2017-05-15T18:30:17-05:00 2016-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2015-07-01 951644600 CEDARS-SINAI MEDICAL CENTER CEDA 3104233277 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 EDWARD PRUNCHUNAS EXECUTIVE VP/CFO 3104233277 2017-05-15 1 KARA ADAMS P00023315 9497942300 2015 2021-01-29 14:40:06Z THOMAS M PRISELAC 8700 BEVERLY BLVD LA CA 90048 3441521116 0 X WWW.CEDARS-SINAI.EDU X 1902 CA CSMC IS AN ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL PROVIDING THE HIGHEST-QUALITY HEALTHCARE. 38 26 13662 2843 24714327 -1298825 149349737 111247675 2944793264 3113496853 76070786 43356858 29377488 51663852 3199591275 3319765238 99391520 52962388 0 0 1436617672 1566769336 61633 71905 12621627 1268260300 1308458566 2804331125 2928262195 395260150 391503043 5083306804 5392868107 1747160139 1819226052 3336146665 3573642055 X CEDARS-SINAI HEALTH SYSTEM, A NON-PROFIT, INDEPENDENT HEALTH CARE ORGANIZATION IS COMMITTED TO:(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)- LEADERSHIP AND EXCELLENCE IN DELIVERING QUALITY HEALTHCARE SERVICES- EXPANDING THE HORIZONS OF MEDICAL KNOWLEDGE THROUGH BIOMEDICAL RESEARCH- EDUCATING AND TRAINING PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS- STRIVING TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY QUALITY PATIENT CARE IS OUR PRIORITY. PROVIDING EXCELLENT CLINICAL AND SERVICE QUALITY, OFFERING COMPASSIONATE CARE, AND SUPPORTING RESEARCH AND MEDICAL EDUCATION ARE ESSENTIAL TO OUR MISSION. THIS MISSION IS FOUNDED IN THE ETHICAL AND CULTURAL PRECEPTS OF THE JUDAIC TRADITION, WHICH INSPIRES DEVOTION TO THE ART AND SCIENCE OF HEALING, AND TO THE CARE WE GIVE TO OUR PATIENTS AND STAFF. 0 0 1878207473 51905788 2925649676 CLINICAL CARE:A NON-PROFIT INSTITUTION FOUNDED BY THE COMMUNITY IN 1902, CEDARS-SINAI PROVIDES A WIDE SPECTRUM OF MEDICAL SERVICES, AND IS ONE OF THE LEADING SPECIALTY REFERRAL CENTERS FOR THE REGION. FROM ONGOING PRIMARY CARE TO HIGHLY SPECIALIZED SUBSPECIALTY CARE, PATIENTS COME TO CEDARS-SINAI FROM LOCAL COMMUNITIES AS WELL AS FROM THROUGHOUT CALIFORNIA, THE NATION AND THE WORLD. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)IN FISCAL YEAR 2016, CEDARS-SINAI HAD 254,668 INPATIENT DAYS (APPROXIMATELY 698 PER DAY), AND 751,920 OUTPATIENT VISITS (APPROXIMATELY 2,060 PER DAY). THERE WERE 49,690 INPATIENT ADMISSIONS, AND 89,371 EMERGENCY DEPARTMENT VISITS. CEDARS-SINAI'S EMERGENCY DEPARTMENT SERVES THE ENTIRE REGION AS ONE OF ONLY FOUR REMAINING LEVEL I TRAUMA CENTERS IN LOS ANGELES COUNTY (AND THE ONLY ONE NOT OPERATED BY THE GOVERNMENT), WITH STAFFING AND TECHNOLOGY TO TREAT THE MOST SEVERELY INJURED ACCIDENT AND NATURAL DISASTER VICTIMS. IN FISCAL YEAR 2016, CEDARS-SINAI'S TOTAL COST OF CLINICAL CARE WAS $2,014,173,000AS ONE OF THE LARGEST ACADEMIC MEDICAL CENTERS IN THE WESTERN UNITED STATES, CEDARS-SINAI PROVIDES MANY HIGHLY SPECIALIZED SERVICES THAT ARE NOT AVAILABLE AT MOST OTHER HOSPITALS, AND WHICH REQUIRE A SIGNIFICANT INFRASTRUCTURE OF TECHNOLOGY AND EXPERT STAFFING. FOR EXAMPLE, IN 2015, CEDARS-SINAI PERFORMED MORE HEART TRANSPLANTS THAN ANY OTHER HOSPITAL IN THE WORLD, 132. PATIENTS WITH ADVANCED HEART DISEASE COME TO CEDARS-SINAI BECAUSE OF THE EXPERTISE OF ITS CARDIOLOGISTS AND CARDIAC SURGEONS, AND BECAUSE CEDARS-SINAI HAS THE INFRASTRUCTURE TO OFFER HEART TRANSPLANTS AS WELL AS NEWER TECHNOLOGIES SUCH AS THE TOTAL ARTIFICIAL HEART AND OTHER COMPLEX DEVICES TO TREAT ADVANCED HEART DISEASE. CEDARS-SINAI'S SERVICES FOR CANCER PATIENTS ARE SIMILARLY BROAD IN SCOPE AND SIZE: FOR THE PAST SEVERAL YEARS, WE HAVE CARED FOR MORE INPATIENTS WITH CANCER (MEDICAL AND SURGICAL CASES) THAN ANY OTHER HOSPITAL IN LOS ANGELES COUNTY. IN FISCAL YEAR 2016, CEDARS-SINAI TREATED 5,602 CANCER INPATIENT VISITS AND 126,638 CANCER OUTPATIENT VISITS. 176105171 597000 102002693 RESEARCH:CEDARS-SINAI SCIENTISTS AND PHYSICIAN-RESEARCHERS ARE CURRENTLY CONDUCTING MORE THAN 1,500 STUDIES TO DISCOVER AND ADVANCE NEW TREATMENTS TO BENEFIT PATIENTS SUFFERING FROM HEART DISEASE, BRAIN DISORDERS, CANCER AND INNUMERABLE OTHER CONDITIONS. CEDARS-SINAI IS ALSO PIONEERING RESEARCH THAT IMPROVES THE QUALITY AND EFFICIENCY OF HEALTHCARE DELIVERY. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)WHILE SOME OF THESE RESEARCH PROJECTS ARE FUNDED IN PART OR IN WHOLE BY FUNDS FROM THE NATIONAL INSTITUTES OF HEALTH OR OTHER GOVERNMENT AGENCIES, MANY ARE FUNDED BY CEDARS-SINAI, ESPECIALLY SEED GRANTS TO SUPPORT INNOVATIVE NEW RESEARCH. IN FISCAL YEAR 2016, CEDARS-SINAI'S PROVIDED $76,102,478 TOWARD RESEARCH PROJECTS, WHILE NIH AND OTHER GRANTS PROVIDED $102,002,693. AMONG THE SPECIFIC RESEARCH PROJECTS AT CEDARS-SINAI IN FISCAL YEAR 2016: AN IN-DEPTH INVESTIGATION INTO THE GENETICS OF INFLAMMATORY BOWEL DISEASE IN AFRICAN-AMERICANS; A STUDY THAT SHOWS THE KEY TO BLOCKING THE PROGRESSION OF AMYOTROPHIC LATERAL SCLEROSIS MAY BE IN THE BRAIN'S MOTOR CORTEX INSTEAD OF THE SPINAL CORD; THE FINDING THAT AN INJECTION OF STEM CELLS INTO THE EYE COULD POTENTIALLY SLOW OR REVERSE EFFECTS OF EARLY-STAGE, AGE-RELATED MACULAR DEGENERATION; ASSEMBLED A NEW NANOPARTICLE AIMED AT REVEALING AND THEN ELIMINATING BREAST CANCER TUMORS; USING A GENE-EDITING TECHNIQUE, REMOVED THE GENETIC MUTATION THAT CAUSES RETINITIS PIGMENTOSA, AN INHERITED EYE DISEASE THAT CAN LEAD TO BLINDNESS; SUCCESSFULLY TESTED A NEW METHOD FOR PRESERVING COGNITION IN EXPERIMENTAL MODELS OF ALZHEIMER'S DISEASE USING BONE MARROW-DERIVED WHITE BLOOD CELLS. 259689416 459600 85844484 TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS:WITH SEVERE PROJECTED SHORTAGES OF PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS FACING THE NATION, CEDARS-SINAI'S TRAINING AND EDUCATION PROGRAMS HAVE BECOME MORE IMPORTANT TO THE HEALTH OF THE NATION THAN EVER BEFORE. IN FISCAL YEAR 2016, CEDARS-SINAI'S NET COST OF PROVIDING THESE TRAINING PROGRAMS WAS $173,844,932. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)NEARLY 500 MEDICAL RESIDENTS AND FELLOWS WERE TRAINED IN SPECIALTY AND SUBSPECIALTY AREAS AT CEDARS-SINAI IN FISCAL YEAR 2016. IN ADDITION, CEDARS-SINAI'S BRAWERMAN NURSING INSTITUTE TRAINED MORE THAN 2,358 NURSES IN FISCAL YEAR 2016, ENABLING THEM TO BECOME REGISTERED NURSES, AND OTHER TO ADVANCE THEIR ABILITIES IN SPECIALTY AREAS SUCH AS CRITICAL CARE NURSING, ONCOLOGY NURSING, AND NEONATAL INTENSIVE CARE NURSING.FORM 990, PART V, LINE 7H: THE VEHICLE DONATED TO CSMC DOES NOT MEET THE DEFINITION OF A QUALIFIED VEHICLE AS IT WAS HELD FOR SALE BY THE DONOR AND THEREFORE FORM 1098-C WAS NOT REQUIRED TO BE FILED. 2314002060 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 1 1 1 0 1 1 1 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 0 0 1 2420 1 1 13662 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 38 26 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 CA AL AK CO DC FL GA IL KY MD MA MI MN MS NV NH NJ NM NY NC ND OH OK OR SC TN UT WA WI X EDWARD PRUNCHUNAS 3104233277 8700 BEVERLY BLVD LOS ANGELES CA 90048 THOMAS M PRISELAC PRESIDENT/CEO 70.00 10.00 X X 3223315 0 1160592 VERA GUERIN CHAIR 20.00 6.00 X 0 0 0 MARC H RAPAPORT VICE CHAIRMAN 15.00 1.00 X 0 0 0 LUIS NOGALES 2015 SECRETARY 10.00 0.00 X X 0 0 0 STEVEN ROMICK 2016 SECRETARY 10.00 0.00 X X 0 0 0 MICHAEL ALEXANDER MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 990584 0 66558 ROBERT K BARTH BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN BENDHEIM BOARD MEMBER 5.00 1.00 X 0 0 0 LAURA W BRILL BOARD MEMBER 5.00 0.00 X 0 0 0 ILANA CASS MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 499358 0 62828 DALE COCHRAN BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN COLEMAN BOARD MEMBER 5.00 0.00 X 0 0 0 ROBERT DAVIDSON BOARD MEMBER 5.00 0.00 X 0 0 0 RUTH DUNN BOARD MEMBER 5.00 0.00 X 0 0 0 ARI ENGELBERG BOARD MEMBER 5.00 0.00 X 0 0 0 DEBORAH FREUND PHD BOARD MEMBER 5.00 0.00 X 0 0 0 RUSSELL GOLDSMITH BOARD MEMBER 5.00 0.00 X 0 0 0 MARK S GREENFIELD BOARD MEMBER 5.00 0.00 X 0 0 0 ANDY HEYWARD BOARD MEMBER 5.00 0.00 X 0 0 0 DAVID B KAPLAN BOARD MEMBER 5.00 0.00 X 0 0 0 SCOTT KARLAN MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 420763 0 41188 JEFFREY KATZENBERG BOARD MEMBER 5.00 0.00 X 0 0 0 ANDREW KLEIN MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 1169202 0 148725 STEVEN KOH BOARD MEMBER 5.00 0.00 X 0 0 0 STEWART KWOH BOARD MEMBER 5.00 0.00 X 0 0 0 THOMAS J LEANSE ESQ BOARD MEMBER 5.00 1.00 X 0 0 0 JOSE DE JESUS LEGASPI BOARD MEMBER 5.00 0.00 X 0 0 0 JAMES M LIPPMAN BOARD MEMBER 5.00 0.00 X 0 0 0 JOSHUA LOBEL BOARD MEMBER 5.00 0.00 X 0 0 0 PHILOMENA MCANDREW MD BOARD MEMBER 5.00 0.00 X 0 0 0 PEGGY MILES MD BOARD MEMBER/2016 CHIEF OF STAFF 60.00 0.00 X 367226 0 145560 JAMES A NATHAN BOARD MEMBER 5.00 1.00 X 0 0 0 CHRISTOPHER NG MD BOARD MEMBER/2015 CHIEF OF STAFF 30.00 0.00 X 160000 0 0 LAWRENCE B PLATT BOARD MEMBER 5.00 1.00 X 0 0 0 ANTONY P RESSLER BOARD MEMBER 5.00 0.00 X 0 0 0 RICHARD RIGGS MD BOARD MEMBER/STAFF PHYS. 60.00 0.00 X 1035411 0 56984 MARK S SIEGEL BOARD MEMBER 5.00 1.00 X 0 0 0 STEVEN SPIELBERG BOARD MEMBER 5.00 0.00 X 0 0 0 LESLIE SPIVAK BOARD MEMBER 5.00 0.00 X 0 0 0 LESLIE VERMUT BOARD MEMBER 5.00 11.00 X 0 0 0 CLEMENT YANG MD BOARD MEMBER 5.00 0.00 X 0 0 0 EDWARD PRUNCHUNAS CHIEF FINANCIAL OFFICER 60.00 7.00 X 1598972 0 355938 MARK GAVENS CHIEF OPERATING OFFICER 60.00 7.00 X 1443826 0 170574 SHLOMO MELMED MD CHIEF ACADEMIC OFFICER 60.00 0.00 X 1534503 0 564084 HAROLD AMER MD DIRECTOR - PEDIATRICS 60.00 0.00 X 2837640 0 81078 KEITH BLACK MD CHAIRMAN-NEUROSURGERY 60.00 0.00 X 3037758 0 66303 GLENN BRAUNSTEIN MD VP CLINICAL INNOVATIONS 60.00 0.00 X 2372429 0 10739 RAJENDRA MAKKAR MD DIRECTOR - INTERVENTIONAL CARDIOLOGY 60.00 0.00 X 2224778 0 75163 EDUARDO MARBAN MD DIRECTOR - HEART INSTITUTE 60.00 1.00 X 3033529 0 115582 25949294 0 3121896 3696 0 1 0 CROSS COUNTRY STAFFING 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING SERVICES 20931152 COMMUNITY URGENT CARE MEDICAL GROUP 9440 SANTA MONICA BLVD BEVERLY HILLS CA 90210 URGENT CARE MEDICAL SERVICES 15766215 WONG DOODY INC 1011 WESTERN AVE STE 900 SEATTLE WA 98104 MEDIA SERVICES 15535273 TENANT IMPROVEMENT SPECIALISTS INC 713 E 223RD ST CARSON CA 90745 CONSTRUCTION SERVICES 10654508 PACIFIC NATIONAL GROUP 2392 S BATEMAN AVE IRWINDALE CA 91010 CONSTRUCTION SERVICES 9916596 418 1830702 53814124 55602849 6085381 111247675 NET PATIENT REVENUE 622110 2428891035 2428891035 MEDICARE & MEDICAL 622110 676070657 676070657 PARKING REVENUE 531310 8535161 8535161 3113496853 43340111 43340111 27376405 27376405 120973994 120957247 16747 16747 16747 259600 1830702 798631 -539031 -539031 112151 0 112151 112151 LABORATORY REVENUE 621511 24970512 24970512 UNRELATED DEBT FIN INC 531120 481481 481481 LACTATION CENTER - REV 900099 303392 303392 -1041058 -1041058 24714327 3319765238 3104961692 24714327 78841544 52932388 52932388 30000 30000 15538397 10197543 5340854 1736391 1354511 381880 1207788989 1015953861 184624264 7210864 118204877 93150123 24588814 465940 144008615 129350672 13543739 1114204 79492067 62482536 16563849 445682 15706107 15706107 10910961 87698 10823263 1115510 1114410 1100 1906852 1906852 71905 71905 276958412 191796445 83889953 1272014 13273571 1012376 12257072 4123 44008239 37928789 5524180 555270 86646120 10000728 76645392 12837291 12837291 51925911 28910517 22322027 693367 8962521 6222149 2617780 122592 4172681 3021094 1031523 120064 35170979 27388127 7782852 158895816 72198960 86680955 15901 31087037 24572689 6514348 MEDICAL SUPPLIES 397722170 397722170 MEDI-CAL PROGRAM FEE 109931804 109931804 MISCELLANEOUS 38311461 3766844 34153664 390953 DUES & SUBSCRIPTIONS 6354803 1659429 4565217 130157 2560320 1880357 672472 7491 2928262195 2314002060 601638508 12621627 122861584 482773019 159006957 146846839 563962639 578719827 762850 727850 606620 225000 17797088 18939852 31491980 31152812 20018840 23775090 3142517895 1368541510 1758149600 1773976385 1522811118 1359319424 641852000 539193000 106700125 