2018-05-15T14:08:04-05:00 2017-06-30 861065772 Deloitte Tax LLP 191 Peachtree Street Suite 2000 Atlanta GA 303031749 990 2016-07-01 951690977 Children's Hospital Los Angeles CHIL 3236602450 4650 Sunset Boulevard Los Angeles CA 900270982 Diemlan Lannie Tonnu Senior Vice President & CFO 3236602450 2018-05-15 1 John W Sadoff Jr P00540589 7048871810 2016 2022-09-23 18:48:47Z Paul S Viviano 4650 Sunset Boulevard Los Angeles CA 900270982 1730739427 0 X www.chla.org X 1901 CA Promotion and advancement of children's health through patient care, research, and education. 74 65 6433 659 87205 0 102064751 109573712 888770676 907075288 -4737971 -3645571 10319201 9860963 996416657 1022864392 5428934 80700 0 0 501521544 538062595 649098 744411 22292181 522437534 532802161 1030037110 1071689867 -33620453 -48825475 1746070200 1756118463 669341296 668419925 1076728904 1087698538 X We create hope and build healthier futures. As a leading academic children's hospital, we fulfill our mission by: Caring for children, adolescents, young adults, families and each other; Advancing knowledge; Preparing future generations; Building our financial strength. 0 0 739810403 80700 876519890 Medical Care Provided to Children:It is the policy of the Hospital to strive to maintain quality health care delivery in a manner that respects the dignity of the individual and family, regardless of the ability to pay. Under the Hospital's Policy, medical care may be provided without charge or at amounts less than its established rates to people who are uninsured or underinsured and cannot afford to pay for their own medical care. The Hospital provides additional community support by providing care to patients who participate in programs, like Medi-Cal, that do not pay full charges. Approximately three-fourths of the Hospital's patients are covered by Medi-Cal Programs. 29980758 19788566 Graduate Medical Education provides training and education to medical students in Los Angeles County who, in turn, provide services to patients at the Hospital. Also, includes Education Revenue from the Residency and Fellowship Programs at CHLA. The Hospital subsidizes a large part of the cost of training physicians, allied health professionals, and other health care workers in its emergency room, clinics, inpatient areas, and other parts of its facilities. 73146928 11200399 Research Revenues further the exempt purpose of CHLA by providing the patients of CHLA access to new technologies, discoveries and medications for treatment. Results of this research is disseminated through publications in scientific journals and presentations by the principal investigators. The Hospital subsidizes a large part of the cost of medical research taking place in its facilities. 980166 595710 Other program service revenues also include residents housing and miscellaneous tuition and education income. 980166 595710 843918255 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 761 0 1 6433 1 1 1 0 0 0 0 1 1 0 0 0 0 X 74 65 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Grace Oh 3233617450 4650 Sunset Blvd Los Angeles CA 900270980 Lynda Boone Fetter Trustee/Co-Chair 2.00 0.00 X X 0 0 0 Arnold J Kleiner Trustee/Co-Chair 2.00 0.00 X X 0 0 0 Paul S Viviano Trustee/President & CEO 55.00 0.00 X X 1352596 0 31154 Ashwin Adarkar Trustee 1.00 0.00 X 0 0 0 Brooke Anderson Trustee 1.00 0.00 X 0 0 0 Marion Anderson Trustee 2.00 0.00 X 0 0 0 Ann K Babcock Trustee 1.00 0.00 X 0 0 0 June Banta Trustee 1.00 0.00 X 0 0 0 Kevin H Brogan Trustee 1.00 0.00 X 0 0 0 Jay Carson Trustee 1.00 0.00 X 0 0 0 Alex Chaves Sr Trustee 1.00 0.00 X 0 0 0 Peggy Tsiang Cherng PhD Trustee 1.00 0.00 X 0 0 0 Gary J Cohen Trustee 1.00 0.00 X 0 0 0 Martha N Corbett Trustee 2.00 0.00 X 0 0 0 Cheryl Kunin Fair Trustee 1.00 0.00 X 0 0 0 Richard D Farman Trustee 1.00 0.00 X 0 0 0 Henri R Ford MD MHA Trustee/Faculty Physician 40.00 0.00 X 899025 0 0 Deborah A Freund PhD Trustee 1.00 0.00 X 0 0 0 Margaret Rodi Galbraith Trustee 1.00 0.00 X 0 0 0 Ranjan Goswami Trustee 1.00 0.00 X 0 0 0 Carl Grushkin MD Trustee/Faculty Physician 40.00 0.00 X 275445 0 0 Mary Hart Trustee 1.00 0.00 X 0 0 0 Megan Hernandez Trustee 1.00 0.00 X 0 0 0 Marcia Wilson Hobbs Trustee 2.00 0.00 X 0 0 0 Gloria Holden Trustee 1.00 0.00 X 0 0 0 Jihee Huh Trustee 1.00 0.00 X 0 0 0 James S Hunt Trustee 2.00 0.00 X 0 0 0 William H Hurt Trustee 2.00 0.00 X 0 0 0 Lee Kort Trustee 1.00 0.00 X 0 0 0 Kathleen McCarthy Kostlan Trustee 1.00 0.00 X 0 0 0 Mark D Krieger MD Trustee/Faculty Physician 40.00 0.00 X 604350 0 0 Nancy Lee RN MSN NEA-BC Trustee/SVP-Chief Clinical Officer 40.00 0.00 X 256144 0 7545 Burt Levitch Trustee 1.00 0.00 X 0 0 0 Michael J Madden Trustee 1.00 0.00 X 0 0 0 Susan H Mallory Trustee 2.00 0.00 X 0 0 0 Carol Mancino Trustee 1.00 0.00 X 0 0 0 Christopher C Martin Trustee 1.00 0.00 X 0 0 0 Bonnie McClure Trustee/Fundraiser Coord 30.00 0.00 X 64000 0 0 Caryll Sprague Mingst Trustee 1.00 0.00 X 0 0 0 Eugene Mitch Mitchell Trustee 1.00 0.00 X 0 0 0 Todd E Molz Trustee 2.00 0.00 X 0 0 0 Mary Adams O'Connell Trustee 2.00 0.00 X 0 0 0 Jennifer Page Trustee 1.00 0.00 X 0 0 0 Laurence E Paul MD Trustee 1.00 0.00 X 0 0 0 John D Pettker Trustee 2.00 0.00 X 0 0 0 Chester J Pipkin Trustee 1.00 0.00 X 0 0 0 Ronald Preissman Trustee 1.00 0.00 X 0 0 0 Elisabeth Hunt Price Trustee 1.00 0.00 X 0 0 0 Kathryn Purwin Trustee 1.00 0.00 X 0 0 0 Elizabeth Estrada Rahn Trustee 1.00 0.00 X 0 0 0 Dayle Roath Trustee 1.00 0.00 X 0 0 0 Stephen D Rountree Trustee 1.00 0.00 X 0 0 0 Allan M Rudnick Trustee 2.00 0.00 X 0 0 0 Michael A Sachs Trustee 1.00 0.00 X 0 0 0 Theodore R Samuels Trustee 2.00 0.00 X 0 0 0 Paul M Schaeffer Trustee 1.00 0.00 X 0 0 0 Kimberly Shepherd Trustee 1.00 0.00 X 0 0 0 Stuart Siegel MD Trustee 1.00 0.00 X 0 0 0 Thomas M Simms Trustee 2.00 0.00 X 0 0 0 Victoria Simms PhD Trustee 1.00 0.00 X 0 0 0 Alexandra Meneses Simpson Trustee 1.00 0.00 X 0 0 0 Lisa Stevens Trustee 1.00 0.00 X 0 0 0 James Terrile Trustee 2.00 0.00 X 0 0 0 Hon Dickran M Tevrizian Trustee 1.00 0.00 X 0 0 0 Joyce Bogart Trabulus Trustee 1.00 0.00 X 0 0 0 Alia Tutor Trustee 1.00 0.00 X 0 0 0 Rohit Varma MD MPH Trustee 1.00 0.00 X 0 0 0 Eric C Wasserman Trustee 1.00 0.00 X 0 0 0 Cathy Siegel Weiss Trustee 2.00 0.00 X 0 0 0 Roberta Williams MD Trustee/Faculty Physician 40.00 0.00 X 459942 0 0 Alan J Wilson Trustee 1.00 0.00 X 0 0 0 Jeffrey Worthe Trustee 2.00 0.00 X 0 0 0 Richard Zapanta MD Trustee 1.00 0.00 X 0 0 0 Robert A Zielinski Trustee 1.00 0.00 X 0 0 0 Richard Cordova President & CEO (end 7/1/16) 55.00 0.00 X 2190087 0 4982 Scott Lieberenz SVP/CFO/Treasurer (Start 9/19/16) 55.00 0.00 X 182135 0 5294 Maria Mancera Corporate Secretary 55.00 0.00 X 60551 0 5636 Lannie Tonnu SVP/CFO/Treasurer (End 9/18/16) 55.00 0.00 X 1409127 0 96749 Lara Khouri VP Health System Dev & Integ 55.00 0.00 X 449121 0 94305 Grace Oh Senior VP General Counsel 55.00 0.00 X 491309 0 101866 Mary Hacker VP Patient Care Services 55.00 0.00 X 490585 