2013-06-07T20:50:00-05:00 2012-06-30 346565596 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2011-07-01 951644600 CEDARS-SINAI MEDICAL CENTER CEDA 3104233277 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 EDWARD PRUNCHUNAS 3104233277 2013-06-07 1 KARA ADAMS P00023315 9497942300 2011 2016-03-07 17:11:31Z THOMAS M PRISELAC 8700 BEVERLY BLVD LA CA 90048 3079995802 0 X WWW.CEDARS-SINAI.EDU X 1902 CA CSMC IS AN ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL PROVIDING THE HIGHEST-QUALITY HEALTHCARE. 37 27 12704 2917 18908568 -1015718 83896348 111802752 2532515562 2642338209 27811462 31195348 13895839 12508224 2658119211 2797844533 36294309 34082824 0 0 1222314852 1297041881 31094 75396 14702671 1189071358 1298398090 2447711613 2629598191 210407598 168246342 3688621903 3855417925 1711865848 1812467625 1976756055 2042950300 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 2052523277 33717474 2508337968 CEDARS-SINAI PROVIDED ACUTE CARE SERVICES TO 48,726 PATIENTS WITH 250,866 DAYS OF CARE, PSYCHIATRY SERVICES TO 504 PATIENTS WITH 4,263 DAYS OF CARE. 110542003 113350 68602677 RESEARCH ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY WERE PERFORMED AT A NET COST OF $41,939,326 AFTER GRANTS FROM THE GOVERNMENT AND OTHERS TOTALING $68,602,677. 202317735 252000 65397564 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 $136,920,171. 2365383015 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 2883 1 1 12704 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 37 27 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 CA AK AL AZ 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 LARRY W SAWYER 3238668951 8700 BEVERLY BLVD LOS ANGELES CA 90048 X THOMAS M PRISELAC 70.00 X X 3319143 0 530004 LAWRENCE B PLATT 20.00 X 0 0 0 VERA GUERIN 15.00 X X 0 0 0 MARC RAPAPORT 10.00 X X 0 0 0 JOHN BENDHEIM 5.00 X 0 0 0 WILLIAM W BRIEN MD 36.00 X 176527 0 0 STEVEN D BROIDY 5.00 X 0 0 0 ILANA CASS MD 60.00 X 497819 0 62845 DALE COCHRAN 5.00 X 0 0 0 JOHN COLEMAN 5.00 X 0 0 0 ROBERT DAVIDSON 5.00 X 0 0 0 ROBERT M ELLER 5.00 X 0 0 0 DEBORAH FREUND PHD 5.00 X 0 0 0 MARK S GREENFIELD 5.00 X 0 0 0 JOHN G HAROLD MD 5.00 X 0 0 0 ANDY HEYWARD 5.00 X 0 0 0 STEVEN M HITTER 5.00 X 0 0 0 SUE NEUMAN HOCHBERG 5.00 X 0 0 0 SHEILA KAR MD 5.00 X 0 0 0 BETH KARLAN MD 60.00 X 545004 0 36796 SCOTT KARLAN MD 60.00 X 423333 0 46909 JEFFREY KATZENBERG 5.00 X 0 0 0 ANDREW KLEIN MD 60.00 X 1194080 0 100496 JOHN C LAW 5.00 X 0 0 0 THOMAS J LEANSE ESQ 5.00 X 0 0 0 TODD M MORGAN 5.00 X 0 0 0 ZAB MOSENIFAR MD 60.00 X 961560 0 186132 JAMES A NATHAN 5.00 X 0 0 0 STEVEN B NICHOLS 5.00 X 0 0 0 LUIS NOGALES 5.00 X 0 0 0 LOUISE PHANSTIEL 5.00 X 0 0 0 ANTONY P RESSLER 5.00 X 0 0 0 STEVEN ROMICK 5.00 X 0 0 0 MARK S SIEGEL 5.00 X 0 0 0 PAUL SILKA MD 54.00 X 526794 0 80645 ROBERT SILVERSTEIN 3.00 X 0 0 0 STEVEN SPIELBERG 5.00 X 0 0 0 LESLIE VERMUT 5.00 X 0 0 0 JAY S WINTROB 5.00 X 0 0 0 WALTER ZIFKIN 5.00 X 0 0 0 PHILLIP ZAKOWSKI MD 5.00 X 0 0 0 EDWARD PRUNCHUNAS 60.00 X 1181611 0 247330 MARK GAVENS 60.00 X 1354945 0 121762 SHLOMO MELMED MD 60.00 X 1318304 0 357834 KEITH BLACK MD 60.00 X 2790055 0 65051 BRUCE GEWERTZ MD 60.00 X 1812983 0 112330 EDUARDO MARBAN MD 60.00 X 2003956 0 210131 EDWARD PHILLIPS MD 60.00 X 1665100 0 101289 ALFREDO TRENTO MD 60.00 X 1708048 0 86131 21479262 0 2345685 2887 0 1 0 HATHAWAY DINWIDDIE CONSTRUCTION CO 811 WILSHIRE BLVD LOS ANGELES CA 90017 CONSTRUCTION SERVICES 105294554 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 21229584 ENCORE HEALTH RESOURCES INC ONE RIVERWAY STE 1700 HOUSTON TX 77056 EIS CONSULTING SERVICE 17783980 COMMUNITY URGENT CARE MEDICAL GROUP 9440 SANTA MONICA BLVD BEVERLY HILLS CA 90210 URGENT CARE MEDICAL SERVICES 14404654 PACIFIC NATIONAL GROUP 2392 SOUTH BATEMAN AVE IRWINDALE CA 91010 CONSTRUCTION SERVICES 10727842 342 4416394 47051281 60335077 1968291 111802752 NET PATIENT REVENUE 622110 2084244991 2084244991 MEDICARE & MEDICAL 622110 520796115 520796115 LABORATORY REVENUE 621511 18677211 18677211 CSMC FDN MGMT FEES 561110 13238632 13238632 PARKING REVENUE 531310 5360062 5360062 21198 21198 2642338209 13550368 13550368 12557283 12557283 298668740 281023760 17644980 17644980 17644980 781046 4416394 1127509 -346463 -346463 87245 0 87245 87245 ALTERNATIVE INVEST INC 523999 210159 210159 210159 2797844533 2618279738 18908568 48853475 34067824 34067824 15000 15000 12920044 8717200 4202844 1957739 