64847099 64847099 179138429 265671785 5083306804 5392868107 529099294 590757629 1031981069 963601101 13400000 16466667 172679776 248400655 1747160139 1819226052 X 2740776348 2951159739 312722032 327056685 282648285 295425631 3336146665 3573642055 5083306804 5392868107 X 391503043 -112392302 -41615351 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 1746651 1 160201 0 0 1906852 0 PART II-B, LINE 1: FORM 990, SCHEDULE C, PART II-B, LINE 1F: CONSULTING FIRMS HELP CEDARS-SINAI NAVIGATE THROUGH COMPLEX LEGISLATIVE AND REGULATORY CHANGES AND SERVE AS A RESOURCE TO IDENTIFY FEDERAL GRANTS, REPORT ON LEGISLATIVE AND REGULATORY INITIATIVES, ATTEND BRIEFINGS AND HEARINGS, AND PROVIDE ANALYSES. IN ADDITION, TRADE ORGANIZATIONS PROVIDE STRONG AND EFFECTIVE REPRESENTATION AND ADVOCACY TO ACHIEVE LEGISLATIVE, REGULATORY AND LEGAL ACCOMPLISHMENTS AT THE STATE AND FEDERAL LEVEL. FORM 990, SCHEDULE C, PART II-B, LINE 1G: MEETING WITH ELECTED OFFICIALS ON THE FEDERAL, STATE AND CITY LEVEL AS WELL AS FEDERAL AND STATE OFFICIALS AND CITY AGENCY EXECUTIVES TO ADVOCATE ON ISSUES IMPORTANT TO THE CITY AND REGION'S QUALITY OF LIFE AND ECONOMIC DEVELOPMENT. X X X CONTRIBUTES TO HEALING 0 661408153 45603678 -16853424 4011074 686147333 604400847 55106269 5985354 4084317 661408153 513424240 57337018 37718470 4078881 604400847 443236081 46436249 27755755 4003845 513424240 418709065 27334243 8556769 11363996 443236081 0.56940 0.43060 0 0 56522220 56522220 1918476291 723093589 1195382702 43982593 31833458 12149135 871212893 613614463 257598430 252323898 252323898 1773976385 ALTERNATIVE INVESTMENTS 539193000 F 539193000 WORKERS' COMPENSATION LIABILITY PROGRAM 82843000 MALPRACTICE AND GENERAL LIABILITY PROGRAM 45768000 DEFERRED COMPENSATION 3275000 PENSION LIABILITY 116514655 248400655 X PART III, LINE 1A: THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER ACCOUNTING STANDARDS CODIFICATION 958, NOT TO REPORT ON ITS REVENUE STATEMENT AND BALANCE SHEET WORKS OF ART HELD FOR PUBLIC EXHIBITION. PART III, LINE 4: IN THIS FISCAL YEAR ENDING JUNE 30, 2016, THE ACQUISITIONS COMMITTEE VOTED TO ACCEPT 52 ARTWORKS INTO THE CEDARS-SINAI COLLECTION. THE FINE MUSEUM QUALITY ARTWORKS OBTAINED WERE CREATED BY SOME WELL-KNOWN ARTISTS SUCH AS STEPHANIE WEBER, JOSEPH STASHKEVETCH, JAYME ODGERS, BRAD HOWE, JIM DEFRANCE, JUNE WAYNE AND ED MOSES. THEIR NAMES ALONE ARE SYNONYMOUS WITH EXCELLENCE. THE COMMITTEE DOES MAKE A CONCERTED EFFORT TO APPLY A SOPHISTICATED EYE TO THE ACCEPTANCE OF ALL WORKS. THE PURPOSE OF EACH PIECE OF ARTWORK, AESTHETICALLY SITUATED, IS TO ENHANCE PATIENT CARE BY CREATING A HEALING ENVIRONMENT FOR ALL TO ENJOY. THEY ARE AWARE THAT ART WITHIN A HOSPITAL SETTING MAY EFFECTIVELY COMPLEMENT HEALTHCARE BY CREATING A STIMULATING AND ATTRACTIVE ENVIRONMENT. CEDARS-SINAI AND THE ADVISORY COUNCIL FOR THE ARTS ARE COMMITTED TO THE CONCEPT OF THE HEALING POWER OF ART, SEEKING ALWAYS TO UPHOLD THAT CONCEPT. THIS ONGOING ARTS PROGRAM IS DEDICATED TO THE ADVANCEMENT OF THE APPRECIATION OF ART AND THE AESTHETIC ENJOYMENT OF ITS PATIENTS, VISITORS, STUDENTS AND STAFF. WE RECEIVE NUMEROUS PHONE CALLS FROM PATIENTS, VISITORS AND STAFF EXPRESSING HOW BEAUTIFUL THE ART IS AND HOW SIGNIFICANT IT WAS TO THEIR RECOVERY. PART V, LINE 4: THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF APPROXIMATELY 214 INDIVIDUAL FUNDS FOR A VARIETY OF PURPOSES. THE INTENDED USES ARE FOR RESEARCH, DONOR-DESIGNATED OR FOR GENERAL PURPOSES. PART X, LINE 2: THE MEDICAL CENTER COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSISTIONS TAKEN OR EXPECTED TO BE TAKEN. THE MEDICAL CENTER HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSISTONS. THE MEDICAL CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE MEDICAL CENTER BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2013. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PASSIVE INVESTMENTS N/A 355219281 EAST ASIA AND THE PACIFIC 1 1 PROGRAM SERVICES SEE PART V NARRATIVE 203405 NORTH AMERICA 1 2 PROGRAM SERVICES SEE PART V NARRATIVE 224450 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 271706 EAST ASIA AND THE PACIFIC 0 0 GRANT MAKING N/A 5000 SOUTH AMERICA 0 0 GRANT MAKING N/A 5000 MIDDLE EAST AND NORTH AFRICA 0 0 GRANT MAKING N/A 20000 2 3 0 0 2 3 355948842 0 355948842 EAST ASIA AND THE PACIFIC SUPPORT FOR INTL SVCS FUND FOR RED CROSS EFFORTS IN JAPAN 5000 CHECK SOUTH AMERICA SUPPORT FOR INTL SVCS FUND FOR RED CROSS EFFORTS IN EQUADOR 5000 CHECK MIDDLE EAST AND NORTH AFRICA SUPPORT FOR THE INSTITUTE FOR ADVANCED JEWISH STUDIES 10000 CHECK MIDDLE EAST AND NORTH AFRICA SUPPORT FOR EMERGENCY PREPAREDNESS & DISASTER RESPONSE 10000 CHECK 3 0 1 0 1 1 0 0 SCHEDULE F, PART I, LINE 2 THE ORGANIZATION CONSISTENTLY CONTRIBUTES TO WELL-ESTABLISHED EXEMPT ORGANIZATIONS AND RELIES ON THE GOVERNING BODY OF EACH OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS DONATED TO EACH AND EVERY ORGANIZATION ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. SCHEDULE F, PART I, LINE 3 REGION: EAST ASIA AND THE PACIFIC - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. AUSTRALIA - THE ORGANIZATION IS PROVIDING FUNDING FOR GENETICS RESEARCH TO BE PERFORMED AT THE UNIVERSITY OF QUEENSLAND. 2. CHINA - AN OFFICE IS MAINTAINED WITHIN SHANGHAI, CHINA. ONE OF THE MAIN PURPOSES OF MAINTAINING THIS OFFICE IS TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE PRODUCTS AND SERVICES TO PATIENTS IN CHINA ON A REFERRAL BASIS. REGION: NORTH AMERICA - THE ORGANIZATION IS PROVIDING FUNDING FOR THE FOLLOWING: 1. MEXICO - AN OFFICE IS MAINTAINED WITHIN THE CLINICA LOMAS ALTAS IN MEXICO CITY. ONE OF THE MAIN PURPOSES OF MAINTAINING THIS OFFICE IS TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE PRODUCTS AND SERVICES TO PATIENTS IN MEXICO ON A REFERRAL BASIS. 2. CANADA - THE ORGANIZATION IS PROVIDING FUNDING TO UNIVERSITY HEALTH NETWORK FOR A STUDY FOR RESEARCH ON UROLOGIC CANCER PREVENTION WITH AN EMPHASIS ON PROSTATE CANCER. REGION: EUROPE (INCLUDING ICELAND & GREENLAND) - THE ORGANIZATION IS PROVIDING FUNDING IN SPAIN FOR THE DETERMINATION OF THE ROLE OF METHIONINE METABOLITES IN THE PATHOGENESIS AND TREATMENT OF NON-ALCOHOLIC FATTY LIVER DISEASE. PART I, LINE 3, COLUMN F REGION: CENTRAL AMERICA AND THE CARIBBEAN VALUE OF INVESTMENTS MADE: 350,121,573 AMOUNT OF INVESTMENT FEES: 5,097,708 PART I, LINE 3, COLUMN F THE AMOUNT OF EXPENDITURES REPORTED HERE IS BASED ON THE METHOD USED ON THE ORGANIZATION'S FINANCIAL STATEMENTS WHICH IS THE ACCRUAL METHOD OF ACCOUNTING. X X X X X X X 1 GRANT ASSOCIATES 5670 WILSHIRE 1590 LA CA 90036 CONSULTING SERVICES 1 1301687 42750 1258937 BETH MOSKOWITZ 2043 COLORADO 7 SM CA 90404 CONSULTING SERVICES 1 0 29155 -29155 1301687 71905 1229782 AL AK CA CO FL GA IL KY MD MA MI MN MS NV NH NJ NM NY NC ND OH OK OR SC TN UT WA WI DC BOG GALA 1212187 1039187 173000 6900 268925 237500 19470 RIZA AZIZ DINNER 285500 244500 41000 0 0 0 9298 5 592615 547015 45600 112 27694 3550 225182 2090302 1830702 259600 7012 296619 241050 253950 798631 -539031 112151 1 0.00000 112151 112151 CA 0 THE ORGANIZATION IS NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL'S OFFICE. 0 0 0 1.00000 MARK TRAZO 8700 BEVERLY BLVD LOS ANGELES CA 90048 0 VARIOUS - SEE PART IV SEE PART IV X 1 100936 SCHEDULE G, PART I, LINE 2B, COLUMN (V) BETH MOSKOWITZ WAS HIRED TO PLAN AN ANNUAL EVENT, PERFORM CHARITABLE SOLICITATIONS AND INCREASE REVENUE STREAMS. GRANT ASSOCIATES WAS HIRED TO SOLICIT DONATIONS AND ATTENDEES. THEY MAILED OUT INVITATIONS AND THEN RECEIVED RSVP'S. THEY WERE CHARGED WITH DELIVERING MONIES AND FINANCIAL REPORTS ON A DAILY OR AGREED UPON SCHEDULE TO CSMC DESIGNATED STAFF. PART III, LINES 3, 6, 16 PART III, LINE 3: NONCASH PRIZES BY EVENT: BOG GALA $ 88,880 BOG YOUNG GOVERNORS - ROCK FOR RESEARCH $ 8,000 C.O.A.C.H FOR KIDS $ 25,000 PART III, LINE 6 - VOLUNTEER LABOR BY EVENT: BOG GALA 0% BOG YOUNG GOVERNORS - ROCK FOR RESEACH 0% C.O.A.C.H FOR KIDS 80% PART III, LINE 16: GAMING MANAGER INFORMATION: BOG GALA: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $4,000, ONSITE SALES BOG YOUNG GOVERNORS - ROCK FOR RESEARCH, VICTORIA CATES, $60, ONSITE SALES C.O.A.C.H. FOR KIDS: INDEPENDENT EVENTS & MEDIA INC., INDEPENDENT CONTRACTOR, $8,000, ONSITE SALES 1 1 X 1 X 1 X 450.000000000000 1 1 1 0 1 1 5064424 5064424 0.00170 327457460 252059439 75398021 0.02570 5282710 3654479 1628231 0.00060 337804594 255713918 82090676 0.02800 26900543 93245 26807298 0.00920 76053964 10790450 65263514 0.02230 18648 10094 8554 0.00000 183050294 102002693 81047601 0.02770 4514091 4514091 0.00150 290537540 112896482 177641058 0.06070 628342134 368610400 259731734 0.08870 4275 4275 0.00000 45234 45234 0.00000 1179580 1179580 0.00040 31350 31350 0.00000 96900 96900 0.00000 61726 61726 0.00000 1242227 1242227 0.00040 126920 126920 0.00000 2788212 2788212 0.00080 0 10511977 7346338 633738947 861787917 -228048970 X 1 1 1 1 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 WWW.CEDARS-SINAI.EDU 930000110 X X X X X CEDARS-SINAI MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 15 1 0 0 1 X CEDARS-SINAI.EDU/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/ 1 15 1 CEDARS-SINAI.EDU/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/ 0 0 1 X 200.000000000000 450.000000000000 X X X 1 1 X X X X 1 X SEE PART V, PAGE 7 X SEE PART V, PAGE 7 X SEE PART V, PAGE 7 X X X X 1 X 0 X X X X 1 X 0 0 CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3J: TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES, AND TO PROVIDE A FRAMEWORK FOR PRIORITIZING ITS COMMUNITY HEALTH PROGRAMS, CEDARS-SINAI CONDUCTS A WIDE-RANGING COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRIMARY TOOL USED TO DETERMINE A HOSPITAL'S "COMMUNITY BENEFIT" PLANS, THAT IS, HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES. CEDARS-SINAI'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED FOR JULY 1, 2016 THROUGH JUNE 30, 2019. THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT WILL GO INTO EFFECT JULY 1, 2019.COMMUNITY BENEFIT SERVICE AREACEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. ITS COMMUNITY BENEFIT SERVICE AREA FOR 2016-2019 INCLUDES LARGE PORTIONS OF LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND SMALLER PORTIONS OF SPA 8 (SOUTH BAY). THE SERVICE AREA INCLUDES 52 ZIP CODES, REPRESENTING 25 CITIES OR NEIGHBORHOODS. CEDARS-SINAI DETERMINES THE COMMUNITY BENEFIT SERVICE AREA BY ASSIGNING ZIPCODES BASED UPON PATIENT DISCHARGES; THE CURRENT UNDERSTANDING OF COMMUNITY NEEDS BASED UPON THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT; AND LONG-STANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 1,827,324. THE TOTAL POPULATION FOR LOS ANGELES COUNTY 10,136,509.RACE/ETHNICITYTHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: HISPANIC/LATINO (49.6%), WHITE (19.7%), BLACK/AFRICAN AMERICAN (18.0%), ASIAN (10.1%), AMERICAN INDIAN/ALASKAN NATIVE (0.2%), NATIVE HAWAIIAN/PACIFIC ISLANDER (.1%), OTHER (2.3%)AGELESS THAN 18 YEARS (23%), 18-24 (11%), 25-64 (55%), GREATER THAN 65 YEARS (11%)GENDERFEMALE (50.3%), MALE (49.7%)SOCIOECONOMIC STATUSPOVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THEY ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2014 (THE MOST RECENT YEAR FOR AVAILABLE DATA), THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS AN ANNUAL INCOME OF $11,670 AND FOR A FAMILY OF FOUR WAS $23,850.FAMILIES LIVING BELOW THE POVERTY LINE IN CEDARS-SINAI SERVICE AREA (24.0%); LOS ANGELES COUNTY (14.9%)HOUSEHOLDSIN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA THERE ARE 651,344 HOUSEHOLDS AND 704,249 HOUSING UNITS. OVER THE LAST DECADE, HOUSEHOLDS GREW BY 4%. HOUSING UNITS (3.8%) GREW AT APPROXIMATELY THE SAME RATE.HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $43,878 AND THE AVERAGE HOUSEHOLD INCOME IS $63,878.UNEMPLOYMENTTHE UNEMPLOYMENT RATES OF CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA CITIES SHOW A DIVERSE RANGE FROM 6.1% IN CULVER CITY TO 10.8% IN HUNTINGTON PARK AND INGLEWOOD. LOS ANGELES CITY HAS AN UNEMPLOYMENT RATE OF 8.7%.EDUCATIONAL ATTAINMENTAMONG ADULTS, AGES 25 AND OLDER, 29.1% OF ADULTS LACK A HIGH SCHOOL DIPLOMA; THIS IS HIGHER THAN THE COUNTY RATE OF 23.2%. 