2022-05-16T14:42:45-05:00 2021-06-30 221478099 COHNREZNICK LLP 400 CAPITOL MALL SUITE 1200 SACRAMENTO CA 95814 990 2020-07-01 951644604 ORTHOPAEDIC HOSPITAL ORTH 2137421044 403 WEST ADAMS BLVD LOS ANGELES CA 900072664 ANTHONY SCADUTO MD PRESIDENT & CEO 2137421044 2022-05-16 1 ANTHONY SCADUTO MD 999009999 LISA M CUMMINGS CPA P00043433 9164429100 2022-05-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ORTHOPAEDIC INSTITUTE FOR CHILDREN ANTHONY SCADUTO MD 403 WEST ADAMS BLVD LOS ANGELES CA 900072664 66783859 0 X WWW.ORTHO-INSTITUTE.ORG X 1923 CA THE MISSION OF LOS ANGELES ORTHOPAEDIC HOSPITAL IS TO PROVIDE OUTSTANDING CARE TO PATIENTS WITH MUSCULOSKELETAL DISORDERS AND THROUGH THE SUPPORT OF THE LOS ANGELES ORTHOPAEDIC HOSPITAL FOUNDATION, TO PROVIDE CARE FOR CHILDREN REGARDLESS OF ABILITY TO PAY AND TO ADVANCE CARE WORLDWIDE FOR ALL MUSCULOSKELETAL PATIENTS THROUGH MEDICAL EDUCATION AND SCIENTIFIC RESEARCH. 11 10 216 10 0 0 10452000 2913747 51434744 56184403 1896243 8217535 -1420854 -531826 62362133 66783859 0 0 0 0 11740670 10051731 0 0 1313559 54034466 58686754 65775136 68738485 -3413003 -1954626 323104335 321251598 28600726 27781156 294503609 293470442 X THE MISSION OF LOS ANGELES ORTHOPAEDIC HOSPITAL IS TO PROVIDE OUTSTANDING CARE TO PATIENTS WITH MUSCULOSKELETAL DISORDERS AND THROUGH THE SUPPORT OF THE LOS ANGELES ORTHOPAEDIC HOSPITAL FOUNDATION, TO PROVIDE CARE FOR CHILDREN REGARDLESS OF ABILITY TO PAY AND TO ADVANCE CARE WORLDWIDE FOR ALL MUSCULOSKELETAL PATIENTS THROUGH MEDICAL EDUCATION AND SCIENTIFIC RESEARCH. 0 0 55184633 54130019 CLINICAL SERVICES - ORTHOPAEDIC HOSPITAL PROVIDES A WIDE RANGE OF PREVENTIVE, RESTORATIVE, AND REHABILITATIVE HEALTH CARE SERVICES DESIGNED FOR PATIENTS WITH MUSCULOSKELETAL DISORDERS OR HEMOPHILIA. 5768483 1173089 RESEARCH PROJECTS - ORTHOPAEDIC HOSPITAL CONDUCTS A NUMBER OF BASIC AND CLINICAL RESEARCH PROGRAMS. AMONG THEM ARE IMPROVING THE DURABILITY OF HUMAN JOINT REPLACEMENTS, UNDERSTANDING THE BIOLOGY AND BIOMECHANICS OF FRACTURES AND DEVELOPING NEW SYNTHETIC MATERIALS AND DEVICES TO HELP ORTHOPAEDIC PATIENTS. THE DEPARTMENT ENJOYS A LEADERSHIP POSITION WORLDWIDE FOR THE DEVELOPMENT OF LONGER LASTING MATERIALS FOR JOINT REPLACEMENT. 567739 349469 MEDICAL EDUCATION - AS PART OF ITS ALLIANCE WITH THE UNIVERSITY OF CALIFORNIA, LOS ANGELES (UCLA), ORTHOPAEDIC HOSPITAL PARTICIPATES IN THE EDUCATION OF MEDICAL STUDENTS, ORTHOPAEDIC SURGERY RESIDENTS AND GRADUATE ORTHOPAEDIC SURGEONS. ORTHOPAEDIC HOSPITAL ALSO CONDUCTS A FELLOWSHIP PROGRAM IN PEDIATRIC ORTHOPEDICS. THE PROGRAM IS FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). 61520855 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 23 0 1 216 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X DIEMLAN TONNU 2137421044 403 WEST ADAMS BLVD LOS ANGELES CA 900072664 ANTHONY SCADUTO MD PRESIDENT & CEO 38.00 12.00 X X 825014 0 19442 CINDY STARRETT ESQ DIRECTOR 2.00 1.00 X 0 0 0 EDWARD D FOX JR DIRECTOR 2.00 2.00 X 0 0 0 FRANCIS J HORNICEK MD PHD DIRECTOR (OUTGOING) 2.00 1.00 X 0 0 0 HILARY A NORTON DIRECTOR 2.00 1.00 X 0 0 0 JASON SILLETTI DIRECTOR 2.00 1.00 X 0 0 0 JOEL M BERNSTEIN ESQ DIRECTOR 2.00 1.00 X 0 0 0 MICHAEL DAL BELLO DIRECTOR 2.00 2.00 X 0 0 0 NICHOLAS BERNTHAL DIRECTOR 2.00 2.00 X 294446 0 0 PEVERLEY J HUKILL PHD DIRECTOR 2.00 2.00 X 0 0 0 RICHARD E GISS DIRECTOR 2.00 2.00 X 0 0 0 STEVEN T VALENTINE DIRECTOR 2.00 1.00 X 0 0 0 DIEMLAN LANNIE TONNU VICE PRESIDENT & CFO 38.00 12.00 X 387596 0 53291 MAURICIO SILVA MEDICAL DIRECTOR 50.00 X 655930 0 16527 MICHAEL SULLIVAN CHIEF PHILANTHROPY OFFICER 8.00 40.00 X 425734 0 39975 JENNIFER BECK PROFESSOR PHYSICIAN 40.00 X 492826 0 26589 RACHEL THOMPSON PROFESSOR PHYSICIAN 40.00 X 508726 0 26184 RICHARD BOWEN PROFESSOR PHYSICIAN 40.00 X 613100 0 45414 ROBERT WARNOCK MGR, ADVANCED PRACTICE PROVIDER 40.00 X 213347 0 32196 VICTORIA KANG PHYSICIAN 40.00 X 221948 0 15284 DEBRA MATHIAS COO (FORMER) 38.00 12.00 X 254183 0 31430 4892850 0 306332 45 1 1 0 MCDERMOTT WILL & EMERY LLP PO BOX 1675 CAROL STREAM IL 601321675 LEGAL SERVICES 4095632 RISE AND SHINE AND PARTNERS LLC 400 1ST AVENUE N SUITE 220 MINNEAPOLIS MN 55401 MARKETING CONSULTANT/SERVICES 411820 COHN REZNICK LLP 1900 AVENUE OF THE STARS 28TH FLOO LOS ANGELES CA 90067 FINANCIAL SERVICES 146741 SERVICON SYSTEMS INC 3965 LANDMARK STREET CULVER CITY LA 90232 MAINTENANCE SERVICES 118585 LUCK JAMES V JR MD 403 WEST ADAMS BLVD LOS ANGELES CA 90007 DOCTOR 104504 5 2913747 2913747 OUTPATIENT CLINICS 621400 51063783 51063783 RENTS - INTERCOMPANY 531390 2432767 2432767 UCLA - ALLIANCE REVENUE 900099 1000000 1000000 RESEARCH PROJECTS 541700 961678 961678 ASSETS RELEASED FROM RESTRICTIONS 900099 726175 726175 56184403 8217535 8217535 PURCHASE DISCOUNTS 900099 707108 707108 OTHER REVENUE 900099 409016 409016 PARKING REVENUE 812930 28902 28902 -1676852 -1676852 -531826 66783859 55652577 0 8217535 2605382 1686221 720259 198902 6257094 4049633 1729777 477684 23462 15185 6486 1791 794222 514026 219563 60633 371571 240483 102721 28367 5794220 3897189 1566070 330961 72924 49049 19710 4165 72388 72388 3948055 3421069 433953 93033 46 31 12 3 504765 475402 23884 5479 720236 678338 34080 7818 53431 50323 2528 580 7753 5215 2095 443 470814 354426 116388 2583837 1943110 627884 12843 363319 162754 132340 68225 PLASMA CONCENTRATE 41950664 41950664 OTHER SUPPLIES 906779 854029 42907 9843 OTHER DIRECT EXPENSES 669698 629716 31640 8342 REPAIRS AND MAINTENANCE 255892 241006 12108 2778 311933 302986 7278 1669 68738485 61520855 5904071 1313559 1580324 2066661 5176206 5712181 17129650 17129650 552168 2495309 281189 346956 44773977 15750384 30470771 29023593 50160805 50101134 217753222 214376114 323104335 321251598 7477672 10708207 95770 129509 13500000 11000000 2913747 2000000 4613537 3943440 28600726 27781156 X 116753678 115720511 177749931 177749931 294503609 293470442 323104335 321251598 X -1954626 -755393 1676852 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35555553 8411284 27144269 8998243 7339100 1659143 220181 220181 29023593 DUE FROM RELATED ORGANIZATIONS 18741229 INTEREST IN NET ASSETS - LAOHF 177749931 PREPAID RENT 17563325 OTHER ASSETS 199549 AWUIL - CURRENT TTEE HELD FUND 9128 INTEREST RECEIVABLE 112952 214376114 OTHER LIABILITIES - NON-CURRENT 1657981 EST LIAB. - SELF INSURED W/COM 578043 INTEREST PAYABLE 45365 DUE TO RELATED ORGANIZATIONS 1662051 3943440 X PART X, LINE 2: OIC, OF, AND OHC ARE SEPARATE LEGAL NOT-FOR-PROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE REVENUE AND TAXATION CODE OF CALIFORNIA. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2021 AND 2020. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2018 AND 2017, RESPECTIVELY, ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF INCOME TAX EXPENSE AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCOUNTS PAYABLE AND ACCRUED EXPENSES IN THE COMBINED STATEMENTS OF FINANCIAL POSITION. X X 1 0 0 0 0 0 0 1 0 ANTHONY SCADUTO MD PRESIDENT & CEO 789437 0 0 0 35577 0 16309 0 3133 0 844456 0 0 0 MAURICIO SILVA MEDICAL DIRECTOR 592893 0 25000 0 38037 0 16527 0 0 0 672457 0 0 0 RICHARD BOWEN PROFESSOR PHYSICIAN 545658 0 20000 0 47442 0 17100 0 28314 0 658514 0 0 0 RACHEL THOMPSON PROFESSOR PHYSICIAN 462524 0 20000 0 26202 0 13713 0 12471 0 534910 0 0 0 JENNIFER BECK PROFESSOR PHYSICIAN 461172 0 25000 0 6654 0 14618 0 11971 0 519415 0 0 0 MICHAEL SULLIVAN CHIEF PHILANTHROPY OFFICER 368841 0 0 0 56893 0 13661 0 26314 0 465709 0 0 0 DIEMLAN LANNIE TONNU VICE PRESIDENT & CFO 363888 0 0 0 23708 0 13766 0 39525 0 440887 0 0 0 NICHOLAS BERNTHAL DIRECTOR 293885 0 0 0 561 0 0 0 0 0 294446 0 0 0 DEBRA MATHIAS COO (FORMER) 193155 0 0 0 61028 0 12187 0 19243 0 285613 0 0 0 ROBERT WARNOCK MGR, ADVANCED PRACTICE PROVIDER 198688 0 12600 0 2059 0 8207 0 23989 0 245543 0 0 0 VICTORIA KANG PHYSICIAN 218442 0 3000 0 506 0 0 0 15284 0 237232 0 0 0 PART I, LINE 4A DEBRA MATHIAS, FORMER CHIEF OPERATING OFFICER, RECEIVED A SEVERANCE OF $107,681 PAYABLE OVER 26 PAY PERIODS COMMENCING IN JULY 2020. PART I, LINE 7 INCLUDED IN SCHEDULE J, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUSES. ORTHOPAEDIC HOSPITAL HAS A BONUS PROGRAM FOR KEY EMPLOYEES AND PHYSICIANS, WHICH HAS BEEN APPROVED BY THE BOARD. THE ANNUAL DISTRIBUTION AMOUNTS ARE DETERMINED BY THE CHIEF EXECUTIVE OFFICER BASED ON PERFORMANCE AND PRODUCTIVITY ACHIEVEMENTS. A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 2012-06-22 37025000 REFUNDING ISSUE FOR JULY 2000 BOND 1 0 0 A 40125000 37025000 3788425 325579 40813425 354484 1 0 1 1 A 0 0 0 0 0 0 0 A 1 0 0 0 0 1 A 0 JOEL BERNSTEIN VICE CHAIR 5760781 SEE PART V 0 PART IV DESCRIPTION OF TRANSACTION JOEL BERNSTEIN, VICE CHAIR OF ORTHOPAEDIC HOSPITAL, IS A RETIRED PARTNER WITH THE FIRM OF MCDERMOTT WILL & EMERY LLP. OTHOPAEDIC HOSPITAL ENGAGED THIS FIRM FOR LEGAL SERVICES DURING FISCAL YEAR 2021. ALL SERVICES WERE NEGOTIATED AT ARMS-LENGTH. FORM 990, PART IV, LINE 20A: LINE 20A IS CHECKED "NO" BECAUSE ORTHOPAEDIC INSTITUTE FOR CHILDREN (OPERATED BY ORTHOPAEDIC HOSPITAL) IS A CLINIC LICENSED UNDER SECTION 1204 OF THE CALIFORNIA HEALTH AND SAFETY CODE AND NOT A HEALTH FACILITY SUBJECT TO THE PROVISIONS OF 1250. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS COMPLETED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY INDIVIDUALS IN THE FOLLOWING ORDER: CFO THEN CEO, SENIOR ADMINISTRATIVE TEAM AND THE AUDIT COMMITTEE BEFORE FINALIZING. THE 990 WILL ALSO BE MADE AVAILABLE FOR BOARD REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE GOVERNANCE COMMITTEE OF THE ORTHOPAEDIC HOSPITAL'S BOARD OF DIRECTORS AND THE ORTHOPAEDIC INSTITUTE FOR CHILDREN FOUNDATION'S BOARD OF TRUSTEES REQUIRE ALL DIRECTORS AND TRUSTEES TO SUBMIT A "CONFLICT OF INTEREST STATEMENT" ANNUALLY. THE COMMITTEE REVIEWS THESE STATEMENTS AND PRESENTS ANY POTENTIAL CONFLICT TO BOARDS FOR DISCUSSION AND APPROVAL OF ANY ACTION NEEDED. OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO SUBMIT A "CONFLICT OF INTEREST STATEMENT" ANNUALLY TO THE HUMAN RESOURCES DEPARTMENT. STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER WHO CHECKS FOR ANY EXISTING CONFLICT. FOR ANY POTENTIAL CONFLICT, THE BOARD, WITH THE ABSTENTION OF THE INTERESTED DIRECTOR, MAY DECIDE WHETHER SUCH DIRECTOR MAY PARTICIPATE IN ANY REPORTING, DISCUSSION, OR VOTE ON THE ISSUE THAT GAVE RISE TO THE POTENTIAL CONFLICT. A MAJORITY OF A QUORUM OF DISINTERESTED DIRECTORS MUST APPROVE OR RATIFY THE TRANSACTION, CONTRACT, OR OTHER MATTER GIVING RISE TO THE ISSUE. THE INTERESTED DIRECTOR MAY BE COUNTED IN DETERMINING WHETHER A QUORUM EXISTS EVEN THOUGH HE OR SHE CANNOT VOTE ON THE ISSUE. ANY DIRECTOR WITH AN INTEREST, RELATIONSHIP, OR RESPONSIBILITY THAT CONFLICTS WITH THE INTEREST OF THE ORGANIZATION SHALL RECUSE HIMSELF OR HERSELF FROM ANY REPORTING, DISCUSSIONS, AND VOTE ON THE ISSUE THAT GIVES RISE TO THE CONFLICT AND, PREFERABLY, FROM THE BOARD OR COMMITTEE MEETING OR APPLICABLE PORTION OF SUCH MEETING. FORM 990, PART VI, SECTION B, LINE 15 OFFICER POSITIONS ARE REVIEWED AND DOCUMENTED BY THE COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY. KEY PHYSICIAN POSITIONS COMPENSATION IS REVIEWED BY CONSULTANT, ATTORNEY AND APPROVED BY THE STRATEGIC COMMITTEE AND THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES, COMPENSATION IS REVIEWED BY THE CEO WITH THE DIRECTOR OF HUMAN RESOURCES. ORTHOPAEDIC HOSPITAL PARTICIPATES IN SOME SALARY SURVEYS AND BENCHMARKING TOOLS TO COMPARE SALARIES AGAINST THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 ANY INQUIRIES REGARDING THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS SHOULD BE DIRECTED TO THE CFO OR TO AN ORTHOPAEDIC HOSPITAL OFFICER. FORM 990, PART XI, LINE 9: K-1 ORTHOPAEDIC INSTITUTE FOR CHILDREN AMBULATORY SURGERY CENTER, LLC 1,676,852. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ORTHOPAEDIC INSTITUTE FOR CHILDREN FOUNDATION 403 W ADAMS LOS ANGELES CA 90007 951644029 FUNDRAISING CA 501(C)(3) LINE 12A, I ORTHOPAEDIC HOSPITAL 1 OIC HOLDING CORP 403 W ADAMS LOS ANGELES CA 90007 820778259 SUPPORTS CHARITABLE PURPOSES OF ORTHOPAEDIC HOSPITAL CA 501(C)(3) LINE 12A, I ORTHOPAEDIC HOSPITAL 1 ORTHOPAEDIC INSTITUTE FOR CHILDREN AMBULATORY SURGERY CTR LLC 403 W ADAMS LOS ANGELES CA 90007 812159060 AMBULATORY SURGERY CENTER CA ORTHOPAEDIC HOSPITAL RELATED -1676852 320842 0 1 0.99000 ORTHOPAEDIC HOSPITAL MEDICAL GROUP INC 403 W ADAMS LOS ANGELES CA 90007 954595086 MEDICAL CARE CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 LA ORTHOPAEDIC HOSPITAL FOUNDATION N 293062 CASH LA ORTHOPAEDIC HOSPITAL FOUNDATION O 315745 CASH