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CHILDRENS HOSPITAL LOS ANGELES: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL LOS ANGELES (EIN 95-1690977)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202411369349304466
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-15T09:34:18-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951690977EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone3236602450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14650 SUNSET BOULEVARDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900270982ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT LIEBERENZPersonNm
Person TitleSVP & CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone3236602450PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSCOTTPersonFirstNm
Person LastLIEBERENZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNA M JANSONSPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL S VIVIANOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14650 SUNSET BOULEVARDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900270982ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,853,370,391GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHLA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1901FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROMOTION AND ADVANCEMENT OF CHILDREN'S HEALTH THROUGH PATIENT CARE, RESEARCH, AND EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee7947TotalEmployeeCnt
Total Volunteers449TotalVolunteersCnt
Total Gross UBI$45,557TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,689NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$265,364,863PYContributionsGrantsAmt
CY Contributions Grants$255,482,276CYContributionsGrantsAmt
PY Program Service Revenue$1,156,935,400PYProgramServiceRevenueAmt
CY Program Service Revenue$1,299,165,942CYProgramServiceRevenueAmt
PY Investment Income$37,331,036PYInvestmentIncomeAmt
CY Investment Income$36,869,628CYInvestmentIncomeAmt
PY Other Revenue$15,692,189PYOtherRevenueAmt
CY Other Revenue$18,421,787CYOtherRevenueAmt
PY Total Revenue$1,475,323,488PYTotalRevenueAmt
CY Total Revenue$1,609,939,633CYTotalRevenueAmt
PY Grants And Similar Paid$2,251,232PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,286,772CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$763,094,721PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$879,864,435CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$22,712,619CYTotalFundraisingExpenseAmt
PY Other Expenses$679,834,432PYOtherExpensesAmt
CY Other Expenses$769,778,237CYOtherExpensesAmt
PY Total Expenses$1,445,180,385PYTotalExpensesAmt
CY Total Expenses$1,652,929,444CYTotalExpensesAmt
PY Revenues Less Expenses$30,143,103PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$42,989,811CYRevenuesLessExpensesAmt
Total Assets BOY$2,607,463,497TotalAssetsBOYAmt
Total Assets EOY$2,696,953,883TotalAssetsEOYAmt
Total Liabilities BOY$871,839,461TotalLiabilitiesBOYAmt
Total Liabilities EOY$954,996,735TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,735,624,036NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,741,957,148NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,066,384,709ExpenseAmt
Grant$3,286,772GrantAmt
Revenue$1,255,347,934RevenueAmt
DescMEDICAL CARE PROVIDED TO CHILDREN: IT IS THE POLICY OF THE HOSPITAL TO STRIVE TO MAINTAIN QUALITY HEALTH CARE DELIVERY IN A MANNER THAT RESPECTS THE DIGNITY OF THE INDIVIDUAL AND FAMILY, REGARDLESS OF THE ABILITY TO PAY. UNDER THE HOSPITAL'S POLICY, MEDICAL CARE MAY BE PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PEOPLE WHO ARE UNINSURED OR UNDERINSURED AND CANNOT AFFORD TO PAY FOR THEIR OWN MEDICAL CARE. THE HOSPITAL PROVIDES ADDITIONAL COMMUNITY SUPPORT BY PROVIDING CARE TO PATIENTS WHO PARTICIPATE IN PROGRAMS, LIKE MEDI-CAL, THAT DO NOT PAY FULL CHARGES. APPROXIMATELY THREE-FOURTHS OF THE HOSPITAL'S PATIENTS ARE COVERED BY MEDI-CAL PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$67,628,582ExpenseAmt
Revenue$25,553,583RevenueAmt
DescGRADUATE MEDICAL EDUCATION PROVIDES TRAINING AND EDUCATION TO MEDICAL STUDENTS IN LOS ANGELES COUNTY WHO, IN TURN, PROVIDE SERVICES TO PATIENTS AT THE HOSPITAL. ALSO, INCLUDES EDUCATION REVENUE FROM THE RESIDENCY AND FELLOWSHIP PROGRAMS AT CHLA. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF TRAINING PHYSICIANS, ALLIED HEALTH PROFESSIONALS, AND OTHER HEALTH CARE WORKERS IN ITS EMERGENCY ROOM, CLINICS, INPATIENT AREAS, AND OTHER PARTS OF ITS FACILITIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$161,504,761ExpenseAmt
Revenue$18,264,425RevenueAmt
DescRESEARCH REVENUES FURTHER THE EXEMPT PURPOSE OF CHLA BY PROVIDING THE PATIENTS OF CHLA ACCESS TO NEW TECHNOLOGIES, DISCOVERIES AND MEDICATIONS FOR TREATMENT. RESULTS OF THIS RESEARCH IS DISSEMINATED THROUGH PUBLICATIONS IN SCIENTIFIC JOURNALS AND PRESENTATIONS BY THE PRINCIPAL INVESTIGATORS. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF MEDICAL RESEARCH TAKING PLACE IN ITS FACILITIES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,396,334ExpenseAmt
Revenue$4,733,049RevenueAmt
DescOTHER PROGRAM SERVICE REVENUES ALSO INCLUDE RESIDENTS HOUSING AND MISCELLANEOUS TUITION AND EDUCATION INCOME.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,396,334TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$4,733,049TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,299,914,386TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document942IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7947EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed OfYes (1)Form8282PropertyDisposedOfInd
Form8282 Filed1Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUDITH M KLINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3233617865PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14650 SUNSET BLVD MS 1AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900270980ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL S VIVIANO
DIRECTOR, PRESIDENT AND CEO55.000.00Yes (X)Yes (X)$2,041,701$0$39,178
MARK D KRIEGER MD
DIRECTOR, FACULTY PHYSICIAN20.000.00Yes (X)$818,751$0$0
MATTHEW MATT KEEFER MD
DIRECTOR, FACULTY PHYSICIAN28.000.00Yes (X)$392,207$0$0
ROBERT BOB E SHADDY MD
DIRECTOR, FACULTY PHYSICIAN10.000.00Yes (X)$233,375$0$0
KEVIN H BROGAN
DIRECTOR,CHAIR OF BOARD(START 07/22)2.000.00Yes (X)Yes (X)$0$0$0
ALIA TUTOR
DIRECTOR1.000.00Yes (X)$0$0$0
BURT LEVITCH
DIRECTOR1.000.00Yes (X)$0$0$0
BYRON H POLLITT JR
DIRECTOR1.000.00Yes (X)$0$0$0
CHERYL KUNIN FAIR
DIRECTOR1.000.00Yes (X)$0$0$0
CHRISTOPHER C MARTIN FAIA
DIRECTOR1.000.00Yes (X)$0$0$0
DIANA M BONTA RN DRPH
DIRECTOR1.000.00Yes (X)$0$0$0
EUGENE MITCH MITCHELL
DIRECTOR1.000.00Yes (X)$0$0$0
GEORGE H BROWN
DIRECTOR1.000.00Yes (X)$0$0$0
KIMBERLY KIM SHEPHERD
DIRECTOR1.000.00Yes (X)$0$0$0
LAURENCE LARRY E PAUL MD
DIRECTOR1.000.00Yes (X)$0$0$0
SHERI SANI
DIRECTOR1.000.00Yes (X)$0$0$0
M SCOTT LIEBERENZ
SVP, CHIEF FINANCIAL OFFICER55.000.00Yes (X)$924,651$0$131,394
JUDITH M KLINE
CORPORATE SECRETARY55.000.00Yes (X)$263,442$0$19,294
ALEXANDRA CARTER
SVP, CHIEF DEVELOPMENT OFFICER55.000.00$1,199,727$0$100,774Yes (X)
GRACE OH
SVP, GENERAL COUNSEL55.000.00$951,570$0$131,175Yes (X)
NANCY LEE
SVP, CHIEF CLINICAL OFFICER55.000.00$1,044,635$0$13,744Yes (X)
LARA KHOURI
SVP, CHIEF STRATEGY OFFICER55.000.00$905,099$0$152,587Yes (X)
JAMES STEIN MD
SVP, CHIEF MEDICAL OFFICER55.000.00$877,994$0$92,526Yes (X)
MAMOON SYED
SVP, CHIEF PEOPLE OFFICER55.000.00$641,291$0$105,892Yes (X)
CONRAD BAND
SVP, CHIEF INFORMATION OFFICER55.000.00$481,200$0$93,806Yes (X)
DEBORAH BRAIDIC
VP,CHIEF COMM OFF&SPC PROJECTS55.000.00$432,446$0$65,085Yes (X)
HANNA SONG
SVP, CHIEF DIVERSITY OFFICER55.000.00$357,866$0$69,541Yes (X)
RUTH M AREVALO
VP, HEALTH SYSTEM DEV & INTEG55.000.00$480,152$0$80,990Yes (X)
PAT R LEVITT MD
FACULTY PHYSICIAN55.000.00$815,875$0$0Yes (X)
MICHAEL GORAN MD
FACULTY PHYSICIAN28.000.00$477,348$0$0Yes (X)
JODI SHIRLYN OGDEN RIVERA
VP, RESEARCH OPERATIONS55.000.00$473,960$0$78,134Yes (X)
MARILYN HO
CHIEF OF STAFF (END 02/22)55.000.00$447,936$0$3,179Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,261,226TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,177,299TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2296IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMN HEALTHCARE INC
12400 HIGH BLUFF DRSAN DIEGOCA92130HEALTHCARE WORKFORCE MANAGEMENT$24,424,732
SODEXO INC & AFFILIATES
9801 WASHINGTON BLVDGAITHERSBURGMD20878FOOD AND HOUSEKEEPING SERVICES$20,942,833
PCAM LLC
3165 GARFIELD AVELOS ANGELESCA90040PARKING SERVICES$5,526,300
UNIVERSAL BUILDING MAINTENANCE LLC
161 WASHINGTON STREET SUITE 600CONSHOHOCKENPA19428JANITORIAL SERVICES$4,187,346
BRASCIA BUILDERS INC
100 E WARDLOW ROADLONG BEACHCA90807CONSTRUCTION SERVICES$3,597,555
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K180CntrctRcvdGreaterThan100KCnt
Fundraising$5,845,458FundraisingAmt
Government Grants$86,177,900GovernmentGrantsAmt
All Other Contributions$163,458,918AllOtherContributionsAmt
Noncash Contributions$1,724,840NoncashContributionsAmt
Total Contributions$255,482,276TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621110$1,255,347,934$1,255,347,934
RESEARCH REVENUE900099$18,264,425$18,264,425
GRADUATE MEDICAL EDU.900099$17,917,971$17,917,971
EDUCATION REVENUE900099$7,635,612$7,635,612
FieldValueIRS element (for citing)
Total Program Service Revenue$1,299,165,942TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,059,346TotalRevenueColumnAmt
Unrelated Business Revenue$45,557UnrelatedBusinessRevenueAmt
Exclusion$32,013,789ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,048,173TotalRevenueColumnAmt
Exclusion$2,048,173ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,416,788RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,087,059RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,329,729RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,329,729TotalRevenueColumnAmt
Exclusion$2,329,729ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$244,246,881SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$239,415,848SecuritiesAmt
Other$20,751OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,831,033SecuritiesAmt
Other-$20,751OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,810,282TotalRevenueColumnAmt
Exclusion$4,810,282ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$69,117FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$5,845,458ContriRptFundraisingEventAmt
Fundraising Direct Expenses$2,907,100FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,837,983TotalRevenueColumnAmt
Exclusion-$2,837,983ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA722514$4,587,302$4,587,302
JV INCOME900099$3,926,450$3,926,450
PARKING GARAGE812930$3,407,740$3,407,740

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,960,376TotalRevenueColumnAmt
Related Or Exempt Func Income$806,599RelatedOrExemptFuncIncomeAmt
Exclusion$4,153,777ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,881,868OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,609,939,633TotalRevenueColumnAmt
Related Or Exempt Func Income$1,303,898,991RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$45,557UnrelatedBusinessRevenueAmt
Exclusion$50,512,809ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,286,772TotalAmt
Program Services$3,286,772ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,852,244TotalAmt
Program Services$3,029,440ProgramServicesAmt
Management And General$7,882,401ManagementAndGeneralAmt
Fundraising$940,403FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$737,148,059TotalAmt
Program Services$578,227,335ProgramServicesAmt
Management And General$148,840,990ManagementAndGeneralAmt
Fundraising$10,079,734FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,494,209TotalAmt
Program Services$10,848,380ProgramServicesAmt
Management And General$2,406,018ManagementAndGeneralAmt
Fundraising$239,811FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$71,034,371TotalAmt
Program Services$53,136,069ProgramServicesAmt
Management And General$16,796,288ManagementAndGeneralAmt
Fundraising$1,102,014FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$46,335,552TotalAmt
Program Services$37,341,265ProgramServicesAmt
Management And General$8,238,734ManagementAndGeneralAmt
Fundraising$755,553FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,344,686TotalAmt
Management And General$3,344,686ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,316,036TotalAmt
Program Services$163,083ProgramServicesAmt
Management And General$2,152,953ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$482,779TotalAmt
Management And General$482,779ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$358,901TotalAmt
Management And General$358,901ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,069,881TotalAmt
Management And General$1,069,881ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$262,086,023TotalAmt
Program Services$171,753,996ProgramServicesAmt
Management And General$84,580,951ManagementAndGeneralAmt
Fundraising$5,751,076FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,424,151TotalAmt
Program Services$3,241,829ProgramServicesAmt
Fundraising$182,322FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$229,700,728TotalAmt
Program Services$215,313,322ProgramServicesAmt
Management And General$13,917,879ManagementAndGeneralAmt
Fundraising$469,527FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$41,432,294TotalAmt
Program Services$34,620,952ProgramServicesAmt
Management And General$6,137,582ManagementAndGeneralAmt
Fundraising$673,760FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$348,849TotalAmt
Program Services$348,849ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,975,514TotalAmt
Program Services$18,228,013ProgramServicesAmt
Management And General$2,743,499ManagementAndGeneralAmt
Fundraising$4,002FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,752,274TotalAmt
Program Services$1,706,257ProgramServicesAmt
Management And General$857,914ManagementAndGeneralAmt
Fundraising$188,103FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,768,337TotalAmt
Program Services$2,497,912ProgramServicesAmt
Management And General$666,187ManagementAndGeneralAmt
Fundraising$604,238FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,685,036TotalAmt
Program Services$18,809,120ProgramServicesAmt
Management And General$875,916ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$69,680,298TotalAmt
Program Services$66,623,752ProgramServicesAmt
Management And General$3,056,546ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,486,995TotalAmt
Program Services$6,959,090ProgramServicesAmt
Management And General$1,461,054ManagementAndGeneralAmt
Fundraising$66,851FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
QUALITY ASSURANCE FEES$62,630,948$62,630,948$0$0
LEASE EXPENSE$11,359,894$4,260,379$7,099,515$0
DUES AND SUBSCRIPTIONS$5,154,186$791,524$3,060,519$1,302,143
TAXES AND LICENSES$3,333,153$588,130$2,744,955$68

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,387,274TotalAmt
Program Services$5,507,969ProgramServicesAmt
Management And General$11,526,291ManagementAndGeneralAmt
Fundraising$353,014FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,652,929,444TotalAmt
Program Services$1,299,914,386ProgramServicesAmt
Management And General$330,302,439ManagementAndGeneralAmt
Fundraising$22,712,619FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,200BOYAmt
EOY$9,250EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$71,706,472BOYAmt
EOY$41,216,048EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$111,740,446BOYAmt
EOY$83,796,123EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$252,747,517BOYAmt
EOY$294,302,695EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$500,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$16,054,558BOYAmt
EOY$15,978,207EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,125,821BOYAmt
EOY$12,479,112EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,093,780,848LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,089,003,589LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,015,256,726BOYAmt
EOY$1,004,777,259EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$858,165,115BOYAmt
EOY$848,345,593EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,760,355BOYAmt