19.2% OF COMMUNITY BENEFIT SERVICE AREA ADULTS ARE HIGH SCHOOL GRADUATES AND 34.1% ARE COLLEGE GRADUATES. IN LOS ANGELES COUNTY 20.6% OF RESIDENTS ARE HIGH SCHOOL GRADUATES AND 36.5% ARE COLLEGE GRADUATES.DATA COLLECTIONSECONDARY DATASECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH AND SUBSTANCE ABUSE AND PREVENTIVE PRACTICES. ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE COMMUNITY BENEFIT SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, WHEN EXAMINING DATA BY SPA, THE SPA 4, 5, AND 6 GEOGRAPHIC AREAS ARE PRESENTED.SOURCES OF DATA INCLUDE NIELSEN CLARITAS, ACCESSED THROUGH THE HEALTHY COMMUNITIES INSTITUTE, THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, THE CALIFORNIA HEALTH INTERVIEW SURVEY, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, THE LOS ANGELES COUNTY HEALTH SURVEY, THE LOS ANGELES HOMELESS SERVICES AUTHORITY, THE UNIFORM DATA SYSTEM, THE NATIONAL CANCER INSTITUTE, THE CALIFORNIA DEPARTMENT OF EDUCATION, AND OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA STATE, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.SECONDARY DATA FOR THE COMMUNITY BENEFIT SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDED AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURES CEDARS-SINAI DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.INITIALLY, SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA COLLECTED AND ANALYZED PRIOR TO THE INTERVIEWS. THESE DATA WERE THEN USED TO HELP GUIDE THE INTERVIEWS. THE NEEDS ASSESSMENT INTERVIEWS WERE STRUCTURED TO OBTAIN GREATER DEPTH AND RICHNESS OF INFORMATION AND BUILD ON THE SECONDARY DATA REVIEW. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO IDENTIFY THE MAJOR HEALTH ISSUES IN THE COMMUNITY, AND SOCIOECONOMIC, BEHAVIORAL, ENVIRONMENTAL OR CLINICAL FACTORS CONTRIBUTING TO POOR HEALTH. THEY WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES AND BARRIERS RELATIVE TO THE SIGNIFICANT HEALTH NEEDS, AND IDENTIFY RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS. THE INTERVIEWS FOCUSED ON THESE SIGNIFICANT HEALTH NEEDS:*ACCESS TO CARE*ASTHMA*CANCER*COMMUNITY SAFETY*DENTAL CARE*DIABETES*HEART DISEASE*HIV/AIDS*HOMELESSNESS/HOUSING*MENTAL HEALTH*OVERWEIGHT AND OBESITY*PREVENTIVE PRACTICES*SUBSTANCE ABUSEINTERVIEW PARTICIPANTS WERE ASKED TO PROVIDE ADDITIONAL COMMENTS TO SHARE WITH CEDARS-SINAI. ANALYSIS OF THE PRIMARY DATA OCCURRED THROUGH A PROCESS THAT COMPARED AND COMBINED RESPONSES TO IDENTIFY THEMES. ALL RESPONSES TO EACH QUESTION WERE EXAMINED TOGETHER AND CONCEPTS AND THEMES WERE THEN SUMMARIZED TO REFLECT THE RESPONDENTS' EXPERIENCES AND OPINIONS. THE RESULTS OF THE PRIMARY DATA COLLECTION WERE REVIEWED IN CONJUNCTION WITH THE SECONDARY DATA. PRIMARY DATA FINDINGS WERE USED TO CORROBORATE THE SECONDARY DATA-DEFINED HEALTH NEEDS, SERVING AS A CONFIRMING DATA SOURCE.CHRONIC DISEASEHEALTH STATUSAMONG THE RESIDENTS IN SPA 4, 30.2% RATE THEMSELVES AS BEING IN FAIR OR POOR HEALTH. IN SPA 5, 9.8%, AND IN SPA 6, 27.3% OF RESIDENTS INDICATE THEY HAVE FAIR OR POOR HEALTH STATUS. THE LEVEL OF FAIR OR POOR HEALTH INCREASES AMONG SENIORS. IN SPA 4, 45.8% OF SENIORS HAVE A SELF-RATED FAIR OR POOR HEALTH STATUS. 19.3% OF SENIORS IN SPA 5 AND 44.1% OF SENIORS IN SPA 6 CONSIDER THEMSELVES TO BE IN FAIR/POOR HEALTH.DISABILITYIN THE COMMUNITY BENEFIT SERVICE AREA, 26.3% OF ADULTS IN SPA 4, 25.5% IN SPA 5 AND 39.4% OF ADULTS IN SPA 6 HAD A PHYSICAL, MENTAL OR EMOTIONAL DISABILITY. THE RATE OF DISABILITY IN THE COUNTY IS 28.6%.ASTHMATHE POPULATION DIAGNOSED WITH ASTHMA IN SPA 4 IS 11.7%, IN SPA 5 7% OF THE POPULATION HAS ASTHMA, AND IN SPA 6 6.8% HAS ASTHMA. AMONG THOSE WITH ASTHMA, 56.9% IN SPA 4, 28.6% IN SPA 5 AND 39.8% IN SPA 6 TAKE MEDICATION TO CONTROL THEIR SYMPTOMS. AMONG YOUTH IN SPA 4, 10.6% HAVE BEEN DIAGNOSED WITH ASTHMA, 7.8% OF YOUTH IN SPA 5 AND 9.5% OF YOUTH IN SPA 6 HAVE BEEN DIAGNOSED WITH ASTHMA.DIABETESDIABETES IS A GROWING CONCERN IN THE COMMUNITY. 14.7% OF ADULTS IN SPA 6, 8.4% IN SPA 4, AND 4% IN SPA 5 REPORTED THEY HAVE BEEN DIAGNOSED WITH DIABETES. FOR ADULTS WITH DIABETES, 69.6% IN SPA 5 AND 77.7% IN SPA 6 WERE VERY CONFIDENT THEY CAN CONTROL THEIR DIABETES; HOWEVER ONLY 23.3% OF RESPONDENTS IN SPA 4 FELT VERY CONFIDENT.RATES OF DIABETES REPORTED BY AFRICAN AMERICAN (26.6%) AND ASIAN (16.4%) RESIDENTS OF SERVICE PLANNING AREAS 4, 5 AND 6 WERE HIGHER THAN RATES FOR THOSE GROUPS AT COUNTY AND STATE LEVELS. RATES REPORTED BY LATINOS (8.4%) AND WHITES (5.7%) WERE LOWER. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3J: (CONTINUED)HEART DISEASEFOR ADULTS IN SPA 4, 2.4% HAVE BEEN DIAGNOSED WITH HEART DISEASE, 4.8% OF SPA 5 ADULTS AND 8.6% OF SPA 6 ADULTS HAVE BEEN DIAGNOSED WITH HEART DISEASE. AMONG THESE ADULTS, 66.7% IN SPA 5 AND 62.4% IN SPA 6 ARE VERY CONFIDENT THEY CAN MANAGE THEIR CONDITION. IN SPA 4, 29.4% ARE VERY CONFIDENT THEY CAN MANAGE THEIR CONDITION.SPAS 4, 5 AND 6 SHOW HIGHER RATES OF HEART DISEASE AMONG AFRICAN AMERICANS (9.7%) THAN WERE REPORTED AT THE COUNTY (7.1%) OR STATE (5.2%) LEVEL; RATES WERE LOWER FOR THE OTHER THREE RACIAL GROUPS DETAILED.HIGH BLOOD PRESSUREA CO-MORBIDITY FACTOR FOR DIABETES AND HEART DISEASE IS HYPERTENSION (HIGH BLOOD PRESSURE). IN SPA 4, 28.6% OF ADULTS REPORTED HAVING BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. IN SPA 5, 26.8% OF ADULTS HAVE HIGH BP AND IN SPA 6, 35.7% OF ADULTS HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. OF THESE, 66.2% IN SPA 4, 60.6% IN SPA 5 AND 55.5% IN SPA 6 REPORTED TAKING MEDICATION FOR THEIR HIGH BLOOD PRESSURE.IN SPAS 4, 5 AND 6 AFRICAN AMERICANS HAVE THE HIGHEST RATES OF HYPERTENSION, WITH WELL OVER HALF (59.6%) SAYING THEY HAVE HIGH BLOOD PRESSURE; THIS IS HIGHER THAN THE RATES REPORTED FOR L.A. COUNTY AND CALIFORNIA. ASIANS (28.9%) AND WHITES (34.7%) ALSO REPORTED SLIGHTLY HIGHER RATES, WITH LATINOS REPORTING SLIGHTLY LOWER RATES (21.3%) THAN COUNTY AND STATE LEVELS.CANCERCANCER INCIDENCE RATES ARE AVAILABLE AT THE COUNTY LEVEL. IN LOS ANGELES COUNTY, CANCER LEVELS ARE LOWER OVERALL, THAN AT THE STATE LEVEL; HOWEVER, THE COLORECTAL CANCER RATE (41.3 PER 100,000 PERSONS), UTERINE CANCERS, (25.1 PER 100,000), OVARIAN CANCER, (12.5 PER 100,000) AND THYROID CANCER (12.5 PER 100,000 PERSONS) EXCEED THE STATE RATES.HIV/AIDSIN 2013, 442 CASES OF HIV/AIDS WERE DIAGNOSED IN SPA 4 FOR A RATE OF 39 PER 100,000 PERSONS, 51 CASES WERE DIAGNOSED IN SPA 5 (8 PER 100,000 PERSONS), AND 159 CASES OF HIV/AIDS WERE DIAGNOSED IN SPA 6 FOR A RATE OF 16 PER 100,000 PERSONS. THE RATE OF HIV/AIDS DIAGNOSED IN 2013 HAS DECREASED FROM 2012.RATES OF NEW DIAGNOSES ARE HIGHEST AMONG MALES, YOUNG ADULTS 20-29, AND BLACKS/AFRICAN AMERICANS. 83% OF THE NEW CASES WERE REPORTEDLY VIA MALE-TO-MALE SEXUAL CONTACT, 10% VIA HETEROSEXUAL SEX, AND 6% WERE CASES WHERE IV DRUG USE WAS IMPLICATED.IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDSCEDARS-SINAI DEVELOPED AND APPROVED AN IMPLEMENTATION STRATEGY TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION STRATEGY ADDRESSED THE FOLLOWING HEALTH NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND RESOURCES.PRIORITY GEOGRAPHYHEALTH NEEDS WERE PRIORITIZED BY AREAS OF HIGHEST NEED IN CEDARS-SINAI'S COMMUNITY BENEFIT SERVICE AREA, WITH A PARTICULAR FOCUS ON SERVICE PLANNING AREAS 4 AND 6, THESE PLANNING AREAS INCLUDE DIVERSE, LOW-INCOME COMMUNITIES WITH MORE UNINSURED ADULTS AND CHILDREN AND GREATER HEALTH CHALLENGES THAN IN OTHER PARTS OF LOS ANGELES. HIGH-NEED POPULATIONS CLOSER TO CEDARS-SINAI WERE ALSO ADDRESSED.PRIORITY HEALTH NEEDSACCESS TO CARE: SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING ACCESS-TO-CARE PRIORITY HEALTH NEEDS:*PRIMARY CARE*SPECIALTY CARE*MENTAL HEALTH*PREVENTIVE CARECHRONIC DISEASE: COMMUNITY BENEFIT EFFORTS ALSO FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE:*CARDIOVASCULAR DISEASE*DIABETES*CANCER*OVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY*PREVENTIVE CARE*HEALTH EDUCATIONIMPACTSTRATEGIES TO ADDRESS THE PRIORITY HEALTH NEEDS WERE IDENTIFIED AND IMPACT MEASURES TRACKED. INFORMATION GAPSINFORMATION GAPS THAT IMPACT THE ABILITY TO ASSESS HEALTH NEEDS WERE IDENTIFIED. SPECIFICALLY, CANCER INCIDENCE RATES ARE NOT AVAILABLE AT A RATE MORE LOCAL THAN LOS ANGELES COUNTY. SOME OF THE SECONDARY DATA ARE NOT ALWAYS COLLECTED ON A REGULAR BASIS, MEANING THAT SOME DATA ARE SEVERAL YEARS OLD. SPECIFICALLY, THE RESULTS OF THE MOST RECENT LOS ANGELES COUNTY HEALTH SURVEY (A POPULATION BASED TELEPHONE SURVEY THAT PROVIDES INFORMATION CONCERNING THE HEALTH OF LOS ANGELES COUNTY RESIDENTS) WERE NOT YET AVAILABLE DURING THE CONDUCT OF THIS CHNA. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 5: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. GIVEN SHARED SERVICE AREAS, CEDARS-SINAI PARTNERED WITH UCLA HEALTH, KAISER FOUNDATION HOSPITAL WEST LOS ANGELES AND PROVIDENCE ST. JOHN'S HEALTH CENTER TO CONDUCT THE INTERVIEWS. THIRTY-SIX (36) INTERVIEWS WERE COMPLETED FROM SEPTEMBER THROUGH NOVEMBER, 2015.FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY CEDARS-SINAI, IN PARTNERSHIP WITH UCLA HEALTH, KAISER FOUNDATION HOSPITAL WEST LOS ANGELES AND PROVIDENCE ST. JOHN'S HEALTH CENTER, 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 "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY." INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS.THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A ONE HOUR PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: COMMUNITY BENEFIT PROGRAMS, SERVICES, PARTNERSHIPS AND STRATEGIESPRIORITY HEALTH NEEDSACCESS TO CARE: SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING ACCESS-TO-CARE PRIORITY HEALTH NEEDS: *PRIMARY CARE *SPECIALTY CARE *MENTAL HEALTH *PREVENTIVE CARECHRONIC DISEASE: COMMUNITY BENEFIT EFFORTS ALSO FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESSED THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASE: *CARDIOVASCULAR DISEASE *DIABETES *CANCER *OVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY *PREVENTIVE CARE *HEALTH EDUCATIONACCESS TO CARE PRIMARY CARE, SPECIALTY CARE, MENTAL HEALTH CARE, PREVENTIVE CARE COACH FOR KIDS AND THEIR FAMILIESCOMMUNITY OUTREACH ASSISTANCE FOR CHILDREN'S HEALTH (COACH) CEDARS-SINAI OPERATES TWO STATE-OF-THE-ART MOBILE MEDICAL CLINICS STAFFED BY AN EXPERT TEAM OF BILINGUAL REGISTERED NURSES, NURSE PRACTITIONERS, SOCIAL WORKERS AND HEALTH CARE PROFESSIONALS. COACH PREVENTIVE HEALTH CARE SERVICES INCLUDE WELL-CHILD AND IMMUNIZATION CLINICS FOR CHILDREN, DENTAL SCREENINGS AND FLUORIDE VARNISH FOR CHILDREN, BMI CLINICS FOR ADULTS, NUTRITION AND FITNESS EDUCATION, AND LINKAGES TO MEDICAL HOMES. COACH SERVES COMMUNITIES IN DOWNTOWN/SKID ROW, PICO-UNION/CENTRAL LOS ANGELES, SOUTH LOS ANGELES, WATTS, COMPTON, INGLEWOOD, LENNOX, CRENSHAW/MID-CITY, AND HOLLYWOOD/WEST HOLLYWOOD. HEALTH CARE SERVICES ARE PROVIDED AT ELEMENTARY, MIDDLE, AND HIGH SCHOOLS, COMMUNITY-BASED AGENCIES, FAMILY HOMELESS SHELTERS AND PUBLIC HOUSING DEVELOPMENTS. COACH COLLABORATES WITH MORE THAN 200 PUBLIC AND PRIVATE COMMUNITY ORGANIZATIONS.IMPACTIN FY14 AND FY15, COACH PROVIDED MORE THAN 61,000 ENCOUNTERS. THE FOLLOWING SERVICES WERE PROVIDED:MEDICAL VISITS - 8,416 ENCOUNTERSCASE MANAGEMENT VISITS - 1,824 ENCOUNTERSDENTAL VISITS - 6,024 ENCOUNTERSMENTAL HEALTH VISITS - 5,166 ENCOUNTERSHEALTH EDUCATION VISITS - 30,391 ENCOUNTERSNUTRITION VISITS - 9,732 ENCOUNTERSTOTAL - 61,553 ENCOUNTERSSAFETY NET CLINICS AMBULATORY CARE CLINIC THE GENERAL INTERNAL MEDICINE CLINIC IN THE CEDARS-SINAI AMBULATORY CARE CENTER PROVIDED OUTPATIENT SERVICES TO THE ADULT POPULATION. THIS CARE INCLUDED SCREENING, PREVENTIVE HEALTH MEASURES, AND MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE. ATTENDING