Disproportionate Share Hospital Program Final Eligibility List SFY 2016-17

Medicaid Utilization Rate Cut-Off 47.2 Mean of Medicaid Utilization Rate 27.6763 Standard Deviation of Medicaid Utilization Rate 19.5527

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Adventist Health Medical Center-Tehachapi Valley 106150808 20.9 39.5 39 Adventist Medical Center Reedley 106100797 81.8 67.8 67 Adventist Medical Center-Hanford 106164029 36.2 42.4 42 AHMC Anaheim Regional Medical Center 106301098 33.2 29.6 29 Alameda Hospital 106010735 12.0 45.6 45 Alhambra Hospital Medical Center 106190017 23.3 31.4 31 Anaheim Global Medical Center 106301188 51.4 54.9 54 106190034 40.9 41.8 41 Arrowhead Regional Medical Center 106364231 68.5 83.7 83 Aurora Vista Del Mar Hospital 106560203 15.7 39.4 39 Bear Valley Community Hospital 106361110 9.5 31.0 31 Beverly Hospital 106190081 37.1 56.8 56 Butte County Mental Health Services 106044006 55.9 100.0 100 California Hospital Medical Center 106190125 80.5 70.2 70 California Pacific Medical Center-St. Luke's Campus 106380964 34.2 36.2 36 Centinela Hospital Medical Center 106190148 37.6 27.6 27 Chapman Global Medical Center 106301140 14.9 28.2 28 Children's Hospital & Research Center Oakland 106010776 69.0 50.5 50 Children's Hospital Central California 106204019 85.2 61.0 61 Children's Hospital Los Angeles 106190170 71.3 62.5 62 Children's Hospital Of Orange County 106300032 63.5 39.8 39 Citrus Valley Medical Center 106190636 42.2 27.2 27 Coalinga Regional Medical Center 106100697 16.9 61.0 61 Coast Plaza Hospital 106190766 33.2 31.2 31 College Hospital Costa Mesa 106301155 92.7 87.9 87 College Medical Center 106190587 66.3 59.1 59 Colorado River Medical Center 106361458 31.1 42.1 42 Community Hospital of Huntington Park 106190197 44.8 44.8 44 Community Hospital of San Bernardino 106361323 69.0 71.3 71 Community Regional Med Center-Fresno 106100717 57.0 37.6 37 Contra Costa Regional Medical Center 106070924 73.0 89.5 89 Delano Regional Medical Center 106150706 53.9 51.5 51 Desert Valley Hospital 106364144 33.5 34.7 34 Doctors Medical Center 106500852 44.6 30.2 30 Earl & Loraine Miller Children's Hospital 106196168 66.5 56.7 56 East Los Angeles Doctor's Hospital 106190256 58.6 59.3 59 Eastern Plumas Hospital-Portola Campus 106320859 14.3 33.1 33 El Centro Regional Medical Center 106130699 31.9 42.4 42 Emanuel Medical Center 106500867 33.9 30.6 30 Feather River Hospital 106040875 27.5 27.4 27

Page 1 of 4 Disproportionate Share Hospital Program Final Eligibility List SFY 2016-17

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Fountain Valley Regional Hospital & Medical Center 106301175 43.0 48.5 48 Garden Grove Hospital and Medical Center 106301283 49.5 26.5 26 Garfield Medical Center 106190315 31.8 27.9 27 Gateways Hospital And Mental Health Center 106190317 20.7 100.0 100 George L. Mee Memorial Hospital 106270777 17.0 48.4 48 Glendale Memorial Hospital & Health Center 106190522 40.4 25.6 25 Good Samaritan Hospital-Bakersfield 106150775 31.8 32.9 32 Greater El Monte Community Hospital 106190352 58.1 58.8 58 Hazel Hawkins Memorial Hospital 106350784 33.2 42.0 42 Healdsburg District Hospital 106490964 16.4 25.6 25 Healthbridge Children's Hospital-Orange 106304159 16.5 63.6 63 Hemet Valley Medical Center 106331194 28.5 52.9 52 Hi-Desert Medical Center 106362041 35.7 46.8 46 Highland Hospital 106010846 60.6 93.6 93 Hollywood Presbyterian Medical Center 106190382 50.2 48.3 48 John F. Kennedy Memorial Hospital 106331216 53.6 29.5 29 Kaweah Delta Medical Center 106540734 39.6 37.8 37 Kedren Community Mental Health Center 106190150 19.0 53.8 53 Kern Medical Center 106150736 80.8 89.5 89 Kern Valley Healthcare District 106150737 12.0 47.3 47 La Casa Psychiatric Health Facility 106194981 74.8 100.0 100 LAC/Harbor-UCLA Medical Center 106191227 60.2 98.7 98 LAC/Olive View-UCLA Medical Center 106191231 71.2 94.6 94 LAC/Rancho Los Amigos National Rehabilitation Center 106191306 69.1 100.0 100 LAC+USC Medical Center 106191228 72.4 92.6 92 Laguna Honda Hospital 106380865 14.3 89.5 89 Loma Linda University Behavioral Medicine Center 106364014 34.4 29.5 29 Loma Linda University Children's Hospital 106364502 88.3 44.5 44 Loma Linda University Medical Center 106361246 22.9 26.3 26 Lompoc Valley Medical Center 106420491 25.6 41.2 41 Los Angeles Community Hospital 106190198 51.8 51.0 51 Mad River Community Hospital 106121002 41.6 30.5 30 Madera Community Hospital 106201281 49.9 49.0 49 Memorial Hospital Los Banos 106240924 61.5 28.5 28 Memorial Hospital of Gardena 106190521 47.7 52.6 52 Mercy Medical Center-Merced 106240942 32.3 25.7 25 Methodist Hospital of Sacramento 106340951 45.9 38.7 38 Mission Community Hospital-Panorama Campus 106190524 50.7 19.9 19 Modoc Medical Center 106250956 6.3 58.9 58 Montclair Hospital Medical Center 106361166 49.8 36.5 36 Monterey Park Hospital 106190547 62.0 57.6 57 Mountains Community Hospital 106361266 24.4 42.3 42 106274043 72.6 53.3 53 Northern Inyo Hospital 106141273 31.2 26.1 26

