2019-05-15T13:02:34-05:00 2018-06-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2017-07-01 951690977 Children's Hospital Los Angeles CHIL 3236602450 4650 Sunset Boulevard Los Angeles CA 900270982 Scott Lieberenz SVP & CFO 3236602450 2019-05-15 1 JOHN W SADOFF JR P00540589 7144367100 103.76.232.166 2019-05-15 06:37:44 US P 4A2558486EEC6DB97E73B1E5FE2049900CCE7E47 F821929016DC0F48A42118C677E65E4DF9420738 2017 2019-02-21 02:37:17Z Paul S Viviano 4650 Sunset Boulevard Los Angeles CA 900270982 1854612671 0 X www.chla.org X 1901 CA Promotion and advancement of children's health through patient care, research, and education. 74 61 6663 583 62744 2493412 109573712 137204403 907075288 1252937564 -3645571 32897512 9860963 10414659 1022864392 1433454138 80700 4598465 0 0 538062595 588955941 744411 0 21856711 532802161 594914915 1071689867 1188469321 -48825475 244984817 1756118463 2125453027 668419925 790282246 1087698538 1335170781 X We create hope and build healthier futures. As a leading academic children's hospital, we fulfill our mission by: Caring for children, adolescents, young adults, families and each other; Advancing knowledge; Preparing future generations; Building our financial strength. 0 0 846723098 4598465 1225246430 Medical Care Provided to Children:It 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. 26783786 15534212 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. 77542701 12156922 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. 820115 528509 Other program service revenues also include residents housing and miscellaneous tuition and education income. 820115 528509 951869700 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 774 0 1 6663 1 1 1 0 0 0 0 1 1 0 0 0 0 X 74 61 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Grace Oh 3233617450 4650 Sunset Blvd Los Angeles CA 900270980 Jeffrey Worthe Trustee, Chair-Elect 2.00 0.00 X X 0 0 0 Lynda Boone Fetter Trustee, Co-Chair 2.00 0.00 X X 0 0 0 Arnold J Kleiner Trustee, Co-Chair 2.00 0.00 X X 0 0 0 Paul S Viviano Trustee, President & CEO 55.00 0.00 X X 1455943 0 411450 Judith M Kline Corporate Secretary (Start 8/17) 55.00 0.00 X X 257024 0 20118 Ashwin Adarkar Trustee 1.00 0.00 X 0 0 0 Brooke Anderson Trustee 1.00 0.00 X 0 0 0 June Banta Trustee 1.00 0.00 X 0 0 0 Kevin H Brogan Trustee 1.00 0.00 X 0 0 0 Jay Carson Trustee 1.00 0.00 X 0 0 0 Alex Chaves Sr Trustee 1.00 0.00 X 0 0 0 Peggy Tsiang Cherng PhD Trustee 1.00 0.00 X 0 0 0 Gary J Cohen Trustee 1.00 0.00 X 0 0 0 Martha N Corbett Trustee 2.00 0.00 X 0 0 0 Cheryl Kunin Fair Trustee 1.00 0.00 X 0 0 0 Richard D Farman Trustee 1.00 0.00 X 0 0 0 Henri R Ford MD MHA Trustee, Faculty Physician 40.00 0.00 X 901076 0 0 Deborah A Freund PhD Trustee 1.00 0.00 X 0 0 0 Margaret Rodi Galbraith Trustee 1.00 0.00 X 0 0 0 Ranjan Goswami Trustee 1.00 0.00 X 0 0 0 Mary Hart Trustee 1.00 0.00 X 0 0 0 Megan Hernandez Trustee 1.00 0.00 X 0 0 0 Marcia Wilson Hobbs Trustee 2.00 0.00 X 0 0 0 Gloria Holden Trustee 1.00 0.00 X 0 0 0 Jihee Huh Trustee 1.00 0.00 X 0 0 0 James S Hunt Trustee 2.00 0.00 X 0 0 0 William H Hurt Trustee 2.00 0.00 X 0 0 0 Karen Kay Imagawa MD Trustee/Faculty Phy. (Start 10/17) 40.00 0.00 X 194456 0 0 Lee Kort Trustee 1.00 0.00 X 0 0 0 Kathleen McCarthy Kostlan Trustee 1.00 0.00 X 0 0 0 Mark D Krieger MD Trustee, Faculty Physician 40.00 0.00 X 705358 0 0 Nancy Lee RN Trustee, SVP CCO 40.00 0.00 X 581876 0 105154 Burt Levitch Trustee 1.00 0.00 X 0 0 0 Michael J Madden Trustee 1.00 0.00 X 0 0 0 Susan H Mallory Trustee 2.00 0.00 X 0 0 0 Carol Mancino Trustee 1.00 0.00 X 0 0 0 Christopher A Martin FAIA Trustee 1.00 0.00 X 0 0 0 Bonnie McClure Trustee/Fundraiser Coordinator 30.00 0.00 X 64000 0 0 Caryll Sprague Mingst Trustee 1.00 0.00 X 0 0 0 Eugene Mitchell Trustee 1.00 0.00 X 0 0 0 Todd E Molz Trustee 2.00 0.00 X 0 0 0 Mary Adams O'Connell Trustee 2.00 0.00 X 0 0 0 Jennifer Page Trustee 1.00 0.00 X 0 0 0 Laurence E Paul MD Trustee 1.00 0.00 X 0 0 0 John D Pettker Trustee 2.00 0.00 X 0 0 0 Chester J Pipkin Trustee 1.00 0.00 X 0 0 0 Ronald Preissman Trustee 1.00 0.00 X 0 0 0 Elisabeth Hunt Price Trustee 1.00 0.00 X 0 0 0 Kathryn Connolly Purwin Trustee 1.00 0.00 X 0 0 0 Elizabeth Estrada Rahn Trustee 1.00 0.00 X 0 0 0 Dayle Roath Trustee 1.00 0.00 X 0 0 0 Stephen D Rountree Trustee 1.00 0.00 X 0 0 0 Allan M Rudnick Trustee 2.00 0.00 X 0 0 0 Michael A Sachs Trustee 1.00 0.00 X 0 0 0 Theodore R Samuels Trustee 2.00 0.00 X 0 0 0 Paul M Schaeffer Trustee 1.00 0.00 X 0 0 0 Gary Scott MD Trustee/Faculty Phy. (Start 7/17) 40.00 0.00 X 160200 0 0 Robert Shaddy MD Trustee/Faculty Phy. (Start 6/17) 40.00 0.00 X 138937 0 0 Kimberly Popovich Shepherd Trustee 1.00 0.00 X 0 0 0 Thomas M Simms Trustee 2.00 0.00 X 0 0 0 Victoria Simms PhD Trustee 1.00 0.00 X 0 0 0 Alexandra Meneses Simpson Trustee 1.00 0.00 X 0 0 0 Lisa Stevens Trustee 1.00 0.00 X 0 0 0 James Terrile Trustee 2.00 0.00 X 0 0 0 Hon Dickran M Tevrizian Trustee 1.00 0.00 X 0 0 0 Joyce Bogart Trabulus Trustee 1.00 0.00 X 0 0 0 Alia Tutor Trustee 1.00 0.00 X 0 0 0 Rohit Varma MD MPH Trustee 1.00 0.00 X 0 0 0 Eric C Wasserman Trustee 1.00 0.00 X 0 0 0 Cathy Siegel Weiss Trustee 2.00 0.00 X 0 0 0 Roberta G Williams MD Trustee, Faculty Physician 40.00 0.00 X 459907 0 0 Alan J Wilson Trustee 1.00 0.00 X 0 0 0 Richard Zapanta MD Trustee 1.00 0.00 X 0 0 0 Robert A Zielinski Trustee 1.00 0.00 X 0 0 0 Scott Lieberenz SVP, Chief Financial Officer 55.00 0.00 X 547065 0 96675 Steve Garske SVP, CIO 55.00 0.00 X 517297 0 89382 Lara Khouri SVP, Chief Strategy Officer 55.00 0.00 X 624146 0 92413 Marilyn Ho Chief