PHYSICIANS AND MEDICAL RESIDENTS CARED FOR PATIENTS IN A PRIMARY CARE SETTING, USING THE RESOURCES OF THE MEDICAL CENTER, INCLUDING IMAGING, PHARMACY AND LABORATORY SERVICES.SABAN COMMUNITY CLINIC CEDARS-SINAI PHYSICIANS PROVIDED ADOLESCENT AND ADULT PATIENTS ACCESS TO PRIMARY CARE AT THE SABAN COMMUNITY CLINIC FOR PREGNANCY AND OTHER MEDICAL CONDITIONS AND ANCILLARY SERVICES, I.E., LAB AND X-RAY. CEDARS-SINAI PROVIDED SUPERVISORIAL CLINICAL STAFF AND MEDICAL AND SPECIALTY RESIDENTS FOR SIX PRIMARY AND SPECIALTY CLINICS EVERY WEEK, FINANCIALLY SUPPORTED SABAN COMMUNITY CLINIC'S MEDICAL DIRECTOR IN THE PROVISION OF PRIMARY CARE TO SABAN COMMUNITY CLINIC PATIENTS, AND PROVIDING FUNDING FOR INFRASTRUCTURE NEEDS.VENICE FAMILY CLINIC CEDARS-SINAI PROVIDED INTERNAL MEDICINE RESIDENTS FOR PROVISION OF PRIMARY CARE TO UNINSURED AND UNDERINSURED VENICE FAMILY CLINIC PATIENTS, AS WELL AS SPECIALIZED LAB SERVICES TO SUPPORT QUALITY CARE FOR VENICE FAMILY CLINIC PATIENTS. ADDITIONALLY, CEDARS-SINAI ACTIVELY PARTICIPATES IN THE VENICE FAMILY CLINIC WESTSIDE ACCESS STAKEHOLDER COLLABORATIVE, WHICH SEEKS TO GARNER REGIONAL EXPERTISE TO INCREASE ACCESS TO CARE FOR HOMELESS AND LOW INCOME POPULATIONS ON THE WEST SIDE OF LOS ANGELES COUNTY.IMPACT IN FY14 AND FY15, CEDARS-SINAI SUPPORT OF SAFETY NET CLINICS PROVIDED 37,963 PATIENT ENCOUNTERS FOR PRIMARY CARE AND SPECIALTY CARE SERVICES. CEDARS-SINAI MEDICAL RESIDENTS PROVIDED CARE AT SABAN COMMUNITY CLINIC, VENICE FAMILY CLINIC, L.A. CHRISTIAN HEALTH CENTER AND CLINICA OSCAR ROMERO.CEDARS-SINAI COMMUNITY CLINIC INITIATIVE: STRENGTHENING L.A.'S SAFETY NET CEDARS-SINAI RECOGNIZES THE CRITICAL ROLE OF PARTNERSHIPS IN PROMOTING ACCESS TO HIGH-QUALITY CARE FOR UNDERSERVED POPULATIONS. THE MEDICAL CENTER IS BUILDING MULTI-DIMENSIONAL PARTNERSHIPS THAT INCLUDE SIGNIFICANT INVESTMENTS TO STRENGTHEN THE SAFETY CLINIC NETWORK ACROSS LOS ANGELES, AS WELL AS INDIVIDUAL CAPACITY-BUILDING GRANTS TO CLINICS.IMPACT IN FY15, CEDARS-SINAI PROVIDED THREE GRANTS TOTALING OVER $1.9M TO DEVELOP PROGRAMS PROMOTING LEADERSHIP AND EFFECTIVENESS AT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES. EACH PROGRAM ADDRESSED A DIFFERENT SET OF CHALLENGES FACING COMMUNITY CLINICS, INCLUDING DEVELOPING THE NEXT GENERATION OF LEADERS, FURTHERING A CULTURE OF QUALITY, AND PROMOTING FINANCIAL ACUMEN AND PREPARATION FOR PAYMENT REFORM. OVER 32 CLINICS HAVE PARTICIPATED IN THE PROGRAMS, AND 23 HAVE ENGAGED IN SIGNIFICANT YEAR-LONG PROGRAMS FOCUSED ON PERFORMANCE IMPROVEMENT PROJECTS AND IN-DEPTH FINANCIAL BENCHMARKING. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: (CONTINUED)PROVIDING ACCESS TO HEALTH CARE CEDARS-SINAI IS ONE OF THE LARGEST PROVIDERS OF MEDI-CAL SERVICES AMONG NON-GOVERNMENT HOSPITALS IN CALIFORNIA. THE HOSPITAL PROVIDES AVAILABLE FINANCIAL ASSISTANCE TO QUALIFIED PATIENTS.IMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED $138 MILLION TO PAY FOR THE UNFUNDED COST OF CARING FOR MEDI-CAL PATIENTS, AS WELL AS $65 MILLION IN TRADITIONAL CHARITY CARE FOR INDIGENT PATIENTS WHO DID NOT HAVE HEALTH CARE COVERAGE.PSYCHOLOGICAL TRAUMA CENTER (PTC) - SHARE AND CARE SINCE 1981, CEDARS-SINAI'S SCHOOL-BASED MENTAL HEALTH PROGRAMS HELP VICTIMS OF TRAUMA, FILLING CRUCIAL NEEDS FOR PREVENTION, THERAPY, CRISIS INTERVENTION, AND TRAINING THAT WOULD OTHERWISE BE UNMET. PROGRAMS AND TRAININGS - FOR CHILDREN, TEACHERS AND SCHOOL PRINCIPALS - RUN BY LICENSED MENTAL HEALTH PRACTITIONERS, ENHANCE AN AT-RISK CHILD'S ABILITY TO LEARN IN THE CLASSROOM, CHANGE DESTRUCTIVE BEHAVIORS AND ENVISION A BRIGHTER AND HAPPIER FUTURE. THE PTC'S SHARE AND CARE PROGRAM FOCUSES ON A SERIES OF ART-THERAPY 12-WEEK GROUP CURRICULA THAT SUPPORT A THERAPEUTIC ENVIRONMENT TO IMPROVE STUDENTS' ABILITY TO CONCENTRATE ON THEIR LESSONS. THE THERAPY GROUPS FOCUS ON TRAUMA, LOSS AND GRIEF, SELF-ESTEEM, BULLYING, SOCIALIZATION, ANGER MANAGEMENT, DIVORCE, SHYNESS, STUDENTS WITH AN INCARCERATED PARENT, AND SUBSTANCE ABUSE.IMPACT THE FOLLOWING INFORMATION OUTLINES THE IMPACT OF THE ACTIONS THAT WERE UNDERTAKEN ON THE SELECTED SIGNIFICANT HEALTH NEEDS. *PROVIDED MENTAL HEALTH SERVICES TO OVER 1,800 STUDENTS IN 29 SCHOOLS IN 122 CLASSROOMS (20 ELEMENTARY SCHOOLS, 6 MIDDLE SCHOOLS AND 2 HIGH SCHOOLS) *TOTAL CHILDREN'S THERAPY GROUPS FACILITATED: 6,447. *TOTAL ENCOUNTERS WITH CHILDREN, TEACHERS AND PARENTS: 56,652. *TOTAL CONTACTS: CHILDREN INDIVIDUALLY AND IN THERAPY GROUPS: 15,376; CHILDREN IN CLASSROOMS: 2,549; TEACHERS: 6,274; PARENTS: 4,848 *DEVELOPED A NEW PROGRAM COMPONENT AND TRAINED 120 TEACHERS. *PROVIDED EDUCATION FOR 525 TEACHERS AT THE LOS ANGELES UNIFIED SCHOOL DISTRICT'S NEW TEACHER SUMMITS. *CONDUCTED EDUCATION SESSION FOR 75 CHARTER SCHOOL TEACHERS. *EXPANDED TO 2 NEW ELEMENTARY SCHOOLS. *CONTINUED PARENT TRAININGS WITH A FOCUS ON POSITIVE PARENTING, POSITIVE COMMUNICATION, SUBSTANCE ABUSE AWARENESS AND BULLYING: 155 PARENT TRAINING GROUPS WITH 2,153 PARENT CONTACTS MADE IN THOSE TRAININGS. *SCHOOL PRINCIPAL TRAININGS WERE OFFERED MONTHLY AT THE 29 PARTNER SCHOOLS. COMMUNITY MENTAL HEALTH GRANTS THE COMMUNITY MENTAL HEALTH GRANT PROGRAM FOCUSES GRANTS ON THE MENTAL HEALTH NEEDS OF VULNERABLE POPULATIONS-PARTICULARLY THE UNINSURED, UNDERINSURED, AND UNINSURABLE. IMPACT IN FY14 AND FY15 $1,336,750 IN GRANTS WERE AWARDED TO 21 ORGANIZATIONS PROVIDING DIRECT SERVICES TO MARGINALIZED COMMUNITY MEMBERS FACING SIGNIFICANT ECONOMIC BARRIERS AS WELL AS, IN MANY CASES, COMORBIDITIES. THE VAST MAJORITY OF GRANTEES SERVE VULNERABLE POPULATIONS IN LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS) 4 AND 6. CEDARS-SINAI FURTHER REFINED ITS GIVING CRITERIA TO EMPHASIZE ORGANIZATIONS SERVING UNDERINSURED AND UNINSURED CLIENTS. IN FY14 AND FY15, THERE WERE 11,365 INDIVIDUALS SERVED.TEENLINE - SUICIDE PREVENTION HOTLINE TEENLINE, A CEDARS-SINAI SUPPORTED ORGANIZATION THAT IS HOUSED ON THE MEDICAL CENTER'S PREMISES, PROVIDES CRISIS INTERVENTION AND PREVENTION, PEER COUNSELING AND REFERRALS FOR ADOLESCENTS AGES 12 TO 19. THE TEEN-TO-TEEN PROGRAM HELPS YOUNG PEOPLE COPE IN TIMES OF TRAUMA AND STRESS BY OFFERING ADVICE AND REFERRALS. TEENLINE'S OUTREACH SERVICES PROVIDED EDUCATION TO SCHOOLS AND ADOLESCENT-SERVING AGENCIES. THE TEEN LINE HOTLINE, ANSWERED BY INTENSIVELY TRAINED HIGH SCHOOL STUDENTS, IS OPEN DAILY AND RECEIVES CALLS FROM TEENS ACROSS THE NATION. IMPACT IN FY14 AND FY15, THE TEENLINE RESPONDED TO 23,128 CALLS TO THE SUICIDE HOTLINE.CHRONIC DISEASEHEALTHY HABITS CEDARS-SINAI'S HEALTHY HABITS PROGRAMS PROVIDE NUTRITION EDUCATION AND OBESITY PREVENTION BY HELPING CHILDREN AND FAMILIES LEARN ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY WITH A WIDE RANGE OF EDUCATION, CAPACITY BUILDING AND TECHNICAL ASSISTANCE PROGRAMS RUN BY TRAINED HEALTH EDUCATORS, REACHING ELEMENTARY AND MIDDLE SCHOOL STUDENTS, PARENTS OF PRESCHOOL CHILDREN, AND FAMILIES IN UNDERSERVED COMMUNITIES. IMPACT *EXPANDED HEALTHY HABITS FOR KIDS AND HEALTHY HABITS FOR FAMILIES TO SIXTEEN ELEMENTARY SCHOOLS. *TAUGHT PROGRAM LESSONS/WORKSHOPS FOR A TOTAL OF 71,627 PARTICIPANT ENCOUNTERS, INCLUDING 7,668 ELEMENTARY STUDENTS AND 351 MIDDLE SCHOOL STUDENTS THROUGH HEALTHY HABITS PROGRAMS IN SCHOOLS. *REACHED NEAR 800 PARENTS FROM SCHOOLS AND PRESCHOOLS THROUGH HEALTHY HABITS PARENT WORKSHOPS. *IMPLEMENTED HEALTHY HABITS FOR FAMILIES ADULT HEALTH EDUCATION AT TEN SCHOOLS WITH OVER 1,700 ENCOUNTERS. *PROVIDED FREE WORKOUTS THROUGH EXERCISE IN THE PARK PROGRAM TO OVER 610 INDIVIDUALS. *FACILITATED 6 GROCERY STORE TOUR PROGRAMS TO 83 INDIVIDUAL PARTICIPANTS. *FACILITATED HEALTHY HABITS FOR TEACHERS TRAINING FOR 189 TEACHERS IN 5 SCHOOLS. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 11: (CONTINUED)*IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION, PROVIDED HANDS-ONLY CPR TRAINING TO OVER 620 PARENTS, TEACHERS AND SCHOOL STAFF. AS A RESULT OF HEALTHY HABITS: *84% OF ELEMENTARY STUDENTS ARE EATING MORE FRUITS. *75% OF ELEMENTARY STUDENTS ARE EATING MORE VEGETABLES. *78% OF ELEMENTARY STUDENTS ARE EATING LESS JUNK FOOD. *77% OF ELEMENTARY STUDENTS ARE DRINKING FEWER SUGARY DRINKS. *85% OF PARENTS REPORTED THAT THEIR CHILD MADE A HEALTHY SNACK AT HOME. *OVER HALF OF THIRD GRADE STUDENTS ENGAGE DAILY IN AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY. *OVER 75% OF TEACHERS INCORPORATE PHYSICAL ACTIVITY DURING SCHOOL DAY. *88% OF SECOND GRADE FAMILIES DO REGULAR PHYSICAL ACTIVITY TOGETHER. SUPPORT GROUPS CEDARS-SINAI PROVIDES COMPREHENSIVE SUPPORT GROUPS THAT FOCUS ON ASSISTING WITH LIFE'S CHANGES AND ADJUSTMENTS.PROGRAMS AND ACTIVITIES*APHASIA SUPPORT GROUP*BIG VOICES GROUP*BRIDGING THE GAP*DIABETES SUPPORT GROUP*WEIGHT LOSS SURGERY SUPPORT*GOOD BEGINNINGS PARENT NICU SUPPORT GROUP*HEART TRANSPLANT SUPPORT GROUP*MECHANICAL CIRCULATORY DEVICE SUPPORT GROUP*MULTI-ORGAN TRANSPLANT RELAXATION AND SUPPORT GROUP*NEUROENDOCRINE TUMOR SUPPORT GROUP*ONE STROKE AHEAD SUPPORT GROUP*THINK TANK COGNITIVE REHABILITATION SUPPORT*YES I CAN SUPPORT GROUPIMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED MORE THAN 7,400 PARTICIPANT ENCOUNTERS.PROGRAMS FOR ADULTS CEDARS-SINAI IS COMMITTED TO IMPROVING THE NUMBER OF QUALITY LIFE YEARS FOR ADULTS AND SENIORS IN OUR COMMUNITY. THE HOSPITAL PROVIDED ADULT-FOCUSED COMMUNITY PROGRAMS, SCREENINGS, EDUCATIONAL AND SELF-HELP PROGRAMS, HEALTH FAIRS, IMMUNIZATION CLINICS AND EXERCISE PROGRAMS. THESE PROGRAMS OCCUR IN UNDERSERVED COMMUNITIES, CHURCHES, SYNAGOGUES, NEIGHBORHOOD COMMUNITY CENTERS AS WELL AS AT THE MEDICAL CENTER.PROGRAMS AND ACTIVITIES*CARDIOVASCULAR DISEASE, DIABETES, HYPERTENSION AND RELATED PREVENTIVE PROGRAMS AND SERVICES*INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION PROGRAMS*HEALTH PROMOTION AND PREVENTION PROGRAMS FOR SENIORS*PHYSICAL EXERCISE PROGRAMS FOR SENIORS*HEALTH FAIRSIMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED MORE THAN 61,000 PARTICIPANT ENCOUNTERS.CANCER SERVICES CEDARS-SINAI MAKES CANCER EDUCATION, SUPPORT AND RESOURCES SERVICES AVAILABLE TO THE COMMUNITY.PROGRAMS AND ACTIVITIES*CANCER EXERCISE*CANCER SURVIVORSHIP SERVICES*KIDNEY CANCER SUPPORT GROUP*PHYSICAL FITNESS/CANCER SURVIVORSHIP*SARCOMA CANCER SUPPORT GROUP*STRESS REDUCTION*YOGA RESTORATIVE AND STRENGTHENING SUPPORT GROUPIMPACT IN FY14 AND FY15, CEDARS-SINAI PROVIDED MORE THAN 5,980 PARTICIPANT ENCOUNTERSHEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS:NUMEROUS AND DIVERSE PROGRAMS, PARTNERSHIPS AND STRATEGIES ARE INCLUDED IN THE IMPLEMENTATION STRATEGY TO MAXIMIZE EFFECTIVENESS IN ADDRESSING HEALTH NEEDS IN THE COMMUNITIES SERVED BY CEDARS-SINAI. THERE WERE IDENTIFIED SIGNIFICANT HEALTH NEEDS THAT DID NOT MEET THE CRITERIA FOR DEVELOPING AND IMPLEMENTING A HEALTH FOCUS AREA, AND THUS MAY NOT BE 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: ASTHMA, COMMUNITY SAFETY, DENTAL CARE, HIV/AIDS, HOMELESSNESS AND HOUSING, AND SUBSTANCE ABUSE. THESE HEALTH NEEDS DID NOT MEET THE CRITERIA DEVELOPED FOR THE PURPOSES OF SELECTING HEALTH FOCUS AREAS.CEDARS-SINAI MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.CEDARS-SINAI.EDU/PATIENTS/PATIENT-AND-VISITOR-RESOURCES/BILLING-AND-INSURANCE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-POLICY.ASPXCEDARS-SINAI MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.CEDARS-SINAI.EDU/PATIENTS/PATIENT-AND-VISITOR-RESOURCES/BILLING-AND-INSURANCE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-POLICY.ASPXPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.CEDARS-SINAI.EDU/PATIENTS/PATIENT-AND-VISITOR-RESOURCES/BILLING-AND-INSURANCE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-POLICY.ASPX 9 1 - CEDARS-SINAI MEDICAL CENTER 310 SAN VICENTE BLVD WEST HOLLYWOOD CA 90048 OUTPATIENT SURGICAL 2 - CEDARS-SINAI MEDICAL CENTER 8723 ALDEN DRIVE LOS ANGELES CA 90048 OUTPATIENT SERVICES-AMBULATORY CARE/ENDOCRINOLOGY/PRIMARY ADULT CARE 3 - CEDARS-SINAI MEDICAL CENTER 8631 W 3RD STREET LOS ANGELES CA 90048 OUTPATIENT SERVICES-BLOOD