Disproportionate Share Hospital (DSH) Program Final Eligibility List SFY 2019-20 Medicaid Low Income Low Income OSHPD ID Hospital Name Inpatient Percent Number Utilization Rate 106171049 Adventist Health Clearlake 35.3 54.9 54 106164029 Adventist Health Hanford 37.8 34.9 34 106100797 Adventist Health Reedley 80 80.9 80 106154168 Adventist Health Tehachapi Valley 20 50.7 50 106540816 Adventist Health Tulare 30.6 100.0 100 106231396 Adventist Health Ukiah Valley 36.9 44.5 44 106190878 Adventist Health White Memorial 63.1 45.5 45 106301098 AHMC Anaheim Regional Medical Center 35.5 27.9 27 106010735 Alameda Hospital 33.7 53.7 53 106190017 Alhambra Hospital Medical Center 31.6 27.2 27 106301188 Anaheim Global Medical Center 54.3 54.4 54 106190034 Antelope Valley Hospital 43.8 37.2 37 106364231 Arrowhead Regional Medical Center 57.9 69.7 69 106190163 Aurora Charter Oak 19.4 32.9 32 106560203 Aurora Vista Del Mar Hospital 22.7 33.9 33 106364430 Barstow Community Hospital 39.1 27.2 27 106361110 Bear Valley Community Hospital 9.3 42.7 42 106190081 Beverly Hospital 40.1 56.1 56 106044006 Butte County Mental Health Services 92.2 100.0 100 106190125 California Hospital Medical Center - Los Angeles 72.5 70.7 70 106190148 Centinela Hospital Medical Center 38.8 32.6 32 106105125 Central Star PHF 86.6 76.2 76 106301140 Chapman Global Medical Center 13.1 36.3 36 106190170 Children's Hospital of Los Angeles 60.8 55.7 55 106300032 Children's Hospital of Orange County 48.6 30.4 30 106190766 Coast Plaza Hospital 37.6 34.4 34 106301155 College Hospital Costa Mesa 89.3 66.7 66 106190587 College Medical Center 82 61.7 61 106361458 Colorado River Medical Center 40.5 39.7 39 106190197 Community Hospital of Huntington Park 56.7 55.3 55 106361323 Community Hospital of San Bernardino 63.4 65.8 65 106100717 Community Regional Medical Center-Fresno 52 38.1 38 106070924 Contra Costa Regional Medical Center 58.6 83.7 83 106150706 Delano Regional Medical Center 59.7 44.1 44 106364144 Desert Valley Hospital 32.9 26.6 26 106331293 Doctors Medical Center of Riverside 42.4 32.9 32 106500852 Doctors Medical Center 43.5 31.9 31 106190256 East Los Angeles Doctors Hospital 63.7 71.0 71 106320859 Eastern Plumas Hospital-Portola Campus 11.7 42.3 42 106130699 El Centro Regional Medical Center 42 54.5 54 106190636 Emanate Health Queen of The Valley Hospital 43 26.2 26 106190280 Encino Hospital Medical Center 12.3 26.7 26 106474007 Fairchild Medical Center 28.3 28.9 28 106301175 Fountain Valley Regional Hospital & Medical Center - Euclid 38.7 55.5 55 106301283 Garden Grove Hospital and Medical Center 30.7 33.7 33 106190315 Garfield Medical Center 32.5 40.5 40 106190317 Gateways Hospital and Mental Health Center 18.2 100.0 100 106270777 George L Mee Memorial Hospital 23.6 44.2 44 106190522 Glendale Memorial Hospital and Health Center 40.8 28.5 28 106110889 Glenn Medical Center 23.1 38.6 38 106150775 Good Samaritan Hospital-Bakersfield 34.3 35.9 35 106190352 Greater El Monte Community Hospital 55.5 65.5 65 106370714 Grossmont Hospital 38.4 25.2 25 106350784 Hazel Hawkins Memorial Hospital 39.5 49.8 49 106304159 Healthbridge Children's Hospital-Orange 71.3 76.2 76 106331194 Hemet Valley Medical Center 33.7 46.0 45 1 2021-04-08 FY 19-20 Final DSH Eligibility Disproportionate Share Hospital (DSH) Program Final Eligibility List SFY 2019-20 Medicaid Low Income Low Income OSHPD ID Hospital Name Inpatient Percent Number Utilization Rate 106362041 Hi-Desert Medical Center 40.8 45.9 45 106010846 Highland Hospital 67.2 79.6 79 106190382 Hollywood Presbyterian Medical Center 57.6 56.5 56 106121031 Jerold Phelps Community Hospital 32.1 43.2 43 106331216 John F Kennedy Memorial Hospital 57 30.1 30 106540734 Kaweah Delta Medical Center 41.4 35.9 35 106190150 Kedren Community Mental Health Center 16.8 49.9 49 106150736 Kern Medical Center 73.8 65.9 65 106150737 Kern Valley Healthcare District 47.1 49.3 49 106191227 LAC Harbor-UCLA Medical Center 59.8 83.8 83 106191306 LAC Rancho Los Amigos National Rehab Center 65.1 100.0 100 106191228 LAC+USC Medical Center 61.1 84.7 84 106380865 Laguna Honda Hospital and Rehabilitation Center 100 93.4 93 106364014 Loma Linda University Behavioral Medicine Center 38.9 39.3 39 106364502 Loma Linda University Children's Hospital 64.8 52.2 52 106420491 Lompoc Valley Medical Center 26.8 46.2 46 106190198 Los Angeles Community Hospital 61.2 51.1 51 106191231 Los Angeles County Olive View-UCLA Medical Center 63.7 87.1 87 106121002 Mad River Community Hospital 33 26.8 26 106201281 Madera Community Hospital 55 51.4 51 106244027 Marie Green Psychiatric Center - PHF 75.9 86.2 86 106191230 Martin Luther King, Jr. Community Hospital 76.7 81.1 81 106240924 Memorial Hospital Los Banos 65.8 26.7 26 106190521 Memorial Hospital of Gardena 55.1 54.2 54 106196168 MemorialCare Miller Children's & Women's Hospital Long Beach 54.5 49.8 49 106240942 Mercy Medical Center - Merced 40.2 26.2 26 106340950 Mercy San Juan Hospital 36.8 25.4 25 106340951 Methodist Hospital of Sacramento 53 39.4 39 106190524 Mission Community Hospital - Panorama Campus 50.7 43.1 43 106250956 Modoc Medical Center 14.6 48.7 48 106361166 Montclair Hospital Medical Center 44.4 44.2 44 106190547 Monterey Park Hospital 50.6 58.5 58 106361266 Mountains Community Hospital 24.3 51.5 51 106274043 Natividad Medical Center 60.1 27.0 26 106481357 North Bay Medical Center 34.5 25.8 25 106500967 Oak Valley Hospital District 31.4 50.7 50 106560501 Ojai Valley Community Hospital 8.1 29.6 29 106301566 Orange County Global Medical Center 49.8 56.4 56 106040802 Orchard Hospital 8.6 32.0 31 106040937 Oroville Hospital 37.8 31.0 31 106190696 Pacifica Hospital of The Valley 77.3 67.2 67 106331288 Palo Verde Hospital 38.8 53.2 53 106370759 Paradise Valley Hospital 44.6 36.3 36 106130760 Pioneers Memorial Healthcare District 45.7 43.9 43 106320986 Plumas District Hospital 22.8 26.9 26 106190630 Pomona Valley Hospital Medical Center 52.7 26.1 26 106190385 Providence Holy Cross Medical Center 38 25.1 25 106190680 Providence Little Company of Mary MC - San Pedro 40.9 28.3 28 106370673 Rady Children's Hospital - San Diego 48.5 39.2 39 106190930 Resnick Neuropsychiatric Hospital at UCLA 9.9 32.4 32 106334487 Riverside University Health System - Medical Center 55.2 59.9 59 106380939 San Francisco General Hospital 53.5 67.5 67 106190200 San Gabriel Valley Medical Center 28.8 36.2 36 106331326 San Gorgonio Memorial Hospital 27.6 42.6 42 106391010 San Joaquin General Hospital 55.9 56.4 56 106013619 San Leandro Hospital 36.5 48.9 48 2 2021-04-08 FY 19-20 Final DSH Eligibility Disproportionate Share Hospital (DSH) Program Final Eligibility List SFY 2019-20 Medicaid Low Income Low Income OSHPD ID Hospital Name Inpatient Percent Number Utilization Rate 106410782 San Mateo Medical Center 53.7 81.6 81 106430883 Santa Clara Valley Medical Center 49.8 59.5 59 106370744 Scripps Mercy Hospital 37.9 25.5 25 106124004 Sempervirens PHF 78.7 50.6 50 106370875 Sharp Chula Vista Medical Center 39.8 29.8 29 106344114 Shriners Hospitals for Children Northern Calif. 24.4 78.4 78 106540798 Sierra View Medical Center 48.1 38.7 38 106342392 Sierra Vista Hospital 7.9 33.3 33 106190661 Silver Lake Medical Center - Downtown Campus 37.5 25.4 25 106301258 South Coast Global Medical Center 43.2 68.8 68 106190380 Southern California Hospital at Hollywood 48.9 44.2 44 106141338 Southern Inyo Hospital 100 66.8 66 106361339 St. Bernardine Medical Center 42.3 30.5 30 106190754 St. Francis Medical Center 72.2 56.3 56 106190053 St. Mary Medical Center - Long Beach 48.9 47.0 46 106010967 St. Rose Hospital 42.3 32.8 32 106194967 Star View Adolescent - PHF 45.5 100.0 100 106250955 Surprise Valley Community Hospital 2.1 60.5 60 106084001 Sutter Coast Hospital 26.5 29.8 29 106481094 Sutter Solano Medical Center 36.5 27.2 27 106094002 Telecare El Dorado County PHF 95.8 74.6 74 106334457 Telecare Riverside County PHF 83.5 40.3 40 106444029 Telecare Santa Cruz PHF 36.8 46.1 46 106504081 Telecare Stanislaus County PHF 66.5 72.9 72 106014226 Telecare Willow Rock Center 67.6 88.0 88 106364451 Totally Kids Rehabilitation Hospital 94.2 97.3 97 106370782 UC San Diego Health Hillcrest - Hillcrest Medical Center 38.4 25.1 25 106010776 UCSF Benioff Children's Hospital Oakland 53 55.2 55 106341006 University of California Davis Medical Center 38.8 25.6 25 106301279 University of California Irvine Medical Center 41.7 28.9 28 106204019 Valley Children's Hospital 66.5 58.7 58 106190812 Valley Presbyterian Hospital 59.1 59.6 59 106560481 Ventura County Medical Center 54.2 37.0 36 106361370 Victor Valley Global Medical Center 44.5 57.6 57 106444013 Watsonville Community Hospital 52.3 28.4 28 106301379 West Anaheim Medical Center 24.4 29.0 29 106190883 Whittier Hospital Medical Center 37.9 34.9 34 Medicaid Inpatient Utilization Rate Data 51.7 MIUR Cutoff 31.1379 Mean of Medicaid Utilization Percent 20.5692 Standard Deviation of Medicaid Utilization Percent The following Designated Public Hospitals are legally included in the DSH program: 106190796 Ronald Reagan UCLA Medical Center 26.3 12.0 12 106190687 Santa Monica - UCLA Medical Center and Orthopaedic Hospital 15.3 10.9 10 106381154 UCSF Medical Center 29.8 16.4 16 The following facilities are no longer open: 106040875 Adventist Health Feather River 25.3 38.2 38 106100697 Coalinga Regional Medical Center 35.4 73.9 73 106190307 Pacific Alliance Medical Center 71.4 92.0 92 The following facilities have voluntarily withdrawn from participation in the DSH program: 106220733 John C Fremont Healthcare District 17.2 40.8 40 3 2021-04-08 FY