1595672 362067 984155476 881906990 94082807 8165679 89651142 78238857 10827564 584721 147724423 133938062 12387614 1398747 60633057 52744734 7329024 559299 14660597 14660597 7449081 168862 6663849 616370 889106 889106 504178 504178 75396 75396 198306479 152765802 44262521 1278156 6461755 548547 5728279 184929 42460992 36705779 4871768 883445 81570213 71653940 9916273 5484776 5484776 38545438 26808116 11472167 265155 6554520 4889447 1550449 114624 3460314 2378532 1000960 80822 40241476 35349429 4892047 117372947 104411536 12961411 21972899 19301867 2671032 MEDICAL SUPPLIES 296058821 296058821 PROVISION FOR BAD DEBT 277929251 277929251 MEDI-CAL PROGRAM FEE 91465026 91465026 MISCELLANEOUS 41520803 30075841 11019471 425491 5489418 2998329 2421252 69837 2629598191 2365383015 249512505 14702671 60289688 153061780 243026338 118940009 102482076 114206516 390612993 439976265 790000 630000 12205515 15002839 21483658 21680884 41741974 18280759 2742344250 1182112214 1370460736 1560232036 868255885 792778133 485510000 500059000 46366009 64847099 45397031 55722605 3688621903 3855417925 392201600 456445955 1202937978 1169916333 116726270 186105337 1711865848 1812467625 X 1521113753 1560606154 232594417 239440209 223047885 242903937 1976756055 2042950300 3688621903 3855417925 X 168246342 -102052097 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 361123 1 143055 0 0 504178 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 418709065 27334243 8556769 11363996 443236081 353913733 50126715 25230233 10561616 418709065 295551488 49385421 18536273 9559449 353913733 274470961 28331045 1445583 8696101 295551488 0.45200 0.54800 0 0 56522220 56522220 1291947271 569149669 722797602 14260883 9797928 4462955 934552842 603164617 331388225 445061034 445061034 1560232036 ALTERNATIVE INVESTMENTS 500059000 F 500059000 WORKERS' COMPENSATION LIABILITY PROGRAM 46897000 MALPRACTICE AND GENERAL LIABILITY PROGRAM 44712000 DEFERRED FEMA GRANT INCOME 27349998 SPLIT DOLLAR SELF INVESTED 33095 DEFERRED COMPENSATION 2769402 PENSION LIABILITIES 39483767 MEDICARE LIABILITY 24860075 186105337 2797844533 2629598191 168246342 -37236547 -64815550 -102052097 66194245 2732076584 -37236547 -37236547 2769313131 28531402 28531402 2797844533 2599481000 -30117191 -30117191 2629598191 0 2629598191 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 YEAR, THE ACQUISITION COMMITTEE VOTED TO ACCEPT 34 ARTWORKS INTO THE CEDARS-SINAI MEDICAL CENTER COLLECTION. THE FINE MUSEUM QUALITY ARTWORKS OBTAINED WERE CREATED BY SOME WELL-KNOWN ARTISTS SUCH AS KEN PRICE, ROBERT ZUCKERMAN, DAVID LLOYD, FORD CRULL, WILLEM DE KOONING, JIM DINE, AND JONATHAN BOROFSKY. 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 182 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: 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 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFERS TO GREATER VALLEY MANAGEMENT SERVICES ORG INC -695,016. PENSION LOSSES -64,120,675. ROUNDING 141. TOTAL TO SCHEDULE D, PART XI, LINE 8: -64,815,550. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS -130,216,089. RESTRICTED REVENUES - PERM 19,856,000. RESTRICTED REVENUES - TEMP 140,019,000. FUNDRAISING DIRECT EXPENSES SHOWN AS REVENUE OFFSET IN 990 PART VIII LINE 8B -1,127,509. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RESTRICTED EXPENSES NOT INCLUDED IN THE AUDITED FINANCIAL STATEMENTS 130,216,089. FUNDRAISING EXPENSES RECLASS AS REVENUE OFFSET 1,127,509. ROUNDING -574. FOUNDATION FUNDING IN EXPENSES FOR TAX, EQUITY FOR BOOKS -31,244,126. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -130,216,089. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PASSIVE INVESTMENTS N/A 367787173 MIDDLE EAST AND NORTH AFRICA 0 0 GRANT MAKING N/A 15000 NORTH AMERICA 1 2 PROGRAM SERVICES SEE PART V NARRATIVE 148695 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 163858 SOUTH AMERICA 0 0 PROGRAM SERVICES SEE PART V NARRATIVE 326864 1 2 0 0 1 2 368441590 0 368441590 MIDDLE EAST AND NORTHERN AFRICA BUILDING OF SHAARE ZEDEK MEDICAL CENTER 10000 CHECK 1 0 1 0 1 1 1 0 PART I, LINE 2 THE ORGANIZATION CONTRIBUTED TO WELL-ESTABLISHED CHARITABLE ORGANIZATIONS AND HAS RELIED ON THE GOVERNING BODY OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. 