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CHILDRENS HOSPITAL LOS ANGELES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL LOS ANGELES (EIN 95-1690977)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349302463
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T09:49:29-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 WEST BROADWAY SUITE 700AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921018590ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951690977EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone3236602450Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14650 SUNSET BOULEVARDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900270982ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDIEMLAN LANNIE TONNUName
TitleSVP AND CFOTitle
Phone3233612235Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANA J MCCUTCHENName
PTINP00545657PTIN
Phone6192326500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIEMLAN LANNIE TONNUNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14650 SUNSET BOULEVARDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900270982ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1348518828GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHLA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1901YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROMOTION AND ADVANCEMENT OF CHILDREN'S HEALTH THROUGH PATIENT CARE, RESEARCH, AND EDUCATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body72NbrVotingMembersGoverningBody
Nbr Independent Voting Members57NbrIndependentVotingMembers
Total Nbr Employees5204TotalNbrEmployees
Total Nbr Volunteers500TotalNbrVolunteers
Total Gross UBI46031TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year141949107ContributionsGrantsPriorYear
Contributions Grants Current Year104447599ContributionsGrantsCurrentYear
Program Service Revenue Prior Year649765160ProgramServiceRevenuePriorYear
Program Service Revenue CY696881291ProgramServiceRevenueCY
Investment Income Prior Year18435956InvestmentIncomePriorYear
Investment Income Current Year16242271InvestmentIncomeCurrentYear
Other Revenue Prior Year2656037OtherRevenuePriorYear
Other Revenue Current Year4915931OtherRevenueCurrentYear
Total Revenue Prior Year812806260TotalRevenuePriorYear
Total Revenue Current Year822487092TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10575398GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year332056464SalariesEtcPriorYear
Salaries Etc Current Year373063346SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year322122TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY321775TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year13442558TotalFundrsngExpCurrentYear
Other Expense Prior Year357907394OtherExpensePriorYear
Other Expenses Current Year402043040OtherExpensesCurrentYear
Total Expenses Prior Year690285980TotalExpensesPriorYear
Total Expenses Current Year786003559TotalExpensesCurrentYear
Revenues Less Expenses Prior Year122520280RevenuesLessExpensesPriorYear
Revenues Less Expenses CY36483533RevenuesLessExpensesCY
Total Assets BOY1705734786TotalAssetsBOY
Total Assets EOY1701215324TotalAssetsEOY
Total Liabilities BOY672273090TotalLiabilitiesBOY
Total Liabilities EOY651900312TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1033461696NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1049315012NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE HOSPITAL'S PRINCIPAL MISSION IS TO PROMOTE AND ADVANCE THE STATE OF CHILDREN'S HEALTH, FOCUSING ON TERTIARY AND QUATERNARY SPECIALTIES IN PATIENT CARE, RESEARCH, AND EDUCATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense501409592Expense
Revenue667762466Revenue
DescriptionMEDICAL CARE PROVIDED TO CHILDRENIT IS THE POLICY OF THE HOSPITAL TO STRIVE TO MAINTAIN QUALITY HEALTH CARE DELIVERY IN A MANNER THAT RESPECTS THE DIGNITY OF THE INDIVIDUAL AND FAMILY, REGARDLESS OF THE ABILITY TO PAY. UNDER THE HOSPITAL'S POLICY, MEDICAL CARE MAY BE PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PEOPLE WHO ARE UNINSURED OR UNDERINSURED AND CANNOT AFFORD TO PAY FOR THEIR OWN MEDICAL CARE. THE HOSPITAL PROVIDES ADDITIONAL COMMUNITY SUPPORT BY PROVIDING CARE TO PATIENTS WHO PARTICIPATE IN PROGRAMS, LIKE MEDI-CAL, THAT DO NOT PAY FULL CHARGES. APPROXIMATELY THREE-FOURTHS OF THE HOSPITAL'S PATIENTS ARE COVERED BY MEDI-CAL PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense42043811Expense
Revenue23233334Revenue
DescriptionGRADUATE MEDICAL EDUCATION PROVIDES TRAINING AND EDUCATION TO MEDICAL STUDENTS IN LOS ANGELES COUNTY WHO, IN TURN, PROVIDE SERVICES TO PATIENTS AT THE HOSPITAL. ALSO, INCLUDES EDUCATION REVENUE FROM THE RESIDENCY AND FELLOWSHIP PROGRAMS AT CHLA. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF TRAINING PHYSICIANS, ALLIED HEALTH PROFESSIONALS, AND OTHER HEALTH CARE WORKERS IN ITS EMERGENCY ROOM, CLINICS, INPATIENT AREAS, AND OTHER PARTS OF ITS FACILITIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense60761722Expense
Revenue5885491Revenue
DescriptionRESEARCH REVENUES FURTHER THE EXEMPT PURPOSE OF CHLA BY PROVIDING THE PATIENTS OF CHLA ACCESS TO NEW TECHNOLOGIES, DISCOVERIES AND MEDICATIONS FOR TREATMENT. RESULTS OF THIS RESEARCH IS DISSEMINATED THROUGH PUBLICATIONS IN SCIENTIFIC JOURNALS AND PRESENTATIONS BY THE PRINCIPAL INVESTIGATORS. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF MEDICAL RESEARCH TAKING PLACE IN ITS FACILITIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense528961Expense
Revenue743472Revenue
DescriptionOTHER PROGRAM SERVICE REVENUES ALSO INCLUDE RESIDENTS HOUSING AND MISCELLANEOUS TUITION AND EDUCATION INCOME.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp528961TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev743472TotalOfOtherProgramServiceRev
Total Program Service Expense604744086TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096470NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5204NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members72NbrVotingGoverningBodyMembers
Number Independent Voting Members57NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE FOUSTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3233612425TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14650 SUNSET BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900270980ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (85 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD CORDOVA
PRESIDENT & CEO/TRUSTEE40.00XX773881052833
MARY DEE HACKER
TRUSTEE/VP PATIENT CARE40.00XX427257078242
HENRI FORD
TRUSTEE/FAC PHYSICIAN/VP40.00XX72440600
STUART SIEGEL
TRUSTEE/FACULTY PHYSICIAN40.00X40092800
BRENT POLK
TRUSTEE/FACULTY PHYSICIAN40.00XX56249300
BONNIE MCCLURE
TRUSTEE/FUNDRAISER COORD30.00X6400000
ARNOLD KLEINER
TRUSTEE10.00X000
ELIZABETH LOWE
TRUSTEE10.00X000
CATHY WEISS
TRUSTEE10.00X000
MARION ANDERSON
TRUSTEE20.00X000
JOHN JACK PETTKER
TRUSTEE20.00X000
THEODORE SAMUELS
TRUSTEE10.00X000
BROOKE ANDERSON
TRUSTEE2.00X000
ASHWIN ADARKAR
TRUSTEE2.00X000
JUNE BANTA
TRUSTEE2.00X000
LYNDA BOONE FETTER
TRUSTEE10.00X000
ALEX CHAVES SR
TRUSTEE2.00X000
MARTHA CORBETT
TRUSTEE2.00X000
MARGARET EBERHARDT
TRUSTEE2.00X000
RICHARD FARMAN
TRUSTEE10.00X000
GREGORY T FORGATCH
TRUSTEE2.00X000
PEGGY GALBRAITH
TRUSTEE2.00X000
CARL GRUSHKIN
TRUSTEE2.00X000
MARY HART
TRUSTEE2.00X000
MEGAN M HERNANDEZ
TRUSTEE2.00X000
MARCIA WILSON HOBBS
TRUSTEE2.00X000
GLORIA HOLDEN
TRUSTEE2.00X000
JAMES HUNT
TRUSTEE10.00X000
WILLIAM HURT
TRUSTEE2.00X000
TODD E MOLZ
TRUSTEE2.00X000
SUSAN MALLORY
TRUSTEE2.00X000
CAROL MANCINO
TRUSTEE2.00X000
ELIZABETH HUNT PRICE
TRUSTEE2.00X000
ALEX MENESES
TRUSTEE2.00X000
CARYLL SPRAGUE MINGST
TRUSTEE2.00X000
MARY ADAMS O'CONNELL
TRUSTEE2.00X000
CHESTER CHET PIPKIN
TRUSTEE2.00X000
J KRISTOFFER POPOVICH
TRUSTEE2.00X000
RONALD PREISSMAN
TRUSTEE2.00X000
CARMEN PULIAFITO
TRUSTEE2.00X000
ALAN PURWIN
TRUSTEE2.00X000
DAYLE ROATH
TRUSTEE2.00X000
KATHY LUPPEN ROSE
TRUSTEE2.00X000
W SCOTT SANFORD
TRUSTEE10.00X000
PAUL SCHAEFFER
TRUSTEE10.00X000
THOMAS SIMMS
TRUSTEE2.00X000
VICTORIA SIMMS
TRUSTEE2.00X000
RUSSELL SNOW JR
TRUSTEE2.00X000
LISA STEVENS
TRUSTEE2.00X000
JAMES TERRILE
TRUSTEE2.00X000
JUDGE DICKRAN M TEVRIZIAN
TRUSTEE2.00X000
JOYCE BOGART TRABULUS
TRUSTEE2.00X000
PEGGY TSIANG CHERNG
TRUSTEE2.00X000
ESTHER WACHTELL
TRUSTEE2.00X000
ALYCE WILLIAMSON
TRUSTEE2.00X000
ALAN WILSON
TRUSTEE2.00X000
JEFFREY WORTHE
TRUSTEE2.00X000
DICK ZIEGLER
TRUSTEE2.00X000
KEVIN BROGAN
TRUSTEE2.00X000
GARY COHEN
TRUSTEE2.00X000
DEBBIE FREUND
TRUSTEE2.00X000
KATHLEEN KOSTLAN
TRUSTEE2.00X000
EUGENE MITCHELL
TRUSTEE2.00X000
ELIZABETH RAHN
TRUSTEE2.00X000
STEVEN ROUNDTREE
TRUSTEE2.00X000
ALAN RUDNICK
TRUSTEE2.00X000
RICHARD ZAPANTA
TRUSTEE2.00X000
MARK KRIEGER
TRUSTEE2.00X000
HERBERT GELFAND
TRUSTEE2.00X000
RONALD GOTHER
TRUSTEE2.00X000
FRANCINE KAUFMAN MD
TRUSTEE2.00X000
JOSE LOZANO
TRUSTEE2.00X000
DIEMLAN LANNIE TONNU
SVP/CFO/TREASURER40.00X534760097736
LAWRENCE FOUST
SVP-GEN COUNSEL/SEC40.00X473663092017
MICHELLE CRONKHITE
ASSISTANT SECRETARY40.00X6312301894
RODNEY HANNERS
SVP OPERATIONS/COO40.005076650103839X
CLAUDIA LOONEY
SVP-DEVELOPMENT40.00474172087295X
GAIL MARGOLIS
VP, GOVERNMENT & PUBLIC POLICY40.00315339064791X
KEITH HOBBS
VP, ANCILLARY & SUPPORT SERVICES40.00325521059789X
STEVE GARSKE
VP, CHIEF INFORMATION OFFICER40.00365070059173X
HUGO SANTOS
VP, HUMAN RESOURCES40.00309262065748X
DEANN MARSHALL
VP, COMMUNICATIONS40.00380719076023X
ROBERT ADLER
FORMER TRUSTEE/FACULTY PHYSICIAN40.0023080200X
ROBERT KAY
FORMER TRUSTEE/FACULTY PHYSICIAN40.0017245000X
ROBERTA WILLIAMS
FORMER TRUSTEE/FACULTY PHYSICIAN40.0022646000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7331971TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation839380TotalOtherCompensation
Number Individuals GT100 K668NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
IDEAOLOGY ADVERTISING
4223 GLENCOE AVE STE A-127MARINA DEL REYCA90292ADVERTISING SERVICES5585153
CLEO ENTERPRISES LLC
34 CALLE CASTILLOSAN CLEMENTECA92673CONSTRUCTION MGMT2662036
T2 TECHNOLOGY GROUP LLC
360 E 1ST STREET 667TUSTINCA92780NETWORK SUPPORT2251713
PRICEWATERHOUSECOOPERS LLP
PO BOX 514038LOS ANGELESCA900514038PROFESSIONAL SERVICES1983786
ZIMMER GUNSUL FRASCA ARCHITECTS LLP
320 SW OAK STREETPORTLANDOR97204ARCHITECTURAL DESIGN1738235
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Government Grants42304599GovernmentGrants
All Other Contributions62143000AllOtherContributions
Noncash Contributions839416NoncashContributions
Total Contributions104447599TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621110667762466667762466
EDUCATION REVENUE9000991423333414233334
GRADUATE MEDICAL EDUCA90009990000009000000
RESEARCH REVENUE90009958854915885491
FieldValueIRS element (for citing)
Total Program Service Revenue696881291TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9164284TotalRevenueColumn
Unrelated Business Revenue31391UnrelatedBusinessRevenue
Exclusion$9,132,893ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column468467TotalRevenueColumn
Exclusion$468,467ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities533109723Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities526031736Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7077987Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7077987TotalRevenueColumn
Exclusion$7,077,987ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARKING GARAGE8129302148897$2,148,897
CHILD DEVELOPMENT CENT6244101200138$1,200,138
RESIDENT'S HOUSING900099461493461493

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column636936TotalRevenueColumn
Related Or Exempt Function Income281979RelatedOrExemptFunctionIncome
Unrelated Business Revenue14640UnrelatedBusinessRevenue
Exclusion$340,317ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4447464TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column822487092TotalRevenueColumn
Related Or Exempt Function Income697624763RelatedOrExemptFunctionIncome
Unrelated Business Revenue46031UnrelatedBusinessRevenue
Exclusion$20,368,699ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10575398Total
Program Services10575398ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3678616Total
Program Services425827ProgramServices
Management And General2535849ManagementAndGeneral
Fundraising716940Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total308633987Total
Program Services224326380ProgramServices
Management And General77640069ManagementAndGeneral
Fundraising6667538Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5705106Total
Program Services4518125ProgramServices
Management And General1055799ManagementAndGeneral
Fundraising131182Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total33401506Total
Program Services23784184ProgramServices
Management And General8881074ManagementAndGeneral
Fundraising736248Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21644131Total
Program Services16217040ProgramServices
Management And General4952812ManagementAndGeneral
Fundraising474279Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total750577Total
Program Services452218ProgramServices
Management And General298359ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total818572Total
Program Services188166ProgramServices
Management And General627906ManagementAndGeneral
Fundraising2500Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total974307Total
Management And General974307ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total49816Total