0 106943 Tim Malseed VP Chief Information Officer 55.00 0.00 X 408232 0 58669 Gail Margolis VP Government & Public Policy 55.00 0.00 X 910049 0 43115 DeAnn Marshall SVP Chief Dev & Mktg Officer 55.00 0.00 X 707952 0 117079 Geon L Lee Reg Nurse Lead 55.00 0.00 X 480565 0 24796 Paul Dennis Kane End 11616 Former Key Employee 0.00 0.00 X 217303 0 6212 Smitha Ravipudi End 31116 Former Key Employee 0.00 0.00 X 103362 0 17639 12011880 0 721984 1514 1 1 0 Comforce Technical Services Inc 999 Stewart Ave Ste 100 Bethpage NY 11714 Healthcare Workforce Management 22706637 Accenture LLP 1255 Treat Blvd Suite 250 Walnut Creek CA 94597 Consulting Services 17756498 Ideaology Advertising Inc 4223 Glencoe Ave Suite A127 Marina Del Rey CA 90292 Advertising Services 8871079 CDW Government Inc 101 N Brand Blvd Suite 550 Glendale CA 91203 Technology Services 3896964 Parking Company of America 11101 Lakewood Blvd Downey CA 90241 Parking Services 3703141 136 3720395 46018250 59835067 1012194 109573712 Patient Revenue 621110 876086323 876086323 Graduate Medical Edu. 900099 16694532 16694532 Research Revenue 900099 11200399 11200399 Education Revenue 900099 3094034 3094034 907075288 -10031589 70456 -10102045 487625 487625 712539651 708310449 -2156816 4229202 2156816 6386018 6386018 214417 3720395 1721402 -1506985 -1506985 Cafeteria 722514 3874920 3874920 Parking Garage 812930 3646153 3646153 Child Development Ctr 624410 1210163 1210163 2149087 1029277 16749 1103061 10880323 1022864392 908104565 87205 5098910 X 80700 80700 7166292 805371 5908951 451970 447267380 349998045 85316641 11952694 9341422 7583267 1517582 240573 42205024 37243840 3713055 1248129 32082477 24657123 6637653 787701 703 703 2165590 415298 1750118 174 1084757 1084757 3518172 3518172 744411 744411 1073240 1073240 192965744 118594470 70130361 4240913 9245456 9193464 51992 136918386 131116366 5416442 385578 30838999 24913917 5489615 435467 256714 256714 6306894 4057998 1527883 721013 2519392 1867956 475887 175549 2157630 1493345 253868 410417 21425133 20308884 1116249 64707010 61726827 2979018 1165 3856485 3557770 195531 103184 Quality Assurance Fees 26143235 26143235 Utilities 13720618 13043064 677554 Dues and Subscriptions 2613287 589310 1857605 166372 Minor Equipment 1320720 1219259 100642 819 9963996 5052032 4737904 174060 1071689867 843918255 205479431 22292181 10017 179870 6430639 43114958 58811289 54272581 143374462 136591135 113300 0 507120 314506 7916749 7989808 9763341 7366605 1599036964 713458020 905004546 885578944 519545573 556966751 4750942 4834044 89842222 58909261 1746070200 1756118463 129461385 135968474 17783810 30945867 470984917 468314876 51111184 33190708 669341296 668419925 X 791170737 776699153 115124912 132506539 170433255 178492846 1076728904 1087698538 1746070200 1756118463 X -48825475 55278632 4516477 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1000000 1000000 1000000 3000000 4500000 56842 552827 537068 1146737 250000 250000 250000 750000 1125000 0 0 0 543706004 53936257 57761047 59392770 596010538 572973705 52408489 -23833941 57842249 543706004 618919327 49906314 702974 96554910 572973705 570394064 43017518 70018758 64511013 618919327 528012698 49282881 46289884 53191399 570394064 0.66430 0.29950 0.03620 0 0 37409231 37409231 1084113984 369391101 714722883 429067515 336262435 92805080 48446234 7804484 40641750 885578944 Payables Under Government Programs 181763 Liability Under Unitrust Agreements 2292096 Interest Rate Swap 11781391 Other Noncurrent Liabilities 18935458 33190708 X Part V, Line 4: Endowment funds are intended to be used according to the donor's wishes which vary from ongoing program support, to specific research, to building or asset acquisition, or support of academic chairs within the Organization. Part X, Line 2: The Hospital is recognized by the Internal Revenue Service and the California Franchise Tax Board as tax-exempt under Internal Revenue Code Section 501(c)(3). Accordingly, no provision for income taxes has been made in the accompanying statement of operations. X X X X X X X 1 Children's Miracle Network Hospitals 205 West 700 South Salt Lake City UT 84101 General Fundraising 0 8388291 744411 7643880 8388291 744411 7643880 CA Noche de Ninos 3934812 3720395 214417 474577 285472 572246 389107 3934812 3720395 214417 474577 285472 572246 389107 1721402 -1506985 Part I, Line 2b, Column (V): Funds submitted directly to Children's Miracle Network by sponsor partners are remitted to member hospitals on a quarterly basis by Children's Miracle Network. Funds remitted directly to member hospitals as a result of a Children's Miracle Network fundraising program are reported back to Children's Miracle Network for the purposes tracking fundraising results but those are deposited by the member hospital. Member hospitals pay an annual membership fee, which differs for each member hospital and depends largely on its market territory population. These fees are analogous to franchise fees, where hospitals "own" market territory in which they fund raise using the Children's Miracle Network brand. Children's Miracle Network furnishes fundraising materials that are essential to the campaigns. Such materials include the paper icons, collateral materials, and coin canisters. Materials are sent directly to locations of sponsor partners (such as an individual Costco warehouse). It is the responsibility of each hospital to pay for the cost of these materials. Materials costs are billed separate from the annual membership fee and are sent intermittently depending on the frequency of the campaigns. 1 1 X 1 X 350.000000000000 1 X 1 1 0 1 1 1 1659 1816935 1816935 0.00170 2167 253190 227504635 172890304 54614331 0.05100 2168 254849 229321570 172890304 56431266 0.05270 27 395518 5385807 5385807 0.00500 9 7301 48901662 29561366 19340296 0.01800 1 2552 4835242 4835242 0.00450 1 0 106847055 61795316 45051739 0.04200 4 13400 267664 267664 0.00020 42 418771 166237430 91356682 74880748 0.06970 2210 673620 395559000 264246986 131312014 0.12240 1 7500 37005 37005 0.00000 3 200565 500324 500324 0.00050 4 208065 537329 537329 0.00050 1 2866070 0 1987680 1987680 X 1 1 1 1 Children's Hospital Los Angeles 4650 Sunset Blvd Los Angeles CA 900270982 www.chla.org 930000032 X X X X X X Children's Hospital Los Angeles 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X See Part V, Section C, Supplemental Info. X 1 15 1 See Part V, Section C, Supplemental Info. 0 1 X 350.000000000000 400.000000000000 1 1 X X X X 1 X https://www.chla.org/billing-and-insurance-paying-care X https://www.chla.org/billing-and-insurance-paying-care X https://www.chla.org/billing-and-insurance-paying-care X X X X X X 1 X 0 X X X X 1 X 0 0 Children's Hospital Los Angeles Part V, Section B, Line 5: The Community Health Needs Assessment was conducted by the Center for Nonprofit Management (CNM) and the Office of Community Affairs at Children's Hospital Los Angeles. Other institutions, organizations and agencies as well as members of the Children's Hospital Community Benefit Advisory Committee also contributed time and resources to assist with this assessment.The CNM team has extensive experience through being involved in and conducting more than 30 CHNA's for hospitals throughout Los Angeles County and San Diego County. In 2013, CNM conducted CHNA's for three Kaiser Foundation Hospitals (Baldwin Park, Los Angeles and West Los Angeles),Citrus Valley Health Partners, The Glendale Hospitals Collaborative (Glendale Adventist Medical Center, Glendale Memorial Hospital and US Verdugo Hills Hospital) and the Metro Hospitals Collaborative (California Hospital Medical Center, Good Samaritan Hospital and St. Vincent Medical Center) and assisted an additional two Kaiser Foundation Hospitals (Panorama City and San Diego) in community benefit planning based on the needs assessments. More recently, the CNM team conducted the 2014 CHNA for CASA Colina Hospital and Centers for Healthcare, and for Hope Street Family Center. The CNM team is currently in various stages of conducting 2016 CHNAs for two Kaiser Foundation Hospitals (West Los Angeles and Baldwin Park), Citrus Valley Health Partners, The Glendale Hospitals Collaborative and The Metro Hospitals Collaborative.CHLA has conducted a Community Health Needs Assessment (CHNA) in an effort to understand the health and social needs of the community and as required by state and federal law. The CHNA is a primary tool used by the Hospital to determine its community benefit plan. This assessment incorporates components of primary data collection and secondary data analysis that focus on the health and social needs of the service area. Sources of data include the U.S. Census 2010 Decennial Census and American Community Survey, California Health Interview Survey, California Department ofPublic Health, California Employment Development Department, Los Angeles County Health Survey, Los Angeles Homeless Services Authority, CDC National Health Statistics, National Cancer Institute, U.S. Department of Education, and others. When pertinent, these data sets are presented in the context of California State. The 2016 Community Health Needs Assessment methodology and process involved the collection of both secondary data and primary data. Approximately 300 secondary data indicators on a variety of health, social, economic, and environmental topics were collected by zip code, service planning area (spa), county, and state levels (as available). In addition, primary data collection included an online survey, a youth-led photovoice project and a community forum with individuals who represent the broad interests of the community served by the Hospital. Additionally, input was obtained from Los Angeles County Department of Public Health Officials. For the community forum, community stakeholders identified by key departments at Children's Hospital Los Angeles were contacted andasked to participate in the prioritization of needs process. Participants included individuals who are leaders and representatives of medically underserved, low-income, minority and chronic disease populations, or regional, state or local health or other departments or agencies that have current data or other information relevant to the health needs of the community served by the hospital facility. Children's Hospital Los Angeles Part V, Section B, Line 6b: A number of institutions, organizations, and departments contributed time and resources to assist with the assessment. These include Asian Pacific Health Care Venture, Children's Hospital Los Angeles - chaplain, Children's Hospital Los Angeles - clinical programs, children's agencies, Community Health Councils, Inc., Los Angeles County Department of Public Health, Esperanza Housing Corporation, Altamed at Children's Hospital, Community Clinic Association of Los Angeles, County Hospital Los Angeles - community affairs, Children's Hospital Los Angeles - family advisory council, Children's Hospital Los Angeles - pediatric residency program, Children's Hospital Los Angeles - promotoras, City Council, Community Clinic Association of L.A. County, Downtown L.A. YMCA, office of Senator Kevin de Leon, Zero to Three', and Maternal and Child Health Access. Children's Hospital Los Angeles Part V, Section B, Line 7d: The Community Health Needs Assessment ("CHNA") of the Hospital can be located at the following web address: http://www.chla.org/sites/default/files/atoms/files/CHLA-Childrens-Hospital-LA-CHNA-Report-FINAL.pdf Children's Hospital Los Angeles Part V, Section B, Line 11: As part of the Community Health Needs Assessment (CHNA), health and social needs were identified through an examination of primary and secondary data and then prioritized through a structured process using the relative worth method. This method is a ranking strategy where each participant in the process received a fixed number of points to rank each identified need. The priority areas that arebeing addressed are: access to care, health promotion and prevention, health and wellness and economic development. Other health and social needs that were identified, such as mental health, chronic disease conditions, community safety, and early childhood development, are alreadybeing addressed by other local and regional community organizations. The Hospital is dedicated to making a difference in the lives of children, adolescents and their families and is addressing the priority areas identified in the CHNA by providing programs and services that are family centered and community based. -- Access to Care - Children's Hospital Los Angeles is conducting community education and outreach regarding California's Health Insurance Exchange and the changes in health access programs. The Hospital is also expanding access to health care resources and information regarding transition and transfer of care for young adult patients living with chronic illness and disability.-- Health Promotion and Prevention - The Hospital is promoting healthy behaviors and prevention of disease through outreach and education at local schools, community events and expositions. CHLA has partnered with community organizations to coordinate child health and safety campaigns.-- Health and Wellness - Children's Hospital Los Angeles has collaborated with community clinics to promote pediatric health and wellness and make available information and resources to providers who care for families in underserved areas and collaborate with local community based organizations to work on initiatives that design and inform the development of interventions that address health inequities, particularly in underserved communities.