2013-05-15T09:49:29-05:00 2012-06-30 861065772 DELOITTE TAX LLP 655 WEST BROADWAY SUITE 700 SAN DIEGO CA 921018590 990 2011-07-01 951690977 CHILDREN'S HOSPITAL LOS ANGELES CHIL 3236602450 4650 SUNSET BOULEVARD LOS ANGELES CA 900270982 DIEMLAN LANNIE TONNU 3233612235 2013-05-14 1 DIANA J MCCUTCHEN P00545657 6192326500 2011 2016-02-24 21:20:13Z DIEMLAN LANNIE TONNU 4650 SUNSET BOULEVARD LOS ANGELES CA 900270982 1348518828 0 X WWW.CHLA.ORG X 1901 CA PROMOTION AND ADVANCEMENT OF CHILDREN'S HEALTH THROUGH PATIENT CARE, RESEARCH, AND EDUCATION. 72 57 5204 500 46031 0 141949107 104447599 649765160 696881291 18435956 16242271 2656037 4915931 812806260 822487092 0 10575398 0 0 332056464 373063346 322122 321775 13442558 357907394 402043040 690285980 786003559 122520280 36483533 1705734786 1701215324 672273090 651900312 1033461696 1049315012 X THE 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. 0 0 501409592 667762466 MEDICAL 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. 42043811 23233334 GRADUATE MEDICAL EDUCATION PROVIDES TRAINING AND EDUCATION TO MEDICAL STUDENTS IN LOS ANGELES COUNTY WHO, IN TURN, PROVIDE SERVICES TO PATIENTS AT THE HOSPITAL. ALSO, INCLUDES EDUCATION REVENUE FROM THE RESIDENCY AND FELLOWSHIP PROGRAMS AT CHLA. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF TRAINING PHYSICIANS, ALLIED HEALTH PROFESSIONALS, AND OTHER HEALTH CARE WORKERS IN ITS EMERGENCY ROOM, CLINICS, INPATIENT AREAS, AND OTHER PARTS OF ITS FACILITIES. 60761722 5885491 RESEARCH REVENUES FURTHER THE EXEMPT PURPOSE OF CHLA BY PROVIDING THE PATIENTS OF CHLA ACCESS TO NEW TECHNOLOGIES, DISCOVERIES AND MEDICATIONS FOR TREATMENT. RESULTS OF THIS RESEARCH IS DISSEMINATED THROUGH PUBLICATIONS IN SCIENTIFIC JOURNALS AND PRESENTATIONS BY THE PRINCIPAL INVESTIGATORS. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF MEDICAL RESEARCH TAKING PLACE IN ITS FACILITIES. 528961 743472 OTHER PROGRAM SERVICE REVENUES ALSO INCLUDE RESIDENTS HOUSING AND MISCELLANEOUS TUITION AND EDUCATION INCOME. 528961 743472 604744086 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 1 0 0 0 0 1 470 0 1 5204 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 72 57 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LAWRENCE FOUST 3233612425 4650 SUNSET BLVD LOS ANGELES CA 900270980 X RICHARD CORDOVA 40.00 X X 773881 0 52833 MARY DEE HACKER 40.00 X X 427257 0 78242 HENRI FORD 40.00 X X 724406 0 0 STUART SIEGEL 40.00 X 400928 0 0 BRENT POLK 40.00 X X 562493 0 0 BONNIE MCCLURE 30.00 X 64000 0 0 ARNOLD KLEINER 10.00 X 0 0 0 ELIZABETH LOWE 10.00 X 0 0 0 CATHY WEISS 10.00 X 0 0 0 MARION ANDERSON 20.00 X 0 0 0 JOHN JACK PETTKER 20.00 X 0 0 0 THEODORE SAMUELS 10.00 X 0 0 0 BROOKE ANDERSON 2.00 X 0 0 0 ASHWIN ADARKAR 2.00 X 0 0 0 JUNE BANTA 2.00 X 0 0 0 LYNDA BOONE FETTER 10.00 X 0 0 0 ALEX CHAVES SR 2.00 X 0 0 0 MARTHA CORBETT 2.00 X 0 0 0 MARGARET EBERHARDT 2.00 X 0 0 0 RICHARD FARMAN 10.00 X 0 0 0 GREGORY T FORGATCH 2.00 