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. IN ADDITION, THE ORGANIZATION IS PROVIDING FUNDING FOR ANTI-TFNA THERAPY RESEARCH PERFORMED AT THE UNIVERSITY OF CALGARY. REGION: EAST ASIA AND THE PACIFIC - THE ORGANIZATION IS PROVIDING FUNDING FOR GENETICS RESEARCH TO BE PERFORMED AT THE UNIVERSITY OF QUEENSLAND AND 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: 360,724,433 AMOUNT OF INVESTMENT FEES: 7,062,740 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. PART 2, LINE 1 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 NOAH MAMET & ASSOC LLC 12100 WILSHIRE BLVD 600 LA CA 90025 CONSULTING SERVICES 1 2174775 35000 2139775 GRANT ASSOCIATES 5670 WILSHIRE 1590 LA CA 90036 CONSULTING SERVICES 0 1218587 40396 1178191 3393362 75396 3317966 CA AL AK AZ AR 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 FOLLOW YOUR HEART 2174775 1779700 395075 24025 45761 218614 BOG GALA 1134087 964470 169617 16446 231852 105804 6 1888578 1672224 216354 145532 87805 6750 244920 5197440 4416394 781046 186003 365418 6750 569338 1127509 -346463 87245 1 87245 87245 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 78521 NOAH MAMET & ASSOCIATES WAS HIRED TO SOLICIT DONATIONS AND ATTENDEES FOR THE "FOLLOW YOUR HEART" FUNDRAISING EVENT. THEY RECEIVED DONATIONS VIA MAIL, PHONE AND ELECTRONICALLY. THEY COLLECTED THE RESERVATIONS, CHECKS, CREDIT CARD INFO ETC. AND FORWARDED TO SPECIAL EVENTS STAFF ON A REGULARLY SCHEDULED BASIS (WEEKLY; THEN BI-WEEKLY AS THE EVENT APPROACHED). SPECIAL EVENTS STAFF THEN FORWARDED THE CHECKS AND CREDIT CARD CHARGE INFO TO DEVELOPMENT SERVICES ("DS"); THE ACCEPTED PROCEDURES WERE THEN FOLLOWED ("DS" DEPOSITING CHECKS, CHARGING CREDIT CARDS, POSTING PAYMENTS, INFORMING SPECIAL EVENTS STAFF). PART III, LINE 3: NONCASH PRIZES BY EVENT: BOG GALA $102,211 TOM COLLIER MEMORIAL REGATTA $ 634 ROCK THE NIGHT FOR PEDS IBD $ 950 PART III, LINE 6 - VOLUNTEER LABOR BY EVENT: BOG GALA 50% TOM COLLIER MEMORIAL REGATTA 100% ROCK THE NIGHT FOR PEDS IBD 50% PART III, LINE 16: GAMING MANAGER INFORMATION: BOG GALA: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $1,250, ONSITE SALES BOG GALA: LORI FELDMAN, EMPLOYEE, $178, OVERSIGHT TOM COLLIER MEMORIAL REGATTA: HANNA COLLIER, VOLUNTEER, $0, OVERSIGHT ROCK THE NIGHT FOR PEDS IBD:, STACY KRAVITZ, EMPLOYEE, $201 OVERSIGHT 1 1 X 1 X 1 X 450.000000000000 0 1 1 0 1 1 28561664 28561664 0.01210 209226644 123426094 85800550 0.03650 10915335 11009708 -94373 0.00000 248703643 134435802 114267841 0.04860 16431416 848999 15582417 0.00660 64769252 10683471 54085781 0.02300 8875094 7315759 1559335 0.00070 125573426 125573426 0.05340 1497558 1497558 0.00060 217146746 18848229 198298517 0.08430 465850389 153284031 312566358 0.13290 39596 39596 0.00000 701142 701142 0.00030 32310 32310 0.00000 39060 39060 0.00000 60257 60257 0.00000 138555 138555 0.00010 38250 38250 0.00000 1049170 1049170 0.00040 0 277929251 147657560 492270028 699599557 -207329529 X 1 1 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 1 0 0 X X X X X X 0 1 1 200.000000000000 1 450.000000000000 1 X X X X 1 1 X X 1 0 1 X 0 0 7 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-HEART INST/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 LOS ANGELES CA 90048

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

9090 WILSHIRE BLVD BEVERLY HILLS CA 90211

OUTPATIENT SERVICES-CANCER TREATMENT 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 PATIENT SEGMENTS - INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYERS - PRIVATE INSURANCE, MEDICARE, MEDI-CAL, UNINSURED AND SELF-PAY. PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) WAS $2,629,598,191. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $277,929,251. THIS LEFT US WITH A TOTAL EXPENSE OF $2,351,668,940 FOR PURPOSES OF CALCULATING LINE 7, COLUMN(F). 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 ACCOUNTSTHE 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. THE MEDICAL CENTER WRITES DOWN THE EXPECTED REIMBURSEMENT AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED.IT IS OUR BELIEF THAT $147,657,560 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 $207,329,529 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 HAS UNDERTAKEN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS REQUIRED BY STATE AND FEDERAL LAW. 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 COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP AN IMPLEMENTATION STRATEGY EVERY THREE YEARS. THE RESPONSES REPORTED ON LINES 1 TO 7 OF THIS SECTION ARE BASED ON THE CHNA CONDUCTED DURING FISCAL YEAR ENDING 6/30/13. COMPLIANCE WITH THE FEDERAL REGULATIONS RELATED TO THE CHNA IS MANDATED FOR FISCAL YEAR ENDING 6/30/13; THEREFORE, THESE RESPONSES ARE FOR INFORMATIONAL PURPOSES AS REPORTED ON THE ORGANIZATION'S CURRENT YEAR FORM 990 FOR FISCAL YEAR ENDED 6/30/12.THE COMMUNITY HEALTH NEEDS ASSESSMENT IS A PRIMARY TOOL USED BY CEDARS-SINAI TO DETERMINE ITS COMMUNITY BENEFIT PLAN, WHICH OUTLINES HOW IT WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. THIS ASSESSMENT INCORPORATES COMPONENTS OF PRIMARY DATA COLLECTION AND SECONDARY DATA ANALYSIS THAT FOCUS ON THE HEALTH AND SOCIAL NEEDS OF THE SERVICE AREA.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 SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND SMALLER PORTIONS OF SPA 2 (SAN FERNANDO), SPA 7 (EAST) AND SPA 8 (SOUTH BAY) IN LOS ANGELES COUNTY. THE COMMUNITY BENEFIT SERVICE AREA INCLUDES 44 ZIP CODES, REPRESENTING 25 CITIES OR COMMUNITIES.COMMUNITY HEALTH NEEDS ASSESSMENT 2013:CEDARS-SINAI ENGAGED BIEL CONSULTING TO LEAD THE CHNA EFFORT. THE CHNA RESULTS INTEGRATED 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. ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE HOSPITAL PRIMARY SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. 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 THIS NEEDS ASSESSMENT, 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 CALIFORNIA STATE, 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 DURING JULY THROUGH SEPTEMBER 2012. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY CEDARS-SINAI WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. THE INTERVIEWEES SPOKE TO ISSUES AND NEEDS IN THE CEDARS-SINAI'S SERVICE AREA, WITH A PARTICULAR FOCUS ON SPAS 4, 6, AND 5, WHERE APPLICABLE. COMMUNITY STAKEHOLDER INTERVIEWEE ORGANIZATIONS * BEST FIT, LA'S BEST AFTER-SCHOOL PROGRAM* VENICE FAMILY CLINIC* AMERICAN DIABETES ASSOCIATION, LOS ANGELES CHAPTER* SABAN FREE 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 - L.A.* 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 BASED ON THE RESULTS OF THE PRIMARY AND SECONDARY DATA COLLECTION, AND THE EXAMINATION OF AMBULATORY CARE SENSITIVE CONDITIONS, HEALTH NEEDS WERE IDENTIFIED. 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 RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST THESE 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. 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. 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. 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 THE FILING OF THE CURRENT YEAR FORM 990, THE CHNA HAS NOT BEEN MADE WIDELY AVAILABLE TO THE PUBLIC. HOWEVER, IT WILL BE MADE WIDELY AVAILABLE TO THE PUBLIC BY JUNE 30, 2013 IN COMPLIANCE WITH FEDERAL REGULATIONS. THE CHNA AND THE IMPLEMENTATION STRATEGY WILL BE POSTED ON THE HOSPITAL'S WEBSITE AND WILL BE 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 13G: 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 THE PATIENT 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 PLANNING AND DEVELOPMENT (OSHPD) AT WWW.OSHPD.CA.GOV/. THE MEDICAL CENTER ALSO ATTEMPTS TO LINK POTENTIAL FINANCIAL ASSISTANCE PATIENTS TO GOVERNMENT PROGRAMS. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 19D: 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 ENDING 6/30/13. INFORMATION RELATED TO THE 2013 CHNA IS SHOWN ON PAGES 173 TO 182. PART VI, LINE 3: CEDARS-SINAI PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL CHARITY CARE FOR THE FINANCIALLY QUALIFIED PATIENT:A. POSTED SIGNAGE - NOTICE OF CEDARS-SINAI'S POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGSB. NOTICES HANDED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS, PATIENTS ARE PROVIDED WITH THE FOLLOWING HANDOUTS: I. NOTICE OF FINANCIAL ASSISTANCE (ALL PATIENTS) II. ROSENTHAL FAIR DEBT COLLECTION ACT NOTICE (ALL PATIENTS)C. PATIENT STATEMENT NOTICES - CEDARS-SINAI PRINTS A NOTICE ON THE BACK OF THE PATIENT STATEMENTS ABOUT FINANCIAL ASSISTANCE POLICIES THAT INFORMS PATIENTS HOW TO APPLY FOR CHARITY CARE AND/OR OTHER FINANCIAL ASSISTANCE PROGRAMS PART VI, LINE 4: THE COMMUNITY IS DEFINED AS THOSE INDIVIDUALS IN ZIP CODES SURROUNDING THE MEDICAL CENTER (90048): 41% ARE HISPANIC (FOOTNOTE 1), 46% ARE WHITE (FOOTNOTE 1), 16% ARE AFRICAN AMERICAN, 11% ARE ASIAN/PACIFIC ISLANDER, 1% ARE NATIVE AMERICAN/ALASKAN NATIVE AND 5% ARE MULTIRACIAL. 