-- Economic Development - The Hospital is working to advance current efforts to expand internships, mentorships and work experience opportunities for young adults and unemployed individuals and willcollaborate with community and civic stakeholders to maximize economic opportunity strategies that address health disparities and the social determinants of health. Part V, Section B, Line 10a: The Implementation Strategy of the Hospital can be located at the following web address: http://www.chla.org/sites/default/files/atoms/files/CHLA-Community-Benefit-Implementation-Strategy-2016-2018.pdf Part I, Line 7: The Hospital will charge the greater of the maximum amounts that can be charged to FAP-eligible individuals determined by the following methods: lowest negotiated commercial insurance rate, average of it's three lowest negotiated commercial insurance rates, and Medicare rates. Part II, Community Building Activities: The Hospital sponsors various community services to benefit the physically, mentally and genetically disabled as part of its charitable mission. These services include parental counseling, educational seminars, family support groups, and an outreach organization for families administered by the Hospital in an agency relationship and funded by the State of California. Additionally, a large number of health-related educational programs are provided for the benefit of the community, including health enhancements and wellness, telephone information services, and programs designed to improve the general standards of the health of the community. Part III, Line 2: The total bad debt is equal to the total bad debt write offs less the bad debt recoveries. Part III, Line 3: The Hospital recognizes patient service revenue on the basis of contractual rates for the services rendered for those patients who have third-party payor coverage. For uninsured patients who do not qualify for charity care, the Hospital recognizes revenue on the basis of its standard rates (or on the basis of discounted rates, if negotiated or provided by policy). Patients covered by insurance, but required to pay deductibles or copayments, are considered to be uninsured for those portions. Based on historical experience, the Hospital believes that a significant portion of its patient accounts will be uncollectible. Thus, it records a significant provision for bad debts related to patient accounts in the period the services are provided.Bad debts are NOT included as community benefits and contain -0- charity cost. Bad debts are calculated based on uncollectible accounts net of contractuals. Part III, Line 4: Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others, including estimated retroactive adjustments under reimbursement agreements with third party payors. Retroactive adjustments are estimated and accrued in the period in which the related services are rendered, and adjusted in future periods as final settlements are determined.Patient accounts receivable are recorded on an accrual basis at established billing rates. The allowances for contractual adjustments and doubtful accounts are recorded on an accrual basis, using historical experience and established billing rates. In evaluating the collectibility of patient accounts receivable, the Hospital estimates the allowance for doubtful accounts by major payor type, based on historical experience for each type. The difference between the standard rates (or the discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Part III, Line 8: CHLA is not including any Medicare Shortfall as part of its Community Benefit. Further, CHLA uses Federal Medicare Cost allocation methodology, as reported in its Medicare Cost report, to determine the allowable costs of care relating to Medicare payments received. Part III, Line 9b: The Hospital's Policy states that if the patient/guarantor is unable to pay for services due to their current financial situation, they could be eligible for uncompensated care, in which case the Hospital's applicable policy and procedure is further referenced. If the patient/guarantor does not qualify, the Hospital follows all applicable federal and state guidelines for debt collection, including the requirement of fair treatment, the prohibition of making false statements and restrictions on the time of day that debt collectors may contact the debtor. Part VI, Line 2: CHLA continues its commitment to the children and families of the Los Angeles area through its community benefit activities which ensure that our hospital will remain responsive to the needs of the community. Children's Hospital Los Angeles strives to accomplish our objectives through our Strategic Plan, developed in accordance with the 2016 Community Health Needs Assessment. 2016 Community Health Needs Assessment Strategies: - Increase access to health care resources and information to children, youth and families in the community: conduct community education and outreach regarding federal, state, and local health access programs; carry out advocacy efforts that focus on children's health initiatives, including access to pediatric care and preventive services; and expand access to healthcare resources and information regarding mental health, oral health care, early childhood development, and transition and transfer of care. - Raise awareness of pediatric health and related safety and social issues in the community: promote healthy behaviors and prevention of disease through outreach and education at local schools, community events, and expositions; enhance knowledge and skills of parents, children, youth, and community service providers regarding child health and safety issues; and partner with community organizations to coordinate child health and safety campaigns. - Have an impact on overall health and wellness of children and youth in our community: collaborate with community clinics to promote pediatric health and wellness and make available information and resources to providers who care for families in underserved areas; and collaborate with local community-based organizations to work on initiatives that design and inform the development of interventions that address health inequities, particularly in underserved communities. - Expand economic opportunities for youth, young adults and families in our community: advance current hospital efforts to expand internships, mentorship and work experience opportunities; and collaborate with community and civic stakeholders to maximize economic opportunity strategies that address health disparities and the social determinants of health. Conducting the Community Health Needs Assessment is one of the many ways that Children's Hospital Los Angeles strengthens its commitment to understanding the health needs of the communities it serves. Part VI, Line 3: The Office of Community Affairs at Children's Hospital Los Angeles helps families' access available community resources, including low-cost health insurance coverage and health programs. Through CHLA's Health Insurance Assistance Program, part of the Office of Community Affairs, families find help getting access to Covered California resources and learn about other low-cost health insurance programs in Los Angeles County. To