensure a culturally competent mental health workforce with the skills to meet the needs of diverse communities. - Support and participate in school-based programs to build student and staff capacity to address trauma and adverse childhood experiences. - Implement a multi-media campaign to reduce stigma towards mental health conditions. Health Need: Economic Security The following response pertains to these hospital facilities: Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Honolulu, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Panorama City, Ontario, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Leandro, San Rafael, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills - Improve food security, including support of outreach and enrollment campaigns to increase eligible community members' enrollment in the Supplemental Nutrition Assistance Program. - Increase access to permanent supportive housing, and support programs and services for those experiencing homelessness. - Support long-term economic vitality of communities through purchasing, hiring and workforce development, small business development, impact investing, and improvements in the built environment. - Support programs helping vulnerable youth access resources needed to graduate from high school and prepare for college. Health Need: Obesity / HEAL / Diabetes The following response pertains to these hospital facilities: Fresno, Manteca, Modesto, Moreno Valley, Honolulu, Panorama City, Redwood City, Riverside, Roseville, San Francisco, San Jose, Santa Clara, South San Francisco, Woodland Hills - Support community-driven efforts to increase access to healthy food and physical activity, including community gardens, farmers markets, parks, and safe play areas for children. - Support high-need schools with the adoption and implementation of healthy eating active living policies and practices. - Provide opportunities for increasing awareness of prevention and management of chronic disease, including cardiovascular health, diabetes, and obesity. - Support action-oriented research into healthy eating and active living, including the connections between food insecurity and health and active transportation gaps. Health Need: Community and family safety The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, Sacramento, South Sacramento, Vacaville, Vallejo - Support community efforts to reduce violence, including firearm prevention. - Increase access to parks and public spaces and beautification of neighborhood outdoor spaces serving low income and vulnerable populations. - Support domestic violence and child abuse prevention and provide community trauma education. Health Need: Housing/homelessness The following response pertains to these hospital facilities: San Francisco, San Jose, Santa Clara, Santa Rosa - Strengthen local homeless system of care through the Housing and Health Initiative. - Support availability of permanent supportive housing. - Support long-term housing for transitional-aged foster youth. Health Need: Social determinants/ Racism/ Racial equity The following response pertains to these hospital facilities: South Bay, West Los Angeles - Incorporate an equity lens throughout planning, implementation, and execution of implementation strategies. - Contribute to statewide policy conversations focused on mental health promotion and early childhood development. Health Need: Education and literacy The following response pertains to these hospital facilities: San Rafael, Santa Rosa - Support programs that enrich mathematics instruction and improve 3rd grade reading. - Support tutoring and mentoring programs for academic success. Health Need: HIV/AIDS/STDs The following response pertains to this hospital facility: Los Angeles - Support programs that improve referral of patients to evidence-based health promotion programs. - Build capacity for organizations to expand their offering of evidence-based programs addressing STI/HIV prevention and management.
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Line 11 Part 2: needs identified but not currently addressed in
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Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. Health Need: Climate and health/ Environment The following response pertains to these hospital facilities: Antioch, Fremont, Fresno, Kula Hospital, Lanai Community Hospital, Manteca, Maui Memorial Medical Center, Modesto, Honolulu, Oakland, Redwood City, Sacramento, San Jose, San Leandro, Santa Clara, South Sacramento, South San Francisco, Walnut Creek - Less feasibility to make an impact on this need. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less ability to leverage community assets to address this need. Health Need: Community and family safety/ Violence and injury prevention The following response pertains to these hospital facilities: Antioch, Fremont, Fresno, Manteca, Modesto, Oakland, Richmond, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, Walnut Creek - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Aspects of this need will be addressed in strategies for other needs. - Lack of feasible evidence-based or promising practices to address this need. - Less feasibility to make an impact on this need. Health Need: Obesity/ HEAL/ Diabetes The following response pertains to these hospital facilities: Antioch, Fontana, Fremont, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Ontario, Richmond, San Diego, San Leandro, San Rafael, Santa Rosa, South Sacramento, Vacaville, Vallejo, Walnut Creek - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Significant KAISER FOUNDATION HOSPITALS investments already have been made to address this need. Health Need: Education and literacy The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, Richmond, San Leandro, South Bay, Vacaville, Vallejo, Walnut Creek, Woodland Hills - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less feasibility to make an impact on this need. Health Need: Housing/ homelessness The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, Richmond, San Leandro, San Rafael, South Bay, South San Francisco, Vacaville, Vallejo, Walnut Creek - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less feasibility to make an impact on this need. Health Need: Transportation and traffic The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, San Jose, San Leandro, Walnut Creek - This need is incorporated into other needs selected. Health Need: Asthma The following response pertains to these hospital facilities: Fontana , Fresno, Manteca, Modesto, Moreno Valley, Ontario, Riverside, San Jose, Santa Clara - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less ability to leverage community assets to address this need. - Severity of this need is relatively low. Health Need: Cancer The following response pertains to these hospital facilities: Modesto, Moreno Valley, Redwood City, Riverside, San Jose, Santa Clara, South San Francisco - This need is incorporated into other needs selected. Severity of this need is relatively low. - Sufficient community resources exist to address this need. Health Need: Maternal and child health The following response pertains to these hospital facilities: Fontana, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Panorama City, Ontario, Roseville, San Rafael, Santa Rosa, South Sacramento, Vacaville, Vallejo - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Substance use/ tobacco The following response pertains to these hospital facilities: Fontana, Fresno, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Kula Hospital, Lanai Community Hospital, Manteca, Maui Memorial Medical Center, Modesto, Ontario, San Diego - This need is incorporated into other needs selected. Health Need: HIV/ AIDS/ STDs The following response pertains to these hospital facilities: Moreno Valley, Panorama City, Riverside, San Francisco - Severity of this need is relatively low. - Sufficient community resources exist to address this need. Health Need: Economic security The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, San Jose, Santa Clara, Santa Rosa - Aspects of this need will be addressed in strategies for other needs. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less feasibility to make an impact on this need. Health Need: Oral health The following response pertains to these hospital facilities: Fresno, Manteca, Modesto, Redwood City, San Rafael, South San Francisco - Aspects of this need will be addressed in strategies for other needs. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Chronic disease/ CVD/ stroke The following response pertains to these hospital facilities: Anaheim, Irvine, Panorama City, Santa Rosa, Woodland Hills - This need is incorporated into other needs selected. Health Need: Mental/behavioral health The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, Honolulu - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Suicide The following response pertains to these hospital facilities: Anaheim, Irvine - This need is incorporated into other needs selected. Health Need: SDOH/ Structural racism and exclusion/ Racial equity The following response pertains to these hospital facilities: Los Angeles, San Rafael - This need is incorporated into other needs selected.
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Line 13a:
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The following response pertains to all hospital facilities located in California and Hawaii: THE HOSPITAL PROVIDES FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. The following response pertains to hospital facilities: Sunnyside Medical Center and Westside Medical Center: THE HOSPITALS PROVIDE FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME LESS THAN OR EQUAL TO 300% OF THE FEDERAL POVERTY GUIDELINES (FPG). ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% AND LESS THAN OR EQUAL TO 400% OF THE FPG RECEIVE DISCOUNTED CARE ON THE PATIENT COST FOR ELIGIBLE SERVICES AS FOLLOW: - ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% AND LESS THAN OR EQUAL TO 350% OF THE FPG RECEIVE A 50% DISCOUNT) - ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 350% AND LESS THAN OR EQUAL TO 400% OF THE FPG RECEIVE A 25% DISCOUNT. - DISCOUNTS ON ELIGIBLE SERVICES ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED.
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Line 13h:
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The following response pertains to all hospital facilities located in California, Hawaii (excluding Maui) and Oregon: A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. The following response pertains to hospital facilities located in California only: KAISER FOUNDATION HEALTH PLAN, INC. (KFHP) MEMBERS WHO HAVE A DEDUCTIBLE MUST HAVE INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. The following response pertains to these hospital facilities: Maui Memorial Medical Center, Kula Hospital, and Lanai Community Hospital: A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 15% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. Line 20a: The hospitals in facility reporting group B do not perform extraordinary collection actions.
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