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 AVERAGE HOUSEHOLD INCOME IS $47,608.(FOOTNOTE 1) HISPANIC AND WHITE DATA ARE NOT MUTUALLY EXCLUSIVE. 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.CEDARS-SINAI PROVIDES A BREADTH OF SERVICES TO MEET IDENTIFIED HEALTH NEEDS IN THE COMMUNITY. MANY CEDARS-SINAI PROGRAMS ARE OPERATED AT A FINANCIAL LOSS (BECAUSE REIMBURSEMENT FROM GOVERNMENT PAYORS IS AT A FRACTION OF THE ACTUAL COST TO PROVIDE PATIENT CARE) BUT CONTINUE TO BE OFFERED BECAUSE THEY ARE AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION TO SERVE THE COMMUNITY'S HEALTH NEEDS. AN EXAMPLE OF A MUCH-NEEDED AND IMPORTANT PROGRAM IS THE TRAUMA CENTER.DURING THE TAX YEAR, CEDARS-SINAI'S COMMUNITY BENEFIT EXPENSES TOTALED OVER $465,000,000 DIVIDED AMONG FIVE MAJOR CATEGORIES. FOR PURPOSES OF ESTIMATING CEDARS-SINAI'S FINANCIAL CONTRIBUTION TO COMMUNITY BENEFIT, THE FOLLOWING DEFINITIONS ARE USED:CATEGORY 1: TRADITIONAL CHARITY CARE - INCLUDES THE UNREIMBURSED COST OF FREE AND DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO MEET THE MEDICAL CENTER'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 ON PART I, LINE 7A.CATEGORY 2: UNPAID COST OF STATE PROGRAMS - ALSO BENEFITS THE INDIGENT, BUT IS LISTED SEPARATELY. 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 ON PART I, LINE 7B. IN THE STATE OF CALIFORNIA THE MEDICAID PROGRAM IS CALLED MEDI-CAL. CATEGORY 3: UNPAID COST OF FEDERAL PROGRAMS - 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. APPROXIMATELY 40 PERCENT OF MEDICARE ADMISSIONS ARE PEOPLE WITH LIMITED MEANS. CEDARS-SINAI INCLUDES CATEGORY 3 IN THE 2012 COMMUNITY BENEFIT UPDATE AND PLAN REPORT BECAUSE IF COSTS WERE NOT PAID BY THE MEDICAL CENTER, THE FEDERAL GOVERNMENT AND OTHERS WOULD BE SUBJECT TO THOSE LOSSES. MEDICARE SHORTFALLS ARE INCLUDED ON PART III SECTION B.CATEGORY 4: RESEARCH - COST OF PROVIDING TRANSLATIONAL AND CLINICAL RESEARCH AND STUDIES ON HEALTH CARE DELIVERY. DURING THE YEAR ENDED JUNE 30, 2012, THE MEDICAL CENTER RECEIVED OUTSIDE SUPPORT FOR ITS RESEARCH EFFORTS TOTALING $70,973,000. THUS FOR THE YEAR ENDED JUNE 30, 2012, THE NET COST BORNE BY THE MEDICAL CENTER WAS $54,600,000. THESE COSTS ARE INCLUDED ON PART I, LINE 7H.CATEGORY 5: OTHER COMMUNITY BENEFITS - COST OF SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY. CATEGORY 5 INCLUDES UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH AND IN-KIND DONATIONS. THESE COSTS ARE INCLUDED ON PART I, LINES 7F, 7G, 7E, AND 7I, RESPECTIVELY. REPORTS FILED WITH STATES PART VI, LINE 7 CA 0 AIDS PROJECT LOS ANGELES INC 611 SOUTH KINGSLEY DRIVE LOS ANGELES CA 90005 953842506 501(C)(3) 20000 GENERAL SUPPORT AMANECER COMMUNITY COUNSELING SERVICE 1200 WILSHIRE BLVD 500 LOS ANGELES CA 90017 953076578 501(C)(3) 50000 GENERAL SUPPORT AMERICAN ACADEMY OF NURSING 1000 VERMONT AVE NW WASHINGTON DC 20005 522213870 501(C)(3) 44000 GENERAL SUPPORT AMERICAN CANCER SOCIETY INC CALIFORNIA 1710 WEBSTER ST OAKLAND CA 94612 941170350 501(C)(3) 18500 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 40000 GENERAL SUPPORT AMERICAN LIVER FOUNDATION 39 BROADWAY STE 2700 NEW YORK NY 10006 362883000 501(C)(3) 10000 GENERAL SUPPORT ASSOCIATION OF CALIFORNIA NURSE LEADERS 2520 VENTURE OAKS WAY SACRAMENTO CA 95834 942910850 501(C)(3) 20000 GENERAL SUPPORT BEIT T'SHUVAH 8831 VENICE BLVD LOS ANGELES CA 90034 770152646 501(C)(3) 50000 GENERAL SUPPORT BEVERLY HILLS CHAMBER OF COMMERCE 239 S BEVERLY DRIVE BEVERLY HILLS CA 90212 950548070 501(C)(6) 5950 GENERAL SUPPORT BEVERLY HILLS FIREMEN'S ASSOCIATION PO BOX 1720 BEVERLY HILLS CA 90213 953173205 501(C)(5) 6500 GENERAL SUPPORT BEVERLY HILLS POLICE OFFICERS BENEVOLENT FUND 464 N REXFORD DR BEVERLY HILLS CA 90210 954584633 501(C)(3) 7000 GENERAL SUPPORT B'NAI B'RITH 2020 K STREET NW 7TH FLOOR WASHINGTON DC 20006 530179971 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET NO 800 SACRAMENTO CA 95814 941498697 501(C)(3) 224221 GENERAL SUPPORT CALIFORNIA HEALTHCARE INSTITUTE 888 PROSPECT ST NO 220 LA JOLLA CA 92037 943174767 501(C)(6) 11000 GENERAL SUPPORT CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 954772979 501(C)(3) 1365551 GENERAL SUPPORT CALIFORNIA HOSPITAL ASSOCIATION 1215 K ST NO 800 SACRAMENTO CA 95814 680343712 501(C)(6) 25000 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) 10000 GENERAL SUPPORT CALIFORNIA STATE UNIVERSITY SACRAMENTO 3000 STATE UNIVERSITY DRIVE EAST SACRAMENTO CA 95819 680365325 GOVT 