Home / Uncategorized Change Healthcare Cyberattack Impact Assessment Change Healthcare Cyberattack – Impact Assessment As CHA advocates on your behalf for state and federal support in the wake of the cyberattack on Change Healthcare, understanding the impact on your systems is crucial. What hospital are you answering this survey on behalf of?(Required)Adventist Health and Rideout 106580996Adventist Health Bakersfield 106150788Adventist Health Clear Lake 106171049Adventist Health Delano 106150706Adventist Health Glendale 106190323Adventist Health Hanford 106164029Adventist Health Howard Memorial 106234038Adventist Health Lodi Memorial 106390923Adventist Health Mendocino Coast 106231013Adventist Health Reedley 106100797Adventist Health Selma 106100793Adventist Health Simi Valley 106560525Adventist Health Sonora 106554011Adventist Health St. Helena 106281078Adventist Health Tehachapi Valley 106154168Adventist Health Tulare 106540816Adventist Health Ukiah Valley 106231396Adventist Health Vallejo 106481015Adventist Health White Memorial 106190878Adventist Health White Memorial Montebello 106190081AHMC Anaheim Regional Medical Center 106301098Alameda Hospital 106010735Alhambra Hospital Medical Center 106190017Aliso Ridge Behavioral Health 106304589Alta Bates Summit Medical Center 106010937Alta Bates Summit Medical Center – Alta Bates Campus 106010739Alta Bates Summit Medical Center – Herrick Campus 106010844Alta Bates Summit Medical Center – Summit Campus 106013626Alvarado Parkway Institute Behavioral Health System 106370749Anaheim Community Hospital 106301097Antelope Valley Medical Center 106190034Arrowhead Regional Medical Center 106364231Arroyo Grande Community Hospital 106400466Aurora Behavioral Health Care San Diego 106374024Aurora Charter Oak Hospital 106190163Bakersfield Behavioral Healthcare Hospital 106154044Bakersfield Heart Hospital 106154101Bakersfield Memorial Hospital 106150722Bakersfield Rehabilitation Hospital 106150820Ballard Rehabilitation Hospital 106364121Banner Lassen Medical Center 106184008Barlow Respiratory Hospital 106190052Barstow Community Hospital 106364430Barton Memorial Hospital 106090793Bear Valley Community Hospital 106361110BHC Alhambra Hospital 106190020California Hospital Medical Center 106190125California Northstate University Medical Center 106340027California Pacific Medical Center – Davies Campus 106380933California Pacific Medical Center – Mission Bernal Campus 106384202California Pacific Medical Center – Van Ness Campus 106384176California Rehabilitation Institute 106190155Canyon Ridge Hospital 106364050Casa Colina Hospital and Centers for Healthcare 106190137Catalina Island Health 106190045Cedars-Sinai 106190555Cedars-Sinai Marina Del Rey Hospital 106190500Centinela Hospital Medical Center 106190148CHA Hollywood Presbyterian Medical Center 106190382Children's Hospital Los Angeles 106190170Children's Hospital of Orange County 106300032Chinese Hospital 106382715Chino Valley Medical Center 106361144CHOC Children's at Mission Hospital 106304113City of Hope 106190176Clovis Community Medical Center 106100005Coachella Valley Behavioral HealthCollege Hospital Cerritos 106190184College Hospital Costa Mesa 106301155College Medical Center 106190587Community Behavioral Health Center 106104008Community Hospital of San Bernardino 106361323Community Hospital of the Monterey Peninsula 106270744Community Memorial Hospital – Ojai 106560501Community Memorial Hospital – Ventura 106560473Community Regional Medical Center 106100717Contra Costa Regional Medical Center 106070924Corona Regional Medical Center 106331152Corona Regional Medical Center – Magnolia 106331145Cottage Rehabilitation Hospital 106424047Dameron Hospital 106390846Del Amo Behavioral Health System 106190232Desert Regional Medical Center 106331164Desert Valley Hospital 106364144Doctors Hospital of