of Staff 55.00 0.00 X 331425 0 67670 Gayathri Jith SVP, CAO 55.00 0.00 X 538522 0 20989 Grace Oh SVP General Counsel 55.00 0.00 X 507666 0 138927 Bhavana Kumar Arora Medical Director 55.00 0.00 X 370250 0 5797 Nancy T Blake Dir, Patient Care Svcs 55.00 0.00 X 496279 0 41775 Mary Dolores Hacker VP, Inter-Prof Nursing Resrch 55.00 0.00 X 411499 0 45680 Geon L Lee Reg Nurse Lead 55.00 0.00 X 696552 0 51508 Jodi Shirlyn Ogden VP, Research Operations 55.00 0.00 X 373896 0 74486 10333374 0 1262024 1686 0 1 0 Comforce Technical Services Inc 999 Stewart Ave Ste 100 Bethpage NY 11714 Healthcare Workforce Management 26991154 Sodexo Inc 9801 Washington Blvd Gaithersburg MD 20878 Food and Housekeeping Services 12689302 Cerner Corporation 2800 Rockcreek Parkway North Kansas City MO 64117 Technology Services 8880778 Accenture LLP 1255 Treat Blvd Ste 250 Walnut Creek CA 94597 Consulting Services 8396897 Parking Company of America 11101 Lakewood Blvd Downey CA 90241 Parking Services 4263274 183 349066 47635650 89219687 1183700 137204403 Patient Revenue 621110 1225246430 1225246430 Research Revenue 900099 12156922 12156922 Graduate Medical Edu. 900099 11852351 11852351 Education Revenue 900099 3681861 3681861 1252937564 8705530 34632 8670898 81323 81323 445206580 418392880 2621718 26813700 -2621718 24191982 24191982 0 349066 143935 -143935 -143935 Cafeteria 722514 3960400 3960400 Parking Garage 812930 3807205 3807205 Child Development Ctr 624410 1238850 1238850 1470816 528509 28112 914195 10477271 1433454138 1253466073 62744 42720918 X 4598465 4598465 7160027 1284447 5635211 240369 490233089 384968444 94327515 10937130 10082600 8246531 1607126 228943 46373266 39539228 5716288 1117750 35106959 27063181 7347531 696247 5312 1685 3627 2974452 240836 2733616 1034514 1034514 1003090 1003090 1027707 1027707 199298349 130937636 64507791 3852922 8125776 8125776 147234057 142256227 4682497 295333 34853310 28657900 5780062 415348 209412 209412 10615180 5881288 3749812 984080 2559291 1812434 608410 138447 2280866 1590237 218684 471945 19696548 18670358 1026190 65662841 61578457 2977876 1106508 3884372 3483444 189422 211506 Quality Assurance Fees 62964785 62964785 Utilities 12453751 11836192 617559 0 Dues and Subscriptions 3397730 591303 2380325 426102 Minor Equipment 3034352 2572080 457883 4389 12599220 4759354 7110174 729692 1188469321 951869700 214742910 21856711 179870 46374 43114958 105640504 54272581 38152112 136591135 201584285 0 0 314506 751893 7989808 9890802 7366605 21442233 1650769443 778652707 885578944 872116736 556966751 624145950 4834044 5131972 58909261 246550166 1756118463 2125453027 135968474 148978773 30945867 146341349 468314876 465336311 33190708 29625813 668419925 790282246 X 776699153 990618544 132506539 157341316 178492846 187210921 1087698538 1335170781 1756118463 2125453027 X 244984817 -345227 2832653 X 0 1 X 1 1 1 X 1003090 1003090 950866610 951869700 1000000 250000 0 3090 1 1000000 1000000 1000000 1000000 4000000 6000000 552827 537068 3518172 1003090 5611157 250000 250000 250000 250000 1000000 1500000 0 0 0 596010538 51602973 28227452 68467461 607373502 543706004 53936257 57761047 59392770 596010538 572973705 52408489 -23833941 57842249 543706004 618919327 49906314 702974 96554910 572973705 570394064 43017518 70018758 64511013 618919327 0.65230 0.30820 0.03950 0 0 38481257 38481257 1099566466 397846696 701719770 455985503 372349182 83636321 56736217 8456829 48279388 872116736 Hospital Fee Program Receivable 220045037 Capital Accumulation Account 6261824 Goldman Sach-Swap Collateral 4500000 Receivables Under Government Program 13820001 Other 1923304 246550166 Liability Under Unitrust Agreements 2347237 Interest Rate Swap 8809963 Other Noncurrent Liabilities 18468613 29625813 X 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. Part X, Line 2: The Hospital is recognized by the Internal Revenue Service and the California Franchise Tax Board as tax-exempt under Internal Revenue Code Section 501(c)(3). Accordingly, no provision for income taxes has been made in the accompanying consolidated statements of activities. Walk & Play LA 349066 349066 20002 45681 664 77588 349066 349066 20002 45681 664 77588 143935 -143935 1 1 X 1 X 350.000000000000 1 X 1 1 0 1 1 1 1004 972954 972954 0.00080 1 1004 972954 972954 0.00080 17 662435 7398836 7398836 0.00620 9 7451 49159866 26783786 22376080 0.01880 1 2543 4137786 4137786 0.00350 1 0 113857999 77527475 36330524 0.03060 2 400 285879 285879 0.00020 30 672829 174840366 104311261 70529105 0.05930 31 673833 175813320 104311261 71502059 0.06010 1 127 253042 253042 0.00020 3 200565 591132 122078 469054 0.00040 2 17 516920 516920 0.00040 6 200709 1361094 122078 1239016 0.00100 1 2139330 0 2904374 4036031 -1131657 X 1 1 1 1 Children's Hospital Los Angeles 4650 Sunset Blvd Los Angeles CA 900270982 www.chla.org 930000032 X X X X X X Children's Hospital Los Angeles 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X See Part V, Section C, Supplemental Info. X 1 15 1 See Part V, Section C, Supplemental Info. 0 1 X 350.000000000000 400.000000000000 1 1 X X X X 1 X https://www.chla.org/billing-and-insurance-paying-care X https://www.chla.org/billing-and-insurance-paying-care X https://www.chla.org/billing-and-insurance-paying-care X X X X X X 1 X 0 X X X X 1 X 0 0 Children's Hospital Los Angeles Part V, Section B, Line 5: The 2016 Community Health Needs Assessment is being conducted by the Center for Nonprofit Management (CNM) and the Office of Community Affairs at Children's Hospital Los Angeles. Other institutions, organizations and agencies as