DRAW/CARDIOLOGY/PITUITARY CTR/RADIOLOGY/ETC. 4 - CEDARS-SINAI MEDICAL CENTER 8536 WILSHIRE BLVD BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-NUCLEAR CARDIAC STRESS 5 - CEDARS-SINAI MEDICAL CENTER 444 S SAN VICENTE BLVD LOS ANGELES CA 90048 OUTPATIENT SERVICES-GAMMA KNIFE/PAIN CTR/PRENATAL DIAG/REHAB/ETC. 6 - CEDARS-SINAI MEDICAL CENTER 8635 W 3RD STREET BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-ORGAN TRANSPLANT/ETC. 7 - CEDARS-SINAI MEDICAL CENTER 9090 WILSHIRE BLVD BEVERLY HILLS CA 90211 OUTPATIENT SERVICES-CANCER TREATMENT CENTER 8 - CEDARS-SINAI MEDICAL CENTER 127 S SAN VICENTE BLVD LOS ANGELES CA 90048 OUTPATIENT SERVICES-NEUROSCIENCES/HEART INST/IMAGING/LAB SVC 9 - CEDARS-SINAI MEDICAL CENTER 8900 BEVERLY BLVD WEST HOLLYWOOD CA 90048 OUTPATIENT SERVICES-COMPREHENSIVE TRANSPLANT CENTER PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE AMOUNTS ON LINE 7 WERE DERIVED FROM COST ACCOUNTING SYSTEM. COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTS SEGMENTS - INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYERS - PRIVATE INSURANCE, MEDICARE, MEDI-CAL, UNINSURED AND SELF-PAY. PART II, COMMUNITY BUILDING ACTIVITIES: CEDARS-SINAI IS INVOLVED IN NUMEROUS COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. NUMEROUS COMMUNITY CONCERNS ARE ADDRESSED, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. WE ALSO ENCOURAGE OUR EMPLOYEES TO PARTICIPATE IN HEALTH ADVOCACY PROGRAMS AND PHYSICAL IMPROVEMENT PROJECTS. WE WORK 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 MEDICAL CENTER 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 MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED, AND A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S INSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR CO-PAYMENTS AND DEDUCTIBLES. THUS, THE MEDICAL CENTER RECORDS A PROVISION FOR BAD DEBTS RELATED TO THESE INSURED AND UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE MEDICAL CENTER WRITES DOWN THE EXPECTED REIMBURSEMENT AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED. PART III, LINE 3: IT IS OUR BELIEF THAT $7,346,338 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. THIS IS A CONSERVATIVE AMOUNT THAT TAKES INTO CONSIDERATION THAT SOME OF THE BAD DEBT WILL BE RECOVERED IN THE LATER YEARS. AS A TAX-EXEMPT HOSPITAL WE MUST PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR BAD DEBT ASSESSMENT, WE STUDIED THE CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR RESERVES AND IDENTIFIED THOSE PATIENTS WHO WERE UNABLE TO PAY FOR ANY OF THEIR SERVICES. WE BELIEVE THAT THE ESTIMATED AMOUNT ENTERED ON PART III, LINE 3 INCLUDE INDIVIDUALS WHO WOULD HAVE LIKELY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY AND SHOULD BE COUNTED AS COMMUNITY BENEFIT. PART III, LINE 4: AUDITED FINANCIAL STATEMENTS - PAGE 13PART III, LINE 6 - COSTING METHODOLOGY: REVENUE AND ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT WHICH WAS COMPILED UNDER MEDICARE COSTING RULES AND REGULATIONS AS ISSUED BY THE HEALTH CARE FINANCING ADMINISTRATION AND ENFORCED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. PART III, LINE 8: - RATIONALE FOR MEDICARE SHORTFALL AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: IT IS OUR BELIEF THAT ALL OF THE $228,048,970 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS. PART III, LINE 9B: REASONABLE EFFORTS BASED ON BILLING STATEMENT NOTIFICATION AND AMOUNTS NOT ELIGIBLE:CEDARS-SINAI SHALL NOTIFY PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAMS BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR THE CARE AND REFRAIN FROM INITIATING SUCH EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST 120 DAYS FROM THE DATE CEDARS-SINAI PROVIDES THE BILLING STATEMENT FOR THE CARE IF THE PATIENT HAS NOT SUBMITTED AN APPLICATION OR CEDARS-SINAI HAS DETERMINED THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THE AMOUNTS SOUGHT TO BE COLLECTED BASED ON THE PATIENT'S APPLICATION.NOTIFICATIONS TO PATIENTS 30 DAYS BEFORE ACTIONS: IN ADDITION TO THE FOREGOING, AT LEAST 30 DAYS BEFORE FIRST INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, CEDARS-SINAI SHALL HAVE PROVIDED THE PATIENT WITH A WRITTEN NOTICE THAT INDICATES FINANCIAL ASSISTANCE IS AVAILABLE AS DESCRIBED IN THIS POLICY, IDENTIFY ALL THE EXTRAORDINARY COLLECTION ACTION THAT CEDARS-SINAI INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE, AND THAT STATE A DEADLINE AFTER WHICH SUCH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED (WHICH DATE SHALL BE NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED). THE NOTICE SHALL INCLUDE THE PLAIN LANGUAGE SUMMARY OF CEDARS-SINAI'S FINANCIAL ASSISTANCE PROGRAMS.ADDITIONAL ORAL NOTICE BEFORE ACTIONS: IN ADDITION TO ALL WRITTEN NOTICES, PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIONS, CEDARS-SINAI SHALL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY THE PATIENT ABOUT CEDARS-SINAI'S FINANCIAL ASSISTANCE PROGRAMS AND ABOUT HOW THE PATIENT MAY OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. PART VI, LINE 2: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FISCAL YEAR ENDED 6/30/16. SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 3J. PART VI, LINE 3: NOTICES, SUMMARIES AND WRITTEN COMMUNICATIONS:CEDARS-SINAI PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL FINANCIAL ASSISTANCE FOR THE FINANCIALLY QUALIFIED PATIENTS:A) POSTED SIGNAGE - NOTICE OF THIS POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGS AS DEEMED APPROPRIATE.B) NOTICES HAND-DELIVERED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS (OR OTHERWISE PRIOR TO DISCHARGE), PATIENTS SHALL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THIS POLICY AND CEDARS-SINAI'S OTHER FINANCIAL ASSISTANCE PROGRAMS IN THE FORM OF THE SUMMARY OF FINANCIAL ASSISTANCE POLICY AND OTHER PROGRAMS. PATIENTS WILL BE ASKED TO ACKNOWLEDGE RECEIPT OF THIS VIA AN ELECTRONIC SIGNATURE. THE NOTICE TO A SPECIFIC PATIENT WILL BE CONSIDERED CONTINUALLY IN EFFECT UNTIL A REVISION TO THE FORM IS REQUIRED (AND A NEW ACKNOWLEDGEMENT OBTAINED) OR THREE YEARS FROM THE DATE OF THE ORIGINAL ACKNOWLEDGEMENT.C) PATIENT STATEMENT NOTICES - CEDARS-SINAI WILL PRINT A NOTICE ON THE SIDE OF THE LAST PAGE OF THE PATIENT BILLING STATEMENTS THAT WILL DESCRIBE ITS FINANCIAL ASSISTANCE PROGRAMS AND THAT WILL INFORM PATIENTS HOW TO APPLY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY AND OTHER ASSISTANCE PROGRAMS.D) OTHER WRITTEN COMMUNICATIONS - IN ORDER TO ADMINISTER THE REQUIREMENTS OF THIS POLICY, CEDARS-SINAI MAY PROVIDE PATIENTS WITH ADDITIONAL WRITTEN COMMUNICATIONS. STANDARD LETTERS AND NOTICES TO PATIENTS IN THIS REGARD ARE INCLUDED IN THE ATTACHMENTS TO THIS POLICY. CEDARS-SINAI MAY PRINT ANY WRITTEN NOTICE OR COMMUNICATION DESCRIBED IN THIS POLICY, INCLUDING ANY PLAIN LANGUAGE SUMMARY OF THE POLICY, ON A BILLING STATEMENT OR ALONG WITH OTHER DESCRIPTIVE OR EXPLANATORY MATTER, PROVIDED THAT THE REQUIRED INFORMATION IS CONSPICUOUSLY PLACED AND OF SUFFICIENT SIZE TO BE CLEARLY READABLE. CEDARS-SINAI MAY PROVIDE ELECTRONICALLY ANY WRITTEN NOTICE OR COMMUNICATION DESCRIBED IN THIS POLICY TO ANY PATIENT WHO INDICATES HE OR SHE PREFERS TO RECEIVE THE WRITTEN NOTICE OR COMMUNICATION ELECTRONICALLY.PUBLICIZING THE POLICY:CEDARS-SINAI SHALL TAKE VARIOUS EFFORTS TO WIDELY PUBLICIZE ITS FINANCIAL ASSISTANCE PROGRAMS. THESE EFFORTS WILL CHANGE FROM TIME TO TIME AND WILL GENERALLY INCLUDE THE DISTRIBUTION OF INFORMATION TO TARGETED COMMUNITY ORGANIZATIONS, AMONG A VARIETY OF OTHER MEANS OF ALERTING THE CEDARS-SINAI COMMUNITY TO THE AVAILABILITY OF CEDARS-SINAI FINANCIAL ASSISTANCE PROGRAMS.THIS POLICY, THE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE ON THE CEDARS-SINAI WEBSITE.ADDITIONAL FINANCIAL RESOURCES AVAILABLE TO PATIENTS - COOPERATION REQUIRED FROM PATIENTS. ALTERNATIVE MEANS OF FUNDING (I.E., EXTERNAL AGENCY OR FOUNDATION) TO COVER THE COST OF SERVICES FOR PATIENTS WILL BE EXPLORED BEFORE FULL OR PARTIAL FINANCIAL ASSISTANCE UNDER THIS POLICY IS APPROVED. PATIENTS APPROVED FOR ASSISTANCE UNDER THIS POLICY AGREE TO CONTINUOUSLY COOPERATE IN THE PROCESS NEEDED TO OBTAIN REIMBURSEMENT FOR CEDARS-SINAI'S SERVICES FROM THIRD PARTY SOURCES SUCH AS THE CALIFORNIA VICTIMS OF CRIME FUNDS, THE COUNTY TRAUMA PROGRAM, THE MEDI-CAL PROGRAM, AND HEALTH PLANS THAT OFFER COVERAGE THROUGH THE CALIFORNIA HEALTH BENEFIT EXCHANGE. A PATIENT'S APPLICATION FOR THIRD PARTY COVERAGE FOR THE PATIENT'S HEALTH CARE COSTS SHALL NOT PRECLUDE ELIGIBILITY FOR ASSISTANCE UNDER THIS POLICY. A PATIENT SHALL, AS A CONDITION TO FULL OR PARTIAL FINANCIAL ASSISTANCE, APPLY FOR COVERAGE UNDER MEDI-CAL, HEALTHY FAMILIES, AND THE COUNTY TRAUMA PROGRAM AS APPLICABLE AND, WHERE APPROPRIATE, COVERAGE UNDER THE EXCHANGE. THE FOREGOING SHALL ALSO APPLY TO PATIENTS RESIDING OUT OF STATE AND THEIR APPLICATION FOR MEDICAID WITHIN THEIR STATE.CEDARS-SINAI WILL MAKE APPROPRIATE REFERRALS TO LOCAL COUNTY AGENCIES INCLUDING HEALTHY FAMILIES, COVERED CALIFORNIA, MEDI-CAL OR OTHER PROGRAMS TO DETERMINE POTENTIAL ELIGIBILITY. CEDARS-SINAI SHALL BE ENTITLED TO BILL ANY THIRD PARTY INSURER PROVIDING COVERAGE TO A PATIENT. HEALTH INSURERS AND HEALTH PLANS ARE PROHIBITED FROM REDUCING THEIR REIMBURSEMENT OF A CLAIM TO CEDARS-SINAI EVEN IF CEDARS-SINAI HAS WAIVED ALL OR A PORTION OF A PATIENT'S BILL PURSUANT TO THIS POLICY. PART VI, LINE 4: THE COMMUNITY IS DEFINED AS THOSE INDIVIDUALS IN ZIP CODES SURROUNDING THE MEDICAL CENTER (90048): 49.6% ARE HISPANIC/LATINO, 19.7% ARE WHITE, 18.0% ARE BLACK/AFRICAN AMERICAN, 10.1% ARE ASIAN, .2% ARE AMERICAN INDIAN/ALASKA NATIVE, .1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER, 2.3% ARE SOME OTHER RACE. AMONG THE PEOPLE WHO LIVE IN THE SERVICE AREA, 23.0% ARE LESS THAN 18 YEARS OF AGE, 10.9% ARE 18-24 YEARS OF AGE, 55.6% ARE 25-64 YEARS OF AGE AND 10.5% ARE GREATER THAN 65 YEARS OF AGE. FOR 2014 (THE MOST RECENT YEAR FOR AVAILABLE DATA), THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS AN ANNUAL INCOME OF $11,670 AND FOR A FAMILY OF FOUR WAS $23,850. THE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $43,878 AND THE AVERAGE HOUSEHOLD INCOME IS $63,878.GIVEN SHARED SERVICE AREAS, CEDARS-SINAI PARTNERED WITH UCLA HEALTH, KAISER FOUNDATION HOSPITAL WEST LOS ANGELES AND PROVIDENCE ST. JOHN'S HEALTH CENTER TO CONDUCT THE INTERVIEWS PART VI, LINE 5: CEDARS-SINAI IS DRIVEN BY ITS MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROVIDE LEADERSHIP AND EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE DEPARTMENT OF COMMUNITY HEALTH AND EDUCATION IS CHARGED WITH ENHANCING CEDARS-SINAI'S SERVICE TO, AND CONNECTION WITH, THE COMMUNITY AS MEASURED BY ITS COMMUNITY EDUCATION, SERVICE PROGRAMS, PARTICIPATION AND INVOLVEMENT WITH OTHER COMMUNITY SERVICE ORGANIZATIONS. WITH THE EXPERIENCE AND EXPERTISE OF MEDICAL AND ADMINISTRATIVE STAFF THROUGHOUT THE MANY DEPARTMENTS OF CEDARS-SINAI, AND WITH ITS COLLABORATIVE RELATIONSHIPS WITH COMMUNITY PARTNERS, CEDARS-SINAI HAS MADE A SIGNIFICANT CONTRIBUTION, BOTH IN QUANTIFIABLE AND NONQUANTIFIABLE TERMS, TO THE BENEFIT OF THE COMMUNITY.CEDARS-SINAI IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF MEMBERS OF THE COMMUNITY. FURTHER, THE COMMUNITIES ARE SERVED BY AN OPEN MEDICAL STAFF. ALSO, ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY.DURING THE TAX YEAR, CEDARS-SINAI'S COMMUNITY BENEFIT EXPENSES TOTALED OVER $256,500,000 DIVIDED AMONG FIVE MAJOR CATEGORIES. FOR PURPOSES OF ESTIMATING CEDARS-SINAI'S FINANCIAL CONTRIBUTION TO COMMUNITY BENEFIT, THE FOLLOWING DEFINITIONS ARE USED:UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - INCLUDES THE UNREIMBURSED COST OF FREE AND DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO MEET THE ORGANIZATION'S CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE, DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF THE SERVICES. TRADITIONAL CHARITY CARE IS INCLUDED IN THE INTERNAL REVENUE SERVICE (IRS) FORM 990 SCHEDULE H PART I LINE 7A.UNPAID COST OF STATE PROGRAMS - THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7B. IN THE STATE OF CALIFORNIA THE MEDICAID PROGRAM IS CALLED MEDI-CAL. UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR MEDICARE PATIENTS - PRIMARILY BENEFITS THE ELDERLY. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDICARE PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDICARE PROGRAM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B.COMMUNITY BENEFIT PROGRAMS, AS WELL AS EDUCATION AND TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS - COST OF SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY. THIS CATEGORY INCLUDES UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY BENEFIT OPERATIONS, AND CASH DONATIONS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7E, 7F, 7G, AND 7I. BELOW ARE SOME EXAMPLES OF COSTS INCLUDED IN THIS CATEGORY OF THE COMMUNITY BENEFIT CONTRIBUTION:HEALTH PROFESSIONS EDUCATIONAS AN ACADEMIC MEDICAL CENTER, CEDARS-SINAI OFFERS GRADUATE MEDICAL EDUCATION AND MANY OTHER EDUCATION PROGRAMS FOR A VARIETY OF HEALTH PROFESSIONALS. THEY INCLUDE OFFERING GRADUATE EDUCATION TRAINING PROGRAMS IN OVER 50 SPECIALTY AND SUBSPECIALTY AREAS AND OTHER HEALTH PROFESSIONS EDUCATION PROGRAMS, AS WELL AS A SUBSTANTIAL PORTION OF THE EDUCATION TO UNIVERSITY OF CALIFORNIA LOS ANGELES MEDICAL STUDENTS, INCLUDING DEGREE PROGRAMS AND EXTENSIVE EDUCATIONAL RESOURCES FOR ASPIRING AND CURRENT NURSES. COMMUNITY HEALTH IMPROVEMENT* CLINICAL SERVICES ARE PROVIDED TO UNDERSERVED COMMUNITIES DAILY, THROUGH AN ON-SITE PRIMARY ADULT CARE CLINIC; AND THROUGH MOBILE MEDICAL UNITS AND FREE COMMUNITY CLINICS THROUGHOUT LOS ANGELES - ALL SERVING UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS.* EACH YEAR, CEDARS-SINAI TAKES PART IN COMMUNITY-BASED ACTIVITIES WITH MORE THAN 170,000 ENCOUNTERS, INCLUDING HEALTH FAIRS, EXERCISE PROGRAMS, AND SCREENING PROGRAMS FOR CONDITIONS SUCH AS CARDIOVASCULAR DISEASE, DEPRESSION, DIABETES AND HYPERTENSION, AS WELL AS IMMUNIZATION PROGRAMS, LECTURES, AND WORKSHOPS. ALSO OFFERED ARE DISEASE-SPECIFIC SUPPORT GROUPS, PATIENT EDUCATION PROGRAMS, AND PROGRAM AFFILIATES.* CEDARS-SINAI PLANS AND IMPLEMENTS LONG-TERM COMPREHENSIVE STRATEGIES TO MEET THE HEALTH NEEDS OF UNDERSERVED COMMUNITIES. SIGNATURE COMMUNITY BENEFIT PROGRAMS SEEK TO IMPROVE HEALTH IN COMMUNITIES BY BUILDING STRONG PARTNERSHIPS, BUILDING COMMUNITY CAPACITIES AND PROVIDING DIRECT EDUCATION.RESEARCH PROGRAMS - COST OF PROVIDING TRANSLATIONAL AND CLINICAL RESEARCH AND STUDIES ON HEALTH CARE DELIVERY. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7H. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 AIDS PROJECT LOS ANGELES 611 S KINGSLEY DR LOS ANGELES CA 90005 953842506 501(C)(3) 50000 COMMUNITY CLINIC GRANT ALCOTT CENTER FOR MENTAL HEALTH SERVICES 1433 S ROBERTSON BLVD LOS ANGELES CA 90035 953392564 501(C)(3) 15000 GENERAL SUPPORT AMANECER COMMUNITY COUNSELING SERVICE 1200 WILSHIRE BLVD LOS ANGELES CA 90017 953076578 501(C)(3) 50000 COMMUNITY MENTAL HEALTH GRANT AMERICAN ACADEMY OF NURSING 1000 VERMONT AVENUE NW NO 910 WASHINGTON DC 20005 522213870 501(C)(3) 25000 GENERAL SUPPORT AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 46500 GENERAL SUPPORT AMERICAN COLLEGE OF SURGEONS 633 N ST CLAIR ST CHICAGO IL 60611 300079883 501(C)(6) 6400 GENERAL SUPPORT AMERICAN DIABETES ASSOCIATION 1701 N BEAUREGARD STREET ALEXANDRIA VA 22311 131623888 501(C)(3) 10000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 30000 EDUCATION GRANT & GENERAL SUPPORT AMERICAN LIVER FOUNDATION 39 BROADWAY SUITE 2700 NEW YORK NY 10006 362883000 501(C)(3) 10000 GENERAL SUPPORT AMERICAN LUNG ASSOCIATION IN CALIFORNIA 333 HEGENBERGER ROAD 450 OAKLAND CA 94621 940362650 501(C)(3) 9000 GENERAL SUPPORT AMERICAN ORGANIZATION OF NURSE EXECUTIVES 155 NORTH WACKER DRIVE CHICAGO IL 60606 363591337 501(C)(6) 35000 GENERAL SUPPORT AMERICAN RED CROSS 2025 E STREET NW SUITE WASHINGTON DC 20006 530196605 501(C)(3) 50000 DISASTER PREPAREDNESS GRANT ARROYO VISTA FAMILY HEALTH FOUNDATION 6000 N FIGUEROA STREET LOS ANGELES CA 90042 953514918 501(C)(3) 50000 COMMUNITY CLINIC GRANT ASIAN PACIFIC HEALTH CARE VENTURE INC 4216 FOUNTAIN AVENUE LOS ANGELES CA 90029 954177752 501(C)(3) 45000 PATIENT IMPROVEMENT GRANT ASSOCIATES FOR BREAST & PROSTATE CANCER STUDIES 24100 CALABASAS ROAD CALABASAS CA 91302 954246971 501(C)(3) 6500 GENERAL SUPPORT ASSOCIATION OF CALIFORNIA NURSE LEADERS 2520 VENTURE OAKS WAY SACRAMENTO CA 95834 942910850 501(C)(3) 15000 GENERAL SUPPORT BARLOW FOUNDATION 2000 STADIUM WAY LOS ANGELES CA 90026 954560787 501(C)(3) 15000 GENERAL SUPPORT BEIT T'SHUVAH 8831 VENICE BLVD LOS ANGELES CA 90034 770152646 501(C)(3) 77500 COMMUNITY MENTAL HEALTH GRANT & GENERAL SUPPORT BEVERLY HILLS FIREMEN'S RELIEF FUND PO BOX 1720 BEVERLY HILLS CA 90213 953619909 501(C)(3) 6500 GENERAL SUPPORT BNAI BRITH 1120 20TH ST NW SUITE 300 N WASHINGTON DC 20036 530179971 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 954772979 501(C)(3) 1575538 GENERAL SUPPORT CALIFORNIA LIFE SCIENCE ASSOCIATION 9191 TOWNE CENTER DRIVE STUITE 450 SAN DIEGO CA 92122 473226523 501(C)(6) 5500 GENERAL SUPPORT CALIFORNIA NURSING STUDENTS' ASSOCIATION 2520 VENTURE OAKS WAY SACRAMENTO CA 95833 946104412 501(C)(3) 7500 GENERAL SUPPORT CARE HARBOR 5855 GREEN VALLEY CIRCLE SUITE 204 CULVER CITY CA 90230 272984870 501(C)(3) 25000 GENERAL SUPPORT CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 954457756 501(C)(3) 44949835 GENERAL SUPPORT CENTER FOR THE STUDY OF YOUNG PEOPLE IN GROUPS PO BOX 48750 LOS ANGELES CA 90048 953760982 501(C)(3) 10000 GENERAL SUPPORT CHARLES R DREW UNIVERSITY 1731 EAST 120TH STREET LOS ANGELES CA 90059 956151774 501(C)(3) 7700 GENERAL SUPPORT CHILDREN'S INSTITUTE INC 2121 W TEMPLE STREET LOS ANGELES CA 90026 951641424 501(C)(3) 50000 COMMUNITY MENTAL HEALTH GRANT CHINATOWN SERVICE CENTER 767 N HILL ST SUITE 400 LOS ANGELES CA 90012 952918844 501(C)(3) 33000 FACILITY IMPROVEMENT GRANT CHRISTOPHER STREET WEST ASSOCIATION 8687 MELROSE AVENUE NO BM-48 WEST HOLLYWOOD CA 900695701 953736454 501(C)(3) 10000 GENERAL SUPPORT CITY YEAR INC 287 COLUMBUS AVE BOSTON MA 02116 222882549 501(C)(3) 10000 GENERAL SUPPORT CLARE FOUNDATION INC 909 PICO BLVD SANTA MONICA CA 90405 237076166 501(C)(3) 50000 COMMUNITY MENTAL HEALTH GRANT COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES 700 S FLOWER ST NO 3150 LOS ANGELES CA 90017 954576023 501(C)(3) 252000 COMMUNITY CLINIC GRANT COMMUNITY PARTNERS 1000 NORTH ALAMEDA STREET NO 240 LOS ANGELES CA 90012 954302067 501(C)(3) 801000 COMMUNITY CLINIC GRANT & GENERAL SUPPORT COMPREHENSIVE COMMUNITY HEALTH PARTNERS 801 S CHEVY CHASE DR SUITE 20 GLENDALE CA 91205 421553807 501(C)(3) 43000 COMMUNITY CLINIC GRANT CRI-HELP INC 11027 BURBANK BLVD NORTH HOLLYWOOD CA 91601 952758951 501(C)(3) 7000 GENERAL SUPPORT CULVER CITY CENTENNIAL CELEBRATION 7313 RAINTREE CIRCLE CULVER CITY CA 90230 471221752 501(C)(3) 10000 GENERAL SUPPORT CULVER CITY ROTARY COMMUNITY FOUNDATION PO BOX 99 CULVER CITY CA 90232 954103705 501(C)(3) 10000 GENERAL SUPPORT DIDI HIRSCH MENTAL HEALTH SERVICES 4760 S SEPULVEDA BLVD CULVER CITY CA 90230 951816023 501(C)(3) 54200 COMMUNITY MENTAL HEALTH GRANT & GENERAL SUPPORT FASHION FOOTWEAR CHARITABLE FOUNDATION OF NEW YORK 274 MADISON AVENUE NEW YORK NY 10016 134112482 501(C)(3) 50000 GENERAL SUPPORT FOUNDATION FOR A NATIONAL AIDS MONUMENT 9200 SUNSET BLVD WEST HOLLYWOOD CA 90069 462791464 501(C)(3) 193900 GENERAL SUPPORT FOUNDATION FOR BIOMEDICAL RESEARCH 818 CONNECTICUT AVENUE NW NO 900 WASHINGTON DC 20006 042746997 501(C)(3) 10000 GENERAL SUPPORT FOUNDER'S CENTER FOR SPIRITUAL LIVING 3281 W 6TH ST LOS ANGELES CA 90020 953900047 501(C)(3) 7500 GENERAL SUPPORT HEALTH RESEARCH AND EDUCATIONAL TRUST 155 NORTH WACKER DRIVE CHICAGO IL 60606 362203931 501(C)(3) 29000 GENERAL SUPPORT HEARTVIEW GLOBAL FOUNDATION 15260 VENTURA BLVD SHERMAN OAKS CA 91403 453984075 501(C)(3) 6000 GENERAL SUPPORT HEBREW UNION COLLEGE 3101 CLIFTON AVE CINCINNATI OH 45220 310537067 501(C)(3) 102500 EDUCATION GRANT & GENERAL SUPPORT HELPING HAND OF LOS ANGELES INC 8700 BEVERLY BLVD LOS ANGELES CA 90048 951831107 501(C)(3) 55000 GENERAL SUPPORT JEWISH FAMILY SERVICE OF LOS ANGELES 3580 WILSHIRE BLVD NO 700 LOS ANGELES CA 90010 951691013 501(C)(3) 100000 COMMUNITY MENTAL HEALTH GRANT JWCH INSTITUTE INC 5650 JILLSON STREET COMMERCE CA 90040 952289916 501(C)(3) 50000 COMMUNITY CLINIC GRANT KOREAN AMERICAN FAMILY SERVICES INC 3727 WEST 6TH STREET SUITE 320 LOS ANGELES CA 90020 953899329 501(C)(3) 51000 COMMUNITY CLINIC GRANT & GENERAL SUPPORT KOREAN HEALTH EDUC INFO RESEARCH CENTER 3727 W 6TH STREET NO 210 LOS ANGELES CA 90020 954074660 501(C)(3) 51500 COMMUNITY CLINIC GRANT & GENERAL SUPPORT LA JEWISH HOME FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 953510024 501(C)(3) 6100 GENERAL SUPPORT LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST SUITE 1240 LOS ANGELES CA 90067 271485429 501(C)(3) 10000 GENERAL SUPPORT LOS ANGELES CHRISTIAN HEALTH CENTER 202 WEST 1ST STREET 4-0435 LOS ANGELES CA 90012 954315734 501(C)(3) 60000 COMMUNITY CLINIC GRANT & GENERAL SUPPORT LOS ANGELES COUNTY ECONOMIC DEVELOPMENT CORPORATION 444 SOUTH FLOWER STREET 37TH FLOOR LOS ANGELES CA 90071 953643339 501(C)(3) 22000 GENERAL SUPPORT LOS ANGELES FIRE DEPARTMENT FOUNDATION 1875 CENTURY PARK EAST ROOM 200 LOS ANGELES CA 90067 272007326 501(C)(3) 175000 GENERAL SUPPORT LOS ANGELES GAY AND LESBIAN COMMUNITY SERVICES CENTER 1625 NORTH SCHRADER BLVD LOS ANGELES CA 90028 953567895 501(C)(3) 103500 COMMUNITY MENTAL HEALTH GRANT & GENERAL SUPPORT LOS ANGELES LADIES BIKUR CHOLIM 4929 WILSHIRE BLVD LOS ANGELES CA 90010 953120316 501(C)(3) 10000 GENERAL SUPPORT LOS ANGELES POLICE FOUNDATION 515 S FLOWER STREET NO 1680 LOS ANGELES CA 90071 954700442 501(C)(3) 23800 GENERAL SUPPORT LOS ANGELES TRUST FOR CHILDREN'S HEALTH 333 S BEAUDRY AVENUE LOS ANGELES CA 90017 954262448 501(C)(3) 83000 COMMUNITY CLINIC GRANT LOS ANGELES URBAN LEAGUE 3450 MOUNT VERNON DRIVE LOS ANGELES CA 90008 951691288 501(C)(3) 7500 GENERAL SUPPORT LUPUS LA 8383 WILSHIRE BLVD 232 BEVERLY HILLS CA 90211 461126232 501(C)(3) 10000 GENERAL SUPPORT MAKE A WISH FOUNDATION 1875 CENTURY PARK EAST ROOM 950 LOS ANGELES CA 90067 954107024 501(C)(3) 10000 GENERAL SUPPORT MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 131846366 501(C)(3) 50000 EDUCATION GRANT MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION 515 S FLOWER STREET NO 1610 LOS ANGELES CA 90071 454433505 501(C)(3) 25000 GENERAL SUPPORT MAYOR'S FUND FOR LOS ANGELES 200 N SPRING STREET NO 305B LOS ANGELES CA 90012 471084641 501(C)(3) 10000 GENERAL SUPPORT MEDICARE RIGHTS CENTER INC 266 WEST 37TH STREET NEW YORK NY 10018 133505372 501(C)(3) 10000 GENERAL SUPPORT MENDING KIDS INTERNATIONAL 2307 W OLIVE AVE STE B BURBANK CA 91506 954394305 501(C)(3) 8500 GENERAL SUPPORT MEXICAN AMERICAN BAR FOUNDATION PO BOX 862127 LOS ANGELES CA 90086 954358513 501(C)(3) 15000 GENERAL SUPPORT MOTION PICTURE AND TELEVISION FUND 23388 MULHOLLAND DRIVE WOODLAND HILLS CA 91364 951652916 501(C)(3) 15000 GENERAL SUPPORT NATIONAL ACADEMY OF SCIENCES 2101 CONSTITUTION AVE NW WASHINGTON DC 20418 530196932 501(C)(3) 25000 GENERAL SUPPORT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 1700 W VAN BUREN NO 126B CHICAGO IL 60612 364483505 501(C)(3) 25000 GENERAL SUPPORT NATIONAL COUNCIL OF JEWISH WOMEN INC 475 RIVERSIDE DRIVE NO 1901 NEW YORK NY 10115 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501(C)(3) 50000 COMMUNITY MENTAL HEALTH GRANT PARTNERS IN CARE FOUNDATION INC 732 MOTT STREET SAN FERNANDO CA 91340 953954057 501(C)(3) 13500 GENERAL SUPPORT PLANNED PARENTHOOD LOS ANGELES 400 WEST 30TH STREET LOS ANGELES CA 90007 952408623 501(C)(3) 136500 EDUCATION GRANT & GENERAL SUPPORT READING IS FUNDAMENTAL OF SOUTHERN CALIFORNIA 7250 BANDINI BLVD ROOM 209 LOS ANGELES CA 90040 