2014-05-15T15:19:56-05:00 2013-06-30 346565596 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2012-07-01 951644600 CEDARS-SINAI MEDICAL CENTER CEDA 3104233277 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 EDWARD PRUNCHUNAS 3104233277 2014-05-15 1 KARA ADAMS P00023315 9497942300 2012 2015-11-30 17:44:51Z THOMAS M PRISELAC 8700 BEVERLY BLVD LA CA 90048 3129445131 0 X WWW.CEDARS-SINAI.EDU X 1902 CA CSMC IS AN ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL PROVIDING THE HIGHEST-QUALITY HEALTHCARE. 38 27 12510 3147 19741669 0 111802752 129548599 2642338209 2615287434 31195348 17939141 12508224 30758366 2797844533 2793533540 34082824 35367915 0 0 1297041881 1321189483 75396 36545 13166706 1298398090 1035300155 2629598191 2391894098 168246342 401639442 3855417925 4282386034 1812467625 1687442323 2042950300 2594943711 X CEDARS-SINAI HEALTH SYSTEM, A NON-PROFIT, INDEPENDENT HEALTH CARE ORGANIZATION IS COMMITTED TO:(SEE SCHEDULE O FOR CONTINUATION)- 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.FORM 990, PART V, LINE 7H: FORM 1098-C WAS NOT REQUIRED TO BE FILED. 0 0 1771769934 33245775 2477786178 CEDARS-SINAI PROVIDED ACUTE CARE SERVICES TO 49,216 PATIENTS WITH 251,561 DAYS OF CARE. 109466867 207100 66625441 RESEARCH ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY WERE PERFORMED AT A NET COST OF $42,841,426 AFTER GRANTS FROM THE GOVERNMENT AND OTHERS TOTALING $66,625,441. 223220113 1915040 70875815 AS AN ACADEMIC MEDICAL CENTER WITH A WORLD-RENOWNED FACULTY AND EXTENSIVE, HIGHLY COMPETITIVE TRAINING PROGRAMS, MEDICAL EDUCATION AND TEACHING WERE PERFORMED AT A NET COST OF $152,344,298. 2104456914 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 1 1 0 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 4116 0 1 12510 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 38 27 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 CA AK AL CO FL GA IL KY MD MA MI MN MS NH NJ NM NY NC ND OH OK OR SC TN UT WA WI DC X EDWARD PRUNCHUNAS 3104233277 8700 BEVERLY BLVD LOS ANGELES CA 90048 THOMAS M PRISELAC 70.00 5.00 X X 2870280 0 683960 LAWRENCE B PLATT 20.00 1.00 X 0 0 0 VERA GUERIN 15.00 1.00 X X 0 0 0 MARC RAPAPORT 10.00 1.00 X X 0 0 0 ROBERT K BARTH 5.00 0.00 X 0 0 0 JOHN BENDHEIM 5.00 0.00 X 0 0 0 STEVEN D BROIDY 5.00 0.00 X 0 0 0 ILANA CASS MD 60.00 0.00 X 436102 0 65781 DALE COCHRAN 5.00 0.00 X 0 0 0 JOHN COLEMAN 5.00 0.00 X 0 0 0 ROBERT DAVIDSON 5.00 0.00 X 0 0 0 ROBERT M ELLER 5.00 1.00 X 0 0 0 DEBORAH FREUND PHD 5.00 0.00 X 0 0 0 STEVEN GALEN MD 5.00 0.00 X 49000 0 0 MARK S GREENFIELD 5.00 0.00 X 0 0 0 ANDY HEYWARD 5.00 0.00 X 0 0 0 STEVEN M HITTER 5.00 0.00 X 0 0 0 SUE NEUMAN HOCHBERG 5.00 0.00 X 0 0 0 DAVID B KAPLAN 5.00 0.00 X 0 0 0 SHEILA KAR MD 5.00 0.00 X 1000 0 0 BETH KARLAN MD 60.00 0.00 X 525073 0 49655 SCOTT KARLAN MD 60.00 0.00 X 412698 0 56407 JEFFREY KATZENBERG 5.00 0.00 X 0 0 0 ANDREW KLEIN MD 60.00 0.00 X 1100505 0 78547 JOHN C LAW 5.00 0.00 X 0 0 0 THOMAS J LEANSE ESQ 5.00 1.00 X 0 0 0 JAMES M LIPPMAN 5.00 0.00 X 0 0 0 TODD M MORGAN 5.00 0.00 X 0 0 0 ZAB MOSENIFAR MD 60.00 0.00 X 978261 0 212994 JAMES A NATHAN 5.00 1.00 X 0 0 0 STEVEN B NICHOLS 5.00 0.00 X 0 0 0 LUIS NOGALES 5.00 0.00 X 0 0 0 LOUISE PHANSTIEL 5.00 0.00 X 0 0 0 ANTONY P RESSLER 5.00 0.00 X 0 0 0 STEVEN ROMICK 5.00 0.00 X 0 0 0 MARK S SIEGEL 5.00 1.00 X 0 0 0 PAUL SILKA MD 54.00 0.00 X 545674 0 67953 STEVEN SPIELBERG 5.00 0.00 X 0 0 0 BARBARA STREISAND 5.00 0.00 X 0 0 0 LESLIE VERMUT 5.00 1.00 X 0 0 0 JAY S WINTROB 5.00 0.00 X 0 0 0 PHILLIP ZAKOWSKI MD 5.00 0.00 X 1000 0 0 EDWARD PRUNCHUNAS 60.00 6.00 X 1813534 0 114144 MARK GAVENS 60.00 0.00 X 1263483 0 61955 SHLOMO MELMED MD 60.00 0.00 X 1361651 0 470096 KEITH BLACK MD 60.00 0.00 X 2955936 0 63650 BRUCE GEWERTZ MD 60.00 0.00 X 1827322 0 77894 EDUARDO MARBAN MD 60.00 1.00 X 2363995 0 218086 ALFREDO TRENTO MD 60.00 0.00 X 2059800 0 77000 RAJENDRA MAKKAR MD 60.00 0.00 X 2177050 0 63695 22742364 0 2361817 2991 0 1 0 HATHAWAY DINWIDDIE CONSTRUCTION CO 811 WILSHIRE BLVD LOS ANGELES CA 90017 CONSTRUCTION SERVICES 116211155 ENCORE HEALTH RESOURCES INC ONE RIVERWAY STE 1700 HOUSTON TX 77056 EIS CONSULTING SERVICE 37084248 COMMUNITY URGENT CARE MEDICAL GROUP 9440 SANTA MONICA BLVD BEVERLY HILLS CA 90210 URGENT CARE MEDICAL SERVICES 14864286 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 13354105 PACIFIC NATIONAL GROUP 2392 SOUTH BATEMAN AVE IRWINDALE CA 91010 CONSTRUCTION SERVICES 11063771 332 3879065 43459975 82209559 1957493 129548599 NET PATIENT REVENUE 622110 2061002226 2061002226 MEDICARE & MEDICAL 622110 548208898 548208898 PARKING REVENUE 531310 6076310 6076310 2615287434 13716637 13716637 11787215 11787215 338518936 334296432 4222504 4222504 4222504 718016 3879065 1615159 -897143 -897143 126625 0 126625 126625 LABORATORY REVENUE 621511 19202136 19202136 LACTATION CENTER - REV 900099 288479 288479 ALTERNATIVE INVEST INC 523999 232652 232652 18402 18402 19741669 2793533540 2609211124 19741669 35032148 35367915 35367915 12072244 8014328 4057916 1345250 1006790 338460 986296406 880425965 98043654 7826787 103880451 88497993 14796154 586304 152584634 142354104 8828499 1402031 65010498 55203467 9246218 560813 14621846 14621846 9263211 205179 9040727 17305 923323 923323 507239 507239 36545 36545 205415221 153193382 51002894 1218945 7041847 625138 6369777 46932 40757016 34822802 5468232 465982 66026441 56941069 9085372 5168320 5168320 43305899 30084671 12909678 311550 6541308 4893943 1535331 112034 2914039 2141502 558082 214455 33527006 28819853 4707153 131040930 114260284 16780646 18762557 16075472 2687085 MEDICAL SUPPLIES 320769039 320769039 MEDI-CAL PROGRAM FEE 67055866 67055866 MISCELLANEOUS 55828184 40499145 15105683 223356 DUES & SUBSCRIPTIONS 4201892 2289297 1790665 121930 1628971 612305 994929 21737 2391894098 2104456914 274270478 13166706 153061780 75023084 118940009 51773479 114206516 139177496 439976265 460321974 630000 3980530 335552 15002839 17101120 21680884 26992857 18280759 17707756 2635687453 900779925 1560232036 1734907528 792778133 1058330967 500059000 552228000 64847099 64847099 55722605 79658592 3855417925 4282386034 456445955 421628391 1169916333 1123697408 186105337 142116524 1812467625 1687442323 X 1560606154 2066866952 239440209 276944662 242903937 251132097 2042950300 2594943711 3855417925 4282386034 X 401639442 92904507 57449462 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 369563 1 137676 0 0 507239 0 PART IV, SUPPLEMENTAL INFORMATION: 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. 