8500 GENERAL SUPPORT CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 954457756 501(C)(3) 29880575 GENERAL SUPPORT CENTER FOR THE STUDY OF YOUNG PEOPLE IN GROUPS-TEENLINE PO BOX 48750 LOS ANGELES CA 90048 953760982 501(C)(3) 10000 GENERAL SUPPORT CHILDREN'S INSTITUTE INC 2121 W TEMPLE ST LOS ANGELES CA 90026 951641424 501(C)(3) 50000 GENERAL SUPPORT CICLAVIA INC 3780 WILSHIRE BLVD LOS ANGELES CA 90010 273428380 501(C)(3) 27500 GENERAL SUPPORT CITY OF HOPE 1055 WILSHIRE BLVD LOS ANGELES CA 90017 953435919 501(C)(3) 10000 GENERAL SUPPORT CLINICA MSR OSCAR A ROMERO 202 MARENGO ST LOS ANGELES CA 90033 953881333 501(C)(3) 50000 GENERAL SUPPORT COALITION FOR COMPASSIONATE CARE 1331 GARDEN HIGHWAY SACRAMENTO CA 95833 270419836 501(C)(3) 15000 GENERAL SUPPORT COALITION TO PROTECT AMERICA'S HEALTH CARE PO BOX 30211 BETHESDA MD 20824 522253225 501(C)(4) 40000 GENERAL SUPPORT COLLABORATIVE ALLIANCE FOR NURSING OUTCOMES 2520 VENTURE OAKS WAY STE 210 SACRAMENTO CA 95833 273440795 501(C)(3) 7500 GENERAL SUPPORT COMMUNITY PARTNERS 1000 N ALAMEDA ST 240 LOS ANGELES CA 90012 954302067 501(C)(3) 12500 GENERAL SUPPORT CONCERN FOUNDATION 1026 S ROBERTSON BLVD NO 300 LOS ANGELES CA 90035 237002878 501(C)(3) 6000 GENERAL SUPPORT DIDI HIRSCH PSYCHIATRIC SERVICE 4760 S SEPULVEDA BLVD CULVER CITY CA 90230 951816023 501(C)(3) 32670 GENERAL SUPPORT DREW CHILD DEVELOPMENT CORPORATION 1770 EAST 118TH ST LOS ANGELES CA 90059 954134752 501(C)(3) 50000 GENERAL SUPPORT ECONOMIC DEVELOPMENT CORPORATION OF LOS ANGELES COUNTY 444 S FLOWER ST 34TH FLR LOS ANGELES CA 90071 953643339 501(C)(3) 22000 GENERAL SUPPORT FOUNDATION FOR BIOMEDICAL RESEARCH 818 CONNECTICUT AVE NW NO 900 WASHINGTON DC 20006 042746997 501(C)(3) 20000 GENERAL SUPPORT FRIENDS OF THE LOS ANGELES FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 953433824 501(C)(3) 50000 GENERAL SUPPORT HAMBURGER HOME DBA AVIVA CENTER 7120 FRANKLIN AVE LOS ANGELES CA 90046 951693616 501(C)(3) 50000 GENERAL SUPPORT HEALTH RESEARCH AND EDUCATIONAL TRUST 155 NORTH WACKER DRIVE CHICAGO IL 60606 362203931 501(C)(3) 10000 GENERAL SUPPORT HOMELESS HEALTH CARE LOS ANGELES 2410 BEVERLY BLVD LOS ANGELES CA 90057 954074970 501(C)(3) 50000 GENERAL SUPPORT JEWISH FAMILY SERVICE OF LOS ANGELES 3580 WILSHIRE BLVD NO 700 LOS ANGELES CA 90010 951691013 501(C)(3) 50000 GENERAL SUPPORT JEWISH VOCATIONAL SERVICE 6505 WILSHIRE BLVD 200 LOS ANGELES CA 90048 951691012 501(C)(3) 6500 GENERAL SUPPORT KOREAN AMERICAN FAMILY SERVICE CENTER 3727 WEST 6TH ST LOS ANGELES CA 90020 953899329 501(C)(3) 50000 GENERAL SUPPORT LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST 1240 LOS ANGELES CA 90067 951366460 501(C)(6) 25000 GENERAL SUPPORT LOS ANGELES FIRE DEPARTMENT FOUNDATION 1875 CENTURY PARK EAST STE 200 LOS ANGELES CA 90067 272007326 501(C)(3) 23343 GENERAL SUPPORT LOS ANGELES FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 952539105 501(C)(3) 192500 GENERAL SUPPORT LOS ANGELES GAY & LESBIAN COMMUNITY SERVICE CENTER 1625 N SCHRADER BLVD LOS ANGELES CA 90028 953567895 501(C)(3) 50000 GENERAL SUPPORT LOS ANGELES POLICE FOUNDATION 515 S FLOWER ST 1680 LOS ANGELES CA 90071 954700442 501(C)(3) 6000 GENERAL SUPPORT LOS ANGELES SECTION OF NATIONAL COUNCIL OF JEWISH WOMEN 543 N FAIRFAX AVE LOS ANGELES CA 90036 951641433 501(C)(3) 10000 GENERAL SUPPORT MARCH OF DIMES 1275 MAMARONECK AVE WHITE PLAINS NY 10605 131846366 501(C)(3) 50000 GENERAL SUPPORT MEXICAN AMERICAN BAR FOUNDATION PO BOX 862127 LOS ANGELES CA 90086 954358513 501(C)(3) 15000 GENERAL SUPPORT NATIONAL BLACK NURSES ASSOCIATION 8630 FENTON STREET SILVER SPRING MD 20910 237194995 501(C)(3) 10000 GENERAL SUPPORT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 1700 W VAN BUREN 126B CHICAGO IL 60612 364483505 501(C)(3) 25000 GENERAL SUPPORT NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST STE 1300 LOS ANGELES CA 90071 237314808 501(C)(3) 15000 GENERAL SUPPORT NATIONAL HISPANIC HEALTH FOUNDATION 1411 K ST NW NO 1100 WASHINGTON DC 20005 260051902 501(C)(3) 50000 GENERAL SUPPORT OCEAN PARK COMMUNITY CENTER 1453 16TH ST SANTA MONICA CA 90404 956143865 501(C)(3) 50000 GENERAL SUPPORT PARA LOS NINOS 500 LUCAS AVE LOS ANGELES CA 90017 953443276 501(C)(3) 50000 GENERAL SUPPORT PEDIATRIC & FAMILY MEDICAL CENTER 1530 S OLIVE ST LOS ANGELES CA 90015 951690966 501(C)(3) 25000 GENERAL SUPPORT PEOPLE COORDINATED SERVICES OF SOUTHERN CALIFORNIA INC 1221 S WESTERN AVE