237425712 501(C)(3) 10000 COMMUNITY BENEFIT GRANT SANTA MONICA CHAMBER OF COMMERCE 1234 6TH STREET NO 100 SANTA MONICA CA 90401 951192245 501(C)(3) 6170 GENERAL SUPPORT SHEBA MEDICAL CENTER 9465 WILSHIRE BLVD STE 300 BEVERLY HILLS CA 90212 237076117 501(C)(3) 5720 GENERAL SUPPORT SOUTHERN CALIFORNIA COUNSELING CENTER 5615 W PICO BLVD LOS ANGELES CA 90019 952430665 501(C)(3) 50000 COMMUNITY MENTAL HEALTH GRANT SOUTHSIDE COALITION OF COMMUNITY HEALTH PO BOX 862017 LOS ANGELES CA 90086 208892311 501(C)(3) 96000 COMMUNITY CLINIC GRANT ST JOHN'S WELL CHILD & FAMILY CENTER 808 W 58TH STREET LOS ANGELES CA 90037 954067758 501(C)(3) 50000 COMMUNITY CLINIC GRANT STEP UP ON SECOND STREET INC 1328 SECOND STREET SANTA MONICA CA 90401 954109386 501(C)(3) 50000 COMMUNITY CLINIC GRANT TEAM HEAL FOUNDATION INC 6801 PARK TERRACE LOS ANGELES CA 90045 330954775 501(C)(3) 105000 GENERAL SUPPORT THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE NO 405 CULVER CITY CA 90230 954552419 501(C)(3) 50000 COMMUNITY CLINIC GRANT THE CHILDREN'S DENTAL CENTER 300 EAST BUCKTHORN STREET INGLEWOOD CA 90301 954533883 501(C)(3) 17000 COMMUNITY INITIATIVE GRANT THE CLINIC INC 3834 SOUTH WESTERN AVE LOS ANGELES CA 90062 237351622 501(C)(3) 30000 COMMUNITY CLINIC GRANT THE HEART FOUNDATION 31822 VILLAGE CENTER RD STE 208 WESTLAKE VILLAGE CA 91361 450471117 501(C)(3) 12500 GENERAL SUPPORT THE MAPLE COUNSELING CENTER 9107 WILSHIRE BLVD LOWER LEVEL BEVERLY HILLS CA 90210 952753118 501(C)(3) 75000 COMMUNITY MENTAL HEALTH GRANT THE OVARIAN CANCER RESEARCH FUND INC FOURTEEN PENNSYLVANIA PLAZA NO 1710 NEW YORK NY 10122 133806788 501(C)(3) 10000 GENERAL SUPPORT THE SABAN FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 952539105 501(C)(3) 586975 COMMUNITY HEALTH GRANT & GENERAL SUPPORT TIDES CENTER 1438 WEBSTER STREET STE 101 OAKLAND CA 94612 943213100 501(C)(3) 750000 COMMUNITY CLINIC GRANT TOWER CANCER RESEARCH FOUNDATION 9090 WILSHIRE BLVD SUITE 350 BEVERLY HILLS CA 90211 954596354 501(C)(3) 18000 GENERAL SUPPORT UCLA FOUNDATION 405 HILGARD AVENUE LOS ANGELES CA 90095 952250801 501(C)(3) 6500 GENERAL SUPPORT UNITED STATES HOLOCAUST MEMORIAL MUSEUM 100 RAOUL WALLNBERG PLACE SW WASHINGTON DC 20024 521309391 501(C)(3) 10000 GENERAL SUPPORT UNITED WAY OF GREATER LOS ANGELES 1150 S OLIVE STREET SUITE T500 LOS ANGELES CA 90015 952274801 501(C)(3) 200000 GRANT TO END HOMELESSNESS UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS SUITE UGB203 LOS ANGELES CA 90089 951642394 501(C)(3) 45000 GENERAL SUPPORT VENICE FAMILY CLINIC 604 ROSE AVENUE VENICE CA 90291 952769432 501(C)(3) 160616 COMMUNITY CLINIC GRANT & GENERAL SUPPORT WESTSIDE FAMILY HEALTH CENTER 1711 OCEAN PARK BLVD SANTA MONICA CA 90405 952931931 501(C)(3) 50000 COMMUNITY CLINIC GRANT WESTSIDE JEWISH COMMUNITY CENTER INC 5870 W OLYMPIC BLVD LOS ANGELES CA 90036 951691010 501(C)(3) 15000 GENERAL SUPPORT WOMEN'S GUILD CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 956097903 501(C)(3) 50450 GENERAL SUPPORT 105 3 PART I, LINE 2: THE ORGANIZATION CONSISTENTLY CONTRIBUTES TO WELL-ESTABLISHED EXEMPT ORGANIZATIONS AND RELIES ON THE GOVERNING BODY OF EACH OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS DONATED TO EACH AND EVERY ORGANIZATION ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 THOMAS M PRISELAC PRESIDENT/CEO 1331368 0 1119809 0 772138 0 1135450 0 25142 0 4383907 0 412500 0 MICHAEL ALEXANDER MD BOARD MEMBER/STAFF PHYS. 679362 0 152892 0 158330 0 18550 0 48008 0 1057142 0 0 0 ILANA CASS MD BOARD MEMBER/STAFF PHYS. 400615 0 45259 0 53484 0 29150 0 33678 0 562186 0 0 0 SCOTT KARLAN MD BOARD MEMBER/STAFF PHYS. 333739 0 46548 0 40476 0 26565 0 14623 0 461951 0 0 0 ANDREW KLEIN MD BOARD MEMBER/STAFF PHYS. 900319 0 161720 0 107163 0 112752 0 35973 0 1317927 0 0 0 PEGGY MILES MD BOARD MEMBER/2016 CHIEF OF STAFF 306052 0 41604 0 19570 0 111950 0 33610 0 512786 0 0 0 CHRISTOPHER NG MD BOARD MEMBER/2015 CHIEF OF STAFF 0 0 0 0 160000 0 0 0 0 0 160000 0 0 0 RICHARD RIGGS MD BOARD MEMBER/STAFF PHYS. 682454 0 187724 0 165233 0 29150 0 27834 0 1092395 0 0 0 EDWARD PRUNCHUNAS CHIEF FINANCIAL OFFICER 730868 0 507908 0 360196 0 330113 0 25825 0 1954910 0 0 0 MARK GAVENS CHIEF OPERATING OFFICER 853131 0 408277 0 182418 0 133608 0 36966 0 1614400 0 0 0 SHLOMO MELMED MD CHIEF ACADEMIC OFFICER 963450 0 439103 0 131950 0 539450 0 24634 0 2098587 0 0 0 HAROLD AMER MD DIRECTOR - PEDIATRICS 326709 0 27868 0 2483063 0 70240 0 10838 0 2918718 0 0 0 KEITH BLACK MD CHAIRMAN-NEUROSURGERY 1911114 0 383791 0 742853 0 29150 0 37153 0 3104061 0 0 0 GLENN BRAUNSTEIN MD VP CLINICAL INNOVATIONS 832661 0 0 0 1539768 0 7950 0 2789 0 2383168 0 0 0 RAJENDRA MAKKAR MD DIRECTOR - INTERVENTIONAL CARDIOLOGY 991521 0 882633 0 350624 0 37100 0 38063 0 2299941 0 0 0 EDUARDO MARBAN MD DIRECTOR - HEART INSTITUTE 1305135 0 359065 0 1369329 0 81050 0 34532 0 3149111 0 655589 0 PART I, LINE 1A THE ORGANIZATION'S TRAVEL POLICY CONTAINS A PROVISION THAT ALLOWS FLYING FIRST CLASS FOR ANY ONE-WAY FLIGHT THAT IS LONGER THAN EIGHT HOURS. EXCEPTIONS REQUIRE SENIOR EXECUTIVE APPROVAL. THE OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES HAVE, FROM TIME TO TIME, FLOWN FIRST CLASS AS ALLOWED BY THE TRAVEL POLICY. THE ORGANIZATION ALLOWS FOR TRAVEL FOR COMPANIONS WHEN THERE IS A VALID BUSINESS PURPOSE. PART I, LINES 4A-B THERE ARE TWO NONQUALIFIED DEFERRED COMPENSATION PLANS IN WHICH ONE OR MORE OF THE LISTED PERSONS PARTICIPATE. THE FIRST PLAN IS A DEFERRED COMPENSATION PLAN. THIS IS A "GRANDFATHERED" TRADITIONAL DEFINED BENEFIT PLAN (NO NEW PARTICIPANTS HAVE BEEN ADDED SINCE 1986). THE BENEFIT FORMULA IS A PERCENTAGE OF THE HIGHEST FIVE YEARS AVERAGE ANNUAL SALARY TIMES THE NUMBER OF YEARS OF ELIGIBLE SERVICE, WITH A MAXIMUM CREDITED SERVICE OF 30 YEARS. THE SECOND PLAN IS A SUPPLEMENTAL RETIREMENT ALLOWANCE THAT IS PAYABLE DIRECTLY TO THE PARTICIPANTS EACH QUARTER. THE BENEFIT FORMULA FOR THIS PLAN HAS ANNUAL CONTRIBUTIONS THAT ARE EITHER A PERCENTAGE OF SALARY, OR ARE DESIGNED TO FUND A PERCENTAGE OF THE ESTIMATED FINAL 5-YEAR AVERAGE SALARY. CERTAIN INDIVIDUALS ALSO RECEIVED PAYOUTS FROM AMOUNTS ACCRUED IN PRIOR YEARS. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2015 RELATED TO THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. IN ADDITION, ONE EMPLOYEE RECEIVED A SEVERANCE PAYMENT. MICHAEL ALEXANDER, MD 72,696 HAROLD AMER, MD 2,483,063 KEITH BLACK, MD 588,177 GLENN BRAUNSTEIN, MD 1,539,768 ILANA CASS, MD 38,608 MARK GAVENS 172,348 SCOTT KARLAN, MD 25,826 ANDREW KLEIN, MD 100,440 RAJENDRA MAKKAR, MD 273,422 EDUARDO MARBAN, MD 1,144,868 SHLOMO MELMED, MD 120,076 PEGGY MILES, MD 18,021 THOMAS M. PRISELAC 686,536 EDWARD PRUNCHUNAS 298,699 RICHARD RIGGS, MD 159,431 A CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UBJ6 2015-11-17 438579839 REFUND 2005 BONDS AND COI - ISSUE DATE 8/10/2005 0 0 0 B CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LVK0 2011-12-21 163357091 SEE PART VI, ISSUE B, DESCRIPTION OF PURPOSE 0 0 0 C CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LDG9 2009-10-21 541045288 NEW FAC CONST & PRIOR CAP EXP REIMB 0 0 0 A 438579839 4239 438575600 2015 1 0 1 1 B 48295000 163357091 163357091 2012 1 0 1 1 C 109140000 541611264 46022336 495588928 2013 0 0 1 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 1 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K SUPPLENTAL INFORMATION ISSUE B, PART I, (F) - DESCRIPTION OF PURPOSE - REFUND 1997A AND 1997B BONDS - ISSUE DATES: 9/15/97, 10/1/97 ISSUE B, PART IV, QUESTION 2C: THE FINAL REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 3/21/2014. ISSUE C, PART II, LINE 3: THE TOTAL PROCEEDS REPORTED IS THE SUM OF THE ISSUE PRICE REPORTED ON PART I, COLUMN E PLUS THE CUMULATIVE INVESTMENT EARNINGS AS OF THE END OF THE TAX YEAR. ISSUE C, PART III, QUESTION 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITED UNDER SECTION 145 OF THE CODE. ISSUE C, PART IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 9/11/2014. M ALEXANDER MD BRD MEM HOUSING LOAN X 350000 35000 0 1 1 G MELMED MD FAMILY HOUSING LOAN X 150000 105000 0 1 1 DONOR #307 DONOR HOUSING LOAN X 200000 120000 0 1 1 VAR INTERESTED PERSONS OFF, BRD INS PREMIUMS X 692850 692850 0 1 1 952850 GIL MELMED MD PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 571206 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 EMILY SIEGEL MD PART V NARRATIVE - FAMILY MEMBER OF MARK SIEGEL, A BOARD MEMBER 55833 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BARBARA LEANSE PART V NARRATIVE - FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER 439772 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 TALYA WALDMAN PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 39734 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 ERIKA PRUNCHUNAS PART V NARRATIVE - FAMILY MEMBER OF EDWARD PRUNCHUNAS, AN OFFICER 63253 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BETH KARLAN MD PART V NARRATIVE - FAMILY MEMBER OF SCOTT KARLAN, A BOARD MEMBER 570331 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 ANGELA HIRAI YANG PART V NARRATIVE - FAMILY MEMBER OF CLEMENT YANG, A BOARD MEMBER 191713 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 ERIK INNOCENTI PART V NARRATIVE - FAMILY MEMBER OF PHILOMENA MCANDREW, A BOARD MEMBER 79318 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DONOR #288 PART V NARRATIVE - SUBSTANTIAL CONTRIBUTOR 296178 PART V NARRATIVE - COMPENSATION FOR CONSULTING SERVICES 0 CONTINUED ON PART V 0 DONOR #359 PART V NARRATIVE - SUBSTANTIAL CONTRIBUTOR 3098863 PART V NARRATIVE - COMPENSATION FOR CONSULTING SERVICES 0 FIRST PACIFIC ADVISORS LLC PART V NARRATIVE - LLC MORE THAN 35% OWNED BY STEVEN ROMICK, A BOARD MEMBER 653718 PART V NARRATIVE - INVESTMENT MANAGEMENT FEES 0 X 52 0 X 1 0 X 20 6085381 SEE SCH M, PART II 1 0 1 0 PART I, COLUMN (B): FOR PURPOSES OF SCHEDULE M, PART I, CEDARS-SINAI MEDICAL CENTER IS REPORTING THE NUMBERS OF ITEMS RECEIVED FOR LINES 1, 6 AND 9 WITH RESPECT TO ART-WORKS OF ART, CARS AND OTHER VEHICLES, AND SECURITIES-PUBLICLY TRADED. PART I, LINE 33: WORKS OF ART - THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER ACCOUNTING STANDARDS CODIFICATION 958, NOT TO REPORT ON ITS STATEMENT OF ACTIVITIES AND BALANCE SHEET, WORKS OF ART HELD FOR PUBLIC EXHIBITION. PART I, LINE 6: CARS AND OTHER VEHICLES - IT IS THE ORGANIZATION'S PRACTICE NOT TO REPORT ON ITS STATEMENT OF ACTIVITIES THE AMOUNT OF THE DONATED VEHICLE SINCE THE DONATED VEHICLE WAS THE PRIZE IN AN OPPORTUNITY DRAWING AND THE DONATION REVENUE LESS THE EXPENSE NETS TO ZERO. SCHEDULE M, PART I, LINE 9, COLUMN (D): METHOD OF DETERMINING REVENUE RELATED TO CONTRIBUTED SECURITIES - CALCULATION IS BASED ON THE MEAN BETWEEN HIGH AND LOW QUOTATIONS ON THE DATE THE SECURITIES PASS UNCONDITIONALLY FROM DONOR CONTROL TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 UNDERGOES AN INTENSE AND HIGHLY COMPREHENSIVE REVIEW PROCESS. THE REVIEW INVOLVES VARIOUS MANAGEMENT PERSONNEL AND A BIG FOUR ACCOUNTING FIRM. A MULTI-LEVEL REVIEW IS PERFORMED WITHIN THE FINANCE DEPARTMENT INCLUDING REVIEW BY THE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE COMPENSATION INFORMATION IS REVIEWED BY THE SENIOR VICE-PRESIDENT OF HUMAN RESOURCES AND THE COMPENSATION COMMITTEE, A COMMITTEE OF BOARD MEMBERS ASSIGNED THIS TASK BY THE CHAIRMAN OF THE BOARD. THE FORM 990 IS THEN PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND DISCUSS THE INFORMATION REPORTED. FORM 990, PART VI, SECTION B, LINE 12C THE CEDARS-SINAI MEDICAL CENTER (CSMC) CONFLICT OF INTEREST POLICY IS A BOARD-APPROVED POLICY: CONFLICT OF INTEREST OVERSIGHT THEREBY EXTENDS TO THE BOARD OF DIRECTORS. CONFLICT REPORTING IS REQUIRED THROUGH THE OFFICE OF THE PRESIDENT/CEO WHO REPORTS TO THE BOARD ON COI-RELATED MATTERS THROUGH THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. MONITORING PRACTICES: REGULAR AND CONSISTENT MONITORING IS DELEGATED BY THE PRESIDENT/CEO TO THE DIRECTOR