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 443236081 46436249 27755755 4003845 513424240 418709065 27334243 8556769 11363996 443236081 353913733 50126715 25230233 10561616 418709065 295551488 49385421 18536273 9559449 353913733 274470961 28331045 1445583 8696101 295551488 0.51090 0.48910 0 0 56522220 56522220 1769462724 572446555 1197016169 9706397 5789354 3917043 644625265 322544016 322081249 155370847 155370847 1734907528 ALTERNATIVE INVESTMENTS 552228000 F 552228000 WORKERS' COMPENSATION LIABILITY PROGRAM 52948000 MALPRACTICE AND GENERAL LIABILITY PROGRAM 41674000 DEFERRED FEMA GRANT INCOME 26535606 DEFERRED COMPENSATION 3285752 MEDICARE LIABILITY 17673166 142116524 X 2840834000 92904507 92904507 2747929493 45604047 45604047 2793533540 2363628286 -28265812 -28265812 2391894098 0 2391894098 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: DURING THE FISCAL YEAR ENDING JUNE 30, 2013, THE ACQUISITION COMMITTEE VOTED TO ACCEPT 88 ARTWORKS INTO THE CEDARS-SINAI MEDICAL CENTER COLLECTION. THE FINE MUSEUM QUALITY ARTWORKS OBTAINED WERE CREATED BY SOME WELL-KNOWN ARTISTS SUCH AS TOMORY DODGE, JEROME HERSHEY, MEL ROBERTS, MICHA BAR-AM, GEORGE HURRELL, BYUNG-HUNG MIN AND ROY LICHTENSTEIN. 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 MEDICAL CENTER AND THE ACQUISITIONS COMMITTEE ARE COMMITTED TO THE CONCEPT OF THE HEALING POWER OF ART, SEEKING TO ALWAYS UPHOLD THAT CONCEPT. THIS ONGOING ART 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 IN THEIR RECOVERY. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF APPROXIMATELY 191 INDIVIDUAL FUNDS FOR A VARIETY OF PURPOSES. THE INTENDED USES ARE FOR RESEARCH, DONOR-DESIGNATED OR FOR GENERAL PURPOSES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE MEDICAL CENTER COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE MEDICAL CENTER HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE MEDICAL CENTER IS SUBJECT TO ROUTINE AUDITS BY THE 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 2009. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS -128,117,737. RESTRICTED REVENUES - PERM 8,228,159. RESTRICTED REVENUES - TEMP 167,111,402. FUNDRAISING DIRECT EXPENSES SHOWN AS REVENUE OFFSET IN 990 PART VIII LINE 8B -1,615,159. ROUNDING -2,618. PART XII, LINE 2D - OTHER ADJUSTMENTS: RESTRICTED EXPENSES NOT INCLUDED IN THE AUDITED FINANCIAL STATEMENTS 128,117,737. FUNDRAISING EXPENSES RECLASS AS REVENUE OFFSET 1,615,159. FOUNDATION FUNDING IN EXPENSES FOR TAX, EQUITY FOR BOOKS -29,880,971. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -128,117,737. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PASSIVE INVESTMENTS N/A 429873797 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 10000 NORTH AMERICA 1 2 PROGRAM SERVICES SEE PART V NARRATIVE 176392 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 7576 SOUTH AMERICA 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 216386 1 2 0 0 1 2 430284151 0 430284151 1 0 1 1 1 0 PART I, LINE 3, COLUMN E REGION: NORTH AMERICA - 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. REGION: MIDDLE EAST AND NORTH AFRICA - THE ORGANIZATION IS PROVIDING FUNDING FOR ENDOTHELIAL PROGENITOR CELLS (EPC) BASED THERAPY AT THE SHEBA MEDICAL CENTER IN ISRAEL. REGION: EAST ASIA AND THE PACIFIC - THE ORGANIZATION IS PROVIDING FUNDING FOR STATIN RESEARCH AT THE TAICHUNG VETERANS GENERAL HOSPITAL. REGION: SOUTH AMERICA - THE ORGANIZATION IS PROVIDING FUNDING TO OTOHARMONICS WHICH IS CONDUCTING RESEARCH RELATED TO THE TREATMENT OF SUBJECTIVE IDIOPATHIC TINNITUS, A CONDITION MORE COMMONLY KNOWN AS RINGING IN THE EAR. PART I, LINE 3, COLUMN F REGION: CENTRAL AMERICA AND THE CARIBBEAN VALUE OF INVESTMENTS MADE: 412,486,257 AMOUNT OF INVESTMENT FEES: 17,387,540 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 1282047 36545 1245502 1282047 36545 1245502 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC PINK PARTY 1317615 1002095 315520 375375 9942 225462 BOG GALA 1170047 993887 176160 12630 149249 3950 98264 6 2109419 1883083 226336 67763 165534 7000 499990 4597081 3879065 718016 455768 324725 10950 823716 1615159 -897143 126625 1 126625 126625 CA 0 THE ORGANIZATION IS NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL'S OFFICE. 0 0 0 1.00000 LEO CORONADO 8700 BEVERLY BLVD LOS ANGELES CA 90048 0 VARIOUS - SEE PART IV SEE PART IV X 1 113963 EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) GRANT ASSOCIATES WAS HIRED TO SOLICIT DONATIONS AND ATTENDEES FOR THE "BOARD OF GOVERNORS OF CEDARS-SINAI MEDICAL CENTER (CSMC) NOVEMBER GALA. 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, LINE 3: NONCASH PRIZES BY EVENT: BOG GALA $ 71,656 TOM COLLIER MEMORIAL REGATTA $ 1,039 RUN FOR HER $ 5,500 C.O.A.C.H FOR KIDS $ 13,245 DANCING FOR N.E.D. $ 4,685 PART III, LINE 6 - VOLUNTEER LABOR BY EVENT: TOM COLLIER MEMORIAL REGATTA 75% RUN FOR HER 80% C.O.A.C.H FOR KIDS 30% PART III, LINE 16: GAMING MANAGER INFORMATION: BOG GALA: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $1,500, ONSITE SALES BOG GALA: LORI FELDMAN, EMPLOYEE, $179, OVERSIGHT TOM COLLIER MEMORIAL REGATTA: HANNA COLLIER, VOLUNTEER, $0, OVERSIGHT TOM COLLIER MEMORIAL REGATTA: ROXY KINSTETTER,EMPLOYEE, $125, OVERSIGHT RUN FOR HER: KELLY SARGENT, EMPLOYEE, $171, OVERSIGHT C.O.A.C.H FOR KIDS: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $1,000, ONSITE SALES C.O.A.C.H FOR KIDS: FAYNE WILLIAMS, EMPLOYEE, $109, OVERSIGHT DANCING FOR N.E.D.: CHARITY BUZZ, INDEPENDENT CONTRACTOR, $1,035, ONLINE SALES DANCING FOR N.E.D.: BRITTANY JOHNSON, EMPLOYEE, $115, OVERSIGHT 1 1 X 1 X 1 X 450.000000000000 0 1 1 0 1 1 33481808 5891936 27589872 0.01150 190326553 105879008 84447545 0.03530 14266670 7527784 6738886 0.00280 238075031 119298728 118776303 0.04960 14559819 99950 14459869 0.00600 70257611 10469593 59788018 0.02500 4389547 4306807 82740 0.00000 130078639 0 130078639 0.05440 2408408 0 2408408 0.00100 221694024 14876350 206817674 0.08640 459769055 134175078 325593977 0.13600 2375 2375 0.00000 90725 90725 0.00000 2748859 2748859 0.00110 0 49400 49400 0.00000 23680 23680 0.00000 27455 27455 0.00000 651159 651159 0.00030 1500 1500 0.00000 3595153 3595153 0.00140 0 214530802 190340433 528914000 709948900 -181034900 X 1 1 1 NA 1 1 CEDARS-SINAI MEDICAL CENTER