LOS ANGELES CA 90006 952644231 501(C)(3) 50000 GENERAL SUPPORT SOUTHERN CALIFORNIA COUNSELING CENTER 5615 WEST PICO BLVD LOS ANGELES CA 90019 952430665 501(C)(3) 25000 GENERAL SUPPORT SPECIAL SERVICE FOR GROUPS 605 W OLYMPIC BLVD NO 600 LOS ANGELES CA 90015 951716914 501(C)(3) 50000 GENERAL SUPPORT THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE NO 320 CULVER CITY CA 90230 954552419 501(C)(3) 50000 GENERAL SUPPORT THE ALLIANCE FOR HOUSING AND HEALING - THE SERRA PROJECT 825 COLORADO BLVD 100 LOS ANGELES CA 90041 954147364 501(C)(3) 10000 GENERAL SUPPORT THE FASHION FOOTWEAR CHARITABLE FOUNDATION OF NY INC 274 MADISON AVE NEW YORK NY 10016 134112482 501(C)(3) 35000 GENERAL SUPPORT THE HEART FOUNDATION 32107 LINDERO CYN RD 235 WESTLAKE VILLAGE CA 91361 450471117 501(C)(3) 39000 GENERAL SUPPORT THE HELPING HAND OF LOS ANGELES INC 8700 BEVERLY BLVD LOS ANGELES CA 90048 951831107 501(C)(3) 7200 GENERAL SUPPORT THE MAPLE COUNSELING CENTER 9107 WILSHIRE BLVD LOWER LEVEL BEVERLY HILLS CA 90210 952753118 501(C)(3) 110000 GENERAL SUPPORT TOWER CANCER RESEARCH FOUNDATION 9090 WILSHIRE BLVD SUITE 350 BEVERLY HILLS CA 90211 954596354 501(C)(3) 8500 GENERAL SUPPORT UCLA FOUNDATION 405 HILGARD AVE LOS ANGELES CA 90095 952250801 501(C)(3) 31500 GENERAL SUPPORT UNION RESCUE MISSION 545 S SAN PEDRO ST LOS ANGELES CA 90013 951709293 501(C)(3) 50000 GENERAL SUPPORT UNITED WAY INC 1150 S OLIVE ST SUITE T500 LOS ANGELES CA 90015 952274801 501(C)(3) 100000 GENERAL SUPPORT UNIVERSITY OF CALIFORNIA BERKLEY FOUNDATION 2080 ADDISON ST BERKELEY CA 94720 946090626 501(C)(3) 116667 GENERAL SUPPORT VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 50000 GENERAL SUPPORT VISTA DEL MAR CHILD AND FAMILY SERVICES 3200 MOTOR AVE LOS ANGELES CA 90034 951647832 501(C)(3) 50000 GENERAL SUPPORT WOMEN IN HEALTH ADMINISTRATION OF SOUTHERN CALIFORNIA PO BOX 77932 CORONA CA 92877 954076951 501(C)(6) 5900 GENERAL SUPPORT WOMEN'S GUILD OF CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD ROOM 2416 LOS ANGELES CA 90048 956097903 501(C)(3) 36050 GENERAL SUPPORT YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF GREATER LA 3345 WILSHIRE BLVD NO 300 LOS ANGELES CA 90010 951652919 501(C)(3) 50000 GENERAL SUPPORT 68 7 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 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 THOMAS M PRISELAC 1121450 0 848990 0 1348703 0 504618 0 25386 0 3849147 0 376955 0 WILLIAM W BRIEN MD 175277 0 1250 0 0 0 0 0 0 0 176527 0 0 0 ILANA CASS MD 327931 0 86244 0 83644 0 20945 0 41900 0 560664 0 0 0 BETH KARLAN MD 376051 0 93870 0 75083 0 34540 0 2256 0 581800 0 0 0 SCOTT KARLAN MD 325562 0 55135 0 42636 0 20945 0 25964 0 470242 0 0 0 ANDREW KLEIN MD 799161 0 164220 0 230699 0 63559 0 36937 0 1294576 0 63914 0 ZAB MOSENIFAR MD 523426 0 105606 0 332528 0 158350 0 27782 0 1147692 0 54227 0 PAUL SILKA MD 392570 0 78127 0 56097 0 43823 0 36822 0 607439 0 0 0 EDWARD PRUNCHUNAS 602262 0 282153 0 297196 0 207490 0 39840 0 1428941 0 0 0 MARK GAVENS 683564 0 296091 0 375290 0 85580 0 36182 0 1476707 0 136562 0 SHLOMO MELMED MD 801573 0 355467 0 161264 0 331073 0 26761 0 1676138 0 0 0 KEITH BLACK MD 1728742 0 340000 0 721313 0 20945 0 44106 0 2855106 0 0 0 BRUCE GEWERTZ MD 1177493 0 250227 0 385263 0 86124 0 26206 0 1925313 0 0 0 EDUARDO MARBAN MD 1166497 0 238469 0 598990 0 168230 0 41901 0 2214087 0 0 0 EDWARD PHILLIPS MD 1253558 0 204213 0 207329 0 67041 0 34248 0 1766389 0 0 0 ALFREDO TRENTO MD 1044764 0 212501 0 450783 0 60859 0 25272 0 1794179 0 120067 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, 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 2011. WRAP/SERP BENEFIT CEDARS-SINAI PROVIDES THE PRESIDENT WITH THE PURCHASE OF A VARIABLE UNIVERSAL LIFE PRODUCT. THE CONTRACT IS OWNED BY THE PARTICIPANT AND COLLATERALLY ASSIGNED TO CEDARS-SINAI. THE WRAP/SERP BENEFIT PROVIDES BOTH PRE- AND POST-RETIREMENT DEATH BENEFITS AND INCLUDES AN INVESTMENT COMPONENT TO PREFUND FUTURE CONTINUATION OF THE POLICY. CEDARS-SINAI ADVANCES THE PREMIUM FOR NINE YEARS. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2011 RELATED TO THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. KEITH BLACK,MD 581,903 ILANA CASS MD 72,770 MARK GAVENS 323,900 BRUCE GEWERTZ,MD 258,669 BETH KARLAN,MD 52,890 SCOTT KARLAN,MD 29,284 ANDREW KLEIN,MD 183,088 EDUARDO MARBAN,MD 509,443 SHLOMO MELMED,MD 102,423 ZAB MOSENIFAR,MD 289,285 EDWARD PHILLIPS,MD 152,115 THOMAS M. PRISELAC 1,279,573 EDWARD PRUNCHUNAS 239,222 PAUL SILKA,MD 38,403 ALFREDO TRENTO,MD 380,005 CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LVKO 2011-12-21 163357091 REFUND 1997A AND 1997B BONDS - ISSUE DATES: 9/15/97, 10/1/97 0 0 0 CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LDG9 2009-10-21 541045288 NEW FAC CONST & PRIOR CAP EXP REIMB 0 0 0 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 163357091 163357091 2012 1 0 1 1 37540000 541611264 46022336 495588927 0 0 0 1 33530000 538397437 3740661 2005 1 1 1 1 0 1 1 1 1 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X SCHEDULE K SUPPLENTAL INFORMATION PART II, LINE 3, COLUMNS (B) AND (C): THE TOTAL PROCEEDS REPORTED ON LINE 3 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. M GAVENS-RES ACQ X 350000 105000 0 1 1 B GEWERTZ-RES ACQ X 500000 200000 0 1 1 A KLEIN - RES ACQ X 250000 75000 0 1 1 E MARBAN- RES ACQ X 500000 250000 0 1 1 630000 DR GIL MELMED PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 105354 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DR EARL BRIEN PART V NARRATIVE - FAMILY MEMBER OF DR. WILLIAM W. BRIEN, A BOARD MEMBER 734125 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DR CONNIE AGNEW PART V NARRATIVE - FAMILY MEMBER OF DR. WILLIAM W. BRIEN, A BOARD MEMBER 75054 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DR SAIBAL KAR PART V NARRATIVE - FAMILY MEMBER OF DR. SHEILA KAR, A BOARD MEMBER 627694 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BARBARA LEANSE PART V NARRATIVE - FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER 341042 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 TALYA WALDMAN PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 24375 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 IRIS INTERNATIONAL INC PART V NARRATIVE - CORPORATION IN WHICH DR. BETH KARLAN IS A BOARD MEMBER 192504 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 1195208 PART V NARRATIVE - INVESTMENT MANAGEMENT FEES 0 X 34 0 X 1 0 X 16 1968291 SEE SCH M, PART II 0 0 0 0 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 SENIOR VICE-PRESIDENT/CHIEF FINANCIAL OFFICER. ADDITIONALLY, IT IS REVIEWED BY THE SENIOR VICE-PRESIDENT OF HUMAN RESOURCES, THE PRESIDENT AND CEO, THE COMPENSATION COMMITTEE, A COMMITTEE OF BOARD MEMBERS ASSIGNED THIS TASK BY THE CHAIRMAN OF THE BOARD, AND IT IS PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND DISCUSS THE INFORMATION REPORTED. FORM 990, PART VI, SECTION B, LINE 12C THE CEDARS-SINAI MEDICAL CENTER (CSMC) CONFLICT OF INTEREST POLICY IS A BOARD-APPROVED POLICY: 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 VII - AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION: ROBERT ELLER 1 HOUR VERA GUERIN 1 HOUR THOMAS LEANSE, ESQ. 1 HOUR EDUARDO MARBAN, MD 1 HOUR JAMES NATHAN 1 HOUR LAWRENCE B. PLATT 1 HOUR THOMAS M. PRISELAC 5 HOURS EDWARD PRUNCHUNAS 6 HOURS MARC RAPAPORT 1 HOUR MARK S. SIEGEL 1 HOUR LESLIE VERMUT 1 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -37,236,547. TRANSFERS TO GREATER VALLEY MANAGEMENT SERVICES ORG INC -695,016. PENSION LOSSES -64,120,675. ROUNDING 141. TOTAL TO FORM 990, PART XI, LINE 5: -102,052,097. PCX SYSTEMS LLC 8700 BEVERLY BLVD LOS ANGELES CA 90048 421535811 HOSPITAL BILLING DE 311713 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 MANAGEMENT SERVICES ORGANIZATION INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES CA 90048 954439758 MANAGEMENT FUNCTIONS CA CEDARS-SINAI MEDICAL CENTER C -351279 1.00000 OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES CA 90048 954522779 INFORMATION SYSTEMS CA CEDARS-SINAI MEDICAL CENTER C 1.00000 CHARITABLE REMAINDER TRUSTS (CRAT-9 CRUT-4) TRUST CA N/A T CHARITABLE LEAD TRUSTS (1) TRUST CA N/A T 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 CEDARS-SINAI MEDICAL CARE FOUNDATION B 29880575 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION K 11632153 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION N 239645 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION P 18008777 FAIR MARKET VALUE GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION INC B 695016 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION B 1363551 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION N 1091691 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION P 271861 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.