X 0 0 0 PEGGY GALBRAITH 2.00 X 0 0 0 CARL GRUSHKIN 2.00 X 0 0 0 MARY HART 2.00 X 0 0 0 MEGAN M HERNANDEZ 2.00 X 0 0 0 MARCIA WILSON HOBBS 2.00 X 0 0 0 GLORIA HOLDEN 2.00 X 0 0 0 JAMES HUNT 10.00 X 0 0 0 WILLIAM HURT 2.00 X 0 0 0 TODD E MOLZ 2.00 X 0 0 0 SUSAN MALLORY 2.00 X 0 0 0 CAROL MANCINO 2.00 X 0 0 0 ELIZABETH HUNT PRICE 2.00 X 0 0 0 ALEX MENESES 2.00 X 0 0 0 CARYLL SPRAGUE MINGST 2.00 X 0 0 0 MARY ADAMS O'CONNELL 2.00 X 0 0 0 CHESTER CHET PIPKIN 2.00 X 0 0 0 J KRISTOFFER POPOVICH 2.00 X 0 0 0 RONALD PREISSMAN 2.00 X 0 0 0 CARMEN PULIAFITO 2.00 X 0 0 0 ALAN PURWIN 2.00 X 0 0 0 DAYLE ROATH 2.00 X 0 0 0 KATHY LUPPEN ROSE 2.00 X 0 0 0 W SCOTT SANFORD 10.00 X 0 0 0 PAUL SCHAEFFER 10.00 X 0 0 0 THOMAS SIMMS 2.00 X 0 0 0 VICTORIA SIMMS 2.00 X 0 0 0 RUSSELL SNOW JR 2.00 X 0 0 0 LISA STEVENS 2.00 X 0 0 0 JAMES TERRILE 2.00 X 0 0 0 JUDGE DICKRAN M TEVRIZIAN 2.00 X 0 0 0 JOYCE BOGART TRABULUS 2.00 X 0 0 0 PEGGY TSIANG CHERNG 2.00 X 0 0 0 ESTHER WACHTELL 2.00 X 0 0 0 ALYCE WILLIAMSON 2.00 X 0 0 0 ALAN WILSON 2.00 X 0 0 0 JEFFREY WORTHE 2.00 X 0 0 0 DICK ZIEGLER 2.00 X 0 0 0 KEVIN BROGAN 2.00 X 0 0 0 GARY COHEN 2.00 X 0 0 0 DEBBIE FREUND 2.00 X 0 0 0 KATHLEEN KOSTLAN 2.00 X 0 0 0 EUGENE MITCHELL 2.00 X 0 0 0 ELIZABETH RAHN 2.00 X 0 0 0 STEVEN ROUNDTREE 2.00 X 0 0 0 ALAN RUDNICK 2.00 X 0 0 0 RICHARD ZAPANTA 2.00 X 0 0 0 MARK KRIEGER 2.00 X 0 0 0 HERBERT GELFAND 2.00 X 0 0 0 RONALD GOTHER 2.00 X 0 0 0 FRANCINE KAUFMAN MD 2.00 X 0 0 0 JOSE LOZANO 2.00 X 0 0 0 DIEMLAN LANNIE TONNU 40.00 X 534760 0 97736 LAWRENCE FOUST 40.00 X 473663 0 92017 MICHELLE CRONKHITE 40.00 X 63123 0 1894 RODNEY HANNERS 40.00 X 507665 0 103839 CLAUDIA LOONEY 40.00 X 474172 0 87295 GAIL MARGOLIS 40.00 X 315339 0 64791 KEITH HOBBS 40.00 X 325521 0 59789 STEVE GARSKE 40.00 X 365070 0 59173 HUGO SANTOS 40.00 X 309262 0 65748 DEANN MARSHALL 40.00 X 380719 0 76023 ROBERT ADLER 40.00 X 230802 0 0 ROBERT KAY 40.00 X 172450 0 0 ROBERTA WILLIAMS 40.00 X 226460 0 0 7331971 0 839380 668 1 1 1 IDEAOLOGY ADVERTISING 4223 GLENCOE AVE STE A-127 MARINA DEL REY CA 90292 ADVERTISING SERVICES 5585153 CLEO ENTERPRISES LLC 34 CALLE CASTILLO SAN CLEMENTE CA 92673 CONSTRUCTION MGMT 2662036 T2 TECHNOLOGY GROUP LLC 360 E 1ST STREET 667 TUSTIN CA 92780 NETWORK SUPPORT 2251713 PRICEWATERHOUSECOOPERS LLP PO BOX 514038 LOS ANGELES CA 900514038 PROFESSIONAL SERVICES 1983786 ZIMMER GUNSUL FRASCA ARCHITECTS LLP 320 SW OAK STREET PORTLAND OR 97204 ARCHITECTURAL DESIGN 1738235 37 42304599 62143000 839416 104447599 PATIENT REVENUE 621110 667762466 667762466 EDUCATION REVENUE 900099 14233334 14233334 GRADUATE MEDICAL EDUCA 900099 9000000 9000000 RESEARCH REVENUE 900099 5885491 5885491 696881291 9164284 31391 9132893 468467 468467 533109723 526031736 7077987 7077987 7077987 PARKING GARAGE 812930 2148897 2148897 CHILD DEVELOPMENT CENT 624410 1200138 1200138 RESIDENT'S HOUSING 900099 461493 461493 636936 281979 14640 340317 4447464 822487092 697624763 46031 20368699 10575398 10575398 3678616 425827 2535849 716940 308633987 224326380 77640069 6667538 5705106 4518125 1055799 131182 33401506 23784184 8881074 736248 21644131 16217040 4952812 474279 750577 452218 298359 818572 188166 627906 2500 974307 974307 49816 49816 321775 321775 1156409 1156409 125113742 77002192 46204978 1906572 2821942 2821942 101736650 97551393 3784546 400711 28007233 19193742 8399551 413940 132741 132741 5636197 2206891 2672060 757246 2635121 1739576 779214 116331 1733729 625105 954763 153861 25399513 24076198 1323315 34253020 33316880 936140 2457180 2329161 128019 HOSPITAL FEE PROGRAM 37329042 37329042 0 0 UTILITIES 10463833 9918449 544937 447 PROVISION FOR BAD DEBTS 8263258 8263258 0 0 MINOR EQUIPMENT 2550819 2239429 304634 6756 9759339 5510749 3612358 636232 786003559 604744086 167816915 13442558 39296 236447 12680323 9363016 80568425 87959417 81796702 95413027 90298 67723 1080789 790431 5658457 6784287 7639230 6772050 1379272095 472347370 878008542 906924725 589000733 459213083 4557085 5180564 44614906 122510554 1705734786 1701215324 84412939 86453167 53763712 34982750 491912110 487476851 42184329 42987544 672273090 651900312 X 736224144 774155934 151465905 127370121 145771647 147788957 1033461696 1049315012 1705734786 1701215324 X 36483533 -20630217 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49816 49816 604694270 604744086 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 129415 46205 61012 49816 286448 250000 250000 250000 250000 1000000 1500000 0 0 542188938 39523985 -69784 53630441 528012698 495093405 32136775 63246838 48288079 542188939 471903453 30649271 45036808 52496127 495093405 592416535 32922898 -81655753 71780227 471903453 0.69000 0.28000 0.03000 0 0 25551282 25551282 1011638829 232101148 779537681 306040140 236000139 70040001 36041844 4246083 31795761 906924725 RECEIVABLES UNDER GOVERNMENT PROGRAM 93059124 GOLDMAN SACH-SWAP COLLATERAL 12000000 BOND ISSUANCE COSTS 8598870 EXECUTIVE BENEFIT 7809162 OTHER 1043398 122510554 INTEREST RATE SWAP 15687954 WORKERS COMPENSATION INSURANCE RESERVE 11756628 ACCRUED EXECUTIVE BENEFITS 4782581 MALPRACTICE TAIL RESERVE 3500000 LIABILITY UNDER UNITRUST AGREEMENTS 3112094 OTHER 4148287 42987544 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. X X X X X X X 1 CHILDREN'S MIRACLE NETWORK 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 GENERAL FUNDRAISING 0 3102611 321775 2780836 3102611 321775 2780836 CA EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) FUNDS SUBMITTED DIRECTLY TO CHILDREN'S MIRACLE NETWORK BY SPONSOR PARTNERS ARE REMITTED TO MEMBER HOSPITALS ON A QUARTERLY BASIS BY CHILDREN'S MIRACLE NETWORK. FUNDS REMITTED DIRECTLY TO MEMBER HOSPITALS AS A RESULT OF A CHILDREN'S MIRACLE NETWORK FUNDRAISING PROGRAM ARE REPORTED BACK TO CHILDREN'S MIRACLE NETWORK FOR THE PURPOSES TRACKING FUNDRAISING RESULTS BUT THOSE 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. 1 1 1 X 1 X 1 1 0 1 1 1 1800 4700000 0 4700000 0.00600 0 0 0.00000 0.00000 1 1800 4700000 4700000 0.00600 60 805919 5382622 0 5382622 0.00690 19 24234 66990514 41606137 25384377 0.03260 1 0 6300000 0 6300000 0.00810 1 91456610 65156610 26300000 0.03380 6 41840 697731 0 697731 0.00090 87 871993 170827477 106762747 64064730 0.08230 88 873793 175527477 106762747 68764730 0.08830 1 6000 39230 39230 0.00010 3 543743 1211910 1211910 0.00160 1 210 304309 304309 0.00040 5 549953 1555449 1555449 0.00210 1 8263258 1170183 1170183 X 1 1 1 1 CHILDREN'S HOSPITAL LOS ANGELES

4650 SUNSET BLVD LOS ANGELES CA 90027

X X X X X X CHILDREN'S HOSPITAL LOS ANGELES 1 1 X X X X X X X X X 10 1 1 1 X X X X X X X X X X 1 1 1 100.000000000000 1 350.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X X X 0 0 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. CHILDREN'S HOSPITAL LOS ANGELES 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 CENTER CHILDREN'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 RATES 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. REPORTS FILED WITH STATES PART VI, LINE 7 CA 1 CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498687 501(C)(3) 10575398 SUPPORT CHARITABLE ACTIVITIES AT HOSPITALS & HEALTH SYSTEMS IN CALIFORNIA 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS WILL ONLY BE MADE TO 501(C)(3) ORGANIZATIONS TO ENSURE THE FUNDS WILL BE USED PROPERLY. X X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 RICHARD CORDOVA 638335 0 0 0 135546 0 7350 0 45483 0 826714 0 102863 0 MARY DEE HACKER 233574 0 63822 0 129861 0 47913 0 30329 0 505499 0 103239 0 HENRI FORD 603000 0 0 0 121406 0 0 0 0 0 724406 0 0 0 STUART SIEGEL 400928 0 0 0 0 0 0 0 0 0 400928 0 0 0 BRENT POLK 562493 0 0 0 0 0 0 0 0 0 562493 0 0 0 DIEMLAN LANNIE TONNU 367309 0 92032 0 75419 0 73035 0 24701 0 632496 0 43269 0 LAWRENCE FOUST 324351 0 87547 0 61765 0 70998 0 21019 0 565680 0 45265 0 RODNEY HANNERS 378179 0 95001 0 34485 0 65830 0 38009 0 611504 0 0 0 CLAUDIA LOONEY 298490 0 76352 0 99330 0 58674 0 28621 0 561467 0 82830 0 GAIL MARGOLIS 241556 0 57283 0 16500 0 54002 0 10789 0 380130 0 0 0 KEITH HOBBS 229251 0 56891 0 39379 0 38767 0 21022 0 385310 0 30356 0 STEVE GARSKE 273986 0 70113 0 20971 0 52860 0 6313 0 424243 0 17861 0 HUGO SANTOS 207100 0 58750 0 43412 0 39106 0 26642 0 375010 0 26912 0 DEANN MARSHALL 271866 0 0 0 108853 0 54409 0 21614 0 456742 0 0 0 ROBERT ADLER 230802 0 0 0 0 0 0 0 0 0 230802 0 0 0 ROBERT KAY 172450 0 0 0 0 0 0 0 0 0 172450 0 0 0 ROBERTA WILLIAMS 226460 0 0 0 0 0 0 0 0 0 226460 0 0 0 PART I, LINE 1A HENRI 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 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN CHLA'S 457(F) PLAN, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED UNDER SECTION 457(F) PLAN ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WILL BE REPORTED AS COMPENSATION FOR THE YEAR PAID. AMOUNTS RECOGNIZED AS TAXABLE COMPENSATION ON THE EMPLOYEE'S 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 7 CHLA MAINTAINS AN EXECUTIVE BONUS PROGRAM THAT AWARDS INCENTIVE COMPENSATION BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING HEALTH OUTCOMES, QUALITY IMPROVEMENT, LEVEL OF COMMUNITY BENEFIT PROVIDED AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE COMPENSATION COMMITTEE. ALTHOUGH THE AMOUNT OF BONUS INCENTIVES THAT EACH EMPLOYEE MAY BE GRANTED IS BASED ON A FIXED FORMULA, THE COMPENSATION COMMITTEE HAS THE DISCRETION TO DETERMINE THE EXTENT OF THE GOALS THAT HAVE BEEN MET BY EACH EMPLOYEE. 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. CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795CQ8 2007-04-24 170792342 FINANCED THE COSTS OF MAJOR EXPANSION AND MODERNIZATION OF THE HOSPITAL 0 0 0 CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 NONEAVAIL 2009-12-18 29865000 REFUND BONDS ISSUED 07/24/2008 0 0 0 CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LHC4 2010-05-20 186024080 REFUND BONDS ISSUED 05/26/99, 09/08/2004 AND 07/24/2008 0 0 0 170792342 1500000 9301225 159991117 2009 0 0 1 1 29865000 2010 1 0 1 1 186024080 2644798 5213423 2011 1 0 1 1 0 0 1 0 0 0.00800 0.00800 1 0 0 0 0 1 0 0 0 0 1 0 0 1 GOLDMAN SACHS & CO 0.100000000000 0 1 1 AIG MATCHED FUNDING 1.400000000000 1 0 1 0 1 0 0 0 1 0 1 0 0 0 1 X SCHEDULE K SUPPLENTAL INFORMATION PART 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. HENRI FORD HOUSING ASSISTANCE X 237495 67723 0 1 1 67723 MR WILLIAM H HURT TRUSTEE CHAIRMAN OF CAPITAL STRATEGY RESEARCH, INC. (AN AFFILIATE OF CGT) 192433 PAYMENT FOR INVESTMENT SERVICES TO THE HOSPITAL. 0 MR ALAN PURWIN TRUSTEE PRESIDENT OF HELINET AVIATION 259564 PROVIDES HELICOPTER TRANSPORTATION SERVICES FOR HOSPITAL PATIENTS. 0 MR ALEX CHAVES SR TRUSTEE OWNER OF PARKING COMPANY OF AMERICA 2767470 PROVIDES PARKING SERVICES FOR THE HOSPITAL. 0 THEODORE R SAMUELS TRUSTEE SR. VP AND DIRECTOR OF CAPITAL GUARDIAN TRUST COMPANY 192433 PAYMENT FOR INVESTMENT SERVICES TO THE HOSPITAL. 0 CARL GRUSHKIN MD TRUSTEE PRESIDENT FOR CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP ("CHLAMG") 8570022 CHLAMG 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") 8570022 CHLAMG 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. 299015 PAYMENT FOR BANKING SERVICES AS WELL AS REPAYMENT OF HOUSING MORTGAGE. 0 J KRISTOFFER POPOVICH TRUSTEE HIS WIFE IS A TRUSTEE OF UNIVERSITY OF SOUTHERN CALIFORNIA 0 REIMBURSEMENT 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 SYSTEM 2734274 PROVIDES PRIVATE SECURITY SERVICES FOR THE HOSPITAL. 0 BRENT POLK TRUSTEE DIRECTOR FOR CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP ("CHLAMG") 8570022 CHLAMG 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") 8570022 CHLAMG 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") 8570022 CHLAMG 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 X 28 737864 COST OR SELLING PRICE X 1 99700 APPRAISED FMV X DODGER TICKETS 4 1852 COST 2 0 1 1 THIRD PARTY USE: PART I, LINE 32B: THE HOSPITAL USES BROKERAGE HOUSES TO SELL NON-CASH CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF ONLY ACTIVE, VOTING MEMBERS OF THE BOARD OF TRUSTEES AND IS COMPOSED OF THE CO-CHAIRPERSONS OF THE BOARD; THE 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 2 1. 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 4 THERE 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 11 THE FORM 990 IS PREPARED BY DELOITTE TAX LLP, WORKING IN CONJUNCTION WITH CHLA'S FINANCE DEPARTMENT. CHLA'S DIRECTOR OF ACCOUNTING HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE CHIEF FINANCIAL OFFICER. AFTER AN INITIAL DRAFT OF THE FORM 990 IS PREPARED, IT IS CIRCULATED FOR REVIEW AND COMMENT BY RELEVANT MEMBERS OF THE EXECUTIVE TEAM WHO HAVE RESPONSIBILITY AND/OR KNOWLEDGE ABOUT THE VARIOUS MATTERS DISCLOSED AND/OR DESCRIBED IN THE FORM. THE CHIEF FINANCIAL OFFICER AND GENERAL COUNSEL, IN PARTICULAR, REVIEW THE FORM 990 AND ENSURE ACCURACY OF DESCRIPTIONS AND THAT DISCLOSURE IS COMPLETE. THE DRAFT FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF CHLA, ACTING ON BEHALF OF THE BOARD OF TRUSTEES OF CHLA. ONCE THE DRAFT FORM 990 HAS BEEN REVIEWED AND DISCUSSED BY THE AUDIT COMMITTEE, ANY CHANGES RESULTING FROM THEIR REVIEW IS INCORPORATED INTO THE FINAL DRAFT OF THE FORM 990. THE FINAL DRAFT OF THE FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF TRUSTEES VIA A SECURE WEB SITE FOR THEIR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CHLA REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CIRCULATION OF A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REQUIRED TO BE ANSWERED BY ALL OFFICERS AND MEMBERS OF THE BOARD OF TRUSTEES, AS WELL AS CERTAIN KEY EMPLOYEES THAT ARE DESIGNATED ANNUALLY BY THE GOVERNANCE COMMITTEE. THESE ANNUAL DISCLOSURES ARE REVIEWED BY A COMBINATION OF CHLA'S GENERAL COUNSEL, COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, GOVERNANCE COMMITTEE OF THE BOARD AND THE FULL BOARD OF TRUSTEES, DEPENDING ON THE INDIVIDUAL MAKING THE DISCLOSURE. ADDITIONALLY, THE LEGAL DEPARTMENT OF CHLA REVIEWS CONTRACTUAL RELATIONSHIPS ENTERED INTO BY CHLA. FURTHERMORE, BOARD MEMBERS AND OFFICERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON A CONTINUOUS BASIS THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT EXISTS, THE BOARD OR COMMITTEE DETERMINES WHETHER THE BOARD MEMBER OR OFFICER SHOULD BE EXCLUDED FROM VOTING ON THAT PARTICULAR MATTER. FORM 990, PART VI, SECTION B, LINE 15 15. 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 19 CHLA DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. CHLA'S FINANCIAL STATEMENTS ARE CONTAINED IN ITS FORM 990, WHICH IS AVAILABLE FOR PUBLIC INSPECTION DURING BUSINESS HOURS. 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. 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). 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