Manteca 106392287Doctors Hospital of Riverside 106331293Doctors Medical Center – Behavioral Health Department 106501016Doctors Medical Center of Modesto 106500852Dominican Hospital 106440755Eastern Plumas Health Care 106320859Eden Medical Center 106014233Eisenhower Health 106331168El Camino Health, Los Gatos 106430743El Camino Health, Mountain View 106430763El Centro Regional Medical Center 106130699Emanate Health Foothill Presbyterian Hospital 106190298Emanate Health Inter-Community Hospital 106190413Emanate Health Queen of the Valley Hospital 106190636Emanuel Medical Center 106500867Encino Hospital Medical Center 106190280Encompass Health Rehabilitation Hospital of Bakersfield 106154022Encompass Health Rehabilitation Hospital of Modesto 106504079Encompass Health Rehabilitation Hospital of Murrieta 106334678Encompass Health Rehabilitation Hospital of Tustin 106304585Enloe Behavioral Health 106040828Enloe Medical Center 106040962Enloe Rehabilitation Center 106044011Fairchild Medical Center 106474007Fairmont Hospital 106010811Fountain Valley Regional Hospital and Medical Center 106301175Fountain Valley Regional Hospital and Medical Center – Warner 106304039Fremont Hospital 106014034French Hospital Medical Center 106400480Fresno Heart & Surgical Hospital 106105029Garden Grove Hospital and Medical Center 106301283Garfield Medical Center 106190315Gateways Hospital and Mental Health Center 106190317George L. Mee Memorial Hospital 106270777Glendale Memorial Hospital and Health Center 106190522Glendora Hospital 106190328Goleta Valley Cottage Hospital 106420483Good Samaritan Hospital 106150775Good Samaritan Hospital – Mission Oaks Campus 106430915Good Samaritan Hospital – San Jose 106430779Greater El Monte Community Hospital 106190352Harbor – UCLA Medical Center 106191227Hazel Hawkins Memorial Hospital 106350784Healdsburg Hospital 106490964HealthBridge Children's Hospital 106304159Henry Mayo Newhall Hospital 106190949Heritage Oaks Hospital 106344021Hi-Desert Medical Center 106362041Highland Hospital 106010846Hoag Hospital Irvine 106304045Hoag Memorial Hospital Presbyterian 106301205Huntington Beach Hospital 106301209Huntington Health 106190400Jerold Phelps Community Hospital 106121031JFK Memorial Hospital 106331216John C. Fremont Healthcare District 106220733John Muir Behavioral Health Center 106074039John Muir Health, Concord Medical Center 106071018John Muir Health, Walnut Creek Medical Center 106070988Joyce Eisenberg Keefer Medical Center 106196404Kaiser Permanente Antioch Medical Center 106074097Kaiser Permanente Baldwin Park Medical Center 106196035Kaiser Permanente Downey Medical Center 106196403Kaiser Permanente Fontana Medical Center 106361223Kaiser Permanente Fremont Medical Center 106014132Kaiser Permanente Fresno Medical Center 106104062Kaiser Permanente Los Angeles Medical Center 106190429Kaiser Permanente Manteca Medical Center 106394009Kaiser Permanente Mental Health Center 106190646Kaiser Permanente Modesto Medical Center 106504042Kaiser Permanente Moreno Valley Medical Center 106334048Kaiser Permanente Oakland Medical Center 106014326Kaiser Permanente Ontario Vineyard Medical Center 106364265Kaiser Permanente Orange County – Anaheim Medical Center 106304409Kaiser Permanente Orange County – Irvine Medical Center 106304306Kaiser Permanente Panorama City Medical Center 106190432Kaiser Permanente Redwood City Medical Center 106414139Kaiser Permanente Richmond Medical Center 106074093Kaiser Permanente Riverside Medical Center 106334025Kaiser Permanente Roseville Medical Center 106314024Kaiser Permanente Sacramento Medical Center 106340913Kaiser Permanente San Diego Medical Center 106374465Kaiser Permanente San Francisco Medical Center 106380857Kaiser Permanente San Jose Medical Center 106431506Kaiser Permanente San Leandro Medical Center 106014337Kaiser Permanente San Marcos