Management And General49816ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total321775Total
Fundraising321775Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1156409Total
Management And General1156409ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total125113742Total
Program Services77002192ProgramServices
Management And General46204978ManagementAndGeneral
Fundraising1906572Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2821942Total
Program Services2821942ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total101736650Total
Program Services97551393ProgramServices
Management And General3784546ManagementAndGeneral
Fundraising400711Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total28007233Total
Program Services19193742ProgramServices
Management And General8399551ManagementAndGeneral
Fundraising413940Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total132741Total
Program Services132741ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5636197Total
Program Services2206891ProgramServices
Management And General2672060ManagementAndGeneral
Fundraising757246Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2635121Total
Program Services1739576ProgramServices
Management And General779214ManagementAndGeneral
Fundraising116331Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1733729Total
Program Services625105ProgramServices
Management And General954763ManagementAndGeneral
Fundraising153861Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total25399513Total
Program Services24076198ProgramServices
Management And General1323315ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34253020Total
Program Services33316880ProgramServices
Management And General936140ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2457180Total
Program Services2329161ProgramServices
Management And General128019ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HOSPITAL FEE PROGRAM373290423732904200
UTILITIES104638339918449544937447
PROVISION FOR BAD DEBTS8263258826325800
MINOR EQUIPMENT255081922394293046346756

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9759339Total
Program Services5510749ProgramServices
Management And General3612358ManagementAndGeneral
Fundraising636232Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total786003559Total
Program Services604744086ProgramServices
Management And General167816915ManagementAndGeneral
Fundraising13442558Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY39296BOY
EOY236447EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12680323BOY
EOY9363016EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY80568425BOY
EOY87959417EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY81796702BOY
EOY95413027EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY90298BOY
EOY67723EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1080789BOY
EOY790431EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5658457BOY
EOY6784287EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7639230BOY
EOY6772050EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1379272095LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec472347370LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY878008542BOY
EOY906924725EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY589000733BOY
EOY459213083EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4557085BOY
EOY5180564EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY44614906BOY
EOY122510554EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1705734786BOY
EOY1701215324EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY84412939BOY
EOY86453167EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY53763712BOY
EOY34982750EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY491912110BOY
EOY487476851EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY42184329BOY
EOY42987544EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY672273090BOY
EOY651900312EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY736224144BOY
EOY774155934EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY151465905BOY
EOY127370121EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY145771647BOY
EOY147788957EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1033461696BOY
EOY1049315012EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1705734786BOY
EOY1701215324EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses36483533ReconcilationRevenueExpenses
Reconcilation Other Changes-20630217ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals49816FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals49816FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals604694270FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals604744086FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3129415CurrentYearMinus3
Current Year Minus246205CurrentYearMinus2
Current Year Minus161012CurrentYearMinus1
Current Year49816CurrentYear
Total286448Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance542188938BeginningOfYearBalance
Contributions39523985Contributions
Investment Earnings Or Losses-69784InvestmentEarningsOrLosses
Other Expenditures53630441OtherExpenditures
End Of Year Balance528012698EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance495093405BeginningOfYearBalance
Contributions32136775Contributions
Investment Earnings Or Losses63246838InvestmentEarningsOrLosses
Other Expenditures48288079OtherExpenditures
End Of Year Balance542188939EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance471903453BeginningOfYearBalance
Contributions30649271Contributions
Investment Earnings Or Losses45036808InvestmentEarningsOrLosses
Other Expenditures52496127OtherExpenditures
End Of Year Balance495093405EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance592416535BeginningOfYearBalance
Contributions32922898Contributions
Investment Earnings Or Losses-81655753InvestmentEarningsOrLosses
Other Expenditures71780227OtherExpenditures
End Of Year Balance471903453EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.69000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.28000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis25551282OtherCostOrOtherBasis
Book Value25551282BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1011638829OtherCostOrOtherBasis
Depreciation232101148Depreciation
Book Value779537681BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis306040140OtherCostOrOtherBasis
Depreciation236000139Depreciation
Book Value70040001BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36041844OtherCostOrOtherBasis
Depreciation4246083Depreciation
Book Value31795761BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings906924725TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
RECEIVABLES UNDER GOVERNMENT PROGRAM93059124
GOLDMAN SACH-SWAP COLLATERAL12000000
BOND ISSUANCE COSTS8598870
EXECUTIVE BENEFIT7809162
OTHER1043398
FieldValueIRS element (for citing)
Total Book Value Other Assets122510554TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
INTEREST RATE SWAP$15,687,954
WORKERS COMPENSATION INSURANCE RESERVE$11,756,628
ACCRUED EXECUTIVE BENEFITS$4,782,581
MALPRACTICE TAIL RESERVE$3,500,000
LIABILITY UNDER UNITRUST AGREEMENTS$3,112,094
OTHER$4,148,287
FieldValueIRS element (for citing)
Total Of Amounts42987544TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ENDOWMENT FUNDS ARE INTENDED TO BE USED ACCORDING TO THE DONOR'S WISHES WHICH VARY FROM ONGOING PROGRAM SUPPORT, TO SPECIFIC RESEARCH, TO BUILDING OR ASSET ACQUISITION, OR SUPPORT OF ACADEMIC CHAIRS WITHIN THE ORGANIZATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOSPITAL ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. FASB ASC 740 PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT, AND DISCLOSE IN ITS CONSOLIDATED FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT THE COMPANY HAS TAKEN, OR EXPECTS TO TAKE, ON A TAX RETURN. DURING THE YEARS ENDED JUNE 30, 2012 AND 2011, THE HOSPITAL DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S MIRACLE NETWORKBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1205 WEST 700 SOUTHAddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84101ZIPCode
FieldValueIRS element (for citing)
ActivityGENERAL FUNDRAISINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts3102611GrossReceipts
Amount Retained By Contractor321775AmountRetainedByContractor
Net To Organization2780836NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts3102611TotalGrossReceipts
Total Retained By Contractors321775TotalRetainedByContractors
Total Net To Organization2780836TotalNetToOrganization
Licensed StatesCALicensedStates

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF FUNDRAISING PAYMENTSIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)ReturnReference
ExplanationFUNDS SUBMITTED DIRECTLY TO CHILDREN'S MIRACLE NETWORK BY SPONSOR PARTNERS ARE REMITTED TO MEMBER HOSPITALS ON A QUARTERLY BASIS BY CHILDREN'S MIRACLE NETWORK. FUNDS REMITTED DIRECTLY TO MEMBER HOSPITALS AS A RESULT OF A CHILDREN'S MIRACLE NETWORK FUNDRAISING PROGRAM ARE REPORTED BACK TO CHILDREN'S MIRACLE NETWORK FOR THE PURPOSES TRACKING FUNDRAISING RESULTS BUT THOSE FUNDS ARE DEPOSITED DIRECTLY BY THE MEMBER HOSPITAL. MEMBER HOSPITALS PAY AN ANNUAL MEMBERSHIP FEE, WHICH DIFFERS FOR EACH MEMBER HOSPITAL AND DEPENDS LARGELY ON ITS MARKET TERRITORY POPULATION. THESE FEES ARE ANALOGOUS TO FRANCHISE FEES, WHERE HOSPITALS "OWN" MARKET TERRITORY IN WHICH THEY FUNDRAISE USING THE CHILDREN'S MIRACLE NETWORK BRAND. CHILDREN'S MIRACLE NETWORK FURNISHES FUNDRAISING MATERIALS THAT ARE ESSENTIAL TO THE CAMPAIGNS. SUCH MATERIALS INCLUDE THE PAPER ICONS, COLLATERAL MATERIALS, AND COIN CANISTERS. MATERIALS ARE SENT DIRECTLY TO LOCATIONS OF SPONSOR PARTNERS (SUCH AS AN INDIVIDUAL COSTCO WAREHOUSE). IT IS THE RESPONSIBILITY OF EACH HOSPITAL TO PAY FOR THE COST OF THESE MATERIALS. MATERIALS COSTS ARE BILLED SEPARATE FROM THE ANNUAL MEMBERSHIP FEE AND ARE SENT INTERMITTENTLY DEPENDING ON THE FREQUENCY OF THE CAMPAIGNS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1800PersonsServed
Total Community Benefit Expense4700000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4700000NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1800PersonsServed
Total Community Benefit Expense4700000TotalCommunityBenefitExpense
Net Community Benefit Expense4700000NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs60NumberOfActivitiesOrPrograms
Persons Served805919PersonsServed
Total Community Benefit Expense5382622TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense5382622NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs19NumberOfActivitiesOrPrograms
Persons Served24234PersonsServed
Total Community Benefit Expense66990514TotalCommunityBenefitExpense
Direct Offsetting Revenue41606137DirectOffsettingRevenue
Net Community Benefit Expense25384377NetCommunityBenefitExpense
Percent Of Total Expense0.03260PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense6300000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6300000NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense91456610TotalCommunityBenefitExpense
Direct Offsetting Revenue65156610DirectOffsettingRevenue
Net Community Benefit Expense26300000NetCommunityBenefitExpense
Percent Of Total Expense0.03380PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served41840PersonsServed
Total Community Benefit Expense697731TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense697731NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs87NumberOfActivitiesOrPrograms
Persons Served871993PersonsServed
Total Community Benefit Expense170827477TotalCommunityBenefitExpense
Direct Offsetting Revenue106762747DirectOffsettingRevenue
Net Community Benefit Expense64064730NetCommunityBenefitExpense
Percent Of Total Expense0.08230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs88NumberOfActivitiesOrPrograms
Persons Served873793PersonsServed
Total Community Benefit Expense175527477TotalCommunityBenefitExpense
Direct Offsetting Revenue106762747DirectOffsettingRevenue
Net Community Benefit Expense68764730NetCommunityBenefitExpense
Percent Of Total Expense0.08830PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served6000PersonsServed
Total Community Building Expense39230TotalCommunityBuildingExpense
Net Community Building Expense39230NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served543743PersonsServed
Total Community Building Expense1211910TotalCommunityBuildingExpense
Net Community Building Expense1211910NetCommunityBuildingExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served210PersonsServed
Total Community Building Expense304309TotalCommunityBuildingExpense
Net Community Building Expense304309NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served549953PersonsServed
Total Community Building Expense1555449TotalCommunityBuildingExpense
Net Community Building Expense1555449NetCommunityBuildingExpense
Percent Of Total Expense0.00210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,263,258BadDebtExpenseAmount
Amount Reimbursed By Medicare1170183AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1170183CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14650 SUNSET BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL LOS ANGELESBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted10NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent350.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Average Negotiated RatesXAverageNegotiatedRates
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8263258.