increase access to health care resources and provide awareness of Covered California benefits, the program has partnered with a local collaborative to conduct outreach and education regarding federal, state, and local access programs. Certified Covered California Educators are available on site at Children's Hospital Los Angeles to assist families in obtaining health coverage through the exchange. In addition, the program's goal is to expand access to healthcare resources and information regarding mental health, oral health care, early childhood development, and transition and transfer of care. Part VI, Line 4: Our hospital services reach thousands across Southern California, with a primary service area of Los Angeles County - a region that spans 4,057 square miles and includes vast urban communities, suburban areas and rural neighborhoods. Approximately 85% of the Hospital's patients originate from Los Angeles County. Los Angeles County is home to more than 10 million residents - of which 23.4% are children ages 0-17. It is the most populous county in the nation - approximately 26% of the state's population - and one of the most ethnically and radically diverse as well. Children (ages 0-11) represented 15.5% of the population in Los Angeles County. The majority population race/ethnicity in LA County is Hispanic or Latino (48.8%). Whites make up 26.4% of the population. Asians comprise 14.0% of the population, and African Americans are 8.0% of the population. Native Americans, Hawaiians, and other races combined total 2.8% of the population. In LA County, 56.8% of the population speaks a language other than English at home and 25.8% are linguistically isolated. In Los Angeles, almost a quarter of the population lived at or below 100% of the FPL (24.1%), which is higher than California (22.3%). Poverty decreases for the population of Los Angeles County at or below 200% of the FPL with 13.3%, almost that of California (13.8%). Part VI, Line 5: Children's Hospital Los Angeles offers many community services and programs in response to the needs of children, youth and families. Community benefit services and activities are designed to provide treatment and promote health as a response to identified community needs. Our objectives are to improve access to health care services, enhance public health of the community, advance medical or health care knowledge that provides public benefit, and relieve or reduce the burden of government or other community efforts. The CHLA Community Health Outreach Network - Children's Hospital Los Angeles's Office of Community Affairs collaborated with the CHLA Salud "Promotoras" to reach over 10,000 individuals to promote healthy behaviors and providing information and referrals to assist in identifying available health coverage through outreach campaigns at more than 60 community events.Helping Adolescents and Young Adults with Cancer and Blood Diseases Connect and Integrate in the Community - The Children's Center for Cancer and Blood Diseases (CCCBD) at CHLA is committed to a patient-centered model of care that is designed for the benefit, comfort and ease of children and families. An essential component of the care provided in the CCCBD is the Survivorship and Supportive Care Program, where experts continually work to improve the short- and long-term quality of life for children and adolescents suffering from cancer and blood disordersBuilding on the Teen Impact Program launched at CHLA in 1988, the new HOPE Teen and Family Support Service within the Survivorship and Supportive Care Program includes: a focused approach on reaching teens who are newly diagnosed with cancer and blood diseases at CHLA, targeted support groups, and comprehensive medical and behavioral health via a collaborative partnership with the Adolescent and Young Adult Service.Free Cardiac Screenings to Bakersfield Youth - A health collaboration was established between Olivia's Heart Project, Central Cardiology Medical Clinic, Bakersfield Heart Hospital and Children's Hospital Los Angeles Division of Cardiology to host free heart screening events in Bakersfield, California. A seven-member team from the CHLA Cardiology staff participated in community health fair events, during which the team increased awareness of cardiovascular disease risk factors and conducted cardiac screenings of over 200 teens and young adults in Bakersfield.BodyWorks Program - The BodyWorks program was developed to prevent childhood obesity, an important health concern noted among pediatricians in the AltaMed General Pediatrics Clinic at CHLA. AltaMed and CHLA's Division of General Pediatrics collaborated to make this program possible, which uses an interdisciplinary approach to teach children, parents and families how to make healthy food choices and how to engage in healthy activities together. BodyWorks is a comprehensive family-centered, child-driven program that focuses on the experience of becoming healthier as a community.Careers in Health and Mentorship Program (CHAMP) - CHLA's CHAMP provides underrepresented adults from the Los Angeles community the opportunity to participate in a series of comprehensive job readiness and leadership development workshops that are led by CHLA staff and hospital partners. Since its inception, over 100 young adults entered the CHLA CHAMP. After successfully completing the workshop series, "CHAMPers" are placed in nonclinical, project-based internships in participating hospital departments.Camp CHLA - Camp CHLA, a health careers exploration program, provides high school students a firsthand look into the daily lives of health care professionals. Since its inception in 2006, over 1,000 students from our community have had the opportunity to: job-shadow health care professionals, participate in hands-on skills labs, gain exposure to different health career paths, and share their experiences with other campers. CHLA continues to deepen its commitment to the community at large through the innovation and implementation of its community services and programs to improve the community's health and safety. Through our Community Benefit process we will gain a better understanding of the social determinants of health; and innovate and implement services and programs to improve the health and safety of the community. Part VI, Line 7, Reports Filed With States CA Community Benefit Report: NEED TO UPDATE 1 March of Dimes 1275 Mamaroneck Avenue White Plains NY 10605 131846366 501(c)(3) 25000 March of Dimes 2017 Sponsorship and Celebration National Medical Fellowship Inc 347 Fifth Avenue Suite 510 New York NY 10016 010963657 501(c)(3) 25000 Los Angeles Champions of Health Awards American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 15000 LA Heart Walk Pledge Ronald McDonald House Charities of South 4560 Fountain Avenue Los Angeles CA 90029 953167869 501(c)(3) 10000 Walk For Kids Sponsorship Hollywood Chamber of Comerce 6255 W Sunset Blvd Ste 150 Los Angeles CA 90028 950838840 501(c)(6) 5700 2017 Heroes of Hollywood Awards And State Luncheon 5 1 Part I, Line 2: Grants will only be made to 501(c)(3) and 501(c)(6) organizations to ensure the funds will be used properly. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Paul S Viviano Trustee/President & CEO 926086 0 380008 0 46502 0 7950 0 23204 0 1383750 0 0 0 Henri R Ford MD MHA Trustee/Faculty Physician 800193 0 0 0 98832 0 0 0 0 0 899025 0 0 0 Carl Grushkin MD Trustee/Faculty Physician 275445 0 0 0 0 0 0 0 0 0 275445 0 0 0 Mark D Krieger MD Trustee/Faculty Physician 604350 0 0 0 0 0 0 0 0 0 604350 0 0 0 Nancy Lee RN MSN NEA-BC Trustee/SVP-Chief Clinical Officer 218283 0 28454 0 9407 0 0 0 7545 0 263689 0 0 0 Roberta Williams MD Trustee/Faculty Physician 459942 0 0 0 0 0 0 0 0 0 459942 0 0 0 Richard Cordova President & CEO (end 7/1/16) 397259 0 1608608 0 184220 0 4281 0 701 0 2195069 0 0 0 Scott Lieberenz SVP/CFO/Treasurer (Start 9/19/16) 109134 0 50994 0 22007 0 2714 0 2580 0 187429 0 0 0 Lannie Tonnu SVP/CFO/Treasurer (End 9/18/16) 424239 0 0 0 984888 0 72703 0 24046 0 1505876 0 0 0 Lara Khouri VP Health System Dev & Integ 323066 0 84978 0 41077 0 75170 0 19135 0 543426 0 0 0 Grace Oh Senior VP General Counsel 350374 0 91513 0 49422 0 61761 0 40105 0 593175 0 0 0 Mary Hacker VP Patient Care Services 321888 0 96002 0 72695 0 72428 0 34515 0 597528 0 0 0 Tim Malseed VP Chief Information Officer 232493 0 86268 0 89471 0 56994 0 1675 0 466901 0 0 0 Gail Margolis VP Government & Public Policy 890129 0 0 0 19920 0 25351 0 17764 0 953164 0 0 0 DeAnn Marshall SVP Chief Dev & Mktg Officer 437742 0 134395 0 135815 0 84001 0 33078 0 825031 0 0 0 Geon L Lee Reg Nurse Lead 455950 0 0 0 24615 0 14496 0 10300 0 505361 0 0 0 Paul Dennis Kane End 11616 Former Key Employee 15995 0 0 0 201308 0 5590 0 622 0 223515 0 0 0 Smitha Ravipudi End 31116 Former Key Employee 61407 0 0 0 41955 0 12376 0 5263 0 121001 0 0 0 Part I, Line 1a Scott Lieberenz received a housing allowance of $14,000 in calendar year 2016, which was treated as taxable compensation. Richard Cordova has a discretionary spending account of $19,385 for calendar year 2016. This account is to be used for CHLA business activities in his role as CEO. This amount was reported as taxable income on his Form W-2. Part I, Line 4a: Following individuals received severance payment in calendar year 2016, which was treated as taxable compensation: - Lannie Tonnu = $765,779 - Jessica Lily Rousset = $87,280 - Paul Dennis Kane = $97,321 Part I, Line 4b: The following individuals participated in CHLA's 457(f) plan, a supplemental nonqualified retirement plan. Amounts deferred under Section 457(f) plan are subject to substantial risk of forfeiture. These amounts will be reported as compensation for the year paid. Amounts recognized as taxable compensation on the employee's 2016 Form W-2 reflect payments received by the employee during calendar year 2016 that were previously reported as deferred compensation in prior year Form 990s: Paul Viviano - $29,222 Lannie Tonnu - $116,960 David Davis - $31,330 Mary D. Hacker - $54,695 Tim Malseed - $49,704 DeAnn Marshall - $75,133 Grace Oh - $34,233 Jessica Lily Rousset - $33,406 Tina Marie Johann - $16,823 Melissa Duncan Dovale - $21,790 Terence Michael Green - $16,119 Paul Dennis Kane - $91,503 Part I, Line 7: CHLA maintains an executive bonus program that awards incentive compensation based upon achievement of organizational objectives including health outcomes, quality improvement, level of community benefit provided and other measures as determined annually by the Compensation Committee. Although the amount of bonus incentives that each employee may be granted is based on a fixed formula, the Compensation Committee has the discretion to determine the extent of the goals that have been met by each employee. In addition to her fundraising activities, Bonnie McClure also administers the Hospital's photographic and memorabilia archives and administers the Tour Docent Program. She was compensated $64,000 for her services. Part VII, Section A, Line 5: Pursuant to the affiliate agreement with the University of Southern California (USC), an unrelated organization, the following compensation amounts were paid to the following listed individuals by USC. USC was subsequently reimbursed by CHLA for the amounts: Henri Ford, M.D. - $899,025 Roberta Williams, M.D. - $459,942 Mark D. Krieger, M.D. - $604,350 Carl Grushkin, M.D. - $275,445 A California Health Facilities Financing Authority 521643828 13033LB22 2012-08-15 182930717 See Part VI 0 0 0 B California Health Facilities Financing Authority 521643828 13032UNH7 2017-06-06 295974620 See Part VI 0 0 0 C California Health Facilities Financing Authority 521643828 13032UNJ3 2017-06-06 52180000 See Part VI 0 0 0 A 51655000 182930717 2310722 180619995 1 0 1 1 B 295974620 222803071 2528240 37418117 33225192 1 1 0 1 C 52180000 37430763 494240 14254997 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00870 0.00000 0.00870 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 Schedule K, Part I, Bond Issues: Part I(f): The Series 1999 Bonds were issued on 05/26/1999; the Series 2009 Bonds were issued on 12/18/2009; and the Series 2010B Bonds were issued on 05/20/2010. Schedule K, Part I, Bond Issues: Part I(f): The Series 2017A Bonds were issued to finance hospital projects; the advance refunding of the Borrower's Series 2010A Bonds (issued on 05/20/2010); and the current refunding of the Borrower's Series 2007 Bonds (issued on 04/24/2007) and Series 2012B Bonds (issued on 08/15/2012). Part IV, Line 2b, Column A: Bond A: The 2012 Bonds met the 6 month exception to rebate. Part IV, Line 6, Column B: This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the Bonds. Schedule K, Part I, Bond Issues: The Series 2007 Bonds were issued on 04/24/2007; the Series 2012B Bonds were issued on 08/15/2012. Alex Chaves Sr (Trustee) Owner of Parking Company of America 3826050 Provides parking services for the Hospital. 0 Megan Hernandez (Trustee) Husband Owns Security Co, Founder & Head of Inter-con Security Systems 2933655 Provides private security services for the Hospital. 0 X 60 1012194 Cost or selling price 0 0 1 1 Part I, Column (b): CHLA is Reporting the Number of Contributions. Part I, Line 32b: The Hospital uses brokerage houses to sell non-cash contributions. Form 990, Part VI, Section A, line 1 The Executive Committee consists of only active voting members of the Board of Trustees and is composed of the Co-Chairpersons of the Board; the President and Chief Executive Officer of the Hospital; the Chairpersons of every standing committee of the Board; the Chief of Medical Staff of the Hospital; the Chief Nursing Officer of the Hospital; and other trustees appointed by the Co-Chairpersons of the Board with the consent of the Board of Trustees. The Executive Committee may act with the full authority of the Board of Trustees except on those matters that are required by law or the bylaws to be decided by the full Board of Trustees. All actions of the Executive Committee are reflected in minutes of the Committee, contemporaneously documented and reported to the full board of trustees at its next meeting. Form 990, Part VI, Section A, line 2 1 - Margaret (Peggy) Rodi Galbraith (Trustee) - Business relationship among Jack Pettker (Trustee). 