OF INTERNAL AUDIT/CONFLICT OF INTEREST (COI) ADMINISTRATOR AND THE CONFLICT OF INTEREST STEERING COMMITTEE. ADDITIONAL MONITORING AND ENFORCEMENT OF CONFLICTS OF INTEREST IS HANDLED THROUGH RESEARCH ADMINISTRATION AND THE INSTITUTIONAL REVIEW BOARDS (IRB) IN SUPPORT OF COMPLIANCE WITH THE CONFLICT OF INTEREST REQUIREMENTS OF THE NATIONAL INSTITUTES OF HEALTH FOR SPECIFIC RESEARCH PROTOCOLS. MECHANISMS ARE IN PLACE TO PROVIDE FOR COLLABORATION BETWEEN COI ADMINISTRATION AND RESEARCH ADMINISTRATION. ADDITIONALLY, HOSPITAL-BASED PHYSICIANS COI MATTERS ARE HANDLED BY THE APPLICABLE HOSPITAL-BASED PHYSICIAN CHAIRMEN AND COORDINATION ALSO OCCURS WHERE NECESSARY (SUCH AS WITH THE MEDICAL STAFF OFFICE FOR PHYSICIANS HOLDING MEDICAL STAFF COMMITTEE APPOINTMENTS). WHERE CONFLICTS ARE IDENTIFIED THAT REQUIRE EITHER FORMAL OR INFORMAL MONITORING, RELATED ROUTINE OR PERIODIC MONITORING IN THESE INSTANCES IS SET AT THE DEPARTMENT CHAIRPERSON OR VICE PRESIDENTIAL LEVEL, WITH ANNUAL OR OTHER FOLLOW-UP BY THE COI STEERING COMMITTEE, IRB, OR COI ADMINISTRATOR AS DEEMED APPLICABLE. COVERED INDIVIDUALS: UNDER THE CONFLICT OF INTEREST POLICY, "COVERED INDIVIDUALS" REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE INCLUDE: MEMBERS OF THE BOARD OF DIRECTORS AND COMMITTEES OF THE BOARD; THE PRESIDENT/CEO; SENIOR EXECUTIVES (DIRECT REPORTS TO THE CEO); MEMBERS OF THE COI STEERING COMMITTEE; MEMBERS OF THE FACULTY; MEMBERS OF THE MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITIES; MEMBERS OF MEDICAL STAFF COMMITTEES; RESEARCH INVESTIGATORS; AND OTHER INDIVIDUALS IDENTIFIED BY THE BOARD OR EXECUTIVE LEADERSHIP. WHILE ALL EMPLOYEES ARE REQUIRED BY POLICY TO DISCLOSE POTENTIAL CONFLICTS TO THEIR SUPERVISORS WHEN THEY ARISE, THE NOTED COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE FORMAL ANNUAL DISCLOSURE USING A PRESCRIBED QUESTIONNAIRE. MORE FREQUENT DISCLOSURE IS REQUIRED AS WARRANTED BY ACTIVITIES UNDERTAKEN BETWEEN ANNUAL DISCLOSURES. THE DISCLOSURE POLICY EXTENDS TO FAMILY MEMBERS OF COVERED INDIVIDUALS AS THEY MAY DIRECTLY OR INDIRECTLY GIVE RISE TO CONFLICTS OF INTEREST. COI, DETERMINATION, AND REVIEW ACTION LEVELS: ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE ACCUMULATED IN A WEB-BASED DATABASE REFERRED TO AS THE COI SYSTEM. THIS DATABASE INCLUDES COVERED INDIVIDUAL DISCLOSURES, RELATED DOCUMENTS AND REVIEW COMMENTS, CONCLUSIONS AND ACTIONS. ALL QUESTIONNAIRES ARE ANALYZED AND ALL DISCLOSURES MADE ARE REVIEWED FOR VALIDITY, COMPLETENESS AND THE PRESENCE OF A REAL OR PERCEIVED CONFLICT OF INTEREST. AS STRUCTURED, CONFLICTS OF INTEREST ARE ANALYZED, REVIEWED, MONITORED AND ENFORCED THROUGH TWO PRIMARY WORKFLOWS REPORTING UP TO THE PRESIDENT/CEO TO ENSURE SEGREGATION OF ACCESS, REVIEW AND ANALYSIS WHERE ALL DISCLOSURES ARE REVIEWED FIRST BY COI ADMINISTRATION AND THEN: (1) BOARD, EXECUTIVE AND COI STEERING COMMITTEE MEMBERS ARE VETTED THROUGH GENERAL COUNSEL; AND (2) ALL OTHER INDIVIDUALS REQUIRED TO SUBMIT ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES ARE VETTED THROUGH THE COI STEERING COMMITTEE. ALL MEMBERS OF THE BOARD OF DIRECTORS, COMMITTEES OF THE BOARD OF DIRECTORS, CEO, CEO DIRECT REPORTS AND MEMBERS OF THE COI STEERING COMMITTEE ARE REVIEWED BY THE COI ADMINISTRATOR AND GENERAL COUNSEL, WITH REPORTING DIRECTLY THROUGH THE CEO AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. CERTAIN ENFORCEMENT ACTIONS ARE HANDLED AT THE CEO LEVEL BUT WITH REPORTING TO THE BOARD THROUGH THE AUDIT COMMITTEE; AND, CERTAIN ENFORCEMENT ACTIONS ARE DETERMINED BY THE AUDIT COMMITTEE WITH REPORTING AND/OR RECOMMENDATION TO THE BOARD. THE COI STEERING COMMITTEE IS AN ADVISORY COMMITTEE TO THE PRESIDENT AND CEO ON A VARIETY OF COI MATTERS INCLUDING THE MONITORING AND ENFORCEMENT OF COMPLIANCE WITH THE COI POLICY, COI POLICY DEVELOPMENT AND MAINTENANCE, AND OTHER COI RELATED MATTERS. A SUB-GROUP OF THE COMMITTEE REVIEWS MATTERS IDENTIFIED BY COI ADMINISTRATION AS REQUIRING ADDITIONAL REVIEW AND ACTION. THIS GROUP CLOSES OR MOVES THE MATTERS UP TO THE COI STEERING COMMITTEE LEVEL FOR REVIEW AND ACTION. REGARDLESS OF THE MONITORING AND ENFORCEMENT PATH, DISCLOSURES ARE CONCLUDED IN ONE OF THE FOLLOWING MANNERS: -- NO CONFLICT EXISTS; -- MANAGED BY DISCLOSURE; -- MANAGED (BY SOME ACTION); -- MANAGED BY PLAN (FORMAL PLAN WITH FOLLOW-UP); -- MANAGED BY PLAN: IRB (FORMAL PLAN IS DEVELOPED AND MANAGED BY RESEARCH ADMINISTRATION FOR CLINICAL TRIAL RELATED MATTERS); -- MANAGED BY SEPARATION (FROM EITHER THEIR APPLICABLE CSMC ROLE OR THE ACTIVITY CREATING THE CONFLICT); -- CONFLICT (A CONFLICT THAT MUST BE REPORTED FOR CEO/BOARD LEVEL ACTION). ACTUAL OR POTENTIAL CONFLICTS CONCLUDED TO BE "MANAGED" ARE DEEMED TO BE INSIGNIFICANT, ADDRESSED DURING THE INITIAL EMPLOYMENT PROCESS AND IF CIRCUMSTANCES HAVE NOT CHANGED, APPROVED BY THE APPROPRIATE MANAGEMENT OR ACTION HAS BEEN IMPLEMENTED TO ENSURE THE IDENTIFIED CONFLICT IS SUFFICIENTLY MITIGATED. WHEN THERE IS A CONFLICT FOR WHICH SOME REASONABLE ACTION CANNOT OR WILL NOT BE TAKEN TO MITIGATE IT, THE MATTER IS REPORTED TO THE CEO, THE AUDIT COMMITTEE AND EVENTUALLY THE BOARD, AS APPROPRIATE, FOR DETERMINATION OF THE ACTION TO BE TAKEN. ADDITIONALLY, PROACTIVE PROCESSES HAVE BEEN IMPLEMENTED TO SUPPORT THE DISCLOSURE, IDENTIFICATION, REVIEW AND ANALYSIS PROCESS. FOR EXAMPLE, FORMAL RECUSAL IS DISCUSSED AND REQUIRED OF ALL BOARD AND BOARD COMMITTEE MEMBERS AND MEDICAL STAFF COMMITTEE MEMBERS (INCLUDING MEMBERS OF THE PERFORMANCE IMPROVEMENT COMMITTEE) AS PART OF THEIR APPOINTMENT RESPONSIBILITIES. THIS POLICY IS REVIEWED AT THE FIRST MEETING OF THE BOARD, EACH BOARD COMMITTEE AND EACH MEDICAL STAFF COMMITTEE AT THE BEGINNING OF RELATED ANNUAL CYCLES. RESTRICTIONS IMPOSED: ANYONE IN VIOLATION OF THE POLICY IS SUBJECT TO THE FOLLOWING ADMINISTRATIVE ACTIONS INCLUDING ORAL ADMONISHMENT, WRITTEN REPRIMAND, DISCIPLINE, REASSIGNMENT, DEMOTION, SUSPENSION, REMOVAL, TERMINATION OR SEPARATION. THE MEDICAL CENTER RESERVES THE RIGHT TO PURSUE OTHER ACTIONS AGAINST ANYONE WHO VIOLATES THE COI POLICY TO THE DETRIMENT OF THE MEDICAL CENTER. IN THIS REGARD, VARIOUS MECHANISMS ARE IN PLACE WITH REGARD TO ACTIONS TAKEN OR RESTRICTIONS IMPOSED. WHEN AN INDIVIDUAL IS DETERMINED TO BE INVOLVED IN A CONFLICTED RELATIONSHIP OR ACTIVITY, ONE OR MORE OF THE FOLLOWING ACTIONS ARE TAKEN: (1) THE INDIVIDUAL CEASES AND DESISTS THE ACTIVITY/RELATIONSHIP CREATING THE CONFLICT; OR (2) THE INDIVIDUAL ENDS THEIR APPLICABLE RELATIONSHIP WITH CSMC; OR (3) IF RELATIVE TO AN INDIVIDUAL'S ROLE IN A DECISION MAKING PROCESS, THE INDIVIDUAL WOULD BE ASKED TO RECUSE HIMSELF/HERSELF OR BE RECUSED FROM APPLICABLE DECISION-MAKING PROCESSES. (4) DEPENDING ON THE PRESENTED FACTS, A MANAGEMENT PLAN MAY BE PUT IN PLACE TO OVERSEE THE INDIVIDUAL TO ENSURE PERTINENT ACTIONS ARE TAKEN TO MITIGATE THE CONFLICT (E.G., AN OUTSIDE IRB IS USED OR INDEPENDENT RESEARCH INVESTIGATOR IS USED TO OVERSEE A RESEARCH PROJECT, SPECIFIC DISCLOSURES ARE REQUIRED IN CME PRESENTATIONS, DIRECT OVERSIGHT IS REQUIRED OF DEPARTMENT CHAIRS, ETC.). THE MANAGEMENT PLAN WOULD BE CENTRALLY (MEDICAL CENTER ADMINISTRATION) CONTROLLED OR LOCALLY CONTROLLED (DEPARTMENT VP OR CHAIR) DEPENDING UPON THE NATURE OF THE RELATIONSHIP. ASSURANCES WOULD BE SECURED THAT MANAGEMENT IS AWARE OF CERTAIN RELATIONSHIPS THAT MIGHT BE PERCEIVED AS A CONFLICT SO THEY ARE ON NOTICE SHOULD ANYTHING ARISE SUGGESTING THE POTENTIAL CONFLICT IS MORE OF AN ISSUE OR SHOULD THE RELATIONSHIP/ACTION EVOLVE INTO A MORE SIGNIFICANT MATTER. OTHER ACTIONS ARE TAKEN DEPENDING UPON THE NATURE OF THE RELATIONSHIPS/ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE PERSONNEL COMMITTEE (THE COMMITTEE) IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE ADDRESSES COMPENSATION AND BENEFITS REGARDING THE MEDICAL CENTER'S EXECUTIVE EMPLOYEES AND CONTRACTUALLY ENGAGED FACULTY (ALL COMPENSATED INDIVIDUALS REPORTED ON PART VII AND SCHEDULE J FALL UNDER ONE OF THESE TWO CATEGORIES), AND IS AUTHORIZED BY THE BOARD OF DIRECTORS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO SUCH ISSUES, AND OTHER GOVERNANCE ISSUES AS REQUESTED BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, THE CHAIR OF THE BOARD OF DIRECTORS, OR THE CEO, ALL SUBJECT TO THE COMMITTEE'S ONGOING REPORTING OBLIGATION TO THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. SPECIFICALLY, THE COMMITTEE EVALUATES THE PERFORMANCE AND APPROVES THE COMPENSATION AND BENEFITS FOR THE MEDICAL CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER; AND APPROVES THE COMPENSATION AND BENEFIT PLANS FOR EXECUTIVES AND THE MEDICAL CENTER'S CONTRACTUALLY ENGAGED FACULTY. THE COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S EXECUTION OF THOSE PLANS WITHIN ESTABLISHED PARAMETERS, TAKING INTO CONSIDERATION THE PERFORMANCE OF THE ORGANIZATION AS A WHOLE; AND ADDRESSES SUCH OTHER COMPENSATION ISSUES REGARDING THE MEDICAL CENTER'S EXECUTIVES AND CONTRACTUALLY ENGAGED FACULTY AS REQUESTED BY THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE APPOINTED ANNUALLY BY THE CHAIR OF THE BOARD OF DIRECTORS. APPOINTMENTS ARE FOR A ONE YEAR TERM. MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS OR LIFE TRUSTEES, WITH NO EXISTING CONFLICTS OF INTEREST WITHIN THE PRIOR FIVE (5) YEARS RELATED TO THE MEDICAL CENTER'S CEO, EXECUTIVES OR CONTRACTUALLY ENGAGED FACULTY WHOSE COMPENSATION AND BENEFITS AND RELATED BENEFIT PLANS ARE REVIEWED AND APPROVED BY THE COMMITTEE. INDEPENDENCE OF DIRECTORS AND LIFE TRUSTEES ARE DETERMINED BY STANDARDS ADOPTED BY THE INTERNAL REVENUE SERVICE. THE CEO IS A NON-VOTING MEMBER OF THE COMMITTEE AND WILL BE INVITED TO ATTEND ITS MEETINGS, UNLESS OTHERWISE DETERMINED BY THE COMMITTEE. WHENEVER THE COMMITTEE DISCUSSES THE CEO'S COMPENSATION AND BENEFITS OR ANY COMPENSATION AND BENEFIT PLAN IN WHICH THE CEO PARTICIPATES, THE CEO WILL BE IN ATTENDANCE ONLY TO THE EXTENT REQUESTED BY THE COMMITTEE. THE CEO WILL BE EXCUSED PRIOR TO THE COMMITTEE'S DECISION MAKING. THE COMMITTEE FOLLOWS A PROCESS THAT ENSURES THAT THE COMPENSATION AND BENEFITS PROVIDED TO THE CEO, OTHER EXECUTIVES AND CONTRACTUALLY ENGAGED FACULTY IS REASONABLE AND IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS. THE MEDICAL CENTER'S SVP OF HR PROVIDES STAFF SUPPORT TO THE COMMITTEE. THE COMMITTEE MAY INCLUDE MEMBERS OF THE MEDICAL CENTER'S MANAGEMENT TEAM OR ANY OTHER PERSON WHOSE PRESENCE THE COMMITTEE BELIEVES TO BE DESIRABLE OR APPROPRIATE. THE COMMITTEE MAY ENGAGE AN INDEPENDENT COMPENSATION AND BENEFITS CONSULTANT, AND ANY OTHER ADVISORS THEY DEEM NECESSARY. THE COMMITTEE MAY ALSO ENGAGE INDEPENDENT COUNSEL. THE MEDICAL CENTER WILL PROVIDE FOR APPROPRIATE FUNDING FOR PAYMENT OF COSTS TO ANY SUCH PERSONS RETAINED BY THE COMMITTEE. AT THE COMMITTEE'S DIRECTION, THE INDEPENDENT COMPENSATION CONSULTANT SHALL PREPARE SUCH REPORTS AS THE COMMITTEE REASONABLY DEEMS NECESSARY. AT A MINIMUM, SUCH REPORTS WILL INCLUDE MARKET SURVEY DATA FROM A PEER GROUP DESIGNATED BY THE COMMITTEE, WHICH SHALL BE CONSIDERED BY THE COMMITTEE PRIOR TO MAKING DECISIONS. THE COMMITTEE MEETS AS FREQUENTLY AS THE COMMITTEE DEEMS NECESSARY AND WILL MAINTAIN WRITTEN MINUTES OF ITS MEETINGS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 990-T ARE AVAILABLE UPON REQUEST. FORM 990 IS ALSO AVAILABLE ON THE GUIDESTAR.ORG WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION POSTS ITS CORPORATE COMPLIANCE PROGRAM PLAN ON ITS WEBSITE. THE CORPORATE COMPLIANCE PROGRAM PLAN OUTLINES THE STANDARDS OF CONDUCT FOR THE GOVERNING BOARD AND ALL EMPLOYEES. ADDITIONALLY, THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS FORM 990. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: PENSION GAINS -65,899,296. INVESTMENT IN JOINT VENTURES - PRIOR YEAR -27,808,008. INVESTMENT IN JOINT VENTURES - CURRENT YEAR 45,944,064. GAIN OR LOSS ON EXTINGUISHMENT OF DEBT 6,143,764. ROUNDING 4,125. 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