CEDARS-SINAI MARINA HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CEDARS-SINAI MARINA HOSPITAL (EIN 20-1645949)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201941349349310669
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T19:32:31-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE SUITE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201645949	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CFHS HOLDINGS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CFHS	BusinessNameControlTxt
Phone	3104487881	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4650 LINCOLN BLVD	AddressLine1Txt
City	MARINA DEL REY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90292	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY KATHRYN HAMMACK	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3108238911	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	192.231.86.241	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-14	IPDt
IP Tm	17:03:34	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	441AA63A5AD28D5142E9094244EB82DFC70B9A9D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5D66495798EA847DC80F6602DD5A7F057B72F91F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CEDARS-SINAI MARINA DEL REY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JEFFREY SMITH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8700 BEVERLY BLVD	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90048	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$109,325,916	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARINAHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	802	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$185,609	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,814,768	PYContributionsGrantsAmt
CY Contributions Grants	$2,508,408	CYContributionsGrantsAmt
PY Program Service Revenue	$93,101,152	PYProgramServiceRevenueAmt
CY Program Service Revenue	$106,396,752	CYProgramServiceRevenueAmt
PY Investment Income	$8,957	PYInvestmentIncomeAmt
CY Investment Income	$665	CYInvestmentIncomeAmt
PY Other Revenue	$376,227	PYOtherRevenueAmt
CY Other Revenue	$420,091	CYOtherRevenueAmt
PY Total Revenue	$95,301,104	PYTotalRevenueAmt
CY Total Revenue	$109,325,916	CYTotalRevenueAmt
PY Grants And Similar Paid	$38,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$55,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$56,488,992	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,341,459	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,104,942	PYOtherExpensesAmt
CY Other Expenses	$57,927,477	CYOtherExpensesAmt
PY Total Expenses	$106,631,934	PYTotalExpensesAmt
CY Total Expenses	$111,323,936	CYTotalExpensesAmt
PY Revenues Less Expenses	-$11,330,830	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,998,020	CYRevenuesLessExpensesAmt
Total Assets BOY	$70,051,453	TotalAssetsBOYAmt
Total Assets EOY	$71,606,899	TotalAssetsEOYAmt
Total Liabilities BOY	$54,681,706	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$58,235,172	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$15,369,747	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,371,727	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	* TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE FOR RESIDENTS IN MARINA DEL REY AND SURROUNDING BEACH COMMUNITIES AND THE WESTSIDE OF LOS ANGELES(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)* TO BE RECOGNIZED FOR MEDICAL EXCELLENCE IN SPINE, ORTHOPEDICS, SURGICAL WEIGHT LOSS, MINIMALLY INVASIVE SURGERY, NON-INVASIVE CARDIOLOGY, AND GENERAL ACUTE MEDICAL CARE	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$90,667,574	ExpenseAmt
Grant	$55,000	GrantAmt
Revenue	$106,816,843	RevenueAmt
Desc	CFHS HOLDINGS, INC., DOING BUSINESS AS CEDARS-SINAI MARINA DEL REY HOSPITAL ("THE HOSPITAL"), IS A 133-BED NONPROFIT HOSPITAL AND AFFILIATE OF CEDARS-SINAI. THE HOSPITAL IS FULLY ACCREDITED WITH THE NATIONALLY RECOGNIZED JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (TJC) FOR SAFE AND EFFECTIVE QUALITY CARE. WE HAVE THE FOLLOWING INPATIENT AND OUTPATIENT SERVICES: 24-HOUR EMERGENCY CARE INCLUDING TELESTROKE SERVICES IN COLLABORATION WITH CEDARS-SINAI NEUROSURGEONS, ICU, TELEMETRY, INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES, AND THE MOST ADVANCED SURGICAL TECHNOLOGY AVAILABLE, CAREFULLY PRACTICED UNDER THE SUPERVISION AND SKILLED HANDS OF OUR WORLD-CLASS PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)HOSPITAL SERVICES:-24-HOUR EMERGENCY CARE-TELEMEDICINE STROKE PROGRAM IN THE EMERGENCY DEPARTMENT-INTENSIVE CARE UNIT-TELEMETRY/MEDICAL SURGICAL UNITS (CARDIAC MONITORED BEDS)-INPATIENT AND OUTPATIENT CARE-INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES - IMAGING, GASTROINTESTINAL, LABORATORY, AND CARDIOLOGY-OUTPATIENT BARIATRIC CLINIC-OUTPATIENT SPINE CLINIC-MINIMALLY INVASIVE SURGICAL SERVICES UTILIZING THE MAKO STRYKER ORTHOPAEDIC ROBOT AND THE DA VINCI ROBOT (FOR HERNIA, APPENDECTOMY, GALLBLADDER, COLON, ANTI-REFLUX, BARIATRIC, SPINE, TOTAL HIP, TOTAL KNEE CASES) HOSPITAL STATISTICS:EMPLOYEES 802PHYSICIANS WITH HOSPITAL PRIVILEGES 433SURGEONS WITH HOSPITAL PRIVILEGES 185NUMBER OF SURGERIES ANNUALLY 4,078NUMBER OF ER VISITS ANNUALLY 32,097PAYOR % - HMO/PPO (50%); MEDICARE (35%); MEDI-CAL (4%); COMMERCIAL/OTHER (8%); SELF-PAY/CHARITY (3%)HOSPITAL OPERATIONS:CEDARS-SINAI MARINA DEL REY HOSPITAL UPGRADED THE CLINICAL ELECTRONIC MEDICAL RECORD SYSTEM AND CONVERTED TO EPIC IN MAY OF 2017. THERE WERE CONTINUED ENHANCEMENTS TO THE REPORTING CAPABILITIES IN 2018 AND THE UPGRADED TECHNOLOGY AND REPORTING CAPABILITIES HAVE IMPROVED THE PHYSICIANS AND CLINICAL STAFF ABILITY TO VIEW PRIOR VISIT RECORDS, ENHANCE PATIENT SAFETY VIA ALERTS, INCREASE DATA ANALYSIS AND DECREASED THE AMOUNT OF LABOR FOR SCANNING OF PAPER DOCUMENTS AND ANALYSIS OF DATA. COMMUNITY SUPPORT AND ENGAGEMENT HIGHLIGHTS:- OUR TWO OUTPATIENT CLINICS ARE NATIONALLY RECOGNIZED AS LEADING SURGICAL CENTERS OF CARE. THE MARINA SPINE CENTER IS A MULTIDISCIPLINARY CENTER OFFERING COMPREHENSIVE SPINE SERVICES, FROM EVALUATION AND DIAGNOSIS TO SURGERY AND REHABILITATION. AN ADDITIONAL SPINE SURGEON WAS ADDED TO THE CLINIC STAFF IN 2018. OUR MARINA WEIGHT LOSS CENTER, WHICH HAS A TOTAL OF 12 SURGEONS, IS ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) FOR EXCELLENCE.- CEDARS-SINAI MARINA DEL REY HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN LOS ANGELES' 11TH DISTRICT, AND WE ARE ACTIVELY INVOLVED IN COUNCILMAN MIKE BONIN'S HOMELESS INITIATIVE, VENICE FORWARD. IN ADDITION, WE HAVE JOINED FORCES WITH OUR COMMUNITY PARTNERS (VENICE FAMILY CLINIC, ST. JOSEPH CENTER, AND OPCC THE PEOPLE CONCERN) TO HELP STEM THE HOMELESS CRISIS ON THE WESTSIDE. PLANS FOR FY2019 INCLUDE IMPLEMENTING A HOMELESS FACILITATOR/NAVIGATOR IN THE EMERGENCY ROOM AT MDRH THROUGH COLLABORATION WITH "THE PEOPLE CONCERN AND CSMC TO FACILITATE AND COORDINATE THE POST-DISCHARGE HOMELESS PATIENTS' MEDICAL AND HOUSING NEEDS. - CEDARS-SINAI MARINA DEL REY HOSPITAL LEADERSHIP ENGAGES WITH THE COMMUNITY IN A VARIETY OF WAYS. FACILITY STAFF REPRESENT THE HOSPITAL AT THE FOLLOWING LOCAL COMMUNITY EVENTS AND COLLABORATIVES: HOST COMMUNITY DANCE FITNESS CLASSES ON SITE HOST COMMUNITY YOGA CLASSES ON SITE HOST COMMUNITY TAI CHI CLASSES ON SITE PARTICIPATE IN THE LOCAL ROTARY AND CHAMBER OF COMMERCE PARTICIPATE IN L.A. COUNCIL MEMBER MIKE BONIN'S VENICE FORWARD COLLABORATIVE VENICE FAMILY CLINIC VENICE MARINA COUNCIL DEL REY NEIGHBORHOOD COUNCIL AND DEL REY HEALTH FAIR PACIFIC DIVISION BLOCK CAPTAINS MEETING VENICE NEIGHBORHOOD COUNCIL - BOARD MEETING MAR VISTA NEIGHBORHOOD FAIR THE PEOPLE CONCERN (FORMERLY OPCC) ST. JOSEPH CENTER - CES (COORDINATED ENTRY SYSTEM) LAX COASTAL CHAMBER OF COMMERCE *4TH OF JULY COMMUNITY PARADE IN WESTCHESTERSPECIFIC HOSPITAL STAFF ATTEND MONTHLY OR QUARTERLY MEETINGS IN ADDITION TO THE SPECIAL EVENTS.- CEDARS-SINAI MARINA DEL REY HOSPITAL ADOPTS FAMILIES DURING THE HOLIDAY SEASON THROUGH SEVERAL OF THE ABOVE AGENCIES AND HOSPITAL LEADERSHIP ACTIVELY PARTICIPATES IN OTHER FUND-RAISING COMMUNITY EVENTS THROUGH BOTH MONETARY AND EMPLOYEE SUPPORT.PROGRAM ACCOMPLISHMENTS/DEVELOPMENT:- CEDARS-SINAI MARINA DEL REY HOSPITAL IN COLLABORATION WITH CEDARS-SINAI MEDICAL CENTER (CSMC) NEUROLOGY DEPARTMENT HAS BEEN UTILIZING TELEMEDICINE IN THE EMERGENCY ROOM SINCE FEBRUARY 2017 TO SUCCESSFULLY DIAGNOSE STROKE, EXPEDITE DIAGNOSIS AND TREATMENT. IN 2018, AN ADDITIONAL TELEMEDICINE ROBOT WAS ADDED TO THE FACILITY ICU TO ENHANCE NEURO SERVICES IN COLLABORATION WITH CEDARS NEUROLOGY DEPARTMENT. SINCE INCEPTION OF THE PROGRAM IN 2017 AND THROUGH 2018, 91 PATIENTS EXHIBITING ACUTE STROKE SYMPTOMS HAVE RECEIVED TELE-STROKE CONSULTATIONS VIA THE INTOUCH CAMERA. 34 OF THOSE PATIENTS WERE TRANSFERRED TO CSMC FOR HIGHER LEVEL OF CARE (15 WERE IDENTIFIED AS HAVING AN ACUTE STROKE, RECEIVED TPA, AND WERE TRANSFERRED TO CSMC). 53 REMAINED AT MDRH FOR TREATMENT. MDRH, IN COLLABORATION WITH CSMC, IS SEEKING TO OBTAIN THE AMERICAN HEART/AMERICAN STROKE ASSOCIATION AND THE JOINT COMMISSION PRIMARY STROKE CENTER CERTIFICATION WITH A TARGET GOAL FOR SUBMISSION IN 2019.-ADDITIONAL SPECIALTY PHYSICIANS ARE ROTATING THROUGH A SPECIALTY CLINIC ADJACENT TO THE HOSPITAL TO COVER SPECIALTIES NOT PREVIOUSLY OFFERED AT CEDARS-SINAI MARINA DEL REY HOSPITAL. THESE SERVICES PROVIDED BY CEDARS FOUNDATION PHYSICIANS INCLUDE ENT, GYN, CARDIOLOGY, GI, AND NEUROLOGY. THE SPECIALISTS ALTERNATE DAYS OF THE WEEK MAKING FOLLOW-UP APPOINTMENTS FOR PATIENTS SEEN AS INPATIENTS IN THE HOSPITAL EASIER WHICH ALSO HELPS REDUCE READMISSIONS AND IS CONVENIENT FOR THE PATIENTS IN OUR COMMUNITY.-THE HOSPITAL PARTICIPATED IN THE COMPREHENSIVE JOINT PROGRAM INITIATIVE WITH OUR ORTHO PHYSICIANS AND STAFF. PATIENT EDUCATION PROGRAMS WERE DEVELOPED TO IMPROVE THE PATIENT EXPERIENCE. FEEDBACK FROM THE COMMUNITY HAS BEEN POSITIVE.-THE HOSPITAL IN COLLABORATION WITH CEDARS SINAI MEDICAL FOUNDATION EAR, NOSE, AND THROAT PHYSICIANS (DR. GENE LIU) PURCHASED SPECIALIZED ENT SURGICAL EQUIPMENT TO PROVIDE THOSE SERVICES TO OUR COMMUNITY BEGINNING IN 2017 AND EXPANDED THE INSTRUMENTATION IN 2018.	Desc
Total Program Service Expenses	$90,667,574	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	145	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	802	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY KATHRYN HAMMACK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3104487881	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4640 ADMIRALTY WAY SUITE 650	AddressLine1Txt
City	MARINA DEL REY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90292	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN KREMS MD
BOARD MEMBER	5.00	0.00	Yes (X)	$0	$0	$0
THOMAS M PRISELAC
CHAIR	5.00	75.00	Yes (X)	$0	$3,627,555	$1,373,150
MARC H RAPAPORT
BOARD MEMBER	5.00	18.00	Yes (X)	$0	$0	$0
NICKOLAS TOMASIC MD
BOARD MEMBER	5.00	0.00	Yes (X)	$0	$0	$0
LESLIE VERMUT
BOARD MEMBER	5.00	8.00	Yes (X)	$0	$0	$0
THOMAS J WAFER JR
BOARD MEMBER	5.00	0.00	Yes (X)	$0	$0	$0
WALTER ZIFKIN
BOARD MEMBER	5.00	0.00	Yes (X)	$0	$0	$0
MARK GAVENS
CEO	6.00	61.00		$0	$1,724,078	$212,630	Yes (X)
MARY KATHRYN HAMMACK
CFO/TREASURER	50.00	5.00		$247,779	$0	$9,251	Yes (X)
PAULETTE HEITMEYER
COO	50.00	1.00		$0	$448,894	$9,583	Yes (X)
SHARON MARTINEZ
SECRETARY	50.00	1.00		$100,318	$0	$711	Yes (X)
SHAWN BOND
PHYSICIAN ASSISTANT	50.00	0.00		$227,831	$0	$7,986		Yes (X)
CATHY OHNSTAD
CHIEF NURSING OFFICER	50.00	0.00		$203,060	$0	$9,846		Yes (X)
JEFFREY WALLACE
ASSISTANT ADMINISTRATOR	50.00	0.00		$194,160	$0	$17,559		Yes (X)
PERCY CUPEN
DIRECTOR OF QUALITY MANAGEMENT	50.00	0.00		$201,598	$0	$3,149		Yes (X)
KIMBERLY BOTWIN
DIRECTOR PHARMACY	40.00	0.00		$201,146	$0	$306		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,375,892	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,800,527	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,644,171	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	123	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PREMIER EMERGENCY PHYSICIANS OF CA MEDIC
7032 COLLECTION CTR DR	CHICAGO	IL	60693	EMERGENCY DEPARTMENT COVERAGE	$336,750
WATKINS SPINE INC
410 PROSPECT CIRCLE	PASADENA	CA	91030	SPINE CENTER MEDICAL DIRECTORS (2)	$329,473
RUBEN VILLEGAS
596 S ESPLANADE STREET	ORANGE	CA	92869	MATERIALS MANAGEMENT DIRECTOR/CONSULTING	$172,875
AMBULATORY ANESTHESIA ASSOCIATES INC
371 VAN NESS WAY SUITE 210	TORRANCE	CA	90501	AMBULATORY ANESTHESIA SERVICES	$106,400

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$2,508,408	AllOtherContributionsAmt
Total Contributions	$2,508,408	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$61,592,917	$61,592,917
MEDICARE AND MEDICAL	622110	$41,031,376	$41,031,376
QAF REVENUE	622110	$3,772,459	$3,772,459

Field	Value	IRS element (for citing)
Total Program Service Revenue	$106,396,752	TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$665	TotalRevenueColumnAmt
Exclusion	$665	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$420,091	TotalRevenueColumnAmt
Related Or Exempt Func Income	$420,091	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$420,091	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,325,916	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,816,843	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$665	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$55,000	TotalAmt
Program Services	$55,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$359,011	TotalAmt
Program Services	$261,360	ProgramServicesAmt
Management And General	$97,651	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,312,667	TotalAmt
Program Services	$27,019,184	ProgramServicesAmt
Management And General	$10,293,483	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$448,416	TotalAmt
Program Services	$324,711	ProgramServicesAmt
Management And General	$123,705	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,812,554	TotalAmt
Program Services	$8,553,813	ProgramServicesAmt
Management And General	$3,258,741	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,408,811	TotalAmt
Program Services	$2,468,419	ProgramServicesAmt
Management And General	$940,392	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,188,993	TotalAmt
Program Services	$4,151,194	ProgramServicesAmt
Management And General	$1,037,799	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,478	TotalAmt
Management And General	$1,478	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,635	TotalAmt
Management And General	$1,635	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,819,596	TotalAmt
Program Services	$8,087,754	ProgramServicesAmt
Management And General	$1,731,842	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$325,123	TotalAmt
Program Services	$243,842	ProgramServicesAmt
Management And General	$81,281	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,887,738	TotalAmt
Program Services	$1,321,417	ProgramServicesAmt
Management And General	$566,321	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$98,164	TotalAmt
Program Services	$24,541	ProgramServicesAmt
Management And General	$73,623	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,270	TotalAmt
Program Services	$6,258	ProgramServicesAmt
Management And General	$6,012	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,702	TotalAmt
Management And General	$12,702	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$295,963	TotalAmt
Program Services	$295,963	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,870,045	TotalAmt
Program Services	$4,696,036	ProgramServicesAmt
Management And General	$1,174,009	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,114,333	TotalAmt
Program Services	$835,750	ProgramServicesAmt
Management And General	$278,583	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PROSTHESIS/IMPLANTS	$8,535,921	$8,535,921
QAF EXPENSES	$7,503,760	$7,503,760
OTHER MEDICAL SUPPLIES	$7,260,842	$7,260,842
DRUGS/PHARMACEUTICALS	$2,551,955	$2,551,955

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,446,959	TotalAmt
Program Services	$6,469,854	ProgramServicesAmt
Management And General	$977,105	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$111,323,936	TotalAmt
Program Services	$90,667,574	ProgramServicesAmt
Management And General	$20,656,362	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,865,994	BOYAmt
EOY	$7,247,732	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$291,267	BOYAmt
EOY	$736,853	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,513,907	BOYAmt
EOY	$12,739,866	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,355,955	BOYAmt
EOY	$1,388,178	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,500,292	BOYAmt
EOY	$14,395,625	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$47,406,359	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$12,307,714	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,524,038	BOYAmt
EOY	$35,098,645	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,051,453	BOYAmt
EOY	$71,606,899	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,211,037	BOYAmt
EOY	$8,822,603	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,996,743	BOYAmt
EOY	$1,303,244	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,473,926	BOYAmt
EOY	$48,109,325	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,681,706	BOYAmt
EOY	$58,235,172	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,369,747	BOYAmt
EOY	$13,371,727	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,369,747	BOYAmt
EOY	$13,371,727	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$70,051,453	BOYAmt
EOY	$71,606,899	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,998,020	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,560,638	OtherCostOrOtherBasisAmt
Depreciation	$3,840,204	DepreciationAmt
Book Value	$23,720,434	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,332,824	OtherCostOrOtherBasisAmt
Depreciation	$5,865,647	DepreciationAmt
Book Value	$9,467,177	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,512,897	OtherCostOrOtherBasisAmt
Depreciation	$2,601,863	DepreciationAmt
Book Value	$1,911,034	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,098,645	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO/FROM RELATED ORGANIZATION	$35,770,443
MALPRACTICE RESERVES	$2,802,000
WORKERS COMP RESERVES	$3,921,000
CAPITAL LEASES	$103,408
ACCRUED PAYROLL	$5,512,474

Field	Value	IRS element (for citing)
Total Liability	$48,109,325	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FOLLOWING STATEMENT IS TAKEN FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CEDARS-SINAI HEALTH SYSTEM THAT INCLUDES CFHS HOLDINGS, INC. THE ORGANIZATION COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	450.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,241,461	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,410,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,830,755	NetCommunityBenefitExpnsAmt
Total Expense	0.11530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,408,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,410,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,997,846	NetCommunityBenefitExpnsAmt
Total Expense	0.11680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,498,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,410,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,088,264	NetCommunityBenefitExpnsAmt
Total Expense	0.11760	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,092,318	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,465,552	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$57,966,687	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,501,135	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARINA DEL REY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4650 LINCOLN BLVD	AddressLine1Txt
City	MARINA DEL REY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90292	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MARINAHOSPITAL.COM	WebsiteAddressTxt
State License	930000096	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARINA DEL REY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Other	Yes (X)	OtherInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.MARINAHOSPITAL.COM/COMMUNITY	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.MARINAHOSPITAL.COM/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MARINAHOSPITAL.COM/FINANCIAL-OVERVIEW/ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARINA DEL REY HOSPITAL	PART V, SECTION B, LINE 3J: THE CHNA HELPS TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES SERVED BY CEDARS-SINAI MARINA DEL REY HOSPITAL AND PROVIDES A FRAMEWORK FOR PRIORITIZING HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES.CEDARS-SINAI MARINA DEL REY'S COMMUNITY HEALTH NEEDS ASSESSMENT FOR JULY 1, 2017 THROUGH JUNE 30, 2020 WAS APPROVED BY ITS GOVERNING BODY ON MAY 23, 2018. COMMUNITY BENEFIT SERVICE AREA:CEDARS-SINAI MARINA DEL REY HOSPITAL IS LOCATED AT 4650 LINCOLN BLVD., MARINA DEL REY, CA, 90292. THE HOSPITAL'S SERVICE AREA ENCOMPASSES EIGHT ZIP CODES IN THE CITIES OF CULVER CITY, MAR VISTA, MARINA DEL REY, PLAYA DEL REY, PLAYA VISTA, SANTA MONICA, VENICE, AND WESTCHESTER. THIS AREA IS LOCATED IN LOS ANGELES COUNTY SERVICE PLANNING AREA 5 (SPA 5).COMMUNITY DEMOGRAPHICS:- THE POPULATION OF THE CEDARS-SINAI MARINA DEL REY HOSPITAL (CSMDRH) SERVICE AREA IS 230,101.- THE PERCENTAGE OF YOUTH, AGE 0-17, IN THE SERVICE AREA IS 15.5%, WHICH IS LOWER THAN THE COUNTY (23.1%) OR THE STATE (23.8%).- OVER HALF OF THE POPULATION (53.9%) IN THE HOSPITAL SERVICE AREA IS WHITE. HISPANIC OR LATINOS ACCOUNT FOR 21.8% OF THE AREA POPULATION, ASIANS 12.2% AND BLACK OR AFRICAN AMERICANS 7.1%.- TWO-THIRDS OF THE RESIDENTS IN THE SERVICE AREA SPEAK ENGLISH ONLY (66.8%), WHILE 16.9% OF THE POPULATION SPEAKS SPANISH ONLY.SOCIAL AND ECONOMIC FACTORS:- AMONG AREA RESIDENTS, 11.8% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 24.7% ARE AT 200% OF FPL OR BELOW (LOW-INCOME).- THE MEDIAN HOUSEHOLD INCOME FOR THE CSMDRH SERVICE AREA IS $81,083.- IN JULY 2017, THE UNEMPLOYMENT RATE IN THE AREA RANGED FROM 3.2% IN MARINA DEL REY TO 5.5% IN LOS ANGELES.- IN THE SERVICE AREA, 63.4% OF THE POPULATION HAS A COLLEGE DEGREE, WHICH IS HIGHER THAN THE COUNTY (37.2%) AND THE STATE (39.2%).- CULVER CITY UNIFIED (93.7%) AND SANTA MONICA-MALIBU UNIFIED (90.7%) HAVE HIGH GRADUATION RATES. THESE DISTRICTS EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR HIGH SCHOOL GRADUATION OF 87%.ACCESS TO HEALTH CARE:- THE HOSPITAL SERVICE AREA REPORTS 88.2% INSURANCE COVERAGE. COVERAGE RATES RANGE FROM A LOW OF 87.5% IN CULVER CITY (ZIP CODE 90230) TO A HIGH OF 94.8% IN PLAYA VISTA (ZIP CODE 90094).- 80.7% OF RESIDENTS OF SPA 5 HAVE A REGULAR SOURCE FOR CARE, COMPARED TO 84.7% FOR THE COUNTY AND 86% FOR THE STATE.- A BARRIER TO ACCESSING CARE IS THE LACK OF SPECIALTY CARE PRACTITIONERS LOCALLY AVAILABLE.- SENIORS IN SPA 5 HAVE A USUAL SOURCE OF CARE AT A HIGHER PERCENTAGE THAN FOUND IN THE COUNTY OR STATE. HOWEVER, 12.7% OF SENIORS, AGES 65-74, REPORTED A DELAY IN CARE COMPARED TO 8.9% IN THE COUNTY AND 7.7% IN THE STATE.- COMMUNITY STAKEHOLDERS NOTED THAT THE LARGE HOMELESS POPULATION IN THE NEIGHBORHOOD HAS LIMITED ACCESS TO PREVENTIVE CARE SERVICES. LEADING CAUSES OF DEATH:- HEART DISEASE AND CANCER ARE THE TOP TWO CAUSES OF DEATH IN THE SERVICE AREA, FOLLOWED BY ALZHEIMER'S DISEASE AND STROKE.CHRONIC DISEASES:- AMONG ADULTS IN SPA 5, 10.8% IDENTIFIED THEMSELVES AS EXPERIENCING FAIR OR POOR HEALTH COMPARED TO 21.9% AT THE COUNTY LEVEL.- 6.6% OF ADULTS IN SPA 5 HAVE BEEN DIAGNOSED WITH DIABETES AND 8.7% HAVE PREDIABETES.- 5.9% OF ADULTS IN SPA 5 HAVE BEEN DIAGNOSED WITH HEART DISEASE.- A CO-MORBIDITY FACTOR FOR DIABETES AND HEART DISEASE IS HYPERTENSION (HIGH BLOOD PRESSURE). IN SPA 5, 22.4% OF RESIDENTS HAVE HIGH BLOOD PRESSURE.- 14.6% OF RESIDENTS IN SPA 5 HAVE BEEN DIAGNOSED WITH ASTHMA, WHICH IS HIGHER THAN THE COUNTY RATE OF 12.8%.HOMELESSNESS:- FROM 2016 TO 2017, SPA 5 EXPERIENCED AN 18% INCREASE IN THE NUMBER OF HOMELESS INDIVIDUALS.- THE RATE OF CHRONICALLY HOMELESS ROSE TO 32.9% IN 2017, COMPARED TO 28.4% IN 2016.- ONE-THIRD OF THE HOMELESS POPULATION (33.3%) IDENTIFY AS HAVING A MENTAL ILLNESS.- THE HOSPITAL SERVICE AREA REPORTS A HIGHER LEVEL OF HOMELESS VETERANS (18.6%) WHEN COMPARED TO HOMELESS VETERANS IN LOS ANGELES COUNTY (8%).- COMMUNITY INPUT NOTED THAT THE COMPLEXITY OF HOMELESSNESS CHALLENGES LOCAL PROVIDERS: LACK OF AFFORDABLE HOUSING, THE TRANSIENT NATURE OF THE POPULATION, MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES, COMMUNITY INTOLERANCE, AND A SHORTAGE OF WRAP-AROUND AND SUPPORT SERVICES.MENTAL HEALTH:- IN THE HOSPITAL SERVICE AREA, 5.2% OF ADULTS EXPERIENCED SERIOUS PSYCHOLOGICAL DISTRESS IN THE PAST YEAR.- STIGMA AROUND MENTAL HEALTH CONTINUES TO BE A BARRIER TO ACCESSING CARE.- 8.9% OF ADULTS IN SPA 5 HAD SERIOUSLY CONSIDERED SUICIDE, WHICH IS LOWER THAN THE COUNTY (9.5%) AND STATE (9.6%) RATES.- COMMUNITY INPUT NOTED THAT BARRIERS AROUND MENTAL HEALTH INCLUDED: A LACK OF PRACTITIONERS AND PREVENTIVE PRACTICES, AS WELL AS THE COST OF CARE, WHICH IS OFTEN NOT COVERED BY INSURANCE.OVERWEIGHT AND OBESITY:- IN THE HOSPITAL SERVICE AREA, 4.4% OF CHILDREN AND 42.6% OF TEENS ARE OVERWEIGHT. 30.5% OF SENIORS IN SPA 5 ARE OVERWEIGHT.- ALMOST THREE-QUARTERS OF LATINO RESIDENTS IN SPA 5 (74.6%) ARE OVERWEIGHT OR OBESE. 46.2% OF WHITE ADULTS AND 44.2% OF AFRICAN AMERICAN ADULTS IN SPA 5 ARE OVERWEIGHT OR OBESE. AMONG ASIANS, 17.7% ARE OVERWEIGHT OR OBESE.- IN THE HOSPITAL SERVICE AREA, 15.4% OF CHILDREN AND 15% OF ADULTS CONSUME FAST FOOD THREE OR MORE TIMES A WEEK.- 57.8% OF TEENS IN SPA 5 CONSUMED TWO OR MORE SERVINGS OF FRUIT A DAY, LESS THAN THE PERCENTAGE OF TEENS IN THE COUNTY (70.9%).- 31% OF TEENS IN SPA 5 ENGAGED IN NO PHYSICAL ACTIVITY DURING THE WEEK, COMPARED TO 16.8% OF TEENS IN LA COUNTY, AND 14.8% IN THE STATE.- A BARRIER TO ENGAGING IN OUTSIDE ACTIVITY NOTED BY THE COMMUNITY IS THE LACK OF PUBLIC GREEN OR OPEN SPACES OTHER THAN THE BEACHES.PREVENTIVE PRACTICES:- CULVER CITY UNIFIED SCHOOL DISTRICT (96.4%) AND SANTA MONICA - MALIBU UNIFIED SCHOOL DISTRICT (88.8%) OF CHILDREN ENTERED KINDERGARTEN IN THE 2015-2016 YEAR WITH UP-TO-DATE IMMUNIZATIONS, COMPARED TO COUNTY (91.4%) AND STATE (92.9%).