PART II: THE HOSPITAL SPONSORS VARIOUS COMMUNITY SERVICES TO BENEFIT THE PHYSICALLY, MENTALLY AND GENETICALLY DISABLED AS PART OF ITS CHARITABLE MISSION. THESE SERVICES INCLUDE PARENTAL COUNSELING, EDUCATIONAL SEMINARS, FAMILY SUPPORT GROUPS, AND AN OUTREACH ORGANIZATION FOR FAMILIES ADMINISTERED BY THE HOSPITAL IN AN AGENCY RELATIONSHIP AND FUNDED BY THE STATE OF CALIFORNIA. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, TELEPHONE INFORMATION SERVICES, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY.
PART III, LINE 4: THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED FOR THOSE PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). PATIENTS COVERED BY INSURANCE, BUT REQUIRED TO PAY DEDUCTIBLES OR COPAYMENTS, ARE CONSIDERED TO BE UNINSURED FOR THOSE PORTIONS. BASED ON HISTORICAL EXPERIENCE, THE HOSPITAL BELIEVES THAT A SIGNIFICANT PORTION OF ITS PATIENT ACCOUNTS WILL BE UNCOLLECTIBLE. THUS, IT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO PATIENT ACCOUNTS IN THE PERIOD THE SERVICES ARE PROVIDED. BAD DEBTS ARE NOT INCLUDED AS COMMUNITY BENEFITS AND CONTAIN -0- CHARITY COST. BAD DEBTS ARE CALCULATED BASED ON UNCOLLECTIBLE ACCOUNTS NET OF CONTRACTUALS.
PART III, LINE 8: CHLA IS NOT INCLUDING ANY MEDICARE SHORTFALL AS PART OF ITS COMMUNITY BENEFIT. FURTHER, CHLA USES FEDERAL MEDICARE COST ALLOCATION METHODOLOGY, AS REPORTED IN ITS MEDICARE COST REPORT, TO DETERMINE THE ALLOWABLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS RECEIVED.
PART III, LINE 9B: THE HOSPITAL'S POLICY STATES THAT IF THE PATIENT/GUARANTOR IS UNABLE TO PAY FOR SERVICES DUE TO THEIR CURRENT FINANCIAL SITUATION, THEY COULD BE ELIGIBLE FOR UNCOMPENSATED CARE, IN WHICH CASE THE HOSPITAL'S APPLICABLE POLICY AND PROCEDURE IS FURTHER REFERENCED. IF THE PATIENT/GUARANTOR DOES NOT QUALIFY, THE HOSPITAL FOLLOWS ALL APPLICABLE FEDERAL AND STATE GUIDELINES FOR DEBT COLLECTION, INCLUDING THE REQUIREMENT OF FAIR TREATMENT, THE PROHIBITION OF MAKING FALSE STATEMENTS AND RESTRICTIONS ON THE TIME OF DAY THAT DEBT COLLECTORS MAY CONTACT THE DEBTOR.
PART V, SECTION B, LINE 3: THE APPROACH WAS TO EMPHASIZE THE CENTRAL IMPORTANCE OF INPUT FROM KNOWLEDGEABLE, INVOLVED COMMUNITY STAKEHOLDERS, REFERRED TO AS "KEY INFORMANTS". THIS IS A PREFERRED ALTERNATIVE TO A COMMUNITY SURVEY DUE TO THE SIZE AND MAGNITUDE OF THE COMMUNITY BEING CONSIDERED. THESE "KEY INFORMANTS" CONSIST OF COMMUNITY LEADERS IDENTIFIED BY HOSPITAL MEMBERS WHO COULD REPRESENT THE BROAD INTERESTS OF THE COMMUNITY MORE EFFICIENTLY AND ACCURATELY THAN A COMMUNITY SURVEY WOULD. THESE INDIVIDUALS WERE INTERVIEWED TO OBTAIN PERSPECTIVE ON THE HEALTH NEEDS, BARRIERS, AND ASSETS IN THEIR COMMUNITIES. FOCUS GROUPS WERE CONDUCTED WITH OTHER COMMUNITY MEMBERS AND SERVICE RECIPIENTS CHOSEN BY COMMUNITY-BASED AGENCIES TO PROVIDE A BROADER AND MORE PRECISE PERSPECTIVE ABOUT HEALTH CARE SERVICES, GAPS IN SERVICES, AND RECOMMENDATIONS ON HOW TO FILL THEM. THIS QUALITATIVE APPROACH WAS AUGMENTED WITH THE COMPILATION AND ANALYSIS OF SECONDARY DATA. FOR GENERAL DEMOGRAPHICS, BOTH U.S. CENSUS 2010 AND NIELSEN/CLARITAS DATA WERE USED. DATA FROM THE LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES WAS UTILIZED FOR HEALTH/COMMUNITY NEEDS INDICATORS, CAPACITY NEEDS OR BARRIERS, AND BENCHMARKING STANDARDS. MOST OF THE QUANTITATIVE DATA FOR THE NEEDS ASSESSMENT WERE CULLED FROM THE LATEST LOS ANGELES COUNTY HEALTH SURVEY. AS THE HEALTH SURVEY HAS BEEN CONDUCTED REGULARLY, WE WERE ALSO ABLE TO DETECT TRENDS GOING BACK AS FAR AS 1997 FOR MOST INDICATORS. IN ADDITION, INFORMATION FROM SOURCES SUCH AS HEALTHY CITY, UNITED WAY, AND ORGANIZATIONS CONDUCTING HEALTH RESEARCH RELATED TO THE NEEDS AND RESOURCES AVAILABLE IN LOS ANGELES, WAS INCORPORATED AS APPROPRIATE. DATA SERVING AS SOCIAL INDICATORS WERE ASSEMBLED FROM A NUMBER OF DATABASES AND INCLUDED SOCIOECONOMIC INFORMATION, STATISTICS ON CRIME, VIOLENCE AND ON QUALITY OF HOUSING.CHILDREN'S HOSPITAL LOS ANGELES
PART V, SECTION B, LINE 4: CALIFORNIA HOSPITAL MEDICAL CENTER, GOOD SAMARITAN HOSPITAL, KAISER FOUNDATION HOSPITAL AND ST. VINCENT MEDICAL CENTERCHILDREN'S HOSPITAL LOS ANGELES
PART V, SECTION B, LINE 19D: THE HOSPITAL WILL CHARGE THE GREATER OF THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS DETERMINED BY THE FOLLOWING METHODS: - LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE - AVERAGE OF ITS THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES - MEDICARE RATESCHILDREN'S HOSPITAL LOS ANGELES
PART I, LINE 7B:IN OCTOBER 2010, CMS APPROVED LEGISLATION ENACTED BY THE STATE OF CALIFORNIA THAT PROVIDED FOR SUPPLEMENTAL MEDI-CAL PAYMENTS TO BE PAID TO CERTAIN HOSPITALS FROM FUNDS COLLECTED FROM PARTICIPATING HOSPITALS UNDER THE STATE'S QUALITY ASSURANCE FEE PROGRAM. SUCH AMOUNTS WERE ALLOCATED AND PAID TO CHLA BASED ON PRIOR YEAR PATIENT DATA, WHICH INCLUDES MEDI-CAL PATIENTS. IF THESE AMOUNTS HAD NOT BEEN INCLUDED, THE HOSPITAL WOULD HAVE REPORTED A TOTAL COMMUNITY BENEFIT PERCENTAGE IN EXCESS OF 18%.
PART VI, LINE 2: CHILDREN'S HOSPITAL LOS ANGELES RECOGNIZES THE IMPORTANCE OF KNOWING AND UNDERSTANDING THE KEY INDICATORS OF ITS COMMUNITY'S HEALTH AND THE ISSUES THAT AFFECT PATIENTS, PARENTS, AND COMMUNITY ORGANIZATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENT SERVES AS THE BASIS FOR THE PLANNING OF PROGRAMS AND SERVICES THAT PROMOTE THE WELL-BEING OF OUR SURROUNDING COMMUNITIES. THE HOSPITAL WORKS COLLABORATIVELY ON THE ASSESSMENT WITH FOUR OTHER AREA HOSPITALS: CALIFORNIA HOSPITAL MEDICAL CENTER, GOOD SAMARITAN HOSPITAL, KAISER FOUNDATION HOSPITAL LOS ANGELES, AND ST. VINCENT MEDICAL CENTER.
PART VI, LINE 3: THE OFFICE OF COMMUNITY AFFAIRS AT CHILDREN'S HOSPITAL LOS ANGELES HELPS FAMILIES ACCESS AVAILABLE COMMUNITY RESOURCES, INCLUDING LOW-COST HEALTH INSURANCE COVERAGE AND HEALTH PROGRAMS. IN FY 2012, THE OFFICE OF COMMUNITY AFFAIRS ASSISTED MORE THAN 300 CHILDREN AND FAMILIES IN ACCESSING NEW HEALTH INSURANCE COVERAGE AND REACHED MORE THAN 45,000 CHILDREN AND FAMILIES THROUGH OUTREACH CAMPAIGNS PROMOTING AWARENESS OF AVAILABLE ACCESS TO HEALTH PROGRAMS.
PART VI, LINE 4: OUR HOSPITAL SERVICES REACH THOUSANDS ACROSS LOS ANGELES COUNTY--A REGION THAT SPANS 4,083 SQUARE MILES AND INCLUDES VAST URBAN COMMUNITIES, SUBURBAN AREAS AND RURAL NEIGHBORHOODS. LOS ANGELES COUNTY IS HOME TO MORE THAN 10 MILLION RESIDENTS, WHO COME FROM AROUND THE WORLD AND SPEAK MORE THAN 140 LANGUAGES. IT IS THE MOST POPULOUS COUNTY IN THE NATION--AND ONE OF THE MOST ETHNICALLY AND RACIALLY DIVERSE. THE HOSPITAL IS PHYSICALLY LOCATED IN THE METRO AREA OF THE CITY OF LOS ANGELES. IT IS A REGIONAL, TERTIARY HEALTHCARE FACILITY THAT SERVES PATIENTS THROUGHOUT L.A. COUNTY AND BEYOND AND IS THE ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER BETWEEN SAN FRANCISCO AND SAN DIEGO.