2 - Marcia Wilson Hobbs (Trustee) - Family relationship among Bonnie McClure (Trustee). Form 990, Part VI, Section B, line 11b The Form 990 is prepared by Deloitte Tax LLP, working in conjunction with CHLA's finance department. CHLA's Director of Accounting has direct responsibility for this effort, subject to supervision by the Chief Financial Officer. After an initial draft of the Form 990 is prepared, it is circulated for review and comment by relevant members of the executive team who have responsibility and/or knowledge about the various matters disclosed and/or described in the Form. The Chief Financial Officer and General Counsel, in particular, review the Form 990 and ensure accuracy of descriptions and that disclosure is complete. The draft Form 990 is reviewed by the Audit Committee of CHLA, acting on behalf of the Board of Trustees of CHLA. Once the draft Form 990 has been reviewed and discussed by the Audit Committee, any changes resulting from their review is incorporated into the final draft of the Form 990. The final draft of the Form 990 is then distributed to the Board of Trustees via a secure web site for their review and comments prior to the filing of the Form 990. Form 990, Part VI, Section B, line 12c CHLA regularly and consistently monitors and enforces compliance with its Conflict of Interest Policy through annual circulation of a conflict of interest questionnaire which is required to be answered by all officers and members of the board of trustees, key medical staff members, as well as certain key employees that are designated annually by the governance committee. These annual disclosures are reviewed by a combination of CHLA's General Counsel, Compliance Officer, Chief Executive Officer, Governance Committee of the Board and the full Board of Trustees, depending on the individual making the disclosure. Additionally, the Legal Department of CHLA reviews contractual relationships entered into by CHLA. Furthermore, Board members and officers are asked to disclose any potential conflicts of interest on a continuous basis throughout the year. If a potential conflict exists, the board or committee determines whether the board member or officer should be excluded from voting on that particular matter. Form 990, Part VI, Section B, line 15 The process for determining the compensation of the Chief Executive Officer of CHLA is conducted by the Compensation Committee of the Board of Trustees of CHLA, acting on behalf of the Board of Trustees of the organization. The Compensation Committee reported its deliberations and decisions to the Executive Committee of the Board of Trustees. In determining the Chief Executive Officer's compensation during the tax period of this information return the Compensation Committee worked with and relied upon the counsel and expertise of Sullivan, Cotter and Associates, Inc., a firm with experience and expertise in the area of non-profit organization executive compensation. SullivanCotter provided reports to the Compensation Committee, which furnished the basis for the establishment of the Chief Executive Officer's compensation package. Their reports were based on a review of the executive compensation practices of a variety of hospitals and healthcare systems that are considered comparable to CHLA based on various metrics such as hospital type and revenue. The Compensation Committee deliberated on the issue of the Chief Executive Officer's compensation package in light of these reports and questions were asked of, and answered by, SullivanCotter regarding such reports and other relevant matters. Based on such deliberations, the Compensation Committee negotiated a written contract with the CEO. The process for determining the compensation of officers and other key employees of CHLA is conducted by the Compensation Committee of the Board of Trustees of CHLA, acting on behalf of the Board of Trustees of the organization, with support and guidance from the Chief Executive Officer and Human Resources Department. In determining such employee's compensation, during the compensation season the Human Resources Department and Compensation Committee worked with and relied upon the counsel and expertise of SullivanCotter, a firm with experience and expertise in the area of non-profit organization executive compensation. SullivanCotter provided an executive compensation report to the Human Resources Department and Compensation Committee which furnished the basis for the establishment of such employees' compensation package during the following year. SullivanCotter's report was based on a review of executive compensation practices of a variety of hospitals and healthcare systems that are considered comparable to CHLA based on various metrics such as hospital type and revenue. In addition, the Chief Executive Officer made a recommendation to the Compensation Committee with respect to each of such employees' compensation package in light of the SullivanCotter report and in light of the executive's performance. At the Compensation Committee meeting addressing such matters, questions were asked of, and answered by, SullivanCotter regarding such report and other relevant matters, and recommendations from the Chief Executive Officer were requested by and provided to the Compensation Committee. Based on such deliberations, the Compensation Committee made a decision regarding the compensation package for such employees for the following year. Form 990, Part VI, Section C, line 19 CHLA does not make its governing documents and Conflict of Interest Policy available to the public. CHLA's financial statements are contained in its Form 990, which is available for public inspection during business hours. Form 990, Part IX, line 11g Professional Medical Fees: Program service expenses 96,437,208. Management and general expenses 40,936,685. Fundraising expenses 704,592. Total expenses 138,078,485. Medical-Related Services: Program service expenses 8,834,225. Management and general expenses 49,237. Fundraising expenses 0. Total expenses 8,883,462. Other Purchased Services: Program service expenses 13,323,037. Management and general expenses 29,144,439. Fundraising expenses 3,536,321. Total expenses 46,003,797. Form 990, Part XI, line 9: Change in Value of Split Interest Agreements -210,464. Transfers and Others -548,667. Change in CHLA Holdings LLC Balance Sheet 164,145. Change in Swap Mark-to-Market 5,111,463. CHLA Holdings LLC 4650 Sunset Blvd Los Angeles CA 90027 273653228 Investment Vehicle CA 43958 377685 Children's