2021-05-14T16:06:17-05:00 2020-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2019-07-01 954457756 CEDARS-SINAI MEDICAL CARE FOUNDATION CEDA 3103853200 200 N ROBERTSON BLVD NO 101 BEVERLY HILLS CA 90211 JILL MARTIN CHIEF OPER. OFFICER 3103853200 2021-05-14 0 KARA ADAMS P00023315 9497942300 2019 2022-09-23 18:48:47Z THOMAS M PRISELAC 8700 BEVERLY BLVD LOS ANGELES CA 90048 448424647 0 X WWW.CEDARS-SINAI.ORG X 1994 CA TO ENHANCE CEDARS-SINAI'S ABILITY TO EFFECTIVELY AND EFFICIENTLY DELIVER HEALTH CARE SERVICES. 14 8 1697 0 551108 -56065 739061 8611393 440977844 439105041 650632 708213 0 0 442367537 448424647 0 0 0 0 127406368 136508317 0 0 0 415710643 426075362 543117011 562583679 -100749474 -114159032 284507366 526267961 57678295 257813046 226829071 268454915 X THE FOUNDATION WAS FORMED TO ENHANCE THE ABILITY OF THE MEDICAL CENTER TO EFFECTIVELY AND EFFICIENTLY DELIVER HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIA. (CONTINUED ON SCHEDULE O, PAGE 34)IN PARTICULAR, THE MEDICAL CENTER BELIEVES THE FOUNDATION WILL FURTHER ITS CHARITABLE HEALTH CARE PURPOSES BY PROVIDING MEDICAL EDUCATION, RESEARCH AND VARIOUS MEDICAL BENEFITS TO THE COMMUNITY. PLEASE REFER TO THE STATEMENT OF PROGRAM ACCOMPLISHMENTS FOR A FULL DESCRIPTION OF SERVICES PROVIDED. 0 0 546440774 439105041 CEDARS-SINAI MEDICAL CARE FOUNDATION (FOUNDATION), A NONPROFIT PUBLIC BENEFIT CORPORATION, WAS FORMED BY CEDARS-SINAI MEDICAL CENTER (MEDICAL CENTER), AN IRC SECTION 501(C)(3) CORPORATION, AS A MEDICAL PRACTICE FOUNDATION DESCRIBED IN SECTION 1206(L) OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE PURPOSE OF ESTABLISHING AND OPERATING OUTPATIENT MEDICAL CARE CLINICS AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN LOS ANGELES COUNTY, CALIFORNIA. (CONTINUED ON SCHEDULE O, PAGE 34)THE MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. IN ADDITION, THE MEDICAL CENTER IS LICENSED AS A GENERAL ACUTE CARE HOSPITAL UNDER APPLICABLE CALIFORNIA LAWS AND OWNS AND OPERATES HEALTH CARE FACILITIES PRINCIPALLY LOCATED IN LOS ANGELES, CALIFORNIA. THE FACILITIES ARE LICENSED FOR 889 BEDS AND INCLUDE A 1.6 MILLION SQUARE FOOT MAIN COMPLEX AND OTHER PHYSICAL STRUCTURES CONTIGUOUS THERETO SITUATED ON A 19-ACRE SITE. THE MEDICAL CENTER IS THE LARGEST PRIVATE VOLUNTARY HEALTH CARE FACILITY IN THE STATE OF CALIFORNIA AND IS A TERTIARY CARE TEACHING HOSPITAL WHICH PROVIDES A FULL COMPLEMENT OF SPECIALTY AND SUBSPECIALTY SERVICES AS A REGIONAL RESOURCE.THE FOUNDATION WAS FORMED TO ENHANCE THE ABILITY OF THE MEDICAL CENTER TO EFFECTIVELY AND EFFICIENTLY DELIVER HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIA. IN PARTICULAR, THE MEDICAL CENTER BELIEVES THE FOUNDATION WILL FURTHER ITS CHARITABLE HEALTH CARE PURPOSES IN THE FOLLOWING WAYS:1. PROVIDING RESPONSE TO THE NEED FOR OUTPATIENT SERVICES: THE DELIVERY OF HEALTH CARE SERVICES IS RAPIDLY CONVERTING FROM AN INPATIENT TO AN OUTPATIENT SETTING, RESULTING IN THE NEED FOR A VEHICLE TO DELIVER OUTPATIENT AS WELL AS INPATIENT SERVICES THROUGH AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE FOUNDATION SERVES AS THE VEHICLE. COORDINATION OF THE MEDICAL CENTER'S ACUTE CARE HOSPITAL OPERATIONS AND THE FOUNDATION'S OUTPATIENT CLINIC OPERATIONS HELP AVOID UNNECESSARY DUPLICATION, POTENTIAL EXCESS CAPACITY, AND RELATED INEFFICIENCIES, AND THEREBY REDUCES THE OVERALL COST OF DELIVERING HEALTH CARE TO THE RESIDENTS OF LOS ANGELES COUNTY.2. PROVIDES RESOURCES TO DEVELOP AND MANAGE OUTPATIENT CLINICS: THE FOUNDATION PROVIDES RESOURCES WHICH THE MEDICAL CENTER USES TO DEVELOP MULTI-SPECIALTY OUTPATIENT MEDICAL CLINICS TO BETTER SERVE THE COMMUNITY. THE MEDICAL CENTER MAINTAINS SUFFICIENT CONTROL SO AS TO ENSURE THAT THOSE CLINICS OPERATE ON A NONPROFIT BASIS IN FURTHERANCE OF THE OVERALL CHARITABLE HEALTH CARE GOALS OF THE MEDICAL CENTER AND THE FOUNDATION.3. ASSUMES RISK THROUGH CAPITATED MODEL: HEALTH CARE PAYERS HAVE SHIFTED HEALTH CARE RISKS TO THE PROVIDERS OF CEDARS-SINAI MEDICAL CARE FOUNDATION HEALTH CARE SERVICES. IN DOING SO, THE PAYERS HAVE CREATED MECHANISMS AND INCENTIVES TO PROVIDE QUALITY CARE AT THE LOWEST POSSIBLE COST. THE FORMATION OF THE FOUNDATION ALLOWS THE MEDICAL CENTER AND THE PHYSICIANS WITH WHOM THE FOUNDATION CONTRACTS FOR MEDICAL SERVICES TO COORDINATE INPATIENT, OUTPATIENT AND ANCILLARY SERVICES, ACHIEVE EFFICIENCIES OF SCALE, AND IN GENERAL, OPERATE MORE EFFICIENTLY IN A MANAGED CARE ENVIRONMENT, WITHOUT SACRIFICING QUALITY OF CARE. THE FOUNDATION'S MEDICAL SERVICES ARE TO BE DELIVERED EITHER AT THE OUTPATIENT CLINICS OWNED BY THE FOUNDATION OR AT THE MEDICAL CENTER'S HOSPITAL. THE FOUNDATION MAINTAINS URGENT-CARE HOURS FROM 12:00 P.M. TO 9:00 P.M., MONDAY THROUGH FRIDAY, AND 9:00 A.M. TO 6:00 P.M. ON SATURDAY AND SUNDAY, DESIGNED TO HANDLE NON-LIFE-THREATENING MEDICAL EMERGENCIES WHICH DO NOT REQUIRE A VISIT TO THE HOSPITAL EMERGENCY ROOM. ADDITIONALLY, FOUNDATION PHYSICIANS ARE ON CALL 24 HOURS A DAY. THE FOUNDATION ALSO PARTICIPATES IN OTHER VALUE-BASED PAYER ARRANGEMENTS TO IMPROVE PATIENT OUTCOMES AND LOWER THE SOCIETAL COST OF HEALTH CARE. THESE "ACCOUNTABLE CARE ORGANIZATIONS" ENABLE THE FOUNDATION TO PROVIDE COORDINATED SERVICES TO AN EVEN LONGER SEGMENT OF THE COMMUNITY.4. PROVIDES COMMUNITY AND PHYSICIAN HEALTH EDUCATION, AND PERFORMS CLINICAL RESEARCH ACTIVITIES: THE MEDICAL CENTER AND THE FOUNDATION PROVIDE A SIGNIFICANT AMOUNT OF COMMUNITY MEDICAL EDUCATIONAL AND CLINICAL RESEARCH ACTIVITIES. THESE PROGRAMS ARE AN IMPORTANT AND MATERIAL PART OF THE OVERALL SERVICES OFFERED BY THE HEALTH SYSTEM, FOR WHICH TREMENDOUS MEDICAL AND CAPITAL RESOURCES ARE EXPENDED. THE NUMBER OF PROGRAMS OFFERED TO THE GENERAL PUBLIC WILL REPRESENT A SUBSTANTIAL INCREASE IN THE AVAILABILITY OF THESE PROGRAMS TO THE MEMBERS OF THE COMMUNITY WITHIN THE FOUNDATION SERVICE AREA.COMMUNITY EDUCATION:THE FOLLOWING FREE OR LOW COST HEALTH CARE EDUCATION PROGRAMS ARE OFFERED TO THE COMMUNITY:- SMOKING CESSATION PROGRAM- DIABETES MANAGEMENT- PRE-DIABETES- WEIGHT MANAGEMENT- MULTIPLE MEDICATION MANAGEMENT- EDUCATIONAL HEALTHCARE LECTURES TO THE COMMUNITY- COMMUNITY AND COMPANY HEALTHCARE SCREENINGS, SUCH AS GLUCOSE TESTING AND BLOOD PRESSURE CHECKS- ADVANCE CARE PLANNING - SOCIAL SUPPORT AND EDUCATION GROUPS- FALL PREVENTION CLASS- GRIEF WORKSHOP- LEAP PROGRAM TO HELP SENIORS PREVENT SOCIAL ISOLATIONCONTINUING PHYSICIAN EDUCATION:THE FOLLOWING EDUCATIONAL PROGRAMS ARE INTENDED TO BENEFIT THE COMMUNITY BY INCREASING THE LEVEL OF SKILL PROVIDED BY COMMUNITY PHYSICIANS:- CONTINUING EDUCATION, OPEN TO ALL PHYSICIANS IN THE COMMUNITY, INTENDED TO IMPROVE THE QUALITY OF CARE- EXPANDING THE FOCUS OF GRADUATE MEDICAL EDUCATION TO INCLUDE RESIDENCY AND FELLOWSHIP TRAINING IN PRIMARY CARE AND OUTPATIENT SERVICES- ALSO PROVIDE AN ACCREDITED RESIDENCY PROGRAM FOR PHARMACISTS, A SOCIAL WORK INTERNSHIP, AND MENTORING FOR PHARMACY STUDENTS THROUGH A COLLABORATION WITH MANY LOCAL SCHOOLS OF PHARMACYCLINICAL RESEARCH:CLINICAL OUTREACH - THE FOUNDATION IS WORKING CLOSELY WITH INTERNAL MEDICINE PHYSICIANS IN THE COMMUNITY TO PERFORM CLINICAL OUTREACH TO CO-MANAGE THEIR PATIENTS WITH DIABETES, CARDIOVASCULAR DISEASE, AND THOSE WHO TAKE PERSISTENT MEDICATIONS. CLINICAL OUTREACH INTENDING TO BENEFIT THE COMMUNITY IS CONDUCTED IN THE FOLLOWING AREAS:- ANTI-COAGULATION MANAGEMENT- ASTHMA- BLOOD PRESSURE CONTROL- CHOLESTEROL MANAGEMENT- CHRONIC DISEASE MANAGEMENT- CHRONIC HEPATITIS C MANAGEMENT- CONGESTIVE HEART FAILURE- CORONARY ARTERY DISEASE- DIABETES- MIGRAINE MANAGEMENT- STRATEGIES TO REDUCE THE COST OF CARE AND IMPROVE THE QUALITY OF CARE IN PHYSICIANS' OFFICES- WELLNESS AND PREVENTATIVE SCREENINGSCLINICAL TRIALS - THE FOUNDATION ALSO PARTICIPATES IN DEDICATING TIME TO RECRUITING AND TRACKING PATIENTS FOR INSTITUTIONAL REVIEW BOARD (IRB)-APPROVED CLINICAL TRIAL EFFORTS, PARTICULARLY AROUND THE HEMATOLOGY/ONCOLOGY SPECIALTY, STUDYING SUCH AREAS AS GASTROENTEROLOGICAL AND BREAST CANCERS. THESE CLINICAL TRIALS ARE PROGRAM-RELATED AS PATIENT CARE.IN ADDITION TO THE PROGRAMS SET FORTH ABOVE, THE FOUNDATION PARTICIPATES WITH THE MEDICAL CENTER IN OUTCOMES RESEARCH REGARDING THE QUALITY OF HEALTH CARE. THE DEVELOPMENT OF A VERTICALLY-INTEGRATED HEALTH CARE SYSTEM REQUIRES BOTH DOCUMENTATION OF AND IMPROVEMENT IN THE QUALITY OF CARE, SPECIFICALLY, THE CARE PROVIDED IN PHYSICIANS' OFFICES. ALTHOUGH THE QUALITY OF CARE PROVIDED IN HOSPITALS HAS BEEN MEASURED ON AN ONGOING BASIS FOR MANY YEARS, THERE WAS LESS KNOWN ABOUT THE QUALITY OF CARE PROVIDED IN PHYSICIANS' OFFICES. OUTCOMES RESEARCH WHICH QUANTIFIES THE QUALITY OF CARE PROVIDED IN THE PHYSICIANS' OFFICES OF THE FOUNDATION IS READILY AVAILABLE IN A VERTICALLY-INTEGRATED HEALTH CARE SYSTEM. THE FOUNDATION PROVIDES THE INFORMATION NECESSARY TO DRAMATICALLY IMPROVE SUCH CARE, WHICH BENEFITS THE COMMUNITY.5. PROVIDES CHARITY CARE: THE FOUNDATION PHYSICIANS ARE REQUIRED TO PARTICIPATE IN CHARITY HEALTH CARE PROGRAMS ESTABLISHED AND OPERATED BY THE FOUNDATION AND THE MEDICAL CENTER. THE EVENTUAL GOAL OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM IS FOR THE FOUNDATION'S CLINICS TO PROVIDE THE OUTPATIENT NEEDS OF THE INDIGENT IN THE COMMUNITY. CURRENTLY, THE MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SERVICES TO INDIGENT EMERGENCY ROOM PATIENTS WHO REQUIRE SUCH SERVICES. FOR THOSE PATIENTS UNABLE TO PAY, THE FOUNDATION PROVIDES THEM WITH CHARITY CARE DURING CLINIC HOURS IF THEY MEET PREDETERMINED CRITERIA. THE PHYSICIANS OF THE FOUNDATION ALSO PROVIDE INDIGENT CARE AT THE MEDICAL CENTER AS PART OF THEIR HOSPITAL STAFFING ASSISTANCE.THE FOUNDATION PROVIDES HEALTH CARE SERVICES TO MEDI-CAL AND MEDICARE PROGRAM BENEFICIARIES WITHOUT DISCRIMINATING. 546440774 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1083 0 1 1697 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 CA X DEBORAH A BOTTEN 3104238473 15821 VENTURA BLVD STE 520 ENCINO CA 91436 THOMAS M PRISELAC CHAIRMAN AND PRESIDENT 1.00 77.00 X X 0 4571241 1114416 EDWARD PRUNCHUNAS CHIEF FINANCIAL OFFICER 1.00 68.00 X X 0 2569881 454402 RICHARD B JACOBS SECRETARY 5.00 61.00 X X 0 1778141 497868 JOHN JENRETTE MD EXEC VICE PRESIDENT & CEO 26.00 39.00 X X 0 1735851 219654 DAVID M WRIGLEY CHIEF FINANCIAL OFFICER 1.00 61.00 X X 0 1476858 167943 JILL MARTIN CHIEF OPERATING OFFICER 26.00 39.00 X 0 1033052 58505 PETER E BRAVEMAN ESQ FORMER OFFICER 0.00 0.00 X 0 674201 293881 CYNTHIA LITT DECULUS VICE PRESIDENT 60.00 0.00 X 0 670868 244413 MARY CLARE LINGEL VICE PRESIDENT 60.00 0.00 X 0 690346 161077 STEPHEN DEUTSCH MD SENIOR MEDICAL DIRECTOR-CSMG 26.00 39.00 X 581746 0 204848 CAROLINE GOLDZWEIG MD MEDICAL DIRECTOR 60.00 0.00 X X 0 604819 99699 LISA MAQUEIRA VICE PRESIDENT 60.00 0.00 X 0 449197 143081 ALEN VOSKANIAN MEDICAL DIRECTOR-CSMG 60.00 0.00 X 498302 0 77587 PRASANNA MOHANTY VICE PRESIDENT 60.00 0.00 X 0 508692 33340 GERALD WHITMAN MD BOARD MEMBER 1.00 0.00 X 0 25083 0 JOHN BENDHEIM BOARD MEMBER 1.00 5.00 X 0 0 0 DAVID HOFFMAN MD BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS J LEANSE ESQ BOARD MEMBER 1.00 5.00 X 0 0 0 JAMES A LIPPMAN BOARD MEMBER 1.00 12.00 X 0 0 0 GENE LIU MD BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES A NATHAN BOARD MEMBER 1.00 5.00 X 0 0 0 LAWRENCE B PLATT BOARD MEMBER 1.00 7.00 X 0 0 0 MARC H RAPAPORT BOARD MEMBER 1.00 9.00 X 0 0 0 THEODORE N STEIN MD BOARD MEMBER 1.00 0.00 X 0 0 0 1080048 16788230 3770714 195 1 1 0 CEDARS-SINAI MEDICAL GROUP 200 N ROBERTSON BL 101 BH CA 90211 PHYSICIAN SERVICES 80555480 KERLAN-JOBE ORTHOPAEDIC CLINIC 6801 PARK TERRACE SUITE 500 LOS ANGELES CA 90045 PHYSICIAN SERVICES 25118378 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 MEDICAL CLAIMS 19450721 INPATIENT SPECIALTY PRACTICES A MED GRP 200 N ROBERTSON BLVD BH CA 90211 PHYSICIAN SERVICES 15386421 BEVERLY PATHOLOGY INC 8700 BEVERLY BLVD STE TSB-290 LOS ANGELES CA 90048 PHYSICIAN SERVICES 13857351 142 729537 7881856 8611393 PATIENT CARE 621400 294344145 293793037 551108 PREMIUM REVENUE 621400 101334390 101334390 MEDICARE/MEDICAID PMT 621400 43252618 43252618 SUBLEASE INCOME 531120 173888 173888 439105041 708213 708213 448424647 438553933 551108 708213 X 608189 608189 106609698 100360382 6249316 3630283 3418638 211645 18629991 17542376 1087615 7030156 6620298 409858 3287493 3287493 278204023 275831956 2372067 14153 14153 2303410 2073069 230341 43701269 41953218 1748051 478159 478159 1770832 1770832 1914 1914 13783453 10112536 3670917 3895006 3895006 PATIENT CARE 65728158 65728158 PARKING 2321694 2321694 REPAIR & MAINT. SERVICE 2074914 2074914 FACILITY MAINT. SERVICE 1649242 1649242 6861642 6698547 163095 562583679 546440774 16142905 0 11767 13167 53630261 70216646 47522547 43914418 94134 80909 2372393 3384655 2845089 3218810 244840500 55527168 139763985 189313332 4597924 3509664 32512396 28842130 1156870 183774230 284507366 526267961 48508493 70918242 187741 230109 4597924 3509664 4384137 183155031 57678295 257813046 X 226829071 268454915 226829071 268454915 284507366 526267961 X -114159032 155784876 X X 0 1 X 1 1 1 X X 1 CEDARS-SINAI MEDICAL CENTER 951644600 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 77281254 36161153 41120101 23520513 19366015 4154498 144038733 144038733 189313332 SECURITY AND OTHER DEPOSITS 890748 LEASE ROU ASSETS 182883482 183774230 DUE TO/FROM AFFILIATES 1622397 LONG-TERM LEASE LIABILITIES 181532634 183155031 X PART IV, LINE 2B: IN CONNECTION WITH THE PURCHASE OF THREE PHYSICIAN PRACTICES IN DECEMBER 1993, OCTOBER 1995, AND DECEMBER 1996, THE FOUNDATION EXECUTED PROMISSORY NOTES FOR COVENANTS NOT-TO-COMPETE AND THE NONCASH CONSIDERATION OF THE PURCHASE PRICE. IN LIEU OF MAKING THE PAYMENTS IN ACCORDANCE WITH THE TERMS OF THE NOTES, THE PHYSICIAN PRACTICES AGREED TO HAVE THE FOUNDATION INVEST THE PAYMENT AMOUNTS IN LIFE INSURANCE POLICIES WHICH ARE VALUED AT CASH SURRENDER VALUE. PART X, LINE 2: THE FOLLOWING STATEMENT IS TAKEN FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CEDARS-SINAI HEALTH SYSTEM THAT INCLUDES THE FOUNDATION. THE CORPORATION COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE CORPORATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2016. 0 1 0 0 0 0 0 0 0 THOMAS M PRISELAC CHAIRMAN AND PRESIDENT 0 1801992 0 1702732 0 1066517 0 1090219 0 24197 0 5685657 0 0 EDWARD PRUNCHUNAS CHIEF FINANCIAL OFFICER 0 895496 0 724122 0 950263 0 430043 0 24359 0 3024283 0 125000 RICHARD B JACOBS SECRETARY 0 717463 0 472240 0 588438 0 482008 0 15860 0 2276009 0 75000 JOHN JENRETTE MD EXEC VICE PRESIDENT & CEO 0 931456 0 516539 0 287856 0 195402 0 24252 0 1955505 0 0 DAVID M WRIGLEY CHIEF FINANCIAL OFFICER 0 726934 0 333269 0 416655 0 135799 0 32144 0 1644801 0 0 JILL MARTIN CHIEF OPERATING OFFICER 0 555713 0 293639 0 183700 0 45246 0 13259 0 1091557 0 0 PETER E BRAVEMAN ESQ FORMER OFFICER 0 355244 0 131265 0 187692 0 290061 0 3820 0 968082 0 0 CYNTHIA LITT DECULUS VICE PRESIDENT 0 414675 0 149535 0 106658 0 230214 0 14199 0 915281 0 0 MARY CLARE LINGEL VICE PRESIDENT 0 402811 0 146111 0 141424 0 130410 0 30667 0 851423 0 0 STEPHEN DEUTSCH MD SENIOR MEDICAL DIRECTOR-CSMG 429760 0 90010 0 61976 0 181955 0 22893 0 786594 0 0 0 CAROLINE GOLDZWEIG MD MEDICAL DIRECTOR 0 392927 0 141224 0 70668 0 83988 0 15711 0 704518 0 0 LISA MAQUEIRA VICE PRESIDENT 0 281809 0 107823 0 59565 0 119539 0 23542 0 592278 0 0 ALEN VOSKANIAN MEDICAL DIRECTOR-CSMG 389737 0 79224 0 29341 0 45435 0 32152 0 575889 0 0 0 PRASANNA MOHANTY VICE PRESIDENT 0 321663 0 120432 0 66597 0 23568 0 9772 0 542032 0 0 PART I, LINE 4B THERE ARE TWO NONQUALIFIED DEFERRED COMPENSATION PLANS IN WHICH ONE OR MORE OF THE LISTED PERSONS PARTICIPATE. THE FIRST PLAN IS A DEFERRED COMPENSATION PLAN. THIS IS A "GRANDFATHERED" TRADITIONAL DEFINED BENEFIT PLAN (NO NEW PARTICIPANTS HAVE BEEN ADDED SINCE 1986). THE BENEFIT FORMULA IS A PERCENTAGE OF THE HIGHEST FIVE YEARS AVERAGE ANNUAL SALARY TIMES THE NUMBER OF YEARS OF ELIGIBLE SERVICE, WITH A MAXIMUM CREDITED SERVICE OF 30 YEARS. THE SECOND PLAN IS A SUPPLEMENTAL RETIREMENT ALLOWANCE THAT IS PAYABLE DIRECTLY TO THE PARTICIPANTS EACH QUARTER. THE BENEFIT FORMULA FOR THIS PLAN HAS ANNUAL CONTRIBUTIONS THAT ARE EITHER A PERCENTAGE OF SALARY, OR ARE DESIGNED TO FUND A PERCENTAGE OF THE ESTIMATED FINAL 5-YEAR AVERAGE SALARY. IN ADDITION, FOUR INDIVIDUALS HAVE RETENTION INCENTIVES WHICH HAD CLIFF-VESTING DATES IN 2019. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2019 RELATED TO ONE OR BOTH OF THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. PETER E. BRAVEMAN, ESQ. 48,042 CAROLINE GOLDZWEIG, MD 69,805 RICHARD B. JACOBS 549,954 JOHN JENRETTE, MD 224,027 THOMAS PRISELAC 947,248 EDWARD PRUNCHUNAS 799,972 CYNTHIA LITT DECULUS 103,750 JILL MARTIN 176,179 MARY CLARE LINGEL 120,700 LISA MAQUEIRA 57,075 PRASANNA MOHANTY 66,029 STEPHEN DEUTSCH, MD 52,278 ALEN VOSKANIAN 28,874 DAVID M. WRIGLEY 367,099 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUED) 6. COMMITTED TO INCREASING ACCESS TO CARE AND COORDINATION OF CARE: THE FOUNDATION IS COMMITTED TO INCREASING ACCESS TO CARE, IMPROVING COORDINATION OF CARE IN ORDER TO REDUCE UNNECESSARY VARIATION AND UTILIZATION, AND IMPROVE PATIENT OUTCOMES. OUR PHYSICIANS, MANAGERS AND STAFF ARE COLLABORATING WITH COLLEAGUES ACROSS THE ENTIRE HEALTH SYSTEM, WITH THE MAJOR HEALTH PLANS, AND WITH COMMUNITY ORGANIZATIONS TO ACHIEVE THESE GOALS. SOME EXAMPLES OF THESE EFFORTS ARE: - OUR INITIATIVES ARE DESIGNED TO ENGAGE COMMUNITY PHYSICIANS IN PROJECTS TO ENSURE THAT PATIENTS ARE RECEIVING THE RIGHT CARE, AT THE RIGHT TIME, AT THE RIGHT PLACE, WITH THE RIGHT RESOURCES. - THE FOUNDATION IS REDESIGNING PRIMARY CARE TO ESTABLISH A MORE POPULATION-FOCUSED, PATIENT-CENTERED APPROACH TO CARE. BY CREATING A NEW CARE TEAM MODEL, PRIMARY CARE PHYSICIANS WILL IMPROVE THEIR ACCESS TO CARE, BE MORE PROACTIVE IN REACHING OUT TO PATIENTS FOR PREVENTIVE SERVICES, AND HAVE MORE TIME TO DEDICATE TO CHRONIC DISEASE MANAGEMENT. - CEDARS-SINAI MEDICAL CARE FOUNDATION IS SPONSORING THE IMPLEMENTATION OF A COMPREHENSIVE ELECTRONIC MEDICAL RECORD WITHIN ITS CLINICS, WITH THE PURPOSE OF IMPROVING PATIENT SAFETY, INCORPORATING EVIDENCE-BASED GUIDELINES, STREAMLINING OFFICE OPERATIONS, REDUCING DUPLICATIVE SERVICES, IMPROVING COORDINATION OF CARE AND MEETING FEDERAL REGULATIONS FOR ADOPTION OF ELECTRONIC HEALTH RECORDS. THIS IMPLEMENTATION WILL MEET ALL THE CRITERIA FOR "MEANINGFUL USE" AS DEFINED BY THE FEDERAL GOVERNMENT. CEDARS-SINAI MEDICAL CARE FOUNDATION ALSO OFFERS ITS PATIENTS A SECURE ONLINE PORTAL FOR IMPROVED ACCESS TO CARE AND SERVICES, BETTER SELF-MANAGEMENT, AND LOWER COST ALTERNATIVE OFFICE VISITS - CEDARS-SINAI MEDICAL CARE FOUNDATION HAS DEVELOPED AN ANALYTIC MODEL FOR IDENTIFYING ITS MOST FRAGILE PATIENTS. THESE PATIENTS HAVE DEDICATED CASE MANAGERS ENSURING THAT THEY ARE RECEIVING THEIR CARE IN A TIMELY MANNER IN THE MOST APPROPRIATE SETTING, AND THAT THEY ARE MAXIMIZING THE USE OF COMMUNITY RESOURCES. WE ALSO HAVE A SYSTEM TO MONITOR SEVERAL HEALTH INDICATORS THROUGH THE USE OF BIOMETRIC EQUIPMENT IN PATIENTS' HOMES. THE GOAL IS TO REDUCE THESE PATIENTS' NEED FOR HIGH COST EMERGENCY AND INPATIENT SERVICES - CEDARS-SINAI IS DEDICATING RESOURCES TO EVALUATE THE MOST COMMON CAUSES FOR READMISSION AND CREATING NEW PROGRAMS AND SERVICES TO ADDRESS THE NEEDS OF THIS POPULATION OF PATIENTS. CEDARS-SINAI MEDICAL CARE FOUNDATION FULLY SUPPORTS THE AFFORDABLE CARE ACT, AS DEMONSTRATED BY ITS PARTICIPATION IN THE MEDICARE SHARED SAVINGS PROGRAM, FOUR COMMERCIAL ACCOUNTABLE CARE ORGANIZATIONS, AND THE CALIFORNIA EXCHANGE, COVERED CALIFORNIA. CEDARS-SINAI MEDICAL CARE FOUNDATION OFFERS COMMUNITY NONPROFIT ORGANIZATIONS TRAINING ON SENIOR SENSITIVITY, ADVANCE DIRECTIVES, FALL RISK PREVENTION AND OTHER TOPICS THAT ENABLE THEM TO FULFILL THEIR MISSION. WE COLLABORATE WITH NONPROFIT ORGANIZATIONS TO SUPPORT AGING IN PLACE INITIATIVE. CEDARS-SINAI IS ONE OF THE ONLY IRB CERTIFIED SITES IN LOS ANGELES COUNTY TO PROVIDE STAMARIL (YELLOW FEVER VACCINE) TO MEMBERS OF THE COMMUNITY. CEDARS-SINAI MEDICAL CARE FOUNDATION PROVIDES A ROBUST INFRASTRUCTURE OF CARE COORDINATION FOR ALL THE PATIENTS IT SERVES, REGARDLESS OF PAYER ARRANGEMENT, INCLUDING CARE MANAGEMENT, SOCIAL WORK SERVICES, HOUSE CALLS, DISEASE MANAGEMENT AND SUPPORTIVE CARE MEDICINE. THESE SERVICES ARE ALSO PROVIDED TO MEMBERS OF THE COMMUNITY WHO APPEAR TO BE USING THE EMERGENCY DEPARTMENT AT CEDARS-SINAI MEDICAL CENTER FOR PRIMARY CARE. THESE PATIENTS ARE TYPICALLY UNINSURED, HOMELESS, OR OTHERWISE MEDICALLY OR SOCIALLY FRAGILE. CEDARS-SINAI MEDICAL CARE FOUNDATION HAS A DEDICATED CARE MANAGER WHO REACHES OUT TO THEM AND CONNECTS THEM TO CEDARS-SINAI MEDICAL CARE FOUNDATION OR OTHER COMMUNITY RESOURCES. CEDARS-SINAI MEDICAL CARE FOUNDATION PROVIDES EDUCATIONAL EVENTS FREE OF CHARGE FOR 9 LOCAL SKILLED NURSING FACILITIES. CEDARS-SINAI MEDICAL CARE FOUNDATION ALSO PROVIDES A MONTHLY ADVANCE CARE PLANNING CLASS, AND A QUARTERLY CAREGIVER SUPPORT GROUP. CEDARS-SINAI MEDICAL CARE FOUNDATION OFFERS VIRTUAL VISITS IN THE FORM OF TELEPHONE OR VIDEO AS AN OPTION TO PATIENTS SEEKING CARE. VIRTUAL CARE PROVIDES PATIENTS WITH ANOTHER AVENUE TO RECEIVE HIGH QUALITY, SAFE AND CONVENIENT CARE FROM THE COMFORT OF THEIR HOME. VIRTUAL VISITS ARE AVAILABLE DURING NORMAL BUSINESS HOURS. CSMCF ALSO OFFERS ON-DEMAND VIDEO VISITS FOR LOW ACUITY HEALTHCARE NEEDS WITH A CEDARS-SINAI CLINICIAN. PATIENTS CAN CONNECT WITH A CLINICIAN WITH MINIMAL WAIT TIME (AVERAGE <10 MIN) MON-FRI, 7A-7P, AND SAT-SUN, 9A-6P. WHEN NECESSARY, PATIENTS IDENTIFIED BY THE CLINICIAN AS REQUIRING AN IN-PERSON ASSESSMENT OR MORE ADVANCED CARE ARE RE-DIRECTED TO THEIR PHYSICIAN, URGENT CARE, OR THE ED DEPENDING ON THE CLINICAL ACUITY OF THEIR NEED. 7. COVID-19 EFFORTS: IN EARLY MARCH, 2020 CEDARS-SINAI MEDICAL CARE FOUNDATION IDENTIFIED A GAP IN OUR COMMUNITY RELATED TO COVID-19 TESTING. WE QUICKLY ESTABLISHED A TEMPORARY CENTRALIZED TESTING SITE AND THEN ENSURED THAT ALL OF OUR URGENT CARE CENTERS COULD OFFER CONVENIENTLY LOCATED ON-DEMAND TESTING IN A SAFE ENVIRONMENT. OUR FOUNDATION IS ALSO COLLABORATING WITH CEDARS-SINAI MEDICAL CENTER TO PROVIDE MONOCLONAL ANTIBODIES TO ELIGIBLE PATIENTS, TO ESTABLISH A MULTI-DISCIPLINARY COVID-19 RECOVERY PROGRAM, AND TO STAFF DRIVE THROUGH TESTING AND VACCINATION CENTERS. FOUNDATION PHYSICIANS AND STAFF HAVE PROVIDED COUNTLESS HOURS OF VOLUNTEER TIME TO SUPPORT CARE IN HOMELESS CLINICS AND COUNTY VACCINATION CENTERS. ALSO IN 2020, WE BEGAN STUDYING RACE AND ETHNIC DISPARITIES IN OUR HMO PATIENT POPULATION'S CANCER SCREENING AND CHRONIC DISEASE MANAGEMENT. WE ARE NOW EMBARKING ON EFFORTS TO RECTIFY THOSE DISPARITIES. FORM 990, PART VI, SECTION A, LINE 6 CEDARS-SINAI MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF CEDARS-SINAI MEDICAL CARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CEDARS-SINAI MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER, ELECTS BOARD OF DIRECTORS TO CEDARS-SINAI MEDICAL CARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF CEDARS-SINAI MEDICAL CENTER, THE SOLE CORPORATE MEMBER OF THE FOUNDATION. THE FOLLOWING ACTIONS MUST BE APPROVED OR ACTED UPON BY CEDARS-SINAI MEDICAL CENTER BEFORE BECOMING EFFECTIVE: (A) ANY SALE OR OTHER DISPOSITION OF ALL OR A SUBSTANTIAL PORTION OF THE ASSETS OF THE FOUNDATION; (B) ANY MERGER OR AFFILIATION OF THE FOUNDATION WITH ANY PERSON OR ENTITY OTHER THAN THE MEMBER; (C) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION; (D) CONDUCTING ANY HOSPITAL BUSINESS, OR ANY NON-HEALTHCARE BUSINESS, OR OWNERSHIP OF ANY DIRECT OR INDIRECT INTEREST IN ANY HOSPITAL; (E) ANY ACT OR OMISSION WHICH CREATES ANY MATERIAL RISK TO THE MEMBER'S TAX-EXEMPT STATUS, OR CREATES ANY MATERIAL RISK OF A VIOLATION OF ANY STATE OR FEDERAL LAWS; (F) DISSOLUTION OF THE FOUNDATION OR THE FILING OF ANY BANKRUPTCY PETITION; (G) CREATION OF ANY NEW CORPORATION, PARTNERSHIP OR ASSOCIATION; (H) ACQUISITION OF OR THE INVESTMENT IN A NEW OPERATING BUSINESS; (I) ENTERING INTO ANY PARTNERSHIPS OR JOINT VENTURES; (J) ADOPTION OF OR CHANGES TO OPERATING OR CAPITAL BUDGETS, OR THE ADOPTION OF OR CHANGES TO LONG-RANGE AND STRATEGIC PLANS; (K) UNBUDGETED CAPITAL EXPENDITURES OVER $25,000; (L) LOANS, BORROWINGS OR GUARANTEES IN EXCESS OF $100,000, UNLESS APPROVED IN THE BUDGET; (M) ANY SECURITY INTERESTS OR MORTGAGES ON THE PROPERTY OF FOUNDATION; (N) OPERATING OR CAPITAL LEASES WHERE THE TERM IS OVER FIVE YEARS OR THE TOTAL OBLIGATION UNDER THE LEASE EXCEEDS $100,000, UNLESS APPROVED IN THE BUDGET; (O) TERMINATION OR APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE FOUNDATION; OR (P) TERMINATION OR SELECTION OF THE AUDITORS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 UNDERGOES AN INTENSE AND HIGHLY COMPREHENSIVE REVIEW PROCESS. THE REVIEW INVOLVES VARIOUS MANAGEMENT PERSONNEL AND A BIG FOUR ACCOUNTING FIRM. A MULTI-LEVEL REVIEW IS PERFORMED WITHIN THE FINANCE DEPARTMENT INCLUDING REVIEW BY THE SENIOR VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE. THE FORM 990 IS THEN PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND DISCUSS THE INFORMATION REPORTED. FORM 990, PART VI, SECTION B, LINE 12C: CONFLICT OF INTEREST POLICY: THE BOARD OF DIRECTORS OF CEDARS-SINAI MEDICAL CARE FOUNDATION (THE "FOUNDATION") PREVIOUSLY ADOPTED THE CEDARS-SINAI MEDICAL CENTER POLICY REGARDING FULL, COMPLETE AND ACCURATE DISCLOSURE OF CONFLICTS OF INTEREST BY "COVERED INDIVIDUALS." COVERED INDIVIDUALS: * MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS; * MEMBERS OF BOARD COMMITTEES; * OFFICERS AND KEY PERSONNEL; * ANY OTHER INDIVIDUALS IDENTIFIED BY THE CHAIRPERSON OF THE BOARD OF DIRECTORS, THE BOARD OF DIRECTORS, OR THE EXECUTIVE DIRECTOR. THE PURPOSE OF THIS POLICY IS TO PROVIDE CLEAR AND CONSISTENT GUIDANCE TO COVERED INDIVIDUALS ON THE OBLIGATION TO REPORT VARIOUS TYPES OF INTERESTS IDENTIFIED IN THIS POLICY. A FULL WRITTEN DISCLOSURE OF ANY TRANSACTIONS OR BUSINESS AFFILIATIONS WHICH MAY CONSTITUTE A CONFLICT OF INTEREST MUST BE MADE TO THE BOARD OF DIRECTORS (THROUGH THE OFFICE OF THE EXECUTIVE DIRECTOR) BY EACH COVERED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 12C ANY DISCLOSED INTEREST OR ACTIVITY APPROVED AS MANAGED BY THE BOARD OF DIRECTORS PURSUANT TO THE CONFLICT OF INTEREST POLICY MUST BE REVIEWED ON AN ANNUAL BASIS TO ASSURE THAT CIRCUMSTANCES HAVE NOT CHANGED TO ALTER THE APPROVAL. THE EXECUTIVE DIRECTOR, OR HIS/HER DESIGNEE, WILL REGULARLY PROVIDE GUIDANCE AND DIRECTION ON THE TYPES OF FINANCIAL INTERESTS AND PROFESSIONAL ACTIVITIES THAT SHOULD BE REPORTED BY COVERED INDIVIDUALS IN THEIR ANNUAL DISCLOSURES AS REQUIRED UNDER THIS POLICY, OR IN OTHER INSTANCES WHERE DISCLOSURE OF SUCH INTERESTS AND ACTIVITIES ARE ALSO REQUIRED. IMPLEMENTATION OF THIS POLICY WILL INCLUDE PERIODIC COMMUNICATIONS TO COVERED INDIVIDUALS OF THE POLICY'S PROVISIONS AND A SCHEDULED REVIEW OF THE POLICY'S TERMS AND ENFORCEMENT. IMPLEMENTATION OF THIS POLICY IS SUBJECT TO REVIEW AND APPROVAL BY THE FOUNDATION'S BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR SHALL REPORT ANNUALLY TO THE CEDARS-SINAI MEDICAL CENTER'S BOARD OF DIRECTORS' AUDIT COMMITTEE THE RESULTS OF EACH ANNUAL CONFLICT OF INTEREST REVIEW. THE EXECUTIVE DIRECTOR MAY DELEGATE MANAGEMENT OF THE FOUNDATION'S CONFLICT OF INTEREST POLICY TO THE CEDARS-SINAI MEDICAL CENTER'S CORPORATE INTEGRITY PROGRAM DEPARTMENT OR SEEK ASSISTANCE THEREFROM ON A PERIODIC BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION POSTS ITS CORPORATE INTEGRITY PROGRAM POLICY ON ITS WEBSITE AT HTTPS://WWW.CEDARS-SINAI.ORG/CONTENT/DAM/CEDARS-SINAI/ ABOUT-US/DOCUMENTS/CORPORATE_INTEGRITY_POLICY1.PDF. THE CORPORATE INTEGRITY PROGRAM POLICY OUTLINES THE STANDARDS OF CONDUCT. ADDITIONALLY, THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS CORPORATE MEMBER'S FORM 990. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PSA REIMBURSEMENTS: PROGRAM SERVICE EXPENSES 186,513,155. MANAGEMENT AND GENERAL EXPENSES 1,883,971. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,397,126. MEDICAL EXPENSES - CLAIMS & CAP: PROGRAM SERVICE EXPENSES 42,067,295. MANAGEMENT AND GENERAL EXPENSES 424,922. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,492,217. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,538,888. MANAGEMENT AND GENERAL EXPENSES 63,174. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,602,062. MD BENEFITS & OTHER RELATED EXPENSES: PROGRAM SERVICE EXPENSES 24,214,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,214,230. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 970,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 970,708. ANSWERING SERVICES: PROGRAM SERVICE EXPENSES 527,680. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 527,680. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES (CSMC) 155,784,877. ROUNDING -1. FORM 990, PART XII, LINE 2C THE FOUNDATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH ITS PARENT FOR FISCAL YEAR ENDED JUNE 30, 2020. THE OVERSIGHT OF THE AUDIT WAS PERFORMED BY ITS PARENT'S AUDIT COMMITTEE. 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