PART VI, LINE 5: AT CHILDREN'S HOSPITAL LOS ANGELES, PROVIDING HEALTH CARE TO PATIENTS AND THEIR FAMILIES DOESN'T STOP AT THE HOSPITAL WALLS. THE STAFF IS ACTIVELY ENGAGED WITHIN THE COMMUNITY, PROVIDING PREVENTATIVE SERVICES AND ACCESS TO HEALTH CARE.--THE DIVISION OF EMERGENCY MEDICINE AND TRANSPORT - CHILDREN'S HOSPITAL LOS ANGELES IS THE ONLY FREESTANDING LEVEL 1 PEDIATRIC TRAUMA CENTER IN L.A. COUNTY APPROVED BY THE COUNTY DEPARTMENT OF HEALTH SERVICES AND ACCREDITED BY THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS. THE EMERGENCY TRANSPORT PROGRAM IS A LIFE-SAVING RESOURCE FOR CHILDREN THROUGHOUT SOUTHERN CALIFORNIA AND BEYOND. IN ADDITION, KIDS CARE/URGENT CARE, A FAST-TRACK CLINIC FOR CHILDREN WITH ACUTE BUT NON-EMERGENT CONDITIONS, EXPANDS ACCESS TO CARE FOR CHILDREN DURING EVENINGS AND WEEKENDS. THE EMERGENCY DEPARTMENT AT CHILDREN'S HOSPITAL LOS ANGELES SEES MORE THAN 66,000 INFANTS, CHILDREN AND ADOLESCENTS DURING A YEAR.--THROUGH THE COMMUNITY PEDIATRICS AND ADVOCACY ROTATION PROGRAM, PEDIATRIC RESIDENTS GAIN KNOWLEDGE ABOUT THE ISSUES THAT AFFECT THE HEALTH OF CHILDREN, ADOLESCENTS AND FAMILIES IN OUR COMMUNITY. TWO WEEKS OF A PEDIATRIC RESIDENT'S ROTATION AT CHILDREN'S HOSPITAL ARE DEDICATED TO LEARNING ABOUT THE DIVERSE DEMOGRAPHICS OF OUR COMMUNITY. IN FY 2012, 35 CHILDREN'S HOSPITAL RESIDENTS TRAINED IN COMMUNITY PEDIATRICS AND ADVOCACY. THEY CONDUCTED 27 HOME VISITS AND ENVIRONMENTAL HEALTH HAZARD ASSESSMENTS IN THE COMMUNITY.AS PART OF THEIR ROTATION, PEDIATRIC RESIDENTS PARTICIPATE IN THE HOME SAFE HOME PROGRAM TO ASSESS SAFETY HAZARDS IN OUR COMMUNITY. ALONG WITH A FACULTY MENTOR, THE RESIDENTS PERFORM A HOME VISIT AND ENVIRONMENTAL HEALTH ASSESSMENT OF ONE OF THEIR PRIMARY PEDIATRIC PATIENTS.--THE COMMUNITY MENTAL HEALTH CENTER IS A PROGRAM OF THE USC UNIVERSITY CENTER FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES (UCEDD) AT CHILDREN'S HOSPITAL. THE PROGRAM PROVIDES MORE THAN 50,000 BEHAVIORAL HEALTH VISITS ANNUALLY AND SERVES MORE THAN 5,000 CHILDREN, YOUTH AND FAMILIES AT THE HOSPITAL CAMPUS AND TWO OUTPATIENT FACILITIES. MORE THAN 150 INTERDISCIPLINARY FACULTY, STAFF AND TRAINEES FORM THE UCEDD, WHICH OFFERS TRAINING, CONDUCTS RESEARCH AND PROVIDES SERVICES FOR CHILDREN WITH DISABILITIES AND THEIR FAMILIES. --THE MARK TAPER-- JOHNNY MERCER ARTISTS PROGRAM AT CHILDREN'S HOSPITAL LOS ANGELES IS AN INNOVATIVE PROGRAM THAT BRINGS TOGETHER LOCAL ARTISTS AND PERFORMERS WITH REGISTERED AND CERTIFIED CREATIVE ARTS THERAPISTS TO MEET THE DIVERSE NEEDS OF OUR PATIENT POPULATION. IN FY 2012, THE PROGRAM PROVIDED CHILDREN WITH OPPORTUNITIES OF CREATIVE EXPRESSION THROUGH THE VISUAL ARTS, MUSIC, DANCE AND POETRY IN MORE THAN 10,000 ENCOUNTERS. THE COLLABORATIVE AND MULTIDISCIPLINARY APPROACH OF THE ARTISTS PROGRAM OFFERS PATIENTS SOMETHING BEYOND DIVERSIONARY ARTS AND CRAFTS PROJECTS. ART AND MUSIC THERAPISTS ASSIST PATIENTS AND THEIR FAMILIES TO EXPRESS AND EXPLORE THOUGHTS AND FEELINGS REGARDING ILLNESS, HOSPITALIZATION AND RELATED STRESSORS.--ONE OF SEVEN HOPE PROGRAMS, SCHOOL TRANSITION AND RE-ENTRY SERVICE ("STAR") INCLUDES A FULL COMPLEMENT OF SCHOOL INTERVENTION SERVICES TO HEMATOLOGY AND ONCOLOGY PATIENTS ACROSS THE SPECTRUM OF ILLNESS, TREATMENT AND SURVIVORSHIP. STAFFERS CONSULT WITH FAMILIES, MEDICAL TEAMS AND SCHOOLS AND PROVIDE PARENTAL ADVOCACY SKILLS TRAINING, PARTICIPATE IN INDIVIDUALIZED EDUCATION PROGRAM (IEP) SPECIAL EDUCATION PLANNING, DEVELOP CLASSROOM/SCHOOL PRESENTATIONS AND PROVIDE PATIENT AND PARENT COUNSELING. IN FY 2012, STAR PROVIDED INTERVENTIONS AND SPECIFICALLY TAILORED SERVICES TO 249 PATIENTS AND THEIR FAMILIES.--THE HIGH RISK YOUTH PROGRAM PROVIDES COMPREHENSIVE INTEGRATED MEDICAL AND PSYCHOSOCIAL HEALTH SERVICES TO HOMELESS, RUNAWAY AND PRECARIOUSLY HOUSED YOUTH. IN ADDITION TO ILLNESS AND INJURY, THESE YOUNG PEOPLE ARE AT RISK FOR SUBSTANCE ABUSE, PREGNANCY, PHYSICAL AND EMOTIONAL ABUSE AND SEXUALLY TRANSMITTED INFECTIONS. IN FY 2012, THE PROGRAM SERVED 1,659 HOMELESS YOUTH, MANY OF WHOM HAD NO OTHER ACCESS TO CARE. TO MAXIMIZE ACCESS TO CARE, THE PROGRAM HAS A MOBILE HEALTH TEAM THAT PROVIDES BASIC MEDICAL SCREENINGS AT DROP-IN CENTERS AND SHELTERS FOR RUNAWAY AND HOMELESS YOUTH.--PROJECT NATEEN IS A PROGRAM OF THE DIVISION OF ADOLESCENT MEDICINE AT CHILDREN'S HOSPITAL LOS ANGELES THAT SUPPORTS PREGNANT OR PARENTING TEENS IN OUR COMMUNITY WITH A FULL SPECTRUM OF CULTURALLY SENSITIVE AND COMPREHENSIVE CASE MANAGEMENT SERVICES. IN FY 2012, PROJECT NATEEN PROVIDED COMPREHENSIVE CASE MANAGEMENT SERVICES TO 470 PREGNANT AND/OR PARENTING ADOLESCENTS AND PROVIDED EMERGENCY FOOD SERVICES TO 2,594 INDIVIDUALS IN OUR COMMUNITY.--THE OFFICE OF COMMUNITY AFFAIRS WORKS CLOSELY WITH LOCAL SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY LEADERS, FAITH-BASED ORGANIZATIONS AND CIVIC GROUPS TO IDENTIFY THE PRIMARY ISSUES THAT IMPACT THE WELL-BEING OF CHILDREN AND YOUTH. HEALTH ISSUES ADDRESSED THROUGH OUTREACH AND EDUCATION INCLUDE ACCESS TO HEALTH CARE, IMMUNIZATIONS, CHILD PASSENGER SAFETY, HEALTHY EATING AND EXERCISE, POISON PREVENTION, PREMATURITY AWARENESS, PREVENTION OF COMMON ILLNESSES SUCH AS PERTUSSIS AND THE PROMOTION OF CRITICAL HOSPITAL SERVICES FOR THE UNDERSERVED. IN FY 2012, THE OFFICE OF COMMUNITY AFFAIRS AND OTHER CHILDREN'S HOSPITAL LOS ANGELES DEPARTMENTS REACHED MORE THAN 70,900 CHILDREN AND FAMILIES BY PARTICIPATING IN MORE THAN 90 COMMUNITY-ORGANIZED EVENTS.-- THE COMMUNITY-BASED RESEARCH FOR ASTHMA PREVENTION AND MANAGEMENT STUDY IS A COLLABORATIVE PROJECT LED BY THREE ORGANIZATIONS: THE SOUTHERN CALIFORNIA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (SC CTSI) AT USC AND CHILDREN'S HOSPITAL LOS ANGELES, BREATHE CALIFORNIA OF LOS ANGELES COUNTY (BREATHE LA) AND COPE HEALTH SOLUTIONS. AS A RESULT OF THIS PROJECT, PARENTS AND OTHER COMMUNITY MEMBERS NOW HAVE ACCESS TO THE "MY ASTHMA BOOKLET". THIS EDUCATIONAL ACTIVITY BOOKLET IS A HANDY RESOURCE FOR PARENTS AND CAREGIVERS LOOKING TO BETTER UNDERSTAND AND MANAGE THEIR CHILD'S ASTHMA.-- TO BETTER UNDERSTAND THE ROLE OF FARMERS MARKETS IN LOW-INCOME URBAN AREAS OF OUR COMMUNITY, OUR HOSPITAL'S COMMUNITY, HEALTH OUTCOMES AND INTERVENTION RESEARCH PROGRAM (CHOIR), IN PARTNERSHIP WITH USC, LED A TWO-YEAR PROJECT STUDYING FARMERS MARKET CONSUMERS IN THE EAST AND SOUTH LOS ANGELES AREAS. PRIOR TO THE OPENING OF THE EAST LOS ANGELES FARMERS MARKET AND WATTS HEALTHY FARMERS MARKET, THE CLOSEST FARMERS MARKET WAS FIVE MILES FROM EAST LA AND 13 MILES OUTSIDE OF SOUTH LA. THIS EFFORT ENABLED THE ABILITY TO ASSESS MARKET UTILIZATION AND CONSUMER SATISFACTION OF EACH MARKET AS A MEANS TO REPORT OUTCOMES BACK TO THE COMMUNITY AND IMPROVE THE DELIVERY OF SERVICE.--IN PARTNERSHIP WITH KOHL'S CARES, THE INJURY PREVENTION PROGRAM AT CHILDREN'S HOSPITAL HAS BEEN RAISING AWARENESS OF PREVENTABLE INJURIES FOR NEARLY NINE YEARS. THE PROGRAM OFFERS AN ARRAY OF SAFETY SERVICES AND RESOURCES FOR FAMILIES IN OUR COMMUNITY, INCLUDING FREE CAR SEATS AND CHILD PASSENGER SAFETY CLASSES. IN FY 2012, THIS PROGRAM REPLACED 143 CAR SEATS, PROVIDED MORE THAN 800 CAR SEAT INSPECTIONS AND INSTALLATIONS AND REACHED 92,213 PEOPLE THROUGH CHILD PASSENGER SAFETY EDUCATION AND COMMUNITY OUTREACH.CHILDREN'S HOSPITAL'S INJURY PREVENTION PROGRAM ALSO HAS LAUNCHED A FAITH-BASED INITIATIVE, WORKING CLOSELY WITH FAITH-BASED ORGANIZATIONS TO PROVIDE EDUCATION AND RESOURCES AND, MOST IMPORTANTLY, BUILD CAPACITY AND IMPLEMENT INJURY PREVENTION CHAMPIONS IN THEIR COMMUNITIES. IN ADDITION, THE PROGRAM PROVIDES A VENUE FOR FAMILIES IN OUR COMMUNITY TO RECYCLE EXPIRED, RECALLED OR DAMAGED CAR SEATS. CHILDREN'S HOSPITAL SERVES AS THE ONLY SUCH LOCATION IN THE CITY OF LOS ANGELES, AND IS ONE OF ONLY TWO IN THE COUNTY.