Hospital Los Angeles Children's Health System of Los Angeles LLC 4650 Sunset Blvd Los Angeles CA 90027 951690977 Healthcare Services CA 0 0 Children's Hospital Los Angeles CHLA Health Network LLC 4650 Sunset Blvd Los Angeles CA 90027 951690977 Healthcare Services CA 0 0 Children's Hospital Los Angeles CHLA International LLC 4650 Sunset Blvd Los Angeles CA 90027 471738947 Healthcare Services DE 0 4900 Children's Hospital Los Angeles CHLA Teaching Clinics LLC 4650 Sunset Blvd Los Angeles CA 90027 820677283 Healthcare Services CA 0 0 Children's Hospital Los Angeles Anchors Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118986 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Antelope Valley Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118987 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Bel Air Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118835 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 BrightEyes 4650 Sunset Blvd MS 4 Los Angeles CA 90027 461214808 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Centennial Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 141878642 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Children's Chain Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 954559789 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Della Robbia Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118990 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Delta Delta Delta for Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 237294093 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 El Segundo Auxiliary Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118991 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Flintridge Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118993 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Focus 4650 Sunset Blvd MS 4 Los Angeles CA 90027 800290181 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Friends of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 141878647 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Glendale Auxiliary of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118994 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Green House 4650 Sunset Blvd MS 4 Los Angeles CA 90027 237215226 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Healing Arts Reaching Kids (HARK) 4650 Sunset Blvd MS 4 Los Angeles CA 90027 204459362 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 La Providencia Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956128178 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Las Hermanas Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956128176 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Las Madrinas Inc 4650 Sunset Blvd MS 4 Los Angeles CA 90027 951959907 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Las Primeras Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121928 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Mary Duque of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121921 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Mary Duque Juniors of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 953786303 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Men's Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 260109744 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Monrovia Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121929 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Northridge Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121930 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Pasadena Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121932 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Peninsula Committee 4650 Sunset Blvd MS 4 Los Angeles CA 90027 237091175 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Project CHLA 4650 Sunset Blvd MS 4 Los Angeles CA 90027 954524737 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 San Antonio Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121934 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Santa Monica Bay Auxiliary of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 237293607 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Sierra Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121935 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 South Bay Auxiliary of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956118996 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Spiritual Care of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 200872821 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Teen Impact Affiliates 4650 Sunset Blvd MS 4 Los Angeles CA 90027 454799602 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 This Little Light of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 954445549 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Toluca Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956098666 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Young Professionals Council 4650 Sunset Blvd MS 4 Los Angeles CA 90027 461301196 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Westside Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956059321 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Whittier Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121939 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 CHLA ESBT 4650 Sunset Boulevard Los Angeles CA 90027 203115169 Investment CA Children's Hospital Los Angeles T 95235 1.00000 1 CHLA Medical Foundation 4650 Sunset Boulevard Los Angeles CA 90027 824816550 Healthcare Services CA Children's Hospital Los Angeles C 1.00000 1 William F & Mary J Campbell Charitable Remainder Unitrust 4650 Sunset Boulevard Los Angeles CA 90027 956889283 Charitable Trust CA Children's Hospital Los Angeles T 0 Judith Bertanga Charitable Remainder Unitrust 4650 Sunset Boulevard Los Angeles CA 90027 956907969 Charitable Trust CA Children's Hospital Los Angeles T 0 James D Reagan Charitable Remainder Unitrust 4650 Sunset Boulevard Los Angeles CA 90027 957109746 Charitable Trust CA Children's Hospital Los Angeles T 0 Ronald L Reagan Charitable Remainder Trust 4650 Sunset Boulevard Los Angeles CA 90027 957114975 Charitable Trust CA Children's Hospital Los Angeles T 0 John D Pettker Charitable Remainder Unitrust 4650 Sunset Boulevard Los Angeles CA 90027 957123752 Charitable Trust CA Children's Hospital Los Angeles T 0 Mary M Langley Charitable Trust 4650 Sunset Boulevard Los Angeles CA 90027 956605056 Charitable Trust CA Children's Hospital Los Angeles T 0 Juliette Page Declaration of Trust for Mayos Mortons and Rowlands 4650 Sunset Boulevard Los Angeles CA 90027 956555411 Charitable Trust CA Children's Hospital Los Angeles T 0 Delories S Fischal Trust 26-22012 4650 Sunset Boulevard Los Angeles CA 90027 956922190 Testamentary Trust CA Children's Hospital Los Angeles T 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0