EOY$6,051,188EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$262,397,287BOYAmt
EOY$389,498,408EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,607,463,497BOYAmt
EOY$2,696,953,883EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$218,665,778BOYAmt
EOY$267,462,558EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,511,917BOYAmt
EOY$15,853,435EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$453,871,287BOYAmt
EOY$442,851,552EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$179,790,479BOYAmt
EOY$228,829,190EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$871,839,461BOYAmt
EOY$954,996,735EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,175,779,719BOYAmt
EOY$1,143,085,307EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$559,844,317BOYAmt
EOY$598,871,841EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,735,624,036BOYAmt
EOY$1,741,957,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,607,463,497BOYAmt
EOY$2,696,953,883EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$42,989,811ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$45,475,515NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,847,408OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$195,381,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$165,853,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,208,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$234,853,900CurrentTaxYearMinus1YearAmt
Current Tax Year$253,502,299CurrentTaxYearAmt
Total$1,008,800,118TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$195,381,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$165,853,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,208,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$234,853,900CurrentTaxYearMinus1YearAmt
Current Tax Year$253,502,299CurrentTaxYearAmt
Total$1,008,800,118TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$87,760,294SubstantialContributorsTotAmt
Public Support Total170$921,039,824PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,516,139CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,608,331CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,230,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,615,448CurrentTaxYearMinus1YearAmt
Current Tax Year$37,478,750CurrentTaxYearAmt
Total$118,449,037TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$28,268CurrentTaxYearMinus1YearAmt
Current Tax Year$36,607CurrentTaxYearAmt
Total$64,875TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,321,947CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,214,471CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,984,184CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,625,801CurrentTaxYearMinus1YearAmt
Current Tax Year$16,881,868CurrentTaxYearAmt
Total$103,028,271TotalAmt
FieldValueIRS element (for citing)
Total Support$1,230,342,301TotalSupportAmt
Public Support CY1700.74860PublicSupportCY170Pct
Public Support PY1700.80050PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$358,901OtherActivitiesAmt
Total Lobbying Expenditures$358,901TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II-B, LINE 1:1. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) - MEMBERSHIP DUES 2. HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC) - MEMBERSHIP DUES 3. CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION (CCHA) - MEMBERSHIP DUES 4. CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) - MEMBERSHIP DUES 5. THE MARGOLIN GROUP, INC. - STATE LOBBYING ACTIVITY 6. ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) - MEMBERSHIP DUES 7. CALIFORNIA ADVOCACY LLC - STATE LOBBYING ACTIVITY
PART II-B:CHILDREN'S HOSPITAL LOS ANGELES DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$664,222,760BeginningYearBalanceAmt
Contributions$103,163,226ContributionsAmt
Investment Earnings Or Losses$57,259,567InvestmentEarningsOrLossesAmt
Other Expenditures$108,267,665OtherExpendituresAmt
End Year Balance$716,377,888EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$752,519,746BeginningYearBalanceAmt
Contributions$65,433,713ContributionsAmt
Investment Earnings Or Losses-$68,342,348InvestmentEarningsOrLossesAmt
Other Expenditures$85,388,351OtherExpendituresAmt
End Year Balance$664,222,760EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$650,266,946BeginningYearBalanceAmt
Contributions$58,919,128ContributionsAmt
Investment Earnings Or Losses$114,386,968InvestmentEarningsOrLossesAmt
Other Expenditures$71,053,296OtherExpendituresAmt
End Year Balance$752,519,746EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$613,593,715BeginningYearBalanceAmt
Contributions$79,575,519ContributionsAmt
Investment Earnings Or Losses$18,292,383InvestmentEarningsOrLossesAmt
Other Expenditures$61,194,671OtherExpendituresAmt
End Year Balance$650,266,946EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$607,373,502BeginningYearBalanceAmt
Contributions$59,730,321ContributionsAmt
Investment Earnings Or Losses$13,083,122InvestmentEarningsOrLossesAmt
Other Expenditures$66,593,230OtherExpendituresAmt
End Year Balance$613,593,715EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.56190BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.43810TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,422,121OtherCostOrOtherBasisAmt
Book Value$138,422,121BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,157,818,078OtherCostOrOtherBasisAmt
Depreciation$547,985,128DepreciationAmt
Book Value$609,832,950BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$677,879,320OtherCostOrOtherBasisAmt
Depreciation$541,018,461DepreciationAmt
Book Value$136,860,859BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,661,329OtherCostOrOtherBasisAmt
Book Value$119,661,329BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,004,777,259TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
HOSPITAL FEE PROGRAM RECEIVABLE$293,956,470
CAPITAL ACCUMULATION ACCOUNT$5,087,416
RECEIVABLES UNDER GOVERNMENT PROGRAM$29,438,431
RIGHT-OF-USE ASSET$46,960,013
MEDI-CAL COST REPORT SETTLEMENT$13,208,360
OTHER$847,718
FieldValueIRS element (for citing)
Total Book Value Other Assets$389,498,408TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
HOSPITAL FEE PROGRAM LIABILITY$68,391,119
LIABILITY UNDER UNITRUST AGREEMENTS$1,722,683
INTEREST RATE SWAP$3,896,096
LEASE LIABILITY - LONG TERM$34,836,534
PAYABLES UNDER GOVERNMENT PROGRAMS$19,573,085
LINE OF CREDIT$50,000,000
OTHER NONCURRENT LIABILITIES$50,409,673
FieldValueIRS element (for citing)
Total Liability$228,829,190TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE INTENDED TO BE USED ACCORDING TO THE DONOR'S WISHES WHICH VARY FROM ONGOING PROGRAM SUPPORT, TO SPECIFIC RESEARCH, TO BUILDING OR ASSET ACQUISITION, OR SUPPORT OF ACADEMIC CHAIRS WITHIN THE ORGANIZATION.
PART X, LINE 2:THE HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER SECTION 501(C)(3) AND SIMILAR CALIFORNIA STATUTES. INCOME FROM THE HOSPITAL'S LIMITED LIABILITY CORPORATIONS, CHLA ESBT AND CHLA MEDICAL FOUNDATION (C CORPORATION), ARE TAXABLE TO CHLA. THE INCOME TAX PROVISION IS RECORDED IN OTHER EXPENSES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS AND IS IMMATERIAL FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. THE HOSPITAL ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ASC 740, INCOME TAXES. IT IS THE HOSPITAL'S POLICY TO CLASSIFY THE EXPENSE RELATED TO INTEREST AND PENALTIES, IF ANY, TO BE PAID ON UNDERPAYMENTS OF INCOME TAXES WITHIN OTHER EXPENSES. THE HOSPITAL HAS EVALUATED ITS UNCERTAIN TAX POSITIONS, AND THERE WERE NO MATERIAL PENALTIES OR INTEREST RECOGNIZED FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. THE HOSPITAL'S INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2019, THROUGH JUNE 30, 2023, ARE SUBJECT TO EXAMINATION BY BOTH THE FEDERAL AND STATE TAX JURISDICTIONS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1WALK & PLAY LAEvent1Nm
Gross Receipts Event1$492,997GrossReceiptsEvent1Amt
Charitable Contri Event1$492,997CharitableContriEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$9,938NonCashPrizesEvent1Amt
Rent Facility Costs Event1$114,869RentFacilityCostsEvent1Amt
Food And Beverage Event1$278FoodAndBeverageEvent1Amt
Entertainment Event1$21,853EntertainmentEvent1Amt
Other Direct Expenses Event1$81,415OtherDirectExpensesEvent1Amt
Event2GALAEvent2Nm
Gross Receipts Event2$5,421,578GrossReceiptsEvent2Amt
Charitable Contri Event2$5,352,461CharitableContriEvent2Amt
Gross Revenue Event2$69,117GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$1,292,448RentFacilityCostsEvent2Amt
Food And Beverage Event2$512,844FoodAndBeverageEvent2Amt
Entertainment Event2$750,723EntertainmentEvent2Amt
Other Direct Expenses Event2$122,732OtherDirectExpensesEvent2Amt
Gross Receipts Total$5,914,575GrossReceiptsTotalAmt
Charitable Contributions Tot$5,845,458CharitableContributionsTotAmt
Gross Revenue Total Events$69,117GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$9,938NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,407,317RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$513,122FoodAndBeverageTotalEventsAmt
Entertainment Total Events$772,576EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$204,147OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,907,100DirectExpenseSummaryEventsAmt
Net Income Summary-$2,837,983NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served352PersonsServedCnt
Total Community Benefit Expns$414,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$414,302NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served261876PersonsServedCnt
Total Community Benefit Expns$446,862,446TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$380,710,638DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,151,808NetCommunityBenefitExpnsAmt
Total Expense0.04000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served262228PersonsServedCnt
Total Community Benefit Expns$447,276,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$380,710,638DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,566,110NetCommunityBenefitExpnsAmt
Total Expense0.04030TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served694724PersonsServedCnt
Total Community Benefit Expns$11,602,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,602,027NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served8456PersonsServedCnt
Total Community Benefit Expns$74,944,141TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,910,999DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,033,142NetCommunityBenefitExpnsAmt
Total Expense0.02300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2649PersonsServedCnt
Total Community Benefit Expns$1,915,247TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,915,247NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$163,756,837TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,057,948DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,698,889NetCommunityBenefitExpnsAmt
Total Expense0.03910TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$962,700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$962,700NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs26ActivitiesOrProgramsCnt
Persons Served706029PersonsServedCnt
Total Community Benefit Expns$253,180,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$135,968,947DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,212,005NetCommunityBenefitExpnsAmt
Total Expense0.07090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs32ActivitiesOrProgramsCnt
Persons Served968257PersonsServedCnt
Total Community Benefit Expns$700,457,700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$516,679,585DirectOffsettingRevenueAmt
Net Community Benefit Expns$183,778,115NetCommunityBenefitExpnsAmt
Total Expense0.11120TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served61PersonsServedCnt
Total Community Benefit Expns$63,014TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$63,014NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served150000PersonsServedCnt
Total Community Benefit Expns$777,847TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$540,847NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served32PersonsServedCnt
Total Community Benefit Expns$609,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$609,380NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served150093PersonsServedCnt
Total Community Benefit Expns$1,450,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,213,241NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$49,243,335BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,720,321ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,514,172CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,206,149MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14650 SUNSET BLVDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900270982ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHLA.ORGWebsiteAddressTxt
State License930000032StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C, SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C, SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.CHLA.ORG/BILLING-AND-INSURANCE-PAYING-CAREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.CHLA.ORG/BILLING-AND-INSURANCE-PAYING-CAREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.CHLA.ORG/BILLING-AND-INSURANCE-PAYING-CAREFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHILDREN'S HOSPITAL LOS ANGELESPART V, SECTION B, LINE 5: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY THE CENTER FOR NONPROFIT MANAGEMENT (CNM) AND THE OFFICE OF COMMUNITY AFFAIRS AT CHILDREN'S HOSPITAL LOS ANGELES IN COLLABORATION WITH OTHER INSTITUTIONS, ORGANIZATIONS AND AGENCIES AS WELL AS MEMBERS OF THE CHILDREN'S HOSPITAL COMMUNITY BENEFIT ADVISORY COMMITTEE.THE CNM TEAM HAS EXTENSIVE EXPERIENCE THROUGH BEING INVOLVED IN AND CONDUCTING MORE THAN 30 CHNAS FOR HOSPITALS THROUGHOUT LOS ANGELES COUNTY AND SAN DIEGO COUNTY. THE CNM TEAM CONDUCTED 2019 CHNAS FOR CITRUS VALLEY HEALTH PARTNERS, THE GLENDALE HOSPITALS COLLABORATIVE, CITY OF HOPE, HUNTINGTON HOSPITAL IN PASADENA, CA, AND TWO OF THE LOCAL HOSPITALS WITHIN THE PROVIDENCE HEALTH SYSTEM, AS WELL AS CHLA'S PREVIOUS 2016 & 2019 CHNAS.CHLA HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN AN EFFORT TO UNDERSTAND THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY AND AS REQUIRED BY STATE AND FEDERAL LAW. THE CHNA IS A PRIMARY TOOL USED BY THE HOSPITAL TO DETERMINE ITS COMMUNITY BENEFIT PLAN. THIS ASSESSMENT INCORPORATES COMPONENTS OF PRIMARY DATA COLLECTION AND SECONDARY DATA ANALYSIS THAT FOCUS ON THE HEALTH AND SOCIAL NEEDS OF THE SERVICE AREA. SOURCES OF DATA INCLUDE THE U.S. CENSUS 2020 DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY, CALIFORNIA HEALTH INTERVIEW SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, LOS ANGELES COUNTY HEALTH SURVEY, LOS ANGELES HOMELESS SERVICES AUTHORITY, CDC NATIONAL HEALTH STATISTICS, NATIONAL CANCER INSTITUTE, U.S. DEPARTMENT OF EDUCATION, AND OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF CALIFORNIA STATE. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT METHODOLOGY AND PROCESS INVOLVED THE COLLECTION OF BOTH SECONDARY DATA AND PRIMARY DATA. APPROXIMATELY 300 SECONDARY DATA INDICATORS ON A VARIETY OF HEALTH, SOCIAL, ECONOMIC, AND ENVIRONMENTAL TOPICS WERE COLLECTED BY ZIP CODE, SERVICE PLANNING AREA (SPA), COUNTY, AND STATE LEVELS (AS AVAILABLE). IN ADDITION, PRIMARY DATA COLLECTION INCLUDED AN ONLINE SURVEY, A YOUTH-LED PHOTOVOICE PROJECT WITH YOUTH AND YOUNG ADULT REPRESENTATION FROM ALL OVER LOS ANGELES COUNTY AND A COMMUNITY FORUM WITH INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. ADDITIONALLY, INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. FOR THE COMMUNITY FORUM, COMMUNITY STAKEHOLDERS IDENTIFIED BY KEY DEPARTMENTS AT CHILDREN'S HOSPITAL LOS ANGELES WERE CONTACTED AND ASKED TO PARTICIPATE IN THE PRIORITIZATION OF NEEDS PROCESS. PARTICIPANTS INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY.A NUMBER OF INSTITUTIONS, ORGANIZATIONS, AND DEPARTMENTS CONTRIBUTED TIME AND RESOURCES TO ASSIST WITH THE ASSESSMENT. THIS LIST WHICH INCLUDED THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH IS FOUND IN APPENDIX C OF THE 2022 CHNA FOUND ON WWW.CHLA.ORG/COMMUNITY.