- OVERALL, 38% OF SPA 5 RESIDENTS OBTAINED A FLU VACCINATION IN 2015; THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 70% OF THE POPULATION TO RECEIVE A FLU SHOT. AMONG SPA 5 RESIDENTS AGES 65 AND OLDER, 67.7% RECEIVED A FLU SHOT.- 61.2% OF SENIORS IN SPA 5 HAVE RECEIVED THE PNEUMONIA VACCINE. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 90% OF ADULTS AGES 65 AND OLDER TO BE VACCINATED.- IN SPA 5, 88.7% OF WOMEN OBTAINED A PAP SMEAR IN THE PAST THREE YEARS AND 85.3% OF WOMEN HAVE OBTAINED A MAMMOGRAM IN THE PAST TWO YEARS.SENIOR HEALTH:- FALLS ARE THE LEADING CAUSE OF INJURY AMONG OLDER ADULTS. 27.8% OF SENIORS IN SPA 5 REPORTED FALLING AT LEAST ONCE IN THE PAST YEAR.- COMMUNITY INPUT NOTED BARRIERS TO HEALTH CARE FOR SENIORS INCLUDED: HIGH RENTS, VULNERABILITY TO ISOLATION, LIMITED TRANSPORTATION RESOURCES, AND NOT ENOUGH RESOURCES FOR SUPPORTIVE LIVING.SUBSTANCE ABUSE:- 10.8% OF ADULTS IN SPA 5 ARE CURRENT SMOKERS, COMPARED TO 12.2% IN THE COUNTY AND 12.8% IN THE STATE.- AMONG TEENS IN SPA 5, 24% HAVE SMOKED AN ELECTRONIC (VAPORIZER) CIGARETTE, COMPARED TO 6.9% IN THE COUNTY AND 7.5% IN THE STATE.- 43.3% OF TEENS IN SPA 5 HAVE TRIED ALCOHOL, COMPARED TO 21.9% IN THE COUNTY AND 23% IN THE STATE.- BARRIERS TO CARE FOR SUBSTANCE ABUSE IDENTIFIED BY THE COMMUNITY INCLUDED: LIMITED DETOX OPTIONS AND WAIT LISTS FOR TREATMENT CENTERS.IDENTIFICATION OF SIGNIFICANT HEALTH NEEDS:THE ANALYSIS OF SECONDARY DATA YIELDED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS WHICH THEN INFORMED PRIMARY DATA COLLECTION. THE PRIMARY DATA COLLECTION PROCESS HELPED TO VALIDATE SECONDARY DATA FINDINGS.THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS WERE DETERMINED:- ACCESS TO HEALTH CARE- CHRONIC DISEASES- HOMELESSNESS- MENTAL HEALTH- OVERWEIGHT AND OBESITY- PREVENTIVE PRACTICES- SENIOR HEALTH- SUBSTANCE ABUSETHE STAKEHOLDERS WERE ASKED TO RANK THE HEALTH NEEDS ACCORDING TO HIGHEST LEVEL OF IMPORTANCE IN THE COMMUNITY. AMONG THE INTERVIEWEES, MENTAL HEALTH, HOMELESSNESS, AND ACCESS TO HEALTH CARE WERE RANKED AS THE TOP PRIORITY NEEDS IN THE SERVICE AREA.THE SIGNIFICANT HEALTH NEEDS ARE LISTED IN PRIORITY ORDER:1. MENTAL HEALTH2. HOMELESSNESS3. ACCESS TO HEALTH CARE4. SUBSTANCE ABUSE5. CHRONIC DISEASES6. OVERWEIGHT AND OBESITY7. PREVENTIVE PRACTICES8. SENIOR HEALTHPART 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.
MARINA DEL REY HOSPITAL	PART V, SECTION B, LINE 5: IN CONDUCTING CEDARS-SINAI MARINA DEL REY'S 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 IN OCTOBER AND NOVEMBER, 2017. COMMUNITY STAKEHOLDERS IDENTIFIED BY CSMDRH WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW.
MARINA DEL REY HOSPITAL	PART V, SECTION B, LINE 11: HEALTH NEEDS WERE IDENTIFIED IN THE CHNA AND SUBSEQUENTLY PRIORITIZED BY COMMUNITY STAKEHOLDERS. FROM THE PRIORITIZED HEALTH NEEDS, CEDARS-SINAI MARINA DEL REY HOSPITAL (CSMDRH) CHOSE HEALTH FOCUS AREAS TAKING ACCOUNT CSMDRH'S CAPACITY TO IMPACT COMMUNITY NEEDS, THE STRENGTH OF COMMUNITY PARTNERSHIPS AND THE ALIGNMENT WITH CEDARS-SINAI'S ORGANIZATIONAL STRATEGIC PLANNING EFFORTS.HEALTH FOCUS AREAS:ACCESS TO CARE - COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO PRIMARY CARE, PREVENTIVE CARE AND ACCESS TO MENTAL HEALTH CARE SERVICES.HOMELESSNESS - COMMUNITY BENEFIT EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES THAT INCREASE ACCESS TO PRIMARY CARE, MENTAL HEALTH CARE, SUBSTANCE ABUSE SERVICES AND COMMUNITY-BASED HEALTH CARE SERVICES FOR PERSONS EXPERIENCING HOMELESSNESS. ALIGNMENT WITH PUBLIC HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN:CSMDRH IS COMMITTED TO ALIGNING ITS IMPLEMENTATION STRATEGY WITH THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN. CSMDRH'S IMPLEMENTATION STRATEGY CONCENTRATES ON "PRIORITY AREA 1: INCREASE PREVENTION TO IMPROVE HEALTH" OF THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR LOS ANGELES COUNTY. GOAL 1.2 FOR THIS PRIORITY AREA: INCREASE ACCESS TO CARE (MEDICAL, CLINICAL PREVENTIVE SERVICES, MENTAL HEALTH AND DENTAL) CORRESPONDS TO THE CSMDRH IMPLEMENTATION STRATEGY'S HEALTH FOCUS AREAS.EVALUATION OF IMPACT:THE HEALTH FOCUS AREAS IDENTIFIED ABOVE WERE DETERMINED THROUGH DATA COLLECTION, ANALYSIS AND A PRIORITIZATION PROCESS THAT INCORPORATED COMMUNITY INPUT. DUE TO THE QUANTITY AND SCOPE OF THE COMMUNITY'S HEALTH NEEDS IDENTIFIED, IT IS NECESSARY TO IDENTIFY FOCUS AREAS AND TO ENSURE THAT THE COMMUNITY BENEFIT INITIATIVES ARE EFFECTIVE IN IMPROVING THE HEALTH OF VULNERABLE POPULATIONS. IN SUPPORT OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, CSMDRH HAS COMMITTED TO ONGOING PROGRAM EVALUATION TO ENSURE MAXIMUM IMPACT OF OUR COMMUNITY BENEFIT STRATEGIES. CSMDRH WILL INCORPORATE EVALUATION RESULTS INTO PROGRAM STRATEGY, PLANNING AND IMPLEMENTATION.HEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS:THERE WERE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA THAT DID NOT MEET THE CRITERIA FOR DEVELOPING AND IMPLEMENTING A HEALTH FOCUS AREA AND, AS A RESULT, ARE NOT ADDRESSED IN THIS IMPLEMENTATION STRATEGY. THIS IS NOT INTENDED TO MINIMIZE THE IMPORTANCE OF THOSE HEALTH NEEDS; IT IS A REALITY OF HAVING A STRATEGIC FOCUS ON EFFECTIVENESS TO IMPROVE COMMUNITY HEALTH. THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA BUT NOT INCLUDED IN THE HEALTH FOCUS AREAS FOR THIS IMPLEMENTATION STRATEGY ARE: CHRONIC DISEASES, OVERWEIGHT AND OBESITY, AND SENIOR HEALTH. CSMDRH WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MARINA DEL REY HOSPITAL
4658 LINCOLN BLVD	MARINA DEL REY	CA	90292	OUTPATIENT SERVICES - GEN/LAB/RADIOLOGY/MRI/CT SCANNER
2 - MARINA DEL REY HOSPITAL
4640 ADMIRALTY WAY STE 600	MARINA DEL REY	CA	90292	OUTPATIENT SERVICES - SPINE CENTER
3 - MARINA DEL REY HOSPITAL
4644 LINCOLN BLVD STE 450	MARINA DEL REY	CA	90292	OUTPATIENT SERVICES - BARIATRICS CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	FINANCIAL ASSISTANCE AND MEDI-CAL COSTS AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES WERE DETERMINED BASED ON THE RATIO OF TOTAL FINANCIAL ASSISTANCE AND MEDI-CAL REVENUE OVER TOTAL CHARGES DURING THE FISCAL YEAR ENDING ON 6/30/2018.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. COMMUNITY CONCERNS, SUCH AS HEALTH IMPROVEMENT, ARE ADDRESSED. THE HOSPITAL WORKS WITH OTHER TAX-EXEMPT ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS AND DISEASE PREVENTION. THESE ACTIVITIES ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H.
PART III, LINE 2:	PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECEIVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, AND OTHER RELEVANT INFORMATION. A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED, AND A SIGNIFICANT PORTION OF THE HOSPITAL'S INSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR CO-PAYMENTS AND DEDUCTIBLES. THUS, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS RELATED TO THESE INSURED AND UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE HOSPITAL WRITES DOWN THE EXPECTED REIMBURSEMENT AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED.
PART III, LINE 4:	AUDITED FINANCIAL STATEMENTS - PAGE 13PART III, LINE 6: MEDICARE ALLOWABLE COSTS AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES WERE DETERMINED BASED ON THE RATIO OF TOTAL MEDICARE REVENUE OVER TOTAL CHARGES DURING THE FISCAL YEAR ENDING ON 6/30/2018.
PART III, LINE 8:	IT IS OUR BELIEF THAT ALL OF THE $21,501,135 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS.
PART III, LINE 9B:	REASONABLE EFFORTS BASED ON BILLING STATEMENT NOTIFICATION AND AMOUNTS NOT ELIGIBLE:THE HOSPITAL NOTIFIES PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAMS BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS. THE HOSPITAL REFRAINS FROM INITIATING EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE THE HOSPITAL BILLS FOR THE CARE IF THE PATIENT HAS NOT SUBMITTED AN APPLICATION OR THE HOSPITAL HAS DETERMINED THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THE PATIENT'S APPLICATION.AT LEAST 30 DAYS BEFORE FIRST INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, THE HOSPITAL PROVIDES THE PATIENT WITH A WRITTEN NOTICE INDICATING FINANCIAL ASSISTANCE IS AVAILABLE, IDENTIFYING THE EXTRAORDINARY COLLECTION ACTION THAT THE HOSPITAL INTENDS TO INITIATE TO OBTAIN PAYMENT, AND STATING A DEADLINE AFTER WHICH SUCH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED (WHICH DATE IS NOT EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED). THE NOTICE INCLUDES A PLAIN LANGUAGE SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.IN ADDITION TO ALL WRITTEN NOTICES, PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES A REASONABLE EFFORT TO VERBALLY NOTIFY THE PATIENT ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ABOUT HOW THE PATIENT MAY OBTAIN ASSISTANCE THROUGH THE APPLICATION PROCESS.
PART VI, LINE 2:	A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FISCAL YEAR ENDED 6/30/18. SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J.
PART VI, LINE 3:	THE HOSPITAL PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL FINANCIAL ASSISTANCE FOR THE FINANCIALLY QUALIFIED PATIENTS:A) POSTED SIGNAGE - NOTICE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGS.B) NOTICES HAND-DELIVERED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS (OR OTHERWISE PRIOR TO DISCHARGE), PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND CEDARS-SINAI MARINA DEL REY'S FINANCIAL ASSISTANCE PROGRAMS. PATIENTS ARE ASKED TO ACKNOWLEDGE RECEIPT OF THIS VIA AN ELECTRONIC SIGNATURE.C) PATIENT STATEMENT NOTICES - ON THE PATIENT BILLING STATEMENTS, THE HOSPITAL PROVIDES A DESCRIPTION OF ITS FINANCIAL ASSISTANCE POLICY AND PROGRAMS, ALONG WITH INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:	PLEASE SEE COMMUNITY SERVICE AREA AND DEMOGRAPHICS INFORMATION IN THE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J. IN ADDITION, THERE ARE FIVE OTHER HOSPITALS THAT SERVE THE SAME COMMUNITY AS CEDARS-SINAI MARINA DEL REY HOSPITAL.
PART VI, LINE 5:	CEDARS-SINAI MARINA DEL REY HOSPITAL IS DRIVEN BY ITS MISSION TO STRIVE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY GIVING BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES. THE HOSPITAL PROVIDES BOTH QUANTIFIABLE AND NON-QUANTIFIABLE CONTRIBUTIONS TO THE COMMUNITY, SUCH AS INCREASING PARTICIPATION IN LOCAL EFFORTS TO COMBAT HOMELESSNESS IN THE COMMUNITY AND INCURRING UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED OF THE COMMUNITY. IN ADDITION, THE HOSPITAL DISTRIBUTED GRANTS TO ST. JOSEPH'S CENTER AND VENICE FAMILY CLINIC, BOTH SIGNIFICANT COMMUNITY PROVIDERS OF HOMELESS SERVICES IN THE MARINA DEL REY SERVICE AREA. ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY.