8700 BEVERLY BLVD LOS ANGELES CA 90048

X X X X X CEDARS-SINAI MEDICAL CENTER 1 1 X X X X X X X X X X 12 1 0 1 X X X X X X X X 0 0 1 1 200.000000000000 1 450.000000000000 1 X X X X 1 1 X X 1 0 X X X 1 X 0 0 8 CEDARS-SINAI MEDICAL CENTER

310 SAN VICENTE BLVD WEST HOLLYWOOD CA 90048

OUTPATIENT SURGICAL CEDARS-SINAI MEDICAL CENTER

8723 ALDEN DRIVE LOS ANGELES CA 90048

OUTPATIENT SERVICES-AMBULATORY CARE/ENDOCRINOLOGY/PRIMARY ADULT CARE CEDARS-SINAI MEDICAL CENTER

8631 W 3RD STREET LOS ANGELES CA 90048

OUTPATIENT SERVICES-BLOOD DRAW/CARDIOLOGY/PITUITARY CTR/RADIOLOGY/ETC. CEDARS-SINAI MEDICAL CENTER

8536 WILSHIRE BLVD BEVERLY HILLS CA 90211

OUTPATIENT SERVICES-NUCLEAR CARDIAC STRESS CEDARS-SINAI MEDICAL CENTER

444 S SAN VICENTE BLVD LOS ANGELES CA 90048

OUTPATIENT SERVICES-GAMMA KNIFE/PAIN CTR/PRENATAL DIAG/REHAB/ETC. CEDARS-SINAI MEDICAL CENTER

8635 W 3RD STREET BEVERLY HILLS CA 90211

OUTPATIENT SERVICES-ORGAN TRANSPLANT/ETC. CEDARS-SINAI MEDICAL CENTER

9090 WILSHIRE BLVD BEVERLY HILLS CA 90211

OUTPATIENT SERVICES-CANCER TREATMENT CENTER CEDARS-SINAI MEDICAL CENTER

127 S SAN VICENTE BLVD LOS ANGELES CA 90048

OUTPATIENT SERVICES-NEUROSCIENCES/HEART INST/IMAGING/LAB SVC PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE AMOUNTS ON LINE 7 WERE DERIVED FROM COST ACCOUNTING SYSTEM. COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS - INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYERS - PRIVATE INSURANCE, MEDICARE, MEDI-CAL, UNINSURED AND SELF-PAY.PART I, LINE 4: THE MEDICALLY INDIGENT AND HIGH MEDICAL COST:WHILE NOT SPECIFICALLY REFERENCED IN OUR FINANCIAL ASSISTANCE POLICY (FAP), INDIVIDUALS WHO MAY BE CONSIDERED "MEDICALLY INDIGENT" CAN APPLY FOR FINANCIAL ASSISTANCE AT CEDARS-SINAI MEDICAL CENTER (CSMC).ASSEMBLY BILL-774'S DEFINITION OF A PATIENT WITH HIGH MEDICAL COST MEANS A PERSON WHOSE FAMILY INCOME DOES NOT EXCEED 350% OF THE FEDERAL POVERTY LEVEL (FPL), IF THAT INDIVIDUAL DOES NOT RECEIVE A DISCOUNTED RATE FROM THE HOSPITAL AS A RESULT OF HIS OR HER THIRD-PARTY COVERAGE. FOR THESE PURPOSES, IT MEANS (1) ANNUAL OUT-OF-POCKET COSTS THAT EXCEED 10% OF PATIENT'S FAMILY INCOME AND (2) A LOWER LEVEL FPL DETERMINED BY THE HOSPITAL IN ACCORDANCE WITH THE HOSPITAL'S CHARITY CARE POLICY.THERE ARE TWO TESTS USED TO DETERMINE HIGH MEDICAL COST:1. THE FIRST TEST INVOLVES A COMPARISON OF THE SPECIFIC PATIENT'S OUT-OF-POCKET "INCURRED" AT THE HOSPITAL TO THE PATIENT'S FAMILY INCOME FOR THE PAST 12 MONTHS.2. THE SECOND TEST COMPARES THE MEDICAL EXPENSES "PAID" BY THE PATIENT OR THE PATIENT'S FAMILY WITHIN THE LAST 12 MONTHS.CSMC IS MORE GENEROUS IN ITS DEFINITION OF HIGH MEDICAL COSTS. RATHER THAN USING THE STATED 350% FPL THRESHOLD, CSMC USES A MORE LIBERAL 450% THRESHOLD. PART II: 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 4: PER THE AUDITED FINANCIAL STATEMENTS FOOTNOTE 1 - PROVISION FOR UNCOLLECTIBLE ACCOUNTSPATIENT 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 SIGNIFICANT 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 $190,340,433 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. 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 8: - RATIONALE FOR MEDICARE SHORTFALL AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: IT IS OUR BELIEF THAT ALL OF THE $181,034,900 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 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 9B: NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY (INCLUDED IN COLLECTION POLICY):IN ITS BILLS TO ALL PATIENTS, CEDARS-SINAI WILL INCLUDE A STATEMENT TO THE EFFECT THAT IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR GOVERNMENT-SPONSORED PAYOR PROGRAMS OR FINANCIAL ASSISTANCE FROM THE MEDICAL CENTER. BILLS WILL ALSO INCLUDE THE NAME/TITLE OR DEPARTMENT AND TELEPHONE NUMBER TO CONTACT FOR MORE INFORMATION ABOUT THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM AND APPLICATION PROCESS.ASSIGNMENT OF PATIENT ACCOUNTS TO COLLECTION AGENCIES (APPLICABLE TO ALL PATIENTS).THE MEDICAL CENTER SHALL NOT ASSIGN ANY PATIENT ACCOUNT TO A COLLECTION AGENCY UNLESS THE MEDICAL CENTER (OR A SUBCONTRACTOR ACTING ON THE MEDICAL CENTER'S BEHALF) HAS FIRST PERFORMED TO THE BEST OF ITS ABILITY A PATIENT PROFILE/SCREEN AND DETERMINED TO THE MEDICAL CENTER'S SATISFACTION THAT THE PATIENT:(A) DOES NOT QUALIFY FOR ALTERNATIVE PAYOR SOURCES, (B) IS NOT AGREEABLE TO A PAYMENT PLAN OR IS NO LONGER COOPERATING WITH A NEGOTIATED PAYMENT PLAN,(C) DOES NOT QUALIFY FOR THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM (OR HAS QUALIFIED AND BEEN GIVEN FINANCIAL ASSISTANCE, IN WHICH CASE ONLY THE AMOUNT AS ADJUSTED TO REFLECT THE FINANCIAL ASSISTANCE AVAILABLE IS FORWARDED FOR COLLECTION) AND, (D) HAS SUFFICIENT ASSETS AVAILABLE TO PAY THE AMOUNT OWING. FOR PURPOSES OF THIS POLICY, THE MEDICAL CENTER HAS PERFORMED THE DETERMINATIONS LISTED ABOVE TO THE BEST OF ITS ABILITY WHERE THE MEDICAL CENTER HAS MADE A REASONABLE ATTEMPT TO GATHER THE NECESSARY INFORMATION FROM A PATIENT AND THE PATIENT EITHER DOES NOT RESPOND WITHIN AREASONABLE TIME OR IS UNCOOPERATIVE IN PROVIDING THE NECESSARY INFORMATION.ASSIGNMENT OF PATIENT ACCOUNTS TO COLLECTION AGENCIES (APPLICABLE TO PATIENTS ON FINANCIAL ASSISTANCE PROGRAM).FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT SPONSORED COVERAGE OR FOR THE MEDICAL CENTER'S OWN FINANCIAL ASSISTANCE PROGRAM, THE MEDICAL CENTER SHALL NOT KNOWINGLY SEND OR ASSIGN SUCH PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY PRIOR TO 120 DAYS FROM THE DATE OF THE MEDICAL CENTER'S INITIAL BILLING OF THAT ACCOUNT.FOR PATIENTS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE OR WHO HAVE NEGOTIATED A PAYMENT PLAN AND ARE REASONABLY COOPERATING WITH THE MEDICAL CENTER IN SETTLING AN OUTSTANDING BILL, THE MEDICAL CENTER WILL NOT KNOWINGLY SEND OR ASSIGN SUCH PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY IF THE MEDICAL CENTER KNOWS THAT DOING SO MAY NEGATIVELY IMPACT A PATIENT'S CREDIT. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 1J: CEDARS-SINAI COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REQUIREMENTS OF BOTH THE STATE OF CALIFORNIA AND FEDERAL LAWS. CALIFORNIA SENATE BILL 697 AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND IRC SECTION 501(R)(3) DIRECT TAX EXEMPT HOSPITALS TO CONDUCT A CHNA AND DEVELOP AN IMPLEMENTATION STRATEGY EVERY THREE YEARS. THE RESPONSES REPORTED ON LINES 1 TO 8 OF THIS SECTION ARE BASED ON THE CHNA CONDUCTED DURING FISCAL YEAR ENDED JUNE 30, 2013. THE CHNA IS THE PRIMARY TOOL USED BY CEDARS-SINAI TO DETERMINE COMMUNITY BENEFIT PROGRAMS AND SERVICES STRATEGIES TO ADDRESS PRIORITIZED UNMET HEALTH NEEDS IN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA. THE CHNA INCORPORATES ANALYSIS OF PRIMARY AND SECONDARY DATA TO DRIVE COMMUNITY BENEFIT PLANNING AND REPORTING. ORGANIZATIONAL COMMITMENT:THE CLEAREST DEMONSTRATION OF CEDARS-SINAI MEDICAL CENTER'S COMMITMENT TO ITS COMMUNITY IS THE INVOLVEMENT AND DEDICATION OF THE BOARD OF DIRECTORS, EXECUTIVE MANAGEMENT, PHYSICIANS AND STAFF. THE COMMUNITY BENEFIT COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, IS CHARGED WITH POLICY AND PRIORITY SETTING FOR CEDARS-SINAI'S COMMUNITY BENEFIT EFFORTS. COMMUNITY BENEFIT ACTIVITIES ARE DELIVERED THROUGHOUT THE MEDICAL CENTER, WITH A SIGNIFICANT INVESTMENT IN CEDARS-SINAI'S SIGNATURE COMMUNITY BENEFIT PROGRAMS, WHICH ARE IMPLEMENTED SPECIFICALLY TO MEET THE HEALTH NEEDS OF THE COMMUNITY. CEDARS-SINAI'S COMMITMENT TO IMPROVE HEALTH OF THE COMMUNITY, THE FOURTH LEG OF OUR MISSION, HAS BEEN FULLY INTEGRATED INTO THE GOVERNANCE, EXECUTIVE MANAGEMENT AND SYSTEM-WIDE GOALS OF THE ORGANIZATION. SENIOR MANAGEMENT PLAYS A KEY LEADERSHIP ROLE IN SUPPORTING COMMUNITY BENEFIT AND ALLOCATES SIGNIFICANT HUMAN AND FINANCIAL RESOURCES TO THIS END.CEDARS-SINAI'S COMMUNITY:CEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES LARGE PORTIONS OF LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH'S SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND PART OF SPA 8 (SOUTH BAY). THE COMMUNITY BENEFIT SERVICE AREA INCLUDES 44 ZIP CODES, REPRESENTING 25 CITIES OR COMMUNITIES.COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2013:CEDARS-SINAI ENGAGED BIEL CONSULTING TO LEAD THE CHNA EFFORT. THE CHNA RESULTS INTEGRATE SECONDARY DATA OBTAINED FROM NUMEROUS DATA SOURCES, AS WELL AS PRIMARY DATA COLLECTED THROUGH A SERIES OF INTERVIEWS ON COMMUNITY HEALTH NEEDS. THE CHNA DATA COLLECTION AND ANALYSIS OCCURRED FROM JULY TO OCTOBER, 2012. THE PRELIMINARY CHNA RESULTS WERE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, IN NOVEMBER 2012. THE COMMUNITY BENEFIT COMMITTEE PROVIDED FEEDBACK ON THE PRELIMINARY ANALYSIS. SECONDARY DATA SECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE AND HEALTH BEHAVIORS. BASED ON AVAILABLE DATA, ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR CEDARS-SINAI'S COMMUNITY BENEFIT SERVICE AREA. FOR EXAMPLE, DEMOGRAPHIC DATA, BIRTH AND DEATH DATA ARE BASED ON ZIP CODES. HOUSING AND ECONOMIC INDICATORS ARE AVAILABLE BY CITY. OTHER DATA ARE ONLY AVAILABLE BY SPA OR COUNTY. FOR THE PURPOSES OF THE CHNA, WHEN EXAMINING DATA BY SPA THE PRIORITY GEOGRAPHIC AREAS OF SPAS 4, 6, AND 5 ARE PRESENTED. SOURCES OF DATA INCLUDE THE HEALTHY COMMUNITIES INSTITUTE/CLARITAS, U.S. CENSUS 2010 DECENNIAL CENSUS, CALIFORNIA HEALTH INTERVIEW SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, LOS ANGELES COUNTY HEALTH SURVEY, LOS ANGELES HOMELESS SERVICES AUTHORITY, UNIFORM DATA SET, CDC NATIONAL HEALTH STATISTICS, NATIONAL CANCER INSTITUTE, U.S. DEPARTMENT OF EDUCATION, AND OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND THE STATE OF CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURES CEDARS-SINAI COMMUNITY DATA FINDINGS WITH 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.PRIMARY DATA COLLECTION TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. INTERVIEWS WERE COMPLETED FROM JULY, 2012 THROUGH SEPTEMBER 2012. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY CEDARS-SINAI WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. PER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND IRC SECTION 501(R)(3), COMMUNITY STAKEHOLDERS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. THE INTERVIEW QUESTIONS REQUESTED OPINIONS AND FEEDBACK ABOUT UNMET HEALTH NEEDS IN CEDARS-SINAI'S COMMUNITY BENEFIT SERVICE AREA, WITH A PARTICULAR FOCUS ON SPAS 4, 6, AND 5, WHERE APPLICABLE. ORGANIZATIONS REPRESENTED IN COMMUNITY STAKEHOLDER INTERVIEWS: * BEST FIT, LA'S BEST AFTER-SCHOOL PROGRAM* VENICE FAMILY CLINIC* AMERICAN DIABETES ASSOCIATION, LOS ANGELES CHAPTER* SABAN COMMUNITY CLINIC* KOREAN AMERICAN FAMILY SERVICE CENTER* CITY OF WEST HOLLYWOOD* LATINO COALITION FOR A HEALTHY CALIFORNIA* HEALTHY AFRICAN AMERICAN FAMILIES* THE MAPLE COUNSELING CENTER* AMERICAN HEART ASSOCIATION, GREATER LOS ANGELES DIVISION* LOS ANGELES COUNTY DEPT. OF PUBLIC HEALTH - SPA 6 AREA HEALTH OFFICE* LOS ANGELES COUNTY DEPT. OF PUBLIC HEALTH - SPA 4 AREA HEALTH OFFICE* LOS ANGELES URBAN LEAGUE* CLINICA MSR. OSCAR ROMERO* T.H.E. CLINIC* JEWISH FAMILY SERVICE - LOS ANGELES* OFFICE OF LOS ANGELES COUNTY SUPERVISOR ZEV YAROSLAVSKY* CHRONIC DISEASE & INJURY PREVENTION DIVISION, LOS ANGELES COUNTY DEPT. OF PUBLIC HEALTH* CALIFORNIA CENTER FOR PUBLIC HEALTH ADVOCACY* LOS ANGELES CITY DEPARTMENT ON AGING* OFFICE OF LOS ANGELES COUNTY SUPERVISOR MARK RIDLEY-THOMASIDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS HEALTH NEEDS WERE IDENTIFIED BASED ON THE RESULTS OF THE PRIMARY AND SECONDARY DATA COLLECTION, AND THE EXAMINATION OF AMBULATORY CARE SENSITIVE CONDITIONS. EACH HEALTH NEED WAS CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE (I.E., THE HEALTH NEED WAS SUGGESTED BY MORE THAN ONE SOURCE OF SECONDARY OR PRIMARY DATA). IN ADDITION, THE HEALTH NEEDS WERE BASED ON THE SIZE OF THE PROBLEM (NUMBER OF PEOPLE PER 1,000, 10,000, OR 100,000 POPULATION); OR THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF A PROBLEM, THE HEALTH NEED INDICATORS IDENTIFIED IN THE SECONDARY DATA WERE MEASURED AGAINST BENCHMARK DATA, SPECIFICALLY CALIFORNIA STATE RATES OR HEALTHY PEOPLE 2020 OBJECTIVES. INDICATORS CONNECTED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST BENCHMARKS WERE CONSIDERED TO HAVE MET THE SIZE OR SERIOUSNESS CRITERIA. ADDITIONALLY, PRIMARY DATA SOURCES WERE ASKED TO IDENTIFY COMMUNITY AND HEALTH ISSUES BASED ON THE PERCEIVED SIZE OR SERIOUSNESS OF A PROBLEM. THE IDENTIFIED HEALTH NEEDS IN ALPHABETICAL ORDER: ACCESS TO CARE * DENTAL CARE * INSURANCE COVERAGE * MEDICATIONS * MENTAL HEALTH * PRIMARY CARE * SPECIALTY CARE * TRANSPORTATION CHRONIC DISEASE * ASTHMA * CANCER * CARDIOVASCULAR DISEASE * DIABETES * MEDICATIONS * OVERWEIGHT AND OBESITY: HEALTHY FOOD CHOICES * OVERWEIGHT AND OBESITY: PHYSICAL ACTIVITY * PREVENTIVE CARE AND ONGOING MONITORING HEALTH BEHAVIORS * ALCOHOL USE * HEALTH EDUCATION * PREVENTIVE CARE (PAP SMEARS, MAMMOGRAMS, VACCINES) * SEXUALLY TRANSMITTED DISEASES * SMOKING CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 1J: CONTINUEDPRIORITIZATION PROCESS PRIORITY SETTING IS A REQUIRED STEP IN THE COMMUNITY BENEFIT PLANNING PROCESS. THE INTERNAL REVENUE SERVICE REGULATIONS INDICATE THAT THE CHNA MUST PROVIDE A PRIORITIZED DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AND INCLUDE A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN PRIORITIZING THE HEALTH NEEDS. CEDARS-SINAI COMPLETED THE FOLLOWING STEPS TO PRIORITIZE HEALTH NEEDS THAT EMERGED AS A RESULT OF THE CHNA: THE CEDARS-SINAI COMMUNITY BENEFIT ADVISORY GROUP, MADE UP OF CEDARS-SINAI MANAGEMENT AND EXECUTIVES