CHILDREN'S HOSPITAL LOS ANGELESPART V, SECTION B, LINE 11: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), HEALTH AND SOCIAL NEEDS WERE IDENTIFIED THROUGH AN EXAMINATION OF PRIMARY AND SECONDARY DATA AND THEN PRIORITIZED THROUGH A STRUCTURED PROCESS USING THE RELATIVE WORTH METHOD. THE FOLLOWING PRIORITIZED HEALTH NEEDS WERE IDENTIFIED: MENTAL HEALTH, HOMELESSNESS/HOUSING, ECONOMIC SECURITY/POVERTY, COMMUNICABLE/INFECTIOUS DISEASES (INCLUDING COVID-19), PATIENT/FAMILY-CENTERED HEALTH CARE, HEALTH SERVICES COMMUNICATION, OBESITY, AND FOOD SECURITY.TO ADDRESS THESE NEEDS, WE OPERATE THROUGH THE FOLLOWING DOMAINS: 1) HEALTH ACCESS, 2) ECONOMIC ADVANCEMENT AND 3) COMMUNITY GROWTH. 1) HEALTH ACCESS DOMAIN:MENTAL HEALTH:-CHLA'S BEHAVIORAL HEALTH INSTITUTE, DEPARTMENT OF PSYCHOLOGY, DIVISION OF DEVELOPMENTAL-BEHAVIORAL PEDIATRICS, DEVELOPMENTAL AND BEHAVIORAL OUTPATIENT CENTER AND OTHER PROGRAMS WILL CONTINUE ADVANCING INITIATIVES THAT IMPROVE THE BEHAVIORAL AND DEVELOPMENTAL HEALTH OF CHILDREN.PATIENT/FAMILY-CENTERED HEALTH CARE:-WE PLAN TO CONTINUE WORKING WITH COMMUNITY HEALTH PROMOTION ORGANIZATIONS AND COMMUNITY HEALTH PROMOTERS TO PARTNER AND CONCEPTUALIZE MODELS THAT INTEGRATE NAVIGATION OF COMMUNITY RESOURCES AND SERVICES INTO THE HEALTH CARE SYSTEM.COMMUNICABLE/INFECTIOUS DISEASES (INCLUDING COVID-19): -CHLA WILL CONTINUE TO HOST ANNUAL COMMUNITY VACCINATION CLINICS FOR INFLUENZA AND WILL CONTINUE TO EXPLORE PARTNERSHIP OPPORTUNITIES TO CONTINUE THIS EFFORT.HEALTH SERVICES COMMUNICATION:-WE PLAN TO CONTINUE DEEPENING RELATIONS AND INCREASING PARTNERSHIPS TO EXTEND THE PROVISION OF HEALTH PROMOTION AND RESOURCE INFORMATION TO COMMUNITY MEMBERS AND COMMUNITY ORGANIZATIONS THROUGH MULTIPLE PLATFORMS.OBESITY:-CHLA PLANS TO CONTINUE TO EXPLORE OPPORTUNITIES TO APPLY ITS CLINICAL EXPERTISE AND INITIATIVES TO EXTEND ITS PROGRAMS AND SERVICES TO THE COMMUNITY, INCLUDING BUT NOT LIMITED TO, NUTRITION PROGRAMS, RESEARCH WITHIN THE CHLA DIABETES AND OBESITY PROGRAM TO DEVELOP STRATEGIES TO REDUCE THE BURDEN OF OBESITY AND DIABETES IN CHILDREN AND OTHER CHLA WEIGHT MANAGEMENT PROGRAMS AND CLINICS. 2) ECONOMIC ADVANCEMENT DOMAIN:ECONOMIC SECURITY/POVERTY:-WE CONTINUE TO PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES TO YOUTH IN DIVERSE COMMUNITIES THROUGH PROGRAMS, INCLUDING BUT NOT LIMITED TO: LATINO AND AFRICAN AMERICAN HIGH SCHOOL INTERNSHIP PROGRAM (LA HIP) STEM AND HEALTH RESEARCH INTERNSHIPS, PROJECT SEARCH JOB-READINESS PROGRAM FOR YOUTH WITH DEVELOPMENTAL DISABILITIES, CAMP CHLA- HIGH-SCHOOL HEALTH CAREER EXPLORATION PROGRAM AND CAREERS IN HEALTH AND MENTORSHIP (CHAMP) HEALTHCARE ADMINISTRATION FOCUSED INTERNSHIP PROGRAM.-WE ARE CONTINUING OUR SUCCESSFUL CAREERS IN HEALTH AND MENTORSHIP (CHAMP) PROGRAM TO INCREASE THE SCOPE OF THE TRAINING PROVIDED FOR INTERNS TO MAXIMIZE THEIR ABILITY TO GAIN EMPLOYMENT FOLLOWING PARTICIPATION IN THE PROGRAM. -WE CONTINUE TO PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES TO YOUTH IN DIVERSE COMMUNITIES THROUGH PROGRAMS SUCH AS: LATINO AND AFRICAN AMERICAN HIGH SCHOOL INTERNSHIP PROGRAM (LA HIP) STEM AND HEALTH RESEARCH INTERNSHIPS, PROJECT SEARCH JOB-READINESS PROGRAM FOR YOUTH WITH DEVELOPMENTAL DISABILITIES AND CAMP CHLA- HIGH-SCHOOL HEALTH CAREER EXPLORATION PROGRAM. -THE HOSPITAL IS WORKING TO ADVANCE CURRENT EFFORTS TO EXPAND INTERNSHIPS, MENTORSHIPS AND WORK EXPERIENCE OPPORTUNITIES FOR YOUNG ADULTS AND UNEMPLOYED INDIVIDUALS AND WILL COLLABORATE WITH COMMUNITY AND CIVIC STAKEHOLDERS TO MAXIMIZE ECONOMIC OPPORTUNITY STRATEGIES THAT ADDRESS HEALTH DISPARITIES AND THE SOCIAL DETERMINANTS OF HEALTH.3) COMMUNITY GROWTH DOMAIN:FOOD SECURITY: -WE AIM TO ADDRESS FOOD INSECURITY BY SUPPORTING FOOD RECLAMATION, FRESH PRODUCE DISTRIBUTION AND MEAL PROGRAMS FOR FAMILIES IN NEED, CONDUCTED IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS. -WE SUPPORT THE DEVELOPMENT OF COMMUNITY GARDENS AND GREEN SPACES. -WE PROVIDE SUPPORT TO LOCAL NONPROFITS ENGAGING IN WORK TO ADVANCE HEALTH EQUITY IN OUR COMMUNITIES. WHILE "HOMELESSNESS/HOUSING" WAS ANOTHER HEALTH AND SOCIAL NEED IDENTIFIED IN PRIORITIZED LIST, THERE ARE OTHER LOCAL AND REGIONAL COMMUNITY ORGANIZATIONS WHOSE MISSION AND RESOURCES ARE WELL-ALIGNED TO ADDRESS THIS NEED THAT HAVE BEEN IDENTIFIED. CHLA WILL STILL CONTINUE TO EXPLORE FUTURE OPPORTUNITIES TO PARTNER OR COLLABORATE REGARDING THIS NEED.
PART V, SECTION B, LINE 7A:THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") OF THE HOSPITAL CAN BE LOCATED AT THE FOLLOWING WEB ADDRESS: HTTPS://WWW.CHLA.ORG/COMMUNITY-IMPACT-REPORTS-AND-PUBLICATIONS
PART V, SECTION B, LINE 10A:THE IMPLEMENTATION STRATEGY OF THE HOSPITAL CAN BE LOCATED AT THE FOLLOWING WEB ADDRESS: HTTPS://WWW.CHLA.ORG/COMMUNITY-IMPACT-REPORTS-AND-PUBLICATIONS
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ARCADIA
468 E SANTA CLARA STARCADIACA91006OUTPATIENT CLINIC
2 - SOUTH BAY
3440 TORRANCE BLVD SUITE 100TORRANCECA90503OUTPATIENT CLINIC
3 - WILSHIRE
3250 WILSHIRE BLVDLOS ANGELESCA90010UNIVERSITY CENTER FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES CLINIC
4 - SANTA MONICA
1419 19TH STSANTA MONICACA90404OUTPATIENT CLINIC
5 - VALENCIA
23838 VALENCIA BLVD SUITE 140VALENCIACA91355OUTPATIENT CLINIC
6 - ENCINO
5363 BALBOA BLVD SUITE 121ENCINOCA91316OUTPATIENT CLINIC
7 - BAKERSFIELD
9500 STOCKDALE HWY 104BAKERSFIELDCA93311OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:CHLA HAS PREPARED A COMMUNITY IMPACT REPORT AND IT CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.CHLA.ORG/COMMUNITY-IMPACT-REPORTS-AND-PUBLICATIONS
PART I, LINE 7:THE ORGANIZATION USES THE COST-TO-CHARGE RATIO METHODOLOGY TO DETERMINE UNREIMBURSED COST OF CARE PROVIDED TO MEDI-CAL PATIENTS. ALL OTHER COSTS ARE ACCOUNTED FOR USING AN INTERNAL SOFTWARE CALLED CBISA (COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY), WHICH FEATURES A BLEND OF BOTH STATISTICAL AND NARRATIVE INFORMATION. IN OCTOBER 2010, CMS APPROVED LEGISLATION ENACTED BY THE STATE OF CALIFORNIA THAT PROVIDED FOR SUPPLEMENTAL MEDI-CAL PAYMENTS TO BE PAID TO CERTAIN HOSPITALS FROM FUNDS COLLECTED FROM PARTICIPATING HOSPITALS UNDER THE STATE'S QUALITY ASSURANCE FEE PROGRAM. SUCH AMOUNTS WERE ALLOCATED AND PAID TO CHLA BASED ON PRIOR YEAR PATIENT DATA, WHICH INCLUDES MEDI-CAL PATIENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:THE HOSPITAL SPONSORS VARIOUS COMMUNITY SERVICES TO BENEFIT THE PHYSICALLY, MENTALLY, AND GENETICALLY DISABLED AS PART OF ITS CHARITABLE MISSION. THESE SERVICES INCLUDE PARENTAL COUNSELING, EDUCATIONAL SEMINARS, FAMILY SUPPORT GROUPS, AND AN OUTREACH ORGANIZATION FOR FAMILIES ADMINISTERED BY THE HOSPITAL IN AN AGENCY RELATIONSHIP AND FUNDED BY THE STATE OF CALIFORNIA. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, TELEPHONE INFORMATION SERVICES, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. CHILDREN'S HOSPITAL LOS ANGELES OFFERS MANY COMMUNITY SERVICES AND PROGRAMS IN RESPONSE TO THE NEEDS OF CHILDREN, YOUTH AND FAMILIES. COMMUNITY BENEFIT SERVICES AND ACTIVITIES ARE DESIGNED TO PROVIDE TREATMENT AND PROMOTE HEALTH AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. OUR OBJECTIVES ARE TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCE PUBLIC HEALTH OF THE COMMUNITY, ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE THAT PROVIDES PUBLIC BENEFIT, AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS.THE CHLA COMMUNITY HEALTH OUTREACH NETWORK - DUE TO CHANGING COVID-19 RESTRICTIONS, CHLA COMMUNITY HEALTH OUTREACH NETWORK IN-PERSON OUTREACH HAS BEEN LIMITED AND HAS REMAINED PRIMARILY IN A VIRTUAL FORMAT. CHLA'S OFFICE OF COMMUNITY AFFAIRS CONTINUED TO UTILIZE THE COMMUNITY IMPACT VIRTUAL SERIES TO VIRTUALLY PROVIDE HEALTH EDUCATION AND HEALTH PROMOTION INFORMATION TO THE COMMUNITY ORGANIZATION AND COMMUNITY MEMBERS INCLUDING TOPICS SUCH AS NUTRITION FOR HEALTHY KIDS, HOW TO TALK TO OUR KIDS ABOUT TRAUMATIC EVENTS, THE DANGERS OF FENTANYL, SCHOOL IMMUNIZATIONS REACHING OVER 400 INDIVIDUALS INCLUDING REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS AND FAMILIES VIA 13 VIRTUAL SESSIONS.CAREERS IN HEALTH AND MENTORSHIP PROGRAM (CHAMP) CHLA'S CHAMP PROVIDES UNDERREPRESENTED ADULTS FROM THE LOS ANGELES COMMUNITY THE OPPORTUNITY TO PARTICIPATE IN A SERIES OF COMPREHENSIVE JOB READINESS AND LEADERSHIP DEVELOPMENT WORKSHOPS THAT ARE LED BY CHLA STAFF AND HOSPITAL PARTNERS. SINCE ITS INCEPTION, OVER 250 YOUNG ADULTS ENTERED THE CHLA CHAMP. AFTER SUCCESSFULLY COMPLETING THE WORKSHOP SERIES, "CHAMPERS" ARE PLACED IN NONCLINICAL, PROJECT-BASED INTERNSHIPS IN PARTICIPATING HOSPITAL DEPARTMENTS. STUDENTS ENGAGED WITH MANY DEPARTMENTS INCLUDING INNOVATIONS, COMMUNITY AFFAIRS, THE SABAN RESEARCH INSTITUTE, DIVERSITY, EQUITY & INCLUSION AND PATIENT EXPERIENCE.CAMP CHLA, A HEALTH CAREERS EXPLORATION PROGRAM, PROVIDES HIGH SCHOOL STUDENTS A FIRSTHAND LOOK INTO THE DAILY LIVES OF HEALTH CARE PROFESSIONALS. SINCE ITS INCEPTION IN 2006, OVER 2,000 STUDENTS FROM OUR COMMUNITY HAVE HAD THE OPPORTUNITY TO: JOB-SHADOW HEALTH CARE PROFESSIONALS, PARTICIPATE IN HANDS-ON SKILLS LABS, GAIN EXPOSURE TO DIFFERENT HEALTH CAREER PATHS AND SHARE THEIR EXPERIENCES WITH OTHER CAMPERS. TWO SESSIONS OF 60 STUDENTS RETURNED TO AN IN-PERSON FORMAT. STUDENTS ENGAGED WITH MANY PEDIATRIC DEPARTMENTS INCLUDING GENERAL PEDIATRICS, ED, NEONATOLOGY, HEMATOLOGY/ONCOLOGY, ORTHOPEDICS, SURGERY AND REHABILITATION.CHLA CONTINUES TO DEEPEN ITS COMMITMENT TO THE COMMUNITY AT LARGE THROUGH THE INNOVATION AND IMPLEMENTATION OF ITS COMMUNITY SERVICES AND PROGRAMS TO IMPROVE THE COMMUNITY'S HEALTH AND SAFETY. THROUGH OUR COMMUNITY BENEFIT PROCESS WE WILL GAIN A BETTER UNDERSTANDING OF THE SOCIAL DETERMINANTS OF HEALTH; AND INNOVATE AND IMPLEMENT SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITY.
PART III, LINE 2:THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED FOR THOSE PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). PATIENTS COVERED BY INSURANCE, BUT REQUIRED TO PAY DEDUCTIBLES OR COPAYMENTS, ARE CONSIDERED TO BE UNINSURED FOR THOSE PORTIONS. BASED ON HISTORICAL EXPERIENCE, THE HOSPITAL BELIEVES THAT A SIGNIFICANT PORTION OF ITS PATIENT ACCOUNTS WILL BE UNCOLLECTIBLE. THUS, IT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO PATIENT ACCOUNTS IN THE PERIOD THE SERVICES ARE PROVIDED. BAD DEBTS ARE NOT INCLUDED AS COMMUNITY BENEFITS AND CONTAIN -0- CHARITY COST. BAD DEBTS ARE CALCULATED BASED ON UNCOLLECTIBLE ACCOUNTS NET OF CONTRACTUALS. THE METHODOLOGY USED TO ARRIVE AT THE BAD DEBT REPORTED FOR THE FISCAL YEAR IS DERIVED FROM INCREMENTAL RESERVE INCREASES BASED ON THE AGE OF BILLED ACCOUNTS, PAYOR, AND PATIENT TYPE.
PART III, LINE 3:THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED FOR THOSE PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). PATIENTS COVERED BY INSURANCE, BUT REQUIRED TO PAY DEDUCTIBLES OR COPAYMENTS, ARE CONSIDERED TO BE UNINSURED FOR THOSE PORTIONS. BASED ON HISTORICAL EXPERIENCE, THE HOSPITAL BELIEVES THAT A SIGNIFICANT PORTION OF ITS PATIENT ACCOUNTS WILL BE UNCOLLECTIBLE. THUS, IT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO PATIENT ACCOUNTS IN THE PERIOD THE SERVICES ARE PROVIDED. BAD DEBTS ARE NOT INCLUDED AS COMMUNITY BENEFITS AND CONTAIN -0- CHARITY COST. BAD DEBTS ARE CALCULATED BASED ON UNCOLLECTIBLE ACCOUNTS NET OF CONTRACTUALS.
PART III, LINE 4:FOOTNOTE 1:NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS, INCLUDING ESTIMATED VARIABLE CONSIDERATION FOR RETROACTIVE ADJUSTMENTS DUE TO TERMS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS, SETTLEMENT OF AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ESTIMATED AND ACCRUED IN THE PERIOD IN WHICH THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED.THE HOSPITAL DETERMINES PERFORMANCE OBLIGATIONS BASED ON THE NATURE OF THE SERVICES PROVIDED. PATIENT SERVICE REVENUE IS RECOGNIZED FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. THE HOSPITAL BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF PERFORMANCE OBLIGATIONS BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATIONS. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE HOSPITAL RECEIVING INPATIENT ACUTE CARE SERVICES. PERFORMANCE OBLIGATIONS ARE MEASURED FROM ADMISSION TO THE POINT WHEN THERE ARE NO FURTHER SERVICES REQUIRED FOR THE PATIENT, WHICH IS GENERALLY THE TIME OF DISCHARGE. REVENUE IS RECOGNIZED FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, WHICH GENERALLY RELATE TO PATIENTS RECEIVING OUTPATIENT SERVICES, WHEN (1) SERVICES ARE PROVIDED AND (2) THE HOSPITAL DOES NOT BELIEVE THE PATIENT REQUIRES ADDITIONAL SERVICES. BECAUSE THE PATIENT SERVICE PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THE HOSPITAL HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 606-10-50-14(A), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), AND, THEREFORE, THE HOSPITAL IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD, EXCEPT FOR CERTAIN PATIENTS WHO MAY HAVE MUCH LONGER LENGTHS OF STAY.THE HOSPITAL DETERMINES THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES AND JUDGMENT, BASED ON GROSS CHARGES UTILIZING STANDARD BILLING RATES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO UNINSURED OR UNDERINSURED PATIENTS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICY, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THESE CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN ON AN INDIVIDUAL CONTRACT BASIS. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.REVENUES UNDER THE TRADITIONAL FEE-FOR-SERVICE MEDICAID PROGRAMS, INCLUDING CALIFORNIA'S MEDICAID PROGRAM ("MEDI-CAL"), ARE BASED PRIMARILY ON PROSPECTIVE PAYMENT SYSTEMS, PLUS AN OUTLIER PAYMENT FOR INDIVIDUAL PATIENTS WHOSE MEDICAL CONDITIONS ARE COSTLIER TO TREAT THAN THOSE OF PATIENTS WITH THE SAME DIAGNOSIS.SETTLEMENTS WITH THIRD-PARTY PAYERS FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE USING THE MOST LIKELY OUTCOME METHOD. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYER, CORRESPONDENCE FROM THE PAYER, AND HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN (THAT IS, NEW INFORMATION BECOMES AVAILABLE), OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS.REVENUES UNDER MANAGED CARE PLANS ARE BASED PRIMARILY ON PAYMENT TERMS INVOLVING PREDETERMINED RATES PER DIAGNOSIS, PER DIEM RATES, DISCOUNTED FEE-FOR-SERVICE RATES, AND/OR OTHER SIMILAR CONTRACTUAL ARRANGEMENTS. THESE REVENUES ARE ALSO SUBJECT TO REVIEW AND POSSIBLE AUDIT BY THE PAYERS, WHICH CAN TAKE SEVERAL YEARS BEFORE THEY ARE COMPLETELY RESOLVED. THE PAYERS ARE BILLED FOR PATIENT SERVICES ON AN INDIVIDUAL PATIENT BASIS. AN INDIVIDUAL PATIENT'S BILL IS SUBJECT TO ADJUSTMENT ON A PATIENT-BY-PATIENT BASIS IN THE ORDINARY COURSE OF BUSINESS BY THE PAYERS FOLLOWING THEIR REVIEW AND ADJUDICATION OF EACH PARTICULAR BILL. THE HOSPITAL ESTIMATES THE DISCOUNTS FOR CONTRACTUAL ALLOWANCES. AT THE END OF EACH MONTH, THE HOSPITAL ESTIMATES ITS EXPECTED REIMBURSEMENT FOR PATIENTS OF MANAGED CARE PLANS BASED ON THE APPLICABLE CONTRACT TERMS. CONTRACTUAL ALLOWANCE ESTIMATES ARE PERIODICALLY REVIEWED FOR ACCURACY BY TAKING INTO CONSIDERATION KNOWN CONTRACT TERMS, AS WELL AS PAYMENT HISTORY. THE HOSPITAL BELIEVES THAT THE ESTIMATION AND REVIEW PROCESS ENABLES THEM TO IDENTIFY INSTANCES ON A TIMELY BASIS WHERE SUCH ESTIMATES NEED TO BE REVISED. THE HOSPITAL DOES NOT BELIEVE THERE WERE ANY ADJUSTMENTS TO ESTIMATES OF PATIENT BILLS THAT WERE MATERIAL TO REVENUES.GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYERS ARE RESPONSIBLE FOR RELATED COPAYS, COINSURANCE, AND DEDUCTIBLES, WHICH VARY IN AMOUNT. THE HOSPITAL ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH COPAYS, COINSURANCE, AND DEDUCTIBLES AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL COLLECTION EXPERIENCE AND CURRENT MARKET CONDITIONS. UNDER THE HOSPITAL'S UNINSURED DISCOUNT PROGRAMS, THE DISCOUNT OFFERED TO CERTAIN UNINSURED PATIENTS IS RECOGNIZED AS A POLICY DISCOUNT, WHICH REDUCES NET OPERATING REVENUES AT THE TIME THE SELF-PAY ACCOUNTS ARE RECORDED. THE UNINSURED PATIENT ACCOUNTS, NET OF POLICY DISCOUNTS RECORDED, ARE FURTHER REDUCED TO THEIR NET REALIZABLE VALUE AT THE TIME THEY ARE RECORDED THROUGH IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION TRENDS FOR SELF-PAY ACCOUNTS AND OTHER FACTORS THAT AFFECT THE ESTIMATION PROCESS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUES IN THE PERIOD OF THE CHANGE. ALTHOUGH OUTCOMES VARY, THE HOSPITAL'S POLICY IS TO ATTEMPT TO COLLECT AMOUNTS DUE FROM PATIENTS, INCLUDING COPAYS, COINSURANCE, AND DEDUCTIBLES DUE FROM PATIENTS WITH INSURANCE, AT THE TIME OF SERVICE WHILE COMPLYING WITH ALL FEDERAL AND STATE STATUTES AND REGULATIONS.
PART III, LINE 8:CHLA IS NOT INCLUDING ANY MEDICARE SHORTFALL AS PART OF ITS COMMUNITY BENEFIT. FURTHER, CHLA USES FEDERAL MEDICARE COST ALLOCATION METHODOLOGY, AS REPORTED IN ITS MEDICARE COST REPORT, TO DETERMINE THE ALLOWABLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS RECEIVED.
PART III, LINE 9B:THE HOSPITAL'S POLICY STATES THAT IF THE PATIENT/GUARANTOR IS UNABLE TO PAY FOR SERVICES DUE TO THEIR CURRENT FINANCIAL SITUATION, THEY COULD BE ELIGIBLE FOR UNCOMPENSATED OR DISCOUNTED CARE, IN WHICH CASE THE HOSPITAL'S APPLICABLE POLICY AND PROCEDURE IS FURTHER REFERENCED. IF THE PATIENT/GUARANTOR DOES NOT QUALIFY, THE HOSPITAL FOLLOWS ALL APPLICABLE FEDERAL AND STATE GUIDELINES FOR DEBT COLLECTION, INCLUDING THE REQUIREMENT OF FAIR TREATMENT, THE PROHIBITION OF MAKING FALSE STATEMENTS AND RESTRICTIONS ON THE TIME OF DAY THAT DEBT COLLECTORS MAY CONTACT THE DEBTOR.
PART VI, LINE 2:CHLA CONTINUES ITS COMMITMENT TO THE CHILDREN AND FAMILIES OF THE LOS ANGELES AREA THROUGH ITS COMMUNITY BENEFIT ACTIVITIES WHICH ENSURE THAT OUR HOSPITAL WILL REMAIN RESPONSIVE TO THE NEEDS OF THE COMMUNITY. CHILDREN'S HOSPITAL LOS ANGELES STRIVES TO ACCOMPLISH OUR GOALS THROUGH OUR STRATEGIC PLAN, DEVELOPED IN ACCORDANCE WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. 2022 COMMUNITY HEALTH NEEDS ASSESSMENT GOALS INCLUDE: -EXPAND ACCESS TO PEDIATRIC HEALTH, BEHAVIORAL HEALTH, AND PREVENTATIVE SERVICES -INCREASE AWARENESS OF PEDIATRIC AND FAMILY HEALTH CARE RESOURCES AND INFORMATION -EXPAND WORKFORCE PIPELINE PROGRAMS FOR YOUTH AND YOUNG ADULTS -EXPAND SUPPORT OF LOCAL ECONOMIC INCLUSION INITIATIVES -SPUR LOCAL ECONOMIC GROWTH AND CHAMPION ENVIRONMENTAL SUSTAINABILITY. CHLA COMPLETED 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND CONTINUES TO STRENGTHEN ITS COMMITMENT TO UNDERSTANDING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES.
PART VI, LINE 3:EVERY PATIENT OR HIS OR HER REPRESENTATIVE SHALL, UPON ADMISSION AS AN INPATIENT, RECEIVE A WRITTEN NOTICE CONTAINING INFORMATION ABOUT THE AVAILABILITY OF CHARITY CARE AND DISCOUNT CARE. THE NOTICE SHALL INCLUDE INFORMATION ABOUT THIS POLICY, AS WELL AS CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PATIENT OR REPRESENTATIVE MAY OBTAIN FURTHER INFORMATION ABOUT THIS POLICY. THIS SAME NOTICE SHALL BE GIVEN TO PATIENTS WHO RECEIVE EMERGENCY OR OUTPATIENT CARE, AND WHO MAY RECEIVE A BILL FOR SUCH CARE, BUT WHO WERE NOT ADMITTED. THE NOTICE SHALL BE PROVIDED IN ENGLISH AND IN THE LANGUAGE SPOKEN BY THE PATIENT'S FAMILY IF AVAILABLE. NOTICES REGARDING THIS POLICY WILL BE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS VISIBLE TO THE PUBLIC INCLUDING, BUT NOT LIMITED TO, ALL OF THE FOLLOWING: THE EMERGENCY DEPARTMENT, BILLING OFFICE, ADMISSIONS OFFICE, AND OUTPATIENT SETTINGS. THESE POSTED NOTICES WILL EXPLAIN THAT CHLA HAS A VARIETY OF OPTIONS AVAILABLE, INCLUDING FINANCIAL ASSISTANCE, TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED. THESE NOTICES WILL INCLUDE A CONTACT OFFICE AND TELEPHONE NUMBER AN INDIVIDUAL CAN CALL TO OBTAIN MORE INFORMATION ABOUT THIS FINANCIAL ASSISTANCE POLICY AND TO APPLY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:OUR HOSPITAL SERVICES REACH THOUSANDS ACROSS SOUTHERN CALIFORNIA, WITH A PRIMARY SERVICE AREA OF LOS ANGELES COUNTY--A REGION THAT SPANS 4,057 SQUARE MILES AND INCLUDES VAST URBAN COMMUNITIES, SUBURBAN AREAS AND RURAL NEIGHBORHOODS AND INCLUDES 8 SERVICE PLANNING AREAS (SPAS) AS DESIGNATED BY THE LOS ANGELES COUNTY HEALTH DEPARTMENT. APPROXIMATELY 87% OF THE HOSPITAL'S PATIENTS ORIGINATE FROM L.A. COUNTY. LOS ANGELES COUNTY IS HOME TO MORE THAN 10 MILLION RESIDENTS. IT IS THE MOST POPULOUS COUNTY IN THE NATION, AND ONE OF THE MOST ETHNICALLY AND RACIALLY DIVERSE AS WELL.CHILDREN (AGES 0-14) REPRESENTED 18.2% OF THE POPULATION IN LOS ANGELES COUNTY, WHILE ADOLESCENTS (AGES 15-17) REPRESENTED 3.8%. LOS ANGELES COUNTY IS VERY DIVERSE. APPROXIMATELY HALF OF THE POPULATIONIDENTIFIES AS HISPANIC OR LATINO (50%); A LITTLE OVER A QUARTER IDENTIFIED AS WHITE (26.2%); 13.3% IDENTIFIED AS ASIAN, AND 7.9% IDENTIFIED AS BLACK OR AFRICAN AMERICAN. IN LA COUNTY, 57% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME AND 22% ARE LINGUISTICALLY ISOLATED. IN LOS ANGELES COUNTY, 16.7% OF THE POPULATION LIVED AT OR BELOW 100% OF THE FPL. FURTHERMORE, IN LOS ANGELES COUNTY, 16.7% OF CHILDREN, UNDER AGE 18 YEARS, LIVED IN POVERTY.
PART VI, LINE 5:CHILDREN'S HOSPITAL LOS ANGELES PROVIDES A RANGE OF COMMUNITY BENEFIT AND COMMUNITY IMPACT SERVICES AND PROGRAMS TAILORED TO ADDRESS THE NEEDS OF CHILDREN, YOUTH, AND FAMILIES. EMPHASIZING THE VITAL ROLE OF FAMILIES AND COMMUNITIES IN A CHILD'S LIFE, OUR PROGRAMS STRIVE TO BE FAMILY-CENTERED AND ROOTED IN THE COMMUNITY.-COMMUNITY VACCINATIONS AND HEALTH INFORMATION:CHILDREN'S HOSPITAL LOS ANGELES HOSTED COMMUNITY WELLNESS EVENTS IN VARIOUS NEIGHBORHOODS, PROVIDING VACCINES AND ESSENTIAL HEALTH INFORMATION. AMID THE PANDEMIC, CHLA BECAME AN OFFICIAL COUNTY 'POINT OF DISPENSING' FOR COVID-19 VACCINES, OPERATING BY APPOINTMENT THROUGH CALIFORNIA'S MY TURN WEBSITE. COLLABORATING WITH LOS ANGELES COUNTY AND COMMUNITY ORGANIZATIONS, THE HOSPITAL IDENTIFIED UNDERSERVED AREAS AND GROUPS, ENSURING ACCESS TO FLU AND COVID-19 VACCINES ALONGSIDE RELEVANT HEALTH EDUCATION.-FALL INTO WELLNESS FAMILY HEALTH FAIR IN SOUTH LA:THE FALL INTO WELLNESS FAMILY HEALTH FAIR WAS HOSTED BY MACEDONIA BAPTIST CHURCH IN COLLABORATION WITH THE MACEDONIA COMMUNITY DEVELOPMENT CORPORATION, CHARLES DREW UNIVERSITY AND CHILDREN'S HOSPITAL LOS ANGELES TO ADDRESS ECONOMIC, HEALTH AND SOCIAL DISPARITIES IN THE WATTS COMMUNITY OF LOS ANGELES.THE FAMILY HEALTH FAIR WELCOMED THE PUBLIC, AND PROVIDED FREE IMMUNIZATIONS, HEALTH SCREENINGS AND A FESTIVE FAMILY ATMOSPHERE WITH FOOD, MUSIC AND BOOTHS STAFFED BY COMMUNITY AND HOSPITAL VOLUNTEERS FEATURING EVERYTHING FROM ART AND EDUCATIONAL ACTIVITIES FOR KIDS TO FIRST AID TRAINING AND JOB OPPORTUNITIES FOR ADULTS.CHLA HAS A LONGSTANDING RELATIONSHIP WITH FAMILIES IN SOUTH LOS ANGELES. OVER THE PAST THREE YEARS, THE HOSPITAL HAS SEEN MORE THAN 61,000 UNIQUE PATIENTS AND MANAGED MORE THAN 243,000 PATIENT VISITS FROM THE COMMUNITY.-MQS COMMUNITY WELLNESS FAIR:SINCE 2020, CHILDREN'S HOSPITAL LOS ANGELES HAS PARTNERED WITH MANOS QUE SOBREVIVEN (MQS) IN MAKING A DIFFERENCE IN THE COMMUNITY. MANOS QUE SOBREVIVEN, WHICH TRANSLATES TO "HANDS THAT SURVIVE," IS A NONPROFIT BASED IN NORTHEAST LOS ANGELES DEDICATED TO PROMOTING HEALTHY BODIES AND MINDS FOR FAMILIES WITH CHILDREN WHO HAVE SPECIAL NEEDS.LAST OCTOBER, CHLA'S OFFICE OF COMMUNITY AFFAIRS SPONSORED THE 2022 MANOS QUE SOBREVIVEN COMMUNITY WELLNESS FAIR. THE ANNUAL EVENT IS AN OPPORTUNITY FOR LOCAL FAMILIES TO LEARN ABOUT OPTIMIZING THEIR HEALTH AND WELLNESS AND TO RECEIVE FOOD BOXES AND OTHER ESSENTIAL ITEMS AT NO COST.DURING THE FOUR-HOUR EVENT, MORE THAN 800 FAMILIES ACCESSED SERVICES INCLUDING FREE HEALTH AND DENTAL SCREENINGS, AND COVID-19 VACCINES, AS WELL AS FOOD DISTRIBUTION PROVIDED BY THE L.A. REGIONAL FOODBANK. MORE THAN 300 FAMILIES IN VEHICLES PARTICIPATED IN DRIVE-THROUGH FOOD DISTRIBUTION. IN ADDITION, REPRESENTATIVES FROM LOCAL HEALTH AGENCIES, SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS WERE ON HAND TO EDUCATE THE PUBLIC ABOUT RESOURCES AVAILABLE TO SUPPORT THEM.-COMMUNITY HEALTH BUZZ:CHILDREN'S HOSPITAL LOS ANGELES' OFFICE OF COMMUNITY AFFAIRS ESTABLISHED THE COMMUNITY HEALTH BUZZ, A VIRTUAL EDUCATIONAL SERIES THAT LAUNCHED AMIDST THE COVID-19 PANDEMIC. THE AIM WAS TO MAINTAIN CONNECTIONS WITH FAMILIES AND OFFER RELIABLE HEALTH AND WELLNESS INFORMATION WHILE IN-PERSON SESSIONS WERE NOT FEASIBLE.FOR THREE YEARS, COMMUNITY HEALTH BUZZ CONDUCTED FREE ENGLISH AND SPANISH WEBINARS, DELVING INTO VARIOUS ESSENTIAL TOPICS. THESE SESSIONS FEATURED CHLA FACULTY FROM DIVERSE PROGRAMS, COVERING SUBJECTS SUCH AS PARENTING TIPS, STRESS RELIEF, NUTRITION, AND ADDRESSING CRITICAL ISSUES LIKE FENTANYL DANGERS AND SCHOOL SHOOTINGS.CHLA CLINICAL EXPERTS LED IMPACTFUL SESSIONS DISCUSSING CRUCIAL TOPICS LIKE TRAUMA, CHILD ABUSE SIGNS, AND MENTAL HEALTH STIGMA. THE SERIES ALSO PROVIDED CRUCIAL UPDATES ON COVID-19 MYTHS, OMICRON, AND ITS EVOLVING LANDSCAPE.AS IN-PERSON EVENTS RESUME, COMMUNITY HEALTH BUZZ HAS EXPANDED AND PARTNERED WITH THE LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD), TO AMPLIFY ITS REACH AND TO EMPOWER FAMILIES THROUGH THEIR "FAMILY ACADEMY" PROGRAM. COLLABORATIONS LIKE THE RECENT WEBINAR ON SUICIDE PREVENTION SIGNIFY THE EXPANSION'S IMPACT THROUGHOUT SOUTHERN CALIFORNIA.