PART VI, LINE 6:	THE HOSPITAL IS AN AFFILIATE OF CEDARS-SINAI HEALTH SYSTEM. THE 133-BED SURGICAL HOSPITAL IS FULLY ACCREDITED THROUGH THE JOINT COMMISSION FOR SAFE AND EFFECTIVE QUALITY CARE. BY CONCENTRATING FOUR AREAS OF EXPERTISE: SPINE, WEIGHT LOSS, ORTHOPEDICS, AND MINIMALLY INVASIVE SURGERY, THE HOSPITAL IS ABLE TO PROVIDE EXCELLENT CARE IN AN INTIMATE, PERSONAL AND CONVENIENT SETTING.THE HOSPITAL IS COMMITTED TO THE FOLLOWING:* COMMITMENT TO THE COMMUNITY: PROVIDING EXCELLENT AND PROMPT ACUTE MEDICAL SERVICES AND 24/7 EMERGENCY ROOM CARE. * TALENTED CUSTOMER SERVICE-DRIVEN TEAM: BELIEVES KINDNESS IS JUST AS IMPORTANT AS STATE-OF-THE-ART MEDICAL TECHNOLOGY. * NATIONALLY RECOGNIZED PHYSICIANS: RECOGNIZED FOR CLINICAL EXCELLENCE AND DEVOTED TO DELIVERING COMPASSIONATE, RESPONSIVE CARE.THE HOSPITAL'S MISSION:* TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE FOR RESIDENTS IN MARINA DEL REY AND SURROUNDING BEACH COMMUNITIES AND THE WESTSIDE OF LOS ANGELES * TO BE RECOGNIZED FOR MEDICAL EXCELLENCE IN SPINE, ORTHOPEDICS, SURGICAL WEIGHT LOSS, MINIMALLY INVASIVE SURGERY, NON-INVASIVE CARDIOLOGY AND GENERAL ACUTE MEDICAL CARE THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES ORGANIZATIONAL LEADERSHIP IN FOSTERING THE COMMITMENT TO COMMUNITY BENEFIT. THE BOARD OF DIRECTORS FUNCTIONS AS AN OVERSIGHT AND POLICY-MAKING BODY FOR THE HOSPITAL'S COMMUNITY BENEFIT COMMITMENTS, EFFORTS AND STRATEGIC ALIGNMENT WITH COMMUNITY NEEDS. DURING THE TAX YEAR, THE HOSPITAL'S COMMUNITY BENEFIT EXPENSE TOTALED $13,088,264 DIVIDED AMONG THE FOLLOWING CATEGORIES:* UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - $12,997,846 (CHARITY CARE - $167,091; UNREIMBURSED COST: CARING FOR MEDI-CAL PATIENTS - $12,830,755) (EXCLUDES THE UNREIMBURSED COST OF CARING FOR MEDICARE PATIENTS) COMMUNITY BENEFIT PROGRAMS, INCLUDING CHARITABLE DONATIONS - $90,418DURING THE TAX YEAR, TORRANCE MEMORIAL OFFICIALLY JOINED THE AFFILIATION. TORRANCE MEMORIAL INCLUDES THE 470-BED TORRANCE MEMORIAL MEDICAL CENTER, A MULTISPECIALTY PHYSICIAN GROUP, AN INDEPENDENT PHYSICIAN ASSOCIATION, AND AN ACCOUNTABLE CARE ORGANIZATION, WHICH COLLECTIVELY INCLUDE MORE THAN 500 PHYSICIANS. 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VENICE FAMILY CLINIC
604 ROSE AVE	VENICE	CA	90291	952769432	501(C)(3)	$25,000	GRANT FOR INTEGRATED MOBILE HEALTH TEAM
ST JOSEPH CENTER
204 HAMPTON DRIVE	VENICE	CA	90291	953874381	501(C)(3)	$25,000	GRANT FOR COMMUNITY HOMELESS SERVICES
(no name)
							GRANT FOR COMMUNITY HOMELESS SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION CONTRIBUTES TO WELL ESTABLISHED EXEMPT ORGANIZATIONS AND RELIES ON THE GOVERNING BODY OF EACH OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS DONATED TO EACH AND EVERY ORGANIZATION ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS M PRISELAC
CHAIR	$0	$1,571,779	$0	$1,248,768	$0	$807,008	$0	$1,347,100	$0	$26,050	$0	$5,000,705	$0	$400,000
MARK GAVENS
CEO	$0	$974,424	$0	$473,131	$0	$276,523	$0	$176,135	$0	$36,495	$0	$1,936,708	$0	$0
MARY KATHRYN HAMMACK
CFO/TREASURER	$212,239	$0	$35,540	$0	$0	$0	$6,425	$0	$2,826	$0	$257,030	$0	$0	$0
PAULETTE HEITMEYER
COO	$0	$292,024	$0	$101,323	$0	$55,547	$0	$8,100	$0	$1,483	$0	$458,477	$0	$0
SHAWN BOND
PHYSICIAN ASSISTANT	$227,406	$0	$425	$0	$0	$0	$6,856	$0	$1,130	$0	$235,817	$0	$0	$0
CATHY OHNSTAD
CHIEF NURSING OFFICER	$188,097	$0	$14,963	$0	$0	$0	$5,746	$0	$4,100	$0	$212,906	$0	$0	$0
JEFFREY WALLACE
ASSISTANT ADMINISTRATOR	$176,835	$0	$17,325	$0	$0	$0	$15,785	$0	$1,774	$0	$211,719	$0	$0	$0
PERCY CUPEN
DIRECTOR OF QUALITY MANAGEMENT	$182,941	$0	$18,657	$0	$0	$0	$830	$0	$2,319	$0	$204,747	$0	$0	$0
KIMBERLY BOTWIN
DIRECTOR PHARMACY	$198,321	$0	$2,825	$0	$0	$0	$0	$0	$306	$0	$201,452	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE CEO OF CFHS HOLDINGS, INC.(DBA CEDARS-SINAI MARINA DEL REY HOSPITAL) IS COMPENSATED BY CEDARS-SINAI MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION. CEDARS-SINAI MEDICAL CENTER USED THE FOLLOWING METHODS IN ESTABLISHING THE CFHS HOLDINGS, INC. CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) WRITTEN EMPLOYMENT CONTRACT; 4) COMPENSATION SURVEY OR STUDY; AND 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, 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. THE FOLLOWING LISTED PERSONS RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2017 RELATED TO ONE OR BOTH OF THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. THOMAS M. PRISELAC 708,909 MARK GAVENS 250,973 PAULETTE HEITMEYER 53,280

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	CEDARS-SINAI MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF CFHS HOLDINGS, INC. DOING BUSINESS AS CEDARS-SINAI MARINA DEL REY HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	CEDARS-SINAI MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER, ELECTS THE BOARD OF DIRECTORS OF CEDARS-SINAI MARINA DEL REY HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	RESERVED RIGHTS OF CEDARS-SINAI MEDICAL CENTER, THE SOLE CORPORATE MEMBER OF CEDARS-SINAI MARINA DEL REY HOSPITAL ("THE HOSPITAL"). THE FOLLOWING ACTIONS MUST BE APPROVED OR ACTED UPON BY CEDARS-SINAI MEDICAL CENTER BEFORE BECOMING EFFECTIVE: (A) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE HOSPITAL; (B) ANY AMENDMENT TO THE HOSPITAL'S PURPOSE OR MISSION; (C) ANY CHANGE IN THE MEMBERSHIP OR MEMBERSHIP POWERS OF THE HOSPITAL OR ITS SUBSIDIARY; (D) HIRING, ELECTING, REMOVING, OR TERMINATING ANY OF THE OFFICERS OF THE HOSPITAL; (E) REMOVAL AND APPOINTMENT OF DIRECTORS OF THE HOSPITAL; (F) CHANGING THE NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS; (G) SELECTION AND APPOINTMENT OF THE AUDITORS AND LEGAL COUNSEL OF THE HOSPITAL; (H) ANY SALE OR OTHER DISPOSITION OF ALL OR A SUBSTANTIAL PORTION OF THE ASSETS OF THE HOSPITAL; (I) MERGER, CONSOLIDATION, REORGANIZATION, DIVESTITURE, AFFILIATION, LIQUIDATION, OR DISSOLUTION; (J) BORROWING MONEY AND INCURRING INDEBTEDNESS ON BEHALF OF THE HOSPITAL; (K) APPROVING THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS; (L) DECLARING OR CONSENTING TO THE FILING OF PROCEEDINGS TO DECLARE BANKRUPTCY.
FORM 990, PART VI, SECTION B, LINE 11B	THE REVIEW OF THE FORM 990 INVOLVES VARIOUS MANAGEMENT PERSONNEL INCLUDING THE HOSPITAL'S TREASURER, AND A BIG FOUR ACCOUNTING FIRM. THE FORM 990 IS PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO DISCUSS THE INFORMATION REPORTED.