ACROSS DISCIPLINES, MET IN FEBRUARY 2013 TO REVIEW THE CHNA RESULTS AND COMMUNITY HEALTH NEEDS. THE COMMUNITY BENEFIT ADVISORY GROUP PRIORITIZED HEALTH NEEDS RANKING EACH HEALTH NEED LOW, MEDIUM OR HIGH FOR ALL THE IDENTIFIED CRITERIA. PRIORITY SETTING CRITERIA* CURRENT AREA OF COMMUNITY BENEFIT FOCUS: CEDARS-SINAI HAS ACKNOWLEDGED COMPETENCIES AND EXPERTISE TO ADDRESS THE HEALTH NEED; AND THE HEALTH NEED FITS WITH THE ORGANIZATIONAL MISSION. * ESTABLISHED RELATIONSHIPS: CEDARS-SINAI HAS ESTABLISHED RELATIONSHIPS WITH COMMUNITY PARTNERS TO ADDRESS THE HEALTH NEED. * ORGANIZATIONAL CAPACITY: CEDARS-SINAI HAS THE CAPACITY TO ADDRESS THE HEALTH NEED. BASED ON THESE CRITERIA, HEALTH NEEDS THAT OBTAINED HIGH RANKINGS ON ANY OF THE CRITERIA WERE IDENTIFIED AS COMMUNITY BENEFIT PRIORITY AREAS.THE PRIORITIZED HEALTH NEEDS WERE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE IN FEBRUARY 2013 FOR REVIEW AND APPROVAL. TIME WAS ALLOTTED TO INCORPORATE FEEDBACK ON THE PRIORITIZED NEEDS. THE APPROVED PRIORITIZED HEALTH NEEDS ARE: 1. GEOGRAPHY: PRIORITIZED BY AREAS OF HIGHEST NEED IN CEDARS-SINAI'S SERVICE AREA, WITH A PARTICULAR FOCUS ON SPAS 4 AND 6 (INCLUDING ZIP CODES THAT MAY BE SLIGHTLY OUTSIDE OUR SERVICE AREA), THESE PLANNING AREAS INCLUDE DIVERSE, LOW-INCOME COMMUNITIES WHERE THERE ARE MORE UNINSURED ADULTS AND CHILDREN AND GREATER HEALTH CHALLENGES THAN IN OTHER PARTS OF LOS ANGELES. WE ALSO FOCUS ON HIGH-NEED POPULATIONS CLOSER TO CEDARS-SINAI. 2. ACCESS TO CARE: SELECTED COMMUNITY BENEFIT EFFORTS ARE FOCUSED ON INCREASING AND SUPPORTING ACCESS TO HEALTH CARE SERVICES THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. *PRIMARY CARE *SPECIALTY CARE *MENTAL HEALTH *PREVENTIVE CARE *HEALTH EDUCATION 3. CHRONIC DISEASE: SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS. *CARDIOVASCULAR DISEASE *DIABETES *CANCER *OVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY *PREVENTIVE CARE *HEALTH EDUCATION THE CHNA, THE PRIORITIZED HEALTH NEEDS AND CEDARS-SINAI'S IMPLEMENTATION STRATEGY WERE PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL IN MAY 2013. AS OF JUNE 30, 2013, THE CHNA WAS MADE WIDELY AVAILABLE TO THE PUBLIC. SCHEDULE H, PART V, SECTION B, LINE 5A:THE CHNA AND THE IMPLEMENTATION STRATEGY ARE POSTED ON THE HOSPITAL'S WEBSITE WWW.CEDARS-SINAI.EDU/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT AND ARE AVAILABLE UPON REQUEST. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 7: THE PRIORITY HEALTH NEEDS IDENTIFIED WERE DETERMINED THROUGH A DATA COLLECTION, ANALYSIS AND PRIORITIZATION PROCESS. DUE TO THE SHEER QUANTITY AND SCOPE OF ALL OF THE COMMUNITY'S HEALTH NEEDS IDENTIFIED, IT IS CRUCIAL THAT THERE BE PRIORITIZATION TO ENSURE THAT THE COMMUNITY BENEFIT INITIATIVES UNDERTAKEN ARE EFFECTIVE IN IMPROVING THE HEALTH OF THE COMMUNITIES. THE PRIORITIZATION CRITERIA INCLUDE GEOGRAPHY (TO FOCUS ON THOSE SPAS IN GREATEST NEED), EXISTING RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS AND ORGANIZATIONAL CAPACITY. IN LINE WITH CEDARS-SINAI'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, CEDARS-SINAI IS ALSO ENGAGING IN COMMUNITY BENEFIT PROGRAM EVALUATIONS TO ENSURE MAXIMUM IMPACT OF CEDARS-SINAI'S SIGNATURE COMMUNITY BENEFIT STRATEGIES. THE NUMEROUS AND DIVERSE PROGRAMS, PARTNERSHIPS AND STRATEGIES PRIORITIZED HIGHEST, BASED ON THE IDENTIFIED CRITERIA, WERE SELECTED IN ORDER TO MAXIMIZE EFFECTIVENESS IN ADDRESSING HEALTH NEEDS IN UNDERSERVED COMMUNITIES SERVED BY CEDARS-SINAI. IN ANY PRIORITIZATION TO MAXIMIZE EFFECTIVENESS, THERE WILL BE SOME AREAS THAT DO NOT MEET AS MANY OF THE CRITERIA OF THE PRIORITY AREAS, AND THUS MAY NOT BE ADDRESSED IN THE IMPLEMENTATION. 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 PRIORITIZED FOR 2013-2016 WERE MEDICATIONS, HEALTHCARE INSURANCE OUTREACH AND ENROLLMENT, DENTAL CARE, ASTHMA, ALCOHOL AND DRUG USE, TRANSPORTATION, SMOKING AND SEXUALLY TRANSMITTED DISEASES. ALTHOUGH ALL OF THESE AREAS REPRESENT IMPORTANT COMMUNITY HEALTH NEEDS, THEY WERE PRIORITIZED LOWER BECAUSE THEY MET FEWER OF THE CRITERIA (E.G., EXISTING RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS, ORGANIZATIONAL CAPACITY). CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 14G: SINCE THE MEDICAL CENTER'S POLICY (INCLUDING ATTACHMENTS) IS A 40+ PAGE DOCUMENT, IT IS NOT DISTRIBUTED TO PATIENTS IN ITS ENTIRETY. THE MEDICAL CENTER OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS FOR PATIENTS, ALONG WITH TELEPHONE NUMBERS TO CALL. THE INFORMATION IS POSTED IN THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT AND CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS. INFORMATION REGARDING THE POLICY IS DISTRIBUTED TO PATIENTS DURING THE ADMISSION OR REGISTRATION PROCESS. IT IS ALSO INCLUDED ON OUR BILLING STATEMENTS. THE POLICY, INCLUDING ALL ATTACHMENTS, IS AVAILABLE FOR REVIEW ON THE WEBSITE OF THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AT WWW.OSHPD.CA.GOV/. THE MEDICAL CENTER ALSO ATTEMPTS TO LINK THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE TO GOVERNMENT PROGRAMS. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 20D: CEDARS-SINAI'S POLICY INDICATES THAT THE MOST RECENTLY PUBLISHED FEDERAL POVERTY LEVEL IS USED TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE BASED ON FINANCIAL NEED. CEDARS-SINAI HAS AN ELIGIBILITY SCALE, BASED ON SPECIFIC PARAMETERS (GREATER THAN 200% OF FEDERAL POVERTY LEVEL AND LESS THAN 450% OF FEDERAL POVERTY LEVEL), TO CALCULATE ANY AMOUNT DUE FROM THOSE INDIVIDUALS WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE. THE PERCENTAGE DISCOUNT APPLIED FOR PATIENTS WHO QUALIFY IS BASED ON A SLIDING SCALE USING THE INCOME LEVEL AND SIZE OF THE PATIENT'S FAMILY UNIT. PATIENTS TREATED ON AN INPATIENT BASIS AND QUALIFIED FOR A FINANCIAL ASSISTANCE DISCOUNT OF LESS THAN 100% WILL NOT BE FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNT OF THE MEDICARE DRG RATES. PATIENTS THAT WERE TREATED ON AN OUTPATIENT BASIS AND QUALIFIED FOR A FINANCIAL ASSISTANCE DISCOUNT LESS THAN 100% WILL NOT BE FINANCIALLY RESPONSIBLE FOR MORE THAN THE MEDICAL CENTER'S AVERAGE OUTPATIENT MEDICARE REIMBURSEMENT RATE. PART VI, LINE 2: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR FISCAL YEAR ENDED 6/30/13. INFORMATION RELATED TO THE 2013 CHNA IS SHOWN ON PAGES 157 TO 166 IN THIS RETURN. PART VI, LINE 3: NOTIFICATION OF FINANCIAL ASSISTANCE POLICY:ASSEMBLY BILL 774, ARTICLE 3, ADDED REQUIREMENTS REGARDING HOSPITAL FAIR PRICING POLICIES, SPECIFICALLY RELATED TO CHARITY (NO PATIENT LIABILITY) AND DISCOUNTED (PATIENT HAS A SIGNIFICANTLY REDUCED FINANCIAL LIABILITY) CARE. IT SPEAKS TO PROVIDING FINANCIAL ASSISTANCE TO INDIVIDUALS WHO MEET OUR FINANCIAL ASSISTANCE REQUIREMENTS. IT ALSO TALKS TO PROVIDING PATIENTS WITH NOTICE THAT CONTAINS INFORMATION ABOUT