well as members of the Children's Hospital Community Benefit Advisory Committee also contributed time and resources to assist with this assessment.The CNM team has extensive experience through being involved in and conducting more than 30 CHNA's for hospitals throughout Los Angeles County and San Diego County. In 2013, CNM conducted CHNA's for three Kaiser Foundation Hospitals (Baldwin Park, Los Angeles and West Los Angeles), Citrus Valley Health Partners, The Glendale Hospitals Collaborative (Glendale Adventist Medical Center, Glendale Memorial Hospital and US Verdugo Hills Hospital) and the Metro Hospitals Collaborative (California Hospital Medical Center, Good Samaritan Hospital and St. Vincent Medical Center) and assisted an additional two Kaiser Foundation Hospitals (Panorama City and San Diego) in community benefit planning based on the needs assessments. More recently, the CNM team conducted the 2014 CHNA for CASA Colina Hospital and Centers for Healthcare, and for Hope Street Family Center. The CNM team has also conducted 2016 CHNAs for two Kaiser Foundation Hospitals (West Los Angeles and Baldwin Park), Citrus Valley Health Partners, The Glendale Hospitals Collaborative and The Metro Hospitals Collaborative as well as CHLA's 2016 CHNA.CHLA has conducted a Community Health Needs Assessment (CHNA) in an effort to understand the health and social needs of the community and as required by state and federal law. The CHNA is a primary tool used by the Hospital to determine its community benefit plan. This assessment incorporates components of primary data collection and secondary data analysis that focus on the health and social needs of the service area. Sources of data include the U.S. Census 2010 Decennial Census and American Community Survey, California Health Interview Survey, California Department of Public Health, California Employment Development Department, Los Angeles County Health Survey, Los Angeles Homeless Services Authority, CDC National Health Statistics, National Cancer Institute, U.S. Department of Education, and others. When pertinent, these data sets are presented in the context of California State. The 2016 Community Health Needs Assessment methodology and process involved the collection of both secondary data and primary data. Approximately 300 secondary data indicators on a variety of health, social, economic, and environmental topics were collected by zip code, service planning area (SPA), county, and state levels (as available). In addition, primary data collection included an online survey, a youth-led photovoice project and a community forum with individuals who represent the broad interests of the community served by the Hospital. Additionally, input was obtained from Los Angeles County Department of Public Health Officials. For the community forum, community stakeholders identified by key departments at Children's Hospital Los Angeles were contacted and asked to participate in the prioritization of needs process. Participants included individuals who are leaders and representatives of medically underserved, low-income, minority and chronic disease populations, or regional, state or local health or other departments or agencies that have current data or other information relevant to the health needs of the community served by the hospital facility. Children's Hospital Los Angeles Part V, Section B, Line 6b: A number of institutions, organizations, and departments contributed time and resources to assist with the assessment. These include Asian Pacific Health Care Venture, Children's Hospital Los Angeles - chaplain, Children's Hospital Los Angeles - clinical programs, children's agencies, Community Health Councils, Inc., Los Angeles County Department of Public Health, Esperanza Housing Corporation, Altamed at Children's Hospital, Community Clinic Association of Los Angeles, County Hospital Los Angeles - community affairs, Children's Hospital Los Angeles - family advisory council, Children's Hospital Los Angeles - pediatric residency program, Children's Hospital Los Angeles - promotoras, City Council, Community Clinic Association of L.A. County, Downtown L.A. YMCA, office of Senator Kevin de Leon, Zero to Three and Maternal and Child Health Access. Children's Hospital Los Angeles Part V, Section B, Line 7d: The Community Health Needs Assessment ("CHNA") of the Hospital can be located at the following web address: http://www.chla.org/sites/default/files/atoms/files/CHLA-Childrens-Hospital-LA-CHNA-Report-FINAL.pdf Children's Hospital Los Angeles Part V, Section B, Line 11: As part of the Community Health Needs Assessment (CHNA), health and social needs were identified through an examination of primary and secondary data and then prioritized through a structured process using the relative worth method. This method is a ranking strategy where each participant in the process received a fixed number of points to rank each identified need. The priority areas that are being addressed are: access to care, health promotion and prevention, health and wellness and economic development. Other health and social needs that were identified, such as mental health, chronic disease conditions, community safety, and early childhood development, are alreadybeing addressed by other local and regional community organizations. The Hospital is dedicated to making a difference in the lives of children, adolescents and their families and is addressing the priority areas identified in the CHNA by providing programs and services that are family centered and community based. - Access to Care - Children's Hospital Los Angeles is conducting community education and outreach regarding California's Health Insurance Exchange and the changes in health access programs. The Hospital is also expanding access to health care resources and information regarding transition and transfer of care for young adult patients living with chronic illness and disability.- Health Promotion and Prevention - The Hospital is promoting healthy behaviors and prevention of disease through outreach and education at local schools, community events and expositions. CHLA has partnered with community organizations to coordinate child health and safety campaigns.- Health and Wellness - Children's Hospital Los Angeles has collaborated with community clinics to promote pediatric health and wellness and make available information and resources to providers who care for families in underserved areas and collaborate with local community based organizations to work on initiatives that design and inform the development of interventions that address health inequities, particularly in underserved communities.- Economic Development - The Hospital is working to advance current efforts to expand internships, mentorships and work experience opportunities for young adults and unemployed individuals and will collaborate with community and civic stakeholders to maximize economic opportunity strategies that address health disparities and the social determinants of health. Part V, Section B, Line 10a: The Implementation Strategy of the Hospital can be located at the following web address: http://www.chla.org/sites/default/files/atoms/files/CHLA-Community-Benefit-Implementation-Strategy-2016-2018.pdf Part I, Line 7: The organization uses the cost-to-charge ratio methodology to determine unreimbursed cost of care provided to Medi-Cal patients. All other costs are accounted for using an internal software called CBISA (Community benefit Inventory for Social Accountability), which features a blend of both statistical and narrative information.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 20%.Provider Fee and DSH revenue were greater than the Medicaid shortfall, which would create a negative community benefit expense. As such, CHLA is reporting $0 for Medicaid. Part II, Community Building Activities: Children's Hospital Los Angeles offers many community services and programs in response to the needs of children, youth and families. Community benefit services and activities are designed to provide treatment and promote health as a response to identified community needs. Our objectives are to improve access to health care services, enhance public health of the community, advance medical or health care knowledge that provides public benefit, and relieve or reduce the burden of government or other community efforts. The CHLA Community Health Outreach Network - Children's Hospital Los Angeles's Office of Community Affairs collaborated with the CHLA Salud "Promotoras" to reach over 10,000 individuals to promote healthy behaviors and providing information and referrals to assist in identifying available health coverage through outreach campaigns at more than 60 community events.CHLA's Department of Community Affairs/Government & Public Policy partnered with the Diabetes and Obesity Program's Kids N Fitness (KNF) staff to present at Los Angeles City Councilmember Mitch O'Farrell's Annual Fitness Challenge to promote physical fitness and healthy lifestyles for children in City of LA's Thirteenth Council District. Over 125 students and teachers from Ramona Elementary (East Hollywood), Glenfeliz Elementary (Atwater Village), Grant Elementary (Hollywood), Fletcher Drive Elementary (Glassell Park), Union Elementary (Echo Park), participated in mini nutrition lessons and physical activity. A registered dietitian from CHLA talked about the importance of the My Plate food guide and red-light/green-light foods. After a mini nutrition lesson, each class was challenged to create their healthy My Plate in teams by running across the park field to get a cut-out image of a food group and then run back to their team to complete their healthy plate to emphasize the importance of maintaining a balanced diet and a physically-active lifestyle.Careers in Health and Mentorship Program (CHAMP) CHLA's CHAMP provides underrepresented adults from the Los Angeles community the opportunity to participate in a series of comprehensive job readiness and leadership development workshops that are led by CHLA staff and hospital partners. Since its inception, over 100 young adults entered the CHLA CHAMP. After successfully completing the workshop series, "CHAMPers" are placed in nonclinical, project-based internships in participating hospital departments.Camp CHLA, a health careers exploration program, provides high school students a firsthand look into the daily lives of health care professionals. Since its inception in 2006, over 1,000 students from our community have had the opportunity to: job-shadow health care professionals, participate in hands-on skills labs, gain exposure to different health career paths, and share their experiences with other campers. CHLA continues to deepen its commitment to the community at large through the innovation and implementation of its community services and programs to improve the community's health and safety. Through our Community Benefit process we will gain a better understanding of the social determinants of health; and innovate and implement services and programs to improve the health and safety of the community. Part III, Line 2: The total bad debt is equal to the total bad debt write offs less the bad debt recoveries. Part III, Line 3: 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 4: Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments are estimated and accrued in the period in which the related services are rendered and adjusted in future periods as final settlements are determined.Patient accounts receivable are recorded on an accrual basis at established billing rates. The allowances for contractual adjustments and doubtful accounts are recorded on an accrual basis, using historical experience and established billing rates. In evaluating the collectibility of patient accounts receivable, the Hospital estimates the allowance for doubtful accounts by major payor type, based on historical experience for each type. The difference between the standard rates (or the discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Part III, Line 8: CHLA is not including any Medicare Shortfall as part of its Community Benefit. Further, CHLA uses Federal Medicare Cost allocation methodology, as reported in its Medicare Cost report, to determine the allowable costs of care relating to Medicare payments received. Part III, Line 9b: The Hospital's policy states that if the patient/guarantor is unable to pay for services due to their current financial situation, they could be eligible for uncompensated care, in which case the Hospital's applicable policy and procedure is further referenced. If the patient/guarantor does not qualify, the Hospital follows all applicable federal and state guidelines for debt collection, including the requirement of fair treatment, the prohibition of making false statements and restrictions on the time of day that debt collectors may contact the debtor. Part VI, Line 2: CHLA continues its commitment to the children and families of the Los Angeles area through its community benefit activities which ensure that our hospital will remain responsive to the needs of the community. Children's Hospital Los Angeles strives to accomplish our objectives through our Strategic Plan, developed in accordance with the 2016 Community Health Needs Assessment. 2016 Community Health Needs Assessment Strategies: - Increase access to health care resources and information to children, youth and families in the community: conduct community education and outreach regarding federal, state, and local health access programs; carry out advocacy efforts that focus on children's health initiatives, including access to pediatric care and preventive services; and expand access to healthcare resources and information regarding mental health, oral health care, early childhood development, and transition and transfer of care. - Raise awareness of pediatric health and related safety and social issues in the community: promote healthy behaviors and prevention of disease through outreach and education at local schools, community events, and expositions; enhance knowledge and skills of parents, children, youth, and community service providers regarding child health and safety issues; and partner with community organizations to coordinate child health and safety campaigns. - Have an impact on overall health and wellness of children and youth in our community: collaborate with community clinics to promote pediatric health and wellness and make available information and resources to providers who care for families in underserved areas; and collaborate with local community-based organizations to work on initiatives that design and inform the development of interventions that address health inequities, particularly in underserved communities. - Expand economic opportunities for youth, young adults and families in our community: advance current hospital efforts to expand internships, mentorship and work experience opportunities; and collaborate with community and civic stakeholders to maximize economic opportunity strategies that address health disparities and the social determinants of health. CHLA is currently in the process of completing its 2019 Community Health Needs Assessment and continues to strengthen its commitment to understanding the health needs of the communities it serves. Part VI, Line 3: Every patient or his or her representative shall, upon admission as an inpatient, receive a written notice containing information about the availability of Charity Care and Discount Care. The notice shall include information about this policy, as well as contact information for a hospital employee or office from which the patient or representative may obtain further information about this policy. This same notice shall be given to patients who receive emergency or outpatient care, and who may receive a bill for such care, but who were not admitted. The notice shall be provided in English and in the language spoken by the patient's Family if available. Notices regarding this policy will be clearly and conspicuously posted in locations visible to the public including, but not limited to, all of the following: the emergency department, billing office, admissions office, and outpatient settings. These posted notices will explain that CHLA has a variety of options available, including Financial Assistance, to individuals who are uninsured or underinsured. These notices will include a contact office and telephone number an individual can call to obtain more information about this Financial Assistance policy and to apply for Financial Assistance. Part VI, Line 4: Our hospital services reach thousands across Southern California, with a primary service area of Los Angeles County--a region that spans 4,057 square miles and includes vast urban communities, suburban areas and rural neighborhoods. Approximately 85% of the Hospital's patients originate from Los Angeles County. Los Angeles County is home to more than 10 million residents of which 23.4 percent are children ages 0-17. It is the most populous county in the nation--approximately 26 percent of the state's population--and one of the most ethnically and radically diverse as well. Children (ages 0-11) represented 15.5% of the population in Los Angeles County. The majority population race/ethnicity in LA County is Hispanic or Latino (48.8%). Whites make up 26.4% of the population. Asians comprise 14.0% of the population, and African Americans are 8.0% of the population. Native Americans, Hawaiians, and other races combined total 2.8% of the population. In LA County, 56.8% of the population speaks a language other than English at home and 25.8% are linguistically isolated. In Los Angeles, almost a quarter of the population lived at or below 100% of the FPL (24.1%), which is higher than California (22.3%). Poverty decreases for the population of Los Angeles County at or below 200% of the FPL with 13.3%, almost that of California (13.8%). Part VI, Line 5: 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 VI, Line 7, Reports Filed With States CA 1 California Health Foundation and Trust 1215 K Street Suite 800 Sacramento CA 95814 941498687 501(c)(3) 3800992 Support Charitable Activities at Hospitals And Health Systems in California Ronald McDonald House Charities of South 4560 Fountain Avenue Los Angeles CA 90029 953167869 501(c)(3) 528065 Donation for CHLA Families Housing/Walk for Kids Sponsorship National Medical Fellowship Inc 347 Fifth Avenue Suite 510 New York NY 10016 010963657 501(c)(3) 100000 Los Angeles Champions of Health Awards and Primary Care Leadership Program March of Dimes 1275 Mamaroneck Avenue White Plains NY 10605 131846366 501(c)(3) 25000 2018 March for Babies Sponsorship Patient Care Foundation of Los Angeles County 707 Wilshire Blvd Suite 3800 Los Angeles CA 90017 262974477 501(c)(3) 23575 2017 Healthcare Awards Gala Sponsorship American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 15000 LA Heart Walk Pledge Friends of the Los Angeles Free Clinic 8405 Beverly Blvd Los Angeles CA 90048 953433824 501(c)(3) 15000 50th Anniversary Dinner Gala Sponsorship Trustees of the University of Pennsylvania 3451 Walnut Street Suite 305 Philadelphia PA 19104 231352685 501(c)(3) 10000 Leonard Davis Institute of Health Economics Symposium Sponsorship National Forum for Latino Healthcare Executives 1201 Ardmode Avenue ITASCA IL 60143 262033192 501(c)(6) 10000 Corporate Partner Sponsorship Make-A-Wish Foundation of Greater Los Angeles 11390 W Olympic Blvd Suite 300 Los Angeles CA 90064 954107024 501(c)(3) 10000 Make-A-Wish Greater Los Angeles 2017 Wish Gala Sponsorship American National Red Cross PO Box 37839 Boone IA 50037 530196605 501(c)(3) 10000 Humanitarian Gala Sponsorship Nicole Parker Foundation For Children 5522 Fallbrook Avenue Woodland Hills CA 91367 954674799 501(c)(3) 10000 2018 Golf Classic and Foundation Dinner Hathaway-Sycamores Child and Family Services 100 W Walnut St Suite 375 Pasadena CA 91124 951691005 501(c)(3) 10000 Gayle & Michael Galper Sponsorship Providence Health & Services Foundation 501 S Buena Vista St Burbank CA 91505 953544877 501(c)(3) 8333 Providence Tarzana 2017 Foundation Gala Sponsorship Epilepsy Foundation of America 8301 Professional Place Landover MD 20785 520856660 501(c)(3) 7500 Care and Cure Event Sponsorship American Diabetes Association 2451 Crystal Drive Suite 900 Arlington VA 22202 131623888 501(c)(3) 7500 21st Annual Los Angeles Political Roast Sponsorship National Health Foundation 515 S Figueroa Street Ste 1300 Los Angeles CA 90071 237314808 501(c)(3) 7500 2018 NHF Tribute Dinner Sponsorship 16 1 Part I, Line 2: Grants will only be made to 501(c)(3) and 501(c)(6) organizations to ensure the funds will be used properly. X X X X 1 1 0 0 0 0 0 1 0 Paul S Viviano Trustee, President & CEO 924752 0 300000 0 231191 0 385207 0 26243 0 1867393 0 205883 0 Judith M Kline Corporate Secretary (Start 8/17) 234144 0 22880 0 0 0 8665 0 11453 0 277142 0 0 0 Henri R Ford MD MHA Trustee, Faculty Physician 802244 0 0 0 98832 0 0 0 0 0 901076 0 0 0 Karen Kay Imagawa MD Trustee/Faculty Phy. (Start 10/17) 194456 0 0 0 0 0 0 0 0 0 194456 0 0 0 Mark D Krieger MD Trustee, Faculty Physician 705358 0 0 0 0 0 0 0 0 0 705358 0 0 0 Nancy Lee RN Trustee, SVP CCO 452014 0 115703 0 14159 0 80480 0 24674 0 687030 0 0 0 Gary Scott MD Trustee/Faculty Phy. (Start 7/17) 160200 0 0 0 0 0 0 0 0 0 160200 0 0 0 Roberta G Williams MD Trustee, Faculty Physician 459907 0 0 0 0 0 0 0 0 0 459907 0 0 0 Scott Lieberenz SVP, Chief Financial Officer 467726 0 79339 0 0 0 78601 0 18074 0 643740 0 0 0 Steve Garske SVP, CIO 427707 0 71572 0 18018 0 73822 0 15560 0 606679 0 0 0 Lara Khouri SVP, Chief Strategy Officer 417841 0 125000 0 81305 0 79201 0 13212 0 716559 0 63305 0 Marilyn Ho Chief of Staff 261782 0 69643 0 0 0 55813 0 11857 0 399095 0 0 0 Gayathri Jith SVP, CAO 412154 0 126368 0 0 0 8177 0 12812 0 559511 0 0 0 Grace Oh SVP General Counsel 360320 0 92025 0 55321 0 72388 0 66539 0 646593 0 53529 0 Bhavana Kumar Arora Medical Director 324677 0 45573 0 0 0 5296 0 501 0 376047 0 0 0 Nancy T Blake Dir, Patient Care Svcs 155175 0 40000 0 301104 0 9797 0 31978 0 538054 0 8287 0 Mary Dolores Hacker VP, Inter-Prof Nursing Resrch 302816 0 0 0 108683 0 16200 0 29480 0 457179 0 90683 0 Geon L Lee Reg Nurse Lead 696552 0 0 0 0 0 41906 0 9602 0 748060 0 0 0 Jodi Shirlyn Ogden VP, Research Operations 282830 0 61916 0 29150 0 58485 0 16001 0 448382 0 0 0 Part I, Line 4a: Nancy T. Blake received a severance of $259,007 in calendar year 2017, which was treated as taxable compensation. 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 employees 2017 Form W-2 reflect payments received by the employee during calendar year 2017 that were previously reported as deferred compensation in prior year Form 990s: Paul Viviano - $205,883 Lara Khouri - $63,305 Grace Oh - $53,529 Nancy T. Blake - $8,287 Mary Dolores Hacker - $90,683 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. 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. Part VII, Section A, 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 listed individuals by USC. USC was subsequently reimbursed by CHLA for the amounts: Henri R. Ford, M.D., MHA - $901,076 Karen Kay Imagawa, M.D. - $194,456 Mark D. Krieger, M.D. - $705,358 Gary Scott, M.D. - $160,200 Robert Shaddy, M.D. - $138,937 Roberta G. Williams, M.D. - $459,907 A California Health Facilities Financing Authority 521643828 13033LB22 2012-08-15 182930717 See Part VI 0 0 0 B California Health Facilities Financing Authority 521643828 13032UNH7 2017-06-06 295974620 See Part VI 0 0 0 C California Health Facilities Financing Authority 521643828 13032UNJ3 2017-06-06 52180000 See Part VI 0 0 0 A 53130000 182930717 2310722 180619995 1 0 1 1 B 296178058 90116298 2528240 33225192 171831967 1 1 0 1 C 52180000 494240 51685760 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 Schedule K, Part I, Bond Issues: Part I(f): The Series 1999 Bonds were issued on 05/26/1999; the Series 2009 Bonds were issued on 12/18/2009; and the Series 2010B Bonds were issued on 05/20/2010. Schedule K, Part I, Bond Issues: Part I(f): The Series 2017A Bonds were issued to finance hospital projects; the advance refunding of the Borrower's Series 2010A Bonds (issued on 05/20/2010); and the current refunding of the Borrower's Series 2007 Bonds (issued on 04/24/2007) and Series 2012B Bonds (issued on 08/15/2012). Schedule K, Part I, Bond Issues: Part I(f): The Series 2007 Bonds were issued on 04/24/2007; the Series 2012B Bonds were issued on 08/15/2012. Part IV, Line 2b, Column A: Bond A: The 2012 Bonds met the 6 month exception to rebate. Part IV, Line 6, Column B: This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the Bonds. Alex Chaves Sr (Trustee) Owner of Parking Company of America 4380619 Provides parking services for the Hospital. 0 Megan Hernandez (Trustee) Husband Owns Security Co, Founder & Head of Intercon Security Systems 2827328 Provides private security services for the Hospital. 0 Kathryn Purwin (Trustee) President of Helinet Aviation Services 351954 Provides transportation services for the Hospital. 0 X 390 162012 Cost or Selling Price X 62 998211 Cost or Selling Price X Other In-Kind 11 23477 Cost or Selling Pric 0 0 1 1 Part I, Column (b): CHLA is reporting the number of items contributed for cars and other vehicles and number of contributions for securities-publicly traded and other in-kind contributions. Part I, Line 32b: The Hospital uses brokerage houses to sell non-cash contributions. Form 990, Part VI, Section A, line 1 The name of the governing body is changed from the "Board of Trustees" to the "Board of Directors." Effective January 1, 2018, Board of Directors will be active voting members of the Board which is composed of (1) Independent Directors (elected by the Board; members of the Hospital's faculty or staff, USC faculty, and USC officers, are not eligible to serve); (2) Appointed Directors (based on specified position held at Hospital or USC); and (3) a Clinician-at-Large Director (elected by the Board; if a physician, must be a member of the Hospital's medical staff and USC faculty). To facilitate a smooth transition from the current governance structure to the new structure effective January 1, 2018, initial Independent Directors will be approved by the Hospital's Board of Trustees. The Initial Directors shall serve three and one-half year terms beginning on January 1, 2018 and will be divided into three classes having varying rights to serve additional terms. Transitional Directors will be approved by the Board of Directors and shall begin service effective on the date of their election (likely to be early January, 2018). The terms of the Transitional Directors shall expire either June 30, 2018 or June 30, 2019. Form 990, Part VI, Section A, line 2 1. James Galbraith (Trustee) - Family relationship among Margaret Rodi Galbraith (Trustee). 2. Margaret Rodi Galbraith (Trustee) - Business relationship among John Pettker (Trustee). 3. Marcia Wilson Hobbs (Trustee) - Family relationship among Bonnie McClure (Trustee). Form 990, Part VI, Section A, line 4 The name of the governing body is changed from the "Board of Trustees" to the "Board of Directors." Effective January 1, 2018, Board of Directors will be active voting members of the Board which is composed of (1) Independent Directors (elected by the Board; members of the Hospital's faculty or staff, USC faculty, and USC officers, are not eligible to serve); (2) Appointed Directors (based on specified position held at Hospital or USC); and (3) a Clinician-at-Large Director (elected by the Board; if a physician, must be a member of the Hospital's medical staff and USC faculty). To facilitate a smooth transition from the current governance structure to the new structure effective January 1, 2018, initial Independent Directors will be approved by the Hospital's Board of Trustees. The Initial Directors shall serve three and one-half year terms beginning on January 1, 2018 and will be divided into three classes having varying rights to serve additional terms. Transitional Directors will be approved by the Board of Directors and shall begin service effective on the date of their election (likely to be early January, 2018). The terms of the Transitional Directors shall expire either June 30, 2018 or June 30, 2019. Form 990, Part VI, Section B, line 11b 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 Directors of CHLA. Once the draft Form 990 has been reviewed and discussed by the Audit Committee, any changes resulting from their review are incorporated into the final draft of the Form 990. The final draft of the Form 990 is then distributed to the Board of Directors via a secure website 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 directors, key medical staff members, 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 Directors, 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 The process for determining the compensation of the Chief Executive Officer of CHLA is conducted by the Compensation Committee of the Board of Directors of CHLA, acting on behalf of the Board of Directors of the Organization. The Compensation Committee reported its deliberations and decisions to the Executive Committee of the Board of Directors. 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 Sullivan, Cotter and Associates, Inc., a firm with experience and expertise in the area of non-profit organization executive compensation. Sullivan Cotter 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 hospitals and healthcare systems 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, Sullivan Cotter regarding such reports and other relevant matters. Based on such deliberations, the Compensation Committee negotiated a written contract with the CEO. The process for determining the compensation of other officers and key employees of CHLA is conducted by the Compensation Committee of the Board of Directors of CHLA, acting on behalf of the Board of Directors of the organization, with support and guidance from the Chief Executive Officer and Human Resources Department. In determining such employee's compensation, during the compensation season the Human Resources Department and Compensation Committee worked with and relied upon the counsel and expertise of Sullivan Cotter, a firm with experience and expertise in the area of non-profit organization executive compensation. Sullivan Cotter 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. Sullivan Cotter's report was based on a review of executive compensation practices of a variety of hospitals and healthcare systems 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 employee's compensation package in light of the Sullivan Cotter report and in light of the executive's performance. At the Compensation Committee meeting addressing such matters, questions were asked of, and answered by, Sullivan Cotter regarding such report and other relevant matters, and recommendations from the Chief Executive Officer were requested by and provided to the Compensation Committee. 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. Form 990, Part IX, line 11g Professional Medical Fees: Program service expenses 105,690,545. Management and general expenses 28,483,086. Fundraising expenses 378,787. Total expenses 134,552,418. Medical-Related Services: Program service expenses 9,350,726. Management and general expenses 54,037. Fundraising expenses 0. Total expenses 9,404,763. Other Purchased Services: Program service expenses 15,896,365. Management and general expenses 35,970,668. Fundraising expenses 3,474,135. Total expenses 55,341,168. Form 990, Part XI, line 9: Change in Value of Split Interest Agreements -18,415. Transfers and Others 646. Change in CHLA Holdings LLC Balance Sheet -121,006. Change in Swap Mark to Market 2,971,428. 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House 4650 Sunset Blvd MS 4 Los Angeles CA 90027 237215226 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Healing Arts Reaching Kids (HARK) 4650 Sunset Blvd MS 4 Los Angeles CA 90027 204459362 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 La Providencia Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956128178 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Las Hermanas Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956128176 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Las Madrinas Inc 4650 Sunset Blvd MS 4 Los Angeles CA 90027 951959907 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Las Primeras Guild of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121928 Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A 0 Mary Duque of Children's Hospital Los Angeles 4650 Sunset Blvd MS 4 Los Angeles CA 90027 956121921 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Boulevard Los Angeles CA 90027 956605056 Charitable Trust CA Children's Hospital Los Angeles T 0 Juliette Page Declaration of Trust for Mayos Mortons and Rowlands 4650 Sunset Boulevard Los Angeles CA 90027 956555411 Charitable Trust CA Children's Hospital Los Angeles T 0 Delories S Fischal Trust 26-22012 4650 Sunset Boulevard Los Angeles CA 90027 956922190 Testamentary Trust CA Children's Hospital Los Angeles T 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0