2021-05-14T16:06:17-05:00 2020-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2019-07-01 201645949 CFHS HOLDINGS INC CFHS 3108238911 4650 LINCOLN BLVD MARINA DEL REY CA 90292 NOLLY DAVE-SACHDEV CHIEF FINANCIAL OFFICER 3104487887 2021-05-14 1 KARA ADAMS P00023315 9497942300 2019 2022-09-23 18:48:47Z CEDARS-SINAI MARINA DEL REY HOSPITAL JEFFREY SMITH 8700 BEVERLY BLVD LOS ANGELES CA 90048 136116103 0 X WWW.MARINAHOSPITAL.COM X 2004 CA TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE. 6 4 884 6 0 0 61160650 4423504 125117992 131327124 0 0 393485 365475 186672127 136116103 80000 150000 0 0 66670060 75343120 0 0 0 54267723 60241138 121017783 135734258 65654344 381845 128759169 147959387 58773098 77591471 69986071 70367916 X * TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE FOR RESIDENTS IN MARINA DEL REY AND SURROUNDING BEACH COMMUNITIES AND THE WESTSIDE OF LOS ANGELES.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)* TO BE RECOGNIZED FOR MEDICAL EXCELLENCE IN SPINE, ORTHOPEDICS, SURGICAL WEIGHT LOSS, MINIMALLY INVASIVE SURGERY, NON-INVASIVE CARDIOLOGY AND GENERAL ACUTE MEDICAL CARE. 0 0 100295065 150000 131692599 CFHS HOLDINGS, INC., DOING BUSINESS AS CEDARS-SINAI MARINA DEL REY HOSPITAL ("THE HOSPITAL"), IS A 133-BED NONPROFIT HOSPITAL. THE HOSPITAL IS FULLY ACCREDITED WITH THE NATIONALLY RECOGNIZED JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS FOR SAFE AND EFFECTIVE QUALITY CARE ("THE JOINT COMMISSION"). THE HOSPITAL HAS THE FOLLOWING INPATIENT AND OUTPATIENT SERVICES: 24-HOUR EMERGENCY CARE INCLUDING TELESTROKE SERVICES IN COLLABORATION WITH NEUROSURGEONS FROM CEDARS-SINAI MEDICAL CENTER (CSMC), ICU, TELEMETRY, INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES AND ADVANCED SURGICAL TECHNOLOGY, CAREFULLY PRACTICED UNDER THE SUPERVISION AND SKILLED HANDS OF WORLD-CLASS PHYSICIANS, NURSES AND ALLIED HEALTH CARE PROFESSIONALS.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)HOSPITAL SERVICES:-24-HOUR EMERGENCY SERVICES-TELEMEDICINE STROKE PROGRAM IN THE EMERGENCY ROOM-INTENSIVE CARE UNIT-TELEMETRY/MEDICAL SURGICAL UNITS (CARDIAC MONITORED BEDS)-INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES (LAB, IMAGING, GI, CARDIOLOGY)-OUTPATIENT BARIATRIC CLINIC (THE MARINA WEIGHT LOSS CENTER)-OUTPATIENT SPINE CLINIC (THE MARINA SPINE CENTER)-MINIMALLY INVASIVE SURGICAL SERVICES (FOR HERNIA, APPENDECTOMY, GALLBLADDER, COLON, ANTI-REFLUX, BARIATRIC, SPINE, TOTAL HIP, TOTAL KNEE CASES), UTILIZING THE DA VINCI ROBOT AND THE MAKO STRYKER ORTHO ROBOT. HOSPITAL STATISTICS:EMPLOYEES: 643PHYSICIANS WITH HOSPITAL PRIVILEGES 276SURGEONS WITH HOSPITAL PRIVILEGES 217NUMBER OF SURGERIES ANNUALLY 3,311NUMBER OF ER VISITS ANNUALLY 36,046PAYOR % - MEDICARE: 32.5%, MEDI-CAL: 5.8%, COMMERCIAL AND MANAGED CARE: 52%, SELF PAY AND OTHER: 9.4%HOSPITAL OPERATIONS:THE HOSPITAL UPGRADED THE CLINICAL ELECTRONIC MEDICAL RECORD SYSTEM AND CONVERTED TO THE EPIC EHR IN MAY OF 2017. THERE WERE CONTINUED ENHANCEMENTS TO THE REPORTING CAPABILITIES IN 2020 AND THE UPGRADED TECHNOLOGY AND REPORTING CAPABILITIES HAVE IMPROVED THE ABILITY OF PHYSICIANS AND CLINICAL STAFF TO VIEW PRIOR VISIT RECORDS, ENHANCE PATIENT SAFETY VIA ALERTS, INCREASE DATA ANALYSIS AND HAS DECREASED THE AMOUNT OF LABOR FOR SCANNING OF PAPER DOCUMENTS AND ANALYSIS OF DATA. COMMUNITY SUPPORT AND ENGAGEMENT HIGHLIGHTS:- OUR TWO OUTPATIENT CLINICS ARE NATIONALLY RECOGNIZED AS LEADING SURGICAL CENTERS OF CARE, THE MARINA SPINE CENTER IS A MULTIDISCIPLINARY CENTER OFFERING COMPREHENSIVE SPINE SERVICES, FROM EVALUATION AND DIAGNOSIS TO SURGERY AND REHABILITATION. THE MARINA WEIGHT LOSS CENTER ACCREDITATED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) FOR EXCELLENCE.- CEDARS-SINAI MARINA DEL REY HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN LOS ANGELES' 11TH DISTRICT AND IS ACTIVELY INVOLVED IN COUNCILMAN MIKE BONIN'S HOMELESS INITIATIVE; "VENICE FORWARD". IN ADDITION, THE HOSPITAL HAS JOINED FORCES WITH COMMUNITY PARTNERS (VENICE FAMILY CLINIC, ST. JOSEPH CENTER, AND OPCC "THE PEOPLE CONCERN") TO HELP STEM THE HOMELESS CRISIS ON THE WESTSIDE. IN FY2019 THE HOSPITAL IMPLEMENTED A HOMELESS FACILATOR/NAVIGATOR IN THE HOSPITAL'S EMERGENCY ROOM THROUGH COLLABORATION WITH "THE PEOPLE CONCERN AND CSMC TO FACILITATE AND COORDINATE THE POST-DISCHARGE HOMELESS PATIENTS' MEDICAL AND HOUSING NEEDS. THIS PROGRAM HAS CONTINUED TO FLOURISH IN FY2020.- CEDARS-SINAI MARINA DEL REY HOSPITAL LEADERSHIP ENGAGES WITH THE COMMUNITY IN A VARIETY OF WAYS ON A CONSISTENT BASIS. FACILITY STAFF REPRESENT THE HOSPITAL AT THE FOLLOWING LOCAL COMMUNITY EVENTS AND COLLABORATIVES: *PARTICIPATE IN THE LOCAL ROTARY AND CHAMBER OF COMMERCE (PARTIAL YEAR DUE TO COVID-19 INTERRUPTION) *PARTICIPATE IN L.A. COUNCIL MEMBER MIKE BONIN'S "VENICE FORWARD" COLLABORATIVE *VENICE FAMILY CLINIC *VENICE MARINA COUNCIL *DEL REY NEIGHBORHOOD COUNCIL *VENICE NEIGHBORHOOLD COUNCIL - BOARD MEETING *THE PEOPLE CONCERN (FORMERLY OPCC) *ST. JOSEPH CENTER - CES (COORDINATED ENTRY SYSTEM) *LAX COASTAL CHAMBER OF COMMERCE SPECIFIC HOSPITAL STAFF ATTEND MONTHLY OR QUARTERLY MEETINGS IN A VIRTUAL SETTING WHEN AVAILABLE.- CEDARS-SINAI MARINA DEL REY HOSPITAL ADOPTS FAMILIES DURING THE HOLDIAY SEASON THROUGH SEVERAL OF THE ABOVE AGENCIES AND HOSPITAL LEADERSHIP ACTIVELY PARTICIPATES IN OTHER FUND-RAISING COMMUNITY EVENTS THROUGH BOTH MONETARY AND EMPLOYEE SUPPORT.PROGRAM ACCOMPLISHMENTS/DEVELOPMENT:- CEDARS-SINAI MARINA DEL REY HOSPITAL IN COLLABORATION WITH CSMC NEUROLOGY DEPARTMENT HAS BEEN UTILIZING TELEMEDICINE IN THE EMERGENCY ROOM SINCE FEBRUARY 2017 TO SUCCESSFULLY DIAGNOSE STROKE AND EXPEDITE TREATMENT. THE HOSPITAL ALSO STARTED A TELE-ICU/ICU INTENSIVIST PROGRAM WITH PHYSICIANS FROM CSMC IN 2020 IN RESPONSE TO THE HIGHER ACUITY PATIENTS AS A RESULT OF COVID-19. THE HOSPITAL IN COLLABORATION WITH CSMC, IS ALSO SEEKING TO OBTAIN THE AMERICAN HEART/AMERICAN STROKE ASSOCIATION AND THE JOINT COMMISSION PRIMARY STROKE CENTER CERTIFICATION IN 2021.- FURTHER, SPECIALTY PHYSICIANS ARE ROTATING THROUGH A CLINIC ADJACENT TO THE HOSPITAL TO COVER SPECIALTIES NOT PREVIOUSLY OFFERED AT THE HOSPITAL. THESE SERVICES PROVIDED BY CSMC FOUNDATION PHYSICIANS INCLUDE ENT, GYN, CARDIOLOGY, GI, AND NEUROLOGY. THE SPECIALISTS ALTERNATE DAYS OF THE WEEK MAKING FOLLOW-UP APPOINTMENTS EASIER FOR PATIENTS WHO HAVE BEEN SEEN AS INPATIENTS IN THE HOSPITAL. THIS ALSO HELPS REDUCE READMISSIONS AND IS CONVENIENT FOR THE PATIENTS IN THE COMMUNITY. 100295065 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 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 884 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X NOLLY DAVE-SACHDEV 3108238911 4640 ADMIRALTY WAY SUITE 650 MARINA DEL REY CA 90292 THOMAS M PRISELAC CHAIR 3.00 75.00 X 0 4571241 1114416 JEFFREY SMITH MD JD MMM CHIEF EXECUTIVE OFFICER 3.00 60.00 X 0 1559069 43266 BRYAN CROFT SECRETARY 3.00 55.00 X 0 1101150 205842 MARK GAVENS FORMER OFFICER 0.00 0.00 X 0 615066 302147 JOANNE LAGUNA-KENNEDY CHIEF NURSING OFFICER 50.00 0.00 X 563157 0 31895 NOLLY DAVE-SACHDEV CFO/TREASURER 50.00 0.00 X 196916 164850 26921 DANIELLE GABELE ASSOCIATE CHIEF NURSING OFFICER 50.00 0.00 X 274618 0 8265 MARY KATHRYN HAMMACK FORMER CFO 50.00 0.00 X 241903 0 21854 SHAWN BOND PHYSICIAN ASSISTANT 40.00 0.00 X 227826 0 35843 PAULETTE HEITMEYER FORMER KEY EMPLOYEE 0.00 0.00 X 0 234729 12064 MARGARET MORGAN DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 215850 0 23124 DONNA FERGUSON DIRECTOR OF PERIOPERATIVE SERVICES 40.00 0.00 X 210845 0 5881 SHARON MARTINEZ SECRETARY 40.00 1.00 X 100874 0 7554 STEVEN KREMS MD BOARD MEMBER 2.00 0.00 X 0 0 0 MARC H RAPAPORT BOARD MEMBER 2.00 8.00 X 0 0 0 NICKOLAS TOMASIC MD BOARD MEMBER 2.00 0.00 X 0 0 0 LESLIE VERMUT BOARD MEMBER 2.00 7.00 X 0 0 0 THOMAS J WAFER JR BOARD MEMBER 2.00 0.00 X 0 0 0 ROBERT G WATKINS IV MD BOARD MEMBER 12.00 0.00 X 0 0 0 WALTER ZIFKIN BOARD MEMBER 2.00 0.00 X 0 0 0 2031989 8246105 1839072 161 1 1 0 AURORA LAS ENCINAS LLC 2900 E DEL MAR BLVD PASADENA CA 91107 OUTPATIENT PSYCHIATRIC SERVICES 725600 COAST MEDICAL SERVICE INC 9560 W PICO BLVD LOS ANGELES CA 90035 CONTRACT LABOR HOSPITAL STAFF 679608 BHC ALHAMBRA HOSPITAL 4619 N ROSEMEAD BLVD ROSEMEAD CA 91770 OUTPATIENT PSYCHIATRIC SERVICES 584500 ABM PARKING SERVICE 4640 ADMIRALTY WAY SUITE 222 MARINA DEL REY CA 90292 PARKING MANAGEMENT SERVICES 414093 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W SUITE 300 SAN DIEGO CA 92121 CONTRACT LABOR HOSPITAL STAFF 403668 29 2689562 1733942 4423504 COMMERCIAL AND MANAGED CARE 622110 78726387 78726387 MEDICARE AND MEDICAL 622110 39142563 39142563 SELF PAY AND OTHERS 622110 13458174 13458174 131327124 OTHER REVENUE 622110 365475 365475 365475 136116103 131692599 0 0 X 150000 150000 1021625 370538 651087 171430 137443 33987 60360433 41674465 18685968 941328 662456 278872 8737617 6159292 2578325 4110687 3152943 957744 1802390 1802390 4077 4077 10070 10070 16896635 12682059 4214576 335836 30290 305546 2826516 1230558 1595958 2436164 2061378 374786 1648808 1019100 629708 86043 17826 68217 19859 2841 17018 5567 5567 176118 176118 3893692 2571761 1321931 418444 282440 136004 UBIT-SEC 512A7 REPEALED 40000 40000 MEDICAL SUPPLIES 11795555 11795555 PROSTHESIS/IMPLANTS 9146760 9146760 MEDI-CAL PROGRAM FEES 4926831 4926831 3771773 202021 3569752 135734258 100295065 35439193 0 13134190 31668535 710403 207743 18692095 29702811 0 27308 1204066 1170961 12806306 749142 99671932 19875621 82212109 79796311 0 4636576 128759169 147959387 11628137 20143252 1303244 1303244 45841717 56144975 58773098 77591471 X 69986071 70367916 69986071 70367916 128759169 147959387 381845 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49160000 49160000 28073038 6621721 21451317 126458 52691 73767 19066974 10444864 8622110 3245462 2756345 489117 79796311 DUE TO/FROM RELATED ORGANIZATION 47339370 MALPRACTICE RESERVES 2864000 WORKERS COMP RESERVES 5094000 LONG-TERM OPERATING LEASES 681897 LONG-TERM FINANCE LEASES 165708 56144975 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 2016. 1 1 X 1 X 400.000000000000 1 X 600.000000000000 1 1 1 0 1 1 509255 509255 0.00380 23467763 12859806 10607957 0.07820 533153 335171 197982 0.00150 24510171 13194977 11315194 0.08350 186223 186223 0.00140 150000 150000 0.00110 336223 336223 0.00250 24846394 13194977 11651417 0.08600 0 6481767 0 42310720 56848305 -14537585 X 1 1 1 1 CEDARS-SINAI MARINA DEL REY HOSPITAL 4650 LINCOLN BLVD MARINA DEL REY CA 90292 WWW.MARINAHOSPITAL.COM 930000096 X X X CEDARS-SINAI MARINA DEL REY HOSPITAL 1 0 0 1 X X X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 8 X 1 18 1 SEE PART V, PAGE 8 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 DEL REY HOSPITAL PART V, SECTION B, LINE 3J: THE CHNA HELPS TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES SERVED BY CEDARS-SINAI MARINA DEL REY 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 DEL REY HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT FOR JULY 1, 2018 THROUGH JUNE 30, 2021 WAS APPROVED BY ITS GOVERNING BODY ON MAY 29, 2019. COMMUNITY BENEFIT SERVICE AREACEDARS-SINAI MARINA DEL REY HOSPITAL (CSMDRH) 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 5 (SPA 5). CSMDRH TRACKS ZIP CODES OF ORIGIN FOR PATIENT ADMISSIONS. THE SERVICE AREA WAS DETERMINED FROM THE ZIP CODES THAT REFLECT A MAJORITY OF PATIENT ADMISSIONS FROM THE LOCAL GEOGRAPHIC AREA.CEDARS-SINAI MARINA DEL REY'S COMMUNITY BENEFIT SERVICE AREA (CURRENT)THE POPULATION OF THE CEDARS-SINAI MARINA DEL REY HOSPITAL (CSMDRH) SERVICE AREA IS 232,436. FROM 2011 TO 2016, THE POPULATION INCREASED BY 4.4%, HIGHER THAN THE 2.8% INCREASE IN POPULATION COUNTYWIDE.RACE/ETHNICITYTHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI MARINA DEL REY'S COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: WHITE (54.2%), HISPANIC/LATINO (21.7%), ASIAN (12.2%), BLACKS/AFRICAN AMERICAN (6.7%), AMERICAN INDIAN/ALASKA NATIVE (.1%), NATIVE HAWAIIAN/PACIFIC ISLANDER (.1%), OTHER (4.9%)AGELESS THAN 18 YEARS (15.2%), 18-24 (9.3%), 25-64 (61.8%), GREATER THAN 65 YEARS (13.7%)GENDERFEMALE (50.4%), MALE (49.6%)CITIZENSHIPIN THE SERVICE AREA, 24% OF THE RESIDENTS ARE FOREIGN BORN, AND 48.3% OF THESE FOREIGN BORN ARE NOT CITIZENS.VETERANS4.1% OF THE RESIDENTS IN THE CSMDRH SERVICE AREA ARE VETERANS.SOCIOECONOMIC STATUSTHE CENSUS BUREAU ANNUALLY UPDATES OFFICIAL POVERTY POPULATION STATISTICS. FOR 2016, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $11,880 FOR ONE PERSON AND $24,300 FOR A FAMILY OF FOUR. AMONG AREA RESIDENTS, 9.8% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 23.2% ARE AT 200% OF FPL OR BELOW (LOW INCOME). RESIDENTS LIVING BELOW THE POVERTY LINE IN CSMDRH SERVICE AREA (23.2%); LOS ANGELES COUNTY (39.6%)POVERTY LEVELS OF CHILDREN, SENIORS, AND FEMALES HEAD OF HOUSEHOLD WITH CHILDREN IN CSMDRH SERVICE AREA (22.2%); LOS ANGELES COUNTY (38.3%)UNEMPLOYMENTTHE UNEMPLOYMENT RATES OF THOSE CITIES WHOSE RATES WERE REPORTED FOR THE SERVICE AREA RANGE FROM 3.3% IN CULVER CITY TO 4.4% IN SANTA MONICA. LOS ANGELES COUNTY HAS AN UNEMPLOYMENT RATE OF 4.7%.HOUSEHOLDSIN THE SERVICE AREA THERE ARE 104,045 HOUSEHOLDS AND 111,822 HOUSING UNITS. OVER THE LAST FIVE YEARS, THE POPULATION GREW BY 4.4% AND HOUSEHOLDS GREW BY 1.0%. THE AREA LOST HOUSING UNITS FROM 2012 TO 2016 (-0.2%) AND VACANT UNITS DECREASED BY 14.3%. HOME OWNERSHIP ALSO DECREASED, WITH 5.3% FEWER UNITS OCCUPIED BY OWNERS, WHILE RENTER-OCCUPIED UNITS INCREASED BY 5.7%.HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $82,364 AND THE AVERAGE HOUSEHOLD INCOME IS $114,757.EDUCATIONAL ATTAINMENTAMONG AREA ADULTS, AGES 25 AND OLDER, ONLY 7.5% LACK A HIGH SCHOOL DIPLOMA. 10.4% OF ADULTS ARE HIGH SCHOOL GRADUATES AND 64% OF AREA ADULTS ARE COLLEGE GRADUATES.DATA COLLECTIONSECONDARY DATASECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS.SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROM SECONDARY DATA USING THE SIZE OF THE PROBLEM (RELATIVE PORTION OF POPULATION AFFLICTED BY THE PROBLEM) AND THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF THE PROBLEM, THE HEALTH NEED INDICATORS IDENTIFIED IN THE SECONDARY DATA WERE MEASURED AGAINST BENCHMARK DATA; SPECIFICALLY, COUNTY RATES, STATE RATES AND/OR HEALTHY PEOPLE 2020 OBJECTIVES. INDICATORS RELATED TO THE HEALTH NEEDS, WHICH PERFORMED POORLY AGAINST ONE OR MORE OF THESE BENCHMARKS MET THIS CRITERION TO BE CONSIDERED A HEALTH NEED.THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE DETERMINED:*ACCESS TO HEALTH CARE*ASTHMA*CANCER*DIABETES*HEART DISEASE AND STROKE*HOUSING AND HOMELESSNESS*MENTAL HEALTH*OVERWEIGHT AND OBESITY*PREVENTIVE PRACTICES (SCREENINGS, VACCINES)*SENIOR HEALTH*SUBSTANCE USE AND MISUSETHE LIST OF SIGNIFICANT HEALTH NEEDS INFORMED PRIMARY DATA COLLECTION. THE PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO VALIDATE SECONDARY DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS AND DISCOVER GAPS IN RESOURCES.ACUTE AND CHRONIC DISEASEDIABETESTHE PERCENT OF ADULTS DIAGNOSED WITH DIABETES IN SERVICE AREA CITIES (WHERE DATA WERE AVAILABLE) AND LA CITY COUNCIL DISTRICT 11 RANGED FROM A LOW OF 5% IN CITY COUNCIL DISTRICT 11 TO A HIGH OF 7% IN CULVER CITY.AMONG ADULTS IN SPA 5, 6.3% HAVE BEEN DIAGNOSED WITH DIABETES, AND 6.9% WITH PRE-DIABETES. FOR ADULTS WITH DIABETES, 74.7% IN SPA 5 FELT VERY CONFIDENT THEY COULD CONTROL THEIR DIABETES, WHILE 7.2% WERE NOT AT ALL CONFIDENT. DIAGNOSES NUMBERS ARE LOWER, AND CONFIDENCE HIGHER, IN SPA 5 THAN IN LOS ANGELES COUNTY.HIGH BLOOD PRESSUREA CO-MORBIDITY FACTOR FOR DIABETES AND HEART DISEASE IS HYPERTENSION (HIGH BLOOD PRESSURE). IN SPA 5, 24.3% OF ADULTS ARE DIAGNOSED WITH HIGH BLOOD PRESSURE. OF THOSE DIAGNOSED WITH HIGH BLOOD PRESSURE, 69.9% REPORTED TAKING MEDICATION TO MANAGE THEIR HIGH BLOOD PRESSURE.IN SPA 5, 27.3% OF LATINO ADULTS INDICATED THEY HAVE HIGH BLOOD PRESSURE; THIS IS HIGHER THAN THE RATES OF HIGH BLOOD PRESSURE REPORTED AMONG LATINOS IN LA COUNTY AND CALIFORNIA. 29.4% OF AFRICAN-AMERICANS, 23.9% OF WHITES, AND 19.9% OF SPA 5 ASIANS REPORTED HIGH BLOOD PRESSURE; THESE RATES ARE LOWER THAN COUNTY AND STATE RATES.HEART DISEASE5.3% OF ADULTS IN SPA 5 REPORTED THEY HAVE BEEN DIAGNOSED WITH HEART DISEASE. AMONG ADULTS DIAGNOSED WITH HEART DISEASE, 88.7% IN SPA 5 WERE GIVEN A MANAGEMENT CARE PLAN BY A HEALTH CARE PROVIDER.SPA 5 HAS HIGHER RATES OF HEART DISEASE AMONG AFRICAN AMERICANS (7.1%) THAN WERE REPORTED IN THE COUNTY AND STATE (5.8%). LOWER RATES OF HEART DISEASE WERE REPORTED BY ASIANS (1.3%) AND LATINOS (1.8%).ASTHMAIN SPA 5, 13.1% OF THE POPULATION HAS BEEN DIAGNOSED WITH ASTHMA, WHICH IS HIGHER THAN THE COUNTY LEVEL (12.4%). AMONG THOSE WITH ASTHMA, 38.8% IN SPA 5 TAKE DAILY MEDICATION TO CONTROL THEIR SYMPTOMS. AMONG YOUTH IN SPA 5, 6.7% HAVE BEEN DIAGNOSED WITH AND CURRENTLY HAVE ASTHMA, AND 23.4% HAD BEEN TO AN ER OR URGENT CARE FOR ASTHMA SYMPTOMS IN THE PAST YEAR.CANCERCANCER INCIDENCE RATES ARE AVAILABLE AT THE COUNTY LEVEL. IN LOS ANGELES COUNTY, CANCER RATES ARE LOWER OVERALL THAN AT THE STATE LEVEL; HOWEVER, THE RATES OF COLORECTAL CANCER (36.3 PER 100,000 PERSONS), UTERINE CANCERS, (25.9 PER 100,000), THYROID CANCER (13.6 PER 100,000 PERSONS), AND OVARIAN CANCER (12.0 PER 100,000) EXCEED THE STATE RATES. CEDARS-SINAI MARINA DEL REY HOSPITAL PART V, SECTION B, LINE 3J: RATES OF NEWLY DIAGNOSED BREAST CANCER PER 100,000 FEMALES, RANGED FROM A LOW OF 159.6 PER 100,000 WOMEN IN CULVER CITY TO A HIGH OF 186.0 IN CITY COUNCIL DISTRICT 11. THESE RATES OF BREAST CANCER ARE HIGHER THAN THE COUNTY RATE (140.5 CASES PER 100,000 FEMALES).RATES OF NEWLY DIAGNOSED COLON CANCER PER 100,000 PERSONS, RANGED FROM A LOW OF 32.6 PER 100,000 PERSONS IN LA CITY COUNCIL DISTRICT 11 TO A HIGH OF 46.1 PER 100,000 PERSONS IN CULVER CITY. CULVER CITY'S RATE OF COLON CANCER IS HIGHER THAN COUNTY RATES (37.9 PER 100,000 PERSONS).HIVTHE HIV RATE IN LA COUNTY HAS DECREASED SINCE 2007. IN 2015, 90 CASES OF HIV WERE DIAGNOSED IN SPA 5 (14 PER 100,000 PERSONS). THE RATE OF HIV IN 2015 DECREASED SLIGHTLY FROM 2014 IN SPA 5 AND THE COUNTY. RATES OF NEW HIV DIAGNOSES ARE HIGHEST AMONG MALES, YOUNG ADULTS 20-29, AND BLACKS/AFRICAN AMERICANS.IN SPA 5 THE RATE OF PERSONS LIVING WITH HIV IS 378 PER 100,000 PERSONS, WHICH IS BELOW THE COUNTY LEVEL OF 492 PERSONS PER 100,000 LIVING WITH HIV.HEALTH STATUSAMONG THE RESIDENTS IN SPA 5, 10% RATE THEMSELVES AS BEING IN FAIR OR POOR HEALTH, WHICH IS LESS THAN THE COUNTY RATE OF 21.5%.DISABILITYIN SPA 5, 21.5% OF ADULTS REPORTED A PHYSICAL, MENTAL OR EMOTIONAL DISABILITY. THE RATE OF DISABILITY IN THE COUNTY WAS 22.6%. IN LA COUNTY, 14.5% OF CHILDREN WERE REPORTED BY THEIR CARETAKERS TO MEET THE CRITERIA OF HAVING A SPECIAL HEALTH CARE NEED. THIS NEGATIVE METRIC WAS REPORTED TO BE HIGHER IN SPA 5 (20.2%). IT IS SUGGESTED THAT CHILDREN LIVING IN HIGHER SOCIOECONOMIC AREAS ARE EVALUATED FOR SPECIAL NEEDS AT HIGHER RATES.PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. CEDARS-SINAI MARINA DEL REY HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING CEDARS-SINAI MARINA DEL REY HOSPITAL'S MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. INTERVIEWS WERE COMPLETED FROM NOVEMBER 2018 TO JANUARY 2019.INTERVIEWEES INCLUDED REPRESENTATIVES FROM A WIDE RANGE OF COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON THE NEEDS OF MEDICALLY UNDERSERVED,LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS REPRESENTATIVES FROM LOCAL GOVERNMENT AGENCIES, INCLUDING THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. CEDARS-SINAI MARINA DEL REY HOSPITAL PART V, SECTION B, LINE 6A: CSMDRH PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH CEDARS-SINAI MEDICAL CENTER, KAISER PERMANENTE WEST LOS ANGELES 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 DEL REY HOSPITAL:PART V, SECTION B, LINE 7A, CHNA WEBSITE:HTTPS://WWW.MARINAHOSPITAL.COM/ADMINISTRATION/MEDIA/FILES/MDRH-CHNA-2019.PDFCEDARS-SINAI MARINA DEL REY HOSPITAL:PART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.MARINAHOSPITAL.COM/ADMINISTRATION/MEDIA/FILES/2019-2022-CSMDRH-IMPLEMENTATION-STRATEGY.PDF CEDARS-SINAI MARINA DEL REY HOSPITAL PART V, SECTION B, LINE 11: HEALTH NEEDS WERE IDENTIFIED IN THE CHNA AND SUBSEQUENTLY PRIORITIZED BY COMMUNITY STAKEHOLDERS. FROM THE PRIORITIZED HEALTH NEEDS, CEDARS-SINAI MARINA DEL REY HOSPITAL (CSMDRH) CHOSE HEALTH FOCUS AREAS BASED ON CRITERIA, TAKING INTO ACCOUNT CSMDRH'S CAPACITY TO IMPACT COMMUNITY NEEDS, THE STRENGTH OF COMMUNITY PARTNERSHIPS AND THE ALIGNMENT WITH CEDARS-SINAI'S ORGANIZATIONAL STRATEGIC PLANNING EFFORTS.HEALTH FOCUS AREAS:ACCESS TO CARE: COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO PRIMARY CARE, PREVENTIVE CARE AND ACCESS TO MENTAL HEALTH CARE SERVICES.HOMELESSNESS: COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO PRIMARY CARE, MENTAL HEALTH CARE, SUBSTANCE ABUSE SERVICES AND COMMUNITY-BASED HEALTH CARE SERVICES FOR PERSONS EXPERIENCING HOMELESSNESS.EVALUATION OF IMPACT:THE HEALTH FOCUS AREAS IDENTIFIED ABOVE WERE DETERMINED THROUGH DATA COLLECTION, ANALYSIS AND A PRIORITIZATION PROCESS THAT INCORPORATED COMMUNITY INPUT. DUE TO THE QUANTITY AND SCOPE OF THE COMMUNITY'S HEALTH NEEDS IDENTIFIED, IT IS NECESSARY TO IDENTIFY FOCUS AREAS AND TO ENSURE THE COMMUNITY BENEFIT INITIATIVES ARE EFFECTIVE IN IMPROVING THE HEALTH OF VULNERABLE POPULATIONS. IN SUPPORT OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, CSMDRH HAS COMMITTED TO ONGOING PROGRAM EVALUATION TO ENSURE MAXIMUM IMPACT OF OUR COMMUNITY BENEFIT STRATEGIES. CSMDRH WILL INCORPORATE EVALUATION RESULTS INTO PROGRAM STRATEGY, PLANNING AND IMPLEMENTATION.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. THIS IS NOT INTENDED TO MINIMIZE THE IMPORTANCE OF THOSE HEALTH NEEDS; IT IS A REALITY OF HAVING A STRATEGIC FOCUS ON EFFECTIVENESS TO IMPROVE COMMUNITY HEALTH. THE HEALTH NEEDS IDENTIFIED IN THE CHNA BUT NOT INCLUDED IN THE HEALTH FOCUS AREAS FOR THIS IMPLEMENTATION STRATEGY ARE: CHRONIC DISEASES, OVERWEIGHT AND OBESITY, AND SENIOR HEALTH. CSMDRH WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION. 3 1 - CEDARS-SINAI MARINA DEL REY HOSPITAL 4658 LINCOLN BLVD MARINA DEL REY CA 90292 OUTPATIENT SERVICES - GEN/LAB/RADIOLOGY/MRI/CT SCANNER 2 - CEDARS-SINAI MARINA DEL REY HOSPITAL 4640 ADMIRALTY WAY STE 600 MARINA DEL REY CA 90292 OUTPATIENT SERVICES - SPINE CENTER 3 - CEDARS-SINAI MARINA DEL REY HOSPITAL 4640 ADMIRALTY WAY STE 901 MARINA DEL REY CA 90292 OUTPATIENT SERVICES - BARIATRICS CENTER PART I, LINE 7: FINANCIAL ASSISTANCE AND MEDI-CAL COSTS AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES WERE DETERMINED BASED ON THE RATIO OF TOTAL FINANCIAL ASSISTANCE AND MEDI-CAL REVENUE OVER TOTAL CHARGES DURING THE FISCAL YEAR ENDING ON 6/30/2020. 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 $ 90,691. 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 6/30/2020. PART III, LINE 8: IT IS OUR BELIEF THAT ALL OF THE $14,537,585 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 6/30/19. SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J. PART VI, LINE 3: THE HOSPITAL PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL FINANCIAL ASSISTANCE FOR THE FINANCIALLY QUALIFIED PATIENTS:A) POSTED SIGNAGE - NOTICE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGS.B) NOTICES HAND-DELIVERED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS (OR OTHERWISE PRIOR TO DISCHARGE), PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND CEDARS-SINAI MARINA DEL REY'S FINANCIAL ASSISTANCE PROGRAMS. PATIENTS ARE ASKED TO ACKNOWLEDGE RECEIPT OF THIS VIA AN ELECTRONIC SIGNATURE.C) PATIENT STATEMENT NOTICES - ON THE PATIENT BILLING STATEMENTS, THE HOSPITAL PROVIDES A DESCRIPTION OF ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, ALONG WITH INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE.PUBLICIZING THE POLICY:THE HOSPITAL WIDELY PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, INCLUDING DISTRIBUTION TO TARGETED COMMUNITY ORGANIZATIONS, AMONG A VARIETY OF OTHER MEANS, TO ALERT THE HOSPITAL'S COMMUNITY TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, THEAPPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE PART VI, LINE 4: PLEASE SEE COMMUNITY SERVICE AREA AND DEMOGRAPHICS INFORMATION IN THE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J. IN ADDITION, THERE ARE THREE OTHER HOSPITALS THAT SERVE THE SAME COMMUNITY AS CEDARS-SINAI MARINA DEL REY HOSPITAL. PART VI, LINE 5: CEDARS-SINAI MARINA DEL REY HOSPITAL IS DRIVEN BY ITS MISSION TO STRIVE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY GIVING BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER 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 ST. JOSEPH'S CENTER AND VENICE FAMILY CLINIC, BOTH SIGNIFICANT COMMUNITY PROVIDERS OF HOMELESS SERVICES IN THE MARINA DEL REY SERVICE AREA. 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 LOSS, 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:* COMMITMENT TO THE COMMUNITY: 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 PHYSICIANS: RECOGNIZED FOR CLINICAL EXCELLENCE AND DEVOTED TO DELIVERING COMPASSIONATE, RESPONSIVE CARE.THE HOSPITAL'S MISSION:* TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE FOR RESIDENTS IN MARINA DEL REY AND SURROUNDING BEACH COMMUNITIES AND THE WESTSIDE OF LOS ANGELES * TO BE RECOGNIZED FOR MEDICAL EXCELLENCE IN SPINE, ORTHOPEDICS, SURGICAL WEIGHT LOSS, MINIMALLY INVASIVE SURGERY, NON-INVASIVE CARDIOLOGY AND GENERAL ACUTE MEDICAL CARE THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES ORGANIZATIONAL LEADERSHIP IN FOSTERING THE COMMITMENT TO COMMUNITY BENEFIT. THE BOARD OF DIRECTORS FUNCTIONS AS AN OVERSIGHT AND POLICY-MAKING BODY 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 $11,651,417 DIVIDED AMONG THE FOLLOWING CATEGORIES:* UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - $11,315,194 (CHARITY CARE - $509,255; UNREIMBURSED COST: CARING FOR MEDI-CAL PATIENTS - $10,607,957; UNREIMBURSED COST: SPECIALTY GOVERNMENT PROGRAMS - $197,982) (EXCLUDES THE UNREIMBURSED COST OF CARING FOR MEDICARE PATIENTS) COMMUNITY BENEFIT PROGRAMS, INCLUDING CHARITABLE DONATIONS - $336,223. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 ALCOTT CENTER FOR MENTAL HEALTH SERVICES 1433 S ROBERTSON BLVD LOS ANGELES CA 90035 953392564 501(C)(3) 50000 HEALTH AND WELLBEING GRANT BOYS AND GIRLS CLUB OF SANTA MONICA INC 1220 LINCOLN BLVD SANTA MONICA CA 90401 951890706 501(C)(3) 25000 FOOD INSECURITY GRANT MAR VISTA FAMILY CENTER 5075 S SLAUSON AVE CULVER CITY CA 90230 952647443 501(C)(3) 75000 HOMELESS PREVENTION FUND 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 CHAIR 0 1801992 0 1702732 0 1066517 0 1090219 0 24197 0 5685657 0 0 JEFFREY SMITH MD JD MMM CHIEF EXECUTIVE OFFICER 0 883990 0 400924 0 274155 0 12625 0 30641 0 1602335 0 0 BRYAN CROFT SECRETARY 0 596693 0 310529 0 193928 0 167131 0 38711 0 1306992 0 0 MARK GAVENS FORMER OFFICER 0 419910 0 0 0 195156 0 296311 0 5836 0 917213 0 0 JOANNE LAGUNA-KENNEDY CHIEF NURSING OFFICER 409803 0 152965 0 389 0 0 0 31895 0 595052 0 0 0 NOLLY DAVE-SACHDEV CFO/TREASURER 139339 150488 57421 0 156 14362 2163 13080 2942 8736 202021 186666 0 0 DANIELLE GABELE ASSOCIATE CHIEF NURSING OFFICER 229104 0 45304 0 210 0 5381 0 2884 0 282883 0 0 0 MARY KATHRYN HAMMACK FORMER CFO 195709 0 45460 0 734 0 12607 0 9247 0 263757 0 0 0 SHAWN BOND PHYSICIAN ASSISTANT 222903 0 561 0 4362 0 12796 0 23047 0 263669 0 0 0 PAULETTE HEITMEYER FORMER KEY EMPLOYEE 0 11830 0 0 0 222899 0 11861 0 203 0 246793 0 0 MARGARET MORGAN DIRECTOR OF HUMAN RESOURCES 183590 0 31421 0 839 0 11100 0 12024 0 238974 0 0 0 DONNA FERGUSON DIRECTOR OF PERIOPERATIVE SERVICES 155611 0 7907 0 47327 0 3882 0 1999 0 216726 0 0 0 PART I, LINE 3 THE CEO OF CFHS HOLDINGS, INC.(DBA CEDARS-SINAI MARINA DEL REY HOSPITAL) IS COMPENSATED BY CEDARS-SINAI MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION. CEDARS-SINAI MEDICAL CENTER USED THE FOLLOWING METHODS IN ESTABLISHING THE CFHS HOLDINGS, INC. 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, ONE INDIVIDUAL HAS RETENTION INCENTIVES WHICH HAD CLIFF-VESTING DATES IN 2019. THE FOLLOWING LISTED PERSONS RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2019 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, 2 EMPLOYEES RECEIVED SEVERANCE PAYMENTS. 4A: DONNA FERGUSON 46,560 PAULETTE HEITMEYER 154,173 4B: BRYAN CROFT 148,394 NOLLY DAVE-SACHDEV 7,723 MARK GAVENS 139,562 PAULETTE HEITMEYER 33,346 THOMAS M. PRISELAC 947,248 JEFFREY SMITH, MD, JD, MMM 153,000 N DAVE-SACHDEV OFFICER EMPLOYEE LOAN X 30000 27308 0 1 1 27308 ANDREW LAGUNA PART V NARRATIVE - FAMILY MEMBER OF JOANNE LAGUNA-KENNEDY, A KEY EMPLOYEE 33987 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 WATKINS SPINE INC PART V NARRATIVE - COMPANY CO-OWNED BY DR. ROBERT WATKINS IV, BOARD MEMBER 257040 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 CEDARS-SINAI MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF CFHS HOLDINGS, INC. DOING BUSINESS AS CEDARS-SINAI MARINA DEL REY 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 DEL REY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF CEDARS-SINAI MEDICAL CENTER, THE SOLE CORPORATE MEMBER OF CEDARS-SINAI MARINA DEL REY HOSPITAL ("THE HOSPITAL"). THE FOLLOWING ACTIONS MUST BE APPROVED OR ACTED UPON BY CEDARS-SINAI MEDICAL CENTER 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 SENIOR VICE-PRESIDENT/CHIEF FINANCIAL OFFICER AND GENERAL COUNSEL, AND A BIG FOUR ACCOUNTING FIRM. THE FORM 990 IS PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO DISCUSS THE INFORMATION REPORTED. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE CONFLICTS OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF THE HOSPITAL WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE HOSPITAL OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO THE HOSPITAL. PROCEDURES: DUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATING THERETO TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS - AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATING THERETO, AND AFTER ANY DISCUSSION THEREOF, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ANNUAL STATEMENTS: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTANDS THE HOSPITAL IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PERIODIC REVIEWS: TO ENSURE THAT THE HOSPITAL OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, THE HOSPITAL SHALL CONDUCT PERIODIC REVIEWS OF THE IMPLEMENTATION OF THE POLICY. 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 7,614,067. MANAGEMENT AND GENERAL EXPENSES 162,747. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,776,814. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,399,959. MANAGEMENT AND GENERAL EXPENSES 2,273,909. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,673,868. REPAIRS AND MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 1,251,252. MANAGEMENT AND GENERAL EXPENSES 818,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,069,397. COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 780,478. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 780,478. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 99,903. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,903. LAUNDRY AND UNIFORM SERVICES: PROGRAM SERVICE EXPENSES 414,857. MANAGEMENT AND GENERAL EXPENSES 65. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 414,922. PATIENT EDUCATION SERVICES: PROGRAM SERVICE EXPENSES 1,924. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,924. EMPLOYEE RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 79,329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,329. 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, 2020. THE OVERSIGHT OF THE AUDIT WAS PERFORMED BY ITS PARENT'S AUDIT COMMITTEE. 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