-SAMUELS FAMILY LATINO AND AFRICAN AMERICAN HIGH SCHOOL INTERNSHIP PROGRAM (LA-HIP):THE OVERALL GOAL OF THE SAMUELS FAMILY LA-HIP IS TO PROVIDE LATINO AND AFRICAN-AMERICAN PUBLIC HIGH SCHOOL STUDENTS THAT HAVE A GENUINE INTEREST IN SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) WITH THE OPPORTUNITY TO LEARN HANDS-ON LABORATORY-BASED RESEARCH AND TO SUPPORT THEM IN THEIR QUEST TO BECOME SCIENTISTS OR PHYSICIAN SCIENTISTS. LA-HIP WAS FOUNDED 18 YEARS AGO AND HAS TRAINED OVER 200 HIGH SCHOOL STUDENTS FROM THE LOS ANGELES AREA. LA-HIP IS A COMPREHENSIVE YEARLONG INTERNSHIP PROGRAM THAT COMBINES BIOMEDICAL RESEARCH WITH COLLEGE READINESS WORKSHOPS, ACADEMIC ENHANCEMENT, AND SAT PREPARATORY CURRICULUM. THIS 2023 CLASS OF 24 OUTSTANDING STUDENTS IN THE PROGRAM, ALL OF WHOM UNDERTOOK ORIGINAL RESEARCH PROJECTS WORKING WITH FACULTY, FELLOWS, AND GRADUATE STUDENT MENTORS IN THE SABAN RESEARCH INSTITUTE.-CAREERS IN HEALTH AND MENTORSHIP PROGRAM (CHAMP):CAREERS IN HEALTH AND MENTORSHIP PROGRAM (CHAMP) CHLA'S CHAMP PROVIDES UNDERREPRESENTED ADULTS FROM THE LOS ANGELES COMMUNITY THE OPPORTUNITY TO PARTICIPATE IN A SERIES OF COMPREHENSIVE JOB READINESS, LEADERSHIP DEVELOPMENT WORKSHOPS AND INTERNSHIPS. OVER 300 YOUNG ADULTS LIVING WITHIN THE LOS ANGELES COMMUNITY HAVE BEEN PROVIDED THE OPPORTUNITY TO STRENGTHEN THEIR CAREER PATHWAYS BY GAINING UNIQUE WORK EXPERIENCES AND MENTORSHIP BY OUR HOSPITAL'S LEADERS THAT ARE AFFILIATED WITH NON-CLINICAL SYSTEMS. THE STUDENTS APPLYING CAME FROM VARIOUS EDUCATIONAL INSTITUTIONS INCLUDING TRADE TECHS, COMMUNITY COLLEGES, UNIVERSITIES (UNDERGRADUATE AND GRADUATE), AND PRIVATE PROFESSIONAL ORGANIZATIONS, MANY FROM UNDERSERVED AREAS IN LOS ANGELES COUNTY AND ACROSS THE COUNTRY. CHAMPERS ARE PAIRED WITH DEPARTMENTS ACROSS THE ORGANIZATION THAT HAVE INCLUDED AREAS SUCH AS AMBULATORY OPERATIONS, FOUNDATION, IT, RESEARCH, FACILITIES, ACADEMIC AFFAIRS, ETC. APPROXIMATELY 50% HAVE BEEN OFFERED A POSITION, IN A HEALTHCARE SETTING INCLUDING BUT NOT LIMITED TO CHLA, CEDARS SINAI, THE UCLA HEALTH SYSTEM, THE KAISER SYSTEM, AND USC AND MORE THAN 75% OF THE STUDENTS WENT ON TO CONTINUE TO PURSUE HIGHER EDUCATION INCLUDING PROGRAMS FOR DEGREES SUCH AS MASTERS IN BUSINESS ADMINISTRATION (MBA), MASTERS IN PUBLIC HEALTH (MPH), MASTERS IN HEALTH ADMINISTRATION (MHA), TO NAME A FEW.-PROJECT SEARCH:CHILDREN'S HOSPITAL LOS ANGELES IS A TRAINING SITE OF THE NATIONALLY RECOGNIZED PROJECT SEARCH PROGRAM IN COLLABORATION WITH THE LOS ANGELES UNIFIED SCHOOL DISTRICT, PATHPOINT, LANTERNMAN REGIONAL CENTER, AND SOUTH-CENTRAL LOS ANGELES REGIONAL CENTER THIS YEAR. THIS PROGRAM PROVIDES INTERNSHIP OPPORTUNITIES TO PREPARE YOUNG PEOPLE WITH SIGNIFICANT DISABILITIES FOR SUCCESS IN INTEGRATED, COMPETITIVE EMPLOYMENT. ITS FIRST INAUGURAL PROJECT SEARCH COHORT AT CHILDREN'S HOSPITAL LOS ANGELES INCLUDED FOUR YOUNG ADULT INTERNS PLACED THROUGHOUT VARIOUS DEPARTMENTS AT CHLA. THE PROGRAM PROVIDES REAL-LIFE WORK EXPERIENCE COMBINED WITH SKILLS TRAINING, CAREER EXPLORATION, AND INDEPENDENT-LIVING SKILLS. THIS YEAR WE RECRUITED 4 NEW STUDENTS FOR THE 2023 PROJECT SEARCH COHORT AND HIRED A PROJECT SEARCH GRADUATE FROM THE 2022 COHORT FOR A POSITION AT OUR HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATESCA
SCHEDULE H, PART V, SECTION B, SUPPLEMENTAL INFORMATIONCHILDREN'S HOSPITAL LOS ANGELES (THE HOSPITAL) PERIODICALLY CONDUCTS REVIEWS OF ITS INTERNAL REVENUE CODE (IRC) SECTION 501(R) AND RELATED TREASURY REGULATIONS COMPLIANCE BOTH INTERNALLY AND WITH EXTERNAL ADVISORS. DURING THE HOSPITAL'S MOST RECENT REVIEW THAT BEGAN IN 2022 AND WAS CONCLUDED IN EARLY 2023, IT WAS DETERMINED THAT CERTAIN INFORMATION IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), PLAIN LANGUAGE SUMMARY (PLS), AND BILLING AND COLLECTION POLICY (BCP) REQUIRED CLARIFICATION OR CORRECTION AND THAT THE HOSPITAL HAD NOT YET TAKEN CERTAIN STEPS TO WIDELY PUBLICIZE ITS FAP. THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH SECTION 7 OF REV. PROC. 2015-21. EACH OF THE ITEMS IDENTIFIED BELOW CONSTITUTE MINOR, INADVERTENT DEFICIENCIES AND EACH OF THESE ITEMS WERE CORRECTED EXPEDIENTLY ONCE IDENTIFIED.(1) THE HOSPITAL'S FAP DID NOT INCLUDE A COMPLETE LIST OF PROVIDERS OTHER THAN THE HOSPITAL DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN THE HOSPITAL SPECIFYING WHICH OF THOSE PROVIDERS ARE AND WHICH ARE NOT COVERED BY THE FAP. THE FAP WAS REVISED TO INCLUDE THIS INFORMATION AND ADOPTED BY AN AUTHORIZED BODY OF THE HOSPITAL ON MARCH 1, 2023.(2) NEITHER THE HOSPITAL'S FAP NOR ITS SEPARATE BCP (I) DESCRIBED THE ACTIONS THE HOSPITAL MAY TAKE RELATED TO OBTAINING PAYMENT FOR A MEDICAL BILL, (II) DESCRIBED THE PROCESS AND TIME FRAMES THE HOSPITAL USES IN TAKING ACTIONS TO COLLECT PAYMENT, INCLUDING THE EFFORTS IT TAKES TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS, OR (III) DESCRIBED THE OFFICE OR DEPARTMENT WITH FINAL AUTHORITY FOR DETERMINING THAT THE HOSPITAL HAD MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL WAS FAP-ELIGIBLE BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS. THE FAP WAS REVISED TO INCLUDE THIS INFORMATION AND ADOPTED BY AN AUTHORIZED BODY OF THE HOSPITAL ON MARCH 1, 2023.(3) THE HOSPITAL'S PLS DID NOT INCLUDE THE DIRECT WEBSITE ADDRESS AND PHYSICAL LOCATION WHERE AN INDIVIDUAL COULD OBTAIN COPIES OF THE FAP AND FAP APPLICATION FORM. THE PLS WAS REVISED TO INCLUDE THIS INFORMATION, AND TO CONFORM TO THE UPDATED FAP, AFTER THE FAP'S ADOPTION ON MARCH 1, 2023.(4) THE HOSPITAL HAD NOT TAKEN THE FOLLOWING STEPS TO WIDELY PUBLICIZE ITS FAP: (I) POSTED A COMPLETE AND CURRENT VERSION OF THE FAP AND APPENDICES, FAP APPLICATION AND PLS ON ITS WEBSITE (MOST INFORMATION WAS AVAILABLE ON THE HOSPITAL'S WEBSITE IN SOME FORM, BUT NOT EVERYTHING NOTED ABOVE); (II) PUBLICIZED HOW INDIVIDUALS COULD OBTAIN THESE SPECIFIC DOCUMENTS ON THE WEBSITE, IN PERSON OR BY MAIL (FINANCIAL ASSISTANCE INFORMATION OVERALL WAS COMMUNICATED BY FINANCIAL COUNSELORS AND THEY WERE ABLE TO PROVIDE COPIES IF REQUESTED); AND (III) TRANSLATED THE FAP, FAP APPLICATION AND PLS INTO THE PRIMARY LANGUAGES SPOKEN BY ALL POPULATIONS WITH LIMITED ENGLISH PROFICIENCY (LEP) MAKING UP THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY (THE HOSPITAL PROVIDED TRANSLATIONS INTO THE LANGUAGES OF LARGE LEP POPULATIONS, BUT NOT ALL LANGUAGES MEETING THE THRESHOLD SPECIFIED BY THE REGULATIONS) . THE HOSPITAL HAS NOW TRANSLATED ITS UPDATED FAP, FAP APPLICATION AND PLS INTO THE REQUIRED LANGUAGES, POSTED THESE DOCUMENTS ON ITS WEBSITE, AND PROVIDED INFORMATION IN THE DOCUMENTS, ON THE WEBSITE, AND IN THE HOSPITAL ON HOW TO OBTAIN COPIES OF THESE DOCUMENTS. (5) THE HOSPITAL HAD NOT FULLY DOCUMENTED ITS MEASURES TO NOTIFY AND INFORM MEMBERS OF THE COMMUNITY IT SERVES ABOUT ITS FAP IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. IT IS NOW DOCUMENTING THOSE MEASURES AND TAKING ADDITIONAL MEASURES INCLUDING PROVIDING COPIES OF THE FAP, FAP APPLICATION AND PLS IN THE HOSPITAL'S COMMUNITY OUTREACH TOOLKIT THAT IS PROVIDED TO ALL DEPARTMENTS CONDUCTING OUTREACH AT COMMUNITY EVENTS.THE HOSPITAL HAS CONTINUOUSLY MAINTAINED A FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS AND THE COMMUNITY, INCLUDING POSTING INFORMATION IN THE HOSPITAL, OFFERING SESSIONS WITH FINANCIAL ASSISTANCE COUNSELORS, AND PERFORMING COMMUNITY OUTREACH SO THAT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED. THE HOSPITAL'S PATIENT AND COMMUNITY OUTREACH DID NOT IDENTIFY ANY INDIVIDUALS AFFECTED BY THE OMISSIONS NOTED ABOVE. ALL ITEMS WERE IDENTIFIED BY THE HOSPITAL AND ITS ADVISORS, NOT PATIENTS OR THE COMMUNITY. THEREFORE, THE HOSPITAL BELIEVES THERE WERE NO INDIVIDUALS ADVERSELY AFFECTED OR DOLLAR AMOUNTS NOT PROVIDED IN FINANCIAL ASSISTANCE.IN AN EFFORT TO BE FULLY TRANSPARENT, THE HOSPITAL HAS CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR AND INADVERTENT OMISSIONS AND ERRORS ON THIS FORM 990. ADDITIONALLY, THE HOSPITAL HAS ADOPTED PROCEDURES THAT REQUIRE THE HOSPITAL TO REVIEW, ON A REGULAR BASIS, THE HOSPITAL'S POLICIES AND PROCEDURE TO ENSURE COMPLIANCE WITH THE REQUIREMENTS OF SECTION 501(R) AND THE REGULATIONS ISSUED THEREUNDER.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800SACRAMENTOCA95814941498687501(C)(3)$2,314,072$0SUPPORT CHARITABLE ACTIVITIES AT HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA
RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CALIFORNIA
4650 FOUNTAIN AVENUELOS ANGELESCA90029953167869501(C)(3)$510,000$0DONATION/SPONSORSHIP OF GALA EVENT - HEROES FOR THE HEALING
NATIONAL MEDICAL FELLOWSHIPS INC
347 FIFTH AVENUE SUITE 510NEW YORKNY10016010963657501(C)(3)$210,000$0PRIMARY CARE LEADERSHIP PROGRAM SUPPORT
PARTNERS IN CARE FOUNDATION INC
732 MOTT STREET SUITE 150SAN FERNANDOCA91340953954057501(C)(3)$25,000$023RD ANNUAL TRIBUTE DINNER
THE UCLA FOUNDATION
10889 WILSHIRE BLVD SUITE 1500LOS ANGELESCA90024952250801501(C)(3)$25,000$0UCLA HPMAA ANNUAL AWARDS DINNER 2023
CANCER SUPPORT COMMUNITY LOS ANGELES
1990 SOUTH BUNDY DRIVE SUITE 100LOS ANGELESCA90025330287070501(C)(3)$25,000$0SPONSORSHIP - 40TH ANNIVERSARY GALA
GREATER LOS ANGELES AFRICAN AMERICAN
5120 W GOLDLEAF CIRCLE SUITE 230LOS ANGELESCA90056954357302501(C)(6)$20,000$0ANNUAL ECONOMICS AWARDS DINNER
LOS ANGELES AREA CHAMBER OF COMMERCE
350 S BIXEL ST NO 201LOS ANGELESCA90017950947860501(C)(6)$20,000$02023 INAUGURAL DINNER SPONSORSHIP
NATIONAL FORUM FOR LATINO HEALTHCARE EXEC
2800S IH 35 SUITE 155AUSTINTX78704262033192501(C)(6)$15,000$0SPONSORSHIP
LOS ANGELES CITY COLLEGE FOUNDATION
855 N VERMONT AVENUELOS ANGELESCA90029956207819501(C)(3)$10,000$0SPONSORSHIP
MAKE-A-WISH FOUNDATION GREATER LOS ANGELES
11390 OLYMPIC BLVD STE 300LOS ANGELESCA90064954107024501(C)(3)$10,000$0SPONSORSHIP
FRIENDS OF THE LOS ANGELES FREE CLINIC
8405 BEVERLY BLVDLOS ANGELESCA90048953433824501(C)(3)$10,000$0ANNUAL DINNER GALA
HATHAWAY-SYCAMORES CHILD & FAMILY SVCS
100 W WALNUT STREET SUITE 375PASADENACA91124951691005501(C)(3)$10,000$02023 SPRING GALA
JVS SOCAL
6505 WILSHIRE BLVD SUITE 200LOS ANGELESCA90048951643388501(C)(3)$10,000$0JVS TABLE SPONSORSHIP
HOLLYWOOD CHAMBER OF COMMERCE COMMUNITY
6255 SUNSET BLVD SUITE 150HOLLYWOODCA90028954557923501(C)(3)$8,000$0SPONSORSHIP
NICOLE PARKER FOUNDATION FOR CHILDREN
16461 SHERMAN WAY SUITE 100VAN NUYSCA91406953822577501(C)(3)$8,000$0SPONSORSHIPS
BOYS & GIRLS CLUBS OF METRO LOS ANGELES
5029 S VERMONT AVELOS ANGELESCA90037810851473501(C)(3)$7,500$02022 BGCMLA HOMECOMING GALA
AMERICAN DIABETES ASSOCIATION
2451 CRYSTAL DRIVE SUITE 900ARLINGTONVA22202131623888501(C)(3)$7,500$0SPONSORSHIP
VALLEY PRESBYTERIAN HOSPITAL
15107 VANOWEN STVAN NUYSCA91405951945832501(C)(3)$6,000$02022 GOLF CLASSIC SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCHLA AWARDS GRANTS TO VARIOUS ORGANIZATIONS FOR PURPOSES THAT ARE CONSISTENT WITH OUR MISSION AND VALUES. IN ADDITION, DUE DILIGENCE IS PERFORMED TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL S VIVIANO
DIRECTOR, PRESIDENT AND CEO$1,238,126$0$507,100$0$296,475$0$9,150$0$30,028$0$2,080,879$0$266,223$0
ALEXANDRA CARTER
SVP, CHIEF DEVELOPMENT OFFICER$488,583$0$602,800$0$108,344$0$85,425$0$15,349$0$1,300,501$0$64,130$0
GRACE OH
SVP, GENERAL COUNSEL$537,998$0$310,943$0$102,629$0$89,029$0$42,146$0$1,082,745$0$73,749$0
NANCY LEE
SVP, CHIEF CLINICAL OFFICER$570,461$0$133,281$0$340,893$0$8,700$0$5,044$0$1,058,379$0$316,816$0
LARA KHOURI
SVP, CHIEF STRATEGY OFFICER$624,763$0$164,200$0$116,136$0$107,670$0$44,917$0$1,057,686$0$94,733$0
M SCOTT LIEBERENZ
SVP, CHIEF FINANCIAL OFFICER$671,319$0$139,402$0$113,930$0$109,519$0$21,875$0$1,056,045$0$88,068$0
JAMES STEIN MD
SVP, CHIEF MEDICAL OFFICER$594,136$0$136,824$0$147,034$0$91,245$0$1,281$0$970,520$0$121,856$0
MARK D KRIEGER MD
DIRECTOR, FACULTY PHYSICIAN$818,751$0$0$0$0$0$0$0$0$0$818,751$0$0$0
PAT R LEVITT MD
FACULTY PHYSICIAN$815,875$0$0$0$0$0$0$0$0$0$815,875$0$0$0
MAMOON SYED
SVP, CHIEF PEOPLE OFFICER$428,173$0$114,200$0$98,918$0$77,659$0$28,233$0$747,183$0$57,339$0
CONRAD BAND
SVP, CHIEF INFORMATION OFFICER$397,605$0$80,500$0$3,095$0$70,091$0$23,715$0$575,006$0$0$0
RUTH M AREVALO
VP, HEALTH SYSTEM DEV & INTEG$338,418$0$57,215$0$84,519$0$59,943$0$21,047$0$561,142$0$64,019$0
JODI SHIRLYN OGDEN RIVERA
VP, RESEARCH OPERATIONS$335,677$0$54,312$0$83,971$0$57,366$0$20,768$0$552,094$0$61,466$0
DEBORAH BRAIDIC
VP,CHIEF COMM OFF&SPC PROJECTS$317,185$0$50,320$0$64,941$0$51,709$0$13,376$0$497,531$0$48,225$0
MICHAEL GORAN MD
FACULTY PHYSICIAN$477,348$0$0$0$0$0$0$0$0$0$477,348$0$0$0
MARILYN HO
CHIEF OF STAFF (END 02/22)$32,431$0$0$0$415,505$0$1,056$0$2,123$0$451,115$0$52,009$0
HANNA SONG
SVP, CHIEF DIVERSITY OFFICER$289,338$0$64,777$0$3,751$0$50,700$0$18,841$0$427,407$0$0$0
MATTHEW MATT KEEFER MD
DIRECTOR, FACULTY PHYSICIAN$392,207$0$0$0$0$0$0$0$0$0$392,207$0$0$0
JUDITH M KLINE
CORPORATE SECRETARY$261,413$0$500$0$1,529$0$6,764$0$12,530$0$282,736$0$0$0
ROBERT BOB E SHADDY MD
DIRECTOR, FACULTY PHYSICIAN$233,375$0$0$0$0$0$0$0$0$0$233,375$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4A:THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE IN CALENDAR YEAR 2022, WHICH WAS TREATED AS TAXABLE COMPENSATION: MARILYN HO - $329,887
PART I, LINE 4B:THE FOLLOWING INDIVIDUALS PARTICIPATED IN CHLA'S 457(F) PLAN FOR EXECUTIVE DEFERRED COMPENSATION (EDCP), A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED UNDER SECTION 457(F) PLAN ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WILL BE REPORTED AS COMPENSATION FOR THE YEAR PAID. AMOUNTS RECOGNIZED AS TAXABLE COMPENSATION ON THE EMPLOYEES 2021 FORM W-2 (EXCEPT PAUL VIVIANO - DEFERRED COMPENSATION) REFLECT PAYMENTS RECEIVED BY THE EMPLOYEE DURING CALENDAR YEAR 2022 THAT WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEAR FORM 990S: PAUL S. VIVIANO - $266,223 M. SCOTT LIEBERENZ - $88,068 ALEXANDRA CARTER - $64,130 LARA KHOURI - $94,733 NANCY LEE - $316,816 GRACE OH - $73,749 JAMES STEIN, M.D. - $121,856 MAMOON SYED - $57,339 JODI SHIRLYN ODEN RIVERA - $61,466 RUTH AREVALO - $64,019 DEBORAH BRAIDIC - $48,225 MARILYN HO - $52,009
PART I, LINE 7CHLA MAINTAINS AN ENTERPRISE INCENTIVE PROGRAM (THE PLAN) THAT AWARDS INCENTIVE COMPENSATION BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES AS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS. ALTHOUGH THE AMOUNT OF INCENTIVE THAT EACH PARTICIPANT MAY BE AWARDED IS BASED ON A FIXED FORMULA, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND BOARD OF DIRECTORS HAS THE FULL DISCRETION AND AUTHORITY TO DETERMINE QUESTIONS CONCERNING THE INTERPRETATION OR ADMINISTRATION OF THE PLAN, INCLUDING, WITHOUT LIMITATION, ALL QUESTIONS RELATING TO PLAN ELIGIBILITY, FINANCIAL FUNDING, PERFORMANCE GOALS AND RESULTS, AND APPROPRIATE PAYMENTS, AND THE DETERMINATIONS OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND BOARD OF DIRECTORS IS CONCLUSIVE AND BINDING AS TO ALL PERSONS AND FOR ALL PURPOSES.
FORM 990, PART VII, SECTION A, LINE 5:PURSUANT TO THE AFFILIATE AGREEMENT WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC), AN UNRELATED ORGANIZATION, THE FOLLOWING COMPENSATION AMOUNTS WERE PAID TO THE FOLLOWING LISTED INDIVIDUALS BY USC. USC WAS SUBSEQUENTLY REIMBURSED BY CHLA FOR THE AMOUNTS: MARK D. KRIEGER, M.D. - $818,751 PAT R. LEVITT, M.D. - $815,875 MICHAEL GORAN, M.D. - $477,348 MATTHEW KEEFER, M.D. - $392,207 ROBERT E. SHADDY, M.D. - $233,375 JAMES STEIN, M.D. - $67,337

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A52164382813032UNH72017-06-06$295,974,620SEE PART VI000
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B52164382813032UNJ32017-06-06$52,180,000SEE PART VI000
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C5216438280000000002022-08-31$103,420,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$296,181,141$2,528,240$33,225,192$260,427,710Yes (1)Yes (1)Yes (1)Yes (1)
B$52,180,000$494,240$51,685,760Yes (1)0Yes (1)Yes (1)
C$103,420,000$789,320$102,630,680Yes (1)Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A0Yes (1)000000Yes (1)
GOLDMAN SACHS
B00Yes (1)0Yes (1)Yes (1)00Yes (1)12.00000000000000
(no name)
C0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, BOND ISSUES:PART I(F): THE SERIES 2017A BONDS WERE ISSUED TO FINANCE HOSPITAL PROJECTS; THE ADVANCE REFUNDING OF THE BORROWER'S SERIES 2010A BONDS (ISSUED ON 05/20/2010); AND THE CURRENT REFUNDING OF THE BORROWER'S SERIES 2007 BONDS (ISSUED ON 04/24/2007) AND SERIES 2012B BONDS (ISSUED ON 08/15/2012).
SCHEDULE K, PART I, BOND ISSUES:PART I(F): THE CURRENT REFUNDING OF THE SERIES 2007 BONDS (ISSUED ON 04/24/2007) AND THE SERIES 2010 BONDS (ISSUED ON 05/24/2010).
PART IV, LINE 2B, COLUMN A:BOND A: THE 2012 BONDS MET THE 6 MONTH EXCEPTION TO REBATE.
PART IV, LINE 6, COLUMN B:THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
PART VI:DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART I, BOND ISSUES:PART I(F): THE CURRENT REFUNDING OF THE SERIES 2012A BONDS (ISSUED ON 08/15/2012).