THE HOSPITAL'S DISCOUNT PAYMENT AND CHARITY CARE POLICIES, INCLUDING INFORMATION ABOUT ELIGIBILITY AND ATTEMPTING TO DETERMINE THE AVAILABILITY OF PRIVATE OR PUBLIC HEALTH INSURANCE COVERAGE FOR EACH PATIENT.CEDARS-SINAI MEDICAL CENTER (CSMC) PROVIDES NOTIFICATION OF OUR FINANCIAL ASSISTANCE POLICY (FAP) TO OUR PATIENT POPULATION AND THOSE ACCOMPANYING THEM TO ADMITTING AND REGISTRATION AREAS. TO INSURE COMPLIANCE WITH STATE REGULATIONS, WE PROVIDE WRITTEN NOTICE TO ALL PATIENTS, UPON ADMISSION OR REGISTRATION. THE 40+ PAGE FAP IS IMMEDIATELY AVAILABLE UPON REQUEST. IN ADDITION TO OUR FAP NOTICE, CSMC PROVIDES NOTIFICATION OF CASH DISCOUNTS, CASH PACKAGES AND GOVERNMENT PROGRAMS. FURTHERMORE, THE ROSENTHAL FAIR DEBT COLLECTION PRACTICES ACT IS PRINTED ON THE BACKSIDE OF THIS NOTIFICATION.IN ADDITION TO HANDING THE NOTIFICATION DOCUMENT TO THE PATIENT, WE HAVE POSTED SIGNAGE IN ALL AREAS AS DEFINED IN REGULATIONS AND AS DEEMED APPROPRIATE. THIS INCLUDES BUT IS NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, ADMISSION AND REGISTRATION AREAS AND OTHER OUTPATIENT AREAS. PART VI, LINE 4: THE COMMUNITY IS DEFINED AS THOSE INDIVIDUALS IN ZIP CODES SURROUNDING THE MEDICAL CENTER (90048): 41% ARE HISPANIC, 29% ARE WHITE, 16% ARE AFRICAN AMERICAN, 11% ARE ASIAN/PACIFIC ISLANDER/NATIVE HAWAIIAN, .2% ARE NATIVE AMERICAN/ALASKAN NATIVE, AND 3% ARE OTHER. AMONG THE PEOPLE WHO LIVE IN THE SERVICE AREA, 7% ARE LESS THAN 5 YEARS OF AGE, 13% ARE 5-14 YEARS OF AGE, 8% ARE 15-19 YEARS OF AGE, 22% ARE 20-34 YEARS OF AGE, 39% ARE 35-64 YEARS OF AGE AND 11% ARE 65 YEARS OF AGE OR OLDER. OVERALL, 17% OF FAMILIES ARE BELOW THE POVERTY LINE. THE MEDIAN HOUSEHOLD INCOME IS $47,608. 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 $325,000,000 DIVIDED AMONG FIVE MAJOR CATEGORIES. FOR PURPOSES OF ESTIMATING CEDARS-SINAI'S FINANCIAL CONTRIBUTION TO COMMUNITY BENEFIT, THE FOLLOWING DEFINITIONS ARE USED:UNREIMBURSED COST OF DIRECT MEDICAL CARE FOR THE POOR AND UNDERSERVED - INCLUDES THE UNREIMBURSED COST OF FREE AND DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO MEET THE ORGANIZATION'S CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE, DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF THE SERVICES. 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. REPORTS FILED WITH STATES PART VI, LINE 7 CA 0 AMANECER COMMUNITY COUNSELING SERVICE A NON-PROFIT CORPORATION 1200 WILSHIRE BLVD STE 500 LOS ANGELES CA 90017 953076578 501(C)(3) 25000 GENERAL SUPPORT AMERICAN ACADEMY OF NURSING 1000 VERMONT AVE NW NO 910 WASHINGTON DC 20005 522213870 501(C)(3) 19000 GENERAL SUPPORT AMERICAN CANCER SOCIETY CALIFORNIA DIVISION INC 1710 WEBSTER ST OAKLAND CA 94612 941170350 501(C)(3) 12500 GENERAL SUPPORT AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 75000 GENERAL SUPPORT AMERICAN NATIONAL RED CROSS & ITS CONSTITUENT CHAPTERS AND BRANCHES 2025 E STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 50000 GENERAL SUPPORT AMERICAN ORGANIZATION OF NURSE EXECUTIVES 155 NORTH WACKER DRIVE CHICAGO IL 60606 363591337 501(C)(6) 10000 GENERAL SUPPORT ANTI DEFAMATION LEAGUE FOUNDATION 605 THIRD AVENUE NEW YORK NY 10158 132887439 501(C)(3) 5500 GENERAL SUPPORT ASSOCIATES FOR BREAST & PROSTATE CANCER STUDIES 24100 CALABASAS ROAD CALABASAS CA 91302 954246971 501(C)(3) 5950 GENERAL SUPPORT BEIT T'SHUVAH 8831 VENICE BLVD LOS ANGELES CA 90034 770152646 501(C)(3) 25000 GENERAL SUPPORT BEVERLY HILLS FIRE CHIEFS FUND 445 N REXFORD DRIVE BEVERLY HILLS CA 90210 264563945 501(C)(3) 55000 GENERAL SUPPORT BEVERLY HILLS FIREMEN'S ASSOCIATION PO BOX 1720 BEVERLY HILLS CA 90213 953173205 501(C)(5) 6500 GENERAL SUPPORT BNAI BRITH 2020 K ST NW 7TH FLOOR WASHINGTON DC 20006 530179971 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS 1215 K STREET NO 800 SACRAMENTO CA 95814 941205908 501(C)(6) 25000 GENERAL SUPPORT CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 954772979 501(C)(3) 1336045 GENERAL SUPPORT CALIFORNIA HEALTHCARE INSTITUTE 888 PROSPECT ST NO 220 LA JOLLA CA 92037 943174767 501(C)(6) 10000 GENERAL SUPPORT CALIFORNIA INSTITUTE FOR NURSING & HEALTHCARE PO BOX 70007 OAKLAND CA 94612 820570413 501(C)(3) 50000 GENERAL SUPPORT CALIFORNIA NURSING STUDENTS ASSOCIATION 2520 VENTURE OAKS WAY SACRAMENTO CA 95833 946104412 501(C)(3) 7500 GENERAL SUPPORT CALIFORNIA STATE UNIVERSITY SACRAMENTO 3000 STATE UNIVERSITY DRIVE EAST SACRAMENTO CA 95819 680365325 GOVT 6000 GENERAL SUPPORT CAREHARBOR 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) 28546426 GENERAL SUPPORT CENTER FOR THE STUDY OF YOUNG PEOPLE IN GROUPS (DBA TEEN LINE) PO BOX 48750 LOS ANGELES CA 90048 953760982 501(C)(3) 20515 GENERAL SUPPORT CHARLES R DREW UNIVERSITY OF MEDICINE AND SCIENCE 1731 EAST 120TH STREET LOS ANGELES CA 90059 956151774 501(C)(3) 1675300 GENERAL SUPPORT CHILDREN'S INSTITUTE INC 2121 W TEMPLE STREET LOS ANGELES CA 90026 951641424 501(C)(3) 25000 GENERAL SUPPORT CITY OF BEVERLY HILLS 455 N REXFORD DRIVE BEVERLY HILLS CA 90210 956000678 GOVT 60000 GENERAL SUPPORT CITY OF WEST HOLLYWOOD PUBLIC FACILITIES CORPORATION 8300 W SANTA MONICA BLVD WEST HOLLYWOOD CA 90069 953946635 501(C)(4) 43000 GENERAL SUPPORT CLINICA MSR OSCAR A ROMERO 2032 MARENGO STREET LOS ANGELES CA 90033 953881333 501(C)(3) 25000 GENERAL SUPPORT COALITION FOR COMPASSIONATE CARE 1331 GARDEN HIGHWAY SACRAMENTO CA 95833 270419836 501(C)(3) 15000 GENERAL SUPPORT COLLABORATIVE ALLIANCE FOR NURSING OUTCOMES CALNOC 2682 BISHOP DRIVE SUITE 107 SAN RAMON CA 94583 273440795 501(C)(3) 10000 GENERAL SUPPORT DREW CHILD DEVELOPMENT CORPORATION 1770 EAST 118TH ST LOS ANGELES CA 90059 954134752 501(C)(3) 25000 GENERAL SUPPORT ECONOMIC DEVELOPMENT CORPORATION OF LOS ANGELES COUNTY 444 SOUTH FLOWER ST 37TH FLOOR LOS ANGELES CA 90071 953643339 501(C)(3) 22000 GENERAL SUPPORT EISNER PEDIATRIC & FAMILY MEDICAL CENTER 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 951690966 501(C)(3) 12500 GENERAL SUPPORT FOUNDATION FOR BIOMEDICAL RESEARCH 818 CONNECTICUT AVE NW NO 900 WASHINGTON DC 20006 042746997 501(C)(3) 10000 GENERAL SUPPORT FRIENDS OF THE NATIONAL INSTITUTE OF NURSING RESEARCH 47595 WATKINS ISLAND SQUARE STERLING VA 20165 521832014 501(C)(3) 10500 GENERAL SUPPORT HAMBURGER HOME DBA AVIVA CENTER 7120 FRANKLIN AVENUE LOS ANGELES CA 90046 951693616 501(C)(3) 25000 GENERAL SUPPORT HEALTH RESEARCH AND EDUCATIONAL TRUST 155 NORTH WACKER DRIVE CHICAGO IL 60606 362203931 501(C)(3) 10000 GENERAL SUPPORT HEARTVIEW GLOBAL FOUNDATION 15260 VENTURA BLVD SHERMAN OAKS CA 91403 453984075 501(C)(3) 7000 GENERAL SUPPORT HEBREW UNION COLLEGE - JEWISH INSTITUTE OF RELIGION 3101 CLIFTON AVE 3RD FL CINCINNATI OH 45220 310537067 501(C)(3) 10000 GENERAL SUPPORT HOMELESS HEALTH CARE LOS ANGELES 2410 BEVERLY BLVD LOS ANGELES CA 90057 954074970 501(C)(3) 25000 GENERAL SUPPORT