Disproportionate Share Program Final Eligibility List SFY 2017-18

Medicaid Utilization Rate Cut-Off 48.1 Mean of Medicaid Utilization Rate 29.2268 Standard Deviation of Medicaid Utilization Rate 18.8425

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Adventist Health Clearlake 106171049 35.8 36.7 36 Adventist Health Feather River 106040875 27.1 33.6 33 Adventist Health Hanford 106164029 18.3 37.9 37 Adventist Health Howard Memorial 106234038 4.3 25.1 25 Adventist Health Reedley 106100797 72.4 55.2 55 Adventist Health Tehachapi Valley 106150808 21.8 27.3 27 Adventist Health Ukiah Valley 106231396 37.2 36.4 36 Adventist Health Vallejo 106481015 19.2 30.9 30 Adventist Health White Memorial 106190878 64.8 47.6 47 AHMC Anaheim Regional Medical Center 106301098 35.9 25.7 25 Alameda Hospital 106010735 24.4 31.5 31 Anaheim Global Medical Center 106301188 66.4 51.6 51 106190034 39.9 37.5 37 Arrowhead Regional Medical Center 106364231 62.1 77.1 77 Aurora Charter Oak 106190163 10.3 43.4 43 Aurora Vista Del Mar Hospital 106560203 17.1 39.7 39 Bear Valley Community Hospital 106361110 8.0 44.1 44 Beverly Hospital 106190081 40.4 52.6 52 Butte County Mental Health Services 106044006 18.4 100.0 100 Hospital Medical Center - Los Angeles 106190125 73.9 66.0 66 California Pacific Medical Center - St. Luke's Campus 106380964 41.2 25.3 25 Centinela Hospital Medical Center 106190148 36.4 32.3 32 Chapman Global Medical Center 106301140 14.2 29.8 29 Childrens Hospital and Research Center at Oakland 106010776 58.6 46.5 46 Children's Hospital at Mission 106304113 40.3 28.0 28 Children's Hospital of Los Angeles 106190170 69.0 60.1 60 Children's Hospital of Orange County 106300032 61.4 47.0 47 Citrus Valley Medical Center - QV Campus 106190636 24.9 26.5 26 Coalinga Regional Medical Center 106100697 24.5 68.5 68 Coast Plaza Hospital 106190766 37.4 28.8 28 College Hospital Costa Mesa 106301155 90.0 71.6 71 College Medical Center 106190587 96.0 41.8 41 Colorado River Medical Center 106361458 38.3 29.0 29 Community Hospital of Huntington Park 106190197 55.1 51.3 51 Community Hospital of San Bernardino 106361323 70.6 68.1 68

Page 1 of 5 Disproportionate Share Hospital Program Final Eligibility List SFY 2017-18

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Community Regional Medical Center - Fresno 106100717 59.8 38.7 38 Contra Costa Regional Medical Center 106070924 61.2 79.9 79 Corona Regional Medical Center - Main 106331152 22.8 28.1 28 Delano Regional Medical Center 106150706 60.6 49.6 49 Desert Valley Hospital 106364144 33.2 28.4 28 Doctors Medical Center 106500852 41.9 31.1 31 Earl And Loraine Miller Childrens Hospital 106196168 59.1 53.8 53 East Los Angeles Doctors Hospital 106190256 63.4 60.7 60 Eastern Plumas Hospital - Portola Campus 106320859 9.4 35.6 35 El Centro Regional Medical Center 106130699 35.3 44.4 44 Foothill Regional Medical Center 106301357 71.5 89.3 89