Medical Center 106370028Kaiser Permanente San Rafael Medical Center 106210992Kaiser Permanente Santa Clara Medical Center 106434153Kaiser Permanente Santa Rosa Medical Center 106494019Kaiser Permanente South Bay Medical Center 106190431Kaiser Permanente South Sacramento Medical Center 106342344Kaiser Permanente South San Francisco Medical Center 106410806Kaiser Permanente Vacaville Medical Center 106484044Kaiser Permanente Vallejo Medical Center 106480989Kaiser Permanente Walnut Creek Medical Center 106070990Kaiser Permanente West Los Angeles Medical Center 106190434Kaiser Permanente Woodland Hills Medical Center 106191450Kaiser Permanente Zion Medical Center 106370730Kaweah Health Medical Center 106540734Keck Hospital of USC 106194219Kedren Community Health Center 106190150Kentfield Hospital 106210993Kentfield Hospital San Francisco 106384238Kern Medical 106150736Kern Valley Healthcare District 106150737Kindred Hospital – Baldwin Park 106190049Kindred Hospital – Brea 106301127Kindred Hospital – La Mirada 106190449Kindred Hospital – Los Angeles 106190305Kindred Hospital – Ontario 106361274Kindred Hospital – Paramount 106190599Kindred Hospital – Rancho 106364188Kindred Hospital – Riverside 106332172Kindred Hospital – San Diego 106370721Kindred Hospital – San Francisco Bay Area 106010887Kindred Hospital – San Gabriel Valley 106190458Kindred Hospital – Santa Ana 106301167Kindred Hospital – South Bay 106190196Kindred Hospital – Westminster 106301380L.A. Downtown Medical Center 106190661La Palma Intercommunity Hospital 106301234Laguna Honda Hospital and Rehabilitation Center 106380865Lakewood Regional Medical Center 106190240Langley Porter Psychiatric Institute 106380046Las Encinas Hospital 106190462Lompoc Valley Medical Center 106420491Long Beach Medical Center 106190525Los Alamitos Medical Center 106301248Los Angeles General Medical Center 106191228Los Robles Health System 106560492Los Robles Health System – Rehab Campus 106564018Los Robles Health System – Thousand Oaks Surgical Hospital 106564121Lucile Packard Children's Hospital Stanford 106434040Mad River Community Hospital 106121002Mammoth Hospital 106260011Marian Regional Medical Center 106420493MarinHealth Medical Center 106211006Mark Twain Medical Center 106050932Marshall Medical Center 106090933Mayers Memorial Hospital District 106450936Memorial Hospital Los Banos 106240924Memorial Medical Center 106500939Mercy General Hospital 106340947Mercy Hospital of Folsom 106344029Mercy Hospital Southwest 106154108Mercy Hospitals 106150761Mercy Medical Center Merced 106240942Mercy Medical Center Mount Shasta 106470871Mercy Medical Center Redding 106450949Mercy San Juan Medical Center 106340950Methodist Hospital of Sacramento 106340951Miller Children's & Women's Hospital Long Beach 106196168Mills-Peninsula Medical Center 106410852Mission Community Hospital 106190524MLK Community Healthcare 106191230Modoc Medical Center 106254005Montclair Hospital Medical Center 106361166Monterey Park Hospital 106190547MPTF/Motion Picture and Television Fund Hospital 106190552Natividad 106274043Naval Hospital Camp PendletonNaval Medical Center San DiegoNorthBay Health – Vaca Valley Hospital 106484001NorthBay Health Medical Center 106481357Northern Inyo Hospital 106141273Northridge Hospital Medical Center 106190568Novato Community Hospital 106214034Oak Valley Hospital 106500967O'Connor Hospital 106430837Olive View – UCLA Medical Center 106191231Orange Coast Medical Center 106300225Orchard Hospital 106040802Oroville Hospital 106040937Pacific Grove Hospital 106331226Pacifica Hospital of the Valley 106190696Palmdale Regional Medical Center 106196405Palo Verde Hospital 106331288Palomar Health Rehabilitation Institute 106374572Palomar Medical Center Escondido 106374382Palomar Medical Center Poway 106370977Paradise Valley Hospital 106370759Petaluma Valley