JEWISH FAMILY SERVICE OF LOS ANGELES 3580 WILSHIRE BLVD NO 700 LOS ANGELES CA 90010 951691013 501(C)(3) 26800 GENERAL SUPPORT KOREAN AMERICAN FAMILY SERVICE CENTER 3727 WEST 6TH ST LOS ANGELES CA 90020 953899329 501(C)(3) 25000 GENERAL SUPPORT LOS ANGELES AREA CHAMBER OF COMMERCE 350 SOUTH BIXEL ST LOS ANGELES CA 90017 950947860 501(C)(6) 52500 GENERAL SUPPORT LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST LOS ANGELES CA 90067 951366460 501(C)(6) 16900 GENERAL SUPPORT LOS ANGELES COUNTY BUSINESS FEDERATION 1000 NORTH ALAMEDA STREET SUITE 240 LOS ANGELES CA 90012 260295348 501(C)(6) 10000 GENERAL SUPPORT LOS ANGELES FIRE DEPARTMENT FOUNDATION 1875 CENTURY PARK EAST STE 200 LOS ANGELES CA 90067 272007326 501(C)(3) 22500 GENERAL SUPPORT LOS ANGELES GAY & LESBIAN COMMUNITY SERVICE CENTER 1625 N SCHRADER BLVD LOS ANGELES CA 90028 953567895 501(C)(3) 25000 GENERAL SUPPORT LOS ANGELES POLICE FOUNDATION 515 S FLOWER ST NO 1680 LOS ANGELES CA 90071 954700442 501(C)(3) 61000 GENERAL SUPPORT MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVE WHITE PLAINS NY 10605 131846366 501(C)(3) 37500 GENERAL SUPPORT NATIONAL BLACK NURSES ASSOCIATION INC 8630 FENTON STREET SUITE 300 SILVER SPRING MD 20910 237194995 501(C)(3) 10000 GENERAL SUPPORT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 1700 W VAN BUREN NO 126B CHICAGO IL 60612 364483505 501(C)(3) 50000 GENERAL SUPPORT NATIONAL HEALTH FOUNDATION 515 SOUTH FIGUEROA NO 1300 LOS ANGELES CA 90071 237314808 501(C)(3) 15000 GENERAL SUPPORT NATIONAL HISPANIC HEALTH FOUNDATION 1920 L STREET NW SUITE 700 WASHINGTON DC 20036 260051902 501(C)(3) 60000 GENERAL SUPPORT NATIONAL LEAGUE FOR NURSING INC 61 BROADWAY 33RD FL NEW YORK NY 10006 131896510 501(C)(3) 15000 GENERAL SUPPORT OCEAN PARK COMMUNITY CENTER 1453 16TH ST SANTA MONICA CA 90404 956143865 501(C)(3) 25000 GENERAL SUPPORT ONELEGACY FOUNDATION 221 SOUTH FIGUEROA STREET STE 500 LOS ANGELES CA 90012 452936915 501(C)(3) 7608 GENERAL SUPPORT PARA LOS NINOS 500 S LUCAS AVE LOS ANGELES CA 90017 953443276 501(C)(3) 25000 GENERAL SUPPORT PARTNERS IN CARE FOUNDATION INC 732 MOTT STREET SAN FERNANDO CA 91340 953954057 501(C)(3) 11000 GENERAL SUPPORT PHASE ONE - THE ROAD TO CURING CANCER 256 26TH ST NO 201 SANTA MONICA CA 90402 912129319 501(C)(3) 10000 GENERAL SUPPORT PLANNED PARENTHOOD LOS ANGELES 400 WEST 30TH STREET LOS ANGELES CA 90007 952408623 501(C)(3) 369908 GENERAL SUPPORT RAND CORPORATION 1776 MAIN STREET PO BOX 2138 SANTA MONICA CA 90407 951958142 501(C)(3) 100000 GENERAL SUPPORT REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY 2195 HEARST AVE RM 120 BERKELEY CA 94720 946002123 501(C)(3) 40000 GENERAL SUPPORT SENTINEL NODE ONCOLOGY FOUNDATION 62 RICHARDSON ROAD NOVATO CA 94949 200173930 501(C)(3) 15000 GENERAL SUPPORT SOUTHERN CALIFORNIA COUNSELING CENTER 5615 WEST PICO BLVD LOS ANGELES CA 90019 952430665 501(C)(3) 12500 GENERAL SUPPORT SPECIAL NEEDS NETWORK INC 3530 WILSHIRE BLVD NO 1670 LOS ANGELES CA 90010 050617904 501(C)(3) 25000 GENERAL SUPPORT SPECIAL SERVICE FOR GROUPS 605 W OLYMPIC BLVD NO 600 LOS ANGELES CA 90015 951716914 501(C)(3) 25000 GENERAL SUPPORT THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE NO 320 CULVER CITY CA 90230 954552419 501(C)(3) 25000 GENERAL SUPPORT THE ALS ASSOCIATION GOLDEN WEST CHAPTER PO BOX 565 AQUORA HILLS CA 91301 954163338 501(C)(3) 10000 GENERAL SUPPORT THE FASHION FOOTWEAR CHARITABLE FOUNDATION OF NEW YORK INC 274 MADISON AVENUE NEW YORK NY 10016 134112482 501(C)(3) 50000 GENERAL SUPPORT THE HEART FOUNDATION 31822 VILLAGE CENTER RD SUITE 208 WESTLAKE VILLAGE CA 91361 450471117 501(C)(3) 12500 GENERAL SUPPORT THE HELPING HAND OF LOS ANGELES INC 8700 BEVERLY BLVD LOS ANGELES CA 90048 951831107 501(C)(3) 5200 GENERAL SUPPORT THE LOS ANGELES FREE CLINIC DBA THE SABAN FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 952539105 501(C)(3) 750000 GENERAL SUPPORT THE MAPLE COUNSELING CENTER 9107 WILSHIRE BLVD LOWER LEVEL BEVERLY HILLS CA 90210 952753118 501(C)(3) 305000 GENERAL SUPPORT THE MUSELLA FOUNDATION FOR BRAIN TUMOR RESEARCH AND INFORMATION INC 1100 PENINSULA BLVD HEWLETT NY 11557 133938057 501(C)(3) 15000 GENERAL SUPPORT TOWER CANCER RESEARCH FOUNDATION 9090 WILSHIRE BLVD SUITE 350 BEVERLY HILLS CA 90211 954596354 501(C)(3) 11650 GENERAL SUPPORT UCLA FOUNDATION 405 HILGARD AVE LOS ANGELES CA 90095 952250801 501(C)(3) 18740 GENERAL SUPPORT UNION RESCUE MISSION 545 S SAN PEDRO ST LOS ANGELES CA 90013 951709293 501(C)(3) 25000 GENERAL SUPPORT UNITED WAY INC 1150 S OLIVE STE T500 LOS ANGELES CA 90015 952274801 501(C)(3) 101250 GENERAL SUPPORT UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS LOS ANGELES CA 90089 951642394 501(C)(3) 18500 GENERAL SUPPORT VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 440000 GENERAL SUPPORT VISTA DEL MAR CHILD AND FAMILY SERVICES 3200 MOTOR AVE LOS ANGELES CA 90034 951647832 501(C)(3) 25000 GENERAL SUPPORT WEST HOLLYWOOD SHERIFFS BOOSTER'S CLUB 8949 SUNSET BLVD 205 WEST HOLLYWOOD CA 90069 201304614 501(C)(3) 9623 GENERAL SUPPORT WESTERN ANESTHESIA CHAIRPERSONS ORGANIZATION INC 2890 NORTH MAIN STREET WALNUT CREEK CA 94597 943378639 501(C)(3) 15000 GENERAL SUPPORT WILLIAM J CLINTON FOUNDATION 1200 PRESIDENT CLINTON AVENUE LITTLE ROCK AR 72201 311580204 501(C)(3) 30000 GENERAL SUPPORT WOMEN'S GUILD CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD ROOM 2416 LOS ANGELES CA 90048 956097903 501(C)(3) 46000 GENERAL SUPPORT YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF GREATER LOS ANGELES 1020 S OLIVE STREET 7TH FLOOR LOS ANGELES CA 90015 951652919 501(C)(3) 25000 GENERAL SUPPORT 76 8 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION CONSISTENTLY CONTRIBUTES TO WELL-ESTABLISHED EXEMPT ORGANIZATIONS AND RELIES ON THE GOVERNING BODY OF EACH OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS DONATED TO EACH AND EVERY ORGANIZATION ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 THOMAS M PRISELAC 1165490 0 801113 0 903677 0 655598 0 28362 0 3554240 0 444631 0 ILANA CASS MD 345698 0 33094 0 57310 0 26355 0 39426 0 501883 0 0 0 BETH KARLAN MD 387629 0 39755 0 97689 0 47428 0 2227 0 574728 0 0 0 SCOTT KARLAN MD 340221 0 32897 0 39580 0 28524 0 27883 0 469105 0 0 0 ANDREW KLEIN MD 799741 0 162970 0 137794 0 35919 0 42628 0 1179052 0 0 0 ZAB MOSENIFAR MD 544346 0 108478 0 325437 0 184031 0 28963 0 1191255 0 0 0 PAUL SILKA MD 403087 0 74062 0 68525 0 26191 0 41762 0 613627 0 0 0 EDWARD PRUNCHUNAS 638179 0 248132 0 927223 0 83825 0 30319 0 1927678 0 298488 0 MARK GAVENS 718653 0 302882 0 241948 0 21935 0 40020 0 1325438 0 0 0 SHLOMO MELMED MD 830864 0 314455 0 216332 0 442703 0 27393 0 1831747 0 0 0 KEITH BLACK MD 1760278 0 318875 0 876783 0 13750 0 49900 0 3019586 0 0 0 BRUCE GEWERTZ MD 1203882 0 221292 0 402148 0 49954 0 27940 0 1905216 0 0 0 EDUARDO MARBAN MD 1219053 0 728927 0 416015 0 179624 0 38462 0 2582081 0 0 0 ALFREDO TRENTO MD 1045496 0 471252 0 543052 0 49989 0 27011 0 2136800 0 119240 0 RAJENDRA MAKKAR MD 1070038 0 901233 0 205779 0 21593 0 42102 0 2240745 0 0 0 PART I, LINE 1A THE ORGANIZATION'S TRAVEL POLICY CONTAINS A PROVISION THAT ALLOWS FLYING FIRST CLASS FOR ANY ONE-WAY FLIGHT THAT IS LONGER THAN EIGHT HOURS. EXCEPTIONS REQUIRE SENIOR EXECUTIVE APPROVAL. THE OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES HAVE, FROM TIME TO TIME, FLOWN FIRST CLASS AS ALLOWED BY THE TRAVEL POLICY. PART I, LINE 4B THERE ARE TWO NONQUALIFIED DEFERRED COMPENSATION PLANS IN WHICH ONE OR MORE OF THE LISTED PERSONS PARTICIPATE. THE FIRST PLAN IS A DEFERRED COMPENSATION PLAN. THIS IS A "GRANDFATHERED" TRADITIONAL DEFINED BENEFIT PLAN (NO NEW PARTICIPANTS HAVE BEEN ADDED SINCE 1986). THE BENEFIT FORMULA IS A PERCENTAGE OF THE HIGHEST FIVE YEARS AVERAGE ANNUAL SALARY TIMES THE NUMBER OF YEARS OF ELIGIBLE SERVICE, WITH A MAXIMUM CREDITED SERVICE OF 30 YEARS. THE SECOND PLAN IS A SUPPLEMENTAL RETIREMENT ALLOWANCE THAT IS PAYABLE DIRECTLY TO THE PARTICIPANTS EACH QUARTER. THE BENEFIT FORMULA FOR THIS PLAN HAS ANNUAL CONTRIBUTIONS THAT ARE EITHER A PERCENTAGE OF SALARY, OR ARE DESIGNED TO FUND A PERCENTAGE OF THE ESTIMATED FINAL 5-YEAR AVERAGE SALARY. CERTAIN INDIVIDUALS ALSO RECEIVED PAYOUTS FROM AMOUNTS ACCRUED IN PRIOR YEARS. IN ADDITION, ONE INDIVIDUAL HAS A RETENTION INCENTIVE WHICH HAD A CLIFF VESTING DATE IN 2012. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2012 RELATED TO THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. KEITH BLACK, MD 737,125 ILANA CASS, MD 42,350 MARK GAVENS 192,216 BRUCE GEWERTZ, MD 323,079 BETH KARLAN, MD 72,358 SCOTT KARLAN, MD 38,802 ANDREW KLEIN, MD 106,776 RAJENDRA MAKKAR, MD 205,547 EDUARDO MARBAN, MD 329,985 SHLOMO MELMED, MD 163,336 ZAB MOSENIFAR, MD 280,276 THOMAS M. PRISELAC 832,527 EDWARD PRUNCHUNAS 867,658 PAUL SILKA, MD 46,965 ALFREDO TRENTO, MD 492,200 A CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LVK0 2011-12-21 163357091 REFUND 1997A AND 1997B BONDS - ISSUE DATES: 9/15/97, 10/1/97 0 0 0 B CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LDG9 2009-10-21 541045288 NEW FAC CONST & PRIOR CAP EXP REIMB 0 0 0 C CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FXJ4 2005-08-10 538366821 REFUND 1993 CERT, 1999 BONDS & COI - ISSUE DATES: 9/14/93, 11/4/99 0 0 0 A 7700000 163357091 163357091 2012 1 0 1 1 B 57430000 541611264 46022336 495588928 2013 0 0 0 1 C 41790000 538397437 3740661 534656776 2005 1 1 1 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 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 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 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 IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 2/22/2011. M GAVENS KEY EMP HOUSING LOAN X 350000 70000 0 1 1 B GEWERTZ MD HC EMP HOUSING LOAN X 500000 150000 0 1 1 A KLEIN MD BRD MEM HOUSING LOAN X 250000 50000 0 1 1 E MARBAN MD HC EMP HOUSING LOAN X 1250000 950000 0 1 1 E MARBAN MD HC EMP LOAN ADVANCE X 500000 500000 0 1 1 G MELMED MD FAMILY MEMBER OF KEY EMPLOYEE HOUSING LOAN X 150000 150000 0 1 1 VAR INTERESTED PERSONS OFF, HC EMPLOYEES INS PREMIUMS X 2260530 2260530 0 1 1 S KAR MD FAMILY OF BOARD MEMBER INS PREMIUMS X 185552 185552 0 1 1 4316082 GIL MELMED MD PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 140683 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 SAIBAL KAR MD PART V NARRATIVE - FAMILY MEMBER OF DR. SHEILA KAR, A BOARD MEMBER 665517 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BARBARA LEANSE PART V NARRATIVE - FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER 301939 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 TALYA WALDMAN PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 35414 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 ERIKA PRUNCHUNAS PART V NARRATIVE - FAMILY MEMBER OF EDWARD PRUNCHUNAS, AN OFFICER 58266 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 IRIS INTERNATIONAL INC PART V NARRATIVE - CORPORATION IN WHICH DR. BETH KARLAN IS A BOARD MEMBER 156938 PART V NARRATIVE - PAYMENT FOR PURCHASES OF PRODUCTS AND RENTAL OF EQUIPMENT 0 FIRST PACIFIC ADVISORS LLC PART V NARRATIVE - LLC MORE THAN 5% OWNED BY STEVEN ROMICK, A BOARD MEMBER 1226595 PART V NARRATIVE - INVESTMENT MANAGEMENT FEES 0 TCWMETWEST PART V NARRATIVE - CORP WHOSE CEO IS A FAMILY MEMBER OF JAMES LIPPMAN, BM 171632 PART V NARRATIVE - INVESTMENT MANAGEMENT FEES 0 X 88 0 X 1 0 X 16 1957493 SEE SCH M, PART II 5 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: 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. NON REPORTING OF REVENUE: 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 A, LINE 2 DR. SCOTT KARLAN AND DR. BETH KARLAN, BOTH BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFERS TO GREATER VALLEY MANAGEMENT SERVICES ORG INC -1,926. PENSION GAINS 57,451,388. PCX SYSTEMS LLC 8700 BEVERLY BLVD LOS ANGELES CA 90048 421535811 HOSPITAL BILLING DE 339065 0 CEDARS-SINAI MEDICAL CENTER CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 954457756 PROVISION OF MEDICAL CARE, TEACHING AND RESEARCH CA 501(C)(3) 11, I CEDARS-SINAI MEDICAL CENTER 1 CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 954772979 PROMOTE, SUPPORT, AND DEVELOP EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES CA 501(C)(3) 7 CEDARS-SINAI MEDICAL CENTER 1 GREATER VALLEY MGMT SERVICES ORGANIZATION INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES CA 90048 954439758 MANAGEMENT FUNCTIONS CA CEDARS-SINAI MEDICAL CENTER C 1.00000 1 OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES CA 90048 954522779 INFORMATION SYSTEMS CA CEDARS-SINAI MEDICAL CENTER C 1.00000 1 CHARITABLE REMAINDER TRUSTS (CRAT-9 CRUT-4) TRUST CA N/A T 0 CHARITABLE LEAD TRUSTS (1) TRUST CA N/A T 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 CEDARS-SINAI MEDICAL CARE FOUNDATION B 28546426 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION O 639299 FAIR MARKET VALUE FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION Q 27907127 FAIR MARKET VALUE GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION INC B 1927 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION B 1334545 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION O 1264616 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION Q 69929 FAIR MARKET VALUE SCHEDULE R, PART V, LINE 2, METHOD USED TO DETERMINE THE AMOUNTS REPORTED: REPRESENTS EXPENSES INCURRED ON BEHALF OF CEDARS-SINAI MEDICAL CARE FOUNDATION, GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION AND CALIFORNIA HEART CENTER FOUNDATION AND PAID BY CEDARS-SINAI MEDICAL CENTER (CSMC). CSMC OFFSETS THE EXPENSE AS A CAPITAL CONTRIBUTION TO EACH OF THE ENTITIES.