Fountain Valley Regional Hospital & Medical Center - Euclid 106301175 39.2 61.0 61 Garden Grove Hospital and Medical Center 106301283 48.8 36.9 36 Garfield Medical Center 106190315 31.5 34.3 34 Gateways Hospital and Mental Health Center 106190317 21.9 100.0 100 George L Mee Memorial Hospital 106270777 17.5 45.1 45 Glendale Memorial Hospital and Health Center 106190522 44.5 25.7 25 Glenn Medical Center 106110889 24.7 41.4 41 Good Samaritan Hospital - Bakersfield 106150775 37.3 29.2 29 Greater El Monte Community Hospital 106190352 61.8 71.6 71 Grossmont Hospital 106370714 44.5 25.3 25 Hazel Hawkins Memorial Hospital 106350784 34.4 45.3 45 Healthbridge Children's Hospital - Orange 106304159 27.7 59.6 59 Hemet Valley Medical Center 106331194 31.8 31.0 31 Hi-Desert Medical Center 106362041 41.7 47.4 47 Highland Hospital 106010846 52.1 84.3 84 Hollywood Presbyterian Medical Center 106190382 52.5 50.7 50 Huntington Beach Hospital 106301209 15.7 27.3 27 Jerold Phelps Community Hospital 106121031 5.1 37.7 37 John F Kennedy Memorial Hospital 106331216 56.3 30.1 30 Kaweah Delta Medical Center 106540734 30.7 39.9 39 Kedren Community Mental Health Center 106190150 14.9 48.7 48 106150736 71.1 61.0 61 Kern Valley Healthcare District 106150737 18.0 51.8 51 La Casa Psychiatric Health Facility 106194981 4.4 100.0 100 LAC Harbor - UCLA Medical Center 106191227 57.0 82.8 82 LAC Rancho Los Amigos National Rehab Center 106191306 70.7 88.8 88 LAC+USC Medical Center 106191228 64.6 84.2 84

Page 2 of 5 Disproportionate Share Hospital Program Final Eligibility List SFY 2017-18

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Laguna Honda Hospital And Rehabilitation Center 106380865 20.6 92.6 92 Loma Linda University Behavioral Center 106364014 39.5 29.3 29 Loma Linda University Children's Hospital 106364502 79.9 78.6 78 Loma Linda University Medical Center 106361246 36.6 34.9 34 Lompoc Valley Medical Center 106420491 26.1 57.1 57 Los Angeles Community Hospital 106190198 15.9 45.6 45 Los Angeles County Olive View - UCLA Medical Center 106191231 66.0 85.4 85 Mad River Community Hospital 106121002 37.5 28.7 28 Madera Community Hospital 106201281 49.7 52.3 52 Marie Green Psychiatric Center - P H F 106244027 14.7 83.7 83 Martin Luther King, Jr. Community Hospital 106191230 72.8 99.9 99 Memorial Hospital Los Banos 106240924 60.5 29.1 29 Memorial Hospital of Gardena 106190521 53.5 54.8 54 Mercy Medical Center - Merced 106240942 39.0 28.3 28 Methodist Hospital of Sacramento 106340951 43.9 37.4 37 Mission Community Hospital - Panorama Campus 106190524 70.4 16.5 16 Modoc Medical Center 106250956 14.1 50.8 50 Montclair Hospital Medical Center 106361166 45.2 33.1 33 Monterey Park Hospital 106190547 55.5 56.4 56 Mountains Community Hospital 106361266 25.8 58.2 58 106274043 72.0 44.0 44 North Bay Medical Center 106481357 36.2 28.7 28 Oak Valley Hospital District 106500967 25.1 33.4 33 Ojai Valley Community Hospital 106560501 7.1 31.6 31 Orange County Global Medical Center 106301566 52.0 50.8 50 Orchard Hospital 106040802 14.8 39.6 39 106040937 36.3 31.4 31 Pacific Alliance Medical Center 106190307 65.4 80.2 80 Pacifica Hospital of the Valley 106190696 75.8 68.6 68 Palo Verde Hospital 106331288 32.5 37.8 37 Paradise Valley Hospital 106370759 63.4 33.3 33 Parkview Community Hospital Medical Center 106331293 44.8 29.1 29 Pioneers Memorial Healthcare District 106130760 47.4 48.7 48 Plumas District Hospital 106320986 29.3 34.3 34 Pomona Valley Hospital Medical Center 106190630 59.6 28.7 28 Providence Holy Cross Medical Center 106190385 34.4 26.6 26 Providence Little Company of Mary MC - San Pedro 106190680 24.3 28.0 28 Rady Children's Hospital - 106370673 53.5 38.2 38 Resnick Neuropsychiatric Hospital at UCLA 106190930 10.0 30.8 30

Page 3 of 5 Disproportionate Share Hospital Program Final Eligibility List SFY 2017-18

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Restpadd Psychiatric Health Facility 106454068 7.3 68.9 68 Riverside University Health System - Medical Center 106334487 55.0 59.4 59 Ronald Reagan UCLA Medical Center 106190796 25.5 16.1 16 San Gorgonio Memorial Hospital 106331326 28.2 41.0 41 San Joaquin General Hospital 106391010 60.5 41.9 41 San Leandro Hospital 106013619 32.7 27.7 27 San Mateo Medical Center 106410782 57.3 87.5 87 Santa Clara Valley Medical Center 106430883 67.9 65.8 65 Santa Monica - UCLA Medical Center and Orthopaedic Hospital 106190687 16.4 20.4 20 106370744 42.3 29.1 29 Sempervirens P.H.F. 106124004 3.9 47.0 47 Sharp Chula Vista Medical Center 106370875 39.6 29.9 29 Shriners for Children Northern Calif. 106344114 38.2 78.7 78 Sierra View Medical Center 106540798 43.9 42.5 42 Sierra Vista Hospital 106342392 12.6 33.1 33 Silver Lake Medical Center - Downtown Campus 106190661 40.1 25.3 25 South Coast Global Medical Center 106301258 48.2 61.9 61 Southern California Hospital at Hollywood 106190380 37.6 32.2 32 St. Bernardine Medical Center 106361339 41.5 26.9 26 St. Francis Medical Center 106190754 73.4 47.3 47 St. Mary Medical Center - Long Beach 106190053 53.5 39.7 39 St. Rose Hospital 106010967 41.7 29.5 29 Star View Adolescent - P H F 106194967 75.2 100.0 100 Sutter - Yuba Psychiatric Health Facility 106514001 15.3 76.9 76 Sutter Delta Medical Center 106070934 40.1 25.1 25 Sutter Santa Rosa Regional Hospital 106494106 55.2 20.2 20 Sutter Solano Medical Center 106481094 39.6 28.2 28 Telecare Placer County Psychiatric Health Facility 106314029 9.6 100.0 100 Telecare Riverside County Psychiatric Health Facility 106334457 4.6 27.4 27 Telecare Santa Cruz PHF 106444029 35.7 48.0 48 Telecare Willow Rock Center 106014226 68.5 82.0 82 Totally Kids Rehabilitation Hospital 106364451 31.1 99.9 99 Tulare Regional Medical Center 106540816 44.5 46.2 46 UC San Diego Health Hillcrest - Hillcrest Medical Center 106370782 41.2 26.0 26 UCSF Medical Center 106381154 32.6 15.4 15 University of California Davis Medical Center 106341006 39.3 25.2 25 University of California Irvine Medical Center 106301279 48.4 25.7 25 Valley Children's Hospital 106204019 77.9 59.7 59

Page 4 of 5 Disproportionate Share Hospital Program Final Eligibility List SFY 2017-18

Low- Medicaid Income Utilization Utilization Low- Rate Rate Income Hospital Name OSHPD ID (MUR) (LIUR) Number Valley Presbyterian Hospital 106190812 57.6 56.1 56 Ventura County Medical Center 106560481 48.3 64.7 64 Victor Valley Global Medical Center 106361370 40.8 62.8 62 Watsonville Community Hospital 106444013 54.8 29.8 29 West Covina Medical Center 106190857 52.8 42.0 42 Whittier Hospital Medical Center 106190883 38.4 32.7 32 Zuckerberg San Francisco General 106380939 55.3 61.5 61

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