PART VI, LINE 6: CHILDREN'S HOSPITAL LOS ANGELES IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
CAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FOUNDATION AND TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11215 K STREET SUITE 800AddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95814ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient941498687EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant10575398AmountOfCashGrant
Purpose Of GrantSUPPORT CHARITABLE ACTIVITIES AT HOSPITALS & HEALTH SYSTEMS IN CALIFORNIAPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS WILL ONLY BE MADE TO 501(C)(3) ORGANIZATIONS TO ENSURE THE FUNDS WILL BE USED PROPERLY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD CORDOVA
63833500013554607350045483082671401028630
MARY DEE HACKER
2335740638220129861047913030329050549901032390
HENRI FORD
60300000012140600000724406000
STUART SIEGEL
400928000000000400928000
BRENT POLK
562493000000000562493000
DIEMLAN LANNIE TONNU
36730909203207541907303502470106324960432690
LAWRENCE FOUST
32435108754706176507099802101905656800452650
RODNEY HANNERS
3781790950010344850658300380090611504000
CLAUDIA LOONEY
29849007635209933005867402862105614670828300
GAIL MARGOLIS
2415560572830165000540020107890380130000
KEITH HOBBS
22925105689103937903876702102203853100303560
STEVE GARSKE
2739860701130209710528600631304242430178610
HUGO SANTOS
20710005875004341203910602664203750100269120
DEANN MARSHALL
2718660001088530544090216140456742000
ROBERT ADLER
230802000000000230802000
ROBERT KAY
172450000000000172450000
ROBERTA WILLIAMS
226460000000000226460000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AHENRI FORD RECEIVED A HOUSING ALLOWANCE OF $121,406 IN CALENDAR YEAR 2011, WHICH WAS TREATED AS TAXABLE COMPENSATION. RICHARD CORDOVA HAS A DISCRETIONARY SPENDING ACCOUNT OF $36,000 FOR CALENDAR YEAR 2011. THIS ACCOUNT IS TO BE USED FOR CHLA BUSINESS ACTIVITIES IN HIS ROLE AS CEO. THIS AMOUNT WAS REPORTED AS TAXABLE INCOME ON HIS FORM W-2.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN CHLA'S 457(F) PLAN, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED UNDER SECTION 457(F) PLAN ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WILL BE REPORTED AS COMPENSATION FOR THE YEAR PAID. AMOUNTS RECOGNIZED AS TAXABLE COMPENSATION ON THE EMPLOYEE'S 2011 FORM W-2 REFLECT PAYMENTS RECEIVED BY THE EMPLOYEE DURING CALENDAR YEAR 2011 THAT WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEAR FORM 990S: RICHARD CORDOVA - $102,863 DIEMLAN (LANNIE) TONNU - $43,269 CLAUDIA LOONEY - $82,830 LAWRENCE FOUST - $45,265 KEITH HOBBS - $30,356 HUGO SANTOS - $26,912 STEVE GARSKE - $17,861 MARY DEE HACKER - $103,239
PART I, LINE 7CHLA MAINTAINS AN EXECUTIVE BONUS PROGRAM THAT AWARDS INCENTIVE COMPENSATION BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING HEALTH OUTCOMES, QUALITY IMPROVEMENT, LEVEL OF COMMUNITY BENEFIT PROVIDED AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE COMPENSATION COMMITTEE. ALTHOUGH THE AMOUNT OF BONUS INCENTIVES THAT EACH EMPLOYEE MAY BE GRANTED IS BASED ON A FIXED FORMULA, THE COMPENSATION COMMITTEE HAS THE DISCRETION TO DETERMINE THE EXTENT OF THE GOALS THAT HAVE BEEN MET BY EACH EMPLOYEE. PART VII, LINE 5: PURSUANT TO THE AFFILIATE AGREEMENT WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA ("USC"), AN UNRELATED ORGANIZATION, THE FOLLOWING COMPENSATION AMOUNTS WERE PAID TO THE FOLLOWING INDIVIDUALS. USC WAS SUBSEQUENTLY REIMBURSED BY CHLA FOR THE AMOUNTS: ROBERT ADLER, M.D. - $230,802 HENRI FORD, M.D. - $603,000 ROBERT KAY, M.D. - $157,450 STUART E. SIEGEL, M.D. - $400,928 ROBERTA G. WILLIAMS, M.D. - $226,460 BRENT POLK, M.D. - $562,493 IN ADDITION TO HER FUNDRAISING ACTIVITIES, BONNIE MCCLURE ALSO ADMINISTERS THE HOSPITAL'S PHOTOGRAPHIC AND MEMORABILIA ARCHIVES AND ADMINISTERS THE TOUR DOCENT PROGRAM. SHE WAS COMPENSATED $64,000 FOR HER SERVICES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
680164610130795CQ82007-04-24170792342FINANCED THE COSTS OF MAJOR EXPANSION AND MODERNIZATION OF THE HOSPITAL000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
680164610NONEAVAIL2009-12-1829865000REFUND BONDS ISSUED 07/24/2008000
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52164382813033LHC42010-05-20186024080REFUND BONDS ISSUED 05/26/99, 09/08/2004 AND 07/24/2008000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancement
1707923421500000930122515999111720090011
2986500020101011
1860240802644798201110115213423

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001000.008000.008001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
GOLDMAN SACHS & CO
0010.100000000000011AIG MATCHED FUNDING1.400000000000101
(no name)
010001
(no name)
010001
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K SUPPLENTAL INFORMATIONIdentifier
ExplanationPART III, LINE 3B AND 3D: WHILE CHLA DOES NOT ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY CONTRACTS OR AGREEMENTS RELATING TO TAX-EXEMPT BOND-FINANCED PROPERTY, CHLA UTILIZES ITS FULL-TIME IN-HOUSE LEGAL DEPARTMENT TO REVIEW ANY SUCH CONTRACTS. CHLA'S GENERAL COUNSEL'S OFFICE HAS DEVELOPED INTERNAL PROCEDURES FOR REVIEWING CONTRACTS RELATING TO TAX-EXEMPT BOND-FINANCED PROPERTIES TO ENSURE COMPLIANCE WITH PROPER SAFE HARBORS. PART IV, LINE 4C, COLUMN A: THERE WERE TWO CONTRACTS WITH THE PROVIDER, ONE WITH A TERM OF 1.3 YEARS, THE OTHER WITH A TERM OF 2.3 YEARS.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonHENRI FORDNamePerson
Purpose Of LoanHOUSING ASSISTANCEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$237,495OriginalPrincipalAmount
Balance Due67723BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due67723TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (12 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MR WILLIAM H HURT TRUSTEE
CHAIRMAN OF CAPITAL STRATEGY RESEARCH, INC. (AN AFFILIATE OF CGT)192433PAYMENT FOR INVESTMENT SERVICES TO THE HOSPITAL.0
MR ALAN PURWIN TRUSTEE
PRESIDENT OF HELINET AVIATION259564PROVIDES HELICOPTER TRANSPORTATION SERVICES FOR HOSPITAL PATIENTS.0
MR ALEX CHAVES SR TRUSTEE
OWNER OF PARKING COMPANY OF AMERICA2767470PROVIDES PARKING SERVICES FOR THE HOSPITAL.0
THEODORE R SAMUELS TRUSTEE
SR. VP AND DIRECTOR OF CAPITAL GUARDIAN TRUST COMPANY192433PAYMENT FOR INVESTMENT SERVICES TO THE HOSPITAL.0
CARL GRUSHKIN MD TRUSTEE
PRESIDENT FOR CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP ("CHLAMG")8570022CHLAMG IS THE PEDIATRIC FACULTY PHYSICIAN PLAN FOR THE UNIVERSITY OF SOUTHERN CALIFORNIA AT CHLA. PAYMENT IS FOR ADMINISTRATIVE AND COVERAGE SERVICES PROVIDED BY FACULTY PHYSICIANS.0
HENRI R FORD MD TRUSTEE
DIRECTOR FOR CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP ("CHLAMG")8570022CHLAMG IS THE PEDIATRIC FACULTY PHYSICIAN PLAN FOR THE UNIVERSITY OF SOUTHERN CALIFORNIA AT CHLA. PAYMENT IS FOR ADMINISTRATIVE AND COVERAGE SERVICES PROVIDED BY FACULTY PHYSICIANS.0
LISA STEVENS TRUSTEE
EXECUTIVE VP AND REGIONAL PRESIDENT OF WELLS FARGO & CO.299015PAYMENT FOR BANKING SERVICES AS WELL AS REPAYMENT OF HOUSING MORTGAGE.0
J KRISTOFFER POPOVICH TRUSTEE
HIS WIFE IS A TRUSTEE OF UNIVERSITY OF SOUTHERN CALIFORNIA0REIMBURSEMENT OF FACULTY SALARIES TO USC BY CHLA. ZERO AMOUNT REFLECTS REIMBURSEMENT NATURE OF TRANSACTION.0
MEGAN HERNANDEZ TRUSTEE
HUSBAND IS ENRIQUE HERNANDEZ, FOUNDER AND HEAD OF INTER-CON SECURITY SYSTEM2734274PROVIDES PRIVATE SECURITY SERVICES FOR THE HOSPITAL.0
BRENT POLK TRUSTEE
DIRECTOR FOR CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP ("CHLAMG")8570022CHLAMG IS THE PEDIATRIC FACULTY PHYSICIAN PLAN FOR THE UNIVERSITY OF SOUTHERN CALIFORNIA AT CHLA. PAYMENT IS FOR ADMINISTRATIVE AND COVERAGE SERVICES PROVIDED BY FACULTY PHYSICIANS.0
ROBERT ADLER FORMER TRUSTEE
DIRECTOR FOR CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP ("CHLAMG")8570022CHLAMG IS THE PEDIATRIC FACULTY PHYSICIAN PLAN FOR THE UNIVERSITY OF SOUTHERN CALIFORNIA AT CHLA. PAYMENT IS FOR ADMINISTRATIVE AND COVERAGE SERVICES PROVIDED BY FACULTY PHYSICIANS.0
CARMEN PULIAFITO TRUSTEE
DEAN OF USC AND DIRECTOR FOR CHLA MEDICAL GROUP ("CHLAMG")8570022CHLAMG IS THE PEDIATRIC FACULTY PHYSICIAN PLAN FOR THE UNIVERSITY OF SOUTHERN CALIFORNIA AT CHLA. PAYMENT IS FOR ADMINISTRATIVE AND COVERAGE SERVICES PROVIDED BY FACULTY PHYSICIANS. ALSO, INCLUDES THE REIMBURSEMENT OF FACULTY SALARIES TO USC BY CHLA.0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions28NumberOfContributions
Noncash Contribs Rptd F990737864NoncashContribsRptdF990
Method Of Determining RevenuesCOST OR SELLING PRICEMethodOfDeterminingRevenues

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99099700NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISED FMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionDODGER TICKETSDescription
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9901852NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received2NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationTHE HOSPITAL USES BROKERAGE HOUSES TO SELL NON-CASH CONTRIBUTIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF ONLY ACTIVE, VOTING MEMBERS OF THE BOARD OF TRUSTEES AND IS COMPOSED OF THE CO-CHAIRPERSONS OF THE BOARD; THE VICE CHAIRPERSONS OF THE BOARD; THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE HOSPITAL; THE CHAIRPERSONS OF THE BOARD'S FINANCE; AUDIT; SAFETY, QUALITY AND SERVICE; COMPENSATION; GOVERNMENT RELATIONS; INVESTMENT; GOVERNANCE; NOMINATING; AND RESEARCH INSTITUTE COMMITTEES AND SEVERAL OTHER TRUSTEES ELECTED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE MAY ACT WITH THE FULL AUTHORITY OF THE BOARD OF TRUSTEES EXCEPT ON THOSE MATTERS THAT ARE REQUIRED BY LAW OR THE BYLAWS TO BE DECIDED BY THE FULL BOARD OF TRUSTEES. ALL ACTIONS OF THE EXECUTIVE COMMITTEE ARE REFLECTED IN MINUTES OF THE COMMITTEE, CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO BOTH THE EXECUTIVE COMMITTEE AND THE FULL BOARD OF TRUSTEES AT THEIR NEXT MEETINGS.