Page 2 of 4 Disproportionate Share Hospital Program Final Eligibility List SFY 2016-17

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Oak Valley Hospital District 106500967 19.9 43.0 43 Ojai Valley Community Hospital 106560501 7.8 32.5 32 Orange County Global Medical Center 106301566 54.9 44.5 44 Orchard Hospital 106040802 21.4 30.0 30 Oroville Hospital 106040937 35.1 29.3 29 Pacific Alliance Medical Center 106190307 64.1 79.6 79 Pacifica Hospital Of The Valley 106190696 66.5 79.4 79 Palo Verde Hospital 106331288 34.7 38.9 38 Paradise Valley Hospital 106370759 30.9 37.2 37 Parkview Community Hospital Medical Center 106331293 42.9 30.1 30 Pioneers Memorial Healthcare District 106130760 48.8 35.0 35 Pomona Valley Hospital Medical Center 106190630 62.1 26.6 26 Providence Holy Cross Medical Center 106190385 32.1 25.4 25 Providence Little Company of Mary Medical Center-San Pedro 106190680 19.2 27.4 27 Rady Children's Hospital-San Diego 106370673 55.1 39.2 39 Redwood Memorial Hospital 106121051 32.9 26.1 26 Resnick Neuropsychiatric Hospital at UCLA 106190930 8.0 35.8 35 Riverside University Health System-Medical Center 106334487 52.9 75.7 75 Ronald Reagan UCLA Medical Center 106190796 23.9 15.6 15 San Francisco General Hospital Medical Center 106380939 62.3 70.7 70 San Gorgonio Memorial Hospital 106331326 26.1 39.1 39 San Joaquin General Hospital 106391010 64.2 54.4 54 San Leandro Hospital 106013619 26.3 26.0 26 San Mateo Medical Center 106410782 63.6 92.4 92 Santa Clara Valley Medical Center 106430883 65.3 69.0 69 Santa Monica-UCLA Medical Center 106190687 16.1 20.3 20 106370744 37.9 33.2 33 Sempervirens Psychiatric Health Facility 106124004 25.7 60.0 60 Sharp Chula Vista Medical Center 106370875 33.4 28.2 28 Sharp Grossmont Hospital 106370714 38.4 25.4 25 Sierra View Medical Center 106540798 45.1 38.7 38 Sierra Vista Hospital 106342392 15.8 45.9 45 South Coast Global Medical Center 106301258 50.9 73.6 73 Southern California Hospital at Hollywood 106190380 42.8 35.5 35 Southern Inyo Hospital 106141338 8.4 45.0 45 St. Bernardine Medical Center 106361339 38.9 25.2 25 St. Francis Medical Center 106190754 72.0 62.4 62 St. Helena Hospital 106281078 35.7 32.2 32 St. Helena Hospital Center For Behavioral Health 106481015 18.2 34.4 34 St. Helena Hospital-Clearlake 106171049 32.5 41.8 41 St. Mary Medical Center-Long Beach 106190053 54.3 42.1 42 St. Rose Hospital 106010967 37.3 28.7 28 Star View Adolescent Center 106194967 77.9 100.0 100 Sutter Delta Medical Center 106070934 37.2 25.1 25

Page 3 of 4 Disproportionate Share Hospital Program Final Eligibility List SFY 2016-17

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Sutter Santa Rosa Regional Hospital 106494106 43.0 26.4 26 Sutter Solano Medical Center 106481094 38.9 27.9 27 Sutter-Yuba Psychiatric Health Facility 106514001 63.4 69.3 69 Telecare El Dorado County Psychiatric Health Facility 106094002 73.1 99.5 99 Telecare Placer County Psychiatric Health Facility 106314029 63.2 100.0 100 Telecare Riverside County Psychiatric Health Facility 106334457 26.6 63.6 63 Telecare Willow Rock Center 106014226 59.0 57.1 57 Tulare Regional Medical Center 106540816 51.6 57.0 57 UC Davis Medical Center 106341006 35.1 31.5 31 UC Irvine Medical Center 106301279 47.3 33.0 33 UC San Diego Medical Center 106370782 35.3 26.5 26 UC San Francisco Medical Center 106381154 30.4 14.8 14 Ukiah Valley Medical Center 106231396 42.4 31.5 31 Valley Presbyterian Hospital 106190812 63.2 54.6 54 Ventura County Medical Center 106560481 55.6 65.2 65 Victor Valley Global Medical Center 106361370 43.5 70.9 70 Watsonville Community Hospital 106444013 63.5 31.7 31 West Covina Medical Center 106190857 1.5 37.9 37 White Memorial Medical Center 106190878 57.6 43.2 43 Whittier Hospital Medical Center 106190883 40.4 34.9 34

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