Hospital 106491001PIH Health Downey Hospital 106190243PIH Health Good Samaritan Hospital 106190392PIH Health Whittier Hospital 106190631Pioneers Memorial Healthcare District 106130760Placentia-Linda Hospital 106301297Plumas District Hospital 106320986Pomona Valley Hospital Medical Center 106190630Providence Cedars-Sinai Tarzana Medical Center 106190517Providence Holy Cross Medical Center 106190385Providence Little Company of Mary Medical Center San Pedro 106190680Providence Little Company of Mary Medical Center Torrance 106190470Providence Mission Hospital 106301262Providence Mission Hospital Laguna Beach 106301337Providence Queen of the Valley Medical Center 106281047Providence Redwood Memorial Hospital 106121051Providence Saint John's Health Center 106190756Providence Saint Joseph Medical Center 106190758Providence Santa Rosa Memorial Hospital 106491064Providence Santa Rosa Memorial Hospital – Sotoyome 106490907Providence St. Joseph Hospital Eureka 106121080Providence St. Joseph Hospital Orange 106301340Providence St. Jude Medical Center 106301342Providence St. Mary Medical Center 106361343Rady Children's Hospital – San Diego 106370673Rancho Los Amigos National Rehabilitation Center 106191306Redlands Community Hospital 106361308Regional Medical Center of San Jose 106430705Rehabilitation Hospital of Southern California 106334533Ridgecrest Regional Hospital 106150782River Vista Behavioral Health 106200030Riverside Community Hospital 106331312Riverside University Health System – Medical Center 106334487Ronald Reagan UCLA Medical Center 106190796Sacramento Behavioral Healthcare Hospital 106344210Sacramento Rehabilitation Hospital 106341326Saddleback Medical Center 106301317Saint Agnes Medical Center 106100899Saint Francis Memorial Hospital 106380960Salinas Valley Health 106270875San Antonio Regional Hospital 106361318San Bernardino Mountains Community Hospital 106361266San Diego County Psychiatric Hospital 106374055San Dimas Community Hospital 106190673San Francisco Campus for Jewish Living 106380842San Francisco VA Health Care SystemSan Gabriel Valley Medical Center 106190200San Gorgonio Memorial Hospital 106331326San Joaquin General Hospital 106391010San Joaquin Valley Rehabilitation Hospital 106104023San Jose Behavioral Health 106434032San Leandro Hospital 106013619San Mateo Medical Center 106410782San Ramon Regional Medical Center 106074017San Ramon Regional Medical Center – Outpatient Therapy Services 106074011Santa Barbara Cottage Hospital 106420514Santa Clara Valley Medical Center 106430883Santa Paula Hospital 106560521Santa Rosa Behavioral Healthcare Hospital 106494048Santa Ynez Valley Cottage Hospital 106420522Scripps Green Hospital 106371256Scripps Memorial Hospital Encinitas 106371394Scripps Memorial Hospital La Jolla 106370771Scripps Mercy Hospital 106370744Scripps Mercy Hospital Chula Vista 106370658Select Specialty Hospital – San Diego 106374094Seneca Healthcare District 106321016Sequoia Hospital 106410891Seton Medical Center 106410817Seton Medical Center Coastside 106410828Sharp Chula Vista Medical Center 106370875Sharp Coronado Hospital 106370689Sharp Grossmont Hospital 106370714Sharp Mary Birch Hospital for Women & Newborns 106370695Sharp Memorial Hospital 106370694Sharp Mesa Vista Hospital 106370745Shasta Regional Medical Center 106450940Sherman Oaks Hospital 106190708Shriners Children's – Northern California 106344114Sierra Nevada Memorial Hospital 106291023Sierra View Medical Center 106540798Sierra Vista Hospital 106342392Sierra Vista Regional Medical Center 106400524Sonoma Valley Hospital 106491076Sonora Regional Medical Center – Fairview 106552209Southwest Healthcare Inland Valley Hospital 106334001Southwest Healthcare Rancho Springs Hospital 106334068Southwest Healthcare Temecula Valley Hospital 106334564St. Bernardine Medical Center 106361339St. Elizabeth Community Hospital 106521041St. Francis Medical Center 106190754St. John's Hospital Camarillo 106560508St. John's Regional Medical Center 106560529St. Joseph Hospital Acute Rehabilitation Unit 106120981St. Joseph's Behavioral Health Center 106392232St. Joseph's Medical Center 106391042St. Louise Regional Hospital 106434138St. Mary Medical Center Long Beach 106190053St. Mary's Medical Center San Francisco 106380965St. Rose Hospital 106010967Stanford Health Care 106430905Stanford Health Care 106430035Stanford Health Care Tri-Valley – Livermore 106010983Stanford Health Care Tri-Valley – Pleasanton 106014050Stewart & Lynda Resnick Neuropsychiatric Hospital at UCLA 106190930Stockton Regional Rehabilitation Hospital 106394128Surprise Valley Health Care District 106250955Sutter Amador Hospital 106034002Sutter Auburn Faith Hospital 106310791Sutter Center for Psychiatry 106344017Sutter Coast Hospital 106084001Sutter Davis Hospital 106574010Sutter Delta Medical Center 106070934Sutter Lakeside Hospital 106171395Sutter Maternity & Surgery Center of Santa Cruz 106444012Sutter Medical Center, Sacramento 106341051Sutter Roseville Medical Center 106311000Sutter Santa Rosa Regional Hospital 106494106Sutter Solano Medical Center 106481094Sutter Tracy Community Hospital 106391056Tahoe Forest Hospital District 106291053Torrance Memorial Health 106190422Totally Kids Rehabilitation Hospital 106364451Tri-City Healthcare District 106370780Twin Cities Community Hospital 106400548UC Davis Medical Center 106341006UC Davis Rehabilitation Hospital 106340025UC San Diego Health – East Campus 106370652UC San Diego Health – Hillcrest Medical Center 106370782UC San Diego Health – Jacobs Medical Center 106374141UCI Health 106301279UCLA Medical Center, Santa Monica 106190687UCSF Benioff Children's Hospital Oakland 106010776UCSF Medical Center 106381154UCSF Medical Center at Mission Bay 106384200UCSF Medical Center at Mount Zion 106380895USC Arcadia Hospital 106190529USC Norris Comprehensive Cancer Center and Hospital 106191216USC Verdugo Hills Hospital 106190818VA Central California Health Care SystemVA Greater Los Angeles Healthcare SystemVA Loma Linda Healthcare SystemVA Long Beach Healthcare SystemVA Northern California Health Care SystemVA Palo Alto Health Care SystemVA San Diego Healthcare SystemValley Children's Healthcare 106204019Valley Presbyterian Hospital 106190812Ventura County Medical Center 106560481Vibra Hospital of Northern California 106454012Vibra Hospital of Sacramento 106344035Vista del Mar Hospital 106560203Washington Hospital Healthcare System 106010987Watsonville Community Hospital 106444013West Anaheim Medical Center 106301379West Covina Medical Center 106190857West Hills Hospital & Medical Center 106190859Whittier Hospital Medical Center 106190883Woodland Healthcare 106571086Zuckerberg San Francisco General Hospital and Trauma Center 106380939Name(Required) First Last Title(Required) Email(Required) Is your organization impacted by the cyberattack on Change Healthcare?(Required) Yes No Is Change Healthcare the claims clearinghouse for your organization?(Required) Yes No What areas of your operations has this cyberattack impacted?(Required) Claims Submission Payment Processing Pharmacy Services Prior Authorization Approvals Eligibility Determinations Other (please specify) None of the above If other, please explain:(Required)How would you characterize the severity of this impact on your patients?(Required) Minor – impact is unlikely to be noticed by patients Moderate – impact is noticeable but manageable Significant – impact is widespread and impeding patient care Which of your major payers use Change Healthcare as a claims clearinghouse?What percentage of patient revenue is impacted?(Required) 0% 1-25% 26-50% 51-75% 76-100% Please share additional details about the impact on your operations:
