2023-05-10T16:18:00-05:00 2022-06-30 861065772 DELOITTE TAX LLP 695 TOWN CENTER DRIVE SUITE 1200 COSTA MESA CA 926261924 990 2021-07-01 951690977 CHILDREN'S HOSPITAL LOS ANGELES CHIL 3236602450 4650 SUNSET BOULEVARD LOS ANGELES CA 900270982 SCOTT LIEBERENZ SVP & CHIEF FINANCIAL OFFICER 3236602450 2023-05-10 1 SCOTT LIEBERENZ 999009999 JOHN W SADOFF JR P00540589 7144367100 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z PAUL S VIVIANO 4650 SUNSET BOULEVARD LOS ANGELES CA 900270982 1721614539 0 X WWW.CHLA.ORG X 1901 CA PROMOTION AND ADVANCEMENT OF CHILDREN'S HEALTH THROUGH PATIENT CARE, RESEARCH, AND EDUCATION. 19 15 7624 516 34968 179 261581920 265364863 1056282434 1156935400 27161039 37331036 13687063 15692189 1358712456 1475323488 1816033 2251232 0 0 684895147 763094721 0 0 18750805 646906479 679834432 1333617659 1445180385 25094797 30143103 2698695774 2607463497 880084234 871839461 1818611540 1735624036 X SEE SCHEDULE O. 0 0 920759914 2251232 1119143501 MEDICAL 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. 62942140 21348728 GRADUATE 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. 147769836 16443170 RESEARCH 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. 4193795 4294192 OTHER PROGRAM SERVICE REVENUES ALSO INCLUDE RESIDENTS HOUSING AND MISCELLANEOUS TUITION AND EDUCATION INCOME. 4193795 4294192 1135665685 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 0 0 1 836 0 1 7624 1 1 1 0 0 0 1 1 1 1 0 1 1 0 1 0 X 19 15 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AR CA FL GA HI IL KS KY MD MA MI MS NH NJ NM NY NC OR PA RI SC TN UT VA WI WV X JUDITH M KLINE 3233617450 4650 SUNSET BLVD LOS ANGELES CA 900270980 PAUL S VIVIANO DIRECTOR, PRESIDENT AND CEO 55.00 0.00 X X 1693578 0 43321 MARK D KRIEGER MD DIRECTOR, FACULTY PHYSICIAN 20.00 0.00 X 767000 0 0 MATTHEW MATT KEEFER MD DIRECTOR, FACULTY PHYSICIAN 28.00 0.00 X 374845 0 0 ROBERT BOB E SHADDY MD DIRECTOR, FACULTY PHYSICIAN 10.00 0.00 X 266750 0 0 JEFFREY WORTHE DIRECTOR, CHAIR OF BOARD 2.00 0.00 X X 0 0 0 KEVIN H BROGAN DIRECTOR, CHAIR-ELECT OF BOARD 2.00 0.00 X X 0 0 0 ALIA TUTOR DIRECTOR 1.00 0.00 X 0 0 0 BURT LEVITCH DIRECTOR 1.00 0.00 X 0 0 0 BYRON H POLLITT JR DIRECTOR 1.00 0.00 X 0 0 0 CHERYL KUNIN FAIR DIRECTOR 1.00 0.00 X 0 0 0 CHRISTOPHER C MARTIN FAIA DIRECTOR 1.00 0.00 X 0 0 0 DIANA M BONTA RN DRPH DIRECTOR 1.00 0.00 X 0 0 0 ELISABETH BETH HUNT PRICE DIRECTOR 1.00 0.00 X 0 0 0 EUGENE MITCH MITCHELL DIRECTOR (BEGIN 10/21) 1.00 0.00 X 0 0 0 GEORGE H BROWN DIRECTOR 1.00 0.00 X 0 0 0 KIMBERLY KIM SHEPHERD DIRECTOR 1.00 0.00 X 0 0 0 LAURENCE LARRY E PAUL MD DIRECTOR 1.00 0.00 X 0 0 0 SHERI SANI DIRECTOR 1.00 0.00 X 0 0 0 TODD E MOLZ DIRECTOR 1.00 0.00 X 0 0 0 M SCOTT LIEBERENZ SVP, CHIEF FINANCIAL OFFICER 55.00 0.00 X 846564 0 117034 JUDITH M KLINE CORPORATE SECRETARY 55.00 0.00 X 245168 0 20558 JAMES STEIN MD SVP, CHIEF MEDICAL OFFICER 55.00 0.00 X 858816 0 77395 LARA KHOURI SVP, CHIEF STRATEGY OFFICER 55.00 0.00 X 778055 0 114110 NANCY LEE SVP, CHIEF CLINICAL OFFICER 55.00 0.00 X 793696 0 31844 GRACE OH SVP, GENERAL COUNSEL 55.00 0.00 X 614846 0 115540 ALEXANDRA CARTER SVP, CHIEF DEVELOPMENT OFFICER 55.00 0.00 X 606546 0 78125 MAMOON SYED SVP, CHIEF PEOPLE OFFICER 55.00 0.00 X 565729 0 92360 CONRAD BAND SVP, INTERIM CHIEF INFO. OFFICER 55.00 0.00 X 451917 0 86908 STEVE GARSKE SVP, CHIEF INFO. OFFICER (END 07/21) 55.00 0.00 X 478943 0 28826 RHONDA R FOSTER VP, CNO / PATIENT CARE SVCS 55.00 0.00 X 966523 0 43856 RUTH M AREVALO VP, HEALTH SYSTEM DEV & INTEGRATION 55.00 0.00 X 472843 0 74718 JODI SHIRLYN OGDEN RIVERA VP, RESEARCH OPERATIONS 55.00 0.00 X 442319 0 79203 RANDALL W STEWARD VP, ENTERPRISE CONTRACTING 55.00 0.00 X 428995 0 88023 BHAVANA KUMAR ARORA CMO, CHLA HEALTH NETWORK 55.00 0.00 X 442832 0 7807 12095965 0 1099628 2005 0 1 1 SODEXO INC & AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD AND HOUSEKEEPING SERVICES 19148544 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 HEALTHCARE WORKFORCE MANAGEMENT 15545254 PACIFIC NATIONAL GROUP INC 2392 BATEMAN AVE DUARTE CA 91010 CONSTRUCTION MANAGEMENT 5830314 PCAM LLC 3165 GARFIELD AVE LOS ANGELES CA 90040 PARKING SERVICES 5030733 BCSP 8 INVESTMENTS LP 200 STATE ST 5TH FL BOSTON MA 02109 RENT 4273075 163 299584 149963305 115101974 7991861 265364863 PATIENT REVENUE 621110 1119143501 1119143501 RESEARCH REVENUE 900099 16443170 16443170 GRADUATE MEDICAL EDU. 900099 15461057 15461057 EDUCATION REVENUE 900099 5887672 5887672 1156935400 28378470 34968 28343502 172004 172004 3099942 0 3099942 3099942 3099942 255038059 246085893 -400 8952166 400 8952566 8952566 0 299584 205558 -205558 -205558 CAFETERIA 722514 3805461 3805461 JV INCOME 900099 3427216 3427216 PARKING GARAGE 812930 3081029 3081029 2312095 866975 1445120 12625801 1475323488 1161229591 34968 48694066 X 2251232 2251232 7725469 1460810 5772692 491967 78256 78256 638697453 496999916 131243018 10454519 13239965 10509307 2472762 257896 59372047 49002445 9309498 1060104 43981531 34428473 8838174 714884 2822197 1200 2820997 1778450 179505 1598945 604079 604079 416058 416058 1064908 1064908 231206496 155981806 71856120 3368570 6069720 6062119 7601 190842628 178383932 12234878 223818 41093782 33631313 6993422 469047 259202 259202 18206343 15648050 2558293 1506889 750170 717285 39434 1992059 1516656 432229 43174 19365035 18345092 1019943 61271323 58432001 2839322 6246149 4783016 1394009 69124 QUALITY ASSURANCE FEES 54501817 54501817 0 0 LEASE EXPENSE 11268335 4673543 6594792 0 TAXES AND LICENSES 5007912 647679 4360233 0 DUES AND SUBSCRIPTIONS 4154310 717881 2239333 1197096 20156740 6420264 13382905 353571 1445180385 1135665685 290763895 18750805 6000 9200 104424094 71706472 83885912 111740446 234372466 252747517 0 0 626915 500000 13361298 16054558 24481587 13125821 2034887420 1019630694 991353749 1015256726 1026904435 858165115 4135712 5760355 215143606 262397287 2698695774 2607463497 221574470 218665778 18146710 19511917 456731185 453871287 183631869 179790479 880084234 871839461 X 1280373261 1175779719 538238279 559844317 1818611540 1735624036 2698695774 2607463497 X 30143103 -119184128 6053521 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 416058 416058 0 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. 752519746 65433713 -68342348 85388351 664222760 650266946 58919128 114386968 71053296 752519746 613593715 79575519 18292383 61194671 650266946 607373502 59730321 13083122 66593230 613593715 596010538 51602973 28227452 68467461 607373502 0.57210 0.42790 0 0 138045594 138045594 1155643071 515181870 640461201 619209713 504448824 114760889 121989042 121989042 1015256726 HOSPITAL FEE PROGRAM RECEIVABLE 169418007 CAPITAL ACCUMULATION ACCOUNT 5167730 GOLDMAN SACH-SWAP COLLATERAL 1700000 RECEIVABLES UNDER GOVERNMENT PROGRAM 25676846 RIGHT-OF-USE ASSET 55693613 OTHER 4741091 262397287 HOSPITAL FEE PROGRAM LIABILITY 52258361 LIABILITY UNDER UNITRUST AGREEMENTS 2575584 INTEREST RATE SWAP 6595943 LEASE LIABILITY - LONG TERM 44118937 PAYABLES UNDER GOVERNMENT PROGRAMS 26069051 OTHER NONCURRENT LIABILITIES 48172603 179790479 X 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, 2022 AND 2021. 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, 2022 AND 2021. THE HOSPITAL'S INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2018, THROUGH JUNE 30, 2022, ARE SUBJECT TO EXAMINATION BY BOTH THE FEDERAL AND STATE TAX JURISDICTIONS. WALK & PLAY LA 299584 299584 0 11082 65171 3889 43260 82156 299584 299584 11082 65171 3889 43260 82156 205558 -205558 1 1 X 1 X 400.000000000000 1 X 600.000000000000 1 1 0 1 1 1 241 175661 0 175661 0.00010 5 250325 380518063 334423679 46094384 0.03190 6 250566 380693724 334423679 46270045 0.03200 14 669216 9679780 9679780 0.00670 8 8392 69919143 31793106 38126037 0.02640 1 2448 5834190 0 5834190 0.00400 1 0 149781227 89981227 59800000 0.04140 2 170 982865 0 982865 0.00070 26 680226 236197205 121774333 114422872 0.07920 32 930792 616890929 456198012 160692917 0.11120 1 60 77530 77530 0.00010 3 100000 806421 219000 587421 0.00040 2 32 815880 815880 0.00060 6 100092 1699831 219000 1480831 0.00110 1 36386739 0 4549794 4549794 X 1 1 1 1 CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 900270982 WWW.CHLA.ORG 930000032 X X X X X X CHILDREN'S HOSPITAL LOS ANGELES 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, SECTION C, SUPPLEMENTAL INFORMATION X 1 21 1 SEE PART V, SECTION C, SUPPLEMENTAL INFORMATION 0 1 X 400.000000000000 600.000000000000 X X 1 1 X X X X 1 X HTTPS://WWW.CHLA.ORG/BILLING-AND-INSURANCE-PAYING-CARE X HTTPS://WWW.CHLA.ORG/BILLING-AND-INSURANCE-PAYING-CARE X HTTPS://WWW.CHLA.ORG/BILLING-AND-INSURANCE-PAYING-CARE X X X X X X 1 X 0 X X X 1 X 0 0 CHILDREN'S HOSPITAL LOS ANGELES PART 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 ANGELES PART 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 ARE ADVANCING INITIATIVES THAT IMPROVE THE BEHAVIORAL AND DEVELOPMENTAL HEALTH OF CHILDREN. PATIENT/FAMILY-CENTERED HEALTH CARE: -WE ARE 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 CONTINUES TO HOST ANNUAL COMMUNITY VACCINATION CLINICS FOR INFLUENZA AND HAS HOSTED MULTIPLE COVID-19 VACCINATION CLINICS AT THE HOSPITAL AND VARIOUS COMMUNITY SITES AND WILL CONTINUE TO EXPLORE PARTNERSHIP OPPORTUNITIES TO EXPAND THIS EFFORT. HEALTH SERVICES COMMUNICATION: -WE ARE DEEPENING RELATIONS AND INCREASING PARTNERSHIPS TO EXTEND THE PROVISION OF HEALTH PROMOTION AND RESOURCE INFORMATION TO COMMUNITY MEMBERS AND COMMUNITY ORGANIZATIONS THROUGH MULTIPLE PLATFORMS. -WE ARE ALSO STRENGTHENING OUR EFFORTS TO TRAIN ALL OF OUR TEAM MEMBERS, NO MATTER THEIR AREA OF MEDICAL EXPERTISE, TO ASSESS SOCIAL DETERMINANTS OF HEALTH AND TO ADVANCE HOSPITAL EFFORTS TO HELP FAMILIES IDENTIFY AND NAVIGATE COMMUNITY NETWORKS OF RESOURCES AND SERVICES. OBESITY: -CHLA CONTINUES 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: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. TO ADDRESS ECONOMIC SECURITY/POVERTY: -WE ARE ENHANCING OUR SYSTEMS TO ATTRACT CANDIDATES FROM DIVERSE COMMUNITIES FOR EXISTING OPENINGS AND TRAINING PROGRAMS. -WE ARE EXPANDING 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 7 1 - WILSHIRE 3250 WILSHIRE BLVD LOS ANGELES CA 90010 UNIVERSITY CENTER FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES CLINIC 2 - ARCADIA 468 E SANTA CLARA ST ARCADIA CA 91006 OUTPATIENT CLINIC 3 - SOUTH BAY 3440 TORRANCE BLVD SUITE 100 TORRANCE CA 90503 OUTPATIENT CLINIC 4 - SANTA MONICA 1419 19TH ST SANTA MONICA CA 90404 OUTPATIENT CLINIC 5 - VALENCIA 23838 VALENCIA BLVD SUITE 140 VALENCIA CA 91355 OUTPATIENT CLINIC 6 - ENCINO 5363 BALBOA BLVD SUITE 121 ENCINO CA 91316 OUTPATIENT CLINIC 7 - BAKERSFIELD 9500 STOCKDALE HWY 104 BAKERSFIELD CA 93311 OUTPATIENT CLINIC 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 1,000 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 JUDGEMENT, 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 OFFER 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.THE HOSPITAL'S CHARITY CARE AND UNINSURED DISCOUNT POLICIES REMAINED UNCHANGED DURING THE YEARS 2022 AND 2021 (SEE NOTE 5). 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 85% OF THE HOSPITAL'S PATIENTS ORIGINATE FROM L.A. COUNTY. LOS ANGELES COUNTY IS HOME TO MORE THAN 10 MILLION RESIDENTS--APPROXIMATELY 27 PERCENT OF THE STATE'S POPULATION. 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 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 AND HAVE INCLUDED PROGRAMS SUCH AS THE FOLLOWING: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 17 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 2022 CLASS OF 16 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):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 280 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 MASTER'S IN BUSINESS ADMINISTRATION (MBA), MASTER'S IN PUBLIC HEALTH (MPH), MASTER'S IN HEALTH ADMINISTRATION (MHA), TO NAME A FEW. BOTH COHORTS RETURNED TO IN-PERSON SESSIONS.PROJECT SEARCH:CHILDREN'S HOSPITAL LOS ANGELES LAUNCHED 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. BY PLACING YOUNG ADULT INTERNS THROUGHOUT VARIOUS DEPARTMENTS AT CHLA. THE PROGRAM PROVIDES REAL-LIFE WORK EXPERIENCE COMBINED WITH SKILLS TRAINING, CAREER EXPLORATION, AND INDEPENDENT-LIVING SKILLS. WE RECRUITED 5 NEW STUDENTS FOR THE 2022 PROJECT SEARCH COHORT.COVID 19 COMMUNITY VACCINES:DURING THE PANDEMIC, CHILDREN'S HOSPITAL LOS ANGELES BECAME AN OFFICIAL COUNTY "POINT OF DISPENSING" SITE FOR COVID-19 VACCINES, SETTING UP A REGULAR FRIDAY-SATURDAY-SUNDAY CLINIC IN A HOSPITAL CONFERENCE ROOM. THE CLINIC, WHICH IS ONGOING, IS BY APPOINTMENT ONLY THROUGH CALIFORNIA'S MY TURN WEBSITE. IN ADDITION, THE HOSPITAL WORKED CLOSELY WITH LOS ANGELES COUNTY TO IDENTIFY NEIGHBORHOODS AND GROUPS IN NEED OF BETTER ACCESS TO COVID-19 VACCINES. FROM SOUTH L.A. TO PALMDALE, CHILDREN'S HOSPITAL LOS ANGELES PROVIDED OVER 9,700 SHOTS AND COUNTING.FOOD INSECURITY INITIATIVES:TO ADDRESS FOOD INSECURITY IN ITS LOCAL COMMUNITY, CHILDREN'S HOSPITAL SPONSORED AND PROVIDED VOLUNTEERS FOR OVER 45 PRODUCE BOX GIVEAWAY EVENTS IN THE EAST HOLLYWOOD/VIRGIL VILLAGE NEIGHBORHOOD NEAR THE HOSPITAL. IN PARTNERSHIP WITH THE EAST HOLLYWOOD NEIGHBORHOOD COUNCIL, THE OFFICE OF COUNCILMEMBER MITCH O'FARRELL AND RICK'S PRODUCE MARKET, MORE THAN 1,400 BOXESABOUT 35,000 POUNDS OF FRESH PRODUCEHAVE BEEN GIVEN TO FAMILIES AND INDIVIDUALS FACING FOOD INSECURITY. ADDITIONALLY, CHLA MOBILIZED EMPLOYEE VOLUNTEERS FROM THE HOSPITAL'S COMMUNITY IMPACT CHAMPIONS NETWORK (CICN) TO SUPPORT ADDITIONAL FOOD DISTRIBUTION EVENTS TO PROVIDE AN ADDITIONAL 1,100 BOXES TO THE COMMUNITY, RAISING THE OVERALL TOTAL TO MORE THAN 2,500 BOXES OR 50,000 POUNDS OF FOOD. CHILDREN'S HOSPITAL ALSO SEEDED AND SPONSORED THE CITY'S GARDEN AT LOS ANGELES CITY COLLEGE (LACC). EMPLOYEE VOLUNTEERS FROM THE CICN HAVE BEEN BUSY HELPING TO PLANT AND SEED THE GARDEN, WHICH WILL PROVIDE LACC STUDENTS AND THE COMMUNITY WITH A PLACE TO COME TOGETHER, GROW THEIR OWN FRESH PRODUCE, AND LEARN ABOUT NUTRITION AND DIVERSE CUISINES. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498687 501(C)(3) 1242631 0 SUPPORT CHARITABLE ACTIVITIES AT HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CALIFORNIA 4650 FOUNTAIN AVENUE LOS ANGELES CA 90029 953167869 501(C)(3) 500000 0 DONATION NATIONAL MEDICAL FELLOWSHIPS INC 347 FIFTH AVENUE SUITE 510 NEW YORK NY 10016 010963657 501(C)(3) 144500 0 PRIMARY CARE LEADERSHIP PROGRAM SUPPORT PARTNERS IN CARE FOUNDATION INC 732 MOTT STREET SUITE 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 50000 0 22ND ANNUAL TRIBUTE DINNER THE UCLA FOUNDATION 10889 WILSHIRE BLVD SUITE 1500 LOS ANGELES CA 90024 952250801 501(C)(3) 25000 0 UCLA HPMAA ANNUAL AWARDS DINNER 2022 THE CONFERENCE BOARD INC 845 THIRD AVENUE NEW YORK NY 100226600 131624108 501(C)(3) 25000 0 SUPPORT FOR CED AND TCB INDEPENDENT RESEARCH AND OUTREACH PROGRAMS GREATER LOS ANGELES AFRICAN AMERICAN 5120 W GOLDLEAF CIRCLE SUITE 230 LOS ANGELES CA 90056 954357302 501(C)(6) 20000 0 ANNUAL ECONOMICS AWARDS DINNER HOLLYWOOD CHAMBER OF COMMERCE COMMUNITY 6255 SUNSET BLVD SUITE 150 HOLLYWOOD CA 90028 954557923 501(C)(3) 24600 0 VARIOUS SPONSORSHIPS ROMAN CATHOLIC ARCHBISHOP OF LOS ANGELES 3424 WILSHIRE BLVD LOS ANGELES CA 90010 951642382 501(C)(3) 10000 0 CARDINAL'S AWARDS DINNER EAST LOS ANGELES COLLEGE FOUNDATION 1301 AVENIDA CESAR CHAVEZ MONTEREY PARK CA 91754 330034221 501(C)(3) 10000 0 ELAC FOUNDATION 2022 PRESIDENT'S GALA HATHAWAY-SYCAMORES CHILD & FAMILY SVCS 100 W WALNUT STREET SUITE 375 PASADENA CA 91124 951691005 501(C)(3) 10000 0 2022 SPRING GALA RICK'S PRODUCE MARKET 755 N VIRGIL AVE LOS ANGELES CA 90029 821841207 25000 0 EAST HOLLYWOOD COMMUNITY PRODUCE BOXES LOS ANGELES AREA CHAMBER OF COMMERCE 350 S BIXEL ST NO 201 LOS ANGELES CA 90017 950947860 501(C)(6) 10000 0 2022 INAUGURAL DINNER SPONSORSHIP FRIENDS OF THE LOS ANGELES FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 953433824 501(C)(3) 10000 0 ANNUAL DINNER GALA VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN ST VAN NUYS CA 91405 951945832 501(C)(3) 7500 0 2021 GOLF CLASSIC SPONSORSHIP SOUTH LA COMMUNITY FOUNDATION 1847 BROWNING BLVD LOS ANGELES CA 90062 853084715 501(C)(3) 6500 0 SPONSORSHIP JVS SOCAL 6505 WILSHIRE BLVD SUITE 200 LOS ANGELES CA 90048 951643388 501(C)(3) 12500 0 JVS TABLE SPONSORSHIP UNITE LA INC 350 S BIXEL STREET LOS ANGELES CA 90017 820576380 501(C)(3) 15000 0 SPONSORSHIPS PLAYFLY HOLDINGS LLC 22 CASSATT AVE BERWYN PA 19312 851210887 50000 0 SPONSORSHIP 15 4 PART I, LINE 2: CHLA 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. X X X 1 1 0 0 0 0 0 1 0 PAUL S VIVIANO DIRECTOR, PRESIDENT AND CEO 1074555 0 384201 0 234822 0 4350 0 38971 0 1736899 0 207630 0 RHONDA R FOSTER VP, CNO / PATIENT CARE SVCS 221490 0 0 0 745033 0 25004 0 18852 0 1010379 0 0 0 M SCOTT LIEBERENZ SVP, CHIEF FINANCIAL OFFICER 618133 0 123816 0 104615 0 87340 0 29694 0 963598 0 80432 0 JAMES STEIN MD SVP, CHIEF MEDICAL OFFICER 590965 0 109942 0 157909 0 75474 0 1921 0 936211 0 133789 0 LARA KHOURI SVP, CHIEF STRATEGY OFFICER 549848 0 132747 0 95460 0 77148 0 36962 0 892165 0 63637 0 NANCY LEE SVP, CHIEF CLINICAL OFFICER 554684 0 115820 0 123192 0 4350 0 27494 0 825540 0 99312 0 MARK D KRIEGER MD DIRECTOR, FACULTY PHYSICIAN 693750 0 73250 0 0 0 0 0 0 0 767000 0 0 0 GRACE OH SVP, GENERAL COUNSEL 456625 0 85795 0 72426 0 61630 0 53910 0 730386 0 50267 0 ALEXANDRA CARTER SVP, CHIEF DEVELOPMENT OFFICER 427662 0 83599 0 95285 0 58711 0 19414 0 684671 0 58916 0 MAMOON SYED SVP, CHIEF PEOPLE OFFICER 376594 0 75527 0 113608 0 54609 0 37751 0 658089 0 54970 0 RUTH M AREVALO VP, HEALTH SYSTEM DEV & INTEGRATION 327279 0 63638 0 81926 0 53758 0 20960 0 547561 0 61072 0 CONRAD BAND SVP, INTERIM CHIEF INFO. OFFICER 364058 0 79944 0 7915 0 53327 0 33581 0 538825 0 0 0 JODI SHIRLYN OGDEN RIVERA VP, RESEARCH OPERATIONS 312801 0 60994 0 68524 0 51431 0 27772 0 521522 0 46429 0 RANDALL W STEWARD VP, ENTERPRISE CONTRACTING 319063 0 59264 0 50668 0 49524 0 38499 0 517018 0 48147 0 STEVE GARSKE SVP, CHIEF INFO. OFFICER (END 07/21) 237691 0 0 0 241252 0 14222 0 14604 0 507769 0 76571 0 BHAVANA KUMAR ARORA CMO, CHLA HEALTH NETWORK 388759 0 54073 0 0 0 4350 0 3457 0 450639 0 0 0 MATTHEW MATT KEEFER MD DIRECTOR, FACULTY PHYSICIAN 374845 0 0 0 0 0 0 0 0 0 374845 0 0 0 ROBERT BOB E SHADDY MD DIRECTOR, FACULTY PHYSICIAN 266750 0 0 0 0 0 0 0 0 0 266750 0 0 0 JUDITH M KLINE CORPORATE SECRETARY 244168 0 1000 0 0 0 3728 0 16830 0 265726 0 0 0 PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE IN CALENDAR YEAR 2021, WHICH WAS TREATED AS TAXABLE COMPENSATION: RHONDA R. FOSTER - $700,000 STEVE GARSKE - $100,000 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 2020 FORM W-2 (EXCEPT PAUL VIVIANO - DEFERRED COMPENSATION) REFLECT PAYMENTS RECEIVED BY THE EMPLOYEE DURING CALENDAR YEAR 2021 THAT WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEAR FORM 990S: PAUL S. VIVIANO - $207,630 M. SCOTT LIEBERENZ - $80,432 ALEXANDRA CARTER - $58,916 STEVE GARSKE - $76,571 LARA KHOURI - $63,637 NANCY LEE - $99,312 GRACE OH - $50,267 JAMES STEIN, M.D. - $133,789 MAMOON SYED - $54,970 JODI SHIRLYN ODEN RIVERA - $46,429 RANDALL W. STEWARD - $48,147 RUTH AREVALO - $61,072 PART I, LINE 7 CHLA 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. 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. - $767,000 MATTHEW KEEFER, M.D. - $374,845 ROBERT E. SHADDY, M.D. - $266,750 JAMES STEIN, M.D. - $67,337 A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LB22 2012-08-15 182930717 SEE PART VI 0 0 0 B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UNH7 2017-06-06 295974620 SEE PART VI 0 0 0 C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UNJ3 2017-06-06 52180000 SEE PART VI 0 0 0 A 61620000 182930717 2310722 180619995 1 0 1 1 B 296178058 2528240 33225192 260424626 2018 1 1 1 1 C 52180000 494240 51685760 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 0 1 1 GOLDMAN SACHS 13.000000000000 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2022 SCHEDULE K, PART I, BOND ISSUES: PART I(F): THE CURRENT REFUNDING OF THE SERIES 1999 BONDS (ISSUED ON 05/26/1999), SERIES 2009 BONDS (ISSUED ON 12/18/2009) AND SERIES 2010B BONDS (ISSUED ON 05/20/2010). 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 2012B BONDS (ISSUED ON 08/15/2012). 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. MARTHA GARSKE MARTHA GARSKE IS THE WIFE OF STEVE GARSKE (KEY EMPLOYEE) 78256 EMPLOYMENT 0 X 1 38000 FAIR MARKET VALUE X 52182 FAIR MARKET VALUE X 201879 FAIR MARKET VALUE X 227 2748436 COST OR SELLING PRICE X 1 4035000 APPRAISED VALUE X 8 10822 FAIR MARKET VALUE X OTHER IN-KIND 25 709543 FAIR MARKET VALUE X PERSONAL PROTECTIVE EQUIPMENT 5 151149 FAIR MARKET VALUE X AIRLINE TICKETS/HOTEL 1 24000 FAIR MARKET VALUE X GIFT CARDS 5 20850 FAIR MARKET VALUE 1 0 1 0 PART I, COLUMN (B): THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 1 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 A, LINE 4 THE FOURTH AMENDED AND RESTATED BYLAWS WERE EFFECTIVE JUNE 12, 2020 TO JANUARY 26, 2022. THE FIFTH AMENDED AND RESTATED BYLAWS BECAME EFFECTIVE ON JANUARY 26, 2022 AND REMAIN EFFECTIVE THROUGH THE PRESENT. SUMMARY OF CHANGES: THE BYLAWS WERE AMENDED TO ADD PROVISIONS REGARDING THE GOVERNING BOARD'S AUTHORITY TO ACT IN THE EVENT THAT AN EMERGENCY (SUCH AS A PANDEMIC) RENDERS THE BOARD UNABLE TO CONVENE A QUORUM OF THE BOARD AND/OR OF A STANDING COMMITTEE OF THE BOARD; AND IN COMPLIANCE WITH CALIFORNIA ASSEMBLY BILL 663 EFFECTIVE AS OF JANUARY 1, 2022. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C CHLA 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 15 THE 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. FORM 990, PART VI, SECTION C, LINE 19 CHLA 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 11G PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 121,353,661. MANAGEMENT AND GENERAL EXPENSES 27,083,399. FUNDRAISING EXPENSES 537,003. TOTAL EXPENSES 148,974,063. MEDICAL-RELATED SERVICES: PROGRAM SERVICE EXPENSES 10,626,280. MANAGEMENT AND GENERAL EXPENSES 47,177. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,673,457. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 24,001,865. MANAGEMENT AND GENERAL EXPENSES 44,725,544. FUNDRAISING EXPENSES 2,831,567. TOTAL EXPENSES 71,558,976. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 1,079,384. TRANSFERS AND OTHERS -1,318,664. CHANGE IN SWAP MARK TO MARKET 6,292,801. 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