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$243,404NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution83ContributionCnt
Noncash Contributions Rpt F990$1,326,491NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST OR SELLING PRICEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$17,985NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)OTHER IN-KIND27$95,820FAIR MARKET VALUE
Yes (X)AIRLINE TICKETS1$24,000FAIR MARKET VALUE
Yes (X)GIFT CARDS12$13,380FAIR MARKET VALUE
Yes (X)INFANT CPR KITS1$3,760FAIR MARKET VALUE
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:WE CREATE HOPE AND BUILD HEALTHIER FUTURES. AS A LEADING ACADEMIC CHILDREN'S HOSPITAL, WE FULFILL OUR MISSION BY: CARING FOR CHILDREN, ADOLESCENTS, YOUNG ADULTS, FAMILIES AND EACH OTHER; ADVANCING KNOWLEDGE; PREPARING FUTURE GENERATIONS; BUILDING OUR FINANCIAL STRENGTH.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY DELOITTE TAX LLP, WORKING IN CONJUNCTION WITH CHLA'S FINANCE DEPARTMENT. CHLA'S DIRECTOR OF FINANCE AND CONTROLLER HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE CHIEF FINANCIAL OFFICER. AFTER AN INITIAL DRAFT OF THE FORM 990 IS PREPARED, IT IS CIRCULATED FOR REVIEW AND COMMENT BY RELEVANT MEMBERS OF THE EXECUTIVE TEAM WHO HAVE RESPONSIBILITY AND/OR KNOWLEDGE ABOUT THE VARIOUS MATTERS DISCLOSED AND/OR DESCRIBED IN THE FORM. THE CHIEF FINANCIAL OFFICER AND GENERAL COUNSEL, IN PARTICULAR, REVIEW THE FORM 990 AND ENSURE ACCURACY OF DESCRIPTIONS AND THAT DISCLOSURE IS COMPLETE. THE DRAFT FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF CHLA, ACTING ON BEHALF OF THE BOARD OF DIRECTORS OF CHLA. ONCE THE DRAFT FORM 990 HAS BEEN REVIEWED AND DISCUSSED BY THE AUDIT COMMITTEE, ANY CHANGES RESULTING FROM THEIR REVIEW IS INCORPORATED INTO THE FINAL DRAFT OF THE FORM 990. THE FINAL DRAFT OF THE FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS VIA A SECURE WEB SITE FOR THEIR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CCHLA MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CIRCULATION OF A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS TO BE ANSWERED BY MEMBERS OF ITS BOARD OF DIRECTORS AND BOARD OF TRUSTEES, OFFICERS, MEDICAL STAFF MEMBERS, AND CERTAIN KEY EMPLOYEES. FURTHERMORE, INDIVIDUALS COVERED BY THE POLICY ARE REQUIRED TO DISCLOSE ANY PERSONAL INTERESTS THAT COULD CREATE A CONFLICT OF INTEREST ON A CONTINUOUS BASIS THROUGHOUT THE YEAR. ANY DISCLOSURES PRESENTING A CONFLICT OF INTEREST ARE EVALUATED BY A COMBINATION OF CHLA'S CONFLICT OF INTEREST COMMITTEE, GENERAL COUNSEL, CHIEF COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER, RESEARCH COMPLIANCE AND INTEGRITY OFFICER, AND BOARD OF DIRECTORS AND ITS AUDIT COMMITTEE, DEPENDING ON THE INDIVIDUAL MAKING THE DISCLOSURE. DISCLOSURES WILL BE INITIALLY ASSESSED BY CHLA'S OFFICE OF COMPLIANCE AND PRIVACY AND, IF A CONFLICT EXISTS, IT WILL BE REFERRED TO CHLA'S CONFLICT OF INTEREST COMMITTEE FOR FURTHER EVALUATION. IF A CONFLICT EXISTS INVOLVING A CHLA BOARD MEMBER, THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING THE CONFLICT AND DETERMINING THE CONFLICT RESOLUTION, WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, A CONFLICT MANAGEMENT STIPULATION REQUIRING THE BOARD MEMBER'S RECUSAL FROM CERTAIN CHLA MATTERS.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF CHLA IS CONDUCTED BY THE BOARD OF DIRECTORS OF CHLA. IN DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION DURING THE TAX PERIOD OF THIS INFORMATION RETURN THE BOARD WORKED WITH AND RELIED UPON THE COUNSEL AND EXPERTISE OF SULLIVAN, COTTER AND ASSOCIATES, INC., A FIRM WITH EXPERIENCE AND EXPERTISE IN THE AREA OF NON-PROFIT ORGANIZATION EXECUTIVE COMPENSATION. SULLIVAN COTTER PROVIDED REPORTS TO THE BOARD, WHICH FURNISHED THE BASIS FOR THE ESTABLISHMENT OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE. THEIR REPORTS WERE BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF HOSPITALS AND HEALTHCARE SYSTEMS THAT ARE CONSIDERED COMPARABLE TO CHLA BASED ON VARIOUS METRICS SUCH AS HOSPITAL TYPE AND REVENUE. THE BOARD DELIBERATED ON THE ISSUE OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE IN LIGHT OF THESE REPORTS AND SULLIVAN COTTER WERE AVAILABLE TO ANSWER ANY QUESTIONS REGARDING SUCH REPORTS AND OTHER RELEVANT MATTERS. BASED ON SUCH DELIBERATIONS, BOARD NEGOTIATED A WRITTEN CONTRACT WITH THE CHIEF EXECUTIVE OFFICER. THE PROCESS FOR DETERMINING THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES OF CHLA IS CONDUCTED BY THE BOARD OF DIRECTORS OF CHLA, WITH SUPPORT AND GUIDANCE FROM THE CHIEF EXECUTIVE OFFICER AND HUMAN RESOURCES DEPARTMENT. IN DETERMINING SUCH EMPLOYEE'S COMPENSATION, DURING THE COMPENSATION SEASON THE HUMAN RESOURCES DEPARTMENT AND THE BOARD WORKED WITH AND RELIED UPON THE COUNSEL AND EXPERTISE OF SULLIVAN COTTER, A FIRM WITH EXPERIENCE AND EXPERTISE IN THE AREA OF NON-PROFIT ORGANIZATION EXECUTIVE COMPENSATION, INCLUDING PEDIATRIC SYSTEMS. SULLIVAN COTTER PROVIDED AN EXECUTIVE COMPENSATION REPORT TO THE HUMAN RESOURCES DEPARTMENT AND THE BOARD WHICH FURNISHED THE BASIS FOR THE ESTABLISHMENT OF SUCH EMPLOYEE'S COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. SULLIVAN COTTERS REPORT WAS BASED ON A REVIEW OF EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF HOSPITALS AND HEALTHCARE SYSTEMS THAT ARE CONSIDERED COMPARABLE TO CHLA BASED ON VARIOUS METRICS SUCH AS HOSPITAL TYPE AND REVENUE. IN ADDITION, THE CHIEF EXECUTIVE OFFICER MADE A RECOMMENDATION TO THE BOARD WITH RESPECT TO EACH OF SUCH EMPLOYEE'S COMPENSATION PACKAGE IN LIGHT OF THE SULLIVAN COTTER REPORT AND IN LIGHT OF THE EXECUTIVE'S PERFORMANCE. AT THE BOARD MEETING ADDRESSING SUCH MATTERS, SULLIVAN COTTER WERE AVAILABLE TO ANSWER ANY QUESTIONS REGARDING SUCH REPORT AND OTHER RELEVANT MATTERS, AND RECOMMENDATIONS FROM THE CHIEF EXECUTIVE OFFICER WERE REQUESTED BY AND PROVIDED TO THE BOARD. BASED ON SUCH DELIBERATIONS, THE BOARD MADE A DECISION REGARDING THE COMPENSATION PACKAGE FOR SUCH EMPLOYEES FOR THE FOLLOWING YEAR. BASED ON THE APPROVED COMPENSATION, SULLIVAN COTTER OPINED THAT CHLA'S CHIEF EXECUTIVE'S TOTAL COMPENSATION IS REASONABLE AND DEFENSIBLE FROM A REGULATORY PERSPECTIVE UNDER ALL SCENARIOS. THIS OPINION OF REASONABLENESS ALSO APPLIES WITH RESPECT TO THE CALIFORNIA NONPROFIT INTEGRITY ACT OF 2004. BASED ON THE APPROVED COMPENSATION, SULLIVAN COTTER OPINED THAT CHLA'S OFFICER AND KEY EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND DEFENSIBLE FROM A REGULATORY PERSPECTIVE UNDER ALL SCENARIOS. THIS OPINION OF REASONABLENESS ALSO APPLIES WITH RESPECT TO THE CALIFORNIA NONPROFIT INTEGRITY ACT OF 2004.
FORM 990, PART VI, SECTION C, LINE 19CHLA DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. CHLA'S FINANCIAL STATEMENTS ARE CONTAINED IN ITS FORM 990, WHICH IS AVAILABLE FOR PUBLIC INSPECTION DURING BUSINESS HOURS.
FORM 990, PART IX, LINE 11GPROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 130,470,333. MANAGEMENT AND GENERAL EXPENSES 33,093,653. FUNDRAISING EXPENSES 564,558. TOTAL EXPENSES 164,128,544. MEDICAL-RELATED SERVICES: PROGRAM SERVICE EXPENSES 12,201,856. MANAGEMENT AND GENERAL EXPENSES 640,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,842,719. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 29,081,807. MANAGEMENT AND GENERAL EXPENSES 50,846,435. FUNDRAISING EXPENSES 5,186,518. TOTAL EXPENSES 85,114,760.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 537,110. TRANSFERS AND OTHERS 610,451. CHANGE IN SWAP MARK TO MARKET 2,699,847.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHLA HOLDINGS LLC
4650 SUNSET BLVDLOS ANGELESCA90027273653228INVESTMENT VEHICLECA$52,997$0CHILDREN'S HOSPITAL LOS ANGELES
CHILDREN'S HEALTH SYSTEM OF LOS ANGELES LLC
4650 SUNSET BLVDLOS ANGELESCA90027951690977HEALTHCARE SERVICESCA$0$0CHILDREN'S HOSPITAL LOS ANGELES
CHLA HEALTH NETWORK LLC
4650 SUNSET BLVDLOS ANGELESCA90027951690977HEALTHCARE SERVICESCA$0$0CHILDREN'S HOSPITAL LOS ANGELES
CHLA INTERNATIONAL LLC
4650 SUNSET BLVDLOS ANGELESCA90027471738947HEALTHCARE SERVICESCA$0$0CHILDREN'S HOSPITAL LOS ANGELES
CHLA TEACHING CLINICS LLC
4650 SUNSET BLVDLOS ANGELESCA90027820677283HEALTHCARE SERVICESCA$0$0CHILDREN'S HOSPITAL LOS ANGELES
CHLA FOUNDATION LLC
4650 SUNSET BLVDLOS ANGELESCA90027951690977HEALTHCARE SERVICESCA$0$0CHILDREN'S HOSPITAL LOS ANGELES
4520 SUNSET BLVD LLC
4650 SUNSET BLVDLOS ANGELESCA90027833837347REAL ESTATE HOLDINGCA$1,459,263$0CHILDREN'S HOSPITAL LOS ANGELES
4470 SUNSET BLVD LLC
4650 SUNSET BLVDLOS ANGELESCA90027872150138REAL ESTATE HOLDINGCA$650,421$0CHILDREN'S HOSPITAL LOS ANGELES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
ANTELOPE VALLEY GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118987FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
CENTENNIAL GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027141878642FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
CHILDRENS CHAIN
4650 SUNSET BLVD MS 4LOS ANGELESCA90027954559789FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
DELTA DELTA DELTA
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237294093FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
EL SEGUNDO AUXILIARY
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118991FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
FLINTRIDGE GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118993FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
HEALING ARTS REACHING KIDS
4650 SUNSET BLVD MS 4LOS ANGELESCA90027204459362FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
LA PROVIDENCIA GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956128178FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
LAS MADRINAS INC
4650 SUNSET BLVD MS 4LOS ANGELESCA90027951959907FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
MARY DUQUE JUNIORS
4650 SUNSET BLVD MS 4LOS ANGELESCA90027953786303FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
MEN'S GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027260109744FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
MONROVIA GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121929FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
PASADENA GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121932FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
PENINSULA COMMITTEE
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237091175FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
SANTA MONICA BAY AUXILIARY
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237293607FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
SOUTH BAY AUXILIARY
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118996FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
SPIRITUAL CARE
4650 SUNSET BLVD MS 4LOS ANGELESCA90027200872821FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
TOLUCA GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956098666FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
WESTSIDE GUILD
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956059321FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0
YOUNG PROFESSIONALS COUNCIL
4650 SUNSET BLVD MS 4LOS ANGELESCA90027461301196FUNDRAISINGCA501(C)(3)LINE 12D, III-ON/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VIRTUAL PICU SYSTEMS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14470 W SUNSET BLVD STE 440AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90027ZIPCd
FieldValueIRS element (for citing)
EIN201414664EIN
Primary ActivitiesHEALTHCARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$160,498ShareOfTotalIncomeAmt
Share Of EOY Assets$116,324ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.98330OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CHLA ESBT
4650 SUNSET BLVDLOS ANGELESCA90027203115169INVESTMENTCACHILDREN'S HOSPITAL LOS ANGELEST$139,4221.00000Yes (1)
CHLA MEDICAL FOUNDATION
4650 SUNSET BLVDLOS ANGELESCA90027824816550HEALTHCARE SERVICESCACHILDREN'S HOSPITAL LOS ANGELESC1.00000Yes (1)
CHARITABLE REMAINDER TRUST (6)
999999999CHARITABLE TRUSTCACHILDREN'S HOSPITAL LOS ANGELEST0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd