2020-07-15T16:31:36-05:00 2019-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2018-07-01 951644600 CEDARS-SINAI MEDICAL CENTER CEDA 3104233277 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 DAVID M WRIGLEY SVP, FINANCE & CFO 3104233277 2020-07-15 1 KARA ADAMS P00023315 9497942300 192.231.86.242 2020-07-15 14:08:35 PD P 5D66495798EA847DC80F6602DD5A7F057B72F91F 06B79B3CF97A39592A6D2AF2C723A31CE5AEA88B 2018 2021-01-29 14:40:06Z THOMAS M PRISELAC 8700 BEVERLY BLVD LA CA 90048 3909147307 0 X WWW.CEDARS-SINAI.ORG X 1902 CA PROVIDING QUALITY HEALTHCARE IS OUR PRIORITY. WE ALSO IMPROVE HEALTH THROUGH BIOMEDICAL RESEARCH, EDUCATION AND COMMUNITY BENEFIT PROGRAMS. 39 28 14805 3548 30410661 0 223570231 213483256 3453630590 3407039453 136503238 216690769 56337467 71392426 3870041526 3908605904 7201863 20994733 0 0 1657159900 1539881665 77722 52855 10506493 1727395631 1626459799 3391835116 3187389052 478206410 721216852 6529192176 6970113839 2050493274 2115698893 4478698902 4854414946 X CEDARS-SINAI MEDICAL CENTER, A NONPROFIT, INDEPENDENT HEALTH CARE ORGANIZATION IS COMMITTED TO:(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)- LEADERSHIP AND EXCELLENCE IN DELIVERING QUALITY HEALTHCARE SERVICES- EXPANDING THE HORIZONS OF MEDICAL KNOWLEDGE THROUGH BIOMEDICAL RESEARCH- EDUCATING AND TRAINING PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS- STRIVING TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY QUALITY PATIENT CARE IS OUR PRIORITY. PROVIDING EXCELLENT CLINICAL AND SERVICE QUALITY, OFFERING COMPASSIONATE CARE, AND SUPPORTING RESEARCH AND MEDICAL EDUCATION ARE ESSENTIAL TO OUR MISSION. THIS MISSION IS FOUNDED IN THE ETHICAL AND CULTURAL PRECEPTS OF THE JUDAIC TRADITION, WHICH INSPIRES DEVOTION TO THE ART AND SCIENCE OF HEALING, AND TO THE CARE WE GIVE TO OUR PATIENTS AND STAFF. 0 0 2483063584 16450421 3254383073 CLINICAL CARE:A NONPROFIT INSTITUTION FOUNDED BY THE COMMUNITY IN 1902, CEDARS-SINAI PROVIDES A WIDE SPECTRUM OF MEDICAL SERVICES, AND IS ONE OF THE LEADING SPECIALTY REFERRAL CENTERS FOR THE REGION. FROM ONGOING PRIMARY CARE TO HIGHLY SPECIALIZED CARE, CEDARS-SINAI SERVES PATIENTS FROM LOCAL COMMUNITIES, AS WELL AS FROM THROUGHOUT CALIFORNIA, THE NATION AND THE WORLD.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)IN FISCAL YEAR 2019, CEDARS-SINAI HAD 268,011 INPATIENT DAYS, AND 802,354 OUTPATIENT VISITS. THERE WERE 50,646 INPATIENT ADMISSIONS, AND 91,014 EMERGENCY DEPARTMENT VISITS. CEDARS-SINAI'S EMERGENCY DEPARTMENT SERVES THE ENTIRE REGION AS ONE OF ONLY FOUR REMAINING LEVEL I TRAUMA CENTERS IN LOS ANGELES COUNTY (AND THE ONLY ONE NOT OPERATED BY THE GOVERNMENT), WITH STAFFING AND TECHNOLOGY TO TREAT THE MOST SEVERELY INJURED ACCIDENT AND NATURAL DISASTER VICTIMS. AS ONE OF THE LARGEST ACADEMIC MEDICAL CENTERS IN THE WESTERN UNITED STATES, CEDARS-SINAI PROVIDES MANY HIGHLY SPECIALIZED SERVICES FOR THE LARGER REGION THAT ARE NOT AVAILABLE AT MOST OTHER HOSPITALS IN THE REGION, AND WHICH REQUIRE CEDARS-SINAI TO MAINTAIN A SIGNIFICANT COSTLY INFRASTRUCTURE OF TECHNOLOGY AND EXPERT STAFFING. FOR EXAMPLE, IN FISCAL YEAR 2019, CEDARS-SINAI PERFORMED 132 HEART TRANSPLANTS, MORE THAN ANY OTHER HOSPITAL IN THE WORLD. PATIENTS WITH ADVANCED HEART DISEASE COME TO CEDARS-SINAI BECAUSE OF THE EXPERTISE OF ITS CARDIOLOGISTS AND CARDIAC SURGEONS, AND BECAUSE CEDARS-SINAI HAS THE INFRASTRUCTURE TO OFFER HEART TRANSPLANTS AS WELL AS NEWER TECHNOLOGIES TO TREAT ADVANCED HEART DISEASE. CEDARS-SINAI'S SERVICES FOR CANCER PATIENTS ARE SIMILARLY BROAD IN SCOPE AND SIZE: FOR THE PAST SEVERAL YEARS, CEDARS-SINAI HAS CARED FOR MORE INPATIENTS WITH CANCER (MEDICAL AND SURGICAL CASES) THAN ANY OTHER HOSPITAL IN LOS ANGELES COUNTY. IN FISCAL YEAR 2019, CEDARS-SINAI CANCER SERVED MORE THAN 27,000 UNIQUE CANCER PATIENTS, PERFORMED NEARLY 4,000 INPATIENT AND OUTPATIENT SURGERIES, AND DELIVERED MORE THAN 35,000 INFUSIONS. 233966047 637000 140436567 RESEARCH:CEDARS-SINAI SCIENTISTS AND PHYSICIAN-RESEARCHERS WERE ENGAGED IN 2,145 ACTIVE RESEARCH PROJECTS AIMED AT ADVANCING NEW TREATMENTS FOR PATIENTS SUFFERING FROM HEART DISEASE, BRAIN DISORDERS, CANCERS AND INNUMERABLE OTHER CONDITIONS. CEDARS-SINAI IS ALSO PIONEERING RESEARCH THAT IMPROVES THE QUALITY AND EFFICIENCY OF HEALTHCARE DELIVERY.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)WHILE SOME OF THESE RESEARCH PROJECTS ARE FUNDED IN PART OR IN WHOLE BY FUNDS FROM THE NATIONAL INSTITUTES OF HEALTH OR OTHER GOVERNMENT AGENCIES, MANY ARE FUNDED BY CEDARS-SINAI, ESPECIALLY SEED GRANTS TO SUPPORT INNOVATIVE NEW RESEARCH. IN FISCAL YEAR 2019, CEDARS-SINAI PROVIDED $99,267,455 TOWARD RESEARCH PROJECTS, WHILE NIH AND OTHER GRANTS PROVIDED $140,436,567.AMONG THE MANY RESEARCH PROJECTS CEDARS-SINAI INVESTIGATORS LAUNCHED IN FISCAL YEAR 2019: A NATIONAL STUDY OF A DIAGNOSTIC TEST FOR PREECLAMPSIA THAT COULD HELP GUIDE MEDICAL DECISIONS, SUCH AS HOW LONG DELIVERY CAN SAFELY BE DELAYED; THE DISCOVERY OF A THERAPY THAT CAN PREVENT THE MOST COMMON FORM OF PANCREATIC CANCER FROM GROWING AND SPREADING IN LABORATORY MICE; A NEW METHOD FOR HARNESSING STEM CELLS TO REGROW TISSUE DAMAGED BY MAJOR TRAUMA, SUCH AS TRAFFIC ACCIDENTS OR WAR WOUNDS; IDENTIFICATION OF A BIOMARKER THAT ALLOWS EARLY DIAGNOSIS OF HEART FAILURE WITH PRESERVED EJECTION FRACTION (HFPEF), A CONDITION THAT PREDOMINANTLY AFFECTS WOMEN; AND A STUDY THAT REVEALS HOW MEMORY AND ABNORMAL BRAIN ACTIVITY ARE LINKED IN PATIENTS WITH EPILEPSY. 95712347 3907312 12219813 TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS:WITH SEVERE PROJECTED SHORTAGES OF PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS FACING THE NATION, CEDARS-SINAI'S TRAINING AND EDUCATION PROGRAMS HAVE BECOME MORE IMPORTANT TO THE HEALTH OF THE NATION THAN EVER BEFORE. IN FISCAL YEAR 2019, CEDARS-SINAI'S NET COST OF PROVIDING THESE TRAINING PROGRAMS WAS $83,492,534.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)299 MEDICAL RESIDENTS AND 146 FELLOWS WERE TRAINED IN SPECIALTY AND SUBSPECIALTY AREAS AT CEDARS-SINAI IN FISCAL YEAR 2019. THE GRADUATE SCHOOL OF BIOMEDICAL SCIENCES BESTOWED A RECORD NUMBER OF ADVANCED DEGREES AT ITS SEVENTH ANNUAL COMMENCEMENT. FIVE DOCTORAL AND 20 MASTER'S DEGREES WERE AWARDED, BRINGING THE TOTAL NUMBER TO 65 SINCE THE PROGRAM'S FIRST COMMENCEMENT IN 2013. AND THE GERI AND RICHARD BRAWERMAN NURSING INSTITUTE DEVELOPED A 12-MONTH NURSE RESIDENCY CURRICULUM-INCORPORATING 24 CLINICAL ORIENTATION SHIFTS-AS PART OF ITS COMMITMENT TO ENSURING THE SUCCESSFUL TRANSITION OF NEW GRADUATE NURSES INTO THE PRACTICE ENVIRONMENT. IN FISCAL YEAR 2019, THE INSTITUTE PROVIDED TRAINING FOR MORE THAN 800 NURSES. 2812741978 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 1 1 1 0 1 1 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 0 0 1 3206 0 1 14805 1 1 1 1 CH 0 0 0 1 1 0 0 0 0 1 0 X 39 28 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 1 1 CA AL AK CO DC FL GA IL KY MD MA MI MN MS NV NH NJ NM NY NC ND OH OK OR SC TN UT WA WI X DAVID M WRIGLEY 3104233277 8700 BEVERLY BLVD LOS ANGELES CA 90048 SONU AHLUWALIA BOARD MEMBER 5.00 0.00 X 8000 0 0 MOHAMED MIKE AHMAR BOARD MEMBER 5.00 0.00 X 0 0 0 MICHAEL ALEXANDER MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 1070859 0 70075 ROBERT K BARTH BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN BENDHEIM BOARD MEMBER 5.00 1.00 X 0 0 0 LAURA W BRILL BOARD MEMBER 5.00 0.00 X 0 0 0 DALE COCHRAN BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN COLEMAN BOARD MEMBER 5.00 0.00 X 0 0 0 ARI ENGELBERG BOARD MEMBER 5.00 0.00 X 0 0 0 ABBY FEINMAN BOARD MEMBER 5.00 0.00 X 0 0 0 DEBORAH FREUND PHD BOARD MEMBER 5.00 0.00 X 0 0 0 RUSSELL GOLDSMITH BOARD MEMBER 5.00 0.00 X 0 0 0 MARK S GREENFIELD BOARD MEMBER 5.00 0.00 X 0 0 0 VERA GUERIN BOARD MEMBER 5.00 2.00 X 0 0 0 ANDY HEYWARD BOARD MEMBER 5.00 0.00 X 0 0 0 ERIC HOLOMAN BOARD MEMBER 5.00 0.00 X 0 0 0 DAVID B KAPLAN BOARD MEMBER 5.00 0.00 X 0 0 0 SCOTT KARLAN MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 426718 0 78499 JEFFREY KATZENBERG BOARD MEMBER 5.00 0.00 X 0 0 0 STEWART KWOH BOARD MEMBER 5.00 0.00 X 0 0 0 THOMAS J LEANSE ESQ BOARD MEMBER 5.00 1.00 X 0 0 0 DAVID B LEE MD MPH MBA BOARD MEMBER 5.00 0.00 X 0 0 0 DEBRA LEE ESQ BOARD MEMBER 5.00 0.00 X 0 0 0 JOSE DE JESUS LEGASPI BOARD MEMBER 5.00 0.00 X 0 0 0 JAMES M LIPPMAN BOARD MEMBER/VICE CHAIR 5.00 2.00 X 0 0 0 JOSHUA LOBEL BOARD MEMBER 5.00 0.00 X 0 0 0 PHILOMENA MCANDREW MD BOARD MEMBER 5.00 0.00 X 0 0 0 PEGGY MILES MD BOARD MEMBER 60.00 0.00 X 378658 0 126586 ZURI MURRELL MD BOARD MEMBER 9.00 0.00 X 25851 0 776 CHRISTOPHER NG MD BOARD MEMBER 5.00 0.00 X 0 0 0 LAWRENCE B PLATT BOARD MEMBER 5.00 3.00 X 0 0 0 THOMAS M PRISELAC PRESIDENT/CEO 65.00 15.00 X X 5614039 0 766587 MARC H RAPAPORT CHAIR 15.00 8.00 X 0 0 0 ANTONY P RESSLER BOARD MEMBER 5.00 0.00 X 0 0 0 RICHARD RIGGS MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 1149899 0 70325 STEVEN ROMICK BOARD MEMBER 5.00 2.00 X 0 0 0 MARK S SIEGEL BOARD MEMBER 5.00 3.00 X 0 0 0 RICHARD SINAIKO BOARD MEMBER 5.00 0.00 X 0 0 0 STEVEN SPIELBERG BOARD MEMBER 5.00 0.00 X 0 0 0 LESLIE F VERMUT SECRETARY 5.00 8.00 X X 0 0 0 CLEMENT YANG MD BOARD MEMBER/CHIEF OF STAFF 5.00 0.00 X 0 0 0 EDWARD M PRUNCHUNAS CHIEF FINANCIAL OFFICER 60.00 10.00 X 2854535 0 393673 MARK GAVENS CHIEF OPERATING OFFICER 60.00 7.00 X 1853624 0 144759 SHLOMO MELMED MD CHIEF ACADEMIC OFFICER 60.00 0.00 X 2253920 0 578912 JEFFREY SMITH MD JD MMM CHIEF OPERATING OFFICER 60.00 6.00 X 648941 0 10045 KEITH BLACK MD CHAIR-NEUROSURGERY 60.00 0.00 X 3164425 0 22975 EDUARDO MARBAN MD DIRECTOR-HEART INSTITUTE 60.00 1.00 X 2564875 0 188978 RICHARD B JACOBS CHIEF STRATEGY OFFICER 60.00 0.00 X 2408242 0 289718 RAJENDRA MAKKAR MD EXEC DIRECTOR-CARDIAC INTERVENTIONAL SVCS 60.00 0.00 X 2453396 0 59448 BRUCE GEWERTZ MD CHAIR-DEPT OF SURGERY 60.00 0.00 X 2026389 0 221115 28902371 0 3022471 4871 0 1 0 COMMUNITY URGENT CARE MED GRP 9440 SANTA MONICA BLVD BEVERLY HILLS CA 90210 URGENT CARE MEDICAL SERVICES 18402535 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON CA 33487 STAFFING SERVICES 15229243 WONG DOODY INC 1011 WESTERN AVE STE 900 SEATTLE WA 98104 MEDIA/ADVERTISING SERVICES 10251621 DVA RENAL HEALTHCARE INC 2000 16TH STREET DENVER CO 80202 HEMODIALYSIS SERVICES 10054647 NTT DATA SERVICES LLC 100 CITY SQUARE BOSTON MA 02129 IT CONSULTING SERVICES 8166728 309 2388284 85493399 125601573 1206092 213483256 NET PATIENT REVENUE 622110 2232918930 2232918930 MEDICARE & MEDICAID 622110 1174120523 1174120523 3407039453 79936735 79936735 31761105 31761105 136754034 0 136754034 136754034 136754034 1108658 2388284 541403 567255 567255 LABORATORY REVENUE 621511 29987196 29987196 PARKING REVENUE 531310 8653405 8653405 UNRELATED DEBT FIN INC 531120 856357 856357 -432892 -432892 39064066 3908605904 3407039453 30410661 257672534 20932058 20932058 62675 62675 18140478 10683811 7456667 2325995 1393181 932814 1202635662 1060428738 135439936 6766988 130141080 113683413 16457667 97759021 88445144 7346555 1967322 88879429 77577865 11301564 18581523 18581523 19852657 83985 19768672 1187367 3556 1182711 1100 634377 634377 52855 52855 259782157 195194581 64233594 353982 13324826 825267 12491317 8242 34871540 27548094 6981210 342236 182282538 158364506 23918032 15016316 15016316 45318602 34457054 10861548 5496809 3469227 1967611 59971 2627628 1342228 1213041 72359 33090356 28912709 4177647 182786435 163307398 18988723 490314 33422292 29207111 4215181 MEDICAL SUPPLIES 445024049 445024049 RESTRICTED FUND EXPENSE 164841382 164841382 MEDI-CAL PROGRAM FEE 97176593 97176593 MISCELLANEOUS 53143201 43996728 8930185 216288 17999151 11548409 6275906 174836 3187389052 2812741978 364140581 10506493 333365522 565814138 160285625 164825716 574827650 581552088 691822 692850 456260 802380 20937945 20477358 32693341 36330376 28650811 27736638 4237793153 1889934515 2280129103 2347858638 2136132381 2231964328 504649698 466592309 41561376 87502591 132412089 114026365 282398553 323938064 6529192176 6970113839 637468705 647800468 1248423938 1206716640 15266667 14666667 149333964 246515118 2050493274 2115698893 X 3785248697 4143788796 368312324 365883785 325137881 344742365 4478698902 4854414946 6529192176 6970113839 X 721216852 -63469787 -282031021 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 452080 1 182297 0 0 634377 0 PART II-B, LINE 1: FORM 990, SCHEDULE C, PART II-B, LINE 1F: THESE GRANTS INCLUDE CEDARS-SINAI'S MEMBERSHIP DUES TO LOCAL, STATE, AND NATIONAL ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, COALITION TO TRANSFORM ADVANCED CARE, AND HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, AS WELL AS CONSULTING FIRMS. THESE ORGANIZATIONS HELP INFORM US ABOUT PENDING CHANGES IN LEGISLATION AND REGULATIONS, PROVIDE EDUCATION AND ADVOCACY ON ISSUES THAT ARE CRITICAL TO THE ACHIEVEMENT OF OUR MISSION, AND PROVIDE OTHER GUIDANCE ON LEGISLATIVE AND REGULATORY ISSUES AND COMMUNITY CONCERNS. FORM 990, SCHEDULE C, PART II-B, LINE 1G: MEETING WITH ELECTED OFFICIALS ON THE FEDERAL, STATE AND CITY LEVEL AS WELL AS FEDERAL AND STATE OFFICIALS AND CITY AGENCY EXECUTIVES TO INFORM AND EDUCATE REGARDING ISSUES IMPORTANT TO THE HEALTH OF THE CITY'S AND REGION'S RESIDENTS, AS WELL AS THEIR QUALITY OF LIFE AND ECONOMIC DEVELOPMENT. X X X CONTRIBUTES TO PATIENT HEALING 0 809720406 30702771 30851444 3766497 867508124 753750120 24099928 35532478 3662120 809720406 686147333 17226958 53795841 3420012 753750120 661408153 45603678 -16853424 4011074 686147333 604400847 55106269 5985354 4084317 661408153 0.60260 0.39740 0 0 146085449 146085449 2459714176 952673199 1507040977 48111207 35798618 12312589 1177733631 901462698 276270933 406148690 406148690 2347858638 MANAGED POOL 466592309 F 466592309 WORKERS' COMPENSATION LIABILITY PROGRAM 88014000 MALPRACTICE AND GENERAL LIABILITY PROGRAM 57007000 DEFERRED COMPENSATION 2404167 PENSION LIABILITY 90599989 DEFERRED FEMA REVENUE 206649 MISCELLANEOUS LONG TERM DEBT 4103804 DUE TO AFFILIATES 4179509 246515118 X PART III, LINE 1A: THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER ACCOUNTING STANDARDS CODIFICATION 958, NOT TO REPORT ON ITS REVENUE STATEMENT AND BALANCE SHEET WORKS OF ART HELD FOR PUBLIC EXHIBITION. PART III, LINE 4: CEDARS-SINAI'S ART COLLECTION IS DESIGNED TO BE PART OF THE OVERALL HEALING ENVIRONMENT FOR OUR PATIENTS. DISPLAYED THROUGHOUT THE HOSPITAL, THE ART PROVIDES PATIENTS AND THEIR FAMILIES WITH A FOCAL POINT TO HELP ALLEVIATE THE STRESS OF HOSPITALIZATION AND ALSO CAN BE HELPFUL IN THE REHABILITATION PROCESS FOR PATIENTS WITH NEUROLOGICAL AND OTHER DISORDERS. THE ART COLLECTION COMES FROM DONATIONS, AND PIECES ARE CHOSEN FOR THE COLLECTION BY A VOLUNTEER JURY OF ARTS EXPERTS. THE COLLECTION IS DESIGNED TO BE A PERMANENT PART OF CEDARS-SINAI'S HEALING ENVIRONMENT FOR PATIENTS, SO PIECES FROM THE COLLECTION ARE GENERALLY NOT SOLD BY THE HOSPITAL. PART V, LINE 4: THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF APPROXIMATELY 231 INDIVIDUAL FUNDS FOR A VARIETY OF PURPOSES. THE INTENDED USES ARE FOR RESEARCH, DONOR-DESIGNATED, OR FOR GENERAL PURPOSES. PART X, LINE 2: THE MEDICAL CENTER 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 MEDICAL CENTER HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE MEDICAL CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE MEDICAL CENTER BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015. 0 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS N/A 232351465 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 1 1 PROGRAM SERVICES SEE PART V NARRATIVE 522304 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 1 1 PROGRAM SERVICES SEE PART V NARRATIVE 540611 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 595358 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 88907 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 59273 EAST ASIA AND THE PACIFIC 0 0 GRANT MAKING N/A 10000 SUB-SAHARAN AFRICA 0 0 GRANT MAKING N/A 47675 2 2 0 0 2 2 234215593 0 234215593 EAST ASIA AND THE PACIFIC SUPPORT FOR THE INDONESIA EARTHQUAKE AND TSUNAMI RELIEF EFFORTS 10000 CHECK SUB-SAHARAN AFRICA SUPPORT FOR SPINE AND CRANIAL TRAINING IN UGANDA 47675 CHECK 2 0 1 0 1 1 1 1 SCHEDULE F, PART I, LINE 2 THE ORGANIZATION CONSISTENTLY 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. SCHEDULE F, PART I, LINE 3 REGION: EAST ASIA AND THE PACIFIC - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. KOREA - THE ORGANIZATION IS PROVIDING FUNDING FOR IDENTIFICATION OF HIGH-RISK CORONARY ATHEROSCLEROTIC PLAQUES. 2. AUSTRALIA - THE ORGANIZATION IS PROVIDING FUNDING FOR OVARIAN CANCER RESEARCH AT THE UNIVERSITY OF NEW SOUTH WALES AND FUNDING FOR COLON CANCER RESEARCH AT THE UNIVERSITY OF MELBOURNE. 3. NEW ZEALAND - THE ORGANIZATION IS PROVIDING FUNDING FOR PANCREATOGENIC DISEASE RESEARCH AT THE UNIVERSITY OF AUCKLAND. 4. CHINA - AN OFFICE IS MAINTAINED WITHIN SHANGHAI TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE SERVICES TO PARTNERS IN CHINA ON A REFERRAL BASIS. REGION: NORTH AMERICA - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. CANADA - THE ORGANIZATION IS PROVIDING FUNDING TO THE UNIVERSITY OF BRITISH COLUMBIA FOR CARDIOVASCULAR IMAGING RESEARCH AND MOUNT SINAI HOSPITAL FOR RESEARCH ON COLON CANCER. 2. MEXICO - AN OFFICE IS MAINTAINED WITHIN THE CLINICA LOMAS ALTAS IN MEXICO CITY TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE SERVICES TO PATIENTS IN MEXICO ON A REFERRAL BASIS. REGION: EUROPE (INCLUDING ICELAND & GREENLAND) - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. SPAIN - THE ORGANIZATION IS PROVIDING FUNDING FOR THE DETERMINATION OF THE ROLE OF S-ADENOSYL METHIONINE IN PATHOGENESIS AND TREATMENT OF NON-ALCOHOLIC FATTY LIVER DISEASE AND RESEARCH ON PROHIBITIN 1 IN LIVER INJURY AND CANCER. 2. GREAT BRITAIN - THE ORGANIZATION IS PROVIDING FUNDING FOR THE RESEARCH OF FUNCTIONAL EFFECTS OF OVARIAN CANCER RISK VARIANTS AND THE CONTRIBUTION OF RARE ALLELES TO OVARIAN CANCER IN THE POPULATION AT THE UNIVERSITY OF CAMBRIDGE. FUNDING IS ALSO PROVIDED FOR THE RESEARCH OF INTEGRATED ANALYSIS OF CORONARY ANATOMY AND BIOLOGY AT THE UNIVERSITY OF EDINBURGH. 3. CZECH REPUBLIC - THE ORGANIZATION IS PROVIDING FUNDING FOR THE REGIONAL COOPERATION FOR HEALTH, SCIENCE AND TECHNOLOGY (RECOOP HST) ASSOCIATION TO EXPLORE AND ENHANCE LOCAL SCIENTIFIC OUTPUTS, CREATE A CRITICAL MASS OF SCIENTIFICALLY SOUND INNOVATIVE RESEARCH AT THE REGIONAL LEVEL AND EXPLOIT THE RESEARCH OUTCOMES AT THE GLOBAL LEVEL. REGION: THE MIDDLE EAST AND NORTH AFRICA - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. ISRAEL - THE ORGANIZATION IS PROVIDING FUNDING FOR GENE THERAPY TO TREAT MCT8-DEFICIENCY. 2. UNITED ARAB EMIRATES - THE ORGANIZATION IS PROVIDING FUNDING TO DEVELOP AN OFFICE TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE SERVICES TO PATIENTS IN THE UAE ON A REFERRAL BASIS. REGION: SOUTH AMERICA - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. BRAZIL - THE ORGANIZATION IS PROVIDING FUNDING FOR BIOINFORMATICS DATA ANALYSIS (TOOL DEVELOPMENT) AND SCIENTIFIC ANALYSIS USING ELMER TO ANALYZE SEVERAL CANCER DATASETS. PART I, LINE 3, COLUMN F REGION: CENTRAL AMERICA AND THE CARIBBEAN VALUE OF INVESTMENTS MADE: 232,351,465 AMOUNT OF INVESTMENT FEES: 5,202,746 PART I, LINE 3, COLUMN F THE AMOUNT OF EXPENDITURES REPORTED HERE IS BASED ON THE METHOD USED ON THE ORGANIZATION'S FINANCIAL STATEMENTS WHICH IS THE ACCRUAL METHOD OF ACCOUNTING. X X X X X X X 1 GRANT ASSOCIATES 5670 WILSHIRE 1590 LA CA 90036 CONSULTING SERVICES 1 1659967 21702 1638265 BETH MOSKOWITZ 2043 COLORADO 7 SM CA 90404 CONSULTING SERVICES 1 250000 31153 218847 1909967 52855 1857112 AL AK CA CO FL GA IL KY MD MA MI MN MS NV NH NJ NM NY NC ND OH OK OR SC TN UT WA WI DC BOG GALA 1659967 1472167 187800 200499 108180 39264 BRAIN TRUST - SABAN EVENT 1115000 440000 675000 1438 25772 7623 2 721975 476117 245858 76892 21913 23134 36688 3496942 2388284 1108658 278829 21913 157086 83575 541403 567255 SCHEDULE G, PART I, LINE 2B, COLUMN (V) GRANT ASSOCIATES WAS HIRED TO SOLICIT DONATIONS AND ATTENDEES. THEY MAILED OUT INVITATIONS AND THEN RECEIVED RSVP'S. THEY WERE CHARGED WITH DELIVERING MONIES AND FINANCIAL REPORTS ON A DAILY OR AGREED UPON SCHEDULE TO CEDARS-SINAI MEDICAL CENTER. BETH MOSKOWITZ WAS HIRED TO PLAN AN ANNUAL EVENT, PERFORM CHARITABLE SOLICITATIONS AND INCREASE DONATIONS. 1 1 X 1 X 1 X 450.000000000000 1 1 1 0 1 1 15952826 0 15952826 0.00500 351959227 319349203 32610024 0.01020 11418476 9525200 1893276 0.00060 379330529 328874403 50456126 0.01580 20420737 38472 20382265 0.00640 95712347 12219813 83492534 0.02620 8070 1608 6462 0.00000 233966047 140436567 93529480 0.02940 18115851 0 18115851 0.00570 368223052 152696460 215526592 0.06770 747553581 481570863 265982718 0.08350 147725 147725 0.00000 84645 84645 0.00000 1385129 1385129 0.00040 31350 31350 0.00000 636975 636975 0.00020 307212 307212 0.00010 1157936 1157936 0.00040 286900 286900 0.00010 4037872 4037872 0.00120 0 136471570 0 739935476 973211836 -233276360 X 1 1 1 1 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 WWW.CEDARS-SINAI.ORG 930000110 X X X X X CEDARS-SINAI MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 18 1 1 0 1 X HTTPS://WWW.CEDARS-SINAI.ORG/COMMUNITY/COMMUNITY-BENEFIT.HTML X 1 15 1 HTTPS://WWW.CEDARS-SINAI.ORG/COMMUNITY/COMMUNITY-BENEFIT.HTML 0 1 X 200.000000000000 450.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3J: THE CHNA HELPS TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES SERVED BY CEDARS-SINAI MEDICAL CENTER AND PROVIDES A FRAMEWORK FOR PRIORITIZING HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES. CEDARS-SINAI'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR JULY 1, 2019 THROUGH JUNE 30, 2022 WAS APPROVED BY ITS GOVERNING BODY IN MAY 2019. THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT COVERS THE THREE YEAR PERIOD BEGINNING ON JULY 1, 2022.COMMUNITY BENEFIT SERVICE AREA:CEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. ITS COMMUNITY BENEFIT SERVICE AREA FOR 2019-2022 INCLUDES LARGE PORTIONS OF SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND A SMALLER PORTION OF SPA 8 (SOUTH BAY). THE COMMUNITY BENEFIT SERVICE AREA CAN ALSO BE VIEWED BY LOS ANGELES CITY COUNCIL DISTRICTS, COVERING ALL OR PART OF DISTRICTS 1, 4, 5, 8, 9, 10, 13, 14 AND 15. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES 52 ZIP CODES, REPRESENTING 25 CITIES OR NEIGHBORHOODS. HOWEVER, TWO ZIP CODES (90071 AND 90079 IN DOWNTOWN LOS ANGELES) HAVE NO RESIDENT POPULATION FROM THE CENSUS AND WILL NOT BE EXAMINED WITHIN THIS REPORT. CEDARS-SINAI DETERMINES THE COMMUNITY BENEFIT SERVICE AREA BY ASSIGNING ZIP CODES BASED UPON PATIENT DISCHARGES; THE CURRENT UNDERSTANDING OF COMMUNITY NEED BASED ON THE MOST RECENT CHNA; AND LONG-STANDING COMMUNITY PROGRAMS AND PARTNERSHIPS.CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 1,814,274. THE TOTAL POPULATION FOR LOS ANGELES COUNTY 10,057,155.RACE/ETHNICITYTHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: HISPANIC/LATINO (49.1%), WHITE (19.8%), BLACK/AFRICAN AMERICAN (18.4%), ASIAN (10.1%), AMERICAN INDIAN/ALASKAN NATIVE (0.1%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.1%), OTHER (2.4%)AGELESS THAN 18 YEARS (22%), 18-24 (12%), 25-64 (55.6%), GREATER THAN 65 YEARS (10.3%)GENDERFEMALE (50.8%), MALE (49.2%)SOCIOECONOMIC STATUSPOVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THE 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.FAMILIES LIVING BELOW THE POVERTY LINE IN CEDARS-SINAI SERVICE AREA (26.3%); LOS ANGELES COUNTY (17.8%)HOUSEHOLDSIN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA THERE ARE 646,268 HOUSEHOLDS AND 696,830 HOUSING UNITS. OVER THE LAST FIVE YEARS, THE POPULATION GREW BY 3.6% AND HOUSEHOLDS GREW BY 3.3%. HOUSING UNITS GREW AT A LOWER RATE (2.6%) AND VACANT UNITS DECREASED BY 5.2%. HOME-OWNERSHIP ALSO DECREASED, WITH 1.5% FEWER UNITS OCCUPIED BY OWNERS, WHILE RENTER-OCCUPIED UNITS INCREASED BY 7.3%. HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $48,046 AND THE AVERAGE HOUSEHOLD INCOME IS $72,501. UNEMPLOYMENTTHE UNEMPLOYMENT RATES OF CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA CITIES RANGE FROM 3.3% IN CULVER CITY TO 7.2% IN INGLEWOOD. LOS ANGELES HAS AN UNEMPLOYMENT RATE OF 4.8%, WHICH IS THE SAME AS THE STATE UNEMPLOYMENT RATE.EDUCATIONAL ATTAINMENTAMONG AREA ADULTS, AGES 25 AND OLDER, 27.5% LACK A HIGH SCHOOL DIPLOMA. 19.2% OF ADULTS ARE HIGH SCHOOL GRADUATES AND 35.7% 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, BIRTH INDICATORS, 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 THAT WERE 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 CARE*CHRONIC DISEASES (ASTHMA, CANCER, DIABETES, HEART DISEASE, STROKE, HIV)*COMMUNITY SAFETY (CRIME AND VIOLENCE)*DENTAL CARE*ECONOMIC INSECURITY*FOOD INSECURITY*HOUSING AND HOMELESSNESS*MENTAL HEALTH*OVERWEIGHT AND OBESITY (HEALTHY EATING AND PHYSICAL ACTIVITY)*PREVENTIVE PRACTICES*SEXUALLY TRANSMITTED INFECTIONS*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. COMMUNITY STAKEHOLDER INTERVIEWS WERE USED TO GATHER INPUT AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS.ACUTE AND CHRONIC DISEASEAMBULATORY CARE SENSITIVE CONDITIONSAMBULATORY CARE SENSITIVE (ACS) CONDITIONS ARE DEFINED AS "THOSE CONDITIONS RESULTING IN HOSPITAL ADMISSIONS THAT WITH IMPROVED HIGH QUALITY OUTPATIENT CARE COULD OTHERWISE HAVE BEEN AVOIDED, RESULTING IN LOWER COST TO THE HOSPITAL AND BETTER QUALITY OF LIFE FOR THE PATIENT" (AHRQ, 2004). IN THE COMMUNITY BENEFIT SERVICE AREA, THE TOP FOUR ACS CONDITIONS RESULTING IN HOSPITALIZATION WERE CONGESTIVE HEART FAILURE, DIABETES, COPD, AND URINARY TRACT INFECTIONS. WHEN COMPARED TO HOSPITALIZATION RATES IN LA COUNTY, ALL AREA RATES FOR HOSPITALIZATIONS EXCEEDED THE COUNTY RATES FOR THE ACS CONDITIONS WITH THE EXCEPTION OF BACTERIAL PNEUMONIA.DIABETESTHE PERCENT OF ADULTS DIAGNOSED WITH DIABETES IN COMMUNITY BENEFIT SERVICE AREA CITIES AND LA CITY COUNCIL DISTRICTS (WHERE DATA WERE AVAILABLE) RANGED FROM A LOW OF 5% IN DISTRICT 5 TO A HIGH OF 15% IN DISTRICT 8.AMONG ADULTS IN SPA 4, 10.1% HAVE BEEN DIAGNOSED WITH DIABETES, 6.3% IN ADULTS IN SPA 5, AND 12.7% OF ADULTS IN SPA 6 REPORTED THEY HAVE BEEN DIAGNOSED WITH DIABETES. FOR ADULTS WITH DIABETES, 74.7% IN SPA 5 FELT VERY CONFIDENT THEY COULD CONTROL THEIR DIABETES, 57.4% OF ADULTS WITH DIABETES IN SPA 6 AND 41.4% OF ADULTS WITH DIABETES IN SPA 4 FELT VERY CONFIDENT THEY COULD CONTROL THEIR DIABETES.AMONG AFRICAN AMERICAN ADULTS, 15.8% HAVE BEEN DIAGNOSED WITH DIABETES, 10.2% OF ASIAN RESIDENTS OF SPAS 4, 5 AND 6 HAVE BEEN DIAGNOSED WITH DIABETES. 10.9% OF LATINO ADULTS AND 6% OF WHITE ADULTS HAVE BEEN DIAGNOSED WITH DIABETES.DIABETES IS AN AMBULATORY CARE SENSITIVE (ACS) CONDITION. HOSPITALIZATIONS FOR DIABETES IN THE COMMUNITY BENEFIT SERVICE AREA OCCUR AT A RATE OF 24.5 PER 10,000 PERSONS AND THE ER VISITS FOR DIABETES OCCUR AT A RATE OF 30.1 PER 10,000 PERSONS. THESE RATES ARE HIGHER THAN THE DIABETES HOSPITALIZATION AND ER RATES IN LA COUNTY. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3J: (CONTINUED)HIGH BLOOD PRESSUREA CO-MORBIDITY FACTOR FOR DIABETES AND HEART DISEASE IS HYPERTENSION (HIGH BLOOD PRESSURE). IN SPA 4, 27.7% OF ADULTS ARE DIAGNOSED WITH HIGH BLOOD PRESSURE. 24.3% OF ADULTS IN SPA 5 AND 32.7% OF ADULTS IN SPA 6 HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. OF THOSE DIAGNOSED WITH HIGH BLOOD PRESSURE, 60.6% IN SPA 4, 69.9% IN SPA 5, AND 63.9% IN SPA 6 REPORTED TAKING MEDICATION TO MANAGE THEIR HIGH BLOOD PRESSURE.IN SPAS 4, 5 AND 6, 47% OF AFRICAN AMERICANS ADULTS INDICATED THEY HAVE HIGH BLOOD PRESSURE; THIS IS HIGHER THAN THE RATES OF HIGH BLOOD PRESSURE REPORTED AMONG AFRICAN AMERICANS IN LA COUNTY AND CALIFORNIA. 27.9% OF WHITES, 24.9% OF LATINOS, AND 23.4% OF ASIANS REPORTED HIGH BLOOD PRESSURE.THE HOSPITALIZATION RATE FOR HYPERTENSION AMONG ADULTS IN THE COMMUNITY BENEFIT SERVICE AREA IS 7.7 PER 10,000 PERSONS AND THE ER RATE FOR HYPERTENSION IS 30.5 PER 10,000 PERSONS. THESE RATES ARE HIGHER THAN FOUND IN THE COUNTY.HEART DISEASEFOR ADULTS IN SPA 4, 3.8% REPORTED THEY HAVE BEEN DIAGNOSED WITH HEART DISEASE. 5.3% OF ADULTS IN SPA 5, AND 5.4% OF SPA 6 ADULTS 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, 66% IN SPA 6 WERE GIVEN A MANAGEMENT CARE PLAN BY A HEALTH CARE PROVIDER, AND 66.5% IN SPA 4 WERE GIVEN A MANAGEMENT CARE PLAN BY A HEALTH CARE PROVIDER.SPAS 4, 5 AND 6 HAVE HIGHER RATES OF HEART DISEASE AMONG AFRICAN AMERICANS (6.9%) THAN WERE REPORTED IN THE COUNTY (6.2%) OR STATE (5.6%).ASTHMATHE POPULATION DIAGNOSED WITH ASTHMA IN SPA 4 IS 11.7%, IN SPA 5 7% OF THE POPULATION HAS ASTHMA, AND IN SPA 6 6.8% HAS ASTHMA. AMONG THOSE WITH ASTHMA, 56.9% IN SPA 4, 28.6% IN SPA 5 AND 39.8% IN SPA 6 TAKE MEDICATION TO CONTROL THEIR SYMPTOMS. AMONG YOUTH IN SPA 4, 10.6% HAVE BEEN DIAGNOSED WITH ASTHMA, 7.8% OF YOUTH IN SPA 5 AND 9.5% OF YOUTH IN SPA 6 HAVE BEEN DIAGNOSED WITH ASTHMA.ASTHMA-RELATED HOSPITALIZATIONS AMONG CHILDREN IN THE COMMUNITY BENEFIT SERVICE AREA ARE HIGHER (12.7 ADMISSIONS PER 10,000 CHILDREN) THAN LA COUNTY RATES (10.9 ADMISSIONS PER 10,000 CHILDREN).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.RATES OF NEWLY DIAGNOSED BREAST CANCER PER 100,000 FEMALES, RANGED FROM A LOW OF 79.3 PER 100,000 WOMEN IN CITY COUNCIL DISTRICT 15 TO A HIGH OF 193.5 IN BEVERLY HILLS.HIVTHE HIV RATE IN LA COUNTY HAS DECREASED SINCE 2007. IN 2015, 626 CASES OF HIV WERE DIAGNOSED IN SPA 4 (54 PER 100,000 PERSONS), 90 CASES WERE DIAGNOSED IN SPA 5 (14 PER 100,000 PERSONS), AND 291 CASES OF HIV WERE DIAGNOSED IN SPA 6 (28 PER 100,000 PERSONS). THE RATE OF HIV DIAGNOSED IN 2015 HAS DECREASED FROM 2014 FOR SPAS 4, 5 AND THE COUNTY, WHILE RISING SLIGHTLY FOR SPA 6. RATES OF NEW HIV DIAGNOSES ARE HIGHEST AMONG MALES, YOUNG ADULTS 20-29, AND BLACKS/AFRICAN AMERICANS.AMONG THE COMMUNITY BENEFIT SERVICE AREA SPAS, SPA 4 HAS THE HIGHEST RATE OF PERSONS LIVING WITH HIV (1,531 PER 100,000 PERSONS). IN SPA 6 THE RATE IS 565 PER 100,000 PERSONS, AND IN SPA 5 THE RATE IS 378 PER 100,000 PERSONS LIVING WITH HIV.IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDSCEDARS-SINAI DEVELOPED AND APPROVED AN IMPLEMENTATION STRATEGY TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION STRATEGY ADDRESSED THE FOLLOWING HEALTH NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND RESOURCES.HEALTH FOCUS AREASACCESS TO CARE: COMMUNITY BENEFIT EFFORTS FOCUS ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESS THE FOLLOWING ACCESS TO CARE PRIORITY HEALTH NEEDS: *PRIMARY CARE *MENTAL HEALTH *PREVENTIVE CARE CHRONIC DISEASE: COMMUNITY BENEFIT EFFORTS FOCUS ON PREVENTING CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE: *CANCER *CARDIOVASCULAR DISEASE *DIABETES *OVERWEIGHT AND OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY HOMELESSNESS: COMMUNITY BENEFIT EFFORTS FOCUS ON CONNECTING PEOPLE EXPERIENCING HOMELESSNESS TO COMMUNITY-BASED PROGRAMS AND SERVICES AS WELL AS BUILDING STRATEGIES TO IMPROVE THE HEALTH AND HOUSING STABILITY OF HOMELESS INDIVIDUALS.IMPACTSTRATEGIES TO ADDRESS THE PRIORITY HEALTH NEEDS WERE IDENTIFIED AND IMPACT MEASURES TRACKED. 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 MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING CEDARS-SINAI'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 INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES 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 MEDICAL CENTER PART V, SECTION B, LINE 6A: CEDARS-SINAI MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH CEDARS-SINAI MARINA DEL REY HOSPITAL, KAISER PERMANENTE WEST LOS ANGELES MEDICAL CENTER, PROVIDENCE ST. JOHN'S HEALTH CENTER, AND UCLA HEALTH. GIVEN THAT THESE HOSPITAL FACILITIES SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: PRIORITY HEALTH NEEDSACCESS TO CARE: SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING ACCESS-TO-CARE PRIORITY HEALTH NEEDS:*PRIMARY CARE *SPECIALTY CARE *MENTAL HEALTH *PREVENTIVE CARECHRONIC DISEASE: COMMUNITY BENEFIT EFFORTS ALSO FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE:*CARDIOVASCULAR DISEASE *DIABETES *CANCER *OVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY *PREVENTIVE CARE THE FOLLOWING COMMUNITY BENEFIT PROGRAMS, SERVICES, PARTNERSHIPS AND STRATEGIES ADDRESS THE PRIORITY HEALTH NEEDS RELATED TO ACCESS-TO-CARE:*ACCESS TO HEALTH CARECEDARS-SINAI IS ONE OF THE LARGEST PROVIDERS OF MEDI-CAL SERVICES AMONG NON-GOVERNMENT HOSPITALS IN CALIFORNIA. THE HOSPITAL PROVIDED AVAILABLE FINANCIAL ASSISTANCE TO QUALIFIED PATIENTS.*COMMUNITY OUTREACH ASSISTANCE FOR CHILDREN'S HEALTH (COACH) - FOR KIDS AND THEIR FAMILIESCEDARS-SINAI OPERATES TWO STATE-OF-THE-ART MOBILE MEDICAL CLINICS STAFFED BY AN EXPERT TEAM OF BILINGUAL ENGLISH/SPANISH NURSE PRACTITIONERS, REGISTERED NURSES, SOCIAL WORKERS, DENTAL HYGIENIST, AND OTHER HEALTHCARE PROFESSIONALS FROM CEDARS-SINAI MEDICAL CENTER. COACH PREVENTIVE SERVICES INCLUDE WELL-CHILD AND IMMUNIZATION CLINICS FOR CHILDREN, DENTAL SCREENINGS AND FLUORIDE VARNISH SERVICES FOR CHILDREN AND ADULTS, BMI/BP SCREENING CLINICS FOR ADULTS, NUTRITION AND FITNESS EDUCATION, AND LINKAGES TO HEALTH HOMES.COACH SERVES COMMUNITIES IN DOWNTOWN/SKID ROW, PICO-UNION/CENTRAL LOS ANGELES, SOUTH LOS ANGELES, WATTS, COMPTON, INGLEWOOD, CRENSHAW/MID-CITY, AND HOLLYWOOD/WEST HOLLYWOOD. HEALTH CARE SERVICES ARE PROVIDED AT HEAD-START CENTERS, ELEMENTARY, MIDDLE, AND HIGH SCHOOLS, COMMUNITY-BASED AGENCIES, FAMILY HOMELESS SHELTERS AND PUBLIC HOUSING DEVELOPMENTS.COACH COLLABORATES WITH MORE THAN 200 PUBLIC AND PRIVATE COMMUNITY ORGANIZATIONS, INCLUDING THE LOS ANGELES UNIFIED SCHOOL DISTRICT, CHILDREN'S INSTITUTE INC., INGLEWOOD UNIFIED SCHOOL DISTRICT, THE HOUSING AUTHORITY OF THE CITY OF LOS ANGELES (HACLA), SOUTH LOS ANGELES HEALTH PROJECTS WIC, PUBLIC HEALTH FOUNDATION ENTERPRISES WIC, AND UPWARD BOUND HOUSE SHELTERS. CURRENT SUPPORTERS OF COACH INCLUDE THE CHILDREN'S HEALTH FUND.*AMBULATORY CARE CLINICTHE GENERAL INTERNAL MEDICINE CLINIC IN THE CEDARS-SINAI AMBULATORY CARE CENTER PROVIDED OUTPATIENT SERVICES TO THE ADULT POPULATION. THIS CARE INCLUDED SCREENING, PREVENTIVE HEALTH MEASURES, AND MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE. ATTENDING PHYSICIANS AND MEDICAL RESIDENTS CARED FOR PATIENTS IN A PRIMARY CARE SETTING, USING THE RESOURCES OF THE MEDICAL CENTER, INCLUDING IMAGING, PHARMACY AND LABORATORY SERVICES.*TRAINING AND DIRECT MEDICAL CARE AT SABAN COMMUNITY CLINIC AND OTHER FQHCSCEDARS-SINAI PHYSICIANS PROVIDED ADOLESCENT AND ADULT PATIENTS ACCESS TO PRIMARY CARE AT THE SABAN COMMUNITY CLINIC FOR PREGNANCY AND OTHER MEDICAL CONDITIONS AND ANCILLARY SERVICES, I.E., LAB AND X-RAY. CEDARS-SINAI PROVIDED SUPERVISORIAL CLINICAL STAFF AND MEDICAL AND SPECIALTY RESIDENTS FOR SIX PRIMARY AND SPECIALTY CLINICS EVERY WEEK, FINANCIALLY SUPPORTED SABAN COMMUNITY CLINIC'S MEDICAL DIRECTOR IN THE PROVISION OF PRIMARY CARE TO SABAN COMMUNITY CLINIC PATIENTS, AND PROVIDING FUNDING FOR INFRASTRUCTURE NEEDS.ADDITIONALLY, CEDARS-SINAI PARTNERED WITH FEDERALLY QUALIFIED HEALTH CENTERS LOCATED IN LOS ANGELES TO TRAIN MEDICAL AND DENTAL RESIDENTS. THESE PARTNERSHIPS GAVE PHYSICIANS IN-TRAINING EXPOSURE TO CULTURAL AND PSYCHOSOCIAL ASPECTS OF PATIENT CARE AND EXPERIENCE TREATING A WIDE RANGE OF MEDICAL CONDITIONS. THESE CLINICS INCLUDED THE VENICE FAMILY CLINIC, PLANNED PARENTHOOD LOS ANGELES, LOS ANGELES CHRISTIAN HEALTH CENTER, EISNER PEDIATRIC & FAMILY MEDICAL CENTER, APLA HEALTH AND KHEIR CENTER.*CEDARS-SINAI COMMUNITY CLINIC INITIATIVE: STRENGTHENING L.A.'S SAFETY NETCEDARS-SINAI RECOGNIZES THE CRITICAL ROLE OF PARTNERSHIPS IN PROMOTING ACCESS TO HIGH-QUALITY CARE FOR UNDERSERVED POPULATIONS. THE MEDICAL CENTER IS BUILDING MULTI-DIMENSIONAL PARTNERSHIPS THAT INCLUDE SIGNIFICANT INVESTMENTS TO STRENGTHEN THE SAFETY CLINIC NETWORK ACROSS LOS ANGELES, AS WELL AS INDIVIDUAL CAPACITY-BUILDING GRANTS TO CLINICS. REACHING THE MAJORITY OF CLINICS IN CEDARS-SINAI'S COMMUNITY BENEFIT SERVICE AREA, CEDARS-SINAI FUNDED YEARLONG CAPACITY-BUILDING PROGRAMS FOCUSING ON QUALITY, LEADERSHIP, AND FINANCIAL SUSTAINABILITY. CLINICS IN THE COMMUNITY BENEFIT SERVICE AREA SERVE OVER 900,000 LOW-INCOME INDIVIDUALS EACH YEAR.*PSYCHOLOGICAL TRAUMA CENTER (PTC) - SHARE AND CARE SINCE 1981, CEDARS-SINAI'S SCHOOL-BASED MENTAL HEALTH PROGRAMS HAVE HELPED VICTIMS OF TRAUMA, FILLING CRUCIAL NEEDS FOR PREVENTION, INTERVENTION CRISIS INTERVENTION, AND TRAINING THAT WOULD OTHERWISE BE UNMET. PROGRAMS AND TRAININGS - FOR CHILDREN, TEACHERS, PARENTS AND SCHOOL PRINCIPALS - RUN BY LICENSED MENTAL HEALTH PRACTITIONERS, ENHANCE AN AT-RISK CHILD'S ABILITY TO LEARN IN THE CLASSROOM, CHANGE DESTRUCTIVE BEHAVIORS AND ENVISION A BRIGHTER AND HAPPIER FUTURE. SHARE AND CARE COUNSELORS FACILITATED 12-WEEK GROUP ART-THERAPY CURRICULA THAT PROVIDED A THERAPEUTIC ENVIRONMENT TO IMPROVE STUDENTS' ABILITY TO CONCENTRATE ON THEIR LESSONS. THERAPY GROUPS FOCUSED ON TRAUMA, LOSS AND GRIEF, SELF-ESTEEM, BULLYING, SOCIALIZATION, ANGER MANAGEMENT, DIVORCE, SHYNESS, STUDENTS WITH AN INCARCERATED PARENT, AND SUBSTANCE ABUSE. *COMMUNITY MENTAL HEALTH GRANTSTHE COMMUNITY MENTAL HEALTH GRANT PROGRAM FOCUSED GRANTS ON DIRECT MENTAL HEALTH SERVICES. SINCE ITS INCEPTION IN 2012, THE PROGRAM HAS INCREASED ACCESS TO BEHAVIORAL HEALTH CARE BY SUPPORTING PROGRAMS THAT TREAT UNINSURED AND UNDERINSURED ADULTS, CHILDREN AND FAMILIES WITH MENTAL HEALTH AND SUBSTANCE USE NEEDS.*TEENLINE SUICIDE PREVENTION HOTLINETEENLINE, A CEDARS-SINAI SUPPORTED ORGANIZATION THAT IS HOUSED ON THE MEDICAL CENTER'S PREMISES, PROVIDED CRISIS INTERVENTION AND PREVENTION, PEER COUNSELING AND REFERRALS FOR ADOLESCENTS, AGES 12 TO 19. THE TEEN-TO-TEEN PROGRAM HELPED YOUNG PEOPLE COPE IN TIMES OF TRAUMA AND STRESS BY OFFERING ADVICE AND REFERRALS. TEENLINE'S OUTREACH SERVICES PROVIDED EDUCATION TO SCHOOLS AND ADOLESCENT-SERVING AGENCIES. THE TEEN LINE HOTLINE, ANSWERED BY INTENSIVELY TRAINED HIGH SCHOOL STUDENTS, WAS OPEN DAILY AND RECEIVED CALLS FROM TEENS ACROSS THE NATION.THE FOLLOWING COMMUNITY BENEFIT PROGRAMS, SERVICES, PARTNERSHIPS AND STRATEGIES ADDRESS THE PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE:*HEALTHY HABITSCEDARS-SINAI'S HEALTHY HABITS PROGRAMS PROVIDED NUTRITION EDUCATION AND OBESITY PREVENTION BY HELPING CHILDREN AND FAMILIES LEARN ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY. HEALTHY HABITS OFFERED A WIDE RANGE OF EDUCATION, CAPACITY BUILDING AND TECHNICAL ASSISTANCE PROGRAMS RUN BY TRAINED HEALTH EDUCATORS, REACHING ELEMENTARY AND MIDDLE SCHOOL STUDENTS, PARENTS OF PRESCHOOL CHILDREN, AND FAMILIES IN UNDERSERVED COMMUNITIES. *SUPPORT GROUPSCEDARS-SINAI PROVIDED COMPREHENSIVE SUPPORT GROUPS THAT FOCUSED ON ASSISTING WITH LIFE'S CHANGES AND ADJUSTMENTS. THESE SUPPORT GROUPS WERE OFFERED:-APHASIA SUPPORT GROUP-BIG VOICES GROUP-GOOD BEGINNINGS PARENT NICU SUPPORT GROUP-HEART CARE SUPPORT GROUP-KIDNEY CANCER SUPPORT GROUP-MECHANICAL CIRCULATORY DEVICE SUPPORT GROUP-MULTI-ORGAN TRANSPLANT SUPPORT GROUP-NEUROENDOCRINE SUPPORT GROUP-REHABILITATION SUPPORT GROUP-SARCOMA CANCER SUPPORT GROUP-TYPE II DIABETES SUPPORT GROUP-WEIGHT LOSS SURGERY SUPPORT GROUP-YES I CAN STROKE SUPPORT GROUP*COMMUNITY HEALTH AND EDUCATIONCEDARS-SINAI IS COMMITTED TO IMPROVING THE NUMBER OF QUALITY LIFE YEARS FOR ADULTS AND SENIORS IN OUR COMMUNITY. THE HOSPITAL PROVIDED ADULT-FOCUSED COMMUNITY PROGRAMS, SCREENINGS, EDUCATIONAL AND SELF-HELP PROGRAMS, HEALTH FAIRS, IMMUNIZATION CLINICS AND EXERCISE PROGRAMS. THESE PROGRAMS OCCUR IN UNDERSERVED COMMUNITIES, CHURCHES, SYNAGOGUES, NEIGHBORHOOD COMMUNITY CENTERS, AS WELL AS AT THE MEDICAL CENTER.-CARDIOVASCULAR DISEASE, DIABETES, HYPERTENSION AND RELATED PREVENTIVE PROGRAMS AND SERVICES-INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION PROGRAMS-HEALTH PROMOTION AND PREVENTION PROGRAMS FOR ADULTS AND SENIORS-HEALTH INFORMATION HANDOUTS FOR ADULTS AND SENIORS-PHYSICAL EXERCISE PROGRAMS FOR ADULTS AND SENIORS-CANCER EDUCATION AND SCREENING PROGRAMS-INFLUENZA IMMUNIZATION PROGRAMS-HEALTH EDUCATION LECTURES-OUTREACH AND NETWORKING WITH COMMUNITY PARTNERS CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: (CONTINUED)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: COMMUNITY SAFETY, DENTAL CARE, ECONOMIC INSECURITY, FOOD INSECURITY, SEXUALLY TRANSMITTED INFECTIONS, AND SUBSTANCE USE AND MISUSE. CSMC WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION.CEDARS-SINAI MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE:WWW.CEDARS-SINAI.ORG/CONTENT/DAM/CEDARS-SINAI/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DOCUMENTS/FAPS/FULL-FAP-ENGLISH-2-26-2020.PDFCEDARS-SINAI MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.CEDARS-SINAI.ORG/CONTENT/DAM/CEDARS-SINAI/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DOCUMENTS/FAPS/FAP-APPLICATION-ENGLISH-2-26-2020.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.CEDARS-SINAI.ORG/CONTENT/DAM/CEDARS-SINAI/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DOCUMENTS/PLAIN_LANGUAGE_SUMMARY_ENGLISH.PDF 17 1 - CEDARS-SINAI MEDICAL CENTER 8723 ALDEN DRIVE LOS ANGELES CA 90048 OUTPATIENT SERVICES-AMBULATORY CARE/ENDOCRINOLOGY/PRIMARY ADULT CARE/LAB 2 - CEDARS-SINAI MEDICAL CENTER 8631 W 3RD STREET LOS ANGELES CA 90048 OUTPATIENT SERVICES-BLOOD DRAW/CARDIOLOGY/PITUITARY CTR/IMAGING/ETC. 3 - CEDARS-SINAI MEDICAL CENTER 8536 WILSHIRE BLVD BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-NUCLEAR CARDIAC STRESS 4 - CEDARS-SINAI MEDICAL CENTER 444 S SAN VICENTE BLVD LOS ANGELES CA 90048 OUTPATIENT SERVICES-GAMMA KNIFE/PAIN CTR/PRENATAL DIAG/REHAB/ETC. 5 - CEDARS-SINAI MEDICAL CENTER 8635 W 3RD STREET BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-ORGAN TRANSPLANT/UROLOGY/WEIGHT LOSS/VOICE THERAPY 6 - CEDARS-SINAI MEDICAL CENTER 9090 WILSHIRE BLVD BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-CANCER TREATMENT CENTER 7 - CEDARS-SINAI MEDICAL CENTER 127 S SAN VICENTE BLVD LOS ANGELES CA 90048 OUTPATIENT SERVICES-NEUROSCIENCES/HEART INST/IMAGING/LAB SVC/RADIOLOGY/ETC. 8 - CEDARS-SINAI MEDICAL CENTER 8900 BEVERLY BLVD WEST HOLLYWOOD CA 90048 OUTPATIENT SERVICES-COMPREHENSIVE TRANSPLANT CENTER 9 - CEDARS-SINAI MEDICAL CENTER 110 GEORGE BURNS ROAD LOS ANGELES CA 90048 OUTPATIENT SERVICES-IMAGING CLINIC 10 - 90210 SURGERY MEDICAL CENTER LLC 450 N ROXBURY SUITE 600 BEVERLY HILLS CA 90210 OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-GENERAL SURGERY 11 - ENDOSCOPY CTR OF SANTA MONICA LLC 12400 WILSHIRE BLVD STE 100 LOS ANGELES CA 90025 OUTPATIENT SERVICES-ENDOSCOPY 12 - KERLAN-JOBE SURGERY CENTER LLC 6801 PARK TERRACE STE 300 LOS ANGELES CA 90045 OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-ORTHOPEDIC SURGERY 13 - PRECISION AMBULATORY SURGERY CTR LLC 450 N ROXBURY SUITE 250 BEVERLY HILLS CA 90210 OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-GENERAL SURGERY 14 - SANTA MONICA SURGICAL PARTNERS LLC 2121 WILSHIRE BLVD SUITE 201 SANTA MONICA CA 90404 OUTPATIENT SERVICES-AMBULATORY SURGERY CENTER-GENERAL SURGERY 15 - SANTA MONICA IMAGING GROUP LLC 200 N ROBERTSON BLVD STE 101 BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-IMAGING CLINIC 16 - WEST VALLEY IMAGING GROUP LLC 1510 COTNER AVENUE LOS ANGELES CA 90025 OUTPATIENT SERVICES-IMAGING CLINIC 17 - BEVERLY HILLS TECHNICAL IMAGING LLC 200 NORTH ROBERTSON BLVD STE 101 BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-IMAGING CLINIC 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 $ 1,074,816. PART II, COMMUNITY BUILDING ACTIVITIES: CEDARS-SINAI, GEOGRAPHICALLY LOCATED IN THE CENTER OF LOS ANGELES, PROVIDES AN ARRAY OF COMMUNITY SUPPORT TO VULNERABLE AND NEIGHBORING COMMUNITIES. WITH A HISTORY OF OVER 100 YEARS SERVING THE COMMUNITY, CEDARS-SINAI PARTICIPATES IN COMMUNITY-BUILDING AND HEALTH IMPROVEMENT ADVOCACY IN PARTNERSHIP WITH A WIDE ARRAY OF CONSTITUENTS. EXAMPLES OF COMMUNITY BUILDING PARTNERS INCLUDE: RAND CORPORATION, JEWISH FEDERATION COUNCIL OF GREATER LA, AND UNIVERSITY OF SOUTHERN CALIFORNIA (USC). ADDITIONALLY, CEDARS-SINAI INVESTS STRATEGICALLY IN WORKFORCE DEVELOPMENT AND MENTORING PROGRAMS AIMED AT HIGH SCHOOL AND MIDDLE SCHOOL-AGED STUDENTS. WORKFORCE DEVELOPMENT AND MENTORING PROGRAMS ARE IMPLEMENTED THROUGHOUT THE MEDICAL CENTER, TARGETING LOW INCOME AND UNDERREPRESENTED STUDENTS, EXPOSING THEM TO CAREERS IN HEALTH, SCIENCES AND HOSPITAL ADMINISTRATIVE FUNCTIONS. MULTIPLE PROGRAMS ENGAGE STUDENTS IN HANDS-ON EXPERIENCES RANGING FROM A TWO-YEAR SHADOWING AND MENTORING HIGH SCHOOL PROGRAM CALLED YOUTH EMPLOYMENT DEVELOPMENT, TO TOURS OF OUR WOMEN'S GUILD SIMULATION CENTER, PROVIDING EXPOSURE TO THE TRAINING METHODS FOR ALL LEVELS OF CLINICAL EXPERTISE. THE YOUTH EMPLOYMENT DEVELOPMENT PROGRAM HAS COMPLETED A RIGOROUS EVALUATION AND SHOWS THAT PARTICIPATION IN THE PROGRAM IMPACTS GREATER LIKELINESS TO COMPLETE FOUR-YEAR COLLEGE DEGREES AND PURSUE HEALTH PROFESSIONS. PART III, LINE 2: AS A RESULT OF THE ADOPTION OF ASC 606, THE MEDICAL CENTER 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 14PART III, LINE 6 - COSTING METHODOLOGY: REVENUE AND ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT WHICH WAS COMPILED UNDER MEDICARE COSTING RULES AND REGULATIONS AS ISSUED BY THE HEALTH CARE FINANCING ADMINISTRATION AND ENFORCED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. PART III, LINE 8: - RATIONALE FOR MEDICARE SHORTFALL AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: IT IS OUR BELIEF THAT ALL OF THE $233,276,360 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 MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER 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:CEDARS-SINAI NOTIFIES PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAMS BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS. CEDARS-SINAI REFRAINS FROM INITIATING EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE CEDARS-SINAI BILLS FOR THE CARE IF THE PATIENT HAS NOT SUBMITTED AN APPLICATION OR CEDARS-SINAI 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, CEDARS-SINAI PROVIDES THE PATIENT WITH A WRITTEN NOTICE INDICATING FINANCIAL ASSISTANCE IS AVAILABLE, IDENTIFYING THE EXTRAORDINARY COLLECTION ACTION THAT CEDARS-SINAI 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 CEDARS-SINAI'S FINANCIAL ASSISTANCE POLICY.IN ADDITION TO ALL WRITTEN NOTICES, PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, CEDARS-SINAI MAKES A REASONABLE EFFORT TO VERBALLY NOTIFY THE PATIENT ABOUT CEDARS-SINAI'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: NOTICES, SUMMARIES AND WRITTEN COMMUNICATIONS:CEDARS-SINAI PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL FINANCIAL ASSISTANCE FOR 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'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, CEDARS-SINAI PROVIDES A DESCRIPTION OF ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, ALONG WITH INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE.PUBLICIZING THE POLICY:CEDARS-SINAI WIDELY PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, INCLUDING DISTRIBUTION TO TARGETED COMMUNITY ORGANIZATIONS, AMONG A VARIETY OF OTHER MEANS, TO ALERT THE CEDARS-SINAI COMMUNITY TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE CEDARS-SINAI WEBSITE AT WWW.CEDARS-SINAI.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.HTML PART VI, LINE 4: CEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES LARGE PORTIONS OF SERVICE PLANNING AREAS (SPAS) 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND A SMALLER PORTION OF SPA 8 (SOUTH BAY) IN LOS ANGELES COUNTY. THE COMMUNITY BENEFIT SERVICE AREA CAN ALSO BE VIEWED BY LOS ANGELES CITY COUNCIL DISTRICTS, COVERING ALL OR PART OF DISTRICTS 1, 4, 5, 8, 9, 10, 13, 14 AND 15. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES 52 ZIP CODES, REPRESENTING 25 CITIES OR NEIGHBORHOODS. HOWEVER, TWO ZIP CODES (90071 AND 90079 IN DOWNTOWN LOS ANGELES) HAVE NO RESIDENT POPULATION FROM THE CENSUS AND WILL NOT BE EXAMINED WITHIN THIS REPORT. 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. THERE ARE 6 OTHER HOSPITALS SERVING THE COMMUNITIES.CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREAGEOGRAPHIC AREA ZIP CODE SPA DISTRICTBALDWIN HILLS 90008 SPA 6 8BEVERLY HILLS 90210, 90211, 90212 SPA 5 N/ACENTRAL LA 90013, 90014, 90015, 90017 SPA 4 1,9,14CENTURY CITY 90067 SPA 5 5CRENSHAW 90016, 90018 SPA 6 8,10CULVER CITY 90230, 90232 SPA 5 N/ADOWNTOWN LA 90010, 90021, 90071, 90079 SPA 4 1,10,14FAIRFAX/MID-CITY 90019, 90036 SPA 4 4,10HOLLYWOOD 90028, 90038 SPA 4 4,13HYDE PARK 90043 SPA 6 8INGLEWOOD 90301, 90302, 90303, 90305 SPA 8 N/AL.A./COLISEUM & MLK BLVD 90011 SPA 6 9L.A./MLK & HOBART 90062 SPA 6 8LADERA HEIGHTS 90056 SPA 5 N/ALENNOX 90304 SPA 8 N/ASOUTH CENTRAL LA 90001, 90002,90003,90044,90047 SPA 6 8,9,15SOUTH LOS ANGELES 90059 SPA 6 15UNIVERSITY 90037,90089 SPA 6 9USC 90007 SPA 6 1,9WEST HOLLYWOOD 90046,90048,90069 SPA 4 4,5WEST LA/PALMS 90034 SPA 5 5WEST LA/RANCHO 90025,90035,90064 SPA 5 5WESTWOOD 90024 SPA 5 5WILSHIRE 90006,90057 SPA 4 1,13WILSHIRE/KOREATOWN 90004,90005,90020 SPA 4&6 1,4,13THE POPULATION OF THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA IS 1,814,274. FROM 2011 TO 2016, THE POPULATION INCREASED BY 3.6%, HIGHER THAN THE 2.8% INCREASE IN THE COUNTY POPULATION.OF THE AREA POPULATION, 49.2% ARE MALE AND 50.8% ARE FEMALE. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 22.0% OF THE POPULATION, 67.6% ARE ADULTS, AGES 18-64; AND 10.3% OF THE POPULATION ARE SENIORS, 65 AND OVER. THE COMMUNITY BENEFIT SERVICE AREA HAS A HIGHER PERCENTAGE OF CHILDREN, UNDER THE AGE OF 5, AND ADULTS, 18 TO 44, THAN THE COUNTY.IN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA, 49.1% OF THE POPULATION IS HISPANIC/LATINO, 19.8% ARE WHITE, 18.4% ARE BLACK/AFRICAN AMERICAN, 10.1% ARE ASIAN, AND THE REMAINING 2.6% ARE AMERICAN INDIAN/ALASKAN NATIVE, NATIVE HAWAIIAN/PACIFIC ISLANDER, OTHER RACE/ETHNICITY, OR MULTIPLE RACES. THERE IS A LOWER PERCENTAGE OF WHITES AND ASIANS, AND A HIGHER PERCENTAGE OF HISPANIC/LATINOS AND BLACKS/AFRICAN AMERICANS, IN THE COMMUNITY BENEFIT SERVICE AREA THAN FOUND AT THE COUNTY LEVEL.THE LANGUAGES SPOKEN AT HOME BY AREA RESIDENTS MIRROR THE RACIAL/ETHNIC MAKE-UP OF THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA COMMUNITIES. SPANISH IS SPOKEN IN THE HOME AMONG 45.6% OF THE POPULATION. ENGLISH IS SPOKEN IN THE HOME AMONG 39.9% OF THE POPULATION, 7.9% OF THE POPULATION SPEAKS AN ASIAN LANGUAGE, AND 5.3% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE IN THE HOME.WHEN EXAMINED AT THE ZIP CODE LEVEL, A NUMBER OF COMMUNITIES HAVE HIGH PERCENTAGES OF SPANISH SPEAKERS INCLUDING: LA/COLISEUM, SOUTH CENTRAL LOS ANGELES, AND LENNOX. NEIGHBORHOODS WITH A HIGH PERCENTAGE OF ASIAN LANGUAGE SPEAKERS INCLUDE: DOWNTOWN LA 90010, UNIVERSITY 90089, CENTURY CITY, AND THE WILSHIRE AND WILSHIRE/KOREATOWN AREAS. BEVERLY HILLS, WESTWOOD, WEST HOLLYWOOD AND WEST LOS ANGELES HAVE HIGHER RATES OF RESIDENTS WHO SPEAK INDO-EUROPEAN LANGUAGES AT HOME.POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THE 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 THE RESIDENTS REPRESENTED IN THE AREA SPAS, SPA 6 HAS THE HIGHEST POVERTY RATES. IN SPA 6, 37.8% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 70.3% ARE CONSIDERED LOW-INCOME AT 200% OR BELOW FPL. IN SPA 4, 31.2% ARE AT OR BELOW 100% FPL AND 55.6% BELOW 200% FPL. IN SPA 5, 5.9% ARE AT OR BELOW 100% FPL AND 17.7% BELOW 200% FPL. RATES OF POVERTY IN SPA 4 AND SPA 6 ARE HIGHER THAN FOUND IN THE COUNTY. A VIEW OF CHILDREN IN POVERTY INDICATES THAT 45.4% OF CHILDREN IN SPAS 4 AND 6 LIVE BELOW THE POVERTY LEVEL. IN SPA 6, 75.3% OF CHILDREN ARE CATEGORIZED AS LOW-INCOME (<200% FPL), 71.6% OF CHILDREN IN SPA 4 AND 4.9% OF CHILDREN IN SPA 5 ARE LOW-INCOME.FAMILIES IN POVERTY PAINT AN IMPORTANT PICTURE OF THE POPULATION WITHIN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA. OVER ONE-QUARTER (26.3%) OF FAMILIES LIVE IN POVERTY. WHEN EXAMINED BY ZIP CODE, COMMUNITY POVERTY RATES ARE HIGH AMONG FAMILIES IN CENTRAL LOS ANGELES, DOWNTOWN LA 90021, LA/COLISEUM, AND UNIVERSITY AND USC NEIGHBORHOODS.THE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $48,046 AND THE AVERAGE HOUSEHOLD INCOME IS $72,501. THESE ARE LOWER THAN COMPARABLE COUNTY INCOMES.THE PERCENT OF STUDENTS ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL PROGRAM IS ONE INDICATOR OF SOCIOECONOMIC STATUS. AMONG LOS ANGELES UNIFIED SCHOOL DISTRICT SCHOOLS, OVER THREE-FOURTHS (78.8%) OF THE STUDENTS ARE ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL PROGRAM, INDICATING A HIGH LEVEL OF LOW-INCOME FAMILIES. IN THE INGLEWOOD UNIFIED SCHOOL DISTRICT, 80.8% OF STUDENTS QUALIFY FOR THE PROGRAM, AND 93.1% OF LENNOX SCHOOL DISTRICT STUDENTS ARE ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL PROGRAM.RESIDENTS IN SPA 6 HAVE HIGHER RATES OF PARTICIPATION IN GOVERNMENT SPONSORED PUBLIC PROGRAMS COMPARED TO RESIDENTS IN SPA 4 AND SPA 5. IN SPA 4, 46.4% OF ADULTS, BELOW 200% OF THE FPL, CANNOT AFFORD FOOD AND 25.5% UTILIZE FOOD STAMPS. IN SPA 6, 49.3% OF RESIDENTS BELOW 200% FPL CANNOT AFFORD FOOD AND 29% UTILIZE FOOD STAMPS. THESE RATES INDICATE A CONSIDERABLE PERCENTAGE OF RESIDENTS WHO MAY QUALIFY FOR FOOD STAMPS BUT DO NOT ACCESS THIS RESOURCE. WIC (WOMEN, INFANTS AND CHILDREN) BENEFITS ARE MORE READILY ACCESSED. AMONG CHILDREN IN SPA 4, 53.6% ACCESS WIC BENEFITS, AND 69.9% IN SPA 6 ACCESS WIC BENEFITS. SPA 5 RESPONDENTS DID NOT REPORT ACCESSING WIC FOR THEIR CHILDREN. AMONG SPA 6 RESIDENTS, 15.8% ARE TANF/CALWORKS RECIPIENTS; 10.7% OF SPA 4 RESIDENTS AND 2.5% OF SPA 5 RESIDENTS ARE TANF/CALWORKS RECIPIENTS.32.7% OF THE POPULATION IN SPA 4, 10.4% IN SPA 5, AND 48.7% IN SPA 6 HAD MEDI-CAL COVERAGE. IN SPA 4, 30.3% HAD EMPLOYMENT-BASED INSURANCE, WHILE OVER HALF THE POPULATION IN SPA 5 (51.4%) HAD EMPLOYMENT-BASED INSURANCE. IN SPA 6, 22.7% OF THE POPULATION HAD EMPLOYMENT-BASED INSURANCE. PART VI, LINE 5: CEDARS-SINAI MEDICAL CENTER IS DRIVEN BY ITS MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROVIDE LEADERSHIP AND EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. IN COLLABORATION WITH EXPERT MEDICAL STAFF, ADMINISTRATIVE LEADERS AND COMMUNITY PARTNERS, CEDARS-SINAI HAS MADE A SIGNIFICANT CONTRIBUTION-BOTH IN QUANTIFIABLE AND NON-QUANTIFIABLE TERMS-TO THE BENEFIT OF THE COMMUNITY. CEDARS-SINAI PROVIDES A BREADTH OF SERVICES TO MEET IDENTIFIED HEALTH NEEDS IN THE COMMUNITY. MANY CEDARS-SINAI PROGRAMS ARE OPERATED AT A FINANCIAL LOSS, BUT CONTINUE TO BE OFFERED BECAUSE THEY ARE AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION TO SERVE THE COMMUNITY'S HEALTH NEEDS.CEDARS-SINAI 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.DURING THE TAX YEAR, CEDARS-SINAI'S COMMUNITY BENEFIT EXPENSES TOTALED OVER $260,000,000 DIVIDED AMONG FIVE MAJOR CATEGORIES. FOR PURPOSES OF ESTIMATING CEDARS-SINAI'S FINANCIAL CONTRIBUTION TO COMMUNITY BENEFIT, THE FOLLOWING DEFINITIONS ARE USED:UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - INCLUDES THE UNREIMBURSED COST OF FREE AND DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO MEET THE ORGANIZATION'S CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE, DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF THE SERVICES. IF THERE IS ANY SUBSIDY DONATED FOR THESE SERVICES, THAT AMOUNT IS DEDUCTED FROM THE GROSS AMOUNT. TRADITIONAL CHARITY CARE IS INCLUDED IN THE INTERNAL REVENUE SERVICE (IRS) FORM 990 SCHEDULE H PART I LINE 7A.UNPAID COST OF STATE PROGRAMS - THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7B. IN THE STATE OF CALIFORNIA THE MEDICAID PROGRAM IS CALLED MEDI-CAL.UNREIMBURSED COSTS OF SPECIALTY GOVERNMENT PROGRAMS - ALSO PROVIDES COMMUNITY BENEFIT UNDER SUCH PROGRAMS AS THE VETERANS ADMINISTRATION, LOS ANGELES POLICE DEPARTMENT, LOS ANGELES COUNTY TRAUMA, AND OTHER PROGRAMS TO BENEFIT THE INDIGENT. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THESE VARIOUS MEANS-TESTED PROGRAMS. IF THIS COMMUNITY BENEFIT WAS NOT PROVIDED, THE FEDERAL, STATE OR LOCAL GOVERNMENTS WOULD NEED TO FURNISH THESE SERVICES. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7C.UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR MEDICARE PATIENTS - PRIMARILY BENEFITS THE ELDERLY. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDICARE PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDICARE PROGRAM. INCLUDED IN THESE AMOUNTS ARE $19,349,000 FOR THE YEAR ENDED JUNE 30, 2019 OF UNPAID COSTS OF SERVICES PROVIDED TO PATIENTS IN THE MEDICARE PROGRAM THAT ARE ALSO ELIGIBLE FOR THE MEDI-CAL PROGRAM (DUAL ELIGIBLE BENEFICIARIES). THIS IS SIGNIFICANT IN THAT THESE PATIENTS TEND TO BE MORE COSTLY THAN NON-DUAL ELIGIBLE PATIENTS DUE TO THE COROLLARY SOCIO-ECONOMIC CHALLENGES THEY FACE. THESE PATIENTS OFTEN REQUIRE MORE FREQUENT CARE AND MORE COSTLY CARE WHEN COMPARED TO TRADITIONAL MEDICARE ONLY PATIENTS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B.COMMUNITY BENEFIT PROGRAMS, AS WELL AS EDUCATION AND TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS - COST OF SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY. THIS CATEGORY INCLUDES UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY BENEFIT OPERATIONS, AND CASH DONATIONS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7 E, F, AND I. BELOW ARE SOME EXAMPLES OF COSTS INCLUDED IN THIS CATEGORY OF THE COMMUNITY BENEFIT CONTRIBUTION:HEALTH PROFESSIONS EDUCATIONAS AN ACADEMIC MEDICAL CENTER, CEDARS-SINAI OFFERS GRADUATE MEDICAL EDUCATION AND MANY OTHER EDUCATION PROGRAMS FOR A VARIETY OF HEALTH PROFESSIONALS. THEY INCLUDE OFFERING GRADUATE EDUCATION TRAINING PROGRAMS IN OVER 70 PHYSICIAN SPECIALTY AND SUBSPECIALTY AREAS; AND OTHER HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDING DEGREE PROGRAMS AND EXTENSIVE EDUCATIONAL RESOURCES FOR ASPIRING AND CURRENT NURSES, DIETICIANS, PSYCHOLOGISTS, PARAMEDICS, PATHOLOGISTS, RESEARCHERS, REHABILITATION PROFESSIONALS AND CHAPLAINS.COMMUNITY HEALTH IMPROVEMENT* CLINICAL SERVICES ARE PROVIDED TO UNDERSERVED COMMUNITIES DAILY, THROUGH AN ON-SITE PRIMARY ADULT CARE CLINIC; AND THROUGH MOBILE MEDICAL UNITS AND FREE AND COMMUNITY CLINICS THROUGHOUT LOS ANGELES - ALL SERVING UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS.* EACH YEAR, CEDARS-SINAI TAKES PART IN COMMUNITY-BASED ACTIVITIES INCLUDING HEALTH FAIRS, EXERCISE PROGRAMS, AND SCREENING PROGRAMS FOR CONDITIONS SUCH AS CARDIOVASCULAR DISEASE, DEPRESSION, DIABETES AND HYPERTENSION, AS WELL IMMUNIZATION PROGRAMS, LECTURES AND WORKSHOPS. ALSO OFFERED ARE DISEASE-SPECIFIC SUPPORT GROUPS, PATIENT EDUCATION PROGRAMS AND PROGRAM AFFILIATES.* CEDARS-SINAI PLANS AND IMPLEMENTS LONG-TERM COMPREHENSIVE STRATEGIES TO MEET THE HEALTH NEEDS OF UNDERSERVED COMMUNITIES. SIGNATURE COMMUNITY BENEFIT PROGRAMS SEEK TO IMPROVE HEALTH IN COMMUNITIES BY BUILDING STRONG PARTNERSHIPS, BUILDING COMMUNITY CAPACITIES AND PROVIDING DIRECT EDUCATION.RESEARCH PROGRAMS - CEDARS-SINAI'S CURRENTLY HAS 3,145 ACTIVE RESEARCH PROJECTS AND HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE DEVELOPMENT OF NEW MEDICAL TECHNOLOGY, MEDICAL KNOWLEDGE AND PRACTICE. CEDARS-SINAI RANKS AMONG THE NATION'S TOP NON-UNIVERSITY HOSPITALS IN NATIONAL INSTITUTES OF HEALTH (NIH) RESEARCH FUNDING - CEDARS-SINAI RECEIVED OVER $140 MILLION IN RESEARCH FUNDING THIS YEAR. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7. PART VI, LINE 6: CEDARS-SINAI MEDICAL CENTER, WITH 886 LICENSED BEDS, IS AN AFFILIATE OF CEDARS-SINAI HEALTH SYSTEM AND AN AFFILIATE OF TORRANCE MEMORIAL.CEDARS-SINAI HEALTH SYSTEM INCLUDES THE 133-BED CEDARS-SINAI MARINA DEL REY HOSPITAL, WHICH HAS A MULTISPECIALTY PHYSICIAN NETWORK AND MANY PRIMARY CARE, URGENT CARE, AND SPECIALTY CARE CENTERS THROUGHOUT THE LOS ANGELES REGION. IT IS ALSO A MAJOR RESEARCH AND EDUCATION CENTER.TORRANCE MEMORIAL INCLUDES THE 512-BED TORRANCE MEMORIAL MEDICAL CENTER, A MULTISPECIALTY PHYSICIAN GROUP, AN INDEPENDENT PHYSICIAN ASSOCIATION, AND AN ACCOUNTABLE CARE ORGANIZATION. IT ALSO HAS SEVERAL OUTPATIENT CENTERS LOCATED THROUGHOUT THE SOUTH BAY REGION. THE AFFILIATION ENABLES EACH INSTITUTION TO CONTINUE THE UNIQUE RELATIONSHIPS EACH HAS WITH THE COMMUNITIES IT SERVES, WHILE PROVIDING A PLATFORM FOR A WIDE VARIETY OF COLLABORATIONS TO BETTER SERVE THE REGION. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 ADULT CONGENITAL HEART ASSOCIATION 280 NORTH PROVIDENCE ROAD NO 6 MEDIA PA 19063 043447959 501(C)(3) 10000 GENERAL SUPPORT ALCOTT CENTER FOR MENTAL HEALTH SERVICES 1433 S ROBERTSON BLVD LOS ANGELES CA 90035 953392564 501(C)(3) 15000 GENERAL SUPPORT ALTAMED HEALTH SERVICES 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 952810095 501(C)(3) 50000 GENERAL SUPPORT AMANECER COMMUNITY COUNSELING SERVICES 1200 WILSHIRE BLVD NO 400 LOS ANGELES CA 90017 953076578 501(C)(3) 75000 GENERAL SUPPORT AMERICAN CANCER SOCIETY (ACS) 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 22500 GENERAL SUPPORT AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 35000 GENERAL SUPPORT AMERICAN LIVER FOUNDATION 39 BROADWAY SUITE 2700 NEW YORK NY 10006 362883000 501(C)(3) 25000 GENERAL SUPPORT AMERICAN LUNG ASSOCIATION 3000 KELLY LANE SPRINGFIELD IL 62711 940362650 501(C)(3) 10000 GENERAL SUPPORT AMERICAN ORTHOPAEDIC SOCIETY SPORTS MED 9400 W HIGGINS ROAD SUITE 300 ROSEMONT IL 60018 237182780 501(C)(3) 10000 GENERAL SUPPORT AMERICAN RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 64000 DISASTER RELIEF APLA HEALTH & WELLNESS 611 S KINGSLEY DR LOS ANGELES CA 90005 841661910 501(C)(3) 75000 FOOD INSECURITY GRANT ASIAN AMERICANS ADVANCING JUSTICE 1145 WILSHIRE BOULEVARD LOS ANGELES CA 90017 953854152 501(C)(3) 10000 GENERAL SUPPORT ASSOC FOR CLINICAL PASTORAL EDUC INC ONE WEST COURT SQUARE NO 325 DECATUR GA 30030 581921094 501(C)(3) 5001 GENERAL SUPPORT ATERES AVIGAIL 4929 WILSHIRE BLVD LOS ANGELES CA 90010 953120316 501(C)(3) 15000 GENERAL SUPPORT BEHAVIORAL HEALTH SERVICES 15519 CRENSHAW BLVD GARDENA CA 90249 952838006 501(C)(3) 75000 GENERAL SUPPORT BEIT T'SHUVAH 8831 VENICE BLVD LOS ANGELES CA 90034 770152646 501(C)(3) 77500 GENERAL SUPPORT BET TZEDEK 3250 WILSHIRE BLVD 13TH FLOOR LOS ANGELES CA 90010 237304205 501(C)(3) 110000 GENERAL SUPPORT BEVERLY HILLS FIRE CHIEFS FUND 445 N REXFORD DR BEVERLY HILLS CA 90210 264563945 501(C)(3) 14000 TRAINING AND EDUCATION FUNDING BEVERLY HILLS FIREFIGHTER'S ASSOCIATION PO BOX 1720 BEVERLY HILLS CA 90213 953619909 501(C)(3) 6500 GENERAL SUPPORT BEVERLY HILLS POLICE OFFICERS BENEVOLENT 9663 SANTA MONICA BLVD NO 786 BEVERLY HILLS CA 90210 954584633 501(C)(3) 18500 TRAINING AND EDUCATION FUNDING BIG BROTHERS BIG SISTERS OF GREATER LA 3150 N SAN FERNANDO RD SUITE C LOS ANGELES CA 90065 951904857 501(C)(3) 5500 GENERAL SUPPORT BLUECOAT MUSIC INC PO BOX 70105 LOS ANGELES CA 90070 811973434 501(C)(3) 10061 TRAINING AND EDUCATION FUNDING B'NAI B'RITH INTERNATIONAL 1120 20TH ST NW SUITE 300N WASHINGTON DC 20036 530179971 501(C)(3) 15000 GENERAL SUPPORT CALIFORNIA COMMUNITY FOUNDATION 221 S FIGUEROA ST SUITE 400 LOS ANGELES CA 90012 953510055 501(C)(3) 5653000 GENERAL SUPPORT CALIFORNIA LIFE SCIENCES ASSOCIATION 9191 TOWNE CENTRE DR SUITE 450 SAN DIEGO CA 92122 473226523 501(C)(6) 8000 GENERAL SUPPORT CARE HARBOR 18436 HAWTHORNE BOULEVARD SUITE 204 TORRANCE CA 90504 272984870 501(C)(3) 25000 GENERAL SUPPORT CHABAD OF LA CIENEGA 1627 S LA CIENEGA BLVD LOS ANGELES CA 90035 260335040 CHURCH 6000 GENERAL SUPPORT CHAI LIFELINE INC 151 WEST 30TH STREET NO 3RD FL NEW YORK NY 10001 112940331 501(C)(3) 10000 GENERAL SUPPORT CHARLES R DREW UNIVERSITY 1731 EAST 120TH STREET LOS ANGELES CA 90059 956151774 501(C)(3) 1406750 GENERAL SUPPORT CHILDREN'S INSTITUTE INC 2121 W TEMPLE STREET LOS ANGELES CA 90026 951641424 501(C)(3) 75000 TRAINING AND EDUCATION FUNDING CHRISTOPHER STREET WEST ASSOC INC 8687 MELROSE AVE NO BM48 WEST HOLLYWOOD CA 90069 953736454 501(C)(3) 25000 GENERAL SUPPORT CLARE MATRIX 2644 30TH STREET SUITE 100 SANTA MONICA CA 90405 237076166 501(C)(3) 75000 GENERAL SUPPORT CLINICA MONSENOR OSCAR ROMERO 2032 MARENGO STREET LOS ANGELES CA 90033 953881333 501(C)(3) 50000 GENERAL SUPPORT COALITION FOR COMPASSIONATE CARE (CCCC) 2530 RIVER PLAZA DRIVE SACRAMENTO CA 95833 270419836 501(C)(3) 20000 GENERAL SUPPORT COMMUNITY CLINIC ASSOC LA (CCALAC) 700 S FLOWER ST NO 3150 LOS ANGELES CA 90017 954576023 501(C)(3) 180000 GENERAL SUPPORT COMMUNITY PARTNERS 1000 NORTH ALAMEDA STREET NO 240 LOS ANGELES CA 90012 954302067 501(C)(3) 859280 COMMUNITY CLINIC GRANT CORPORATION FOR SUPPORTIVE HOUSING 61 BROADWAY NO 2300 NEW YORK NY 10006 133600232 501(C)(3) 100000 GENERAL SUPPORT CROHN'S & COLITIS FOUNDATION OF (CCFA) 733 THIRD AVENUE SUITE 510 NEW YORK NY 10017 136193105 501(C)(3) 15000 GENERAL SUPPORT CULVER PALMS FAMILY YMCA 625 S NEW HAMPSHIRE AVE LOS ANGELES CA 90005 951644052 501(C)(3) 10000 GENERAL SUPPORT DIDI HIRSCH COMMUNITY MENTAL HEALTH 4760 S SEPULVEDA BLVD CULVER CITY CA 90230 951816023 501(C)(3) 77000 GENERAL SUPPORT DON'T EVER GIVE UP INC 14600 WESTON PARKWAY CARY NC 27513 475304184 501(C)(3) 25000 GENERAL SUPPORT DOWNTOWN WOMEN'S CENTER 442 S SAN PEDRO ST LOS ANGELES CA 90013 311597223 501(C)(3) 101000 GENERAL SUPPORT ECONOMIC DEVELOPMENT CORP OF LA (LAEDC) 133 FEDERAL STREET 9TH FLOOR BOSTON MA 02110 953643339 501(C)(3) 15000 GENERAL SUPPORT EISNER HEALTH 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 951690966 501(C)(3) 77500 FOOD INSECURITY GRANT FASHION FOOTWEAR CHARITABLE FNDTN (FFCF) 575 5TH AVENUE 14TH FL NEW YORK NY 10017 134112482 501(C)(3) 50000 GENERAL SUPPORT FOUNDATION FOR BIOMEDICAL RESEARCH (FBR) 1100 VERMONT AVE NW NO 1100 WASHINGTON DC 20005 042746997 501(C)(3) 10000 GENERAL SUPPORT GETTY HOUSE FOUNDATION 605 SOUTH IRVING BOULEVARD LOS ANGELES CA 90005 954456499 501(C)(3) 10000 GENERAL SUPPORT GRANTMAKERS IN HEALTH 1100 CONNECTICUT AVE NW NO 1200 WASHINGTON DC 20036 133206571 501(C)(3) 8500 GENERAL SUPPORT GREATER SHERMAN OAKS CHAMBER OF COMMERCE 14827 VENTURA BLVD SHERMAN OAKS CA 91403 954169290 501(C)(6) 5750 GENERAL SUPPORT HEBREW UNION COLLEGE 3101 CLIFTON AVENUE CINCINNATI OH 45220 310537067 CHURCH 125000 GENERAL SUPPORT HOSPITAL QUALITY INSTITUTE 1215 K STREET NO 800 SACRAMENTO CA 95814 743205570 501(C)(3) 20000 GENERAL SUPPORT IMAGINE LOS ANGELES INC 672 S LAFAYETTE PARK PLACE NO 28-9 LOS ANGELES CA 90057 204637089 501(C)(3) 10000 GENERAL SUPPORT INTERNATIONAL COLLEGE OF SURGEONS 1516 NORTH LAKE SHORE DRIVE CHICAGO IL 60610 362182052 501(C)(3) 10000 GENERAL SUPPORT INTERNATIONAL SOCIETY FOR STEM (ISSCR) 5215 OLD ORCHARD ROAD NO 270 SKOKIE IL 60077 364491158 501(C)(3) 20000 RESEARCH STUDY GRANT JEWISH FAMILY SERVICE 3580 WILSHIRE BLVD NO 700 LOS ANGELES CA 90010 951691013 501(C)(3) 215000 GENERAL SUPPORT JEWISH FEDERATION COUNCIL OF GREATER LA 6505 WILSHIRE BLVD LOS ANGELES CA 90048 951643388 501(C)(3) 507500 RESEARCH STUDY GRANT JEWISH FREE LOAN ASSOC (JFLA) 6505 WILSHIRE BOULEVARD NO 715 LOS ANGELES CA 90048 951691014 501(C)(3) 500000 COMMUNITY BENEFIT GRANT JEWISH VOCATIONAL SERVICE (JVS) 75 FEDERAL STREET 3RD FLOOR BOSTON MA 02110 042104357 501(C)(3) 10000 GENERAL SUPPORT KHEIR CENTER 3727 W 6TH STREET NO 210 LOS ANGELES CA 90020 954074660 501(C)(3) 85500 GENERAL SUPPORT KOREAN AMERICAN FAMILY SERVICE CENTER 3727 WEST 6TH STREET NO 320 LOS ANGELES CA 90020 953899329 501(C)(3) 80000 COMMUNITY BEHAVIORAL HEALTH GRANT LA AFRICAN AMERICAN CHAMBER OF COMMERCE 5100 GOLDLEAF CIRCLE LOS ANGELES CA 90056 954357302 501(C)(6) 10000 GENERAL SUPPORT LAX COASTAL AREA CHAMBER OF COMMERCE 9100 S SEPULVEDA BLVD WESTCHESTER CA 90045 951806513 501(C)(6) 12250 GENERAL SUPPORT LOS ANGELES AREA CHAMBER OF COMMERCE 350 SOUTH BIXEL ST NO 201 LOS ANGELES CA 90017 950947860 501(C)(6) 19500 GENERAL SUPPORT LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST SUITE 4380 LOS ANGELES CA 90067 271485429 501(C)(3) 10000 GENERAL SUPPORT LOS ANGELES COUNTY FIRE DEPT FOUNDATION 42122 23RD STREET WEST LANCASTER CA 93536 475572995 501(C)(3) 10000 TRAINING AND EDUCATION FUNDING LOS ANGELES FIRE DEPARTMENT FOUNDATION 1875 CENTURY PARK EAST NO 200 LOS ANGELES CA 90067 272007326 501(C)(3) 35000 COMMUNITY BENEFIT GRANT LOS ANGELES LGBT CENTER 1118 N MCCADDEN PLACE LOS ANGELES CA 90038 953567895 501(C)(3) 284973 COMMUNITY BENEFIT GRANT LOS ANGELES PARKS FOUNDATION 2650 N COMMONWEALTH AVENUE LOS ANGELES CA 90027 262358338 501(C)(3) 150000 COMMUNITY BENEFIT GRANT LOS ANGELES POLICE FOUNDATION 633 WEST 5TH STREET SUITE 960 LOS ANGELES CA 90071 954700442 501(C)(3) 15000 TRAINING AND EDUCATION FUNDING LOS ANGELES TRUST FOR CHILDREN'S HEALTH 333 S BEAUDRY AVENUE LOS ANGELES CA 90017 954262448 501(C)(3) 102500 GENERAL SUPPORT LOS ANGELES URBAN LEAGUE 4401 CRENSHAW BLVD SUITE 201 LOS ANGELES CA 90043 951691288 501(C)(3) 150000 GENERAL SUPPORT LUPUS LA 8383 WILSHIRE BLVD 232 BEVERLY HILLS CA 90211 461126232 501(C)(3) 7500 GENERAL SUPPORT MAKE A WISH FOUNDATION 11390 W OLYMPIC BLVD NO 300 LOS ANGELES CA 90064 954107024 501(C)(3) 20000 GENERAL SUPPORT MARCH OF DIMES 1550 CRYSTAL DRIVE SUITE STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 50220 GENERAL SUPPORT MARINA DEL REY SHERIFF'S SUPPORT UNIT 15821 VENTURA BLVD 500 ENCINO CA 91436 510587035 501(C)(3) 10000 TRAINING AND EDUCATION FUNDING MAYOR'S FUND FOR LOS ANGELES 200 N SPRING STREET NO 305B LOS ANGELES CA 90012 471084641 501(C)(3) 52500 GENERAL SUPPORT MEDICARE RIGHTS CENTER INC 266 WEST 37TH ST 3RD FLOOR NEW YORK NY 10018 133505372 501(C)(3) 6500 GENERAL SUPPORT MF PLACE INC POST OFFICE BOX 3867 HOLLYWOOD CA 90078 954834034 501(C)(3) 10000 GENERAL SUPPORT MLK JR COMMUNITY HEALTH FOUNDATION 1680 E 120TH STREET LOS ANGELES CA 90059 454433505 501(C)(3) 1028450 GENERAL SUPPORT NAMI LAC 3600 WILSHIRE BLVD STE 1804 LOS ANGELES CA 90010 954049720 501(C)(3) 12500 GENERAL SUPPORT NATIONAL ACADEMY OF SCIENCES ILAR 2101 CONSTITUTION AVENUE NW WASHINGTON DC 20418 530196932 501(C)(3) 50000 GENERAL SUPPORT NATIONAL ASSOC OF JEWISH CHAPLAINS(NAJC) 3950 BISCANE BLVD MIAMI FL 33137 061288389 501(C)(3) 5400 GENERAL SUPPORT NATIONAL CENTER HEALTHCARE LEADERSHIP 17 N STATE STREET NO 1530 CHICAGO IL 60602 364483505 501(C)(3) 25000 GENERAL SUPPORT NATIONAL COUNCIL OF JEWISH WOMEN 543 N FAIRFAX AVENUE LOS ANGELES CA 90036 951641433 501(C)(3) 25000 GENERAL SUPPORT NETWORK FOR EXCELLENCE IN HEALTH (NEHI) 133 FEDERAL STREET 9TH FLOOR BOSTON MA 02110 010624865 501(C)(3) 10000 GENERAL SUPPORT NEW DIRECTIONS FOR VETERANS 11303 WILSHIRE BLVD BLDG 116 LOS ANGELES CA 90073 954242745 501(C)(3) 75000 FUNDING PSYCHIATRIC CARE SERVICES OCEAN PARK COMMUNITY CENTER 2116 ARLINGTON AVENUE NO 100 LOS ANGELES CA 90018 956143865 501(C)(3) 125000 GENERAL SUPPORT OLIVE VIEW UCLA EDUC & RESEARCH INST 14445 OLIVE VIEW DR ADMIN BLDG SYLMAR CA 91342 952249539 501(C)(3) 10000 GENERAL SUPPORT ONE LEGACY 221 SOUTH FIGUEROA STREET NO 500 LOS ANGELES CA 90012 452936915 501(C)(3) 11000 GENERAL SUPPORT OPEN PATHS COUNSELING CENTER 5731 W SLAUSON AVE CULVER CITY CA 90230 953221061 501(C)(3) 150000 GENERAL SUPPORT OUR HOUSE INC 1663 SAWTELLE BLVD LOS ANGELES CA 90025 330529915 501(C)(3) 26200 GENERAL SUPPORT PACIFIC AREA BOOSTERS ASSOCIATION INC PO BOX 2895 VENICE CA 90291 953971193 501(C)(3) 12500 TRAINING AND EDUCATION FUNDING PACIFIC COUNCIL ON INTERNATIONAL POLICY 725 SOUTH FIGUEROA STREET NO 450 LOS ANGELES CA 90017 954520471 501(C)(3) 25000 GENERAL SUPPORT PANCREATIC CANCER ACTION NETWORK INC 1500 ROSECRANS AVENUE NO 200 MANHATTAN BEACH CA 90266 330841281 501(C)(3) 10000 GENERAL SUPPORT PARA LOS NINOS 5000 HOLLYWOOD BLVD LOS ANGELES CA 90027 953443276 501(C)(3) 75000 COMMUNITY BEHAVIORAL HEALTH GRANT PARTNERS IN CARE FOUNDATION 732 MOTT ST SUITE 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 15000 GENERAL SUPPORT PATH (PEOPLE ASSISTING THE HOMELESS) 340 NORTH MADISON AVENUE LOS ANGELES CA 90004 953950196 501(C)(3) 126762 GENERAL SUPPORT PATIENT CARE FOUNDATION OF LA COUNTY 1055 W 7TH STREET NO 2290 LOS ANGELES CA 90017 262974477 501(C)(3) 6500 GENERAL SUPPORT PHASE ONE 256 26TH ST NO 201 SANTA MONICA CA 90402 912129319 501(C)(3) 10000 GENERAL SUPPORT PLANNED PARENTHOOD LOS ANGELES 400 WEST 30TH STREET LOS ANGELES CA 90007 952408623 501(C)(3) 501400 COMMUNITY CLINIC GRANT PLANNED PARENTHOOD PASADENA AND SAN 2333 N LAKE AVE 2ND FLOOR ALTADENA CA 91001 951916050 501(C)(3) 50000 COMMUNITY MENTAL HEALTH GRANT PROJECT ANGEL FOOD 922 VINE ST LOS ANGELES CA 90038 954115863 501(C)(3) 10000 COMMUNITY CLINIC GRANT RAND CORPORATION 1776 MAIN STREET PO BOX 2138 SANTA MONICA CA 90407 951958142 501(C)(3) 30000 GENERAL SUPPORT READING IS FUNDAMENTAL OF SO CALIF INC 7250 BANDINI BLVD ROOM 209 LOS ANGELES CA 90040 237425712 501(C)(3) 10000 GENERAL SUPPORT REGENTS OF THE UNIVERSITY OF CALIF IRVIN 120 THEORY STE 200 IRVINE CA 92617 952226406 501(C)(3) 510000 TRAINING AND EDUCATION FUNDING SANTA MONICA CHAMBER OF COMMERCE 1234 6TH STREET NO 100 SANTA MONICA CA 90401 951192245 501(C)(6) 14800 GENERAL SUPPORT SANTA MONICA MALIBU EDUCATION FOUNDATION 1645 16TH ST SANTA MONICA CA 90404 953787674 501(C)(3) 10000 GENERAL SUPPORT SHARSHERET 1086 TEANECK ROAD NO 2G TEANECK NJ 07666 134198529 501(C)(3) 125000 GENERAL SUPPORT SHEILA KAR HEALTH FOUNDATION 150 N ROBERTSON BLVD BEVERLY HILLS CA 90211 204259640 501(C)(3) 6000 GENERAL SUPPORT SOUTHERN CALIFORNIA COUNSELING CENTER 5615 W PICO BLVD LOS ANGELES CA 90019 952430665 501(C)(3) 75000 GENERAL SUPPORT SOUTHERN CALIFORNIA GRANTMAKERS 1000 NORTH ALAMEDA STREET NO 230 LOS ANGELES CA 90012 952831058 501(C)(3) 8500 GENERAL SUPPORT SOUTHSIDE COALITION OF COMMUNITY HEALTH 1400 S GRAND AVENUE LOS ANGELES CA 90015 208892311 501(C)(3) 25000 TRAINING AND EDUCATION FUNDING ST JOHN'S WELL CHILD & FAMILY CENTER 808 W 58TH STREET LOS ANGELES CA 90037 954067758 501(C)(3) 50000 FOOD INSECURITY GRANT ST JOSEPH CENTER 204 HAMPTON DRIVE VENICE CA 90291 953874381 501(C)(3) 50900 GENERAL SUPPORT STEP UP ON SECOND STREET INC 1328 SECOND STREET SANTA MONICA CA 90401 954109386 501(C)(3) 50000 GENERAL SUPPORT TEAM HEAL FOUNDATION INC 6801 PARK TERRACE LOS ANGELES CA 90045 330954775 501(C)(3) 300000 GENERAL SUPPORT TEEN LINE PO BOX 48750 LOS ANGELES CA 90048 953760982 501(C)(3) 10000 GENERAL SUPPORT THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE NO 405 CULVER CITY CA 90230 954552419 501(C)(3) 50000 GENERAL SUPPORT THE CHRYSALIS CENTER 522 S MAIN ST LOS ANGELES CA 90013 953972624 501(C)(3) 25000 GENERAL SUPPORT THE CLINIC INC 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 237351622 501(C)(3) 75000 COMMUNITY BENEFIT GRANT THE HEART FOUNDATION 31822 VILLAGE CENTER RD SUITE 208 WESTLAKE VILLAGE CA 91361 450471117 501(C)(3) 25000 GENERAL SUPPORT THE LOS ANGELES FREE CLINIC 8405 BEVERLY BOULEVARD LOS ANGELES CA 90048 952539105 501(C)(3) 210941 GENERAL SUPPORT THE MAPLE COUNSELING CENTER (TMCC) 9107 WILSHIRE BOULEVARD LOWER LEVEL BEVERLY HILLS CA 90210 952753118 501(C)(3) 575000 GENERAL SUPPORT THE REGENTS OF THE UC SAN FRANCISCO 220 MONTGOMERY ST FL 5 SAN FRANCISCO CA 94104 946036493 501(C)(3) 1550000 GENERAL SUPPORT TIDES CENTER PO BOX 29907 SAN FRANCISCO CA 94129 943213100 501(C)(3) 1398750 GENERAL SUPPORT TOWER CANCER RESEARCH FOUNDATION 8767 WILSHIRE BLVD NO 401 BEVERLY HILLS CA 90211 954596354 501(C)(3) 6500 GENERAL SUPPORT UCLA FOUNDATION 10920 WILSHIRE BLVD SUITE 900 LOS ANGELES CA 90024 952250801 501(C)(3) 27000 GENERAL SUPPORT UNIHEALTH FOUNDATION 800 WILSHIRE BLVD SUITE 1300 LOS ANGELES CA 90017 955004033 501(C)(3) 250000 GENERAL SUPPORT UNITED STATES OF CARE CAMPAIGN PO BOX 32025 WASHINGTON DC 20007 822860302 501(C)(3) 200000 GENERAL SUPPORT UNITED WAY OF GREATER LOS ANGELES 1150 S OLIVE STREET SUITE T500 LOS ANGELES CA 90015 952274801 501(C)(3) 100000 GENERAL SUPPORT UNIVERSITY OF SOUTHERN CALIFORNIA (USC) UNIVERSITY GARDENS UGB203 LOS ANGELES CA 90089 951642394 501(C)(3) 43000 GENERAL SUPPORT VENICE FAMILY CLINIC 604 ROSE AVENUE VENICE CA 90291 952769432 501(C)(3) 130000 GENERAL SUPPORT VENICE FAMILY CLINIC FOUNDATION 604 ROSE AVENUE VENICE CA 90291 273484548 501(C)(3) 10000 GENERAL SUPPORT WEST HOLLYWOOD CHAMBER OF COMMERCE 8272 SANTA MONICA BLVD WEST HOLLYWOOD CA 90046 951359210 501(C)(6) 10000 GENERAL SUPPORT WEST HOLLYWOOD SHERIFF'S BOOSTER CLUB 8949 SUNSET BLVD WEST HOLLYWOOD CA 90069 201304614 501(C)(3) 10000 TRAINING AND EDUCATION FUNDING WESTSIDE FAMILY HEALTH CENTER 1711 OCEAN PARK BLVD SANTA MONICA CA 90405 952931931 501(C)(3) 100000 GENERAL SUPPORT WESTSIDE JEWISH COMMUNITY CENTER INC 5870 W OLYMPIC BLVD LOS ANGELES CA 90036 951691010 501(C)(3) 15000 GENERAL SUPPORT 128 9 PART I, LINE 2: THE ORGANIZATION CONSISTENTLY 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. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 MICHAEL ALEXANDER MD BOARD MEMBER/STAFF PHYS. 861529 0 111900 0 97430 0 23375 0 46700 0 1140934 0 0 0 SCOTT KARLAN MD BOARD MEMBER/STAFF PHYS. 338712 0 53177 0 34829 0 64562 0 13937 0 505217 0 0 0 PEGGY MILES MD BOARD MEMBER 316223 0 40472 0 21963 0 94250 0 32336 0 505244 0 0 0 THOMAS M PRISELAC PRESIDENT/CEO 1683048 0 1207942 0 2723049 0 741876 0 24711 0 6380626 0 2187500 0 RICHARD RIGGS MD BOARD MEMBER/STAFF PHYS. 676677 0 216598 0 256624 0 36905 0 33420 0 1220224 0 0 0 EDWARD M PRUNCHUNAS CHIEF FINANCIAL OFFICER 852677 0 376759 0 1625099 0 369092 0 24581 0 3248208 0 912500 0 MARK GAVENS CHIEF OPERATING OFFICER 865663 0 457127 0 530834 0 118199 0 26560 0 1998383 0 125000 0 SHLOMO MELMED MD CHIEF ACADEMIC OFFICER 1123558 0 458603 0 671759 0 555250 0 23662 0 2832832 0 312500 0 JEFFREY SMITH MD JD MMM CHIEF OPERATING OFFICER 276114 0 364000 0 8827 0 0 0 10045 0 658986 0 0 0 KEITH BLACK MD CHAIR-NEUROSURGERY 2105756 0 418800 0 639869 0 -4318 0 27293 0 3187400 0 0 0 EDUARDO MARBAN MD DIRECTOR-HEART INSTITUTE 1683109 0 379674 0 502092 0 155682 0 33296 0 2753853 0 0 0 RICHARD B JACOBS CHIEF STRATEGY OFFICER 683498 0 338029 0 1386715 0 274340 0 15378 0 2697960 0 822708 0 RAJENDRA MAKKAR MD EXEC DIRECTOR-CARDIAC INTERVENTIONAL 1118121 0 949296 0 385979 0 17821 0 41627 0 2512844 0 0 0 BRUCE GEWERTZ MD CHAIR-DEPT OF SURGERY 1458645 0 297350 0 270394 0 197126 0 23989 0 2247504 0 0 0 PART I, LINE 1A THE ORGANIZATION'S TRAVEL POLICY CONTAINS A PROVISION THAT ALLOWS FLYING FIRST CLASS FOR ANY ONE-WAY FLIGHT THAT IS LONGER THAN EIGHT HOURS. EXCEPTIONS REQUIRE SENIOR EXECUTIVE APPROVAL. THE OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES HAVE, FROM TIME TO TIME, FLOWN FIRST CLASS AS ALLOWED BY THE TRAVEL POLICY. PART I, LINE 4B 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, FIVE INDIVIDUALS HAVE RETENTION INCENTIVES WHICH HAD CLIFF-VESTING DATES IN 2018. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2018 RELATED TO THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. MICHAEL ALEXANDER, MD 95,541 SCOTT KARLAN, MD 30,783 PEGGY MILES, MD 17,871 THOMAS M. PRISELAC 2,612,809 EDWARD PRUNCHUNAS 1,614,072 RICHARD RIGGS, MD 243,328 MARK GAVENS 519,367 SHLOMO MELMED, MD 658,355 JEFFREY SMITH, MD,JD, MMM 8,827 KEITH BLACK, MD 630,959 EDUARDO MARBAN, MD 339,485 RICHARD JACOBS 1,324,367 RAJENDRA MAKKAR, MD 296,793 BRUCE GEWERTZ, MD 254,104 A CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UKD9 2016-11-09 755157409 SEE PART VI, ISSUE A, DESCRIPTION OF PURPOSE 0 0 0 B CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UBJ6 2015-11-17 438579839 SEE PART VI, ISSUE B, DESCRIPTION OF PURPOSE 0 0 0 C CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LVK0 2011-12-21 163357091 SEE PART VI, ISSUE C, DESCRIPTION OF PURPOSE 0 0 0 D CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LDG9 2009-10-21 541045288 NEW FAC CONST & PRIOR CAP EXP REIMB 1 0 0 A 11205000 757093777 435150733 1932 321941112 2017 0 1 1 1 B 2100000 438579839 4239 438575600 2015 1 0 1 1 C 91670000 163357091 163357091 2012 1 0 1 1 D 133710000 392605000 541611264 46022336 495588928 2013 0 0 1 1 A 0 1 1 1 1 1 0 0 1 D 0 1 1 1 1 1 0 0 1 A 0 1 0 1 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K SUPPLENTAL INFORMATION ISSUE A, PART I, (F)-DESCRIPTION OF PURPOSE - CAPITAL EXPENDITURE REIMBURSEMENT (SERIES 2016A) & ADVANCED REFUND 2009 BONDS (SERIES 2016B - ISSUE DATE:10/21/2009). ISSUE A, PART II, LINE 3: THE TOTAL PROCEEDS REPORTED IS THE SUM OF THE ISSUE PRICE REPORTED ON PART I, COLUMN E PLUS THE CUMULATIVE INVESTMENT EARNINGS AS OF THE END OF THE TAX YEAR. ISSUE A, PART III, QUESTION 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH REPECT TO THE BONDS, AS THE LEVEL OF PRIVATE USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. ISSUE A, PART IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 11/09/2018. ISSUE B, PART I,(F) - DESCRIPTION OF PURPOSE - REFUND 2005 BONDS AND COI-ISSUE DATE: 8/10/2005. ISSUE C, PART 1,(F)-DESCRIPTION OF PURPOSE - REFUND 1997A AND 1997B BONDS - ISSUE DATES:9/15/1997, 10/01/1997. ISSUE C, PART IV,QUESTION 2C; THE FINAL REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 3/21/2014. ISSUE D, PART II, LINE 3: THE TOTAL PROCEEDS REPORTED IS THE SUM OF THE ISSUE PRICE REPORTED ON PART I, COLUMN E PLUS THE CUMULATIVE INVESTMENT EARNINGS AS OF THE END OF THE TAX YEAR. ISSUE D, PART III, QUESTION 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS. AS THE LEVEL OF PRIVATE USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITED UNDER SECTION 145 OF THE CODE. ISSUE D, PART IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 9/11/2014. G MELMED MD FAMILY HOUSING LOAN X 150000 60000 0 1 1 SUB CONTRIBUTOR DONOR HOUSING LOAN X 250000 200000 0 1 1 SUB CONTRIBUTOR DONOR INS PREMIUMS X 542380 542380 0 1 1 VAR INT PERSONS OFF, BRD INS PREMIUMS X 692850 692850 0 1 1 1495230 ANGELA HIRAI YANG PART V NARRATIVE - FAMILY MEMBER OF CLEMENT YANG, A BOARD MEMBER 226846 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BARBARA LEANSE PART V NARRATIVE - FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER 511651 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BETH KARLAN MD PART V NARRATIVE - FAMILY MEMBER OF SCOTT KARLAN, A BOARD MEMBER 578037 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 EMILY SIEGEL MD PART V NARRATIVE - FAMILY MEMBER OF MARK SIEGEL, A BOARD MEMBER 73787 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 ERIK INNOCENTI PART V NARRATIVE - FAMILY MEMBER OF PHILOMENA MCANDREW, A BOARD MEMBER 236418 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 GIL MELMED MD PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 751368 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 SUBSTANTIAL CONTRIBUTOR PART V NARRATIVE - SUBSTANTIAL CONTRIBUTOR 356211 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 FIRST PACIFIC ADVISORS LLC PART V NARRATIVE - LLC MORE THAN 35% OWNED BY STEVEN ROMICK, A BOARD MEMBER 524204 PART V NARRATIVE - INVESTMENT MANAGEMENT FEES 0 121 SAN VICENTE LLC PART V NARRATIVE - LLC MORE THAN 35% OWNED BY MOHAMED AHMAR, A BOARD MEMBER 2771675 PART V NARRATIVE - PROPERTY LEASE 0 X 100 0 X 22 1206092 SEE SCH M, PART II 3 0 1 0 PART I, COLUMN (B): FOR PURPOSES OF SCHEDULE M, PART I, CEDARS-SINAI MEDICAL CENTER IS REPORTING THE NUMBER OF ITEMS RECEIVED FOR LINES 1 WITH RESPECT TO PIECES OF ARTWORK AND THE NUMBER OF INSTANCES OF DONATION OCCURED FOR LINE 9 WITH RESPECT TO PUBLICLY TRADED SECURITIES. PART I, LINE 33: WORKS OF ART - THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER ACCOUNTING STANDARDS CODIFICATION 958, NOT TO REPORT ON ITS STATEMENT OF ACTIVITIES AND BALANCE SHEET, WORKS OF ART HELD FOR PUBLIC EXHIBITION. SCHEDULE M, PART I, LINE 9, COLUMN (D): METHOD OF DETERMINING REVENUE RELATED TO CONTRIBUTED SECURITIES - CALCULATION IS BASED ON THE MEAN BETWEEN HIGH AND LOW QUOTATIONS ON THE DATE THE SECURITIES PASS UNCONDITIONALLY FROM DONOR CONTROL TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 CEDARS-SINAI HEALTH SYSTEM BECAME THE SOLE MEMBER OF THE FILING ORGANIZATION ON MAY 1, 2017. FORM 990, PART VI, SECTION A, LINE 7A CSMC'S SOLE MEMBER, CEDARS-SINAI HEALTH SYSTEM, HAS THE POWER TO ELECT INDIVIDUALS TO THE BOARD OF DIRECTORS OF CEDARS-SINAI MEDICAL CENTER IN ACCORDANCE WITH THE NOMINATION AND ELECTION PROCESS SET FORTH IN THE CSMC'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B CEDARS-SINAI HEALTH SYSTEM'S APPROVAL IS REQUIRED BEFORE CEDARS-SINAI MEDICAL CENTER CAN DO ANY OF THE FOLLOWING: CHANGE ITS MISSION, VISION, AND VALUES; CHANGE ITS CORPORATE STRUCTURE IN A MANNER THAT WOULD AFFECT TAX-EXEMPT STATUS; APPROVE THE COMMUNITY BENEFIT PLAN; VOLUNTARILY DISSOLVE; INCUR MATERIAL INDEBTEDNESS; SELL REAL PROPERTY; EXECUTE MATERIAL CONTRACTS NOT ALREADY SET FORTH IN AN APPROVED BUDGET; AND CERTAIN OTHER MATERIAL CORPORATE ACTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 UNDERGOES A COMPREHENSIVE REVIEW PROCESS. THE REVIEW INVOLVES VARIOUS MANAGEMENT PERSONNEL, INCLUDING THE GENERAL COUNSEL, AND A BIG FOUR ACCOUNTING FIRM. A MULTI-LEVEL REVIEW IS PERFORMED WITHIN THE FINANCE DEPARTMENT INCLUDING REVIEW BY THE SENIOR VICE-PRESIDENT AND THE CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE COMPENSATION INFORMATION IS REVIEWED BY THE SENIOR VICE-PRESIDENT OF HUMAN RESOURCES AND THE COMPENSATION COMMITTEE. THE FORM 990 IS PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND DISCUSS THE INFORMATION REPORTED. FORM 990, PART VI, SECTION B, LINE 12C THE CEDARS-SINAI MEDICAL CENTER (CSMC) CONFLICT OF INTEREST POLICY IS A BOARD-APPROVED POLICY AND CONFLICT OF INTEREST OVERSIGHT IS THE RESPONSIBILITY OF THE BOARD OF DIRECTORS. CONFLICT REPORTING IS REQUIRED THROUGH THE OFFICE OF THE PRESIDENT/CEO WHO REPORTS TO THE BOARD ON COI-RELATED MATTERS THROUGH THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. MONITORING PRACTICES: REGULAR AND CONSISTENT MONITORING IS DELEGATED BY THE PRESIDENT/CEO TO THE DIRECTOR OF INTERNAL AUDIT/CONFLICT OF INTEREST (COI) ADMINISTRATOR AND THE CONFLICT OF INTEREST STEERING COMMITTEE. ADDITIONAL MONITORING AND ENFORCEMENT OF CONFLICTS OF INTEREST IS HANDLED THROUGH RESEARCH ADMINISTRATION AND THE INSTITUTIONAL REVIEW BOARDS (IRB) IN SUPPORT OF COMPLIANCE WITH THE CONFLICT OF INTEREST REQUIREMENTS OF THE NATIONAL INSTITUTES OF HEALTH FOR SPECIFIC RESEARCH PROTOCOLS. MECHANISMS ARE IN PLACE TO PROVIDE FOR COLLABORATION BETWEEN COI ADMINISTRATION AND RESEARCH ADMINISTRATION. ADDITIONALLY, HOSPITAL-BASED PHYSICIANS COI MATTERS ARE HANDLED BY THE APPLICABLE HOSPITAL-BASED PHYSICIAN CHAIRMEN AND COORDINATION ALSO OCCURS WHERE NECESSARY (SUCH AS WITH THE MEDICAL STAFF OFFICE FOR PHYSICIANS HOLDING MEDICAL STAFF COMMITTEE APPOINTMENTS). WHERE CONFLICTS ARE IDENTIFIED THAT REQUIRE EITHER FORMAL OR INFORMAL MONITORING, RELATED ROUTINE OR PERIODIC MONITORING IN THESE INSTANCES IS SET AT THE DEPARTMENT CHAIRPERSON OR VICE PRESIDENTIAL LEVEL, WITH ANNUAL OR OTHER FOLLOW-UP BY THE COI STEERING COMMITTEE, IRB, OR COI ADMINISTRATOR AS DEEMED APPLICABLE. COVERED INDIVIDUALS: UNDER THE CONFLICT OF INTEREST POLICY, "COVERED INDIVIDUALS" REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE INCLUDE: MEMBERS OF THE BOARD OF DIRECTORS AND COMMITTEES OF THE BOARD; THE PRESIDENT/CEO; SENIOR EXECUTIVES (DIRECT REPORTS TO THE CEO); MEMBERS OF THE COI STEERING COMMITTEE; MEMBERS OF THE FACULTY; MEMBERS OF THE MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITIES; MEMBERS OF MEDICAL STAFF COMMITTEES; RESEARCH INVESTIGATORS; AND OTHER INDIVIDUALS IDENTIFIED BY THE BOARD OR EXECUTIVE LEADERSHIP. WHILE ALL EMPLOYEES ARE REQUIRED BY POLICY TO DISCLOSE POTENTIAL CONFLICTS TO THEIR SUPERVISORS WHEN THEY ARISE, THE NOTED COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE FORMAL ANNUAL DISCLOSURE USING A PRESCRIBED QUESTIONNAIRE. MORE FREQUENT DISCLOSURE IS REQUIRED AS WARRANTED BY ACTIVITIES UNDERTAKEN BETWEEN ANNUAL DISCLOSURES. THE DISCLOSURE POLICY EXTENDS TO FAMILY MEMBERS OF COVERED INDIVIDUALS AS THEY MAY DIRECTLY OR INDIRECTLY GIVE RISE TO CONFLICTS OF INTEREST. COI, DETERMINATION, AND REVIEW ACTION LEVELS: ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE ACCUMULATED IN A WEB-BASED DATABASE REFERRED TO AS THE COI SYSTEM. ALL QUESTIONNAIRES ARE ANALYZED AND ALL DISCLOSURES MADE ARE REVIEWED FOR VALIDITY, COMPLETENESS AND THE PRESENCE OF A REAL OR PERCEIVED CONFLICT OF INTEREST. CONFLICTS OF INTEREST ARE ANALYZED, REVIEWED, MONITORED AND ENFORCED THROUGH WORKFLOWS REPORTING UP TO THE PRESIDENT/CEO. ALL DISCLOSURES ARE REVIEWED FIRST BY COI ADMINISTRATION AND THEN: (1) FOR BOARD, EXECUTIVE AND COI STEERING COMMITTEE MEMBERS, REVIEWED BY GENERAL COUNSEL; AND (2) FOR ALL OTHER INDIVIDUALS REQUIRED TO SUBMIT ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES, REVIEWED BY THE COI STEERING COMMITTEE. THE COI STEERING COMMITTEE IS AN ADVISORY COMMITTEE TO THE PRESIDENT AND CEO ON A VARIETY OF COI MATTERS INCLUDING THE MONITORING AND ENFORCEMENT OF COMPLIANCE WITH THE COI POLICY, COI POLICY DEVELOPMENT AND MAINTENANCE, AND OTHER COI RELATED MATTERS. A SUB-GROUP OF THE COMMITTEE REVIEWS MATTERS IDENTIFIED BY COI ADMINISTRATION AS REQUIRING ADDITIONAL REVIEW AND ACTION. THIS GROUP CLOSES OR MOVES THE MATTERS UP TO THE COI STEERING COMMITTEE LEVEL FOR REVIEW AND ACTION. REGARDLESS OF THE MONITORING AND ENFORCEMENT PATH, DISCLOSURES ARE CONCLUDED IN ONE OF THE FOLLOWING MANNERS: -- NO CONFLICT EXISTS; -- MANAGED BY DISCLOSURE; -- MANAGED (BY SOME ACTION); -- MANAGED BY PLAN (FORMAL PLAN WITH FOLLOW-UP); -- MANAGED BY PLAN: IRB (FORMAL PLAN IS DEVELOPED AND MANAGED BY RESEARCH ADMINISTRATION FOR CLINICAL TRIAL RELATED MATTERS); -- MANAGED BY SEPARATION (FROM EITHER THEIR APPLICABLE CSMC ROLE OR THE ACTIVITY CREATING THE CONFLICT); -- CONFLICT (A CONFLICT THAT MUST BE REPORTED FOR CEO/BOARD LEVEL ACTION). ANYONE IN VIOLATION OF THE POLICY IS SUBJECT TO THE FOLLOWING ADMINISTRATIVE ACTIONS INCLUDING ORAL ADMONISHMENT, WRITTEN REPRIMAND, DISCIPLINE, REASSIGNMENT, DEMOTION, SUSPENSION, REMOVAL, TERMINATION OR SEPARATION. THE MEDICAL CENTER RESERVES THE RIGHT TO PURSUE OTHER ACTIONS AGAINST ANYONE WHO VIOLATES THE COI POLICY TO THE DETRIMENT OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE PERSONNEL COMMITTEE (THE COMMITTEE) IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE ADDRESSES COMPENSATION AND BENEFITS REGARDING THE MEDICAL CENTER'S EXECUTIVE EMPLOYEES AND CONTRACTUALLY ENGAGED FACULTY (ALL COMPENSATED INDIVIDUALS REPORTED ON PART VII AND SCHEDULE J FALL UNDER ONE OF THESE TWO CATEGORIES), AND IS AUTHORIZED BY THE BOARD OF DIRECTORS TO ACT WITH RESPECT TO SUCH ISSUES, THE COMMITTEE EVALUATES THE PERFORMANCE AND APPROVES THE COMPENSATION AND BENEFITS FOR THE MEDICAL CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER; AND APPROVES THE COMPENSATION AND BENEFIT PLANS FOR EXECUTIVES AND THE MEDICAL CENTER'S CONTRACTUALLY ENGAGED FACULTY. THE COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S EXECUTION OF THOSE PLANS WITHIN ESTABLISHED PARAMETERS, TAKING INTO CONSIDERATION THE PERFORMANCE OF THE ORGANIZATION AS A WHOLE; AND ADDRESSES SUCH OTHER COMPENSATION ISSUES REGARDING THE MEDICAL CENTER'S EXECUTIVES AND CONTRACTUALLY ENGAGED FACULTY AS REQUESTED BY THE BOARD OF DIRECTORS. THE COMMITTEE FOLLOWS A PROCESS THAT ENSURES THAT THE COMPENSATION AND BENEFITS PROVIDED TO THE CEO, OTHER EXECUTIVES AND CONTRACTUALLY ENGAGED FACULTY IS REASONABLE AND IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS. THE MEDICAL CENTER'S SVP OF HR PROVIDES STAFF SUPPORT TO THE COMMITTEE. THE COMMITTEE MAY ENGAGE AN INDEPENDENT COMPENSATION AND BENEFITS CONSULTANT, AND ANY OTHER ADVISORS IT DEEMS NECESSARY. THE COMMITTEE MAY ALSO ENGAGE INDEPENDENT COUNSEL. THE MEDICAL CENTER WILL PROVIDE FOR APPROPRIATE FUNDING FOR PAYMENT OF COSTS TO ANY SUCH PERSONS RETAINED BY THE COMMITTEE. AT THE COMMITTEE'S DIRECTION, THE INDEPENDENT COMPENSATION CONSULTANT SHALL PREPARE SUCH REPORTS AS THE COMMITTEE REASONABLY DEEMS NECESSARY. AT A MINIMUM, SUCH REPORTS WILL INCLUDE MARKET SURVEY DATA FROM A PEER GROUP DESIGNATED BY THE COMMITTEE, WHICH SHALL BE CONSIDERED BY THE COMMITTEE PRIOR TO MAKING DECISIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 990-T ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION POSTS ITS CORPORATE INTEGRITY PROGRAM POLICY ON ITS WEBSITE AT HTTPS://WWW.CEDARS-SINAI.ORG/CONTENT/DAM/CEDARS-SINAI/ ABOUT-US/DOCUMENTS/CORPORATE_INTEGRITY_POLICY1.PDF. THE CORPORATE INTEGRITY PROGRAM POLICY OUTLINES THE STANDARDS OF CONDUCT. ADDITIONALLY, 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 XI, LINE 9: CHANGE IN PENSION LIABILITY -41,888,074. INVESTMENT IN JOINT VENTURES - PRIOR YEAR -75,973,903. TRANSFER TO AFFILIATES -230,008,255. INVESTMENT IN JOINT VENTURES - CURRENT YEAR 65,839,211. 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