2025-05-13T18:41:27-05:00 2024-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2023-07-01 201645949 CEDARS-SINAI MARINA HOSPITAL (FKA CFHS HOLDINGS INC) CEDA 3108238911 4650 LINCOLN BLVD MARINA DEL REY CA 90292 XINGTONG STELLA CHEN CHIEF FINANCIAL OFFICER 3238668504 2025-05-13 1 1 KARA ADAMS P00023315 9497942300 2023 2025-03-06 01:10:19Z X BRYAN CROFT 8700 BEVERLY BLVD LOS ANGELES CA 90048 171483883 0 X WWW.MARINAHOSPITAL.COM X 2004 CA TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE. 6 4 1047 4 0 0 873672 4075740 156186562 167392021 0 0 408050 16122 157468284 171483883 18750 175000 0 0 88939351 104228642 0 0 0 82522413 81704549 171480514 186108191 -14012230 -14624308 181744263 170679238 117161247 112409892 64583016 58269346 X THE HOSPITAL'S MISSION IS TO ELEVATE THE HEALTH STATUS OF THE COMMUNITIES SERVED. 0 0 163131364 175000 167408143 CEDARS-SINAI MARINA HOSPITAL ("THE HOSPITAL"), FORMERLY KNOWN AS CFHS HOLDINGS, INC., DOING BUSINESS AS CEDARS-SINAI MARINA DEL REY HOSPITAL, IS A 133-BED NONPROFIT HOSPITAL. THE HOSPITAL IS FULLY ACCREDITED WITH THE JOINT COMMISSION (TJC), A NATIONALLY RECOGNIZED ORGANIZATION PROVIDING THE HIGHEST STANDARDS FOR SAFETY AND QUALITY OF CARE. THE HOSPITAL HAS THE FOLLOWING INPATIENT AND OUTPATIENT SERVICES: - 24-HOUR EMERGENCY SERVICES- TELEMEDICINE STROKE PROGRAM IN THE EMERGENCY ROOM- TELEPSYCH SERVICES IN THE EMERGENCY ROOM- INTENSIVE CARE UNIT- TELEMETRY/MEDICAL SURGICAL UNITS (CARDIAC MONITORED BEDS)(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)- INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES (LAB, IMAGING, GI, CARDIOLOGY)- OUTPATIENT SPINE CLINIC (THE MARINA SPINE CENTER)- MINIMALLY INVASIVE SURGICAL SERVICES (FOR HERNIA, APPENDECTOMY, GALL BLADDER, COLON, ANTI-REFLUX, WEIGHT MANAGEMENT, SPINE, TOTAL HIP, TOTAL KNEE CASES), UTILIZING THE DA VINCI ROBOT AND THE MAKO STRYKER ORTHO ROBOT.HOSPITAL STATISTICS:EMPLOYEES: 850 (HEAD COUNT PER DIEM INCLUDED)PHYSICIANS WITH HOSPITAL PRIVILEGES: 339SURGEONS WITH HOSPITAL PRIVILEGES: 209NUMBER OF SURGERIES ANNUALLY: 3,981NUMBER OF ER VISITS ANNUALLY: 41,917PAYOR % - MEDICARE: 38.0%, MEDI-CAL: 3.8%, COMMERCIAL AND MANAGED CARE: 52.9%, SELF-PAY AND OTHER: 5.3%HOSPITAL OPERATIONS:CONTINUED ENHANCEMENTS TO THE REPORTING CAPABILITIES OF THE ELECTRONIC MEDICAL RECORDS SYSTEM, INCLUDING UPGRADED TECHNOLOGY AND REPORTING CAPABILITIES, HAVE IMPROVED THE ABILITY OF PHYSICIANS AND CLINICAL STAFF TO VIEW PRIOR VISIT RECORDS, ENHANCED PATIENT SAFETY VIA ALERTS, INCREASED DATA ANALYSIS, AND DECREASED THE AMOUNT OF LABOR FOR SCANNING OF PAPER DOCUMENTS AND ANALYSIS OF DATA.COMMUNITY SUPPORT AND ENGAGEMENT HIGHLIGHTS:- THE MARINA SPINE CENTER IS A NATIONALLY RECOGNIZED OUTPATIENT CARE CENTER OFFERING COMPREHENSIVE SPINE SERVICES, FROM EVALUATION AND DIAGNOSIS TO SURGERY AND REHABILITATION.- THE HOSPITAL HAS ESTABLISHED KEY PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO REDUCE HEALTH DISPARITIES, IMPROVE ACCESS TO CARE, AND FOOD INSECURITY, AND PROMOTION OF OVERALL HEALTH AND WELL-BEING FOR VULNERABLE MEMBERS OF OUR COMMUNITY.- HOSPITAL LEADERSHIP ENGAGES WITH THE COMMUNITY IN A VARIETY OF WAYS ON A CONSISTENT BASIS. FACILITY STAFF REPRESENTS THE HOSPITAL AT THE FOLLOWING LOCAL COMMUNITY EVENTS AND COLLABORATIVES LISTED BELOW. *PLAYA VISTA SUNRISE ROTARY CLUB *MAR VISTA FAMILY CENTER *AIRPORT MARINA COUNSELING *VENICE BOYS AND GIRLS CLUB *MAR VISTA BOYS AND GIRLS CLUB *VENICE FAMILY CLINIC *THE PEOPLE CONCERN (FORMERLY OPCC) *ST. JOSEPH CENTER - CES (COORDINATED ENTRY SYSTEM) *BREAD & ROSES CAFE *LAX COASTAL CHAMBER OF COMMERCE- THE HOSPITAL ADOPTS FAMILIES DURING THE HOLIDAY SEASON THROUGH SEVERAL OF THE ABOVE AGENCIES AND HOSPITAL LEADERSHIP ACTIVELY PARTICIPATES IN OTHER FUND-RAISING COMMUNITY EVENTS THROUGH BOTH MONETARY AND EMPLOYEE SUPPORT.- THE HOSPITAL PROVIDES FREE COMMUNITY FLU CLINICS, STROKE PREVENTION EDUCATION, AND HELPS FUND COMMUNITY GARDENS FOR A LOCAL BOYS & GIRLS CLUB.PROGRAM ACCOMPLISHMENTS/DEVELOPMENT:- THE HOSPITAL HAS BEEN UTILIZING TELEMEDICINE IN THE EMERGENCY ROOM SINCE FEBRUARY 2017 TO SUCCESSFULLY DIAGNOSE STROKE AND EXPEDITE TREATMENT. - THE HOSPITAL STARTED A TELE-ICU/ICU INTENSIVIST PROGRAM WITH PHYSICIANS FROM CSMC IN 2020 IN RESPONSE TO THE HIGHER ACUITY PATIENTS BECAUSE OF COVID-19.- IN APRIL 2022, THE HOSPITAL CONTRACTED WITH ARRAY BEHAVIORAL CARE SERVICES TO PROVIDE A TELE-PSYCH SERVICE TO THE BEHAVIORAL HEALTH PATIENT POPULATION. THIS PROGRAM HAS CONTINUED TO BRING A MUCH-NEEDED RESOURCE TO PATIENTS IN THE EMERGENCY ROOM IN THE INPATIENT UNITS AS WELL AS WITHIN THE COMMUNITY.- THE HOSPITAL OBTAINED THE AMERICAN HEART/AMERICAN STROKE ASSOCIATION AND THE DNV HEALTHCARE USA PRIMARY STROKE CENTER CERTIFICATION IN 2023.- SPECIALTY PHYSICIANS ARE ROTATING THROUGH A CLINIC ADJACENT TO THE HOSPITAL TO COVER SPECIALTIES NOT PREVIOUSLY OFFERED AT THE HOSPITAL. SERVICES PROVIDED INCLUDE ENT, GYN, CARDIOLOGY, GI, AND NEUROLOGY, MAKING FOLLOW-UP APPOINTMENTS EASIER FOR PATIENTS WHO HAVE BEEN SEEN AS INPATIENTS IN THE HOSPITAL. THIS ALSO HELPS REDUCE READMISSIONS.- THE HOSPITAL HAS ALSO PARTICIPATED IN THE BRIDGE NAVIGATOR PROGRAM IN COLLABORATION WITH THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES. THIS PROGRAM PROVIDES GRANT FUNDING TO SUPPORT THE EMERGENCY DEPARTMENT OF THE HOSPITAL TO BECOME A PRIMARY ACCESS POINT FOR THE TREATMENT OF SUBSTANCE ABUSE DISORDERS AND CO-OCCURRING MENTAL HEALTH CONDITIONS. THIS PROGRAM, WHICH STARTED IN THE SUMMER OF 2022, HAS BEEN RUNNING SUCCESSFUL SINCE AND RECEIVED ADDITIONAL GRANT FUNDING THROUGH FISCAL YEAR 2023.- IN 2022, CEDARS-SINAI EMBARKED ON A 4-YEAR REDEVELOPMENT PROJECT TO BRING A MODERN, STATE OF THE ART HOSPITAL OF THE FUTURE TO THE MARINA DEL REY COMMUNITY. THE PROJECT, WHICH IS DUE TO BE COMPLETED IN DECEMBER 2026, WILL INCLUDE ALL THE SERVICES CURRENTLY PROVIDED IN THE EXISTING HOSPITAL AS WELL AS A CATH LAB, ADDITIONAL INPATIENT CAPACITY WITH 160 TOTAL BEDS, AND ADDITIONAL EMERGENCY ROOM BAYS. 163131364 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1047 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X XINGTONG STELLA CHEN 3238668504 6500 WILSHIRE BLVD LOS ANGELES CA 90048 THOMAS M PRISELAC PRESIDENT/CHAIR 2.00 65.00 X X 0 7559774 1249027 MOHAMED MIKE AHMAR BOARD MEMBER 2.00 4.00 X 0 0 0 THOMAS J LEANSE ESQ BOARD MEMBER 2.00 5.00 X 0 0 0 JAMES M LIPPMAN BOARD MEMBER 2.00 8.00 X 0 0 0 SAMEER MALHOTRA MD BOARD MEMBER 2.00 0.00 X 0 0 0 LESLIE VERMUT BOARD MEMBER 2.00 0.00 X 0 0 0 THOMAS J WAFER JR BOARD MEMBER 2.00 0.00 X 0 0 0 KEITH YABUMOTO MD BOARD MEMBER 2.00 0.00 X 0 0 0 BRYAN CROFT CHIEF EXECUTIVE OFFICER 2.00 55.00 X 0 1635422 120682 NOLLY DAVE CFO/TREASURER 50.00 0.00 X 408310 0 16220 DAVID M WRIGLEY SECRETARY 2.00 64.00 X 0 2858771 339896 RICHARD B JACOBS SECRETARY 2.00 60.00 X 0 2371274 315738 JOANNE LAGUNA-KENNEDY CHIEF OPERATING OFFICER 50.00 0.00 X 706776 0 25883 STEVEN KREMS MD CHIEF MEDICAL OFFICER 28.00 0.00 X 504403 0 27487 SHABNAM NICKS EXEC DIRECTOR-CLINICAL SERVICES 40.00 0.00 X 381231 0 10448 COURTNAY E CAUFIELD CHIEF NURSING OFFICER 40.00 0.00 X 367099 0 23720 LAUREN ELKINS EXEC DIRECTOR-SUPPORT SERVICES 40.00 0.00 X 326121 0 16580 DAVID J WATKINS DIRECTOR-EMERGENCY DEPT 40.00 0.00 X 321288 0 16954 JEFFREY SMITH MD JD MMM FORMER OFFICER 0.00 0.00 X 0 2449560 13264 SONIYA GANDHI MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 791441 53210 3015228 17666242 2229109 268 1 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W SUITE 300 SAN DIEGO CA 92121 CONTRACT LABOR HOSPITAL STAFF 12085574 MEDICAL STAFFING NETWORK PO BOX 840416 DALLAS TX 752840416 CONTRACT LABOR HOSPITAL STAFF 2279574 DVA RENAL HEALTHCARE INC PO BOX 781607 PHILADELPHIA PA 191781607 HEMODIALYSIS SERVICES 694734 MEDYGATE 447 S ROBERTSON BLVD STE 204 BEVERLY HILLS CA 902113634 BIOMEDICAL ENGINEERING SERVICE 393710 APSPIRION PO BOX 1437 COLUMBUS GA 319021437 REVENUE CYCLE MANAGEMENT SVCS 336038 20 234132 3841608 4075740 COMMERCIAL AND MANAGED CARE 622110 103697359 103697359 MEDICARE AND MEDICAL 622110 49121601 49121601 SELF PAY AND OTHERS 622110 14193401 14193401 REBATE REVENUE 622110 313043 313043 SUBLEASE INCOME 531120 66617 66617 167392021 OTHER REVENUE 622110 16122 16122 16122 171483883 167408143 0 0 X 175000 175000 1179461 458475 720986 61380 61380 83575719 70023852 13551867 2392892 1994250 398642 11291060 9437787 1853273 5728130 5227373 500757 4287096 4287096 238384 238384 19157763 18271899 885864 107149 1970 105179 2725935 2377526 348409 2475944 2007624 468320 3442059 1846260 1595799 226862 174029 52833 185834 62007 123827 772 626 146 8570811 7305054 1265757 -211864 -171791 -40073 MEDICAL SUPPLIES 16040679 16040679 PROSTHESIS/IMPLANTS 11800564 11800564 MEDI-CAL PROGRAM FEES 10128602 10128602 FOOD - PATIENT CARE 826436 826436 1701523 856046 845477 186108191 163131364 22976827 0 27226706 14388291 523022 183748 26319780 25643419 1597008 1723651 1526845 1467975 155698216 40384677 110016885 115313539 8706821 6965457 5827196 4993158 181744263 170679238 23615010 27815432 93546237 84594460 117161247 112409892 X 64583016 58269346 64583016 58269346 181744263 170679238 X -14624308 8310638 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 65560000 65560000 54540620 16538770 38001850 126458 126458 0 30953237 20864883 10088354 4517901 2854566 1663335 115313539 DUE TO/FROM RELATED ORGANIZATION 75008188 MALPRACTICE RESERVES 2367000 WORKERS COMP RESERVES 4915000 LONG-TERM OPERATING LEASES 2304272 84594460 X PART X, LINE 2: THE FOLLOWING STATEMENT IS TAKEN FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CEDARS-SINAI HEALTH SYSTEM THAT INCLUDES CFHS HOLDINGS, INC. THE ORGANIZATION COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. 1 1 X 1 X 400.000000000000 1 X 600.000000000000 1 1 1 0 1 1 5648961 5648961 0.03040 36924196 18921057 18003139 0.09670 586156 312842 273314 0.00150 43159313 19233899 23925414 0.12860 2485690 2485690 0.01340 175000 175000 0.00090 2660690 2660690 0.01430 45820003 19233899 26586104 0.14290 0 158488 0 57960691 80828012 -22867321 X 1 1 1 1 CEDARS-SINAI MARINA HOSPITAL 4650 LINCOLN BLVD MARINA DEL REY CA 90292 WWW.MARINAHOSPITAL.COM 930000096 X X X CEDARS-SINAI MARINA HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.MARINAHOSPITAL.COM/COMMUNITY X 1 22 1 HTTPS://WWW.MARINAHOSPITAL.COM/COMMUNITY 0 1 X 400.000000000000 600.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE X HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE X HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 CEDARS-SINAI MARINA HOSPITAL PART V, SECTION B, LINE 3J: THE CHNA HELPS TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES SERVED BY CEDARS-SINAI MARINA HOSPITAL AND PROVIDES A FRAMEWORK FOR PRIORITIZING HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES.CEDARS-SINAI MARINA HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT FOR JULY 1, 2022 THROUGH JUNE 30, 2025 WAS APPROVED BY ITS GOVERNING BODY IN MAY 2022. CEDARS-SINAI MARINA HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING CEDARS-SINAI MARINA HOSPITAL'S MOST RECENT CHNA, TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWS WERE COMPLETED DURING OCTOBER AND NOVEMBER 2021.THE PERSONS THE HOSPITAL FACILITY CONSULTED WERE:FIELD DEPUTY, COUNCILMEMBER MIKE BONIN, 11TH DISTRICT, CITY OF LOS ANGELESDIRECTOR, UCLA/VA VETERAN FAMILY WELLNESS CENTEREXECUTIVE DIRECTOR, MEALS ON WHEELS WESTEXECUTIVE DIRECTOR, COMMUNITY CORPORATION OF SANTA MONICAPRESIDENT AND CHIEF EXECUTIVE OFFICER, WISE & HEALTHY AGINGCO-DIRECTOR, HEALTH SERVICES, THE LOS ANGELES LGBT CENTERHEALTH SERVICES DEPUTY, OFFICE OF SUPERVISOR SHEILA KUEHL (LA COUNTY DISTRICT 3)CHIEF EXECUTIVE OFFICER, THE MAR VISTA FAMILY CENTERCHIEF EXECUTIVE OFFICER, ASIAN AMERICANS ADVANCING JUSTICE - LOS ANGELESPRESIDENT AND CHIEF EXECUTIVE OFFICER, ST. JOSEPH CENTER AREA HEALTH OFFICER, SPA 5, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTHDIRECTOR, SAFETY NET PROGRAMS AND PARTNERSHIPS, L.A. CARE HEALTH PLANVICE PRESIDENT, IMPACT & STRATEGY, UNITED WAY OF GREATER LOS ANGELESPRESIDENT AND CHIEF EXECUTIVE OFFICER, TWIN TOWN TREATMENT CENTERSCHIEF EXECUTIVE OFFICER, THE PEOPLE CONCERNMEDICAL DIRECTOR, LOS ANGELES UNIFIED SCHOOL DISTRICTCHIEF OPERATING OFFICER, DIDI HIRSCH MENTAL HEALTH SERVICES CO-DIRECTOR, HEALTH SERVICES, THE LOS ANGELES LGBT CENTERREGIONAL DIRECTOR, CATHOLIC CHARITIES OF LOS ANGELES, INC.HEALTHCARE INTEGRATION COORDINATOR, LOS ANGELES HOMELESS SERVICES AUTHORITY EXECUTIVE DIRECTOR, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) - WESTSIDE LOS ANGELESDIRECTOR OF EARLY LEARNING, SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICTBIRTH EQUITY & RACIAL JUSTICE MANAGER AND LEAD, CHERISHED FUTURES FOR BLACK MOMS & BABIES, PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIAVICE PRESIDENT OF STUDENT AFFAIRS, SANTA MONICA COLLEGECHIEF OPERATING OFFICER, COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTYPRESIDENT AND CHIEF OPERATING OFFICER, UNIHEALTH FOUNDATIONSENIOR PROGRAM OFFICER, HEALTH, CALIFORNIA COMMUNITY FOUNDATIONSERVICE AREA CHIEF, LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTHDEPUTY DIRECTOR/CHIEF OPERATIONS OFFICER, VENICE FAMILY CLINICTHE POPULATIONS REPRESENTED BY THE INDIVIDUALS THAT PROVIDED INPUT INCLUDED: THE MEDICALLY UNDERINSURED OR UNINSURED, BLACK, INDIGENOUS OR PEOPLE OF COLOR, CHILDREN AND YOUTH, INDIVIDUALS AND FAMILIES WHO ARE LOW-INCOME OR LIVING IN POVERTY, THE HOUSING INSECURE, PERSONS EXPERIENCING HOMELESSNESS, THE FOOD INSECURE, PERSONS WITH CHRONIC DISEASES, PERSONS WHO LACK TRANSPORTATION, VETERANS, LGBTIAQ+, PERSONS WITH SUBSTANCE USE DISORDERS, RESIDENTS EXPERIENCING MENTAL HEALTH CONCERNS, PERSONS WHO ARE LINGUISTICALLY ISOLATED, SENIORS, AND PERSONS WITH DISABILITIES. CEDARS-SINAI MARINA HOSPITAL PART V, SECTION B, LINE 6A: CSMH PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH CEDARS-SINAI MEDICAL CENTER, PROVIDENCE SAINT JOHN'S HEALTH CENTER, AND UCLA HEALTH. GIVEN THESE HOSPITAL FACILITIES SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY. CEDARS-SINAI MARINA HOSPITAL PART V, SECTION B, LINE 11: IN FY22, CEDARS-SINAI MARINA HOSPITAL ("THE HOSPITAL") CONDUCTED THE MOST RECENT CHNA. THE HOSPITAL WILL ADDRESS THE HEALTH FOCUS AREAS PRIORITIZED FROM THE IDENTIFIED HEALTH NEEDS IN THE CHNA. THE HOSPITAL HAS COMMITTED TO ADDRESS: 1) ACCESS TO CARE AND COMMUNITY SERVICES: COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SERVICES.2) PEOPLE EXPERIENCING HOMELESSNESS: COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SERVICES, WITH SPECIAL EFFORTS TO CARE FOR PEOPLE EXPERIENCING HOMELESSNESS. HEALTH FOCUS AREAS:1) ACCESS TO CARE AND COMMUNITY SERVICES:* COMMUNITY HEALTH IMPROVEMENT PROGRAMS: CSMH WILL IMPLEMENT FREE COMMUNITY HEALTH IMPROVEMENT PROGRAMS TO IMPROVE THE HEALTH OF VULNERABLE POPULATIONS. PREVENTIVE SCREENINGS, IMMUNIZATIONS, HEALTH EDUCATION AND EVIDENCE-BASED PROGRAMS WILL FOCUS ON ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH. * GRANT MAKING: RECOGNIZING THE CRITICAL ROLE OF COMMUNITY-BASED SERVICES IN PROMOTING ACCESS TO HIGH-QUALITY CARE FOR UNDERSERVED POPULATIONS, CSMH WILL PROVIDE GRANTS AS A STRATEGY FOR IMPROVING THE HEALTH OF THE COMMUNITY AND INCREASING ACCESS TO CARE AND BEHAVIORAL HEALTH CARE, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH.* FINANCIAL ASSISTANCE: CSMH WILL PROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.2) PEOPLE EXPERIENCING HOMELESSNESS:* ED PATIENT NAVIGATOR: CSMH WILL IMPLEMENT INTENSIVE CASE MANAGEMENT IN THE EMERGENCY DEPARTMENT (ED) TO IMPROVE ACCESS TO APPROPRIATE LEVELS OF HEALTH CARE AND COMMUNITY-BASED SERVICES FOR PEOPLE EXPERIENCING HOMELESSNESS. PATIENTS WILL BE ENROLLED IN PUBLIC AND PRIVATE HEALTH INSURANCE AND CONNECTED TO NEEDED SOCIAL AND MEDICAL CARE RESOURCES. * GRANT MAKING: CSMH WILL PROVIDE GRANT SUPPORT TO COMMUNITY SERVICE AGENCIES THAT ADDRESS THE MULTIPLE HEALTH AND SOCIAL NEEDS OF PERSONS EXPERIENCING HOMELESSNESS.HEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS: THERE WERE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA THAT DID NOT MEET THE CRITERIA FOR DEVELOPING AND IMPLEMENTING A HEALTH FOCUS AREA AND, AS A RESULT, ARE NOT ADDRESSED IN THIS IMPLEMENTATION STRATEGY: CHRONIC DISEASES, COMMUNITY SAFETY, COVID-19, ECONOMIC INSECURITY, ENVIRONMENTAL CONDITIONS, FOOD INSECURITY, MENTAL HEALTH, OVERWEIGHT AND OBESITY, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND TRANSPORTATION. CSMH WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION. 3 1 - CEDARS-SINAI MARINA HOSPITAL 4658 LINCOLN BLVD MARINA DEL REY CA 90292 OUTPATIENT SERVICES - GEN/LAB/RADIOLOGY 2 - CEDARS-SINAI MARINA HOSPITAL 4640 ADMIRALTY WAY STE 600 MARINA DEL REY CA 90292 OUTPATIENT SERVICES - SPINE CENTER 3 - CEDARS-SINAI MARINA HOSPITAL 4640 ADMIRALTY WAY STE 901 MARINA DEL REY CA 90292 OUTPATIENT SERVICES - WEIGHT MANAGEMENT CENTER PART I, LINE 3C: THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FULL OR PARTIAL FINANCIAL ASSISTANCE APPLICANTS. FPG FACTORS INCLUDE INCOME AND ASSETS. ASSETS MEAN ONLY "MONETARY ASSETS." THIS INCLUDES ASSETS THAT ARE READILY CONVERTIBLE TO CASH, SUCH AS BANK ACCOUNTS AND PUBLICLY TRADED STOCKS. RETIREMENT PLANS, DEFERRED COMPENSATION PLANS (BOTH QUALIFIED AND NONQUALIFIED UNDER THE IRS CODE) WILL NOT BE CONSIDERED. THE FOLLOWING ARE EXCLUDED FROM ASSETS: THE FIRST TEN THOUSAND DOLLARS ($10,000) OF A PATIENT'S MONETARY ASSETS AND FIFTY PERCENT (50%) OF THE PATIENT'S MONETARY ASSETS OVER THE FIRST TEN THOUSAND DOLLARS ($10,000). FOR SELF-PAY DISCOUNTS, THE ORGANIZATION USES THE AMOUNTS GENERALLY BILLED ("AGB"), WHICH IS DETERMINED USING LOOK-BACK METHOD FOR DETERMINING THE MAXIMUM AMOUNT THAT WOULD BE BILLED TO AN ELIGIBLE INPATIENT USING THE AVERAGE MEDICARE AND COMMERCIAL INPATIENT REIMBURSEMENT RATE. TO FURTHER BENEFIT AN ELIGIBLE INPATIENT, THE ORGANIZATION WILL USE THE LOWER OF THE AGB OR THE MEDICARE MS-DRG REIMBURSEMENT AMOUNT FOR THIS EPISODE OF CARE IN DETERMINING AN ELIGIBLE PATIENT'S LIABILITY. PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE AMOUNTS ON LINE 7 WERE DERIVED FROM COST ACCOUNTING SYSTEM. COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTS SEGMENTS - INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYERS - PRIVATE INSURANCE, MEDICARE, MEDI-CAL, UNINSURED AND SELF-PAY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 19,221. PART III, LINE 2: AS A RESULT OF THE ADOPTION OF ASC 606, THE HOSPITAL IS REPORTING IMPLICIT PRICE CONCESSIONS, WHICH IS ESTABLISHED BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECEIVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, AND OTHER RELEVANT INFORMATION, AND BAD DEBT, WHICH IS DUE TO CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE. PART III, LINE 4: AUDITED FINANCIAL STATEMENTS - PAGE 13PART III, LINE 6: MEDICARE ALLOWABLE COSTS AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES WERE DETERMINED BASED ON THE RATIO OF TOTAL MEDICARE REVENUE OVER TOTAL CHARGES DURING THE FISCAL YEAR ENDING ON 6/30/2024. PART III, LINE 8: IT IS OUR BELIEF THAT ALL OF THE $22,867,321 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS. PART III, LINE 9B: REASONABLE EFFORTS BASED ON BILLING STATEMENT NOTIFICATION AND AMOUNTS NOT ELIGIBLE:THE HOSPITAL NOTIFIES PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAMS BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS. THE HOSPITAL REFRAINS FROM INITIATING EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE THE HOSPITAL BILLS FOR THE CARE IF THE PATIENT HAS NOT SUBMITTED AN APPLICATION OR THE HOSPITAL HAS DETERMINED THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THE PATIENT'S APPLICATION.AT LEAST 30 DAYS BEFORE FIRST INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, THE HOSPITAL PROVIDES THE PATIENT WITH A WRITTEN NOTICE INDICATING FINANCIAL ASSISTANCE IS AVAILABLE, IDENTIFYING THE EXTRAORDINARY COLLECTION ACTION THAT THE HOSPITAL INTENDS TO INITIATE TO OBTAIN PAYMENT, AND STATING A DEADLINE AFTER WHICH SUCH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED (WHICH DATE IS NOT EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED). THE NOTICE INCLUDES A PLAIN LANGUAGE SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.IN ADDITION TO ALL WRITTEN NOTICES, PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES A REASONABLE EFFORT TO VERBALLY NOTIFY THE PATIENT ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ABOUT HOW THE PATIENT MAY OBTAIN ASSISTANCE THROUGH THE APPLICATION PROCESS. PART VI, LINE 2: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FISCAL YEAR ENDED 6/30/2022. SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J.IN ADDITION TO WHAT IS IDENTIFIED AS A HEALTH PRIORITY IN THE CHNA, CEDARS-SINAI MARINA HOSPITAL RESPONDS TO REQUESTS FROM PUBLIC AGENCIES AND COMMUNITY GROUPS, THROUGH DIRECT CONTACT WITH STAFF OR THROUGH COMMUNITY PARTNERSHIPS. THE HOSPITAL ALSO PROVIDES STAFFING TO PARTICIPATE IN COLLABORATIVE LOCAL AND REGIONAL COMMUNITY HEALTH IMPROVEMENT EFFORTS. CEDARS-SINAI MARINA HOSPITAL SEEKS TO FILL GAPS, AS APPROPRIATE AND WHEN POSSIBLE, IN COMMUNITY HEALTH, HEALTH PROFESSIONAL TRAINING, COMMUNITY BUILDING, AND MORE. PART VI, LINE 3: CEDARS-SINAI MARINA HOSPITAL PROVIDES THE FOLLOWING NOTICES AND INFORMATION REGARDING FINANCIAL ASSISTANCE:A. FINANCIAL ASSISTANCE POLICY.B. A PLAIN LANGUAGE SUMMARY OF THE POLICY. THE PLAIN LANGUAGE SUMMARY IS AN EASY TO UNDERSTAND DOCUMENT THAT NOTIFIES PATIENTS AND OTHER INDIVIDUALS THAT THE ORGANIZATION OFFERS FINANCIAL ASSISTANCE UNDER THIS POLICY. IT SETS OUT RELEVANT INFORMATION INCLUDING THE INFORMATION REQUIRED BY STATE AND FEDERAL LAWS SUCH AS THE ELIGIBILITY REQUIREMENTS AND ASSISTANCE OFFERED. INFORMATION ABOUT THE POLICY AND HOW TO OBTAIN ASSISTANCE IS AVAILABLE IN MULTIPLE LANGUAGES.C. A LIST OF PROVIDERS THAT MAY MAKE FINANCIAL ASSISTANCE AVAILABLE TO THE CEDARS-SINAI MARINA HOSPITAL'S PATIENTS.D. THE APPLICATION.E. DEBT COLLECTION POLICY.THESE MATERIALS ARE MADE AVAILABLE IN A VARIETY OF WAYS INCLUDING:A. WEBSITE - THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE LOCATED ON CEDARS-SINAI MARINA HOSPITAL WEBSITE AT HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE.B. EMAIL OR PAPER COPIES - COPIES OF ANY OF THE MATERIALS REFERENCED IN THE POLICY MAY BE OBTAINED UPON REQUEST.C. POSTED SIGNAGE. THE PLAIN LANGUAGE SUMMARY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, THE BILLING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGS.D. REGISTRATION AND BILLING NOTICES. PATIENTS ARE PROVIDED VARIOUS INFORMATION AND NOTICES IN THEIR REGISTRATION AND BILLING COMMUNICATIONS.CEDARS-SINAI MARINA HOSPITAL TAKES VARIOUS EFFORTS TO WIDELY PUBLICIZE ITS FINANCIAL ASSISTANCE PROGRAMS, SUCH AS DISTRIBUTING INFORMATION TO TARGETED COMMUNITY ORGANIZATIONS, TO ALERT THE COMMUNITY TO THE AVAILABILITY OF CEDARS-SINAI MARINA HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: THE HOSPITAL IS LOCATED AT 4650 LINCOLN BLVD., MARINA DEL REY, CA 90292. THE HOSPITAL'S SERVICE AREA ENCOMPASSES EIGHT ZIP CODES IN THE CITIES OF CULVER CITY, MAR VISTA, MARINA DEL REY, PLAYA DEL REY, PLAYA VISTA, SANTA MONICA, VENICE, AND WESTCHESTER. PORTIONS OF THE SERVICE AREA ARE SERVED BY LOS ANGELES CITY COUNCIL DISTRICT 11. THE SERVICE AREA IS LOCATED IN LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 5. TO DETERMINE THE COMMUNITY BENEFIT SERVICE AREA, CEDARS-SINAI TAKES INTO ACCOUNT THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITAL; THE CURRENT UNDERSTANDING OF COMMUNITY NEED BASED ON THE MOST RECENT CHNA; AND LONG-STANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. IN ADDITION, THERE ARE SEVEN OTHER HOSPITALS THAT SERVE THE SAME COMMUNITY AS CEDARS-SINAI MARINA HOSPITAL.COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR THE HOSPITAL SERVICE AREA IS 233,631. THE TOTAL POPULATION FOR LOS ANGELES COUNTY IS 10,081,570.RACE/ETHNICITYTHE POPULATION CHARACTERISTICS FOR THE HOSPITAL SERVICE AREA ARE AS FOLLOWS: WHITE (54.3%), HISPANIC/LATINO (21.3%), ASIAN (12.2%), BLACK/AFRICAN AMERICAN (6.8%), AMERICAN INDIAN/ALASKAN NATIVE (0.2%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.1%), OTHER/MULTIPLE RACES (5.1%)AGELESS THAN 18 YEARS (15.6%), 18-24 (8%), 25-64 (61.9%), GREATER THAN 65 YEARS (14.5%)GENDERFEMALE (50.4%), MALE (49.6%)SOCIOECONOMIC STATUSPOVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THE CENSUS BUREAU ANNUALLY UPDATES OFFICIAL POVERTY POPULATION STATISTICS. FOR 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. FAMILIES LIVING BELOW THE POVERTY LINE IN THE HOSPITAL SERVICE AREA (10.3%); LOS ANGELES COUNTY (14.9%)HOUSEHOLDSIN THE HOSPITAL SERVICE AREA THERE ARE APPROXIMATELY OVER 100,000 HOUSEHOLDS AND OVER 110,000 HOUSING UNITS. OVER THE LAST FIVE YEARS, THE POPULATION GREW BY 0.5% AND HOUSEHOLDS GREW BY 1.8%. 59.4% OF HOUSEHOLDS IN THE SERVICE AREA ARE RENTER-OCCUPIED.HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $134,158 AND THE AVERAGE HOUSEHOLD INCOME IS $187,368.UNEMPLOYMENTIN 2020, THE UNEMPLOYMENT RATES IN SERVICE AREA CITIES RANGED FROM 6.1% IN MARINA DEL REY TO 12.9% IN THE CITY OF LOS ANGELES. LOS ANGELES COUNTY HAD AN UNEMPLOYMENT RATE OF 12.8%.EDUCATIONAL ATTAINMENTAMONG SERVICE AREA ADULTS, AGES 25 AND OLDER, 6.7% LACK A HIGH SCHOOL DIPLOMA. 9.6% OF ADULTS ARE HIGH SCHOOL GRADUATES AND 67.1% OF AREA ADULTS ARE COLLEGE GRADUATES.HEALTH INSURANCE COVERAGE IN THE SERVICE AREA, 94.4% OF THE POPULATION (ALL AGE GROUPS), 98.1% OF CHILDREN/YOUTH AGES 0 TO 18, AND 92.4% OF ADULTS, AGES 19 TO 64, HAVE HEALTH INSURANCE COVERAGE. PART VI, LINE 5: CEDARS-SINAI MARINA HOSPITAL OPERATES IN FURTHERANCE OF ITS MISSION TO IMPROVE THE HEALTH STATUS THROUGH FORM OF HEALTH CARE AND RELATED COMMUNITY SERVICES. THE HOSPITAL PROVIDES BOTH QUANTIFIABLE AND NON-QUANTIFIABLE CONTRIBUTIONS TO THE COMMUNITY, SUCH AS INCREASING PARTICIPATION IN LOCAL EFFORTS TO COMBAT HOMELESSNESS IN THE COMMUNITY AND INCURRING UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED OF THE COMMUNITY. IN ADDITION, THE HOSPITAL DISTRIBUTED GRANTS TO ORGANIZATIONS INCLUDING MAR VISTA FAMILY CENTER AND ST. JOSEPH CENTER.THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF MEMBERS OF THE COMMUNITY. FURTHERMORE, THE COMMUNITIES ARE SERVED BY AN OPEN MEDICAL STAFF. ALSO, ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY. PART VI, LINE 6: THE HOSPITAL IS AN AFFILIATE OF CEDARS-SINAI HEALTH SYSTEM. THE 133-BED SURGICAL HOSPITAL IS FULLY ACCREDITED THROUGH THE JOINT COMMISSION FOR SAFE AND EFFECTIVE QUALITY CARE. BY CONCENTRATING FOUR AREAS OF EXPERTISE: SPINE, WEIGHT MANAGEMENT, ORTHOPEDICS, AND MINIMALLY INVASIVE SURGERY, THE HOSPITAL IS ABLE TO PROVIDE EXCELLENT CARE IN AN INTIMATE, PERSONAL AND CONVENIENT SETTING.THE HOSPITAL IS COMMITTED TO THE FOLLOWING:* PROVIDING EXCELLENT AND PROMPT ACUTE MEDICAL SERVICES AND 24/7 EMERGENCY ROOM CARE. * TALENTED CUSTOMER SERVICE-DRIVEN TEAM: BELIEVES KINDNESS IS JUST AS IMPORTANT AS STATE-OF-THE-ART MEDICAL TECHNOLOGY. * NATIONALLY RECOGNIZED CAREGIVERS: RECOGNIZED FOR CLINICAL EXCELLENCE AND DEVOTED TO DELIVERING COMPASSIONATE, RESPONSIVE CARE.THE HOSPITAL'S MISSION:THE HOSPITAL'S MISSION IS TO ELEVATE THE HEALTH STATUS OF THE COMMUNITIES SERVED.THE BOARD OF DIRECTORS PROVIDES OVERSIGHT AND POLICY-MAKING FOR THE HOSPITAL'S COMMUNITY BENEFIT COMMITMENTS, EFFORTS AND STRATEGIC ALIGNMENT WITH COMMUNITY NEEDS. DURING THE TAX YEAR, THE HOSPITAL'S COMMUNITY BENEFIT EXPENSE TOTALED $26,586,104 DIVIDED AMONG THE FOLLOWING CATEGORIES:* UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - $23,925,414 (CHARITY CARE - $5,648,961; UNREIMBURSED COST: CARING FOR MEDI-CAL PATIENTS - $18,003,139; UNREIMBURSED COST: SPECIALTY GOVERNMENT PROGRAMS - $273,314)(EXCLUDES THE UNREIMBURSED COST OF CARING FOR MEDICARE PATIENTS) * COMMUNITY BENEFIT PROGRAMS, INCLUDING CHARITABLE DONATIONS - $2,660,690 PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 AIRPORT MARINA COUNSELING SERVICE 7891 LA TIJERA BLVD LOS ANGELES CA 90045 952224149 501(C)(3) 75000 0 HOMELESSNESS MENTAL HEALTH PROGRAM GRANT MAR VISTA FAMILY CENTER 5075 S SLAUSON AVENUE CULVER CITY CA 90230 952647443 501(C)(3) 25000 0 PRESCHOOL NUTRITION PROGRAM GRANT ST JOSEPH CENTER 204 HAMPTON DRIVE VENICE CA 90291 953874381 501(C)(3) 75000 0 BREAD AND ROSES FOOD ASSISTANCE PROGRAM GRANT 3 0 PART I, LINE 2: THE ORGANIZATION CONTRIBUTES TO WELL ESTABLISHED EXEMPT ORGANIZATIONS AND RELIES ON THE GOVERNING BODY OF EACH OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS DONATED TO EACH AND EVERY ORGANIZATION ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. 1 1 0 0 0 0 0 0 0 THOMAS M PRISELAC PRESIDENT/CHAIR 0 2463228 0 3478690 0 1617856 0 1229126 0 19901 0 8808801 0 0 DAVID M WRIGLEY SECRETARY 0 969498 0 1107948 0 781325 0 314509 0 25387 0 3198667 0 190000 RICHARD B JACOBS SECRETARY 0 908308 0 572663 0 890303 0 297768 0 17970 0 2687012 0 125000 JEFFREY SMITH MD JD MMM FORMER OFFICER 0 579229 0 591985 0 1278346 0 942 0 12322 0 2462824 0 0 BRYAN CROFT CHIEF EXECUTIVE OFFICER 0 816612 0 375730 0 443080 0 89704 0 30978 0 1756104 0 114583 SONIYA GANDHI MD FORMER HIGHEST COMPENSATED 0 500689 0 187840 0 102912 0 19800 0 33410 0 844651 0 0 JOANNE LAGUNA-KENNEDY CHIEF OPERATING OFFICER 533010 0 173238 0 528 0 9900 0 15983 0 732659 0 0 0 STEVEN KREMS MD CHIEF MEDICAL OFFICER 355417 0 148409 0 577 0 9900 0 17587 0 531890 0 0 0 NOLLY DAVE CFO/TREASURER 354776 0 53121 0 413 0 9900 0 6320 0 424530 0 0 0 SHABNAM NICKS EXEC DIRECTOR-CLINICAL SERVICES 329629 0 51074 0 528 0 9222 0 1226 0 391679 0 0 0 COURTNAY E CAUFIELD CHIEF NURSING OFFICER 313362 0 53350 0 387 0 0 0 23720 0 390819 0 0 0 LAUREN ELKINS EXEC DIRECTOR-SUPPORT SERVICES 282050 0 43658 0 413 0 8478 0 8102 0 342701 0 0 0 DAVID J WATKINS DIRECTOR-EMERGENCY DEPT 281329 0 32578 0 7381 0 8684 0 8270 0 338242 0 0 0 PART I, LINE 3 THE CEO OF CEDARS-SINAI MARINA HOSPITAL IS COMPENSATED BY CEDARS-SINAI MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION (SOLE MEMBER OF CEDARS-SINAI MARINA HOSPITAL). CEDARS-SINAI MEDICAL CENTER USED THE FOLLOWING METHODS IN ESTABLISHING THE CEDARS-SINAI MARINA HOSPITAL CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) WRITTEN EMPLOYMENT CONTRACT; 4) COMPENSATION SURVEY OR STUDY; AND 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THERE ARE TWO NONQUALIFIED DEFERRED COMPENSATION PLANS IN WHICH ONE OR MORE OF THE LISTED PERSONS PARTICIPATE. THE FIRST PLAN IS A DEFERRED COMPENSATION PLAN. THIS IS A "GRANDFATHERED" TRADITIONAL DEFINED BENEFIT PLAN (NO NEW PARTICIPANTS HAVE BEEN ADDED SINCE 1986). THE BENEFIT FORMULA IS A PERCENTAGE OF THE HIGHEST FIVE YEARS AVERAGE ANNUAL SALARY TIMES THE NUMBER OF YEARS OF ELIGIBLE SERVICE, WITH A MAXIMUM CREDITED SERVICE OF 30 YEARS. THE SECOND PLAN IS A SUPPLEMENTAL RETIREMENT ALLOWANCE THAT IS PAYABLE DIRECTLY TO THE PARTICIPANTS EACH QUARTER. THE BENEFIT FORMULA FOR THIS PLAN HAS ANNUAL CONTRIBUTIONS THAT ARE EITHER A PERCENTAGE OF SALARY, OR ARE DESIGNED TO FUND A PERCENTAGE OF THE ESTIMATED FINAL 5-YEAR AVERAGE SALARY. CERTAIN INDIVIDUALS ALSO RECEIVED PAYOUTS FROM AMOUNTS ACCRUED IN PRIOR YEARS. IN ADDITION, FOUR INDIVIDUALS HAVE RETENTION INCENTIVES WHICH HAD CLIFF-VESTING DATES DURING CALENDAR YEAR 2023. THE FOLLOWING LISTED PERSONS RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2023 RELATED TO ONE OR BOTH OF THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. IN ADDITION, ONE EMPLOYEE RECEIVED SEVERANCE PAYMENT. BRYAN CROFT 441,756 SONIYA GANDHI, MD 102,301 RICHARD B. JACOBS 810,885 THOMAS M. PRISELAC 1,468,376 JEFFREY SMITH, MD, JD, MMM 1,232,967 DAVID M. WRIGLEY 780,160 ANDREW LAGUNA PART V NARRATIVE - FAMILY MEMBER OF JOANNE LAGUNA-KENNEDY, A KEY EMPLOYEE 61380 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS GOVERNING DOCUMENTS DURING THE FISCAL YEAR TO REFLECT ITS NAME CHANGE. FORM 990, PART VI, SECTION A, LINE 6 CEDARS-SINAI MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF CEDARS-SINAI MARINA HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A CEDARS-SINAI MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER, ELECTS THE BOARD OF DIRECTORS OF CEDARS-SINAI MARINA HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED OR ACTED UPON BY CEDARS-SINAI MEDICAL CENTER, THE SOLE CORPORATE MEMBER OF CEDARS-SINAI MARINA HOSPITAL ("THE HOSPITAL"), BEFORE BECOMING EFFECTIVE: (A) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE HOSPITAL; (B) ANY AMENDMENT TO THE HOSPITAL'S PURPOSE OR MISSION; (C) ANY CHANGE IN THE MEMBERSHIP OR MEMBERSHIP POWERS OF THE HOSPITAL OR ITS SUBSIDIARY; (D) HIRING, ELECTING, REMOVING, OR TERMINATING ANY OF THE OFFICERS OF THE HOSPITAL; (E) REMOVAL AND APPOINTMENT OF DIRECTORS OF THE HOSPITAL; (F) CHANGING THE NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS; (G) SELECTION AND APPOINTMENT OF THE AUDITORS AND LEGAL COUNSEL OF THE HOSPITAL; (H) ANY SALE OR OTHER DISPOSITION OF ALL OR A SUBSTANTIAL PORTION OF THE ASSETS OF THE HOSPITAL; (I) MERGER, CONSOLIDATION, REORGANIZATION, DIVESTITURE, AFFILIATION, LIQUIDATION, OR DISSOLUTION; (J) BORROWING MONEY AND INCURRING INDEBTEDNESS ON BEHALF OF THE HOSPITAL; (K) APPROVING THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS; (L) DECLARING OR CONSENTING TO THE FILING OF PROCEEDINGS TO DECLARE BANKRUPTCY. FORM 990, PART VI, SECTION B, LINE 11B THE REVIEW OF THE FORM 990 INVOLVES VARIOUS MANAGEMENT PERSONNEL, INCLUDING THE HOSPITAL'S CHIEF FINANCIAL OFFICER, CEDARS-SINAI MEDICAL CENTER'S EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER, AND A BIG FOUR ACCOUNTING FIRM. A COMPLETE, UNREDACTED COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS IN ADVANCE OF FILING, ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS OF MANAGEMENT BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A BOARD-APPROVED POLICY. CONFLICT REPORTING IS REQUIRED THROUGH THE OFFICE OF THE PRESIDENT/CEO, WHO REPORTS TO THE BOARD ON COI-RELATED MATTERS. THE POLICY APPLIES TO THE ORGANIZATION'S DIRECTORS, OFFICERS, COMMITTEE MEMBERS, AND OTHER INDIVIDUALS WHO HAVE OR ARE GRANTED THE AUTHORITY TO VOTE AT BOARD OR COMMITTEE MEETINGS OF THE ORGANIZATION. THESE INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE AND PROVIDE DISCLOSURE OF ACTIVITIES UNDERTAKEN BETWEEN ANNUAL DISCLOSURES. CONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED ANNUALLY AND THE OFFICE OF THE PRESIDENT OR HIS/HER DESIGNEE FOLLOWS UP WITH ANY PERSON WHO DOES NOT COMPLETE AND RETURN THE QUESTIONNAIRE IN A TIMELY MANNER. ALL DISCLOSURES MADE ARE REVIEWED BY THE VICE PRESIDENT OF CORPORATE INTEGRITY FOR COMPLETENESS AND TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE VICE PRESIDENT OF CORPORATE INTEGRITY WORKS WITH THE OFFICE OF THE PRESIDENT OR HIS/HER DESIGNEE TO PERFORM ANY NECESSARY DILIGENCE AND IDENTIFY STRATEGIES FOR MANAGING ANY IDENTIFIED CONFLICTS. MANAGEMENT GENERALLY INVOLVES SEPARATION OF THE INTERESTED PERSON FROM ANY INVOLVEMENT, MANAGEMENT OR DECISION-MAKING WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT, DISCLOSURE TO THE BOARD OF DIRECTORS, AND OTHER ACTIONS TO ENSURE THE IDENTIFIED CONFLICT IS SUFFICIENTLY ADDRESSED IN A MANNER THAT ENSURES THAT THE TRANSACTION THAT GIVES RISE TO THE CONFLICT IS FAIR AND REASONABLE TO THE ORGANIZATION AND CONSISTENT WITH FAIR MARKET VALUE. IN THE CASE OF A BOARD MEMBER WITH AN IDENTIFIED CONFLICT, THAT BOARD MEMBER IS PRECLUDED FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS REGARDING THE TRANSACTION THAT GIVES RISE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL'S CHIEF EXECUTIVE OFFICER IS COMPENSATED BY THE HOSPITAL'S SOLE CORPORATE MEMBER, CEDARS-SINAI MEDICAL CENTER. THE EXECUTIVE PERSONNEL COMMITTEE OF CEDARS-SINAI MEDICAL CENTER REVIEWS AND APPROVES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. SINCE THE HOSPITAL DOES NOT COMPENSATE ITS CHIEF EXECUTIVE OFFICER, THE RESPONSE TO THIS QUESTION IS NO, IN ACCORDANCE WITH SPECIFIC INSTRUCTIONS FROM THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS FORM 990. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,062,547. MANAGEMENT AND GENERAL EXPENSES 90,706. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,153,253. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,109,086. MANAGEMENT AND GENERAL EXPENSES 644,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,753,208. REPAIRS AND MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 2,961,762. MANAGEMENT AND GENERAL EXPENSES 134,685. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,096,447. COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 1,233,452. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,233,452. LAUNDRY AND UNIFORM SERVICES: PROGRAM SERVICE EXPENSES 389,198. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,198. BUILDING OPERATING EXPENSES: PROGRAM SERVICE EXPENSES 15,484. MANAGEMENT AND GENERAL EXPENSES 13,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,876. OTHER PATIENT CARE EXPENSES: PROGRAM SERVICE EXPENSES 1,460,831. MANAGEMENT AND GENERAL EXPENSES 255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,461,086. MEDICAL WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 6,791. MANAGEMENT AND GENERAL EXPENSES 1,584. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,375. EMPLOYEE RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 29,120. MANAGEMENT AND GENERAL EXPENSES 347. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,467. FACILITY MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 3,628. MANAGEMENT AND GENERAL EXPENSES 773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,401. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES 8,310,638. FORM 990, PART XII, LINE 2C: THE HOSPITAL'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH ITS PARENT FOR FISCAL YEAR ENDED JUNE 30, 2024. THE OVERSIGHT OF THE AUDIT WAS PERFORMED BY ITS PARENT'S AUDIT COMMITTEE. 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