FORM 990, PART VI, SECTION B, LINE 12C	THE PURPOSE OF THE CONFLICTS OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF THE HOSPITAL WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE HOSPITAL OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO THE HOSPITAL. PROCEDURES: DUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATING THERETO TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS - AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATING THERETO, AND AFTER ANY DISCUSSION THEREOF, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ANNUAL STATEMENTS: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTANDS THE HOSPITAL IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PERIODIC REVIEWS: TO ENSURE THAT THE HOSPITAL OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, THE HOSPITAL SHALL CONDUCT PERIODIC REVIEWS OF THE IMPLEMENTATION OF THE POLICY. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S-LENGTH BARGAINING, B) WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS, IF ANY, CONFORM TO THE HOSPITAL'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES, AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION. USE OF OUTSIDE EXPERTS: WHEN CONDUCTING PERIODIC REVIEWS, THE HOSPITAL MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSIDE ADVISORS ARE USED, THEIR USE SHALL NOT RELIEVE THE BOARD OF ITS RESPONSIBILITY FOR ENSURING PERIODIC REVIEWS ARE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 15	THE HOSPITAL'S CHIEF EXECUTIVE OFFICER IS COMPENSATED BY THE HOSPITAL'S SOLE CORPORATE MEMBER, CEDARS-SINAI MEDICAL CENTER. THE EXECUTIVE PERSONNEL COMMITTEE OF CEDARS-SINAI MEDICAL CENTER REVIEWS AND APPROVES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. SINCE THE HOSPITAL DOES NOT COMPENSATE ITS CHIEF EXECUTIVE OFFICER, THE RESPONSE TO THIS QUESTION IS NO, IN ACCORDANCE WITH SPECIFIC INSTRUCTIONS FROM THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS FORM 990. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C:	THE HOSPITAL'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH ITS PARENT FOR FISCAL YEAR ENDED JUNE 30, 2018. THE OVERSIGHT OF THE AUDIT WAS PERFORMED BY ITS PARENT'S AUDIT COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BOULEVARD	LOS ANGELES	CA	90048	951644600	ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL	CA	501 (C) (3)	LINE 3	CEDARS-SINAI HEALTH SYSTEM	Yes (1)
CALIFORNIA HEART CENTER FOUNDATION
15821 VENTURA BLVD STE 520	ENCINO	CA	91436	954772979	PROMOTE, SUPPORT, AND DEVELOP EDUCATIONAL, AND SCIENTIFIC RESEARCH	CA	501 (C) (3)	LINE 7	CEDARS-SINAI MEDICAL CENTER	Yes (1)
CEDARS-SINAI MEDICAL CARE FOUNDATION
15821 VENTURA BLVD STE 520	ENCINO	CA	91436	954457756	PROVISION OF MEDICAL CARE, TEACHING, AND RESEARCH	CA	501 (C) (3)	LINE 12A, I	CEDARS-SINAI MEDICAL CENTER	Yes (1)
KERLAN-JOBE ORTHOPAEDIC FOUNDATION
6801 PARK TERRACE STE 500	LOS ANGELES	CA	90045	954707606	EDUCATION AND RESEARCH RELATED TO ORTHOPEDIC MEDICINE	CA	501 (C) (3)	LINE 7	CEDARS-SINAI MEDICAL CARE FOUNDATION	Yes (1)
SANTA MONICA ORTHOPAEDIC & SPORTS MED RESEARCH FDN
2020 SANTA MONICA BLVD 4TH FL	SANTA MONICA	CA	90404	954789926	EDUCATION AND RESEARCH RELATED TO ORTHOPEDIC AND NEUROLOGIC CONDITIONS	CA	501 (C) (3)	PF	CEDARS-SINAI MEDICAL CARE FOUNDATION	Yes (1)
CEDARS-SINAI HEALTH SYSTEM
8700 BEVERLY BLVD	LOS ANGELES	CA	90048	300990905	SUPPORT SPECIFIED NONPROFIT HEALTHCARE ORGANIZATIONS	CA	501 (C) (3)	LINE 12C, III-FI		0	N/A
TORRANCE MEMORIAL MEDICAL CENTER HEALTH CARE FOUNDATION
3330 LOMITA BLVD	TORRANCE	CA	90505	953528452	FUNDRAISING	CA	501 (C) (3)	LINE 7	TORRANCE HEALTH ASSOCIATION	Yes (1)
TORRANCE MEMORIAL MEDICAL CENTER
3330 LOMITA BLVD	TORRANCE	CA	90505	951644042	HEALTH SERVICES	CA	501 (C) (3)	LINE 3	TORRANCE HEALTH ASSOCIATION	Yes (1)
TORRANCE HEALTH ASSOCIATION
3330 LOMITA BLVD	TORRANCE	CA	90505	330073515	HEALTH SERVICES	CA	501 (C) (3)	LINE 12B, II	CEDARS-SINAI HEALTH SYSTEM	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
CEDARS-SINAI BH ASC LLC
200 N ROBERTSON BLVD 101	BEVERLY HILLS	CA	90211	812266744	HOLDING COMPANY	CA	N/A
CS-BH ASC HOLDINGS LLC
200 N ROBERTSON BLVD 101	BEVERLY HILLS	CA	90211	812246488	HOLDING COMPANY	CA	N/A
DEL REY SURGERY CENTER LLC
4640 ADMIRALTY WAY 1020	MARINA DEL REY	CA	90292	462305372	AMBULATORY SURGERY CENTER	CA	N/A
DEL REY SURGERY INVESTORS LLC
8700 BEVERLY BLVD	LOS ANGELES	CA	90048	364756208	INVESTMENT IN AMBULATORY SURGERY CENTER	DE	N/A
ENDOSCOPY CENTER OF SANTA MONICA LLC
2001 SANTA MONICA 360W	SANTA MONICA	CA	90404	113652210	ENDOSCOPIES AND THE RELATED PROCEDURES	CA	N/A
ISS ASC HOLDINGS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	471890805	INVESTMENT IN HEALTHCARE SERVICES	CA	N/A
INTERNATIONAL SPINE & ORTHOPEDIC INSTITUTE LLC
8500 W 110TH ST	OVERLAND PARK	KS	66210	263738893	SPINE AND ORTHOPEDIC INSTITUTE	DE	N/A
SANTA MONICA IMAGING GROUP LLC
200 N ROBERTSON BLVD 101	BEVERLY HILLS	CA	90211	820760657	IMAGING CENTER	CA	N/A
TORRANCE MEMORIAL SUGICAL CENTER LLC
23560 CRENSHAW BLVD STE 104	TORRANCE	CA	90505	465259260	OUTPATIENT SURGICAL SERVICES	CA	N/A
TORRANCE SURGERY CENTER LP
1A BURTON HILLS BLVD	NASHVILLE	TN	37215	330932093	SURGICAL SERVICES	TN	N/A
3565 DEL AMO ASSOCIATES
2175 PARK PLACE	EL SEGUNDO	CA	90245	330554737	RENTAL REAL ESTATE	CA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CENTINELA FREEMAN HOLDINGS INC
4650 LINCOLN BLVD	MARINA DEL REY	CA	90292	593811890	REAL ESTATE RENTALS	CA	N/A	C	Yes (1)
OPTIMATRIX HEALTH SOLUTIONS INC
6500 WILSHIRE BLVD 9TH FLOOR	LOS ANGELES	CA	90048	954522779	INACTIVE	CA	N/A	C	Yes (1)
OTOHARMONICS CORPORATION
411 SW 6TH AVE	PORTLAND	OR	97204	461119421	HEALTHCARE PRODUCT DEVELOPMENT	DE	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTINELA FREEMAN HOLDINGS INC
K	$2,263,729	FAIR MARKET VALUE
CENTINELA FREEMAN HOLDINGS INC
Q	$2,366,394	FAIR MARKET VALUE