Huntington Hospital Healthcare Impact Report
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Effect of the Affiliation Agreement between Huntington Hospital and Cedars-Sinai Health System on the Availability and Accessibility of Healthcare Services to the Communities Served by Huntington Hospital Prepared for the Office of the California Attorney General September 28, 2020 Table of Contents Introduction & Purpose ........................................................................................................................3 Background Description of the Transaction ...........................................................................................4 The Hospital ...................................................................................................................................................................... 4 The Trust ........................................................................................................................................................................... 6 History of Huntington Hospital ......................................................................................................................................... 7 Reasons for the Transaction ............................................................................................................................................. 7 Timeline of the Transaction .............................................................................................................................................. 9 Summary of the Affiliation Agreement........................................................................................................................... 10 Use of Net Sale Proceeds ................................................................................................................................................ 16 Profile of Purchaser ............................................................................................................................ 17 Overview ......................................................................................................................................................................... 17 Statement of Operations ................................................................................................................................................ 20 Key Statistics ................................................................................................................................................................... 21 Hospital Compare ........................................................................................................................................................... 23 Leapfrog Hospital Safety Grade ...................................................................................................................................... 24 Profile of Huntington Hospital ............................................................................................................. 26 Overview of the Hospital ................................................................................................................................................ 26 Key Statistics ................................................................................................................................................................... 27 Programs and Services .................................................................................................................................................... 28 Accreditation, Certifications and Awards ....................................................................................................................... 30 Quality Measures ............................................................................................................................................................ 31 Seismic Issues ................................................................................................................................................................. 33 Payer Mix ........................................................................................................................................................................ 35 Medi-Cal Managed Care ................................................................................................................................................. 36 Medical Staff ................................................................................................................................................................... 37 Patient Utilization Trends ............................................................................................................................................... 38 Financial Profile .............................................................................................................................................................. 40 Cost of Hospital Services................................................................................................................................................. 41 Charity Care .................................................................................................................................................................... 42 Community Benefit Services ........................................................................................................................................... 45 Analysis of the Hospital’s Service Area ................................................................................................ 50 Service Area Definition ................................................................................................................................................... 50 Service Area Map ............................................................................................................................................................ 51 Health Professional Shortage Areas (HPSA) ................................................................................................................... 53 Medically Underserved Areas & Medically Underserved Populations ........................................................................... 54 ST Elevation Myocardial Infarction (STEMI) Receiving Centers in Los Angeles County .................................................. 55 Certified Stroke Centers in Los Angeles County ............................................................................................................. 56 Service Area Trauma Services ......................................................................................................................................... 57 Demographic Profile ....................................................................................................................................................... 59 Medi-Cal Eligibility .......................................................................................................................................................... 61 Selected Health Indicators .............................................................................................................................................. 61 2019 Community Health Needs Assessment .................................................................................................................. 64 Service Area Market Share by Individual Hospital .......................................................................................................... 65 Service Area Market Share by Health System ................................................................................................................ 66 Market Share by Payer Type-Individual Hospital............................................................................................................ 67 Market Share by Payer Type-Health System .................................................................................................................. 68 Market Share by Service Line-Individual Facility ............................................................................................................ 69 Market Share by Service Line-Health System ................................................................................................................. 71 1 Huntington Hospital Analysis by Bed Type ........................................................................................... 73 Hospital Supply and Demand ......................................................................................................................................... 73 Medical/Surgical Capacity Analysis ................................................................................................................................ 74 Intensive Care Capacity Analysis .................................................................................................................................... 75 Obstetrics Capacity Analysis ........................................................................................................................................... 76 Neonatal Intensive Care Capacity Analysis ..................................................................................................................... 77 Pediatrics Capacity Analysis ............................................................................................................................................ 78 Pediatric Intensive Care Capacity Analysis ....................................................................................................................