FORM 990, PART VI, SECTION A, LINE 21. ALAN WILSON (TRUSTEE) - BUSINESS RELATIONSHIPS AMONG THEODORE SAMUELS (TRUSTEE), BILL HURT (TRUSTEE) AND JAMES TERRILE (TRUSTEE) 2. SUSAN MALLORY (TRUSTEE) - BUSINESS RELATIONSHIPS AMONG MARION ANDERSON (TRUSTEE), ESTHER WACHTELL (TRUSTEE) AND MARCIA HOBBS (TRUSTEE) 3. ELIZABETH LOWE (TRUSTEE) - BUSINESS RELATIONSHIPS AMONG THEODORE SAMUELS (TRUSTEE), JAMES TERRILE (TRUSTEE), ALAN WILSON (TRUSTEE) AND BILL HURT (TRUSTEE) 4. FRANCINE KAUFMAN, MD (TRUSTEE) - BUSINESS RELATIONSHIP WITH CATHY WEISS (TRUSTEE)
FORM 990, PART VI, SECTION A, LINE 4THERE WERE 47 CHANGES TO THE BYLAWS AND THE FOLLOWING WERE DEEMED TO BE THE MORE SIGNIFICANT CHANGES: - REPLACE SPECIFIC PURPOSE WITH GENERIC PURPOSE IN ORDER TO ALLOW PERIODIC CHANGES IN MISSION AND VISION STATEMENTS WITHOUT THE NEED TO AMEND THE BYLAWS. - FIX MAXIMUM NUMBER OF TERMS FOR ELECTED TRUSTEES AT FIVE. NO "SPECIAL CIRCUMSTANCES" PROVISION THAT WILL ALLOW AN ELECTED TRUSTEE TO CONTINUE PAST FIVE TERMS. - SPECIFY THAT BEFORE ONE CAN BECOME AN ELECTED TRUSTEE, ONE MUST BE NOMINATED. - REDUCE THE MINIMUM NUMBER OF TRUSTEES TO 45 FROM 60. THE MAXIMUM NUMBER OF TRUSTEES WILL REMAIN AT 90. - REDUCE THE VOTE REQUIRED FOR REMOVAL OF A TRUSTEE FROM TWO-THIRDS OF THE THEN NUMBER OF ACTIVE TRUSTEES TO A SIMPLE MAJORITY OF THE THEN ACTIVE TRUSTEES. - ALLOW UNANIMOUS WRITTEN CONSENTS OF THE TRUSTEES TO BE BY COUNTERPARTS. - SPECIFY THAT EITHER THE BOARD CHAIRS OR THE BOARD MAY CREATE STANDING OR SPECIAL COMMITTEES, BUT ONLY THE BOARD CAN GRANT TO ANY COMMITTEE ANY AUTHORITY OF THE BOARD. - REVISION TO REFLECT STATE LAW BY STATING THAT THE VOTING MEMBERS OF ANY COMMITTEE THAT IS TO BE GRANTED AUTHORITY OF THE BOARD MUST BE COMPOSED ONLY OF ACTIVE TRUSTEES. - THE BOARD CHAIRS APPOINT VOTING MEMBERS OF ALL STANDING AND SPECIAL COMMITTEES THAT HOLD AUTHORITY OF THE BOARD, SUBJECT TO THE ADVICE AND CONSENT OF THE BOARD. THE BOARD CHAIRS MUST ALSO SEEK THE ADVICE AND CONSENT OF THE BOARD TO APPOINT CHAIRS OF STANDING AND SPECIAL COMMITTEES THAT HOLD ANY AUTHORITY OF THE BOARD. - THE CURRENT BYLAWS CALL FOR TWO YEAR TERMS FOR COMMITTEE CHAIRS, BUT THE PRACTICE HAS FAVORED ONE YEAR APPOINTMENTS. ADOPT A FLEXIBLE ONE TO TWO YEAR TERM. ESTABLISH TERM LIMIT OF A SINGLE, CONSECUTIVE TERM, BUT CHAIRS MAY SERVE CONSECUTIVE TERMS AS THE CHAIR OF DIFFERENT COMMITTEES AND MAY ALSO SERVE MULTIPLE TERMS AS THE CHAIR OF THE SAME COMMITTEE SO LONG AS THERE IS AN INTERVENING TERM OF ANOTHER PERSON AS CHAIR. VICE CHAIRS ARE OPTIONAL. IF CHOSEN, THEY ARE SUBJECT TO SAME SELECTION RULES AS COMMITTEE CHAIRS. THEY ARE NOT, HOWEVER, SUBJECT TO TERM LIMITS AS COMMITTEE CHAIRS ARE. - OVER TIME THE CHARTERS ADOPTED BY THE STANDING COMMITTEES HAVE DIVERGED FROM THE DESCRIPTIONS OF THE STANDING COMMITTEES CONTAINED IN THE BYLAWS. THIS PROVISION (1) LISTS THE STANDING COMMITTEES, (2) SETS FORTH ANY MANDATORY STATE LAW PROVISIONS (E.G., CALIFORNIA STATUTORY REQUIREMENTS RELATING TO THE AUDIT AND FINANCE COMMITTEES (GOVT CODE 12596(E)) AND THE COMPENSATION COMMITTEE (GOVT CODE 12596(G)), AND (3) PROVIDES FOR AN ANNUAL BOARD PROCESS OF REVIEW AND APPROVING EACH COMMITTEE'S JURISDICTION AND AUTHORITY TO BE SET FORTH IN THE COMMITTEE'S CHARTER. - ELIMINATE THE POSITION OF VICE CHAIR OF THE BOARD. - ELIMINATE THE POSSIBILITY THAT THERE CAN BE A SINGLE CHAIR. FIRMLY ESTABLISH THE CONCEPT OF CO-CHAIRS. - ESTABLISH A TERM OF TWO YEARS FOR THE CO-CHAIRS WITH THE POSSIBILITY OF A ONE YEAR SECOND TERM. NO 'SPECIAL CIRCUMSTANCES' TO EXTEND TERM. - REPLACE VESTIGIAL BOILERPLATE THAT IS NO LONGER RELEVANT IN CORPORATE BYLAWS WITH PROVISIONS REGARDING CONFLICTS OF INTEREST INVOLVING TRUSTEES AND LOANS TO OFFICERS (CORP CODE 5236(A)). - MAINTENANCE OF REPORTS AND RECORD - CURRENT PROVISION MADE MORE ROBUST BY PARROTING STATE LAW. CORP CODE 6320. - ANNUAL REPORT - CURRENT PROVISION MADE MORE ROBUST BY PARROTING STATE LAW. CORP CODE 6321. - INSPECTION RIGHTS - CURRENT PROVISION MADE MORE ROBUST BY PARROTING STATE LAW. CORP CODE 6311,6312,6334. - VARIOUS PROVISIONS UPDATED TO MORE CLOSELY RESEMBLE CURRENT STATE LAW.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY DELOITTE TAX LLP, WORKING IN CONJUNCTION WITH CHLA'S FINANCE DEPARTMENT. CHLA'S DIRECTOR OF ACCOUNTING HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE CHIEF FINANCIAL OFFICER. AFTER AN INITIAL DRAFT OF THE FORM 990 IS PREPARED, IT IS CIRCULATED FOR REVIEW AND COMMENT BY RELEVANT MEMBERS OF THE EXECUTIVE TEAM WHO HAVE RESPONSIBILITY AND/OR KNOWLEDGE ABOUT THE VARIOUS MATTERS DISCLOSED AND/OR DESCRIBED IN THE FORM. THE CHIEF FINANCIAL OFFICER AND GENERAL COUNSEL, IN PARTICULAR, REVIEW THE FORM 990 AND ENSURE ACCURACY OF DESCRIPTIONS AND THAT DISCLOSURE IS COMPLETE. THE DRAFT FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF CHLA, ACTING ON BEHALF OF THE BOARD OF TRUSTEES OF CHLA. ONCE THE DRAFT FORM 990 HAS BEEN REVIEWED AND DISCUSSED BY THE AUDIT COMMITTEE, ANY CHANGES RESULTING FROM THEIR REVIEW IS INCORPORATED INTO THE FINAL DRAFT OF THE FORM 990. THE FINAL DRAFT OF THE FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF TRUSTEES VIA A SECURE WEB SITE FOR THEIR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CCHLA REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CIRCULATION OF A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REQUIRED TO BE ANSWERED BY ALL OFFICERS AND MEMBERS OF THE BOARD OF TRUSTEES, AS WELL AS CERTAIN KEY EMPLOYEES THAT ARE DESIGNATED ANNUALLY BY THE GOVERNANCE COMMITTEE. THESE ANNUAL DISCLOSURES ARE REVIEWED BY A COMBINATION OF CHLA'S GENERAL COUNSEL, COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, GOVERNANCE COMMITTEE OF THE BOARD AND THE FULL BOARD OF TRUSTEES, DEPENDING ON THE INDIVIDUAL MAKING THE DISCLOSURE. ADDITIONALLY, THE LEGAL DEPARTMENT OF CHLA REVIEWS CONTRACTUAL RELATIONSHIPS ENTERED INTO BY CHLA. FURTHERMORE, BOARD MEMBERS AND OFFICERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON A CONTINUOUS BASIS THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT EXISTS, THE BOARD OR COMMITTEE DETERMINES WHETHER THE BOARD MEMBER OR OFFICER SHOULD BE EXCLUDED FROM VOTING ON THAT PARTICULAR MATTER.
FORM 990, PART VI, SECTION B, LINE 1515. A. THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF CHLA IS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF CHLA, ACTING ON BEHALF OF THE BOARD OF TRUSTEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE REPORTED ITS DELIBERATIONS AND DECISIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. IN DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION DURING THE TAX PERIOD OF THIS INFORMATION RETURN THE COMPENSATION COMMITTEE WORKED WITH AND RELIED UPON THE COUNSEL AND EXPERTISE OF MERCER CONSULTING, A FIRM WITH EXPERIENCE AND EXPERTISE IN THE AREA OF NON-PROFIT ORGANIZATION EXECUTIVE COMPENSATION. MERCER CONSULTING PROVIDED REPORTS TO THE COMPENSATION COMMITTEE, WHICH FURNISHED THE BASIS FOR THE ESTABLISHMENT OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE. THEIR REPORTS WERE BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS THAT ARE CONSIDERED COMPARABLE TO CHLA BASED ON VARIOUS METRICS SUCH AS HOSPITAL TYPE AND REVENUE. THE COMPENSATION COMMITTEE DELIBERATED ON THE ISSUE OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE IN LIGHT OF THESE REPORTS AND QUESTIONS WERE ASKED OF, AND ANSWERED BY, MERCER REGARDING SUCH REPORTS AND OTHER RELEVANT MATTERS. BASED ON SUCH DELIBERATIONS, THE COMPENSATION COMMITTEE NEGOTIATED A WRITTEN CONTRACT WITH THE CEO. 15. B. THE PROCESS FOR DETERMINING THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES OF CHLA IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT OF CHLA, AND THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF CHLA, ACTING ON BEHALF OF THE BOARD OF TRUSTEES OF THE ORGANIZATION. IN DETERMINING SUCH EMPLOYEE'S COMPENSATION, DURING THE 2011 COMPENSATION SEASON THE HUMAN RESOURCES DEPARTMENT AND COMPENSATION COMMITTEE WORKED WITH AND RELIED UPON THE COUNSEL AND EXPERTISE OF MERCER CONSULTING, A FIRM WITH EXPERIENCE AND EXPERTISE IN THE AREA OF NON-PROFIT ORGANIZATION EXECUTIVE COMPENSATION. MERCER PROVIDED AN EXECUTIVE COMPENSATION REPORT TO THE HUMAN RESOURCES DEPARTMENT AND COMPENSATION COMMITTEE WHICH FURNISHED THE BASIS FOR THE ESTABLISHMENT OF SUCH EMPLOYEES' COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. MERCER'S REPORT WAS BASED ON A REVIEW OF EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS THAT ARE CONSIDERED COMPARABLE TO CHLA BASED ON VARIOUS METRICS SUCH AS HOSPITAL TYPE AND REVENUE. IN ADDITION, THE CHIEF EXECUTIVE OFFICER MADE A RECOMMENDATION TO THE COMPENSATION COMMITTEE WITH RESPECT TO EACH OF SUCH EMPLOYEES' COMPENSATION PACKAGE IN LIGHT OF THE MERCER REPORT AND IN LIGHT OF THE EXECUTIVE'S PERFORMANCE. AT THE COMPENSATION COMMITTEE MEETING ADDRESSING SUCH MATTERS, QUESTIONS WERE ASKED OF, AND ANSWERED BY, MERCER REGARDING SUCH REPORT AND OTHER RELEVANT MATTERS. BASED ON SUCH DELIBERATIONS, THE COMPENSATION COMMITTEE MADE A DECISION REGARDING THE COMPENSATION PACKAGE FOR SUCH EMPLOYEES FOR THE FOLLOWING YEAR.
FORM 990, PART VI, SECTION C, LINE 19CHLA DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. CHLA'S FINANCIAL STATEMENTS ARE CONTAINED IN ITS FORM 990, WHICH IS AVAILABLE FOR PUBLIC INSPECTION DURING BUSINESS HOURS.
PART VII, COLUMN B:THE HOURS REPORTED FOR EACH OF THE FACULTY PHYSICIANS RELATE TO THEIR TOTAL COMPENSATION FROM ALL SOURCES AS REPORTED IN COLUMN D OF PART VII.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -16,954,335. FEMA GRANTS 9,982,917. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -280,933. CHANGE IN SWAP MARK TO MARKET -8,810,585. OTHER TRANSFERS -4,730,841. INVESTMENT IN DISREGARDED ENTITY 163,560. TOTAL TO FORM 990, PART XI, LINE 5: -20,630,217.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE H, PART VI:OTHER INFORMATION: LETTER FROM RICHARD CORDOVA, CEO, ON COMMUNITY BENEFIT AT CHILDREN'S HOSPITAL LOS ANGELES: "WE ACHIEVE OUR BEST TOGETHER," IS ONE OF OUR MOST IMPORTANT ORGANIZATIONAL VALUES. THIS IS BORNE OUT OF THE FACT THAT COLLABORATION IS ESSENTIAL TO EVERYTHING WE DO AT CHILDREN'S HOSPITAL LOS ANGELES. IT'S WHAT ENABLES US TO FULFILL OUR MISSION OF CREATING HOPE AND BUILDING HEALTHIER FUTURES FOR THE PATIENTS AND FAMILIES WE SERVE. INSIDE OUR HOSPITAL, COLLABORATION BETWEEN OUR DOCTORS, NURSES AND STAFF IS THE REASON WE ARE RANKED FIFTH IN THE NATION ON THE PRESTIGIOUS U.S. NEWS & WORLD REPORT HONOR ROLL, AND WHY WE RECENTLY EARNED THE TOP HOSPITAL DESIGNATION FROM THE LEAPFROG GROUP-AN HONOR WE HAVE EARNED FOUR YEARS RUNNING. OUTSIDE OUR HOSPITAL, OUR SPIRIT OF COLLABORATION CAN BE SEEN IN THE PROGRAMS AND INITIATIVES HIGHLIGHTED IN THIS REPORT. THE PARTNERSHIPS WE ENJOY WITH ORGANIZATIONS THROUGHOUT THE DIVERSE COMMUNITIES WE SERVE ALLOW US TO POSITIVELY IMPACT THE LIVES OF CHILDREN WELL BEYOND THE WALLS OF OUR HOSPITAL. I BELIEVE OUR COLLABORATIVE PARTNERSHIPS ARE KEY TO OUR CONTINUED GROWTH AND SUCCESS. AS THE HEALTH CARE INDUSTRY EVOLVES AND WE PREPARE FOR THE COMING REFORMS, WE WILL BE CHALLENGED TO INNOVATE AND DEVELOP NEW WAYS OF DELIVERING WORLD-CLASS CARE. AND WE ARE COMMITTED TO WORKING WITH ONE ANOTHER AND OUR STRATEGIC COMMUNITY PARTNERS TO TAKE FULL ADVANTAGE OF THE OPPORTUNITIES PRESENTED TO US. TO THAT END, I LOOK FORWARD TO GROWING NEW PARTNERSHIPS TO EXPAND OUR REACH WHILE WE ALSO WORK TO STRENGTHEN EXISTING RELATIONSHIPS, ALLOWING US TO POSITIVELY AFFECT THE LIVES OF EVEN MORE CHILDREN AND FAMILIES. THE HOPE AND HEALTHIER FUTURES WE CREATE FOR THE CHILDREN WE SERVE DEPENDS ON ALL OF US WORKING TOGETHER TO ENSURE THE BEST POSSIBLE OUTCOME. FORTUNATELY, THANKS TO OUR COLLECTIVE COMMITMENT TO COLLABORATION, WE ARE BETTER POSITIONED THAN EVER BEFORE TO DELIVER ON OUR MISSION OF CARE IN OUR COMMUNITY AND BEYOND. RICHARD D. CORDOVA, FACHE PRESIDENT AND CHIEF EXECUTIVE OFFICER CHILDREN'S HOSPITAL LOS ANGELES OUR HISTORY FOUNDED IN 1901, CHILDREN'S HOSPITAL LOS ANGELES IS THE OLDEST FREESTANDING PEDIATRIC HOSPITAL IN CALIFORNIA. WITH MORE THAN 110 YEARS OF EXPERIENCE, WE LOOK FORWARD TO PROVIDING OUR PATIENTS WITH ANOTHER CENTURY OF CARE. CHILDREN'S HOSPITAL LOS ANGELES IS ONE OF THE NATION'S LEADING CHILDREN'S HOSPITALS AND ACKNOWLEDGED WORLDWIDE FOR ITS LEADERSHIP IN PEDIATRIC AND ADOLESCENT HEALTH. CHILDREN'S HOSPITAL LOS ANGELES IS ONE OF ONLY 11 CHILDREN'S HOSPITALS IN THE NATION, AND THE ONLY ONE IN CALIFORNIA, RANKED IN ALL 10 PEDIATRIC SPECIALTIES IN THE U.S. NEWS & WORLD REPORT RANKINGS AND NAMED TO THE MAGAZINE'S HONOR ROLL OF CHILDREN'S HOSPITALS. THE MARION AND JOHN E. ANDERSON PAVILION CHILDREN'S HOSPITAL LOS ANGELES PROVIDES INPATIENT CARE FOR CHILDREN IN THE MARION AND JOHN E. ANDERSON PAVILION. NAMED FOR GENEROUS BENEFACTOR AND HOSPITAL BOARD CO-CHAIR, MARION ANDERSON, AND HER HUSBAND, JOHN, THIS NEW BUILDING IS A PREMIERE HEALTH CARE SETTING FOR THE CARE OF CHILDREN. OPENED IN JULY 2011, THIS HOSPITAL BUILDING IS ALLOWING US TO TRANSFORM THE PRACTICE OF PEDIATRIC MEDICINE, BENEFITING OUR PATIENTS, FAMILIES AND HOSPITAL CAREGIVERS FOR GENERATIONS TO COME. CHILDREN'S HOSPITAL EXPANDS OUTPATIENT SERVICES IN THE COMMUNITY - VALENCIA, SOUTH BAY AND ARCADIA VALENCIA CHILDREN'S HOSPITAL LOS ANGELES - VALENCIA OPENED IN THE SANTA CLARITA VALLEY IN JULY 2012. THE CENTER OFFERS BOARD-CERTIFIED AND BOARD-ELIGIBLE PEDIATRIC SPECIALISTS FOR INITIAL EVALUATION AND FOLLOW-UP CARE IN ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY-ONCOLOGY, IMAGING AND LABORATORY SERVICES, NEUROLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PEDIATRIC SURGERY, PLASTIC AND MAXILLOFACIAL SURGERY, PULMONOLOGY AND UROLOGY. SOUTH BAY CHILDREN'S HOSPITAL LOS ANGELES - SOUTH BAY OPENED IN FEBRUARY 2013. LOCATED IN TORRANCE, THE SAME BOARD-CERTIFIED AND BOARD-ELIGIBLE SPECIALISTS PROVIDING CARE AT CHILDREN'S HOSPITAL WILL BE OFFERING CONSULTATIONS AND FOLLOW-UP CARE IN CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, NEUROLOGY, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PULMONOLOGY, PLASTIC AND MAXILLOFACIAL SURGERY AND UROLOGY. ARCADIA AT CHILDREN'S HOSPITAL LOS ANGELES OUTPATIENT LOCATION IN ARCADIA, THE LOCATION OFFERS CONVENIENT ACCESS TO A VARIETY OF BOARD-CERTIFIED AND BOARD-ELIGIBLE PEDIATRIC SPECIALISTS FOR INITIAL EVALUATION AND FOLLOW-UP CARE IN ALLERGY AND IMMUNOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY-ONCOLOGY, LABORATORY SERVICES, OPHTHALMOLOGY, OTOLARYNGOLOGY, PEDIATRIC SURGERY, PULMONOLOGY, RADIOLOGY, AND UROLOGY. LOCATED IN MONROVIA, CLOSE TO THE CHILDREN'S HOSPITAL LOS ANGELES - ARCADIA, CHILDREN'S OPTICAL OFFERS ONE-STOP SHOPPING FOR PATIENTS NEEDING PRESCRIPTION EYE GLASSES, CONTACT LENSES, FRAME REPAIRS, ACCESSORIES AND PROTECTIVE EYEWEAR. ALTAMED COMMUNITY HEALTH CLINIC THE ALTAMED COMMUNITY HEALTH CLINIC OF THE DIVISION OF GENERAL PEDIATRICS AT CHILDREN'S HOSPITAL LOS ANGELES SERVES AS A PREVENTIVE AND PRIMARY MEDICAL CARE CENTER FOR CHILDREN AND ADOLESCENTS IN OUR COMMUNITY. ALTAMED IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), WITH EMPHASIS ON DELIVERING HIGH-LEVEL PREVENTIVE AND PRIMARY MEDICAL CARE, MAKES THIS CLINIC AN ESSENTIAL COMMUNITY PARTNER IN PROVIDING FIRST-CLASS MEDICAL CARE FOR FAMILIES IN UNDERSERVED AREAS OF OUR COMMUNITY. SERVICES INCLUDE COMPLETE PHYSICAL EXAMINATIONS AND LABORATORY TESTS, IMMUNIZATIONS, DIAGNOSTIC SERVICES, COUNSELING, DEVELOPMENTAL AND BEHAVIORAL ASSESSMENTS AND INTERVENTION, HEARING AND VISION SCREENINGS AND EDUCATION. THE SABAN RESEARCH INSTITUTE THE SABAN RESEARCH INSTITUTE OF CHILDREN'S HOSPITAL LOS ANGELES IS ONE OF THE FEW FREESTANDING RESEARCH CENTERS IN THE U.S. WHERE SCIENTIFIC INQUIRY AND CLINICAL CARE ARE COMBINED AND DEVOTED EXCLUSIVELY TO CHILDREN. WITH $43.8 MILLION IN TOTAL FUNDING AND $25.5 MILLION IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH (NIH), THE HOSPITAL RANKS EIGHTH AMONG CHILDREN'S HOSPITALS FOR NIH FUNDING. OUR INVESTIGATORS ALSO HOLD FACULTY APPOINTMENTS AT THE KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIA. TOMORROW'S CAREGIVERS AT CHILDREN'S HOSPITAL LOS ANGELES, WE BELIEVE THAT EDUCATION IS AMONG THE GREATEST LEGACIES WE CAN LEAVE FOR FUTURE GENERATIONS, AND THIS COMMITMENT IS EVIDENT IN OUR TEACHING AND TRAINING OF MEDICAL STUDENTS, RESIDENTS AND FELLOWS. OUR FACULTY ANNUALLY TRAINS 500 MEDICAL STUDENTS, 83 FULL-TIME RESIDENTS, THREE CHIEF RESIDENTS AND 107 FELLOWS, WHO COLLECTIVELY REFLECT THE DIVERSITY NOT ONLY OF OUR PATIENT POPULATION, BUT ALSO OF THE LOS ANGELES REGION. FOR THE PAST 13 YEARS, 95 PERCENT OF OUR PEDIATRIC RESIDENCY GRADUATES HAVE PASSED THE AMERICAN BOARD OF PEDIATRICS EXAM ON THE FIRST ATTEMPT-FAR ABOVE THE NATIONAL AVERAGE. OUR COMMITMENT TO QUALITY INPATIENT CARE BEGINS WITH OUR COMMITMENT TO SUPPORTING OUR NURSES' CAREER GOALS AND THE DEVELOPMENT OF FUTURE NURSES. AS A MAGNET HOSPITAL OUR ORGANIZATION HAS BEEN RECOGNIZED FOR QUALITY INPATIENT CARE AS WELL AS EXCELLENCE IN NURSING DEMONSTRATING THAT OUR HOSPITAL UPHOLDS THE TRADITION OF PROFESSIONAL NURSING PRACTICE. THIS PAST YEAR CHILDREN'S HOSPITAL LOS ANGELES SERVED AS A TRAINING SITE FOR MORE THAN 1,000 STUDENT NURSES FROM VARIOUS COMMUNITY COLLEGES AND UNIVERSITIES WITHIN SOUTHERN CALIFORNIA. IN ADDITION, 106 NURSES GRADUATED FROM THE VERSANT RN RESIDENCY IN PEDIATRICS AT CHILDREN'S HOSPITAL - A 22-WEEK PROGRAM PROVIDING NEW NURSING SCHOOL GRADUATES WITH A COMPREHENSIVE CLINICAL AND LEARNING EXPERIENCE TO PREPARE THEM FOR WORK IN AN ACUTE CARE ENVIRONMENT. OPPORTUNITIES FOR YOUNG ADULTS IN OUR COMMUNITY THE YPI WORKFORCE DEVELOPMENT PROGRAM AND ITS PARTNERSHIP WITH CHILDREN'S HOSPITAL PROVIDE INDIVIDUALS WITH WORK READINESS OPPORTUNITIES, INCLUDING A HANDS-ON EXPERIENCE IN A REAL WORK ENVIRONMENT AT THE HOSPITAL. THIS PAST YEAR, 20 UNEMPLOYED MID-CAREER ADULTS FROM OUR UNDERSERVED COMMUNITIES COMPLETED A 160-HOUR HEALTH CAREER INTERNSHIP AT CHILDREN'S HOSPITAL. FOR MORE THAN 10 YEARS, OUR HOSPITAL'S OFFICE OF COMMUNITY AFFAIRS HAS BEEN COLLABORATING WITH LOCAL HIGH SCHOOLS, COLLEGES AND UNIVERSITIES, WORKFORCE INVESTMENT BOARDS (WIBS), YOUTH DEVELOPMENT ORGANIZATIONS AND CITYWIDE INITIATIVES SUCH AS THE MAYOR'S HIRE LA'S YOUTH PROGRAM TO PROVIDE INTERNSHIPS, MENTORSHIP AND WORK EXPERIENCE OPPORTUNITIES FOR YOUNG ADULTS AND UNEMPLOYED INDIVIDUALS IN THE COMMUNITY. THROUGH THESE EFFORTS, INDIVIDUALS GAIN ENTRY-LEVEL WORK EXPERIENCE, LEARN CRITICAL EMPLOYMENT SKILLS AND ARE ENCOURAGED BY OUR MENTOR STAFF TO PURSUE HIGHER EDUCATION. ADDITIONAL INFORMATION ON THE ORGANIZATION'S PROGRAMS IS PROVIDED IN THE COMMUNITY BENEFITS REPORT (WHICH IS AVAILABLE UPON REQUEST).

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHLA HOLDINGS LLC
4650 SUNSET BLVDLOS ANGELESCA900270980273653228INVESTMENT VEHICLECA34463473544CHILDREN'S HOSPITAL OF LOS ANGELES
CHILDREN'S HEALTH SYSTEM OF LOS ANGELES LLC
4650 SUNSET BLVDLOS ANGELESCA90027951690977HEALTHCARE SERVICESCA00CHILDREN'S HOSPITAL OF LOS ANGELES

Form990 Schedule R Part II Form990ScheduleRPartII (35 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
ANCHORS GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118986FUNDRAISINGCA501(C)(3)11DN/A0
ANTELOPE VALLEY GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118987FUNDRAISINGCA501(C)(3)11DN/A0
BEL AIR GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118835FUNDRAISINGCA501(C)(3)11DN/A0
CENTENNIAL GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027141878642FUNDRAISINGCA501(C)(3)11DN/A0
CHILDREN'S CHAIN GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027954559789FUNDRAISINGCA501(C)(3)11DN/A0
DELLA ROBBIA GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118990FUNDRAISINGCA501(C)(3)11DN/A0
DELTA DELTA DELTA FOR CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237294093FUNDRAISINGCA501(C)(3)11DN/A0
EL SEGUNDO AUXILIARY GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118991FUNDRAISINGCA501(C)(3)11DN/A0
FLINTRIDGE GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118993FUNDRAISINGCA501(C)(3)11DN/A0
FOCUS
4650 SUNSET BLVD MS 4LOS ANGELESCA90027800290181FUNDRAISINGCA501(C)(3)11DN/A0
FRIENDS OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027141878647FUNDRAISINGCA501(C)(3)11DN/A0
GLENDALE AUXILIARY OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118994FUNDRAISINGCA501(C)(3)11DN/A0
GREEN HOUSE
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237215226FUNDRAISINGCA501(C)(3)11DN/A0
HEALING ARTS REACHING KIDS (HARK)
4650 SUNSET BLVD MS 4LOS ANGELESCA90027204459362FUNDRAISINGCA501(C)(3)11DN/A0
LA PROVIDENCIA GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956128178FUNDRAISINGCA501(C)(3)11DN/A0
LAS HERMANAS GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956128176FUNDRAISINGCA501(C)(3)11DN/A0
LAS MADRINAS INC
4650 SUNSET BLVD MS 4LOS ANGELESCA90027951959907FUNDRAISINGCA501(C)(3)11DN/A0
LAS PRIMERAS GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121928FUNDRAISINGCA501(C)(3)11DN/A0
MARY DUQUE OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121921FUNDRAISINGCA501(C)(3)11DN/A0
MARY DUQUE JUNIORS OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027953786303FUNDRAISINGCA501(C)(3)11DN/A0
MEN'S GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027260109744FUNDRAISINGCA501(C)(3)11DN/A0
MONROVIA GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121929FUNDRAISINGCA501(C)(3)11DN/A0
NORTHRIDGE GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121930FUNDRAISINGCA501(C)(3)11DN/A0
PASADENA GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121932FUNDRAISINGCA501(C)(3)11DN/A0
PENINSULA COMMITTEE
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237091175FUNDRAISINGCA501(C)(3)11DN/A0
PROJECT CHLA
4650 SUNSET BLVD MS 4LOS ANGELESCA90027954524737FUNDRAISINGCA501(C)(3)11DN/A0
SAN ANTONIO GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121934FUNDRAISINGCA501(C)(3)11DN/A0
SANTA MONICA BAY AUXILIARY OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027237293607FUNDRAISINGCA501(C)(3)11DN/A0
SIERRA GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121935FUNDRAISINGCA501(C)(3)11DN/A0
SOUTH BAY AUXILIARY OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956118996FUNDRAISINGCA501(C)(3)11DN/A0
SPIRITUAL CARE OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027200872821FUNDRAISINGCA501(C)(3)11DN/A0
THIS LITTLE LIGHT OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027954445549FUNDRAISINGCA501(C)(3)11DN/A0
TOLUCA GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956098666FUNDRAISINGCA501(C)(3)11DN/A0
WESTSIDE GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956059321FUNDRAISINGCA501(C)(3)11DN/A0
WHITTIER GUILD OF CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 4LOS ANGELESCA90027956121939FUNDRAISINGCA501(C)(3)11DN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomePercentage OwnershipPercentageOwnershipShare Of EOY AssetsShareOfEOYAssets
CHLA ESBT
4650 SUNSET BOULEVARDLOS ANGELESCA90027203115169INVESTMENTCAT593311.00000
CRUT-12
4650 SUNSET BOULEVARDLOS ANGELESCA90027CHARITABLE TRUSTCAT
CRAT-3
4650 SUNSET BOULEVARDLOS ANGELESCA90027CHARITABLE TRUSTCAT
MMR LIT-1
4650 SUNSET BOULEVARDLOS ANGELESCA90027CHARITABLE TRUSTCAT
GROVER COLLINS INC
4650 SUNSET BOULEVARDLOS ANGELESCA90027951911481PASSIVE INVESTMENTCAC6864621.00000381222
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg