2012-05-10T16:11:37-05:00 2011-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2010-07-01 951644600 CEDARS-SINAI MEDICAL CENTER CEDA 3238668951 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 EDWARD PRUNCHUNAS 3238668951 2012-05-10 1 KARA ADAMS 9497942300 2010 2016-02-24 21:20:13Z THOMAS M PRISELAC 8700 BEVERLY BLVD LA CA 90048 2783444852 0 X WWW.CEDARS-SINAI.EDU X 1902 CA CSMC IS AN ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL PROVIDING THE HIGHEST-QUALITY HEALTHCARE. 36 26 12231 2647 18956133 0 89549319 83896348 2200992181 2532515562 5616105 27811462 13118989 13895839 2309276594 2658119211 23442582 36294309 0 0 1074346285 1222314852 61675 31094 19450330 1058605283 1189071358 2156455825 2447711613 152820769 210407598 3349460552 3688621903 1666136792 1711865848 1683323760 1976756055 X CEDARS-SINAI HEALTH SYSTEM, A NON-PROFIT, INDEPENDENT HEALTH CARE ORGANIZATION IS COMMITTED TO:(SEE SCHEDULE O FOR CONTINUATION)- LEADERSHIP AND EXCELLENCE IN DELIVERING QUALITY HEALTHCARE SERVICES- EXPANDING THE HORIZONS OF MEDICAL KNOWLEDGE THROUGH BIOMEDICAL RESEARCH- EDUCATING AND TRAINING PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS- STRIVING TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY QUALITY PATIENT CARE IS OUR PRIORITY. PROVIDING EXCELLENT CLINICAL AND SERVICE QUALITY, OFFERING COMPASSIONATE CARE, AND SUPPORTING RESEARCH AND MEDICAL EDUCATION ARE ESSENTIAL TO OUR MISSION. THIS MISSION IS FOUNDED IN THE ETHICAL AND CULTURAL PRECEPTS OF THE JUDAIC TRADITION, WHICH INSPIRES DEVOTION TO THE ART AND SCIENCE OF HEALING, AND TO THE CARE WE GIVE TO OUR PATIENTS AND STAFF. 0 0 1906687612 36028339 2402781970 CEDARS-SINAI PROVIDED ACUTE CARE SERVICES TO 49,400 PATIENTS WITH 267,186 DAYS OF CARE, PSYCHIATRY SERVICES TO 1,066 PATIENTS WITH 11,355 DAYS. 96099473 42500 65434781 RESEARCH ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY WERE PERFORMED AT A NET COST OF $30,664,692 AFTER GRANTS FROM THE GOVERNMENT AND OTHERS TOTALING $65,434,781. 190630996 223470 64298811 AS AN ACADEMIC MEDICAL CENTER WITH A WORLD-RENOWNED FACULTY AND EXTENSIVE, HIGHLY COMPETITIVE TRAINING PROGRAMS, MEDICAL EDUCATION AND TEACHING WERE PERFORMED AT A NET COST OF $126,332,185. 2193418081 1 1 0 1 0 0 1 0 1 1 1 0 0 1 0 0 1 0 1 1 1 0 1 1 1 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 0 0 1 1977 2 1 12231 1 1 1 0 0 0 0 1 1 0 0 0 1 0 X 36 26 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 CA X LARRY W SAWYER 3238668951 8700 BEVERLY BLVD LOS ANGELES CA 90048 X THOMAS M PRISELAC 70.00 X X 2216492 0 556502 LAWRENCE B PLATT 20.00 X 0 0 0 WALTER ZIFKIN 15.00 X 0 0 0 VERA GUERIN 10.00 X X 0 0 0 JOHN BENDHEIM 5.00 X 0 0 0 WILLIAM W BRIEN MD 36.00 X 162165 0 0 STEVEN D BROIDY 5.00 X 0 0 0 JOHN COLEMAN 5.00 X 0 0 0 ROBERT DAVIDSON 5.00 X 0 0 0 ROBERT M ELLER 5.00 X 0 0 0 IRVING FEINTECH 5.00 X 0 0 0 MARK S GREENFIELD 5.00 X 0 0 0 JOHN G HAROLD MD 5.00 X 0 0 0 ANDY HEYWARD 5.00 X 0 0 0 SUE NEUMAN HOCHBERG 5.00 X 0 0 0 SHEILA KAR MD 5.00 X 0 0 0 BETH KARLAN MD 60.00 X 507645 0 34551 SCOTT KARLAN MD 60.00 X 401621 0 45594 JEFFREY KATZENBERG 5.00 X 0 0 0 ANDREW KLEIN MD 60.00 X 1135961 0 76893 JOHN C LAW 5.00 X 0 0 0 THOMAS J LEANSE ESQ 5.00 X 0 0 0 EDWARD MELTZER 5.00 X 0 0 0 TODD M MORGAN 5.00 X 0 0 0 ZAB MOSENIFAR MD 60.00 X 906796 0 169275 JAMES A NATHAN 5.00 X 0 0 0 STEVEN B NICHOLS 5.00 X 0 0 0 LUIS NOGALES 5.00 X 0 0 0 LYNDA I OSCHIN 5.00 X 0 0 0 ROBERT ROSS MD 5.00 X 0 0 0 MARC RAPAPORT 5.00 X 0 0 0 ANTONY P RESSLER 5.00 X 0 0 0 STEVEN ROMICK 5.00 X 0 0 0 DAVID SAPERSTEIN 5.00 X 0 0 0 MARK S SIEGEL 5.00 X 0 0 0 PAUL SILKA MD 54.00 X 519585 0 64882 ROBERT SILVERSTEIN 5.00 X 0 0 0 STEVEN SPIELBERG 5.00 X 0 0 0 LESLIE VERMUT 5.00 X 0 0 0 JOSEPH H WENDER 5.00 X 0 0 0 JAY S WINTROB 5.00 X 0 0 0 PHILLIP ZAKOWSKI MD 5.00 X 0 0 0 EDWARD PRUNCHUNAS 60.00 X 1088833 0 191590 MARK GAVENS 60.00 X 1207797 0 71537 SHLOMO MELMED MD 60.00 X 1203984 0 439303 KEITH BLACK MD 60.00 X 2648449 0 58302 BRUCE GEWERTZ MD 60.00 X 1700224 0 77494 EDUARDO MARBAN MD 60.00 X 1937305 0 97017 EDWARD PHILLIPS MD 60.00 X 1573752 0 85645 ALFREDO TRENTO MD 60.00 X 1680718 0 73185 18891327 0 2041770 2622 0 1 0 HATHAWAY DINWIDDIE CONSTRUCTION CO 811 WILSHIRE BLVD LOS ANGELES CA 90017 CONSTRUCTION SERVICES 48690688 DELOITTE CONSULTING PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING SERVICES 17470764 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 17413687 COMMUNITY URGENT CARE MEDICAL GROUP 9440 SANTA MONICA BLVD BEVERLY HILLS CA 90210 URGENT CARE MEDICAL SERVICES 14136140 CW DRIVER 468 NORTH ROSEMEAD BLVD PASADENA CA 91107 CONSTRUCTION SERVICES 12345425 316 2702226 45787857 35406265 958560 83896348 NET PATIENT REVENUE 622110 1980732120 1980732120 MEDICARE & MEDICAL 622110 517042122 517042122 LABORATORY REVENUE 621511 18328477 18328477 CSMC FDN MGMT FEES 561110 11124271 11124271 PARKING REVENUE 531310 5268714 5268714 19858 19858 2532515562 9142665 9142665 13731954 13731954 142989273 124320476 18668797 18668797 18668797 443944 2702226 1005165 -561221 -561221 117308 117308 117308 ALTERNATIVE INVEST INC 523999 607798 607798 607798 2658119211 2508898513 18956133 46368217 36262145 36262145 32164 32164 12028131 8103868 3924263 2115720 1836691 279029 930990129 833369473 89319257 8301399 85100387 73884212 10482795 733380 130317151 117895763 11277867 1143521 61763334 53578595 7599808 584931 14246477 14246477 8361478 203184 8150413 7881 720000 720000 553339 553339 31094 31094 209719881 182225396 24547793 2946692 7645197 1306391 5634315 704491 314926757 310720585 2082571 2123601 48334536 21212683 27121853 6091887 6091887 35759940 27941257 6884712 933971 7091523 5708444 1243472 139607 2970382 2206446 548206 215730 48834522 42766720 6067802 109500051 96802899 12697152 32046140 28064521 3981619 PROVISION FOR BAD DEBTS 219404272 219404272 MEDI-CAL PROGRAM FEE 72391476 72391476 MISCELLANEOUS 44555132 33112956 9958599 1483577 DUES & SUBSCRIPTION 4458418 2267362 2105612 85444 LICENSES AND TAXES 1459950 1228875 216064 15011 2447711613 2193418081 234843202 19450330 11884165 60289688 317447445 243026338 104993834 102482076 379751286 390612993 600000 790000 9323995 12205515 17289597 21483658 17254476 41741974 2436997131 1066536395 1158964651 1370460736 822789157 868255885 421111000 485510000 46366009 46366009 41684937 45397031 3349460552 3688621903 320078688 392201600 1237111451 1202937978 108946653 116726270 1666136792 1711865848 X 1244764677 1521113753 222730368 232594417 215828715 223047885 1683323760 1976756055 3349460552 3688621903 X 210407598 83024697 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 424530 1 128809 0 0 553339 0 X X X CONTRIBUTES TO HEALING 0 353913733 50126715 25230233 10561616 418709065 295551488 49385421 18536273 9559449 353913733 274470961 28331045 1445583 8696101 295551488 0.46730 0.53270 0 0 56522220 56522220 1232856788 533412233 699444555 14260883 8750368 5510515 798150128 524373794 273776334 335207112 335207112 1370460736 ALTERNATIVE INVESTMENTS 485510000 F 485510000 WORKERS' COMPENSATION LIABILITY PROGRAM 31177000 MALPRACTICE AND GENERAL LIABILITY PROGRAM 36850000 DEFERRED FEMA GRANT INCOME 28164782 SPLIT DOLLAR SELF INVESTED 54249 DEFERRED COMPENSATION 2217965 PENSION LIABILITIES 14414938 MEDICARE LIABILITY 3847336 116726270 2658119211 2447711613 210407598 73682308 9342389 83024697 293432295 2714936646 73682308 73682308 2641254338 16864873 16864873 2658119211 2415039000 -32672613 -32672613 2447711613 0 2447711613 PART III, LINE 1A: THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER ACCOUNTING STANDARDS CODIFICATION 958, NOT TO REPORT ON ITS REVENUE STATEMENT AND BALANCE SHEET WORKS OF ART HELD FOR PUBLIC EXHIBITION. PART III, LINE 4: DURING THE YEAR, THE ACQUISITION COMMITTEE VOTED TO ACCEPT 27 ARTWORKS INTO THE CEDARS-SINAI MEDICAL CENTER COLLECTION. THE FINE MUSEUM QUALITY ARTWORKS OBTAINED WERE CREATED BY SOME WELL-KNOWN ARTISTS SUCH AS CHARLES ARNOLDI, SAM FRANCIS, ROY LICHTENSTEIN, JOHN OKULICK, AND CLAES OLDENBURG. THEIR NAMES ALONE ARE SYNONYMOUS WITH EXCELLENCE. THE COMMITTEE DOES MAKE A CONCERTED EFFORT TO APPLY A SOPHISTICATED EYE TO THE ACCEPTANCE OF ALL WORKS. THE PURPOSE OF EACH PIECE OF ARTWORK, AESTHETICALLY SITUATED, IS TO ENHANCE PATIENT CARE BY CREATING A HEALING ENVIRONMENT FOR ALL TO ENJOY. THEY ARE AWARE THAT ART WITHIN A HOSPITAL SETTING MAY EFFECTIVELY COMPLEMENT HEALTHCARE BY CREATING A STIMULATING AND ATTRACTIVE ENVIRONMENT. CEDARS-SINAI MEDICAL CENTER AND THE ACQUISITIONS COMMITTEE ARE COMMITTED TO THE CONCEPT OF THE HEALING POWER OF ART, SEEKING TO ALWAYS UPHOLD THAT CONCEPT. THIS ONGOING ART PROGRAM IS DEDICATED TO THE ADVANCEMENT OF THE APPRECIATION OF ART AND THE AESTHETIC ENJOYMENT OF ITS PATIENTS, VISITORS, STUDENTS, AND STAFF. WE RECEIVE NUMEROUS PHONE CALLS FROM PATIENTS, VISITORS, AND STAFF EXPRESSING HOW BEAUTIFUL THE ART IS AND HOW SIGNIFICANT IT WAS IN THEIR RECOVERY. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF APPROXIMATELY 180 INDIVIDUAL FUNDS FOR A VARIETY OF PURPOSES. THE INTENDED USES ARE FOR RESEARCH, DONOR-DESIGNATED OR FOR GENERAL PURPOSES. PART V, LINES 1A-1G: PRIOR YEAR AMOUNTS HAVE BEEN RESTATED TO REMAIN CONSISTENT WITH THE FY2011 PRESENTATION ON THE AUDITED FINANCIAL STATEMENTS. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFERS TO GREATER VALLEY MANAGEMENT SERVICES ORG INC -1,005,214. PENSION GAINS 10,347,603. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS -114,942,598. RESTRICTED REVENUES - PERM 7,219,000. RESTRICTED REVENUES - TEMP 125,592,000. FUNDRAISING DIRECT EXPENSES SHOWN AS REVENUE OFFSET IN 990 PART VIII LINE 8B -1,005,165. ROUNDING 1,636. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RESTRICTED EXPENSES NOT INCLUDED IN THE AUDITED FINANCIAL STATEMENTS 114,942,598. FUNDRAISING EXPENSES RECLASS AS REVENUE OFFSET 1,005,165. ROUNDING 1,751. FOUNDATION FUNDING IN EXPENSES FOR TAX, EQUITY FOR BOOKS -33,679,529. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -114,942,598. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PASSIVE INVESTMENTS N/A 368096417 MIDDLE EAST AND NORTH AFRICA 0 0 GRANT MAKING N/A 10000 EAST ASIA AND THE PACIFIC 0 0 GRANT MAKING N/A 22164 NORTH AMERICA 1 2 PROGRAM SERVICES SEE PART V NARRATIVE 134175 SOUTH AMERICA 0 0 PROGRAM SERVICES SEE PART V NARRATIVETHE ORGANIZATION IS PROVIDING FUNDING TO OTOHARMONICS WHICH IS CONDUCTING RESEARCH RELATED TO THE TREATMENT OF SUBJECTIVE IDIOPATHIC TINNITUS, A CONDITION MORE COMMONLY KNOWN AS RINGING IN THE EAR. 102042 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SEE PART V NARRATIVETHE ORGANIZATION IS PROVIDING FUNDING FOR GENETICS RESEARCH TO BE PERFORMED AT THE UNIVERSITY OF QUEENSLAND. 12500 2 0 2 368377298 0 368377298 EAST ASIA AND THE PACIFIC JAPAN EARTHQUAKE AND TSUNAMI RELIEF 22164 CHECK MIDDLE EAST AND NORTHERN AFRICA BUILDING OF SHAARE ZEDAK MEDICAL CENTER 10000 CHECK 2 0 1 0 1 1 1 0 OTHER INFORMATION SCHEDULE F, PART V PART I, LINE 2 THE ORGANIZATION CONTRIBUTED TO WELL-ESTABLISHED CHARITABLE ORGANIZATIONS AND HAS RELIED ON THE GOVERNING BODY OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. PART I, LINE 3, COLUMN E REGION: NORTH AMERICA - AN OFFICE IS MAINTAINED WITHIN THE CLINICA LOMAS ALTAS IN MEXICO CITY. ONE OF THE MAIN PURPOSES OF MAINTAINING THIS OFFICE IS TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE PRODUCTS AND SERVICES TO PATIENTS IN MEXICO ON A REFERRAL BASIS. REGION: SOUTH AMERICA - THE ORGANIZATION IS PROVIDING FUNDING TO OTOHARMONICS WHICH IS CONDUCTING RESEARCH RELATED TO THE TREATMENT OF SUBJECTIVE IDIOPATHIC TINNITUS, A CONDITION MORE COMMONLY KNOWN AS RINGING IN THE EAR. REGION: EAST ASIA AND THE PACIFIC - THE ORGANIZATION IS PROVIDING FUNDING FOR GENETICS RESEARCH TO BE PERFORMED AT THE UNIVERSITY OF QUEENSLAND. PART I, LINE 3, COLUMN F REGION: CENTRAL AMERICA AND THE CARIBBEAN VALUE OF INVESTMENTS MADE: 356,790,382 AMOUNT OF INVESTMENT FEES: 11,306,035 PART I, LINE 3, COLUMN F THE AMOUNT OF EXPENDITURES REPORTED HERE IS BASED ON THE METHOD USED ON THE ORGANIZATION'S FINANCIAL STATEMENTS WHICH IS THE ACCRUAL METHOD OF ACCOUNTING. PART 2, LINE 1 THE AMOUNT OF EXPENDITURES REPORTED HERE IS BASED ON THE METHOD USED ON THE ORGANIZATION'S FINANCIAL STATEMENTS WHICH IS THE ACCRUAL METHOD OF ACCOUNTING. X X X X X X X 1 GRANT ASSOCIATES 5670 WILSHIRE 1590 LA CA 90036 CONSULTING SERVICES 0 1080939 31094 1049845 1080939 31094 1049845 CA BOG GALA 2010 984939 782682 202257 2946 116602 27400 142675 WCRI "PINK PARTY" 939100 832240 106860 3049 169278 3220 98166 8 1219131 1084304 134827 91868 45592 800 303569 3143170 2699226 443944 97863 331472 31420 544410 1005165 -561221 117308 1 117308 117308 CA 0 THE ORGANIZATION IS NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL'S OFFICE. 0 0 0 1.00000 LEO CORONADO 8700 BEVERLY BLVD LOS ANGELES CA 90048 0 VARIOUS - SEE PART IV SEE PART IV X 1 105577 SCHEDULE G: ADDITIONAL GAMING INFORMATION: PART III, LINE 3: NONCASH PRIZES BY EVENT: BOG GALA $102,711 TOM COLLIER MEMORIAL REGATTA $ 525 SHUKEN MEMORIAL GOLF CLASSIC $ 4,500 BOG BLAZERS EVENT $ 280 PART III, LINE 6 - VOLUNTEER LABOR BY EVENT: TOM COLLIER MEMORIAL REGATTA 50% SHUKEN MEMORIAL GOLF CLASSIC 50% BOG BLAZERS EVENT 100% PART III, LINE 16: GAMING MANAGER INFORMATION: BOG GALA: LORI FELDMAN, EMPLOYEE, $173, MANAGING DETAILS OF CAR RAFFLE BOG GALA: KEN HUDSON, EMPLOYEE, $192, MANAGING DETAILS OF CAR RAFFLE BOG GALA: ROXANNE KINSTETTER, EMPLOYEE, $537, MANAGING DETAILS OF CAR RAFFLE TOM COLLIER MEMORIAL REGATTA: HANNA COLLIER, VOLUNTEER, $0, OVERSIGHT SHUKEN MEMORIAL GOLF CLASSIC: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $400, ONSITE SALES 1 1 X 1 X 1 X 450.000000000000 1 1 1 0 1 1 29691441 29691441 0.01330 279056609 173532741 105523868 0.04740 10949968 9306582 1643386 0.00070 319698018 182839323 136858695 0.06140 11059275 847167 10212108 0.00460 63426319 10002149 53424170 0.02400 13919986 9964072 3955914 0.00180 110475187 110475187 0.04960 1684446 1684446 0.00080 200565213 20813388 179751825 0.08080 520263231 203652711 316610520 0.14220 54339 54339 0.00000 367965 367965 0.00020 20645 20645 0.00000 14471 14471 0.00000 44378 44378 0.00000 108051 108051 0.00010 217867 217867 0.00010 827716 827716 0.00040 0 46228480 20206239 473625850 677450008 -203824158 X 1 1 1 1 CEDARS-SINAI MEDICAL CENTER

8700 BEVERLY BLVD LOS ANGELES CA 90048

X X X X X CEDARS-SINAI MEDICAL CENTER 1 1 X X X X X X X X 10 1 0 0 X X X X X X 0 1 1 200.000000000000 1 450.000000000000 1 X X X X 1 1 X X 1 X X X X 1 X X X X X 1 X 0 1 6 CEDARS-SINAI MEDICAL CENTER

310 SAN VICENTE BLVD WEST HOLLYWOOD CA 90048

OUTPATIENT SURGICAL CEDARS-SINAI MEDICAL CENTER

8723 ALDEN DRIVE LOS ANGELES CA 90048

OUTPATIENT SERVICES-AMBULATORY CARE/ENDOCRINOLOGY/PRIMARY ADULT CARE CEDARS-SINAI MEDICAL CENTER

8631 W 3RD STREET LOS ANGELES CA 90048

OUTPATIENT SERVICES-BLOOD DRAW/CARDIOLOGY/PITUITARY CTR/RADIOLOGY/ETC. CEDARS-SINAI MEDICAL CENTER

8536 WILSHIRE BLVD BEVERLY HILLS CA 90211

OUTPATIENT SERVICES-HEART INST/NUCLEAR CARDIAC STRESS CEDARS-SINAI MEDICAL CENTER

444 S SAN VICENTE BLVD LOS ANGELES CA 90048

OUTPATIENT SERVICES-GAMMA KNIFE/PAIN CTR/PRENATAL DIAG/REHAB/ETC. CEDARS-SINAI MEDICAL CENTER

8635 W 3RD STREET LOS ANGELES CA 90048

OUTPATIENT SERVICES-ORGAN TRANSPLANT/ETC. PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE AMOUNTS ON LINE 7 WERE DERIVED FROM COST ACCOUNTING SYSTEM. COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS - INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYERS - PRIVATE INSURANCE, MEDICARE, MEDI-CAL, UNINSURED AND SELF-PAY. PART I, L7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) WAS $2,447,711,613. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $219,404,272. THIS LEFT US WITH A TOTAL EXPENSE OF $2,228,307,341 FOR PURPOSES OF CALCULATING LINE 7, COLUMN(F). PART II: CEDARS-SINAI IS INVOLVED IN NUMEROUS COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. NUMEROUS COMMUNITY CONCERNS ARE ADDRESSED, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. WE ALSO ENCOURAGE OUR EMPLOYEES TO PARTICIPATE IN HEALTH ADVOCACY PROGRAMS AND PHYSICAL IMPROVEMENT PROJECTS. WE WORK WITH OTHER TAX-EXEMPT ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS AND DISEASE PREVENTION. THESE ACTIVITIES ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. PART III, LINE 4: PER THE AUDITED FINANCIAL STATEMENTS FOOTNOTE 1 - PROVISION FOR UNCOLLECTIBLE ACCOUNTSTHE MEDICAL CENTER ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECEIVABLES, HISTORICAL CASH COLLECTIONS EXPERIENCE, AND OTHER RELEVANT INFORMATION. THE MEDICAL CENTER WRITES DOWN THE EXPECTED REIMBURSEMENT AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED.COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. THOSE PATIENTS FOR WHICH ZERO PAYMENTS WERE RECEIVED ARE CONSIDERED TO BE QUALIFIED AS CHARITY CARE AND THUS ARE INCLUDED AT COST IN COMMUNITY BENEFIT.RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $20,206,239 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A TAX-EXEMPT HOSPITAL WE MUST PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR BAD DEBT ASSESSMENT, WE STUDIED THE CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR RESERVES. AS PART OF THIS STUDY, WE IDENTIFIED THOSE PATIENTS THAT WERE UNABLE TO PAY FOR ANY OF THEIR SERVICES. WE THEN USED THESE PATIENTS TO ESTIMATE THE PORTION OF SELF-PAY BAD DEBT THAT WAS LIKELY ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE FOR THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. WE SUBTRACTED THE ACTUAL AMOUNT OF FINANCIAL ASSISTANCE PROVIDED FROM THIS FIGURE. THE REMAINDER IS THE ESTIMATED AMOUNT ENTERED ON PART III, LINE 3 AND SHOULD BE COUNTED AS COMMUNITY BENEFIT. PART III, LINE 8: - RATIONALE FOR MEDICARE SHORTFALL AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: IT IS OUR BELIEF THAT ALL OF THE $203,824,158 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS.PART III, LINE 6 - COSTING METHODOLOGY: REVENUE AND ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT WHICH WAS COMPILED UNDER MEDICARE COSTING RULES AND REGULATIONS AS ISSUED BY THE HEALTH CARE FINANCING ADMINISTRATION AND ENFORCED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. PART III, LINE 9B: NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY (INCLUDED IN COLLECTION POLICY):IN ITS BILLS TO ALL PATIENTS, CEDARS-SINAI WILL INCLUDE A STATEMENT TO THE EFFECT THAT IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR GOVERNMENT-SPONSORED PAYOR PROGRAMS OR FINANCIAL ASSISTANCE FROM THE MEDICAL CENTER. BILLS WILL ALSO INCLUDE THE NAME/TITLE OR DEPARTMENT AND TELEPHONE NUMBER TO CONTACT FOR MORE INFORMATION ABOUT THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM AND APPLICATION PROCESS.ASSIGNMENT OF PATIENT ACCOUNTS TO COLLECTION AGENCIES (APPLICABLE TO ALL PATIENTS).THE MEDICAL CENTER SHALL NOT ASSIGN ANY PATIENT ACCOUNT TO A COLLECTION AGENCY UNLESS THE MEDICAL CENTER (OR A SUBCONTRACTOR ACTING ON THE MEDICAL CENTER'S BEHALF) HAS FIRST PERFORMED TO THE BEST OF ITS ABILITY A PATIENT PROFILE/SCREEN AND DETERMINED TO THE MEDICAL CENTER'S SATISFACTION THAT THE PATIENT:(A) DOES NOT QUALIFY FOR ALTERNATIVE PAYOR SOURCES, (B) IS NOT AGREEABLE TO A PAYMENT PLAN OR IS NO LONGER COOPERATING WITH A NEGOTIATED PAYMENT PLAN,(C) DOES NOT QUALIFY FOR THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM (OR HAS QUALIFIED AND BEEN GIVEN FINANCIAL ASSISTANCE, IN WHICH CASE ONLY THE AMOUNT AS ADJUSTED TO REFLECT THE FINANCIAL ASSISTANCE AVAILABLE IS FORWARDED FOR COLLECTION) AND (D) HAS SUFFICIENT ASSETS AVAILABLE TO PAY THE AMOUNT OWING. FOR PURPOSES OF THIS POLICY, THE MEDICAL CENTER HAS PERFORMED THE DETERMINATIONS LISTED ABOVE TO THE BEST OF ITS ABILITY WHERE THE MEDICAL CENTER HAS MADE A REASONABLE ATTEMPT TO GATHER THE NECESSARY INFORMATION FROM A PATIENT AND THE PATIENT EITHER DOES NOT RESPOND WITHIN AREASONABLE TIME OR IS UNCOOPERATIVE IN PROVIDING THE NECESSARY INFORMATION.ASSIGNMENT OF PATIENT ACCOUNTS TO COLLECTION AGENCIES (APPLICABLE TO PATIENTS ON FINANCIAL ASSISTANCE PROGRAM).FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT SPONSORED COVERAGE OR FOR THE MEDICAL CENTER'S OWN FINANCIAL ASSISTANCE PROGRAM, THE MEDICAL CENTER SHALL NOT KNOWINGLY SEND OR ASSIGN SUCH PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY PRIOR TO 120 DAYS FROM THE DATE OF THE MEDICAL CENTER'S INITIAL BILLING OF THAT ACCOUNT.FOR PATIENTS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE OR WHO HAVE NEGOTIATED A PAYMENT PLAN AND ARE REASONABLY COOPERATING WITH THE MEDICAL CENTER IN SETTLING AN OUTSTANDING BILL, THE MEDICAL CENTER WILL NOT KNOWINGLY SEND OR ASSIGN SUCH PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY IF THE MEDICAL CENTER KNOWS THAT DOING SO MAY NEGATIVELY IMPACT A PATIENT'S CREDIT. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 1J: THE RESPONSES REPORTED ON SCHEDULE H, PART V, SECTION B, LINES 1 TO 7 HAVE BEEN BASED UPON THE EXISTING CALIFORNIA STATE REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS AS DESCRIBED BELOW. THEY WERE NOT BASED ON THE RECENTLY ENACTED REQUIREMENTS OF IRC SEC. 501(R) SINCE THE NEW REGULATIONS ALLOW FOR CEDARS-SINAI MEDICAL CENTER TO COMPLY WITH THE NEW REQUIREMENTS FOR ITS FISCAL YEAR ENDING 6/30/13. STARTING IN JANUARY 1996, CALIFORNIA SENATE BILL 697 (SB697) REQUIRED THAT HOSPITALS COMPLETE A COMMUNITY NEEDS ASSESSMENT. SB697 DEFINES COMMUNITY BENEFIT PLAN AS "THE WRITTEN DOCUMENT FOR ANNUAL SUBMISSION TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT THAT SHALL INCLUDE, BUT SHALL NOT BE LIMITED TO, A DESCRIPTION OF THE ACTIVITIES THAT THE HOSPITAL HAS UNDERTAKEN IN ORDER TO ADDRESS IDENTIFIED NEEDS WITHIN ITS MISSION AND FINANCIAL CAPACITY AND THE PROCESS BY WHICH THE HOSPITAL DEVELOPED THE PLAN IN CONSULTATION WITH THE COMMUNITY."SB697 STATES THAT THE HOSPITAL SHALL INCLUDE ALL OF THE FOLLOWING ELEMENTS IN ITS COMMUNITY BENEFIT PLAN:A. MECHANISM TO EVALUATE THE PLAN'S EFFECTIVENESS INCLUDING BUT NOT LIMITED TO, A METHOD FOR SOLICITING THE VIEWS OF THE COMMUNITY SERVICED BY THE HOSPITAL AND IDENTIFICATION OF COMMUNITY GROUPS AND LOCAL GOVERNMENT OFFICIALS CONSULTED DURING THE DEVELOPMENT OF THE PLAN. B. MEASURABLE OBJECTIVES TO BE ACHIEVED WITHIN SPECIFIED TIMEFRAMES.C. COMMUNITY BENEFITS CATEGORIZED IN THE FOLLOWING FRAMEWORK: MEDICAL CARE SERVICES; OTHER BENEFITS FOR VULNERABLE POPULATIONS; OTHER BENEFITS FOR THE BROADER COMMUNITY; HEALTH RESEARCH; EDUCATION AND TRAINING PROGRAMS; NONQUANTIFIABLE BENEFITS.ADDITIONALLY, SB697 STATES THAT THE HOSPITAL SHALL, TO THE EXTENT PRACTICABLE, ASSIGN AND REPORT THE ECONOMIC VALUE OF COMMUNITY BENEFITS PROVIDED IN FURTHERANCE OF THE PLAN.ORGANIZATIONAL COMMITMENT:THE CLEAREST DEMONSTRATION OF CEDARS-SINAI MEDICAL CENTER'S COMMITMENT TO ITS COMMUNITY IS THE INVOLVEMENT AND DEDICATION OF THE BOARD OF DIRECTORS, EXECUTIVE MANAGEMENT, PHYSICIANS AND STAFF IN COMMUNITY BENEFIT. COMMUNITY BENEFIT ACTIVITIES ARE DELIVERED THROUGHOUT THE CEDARS-SINAI DEPARTMENTS, WITH MANY SPECIALISTS CONTRIBUTING THEIR EXPERTISE IN SPECIFIC AREAS.CEDARS-SINAI'S COMMITMENT TO IMPROVE HEALTH OF THE COMMUNITY, THE FOURTH LEG OF OUR MISSION, HAS BEEN FULLY INTEGRATED INTO THE GOVERNANCE, EXECUTIVE MANAGEMENT AND SYSTEM-WIDE GOALS OF THE ORGANIZATION. SENIOR MANAGEMENT PLAYS A KEY LEADERSHIP ROLE IN SUPPORTING COMMUNITY BENEFIT AND ALLOCATES SIGNIFICANT HUMAN AND FINANCIAL RESOURCES TO THIS END.CEDARS-SINAI'S COMMUNITY:CEDARS-SINAI SERVES PATIENTS FROM THE LOCAL COMMUNITY AS WELL AS FROM THROUGHOUT THE NATION AND THE WORLD. MOST OF THE MEDICAL CENTER'S PATIENTS COME FROM SOUTHERN CALIFORNIA, WITHIN APPROXIMATELY 10 MILES OF THE MEDICAL CENTER. CEDARS-SINAI SERVES DIVERSE COMMUNITIES THAT ARE REPRESENTATIVE OF LOS ANGELES COUNTY'S POPULATION. HOWEVER, CEDARS-SINAI'S COMMUNITY CONSISTS OF A HIGHER PERCENTAGE OF AFRICAN AMERICANS AND MORE VULNERABLE COMMUNITIES, INCLUDING LOW-INCOME AND IMPOVERISHED FAMILIES.COMMUNITY NEEDS ASSESSMENT 2010:FOR THE 2010 COMMUNITY NEEDS ASSESSMENT, CEDARS-SINAI WORKED CLOSELY WITH OUR COMMUNITY PARTNERS TO SOLICIT INPUT FROM RESIDENTS ABOUT THEIR PERCEPTIONS ABOUT THE MAJOR SOCIAL AND HEALTH DETERMINANTS AFFECTING THEIR QUALITY OF LIFE. PRIMARY DATA WAS COLLECTED THROUGH FOCUS GROUPS FROM RESIDENTS IN SERVICE PLANNING AREAS (SPAS) 4 AND 6. THE SELECTION OF SPAS 4 AND 6 WERE BASED ON THE RELATIVE DISPARITY/NEED IN THESE SERVICE AREAS.USING A QUALITATIVE DATA COLLECTION METHOD, EIGHT FOCUS GROUPS WERE CONDUCTED WITH RESIDENTS REPRESENTING THE FOLLOWING AGE GROUPS: ADOLESCENTS (14-17 YEARS), YOUNG ADULTS (18-24 YEARS), ADULTS (25-64 YEARS), AND SENIOR/OLDER ADULTS (65+ YEARS). CEDARS-SINAI WORKED WITH COMMUNITY ORGANIZATIONAL PARTNERS IN SPAS 4 AND 6 TO RECRUIT PARTICIPANTS FOR THE FOCUS GROUPS. PARTICIPANTS WERE ASKED QUESTIONS ABOUT THE SOCIAL AND HEALTH DETERMINANTS AFFECTING THEIR QUALITY OF LIFE. ADDITIONALLY, PARTICIPANTS RANKED THE TOP HEALTH ISSUES THAT WERE IMPORTANT TO THEIR RESPECTIVE AGE GROUPS. THE 2010 COMMUNITY NEEDS ASSESSMENT'S SECONDARY DATA IS DERIVED THROUGH THE HEALTHY COMMUNITIES INSTITUTE'S WEB-BASED COMMUNITY HEALTH NEEDS ASSESSMENT SYSTEM, A CUSTOMIZABLE WEB-BASED INFORMATION SYSTEM THAT PROVIDES CEDARS-SINAI WITH UP-TO-DATE DATA ON HEALTH INDICATORS, QUALITY OF LIFE AND DEMOGRAPHIC MARKERS FOR CEDARS-SINAI'S COMMUNITY, LOS ANGELES SERVICE PLANNING AREAS 4, 5 AND 6, AND LOCAL AND REGIONAL GEOGRAPHIES. THIS VALUABLE COMMUNITY NEEDS ASSESSMENT SYSTEM TRACKS HEALTH INDICATORS TOWARD MEETING HEALTHY PEOPLE 2020 NATIONAL PUBLIC HEALTH GOALS, OUTLINES HEALTH DISPARITIES, SHARES TOOLS FOR TRACKING AND REPORTING, AND GUIDES PLANNING EFFORTS IN COMBINATION WITH OTHER SOURCES AND STRATEGIC PLANNING PROCESSES.MEETING THE NEEDS OF THE COMMUNITY:STRATEGIC FOCUS AND COMMUNITY HEALTH INITIATIVES - CEDARS-SINAI ENGAGED IN A STRATEGIC PLANNING PROCESS IN 2007 WITH THE ASSISTANCE OF A CONSULTANT. THE CONSULTANT REVIEWED THE STRATEGIES BY WHICH CEDARS-SINAI ADDRESSES THE NEEDS OF THE COMMUNITY IDENTIFIED THROUGH THE COMMUNITY NEEDS ASSESSMENT, THROUGH OTHER DATA SOURCES AND THROUGH OUR LOCAL COMMUNITIES.THROUGH THE RESULTS OF THE STRATEGIC PLANNING PROCESS, CEDARS-SINAI STAFF AND LEADERS SOUGHT TO FRAME THE COMMUNITY BENEFIT APPROACH WITH A STRATEGIC FOCUS OR SPECIALIZED EFFORT FOR IMPROVING THE HEALTH OF THE COMMUNITY.THE CEDARS-SINAI STRATEGIC FOCUS SEEKS TO REDUCE THE RISKS AND IMPACTS OF OBESITY AND INACTIVITY AND THEIR ASSOCIATED MEDICAL PROBLEMS IN COMMUNITIES OF NEED.THE STRATEGIC FOCUS INTEGRATES THE FOUR CORE PRINCIPLES OF ADVANCING THE STATE OF THE ART IN COMMUNITY BENEFIT: A USER'S GUIDE TO EXCELLENCE AND ACCOUNTABILITY: EMPHASIS ON DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS; EMPHASIS ON PRIMARY PREVENTION; BUILD SEAMLESS CONTINUUM OF CARE; BUILD COMMUNITY CAPACITY.A PATHWAY TO DEVELOPING PROGRAMS FOR THE STRATEGIC FOCUS IS THROUGH CEDARS-SINAI'S COMMUNITY HEALTH INITIATIVES. COMMUNITY HEALTH INITIATIVES ARE COMPREHENSIVE LONGITUDINAL MULTI-LAYERED PROGRAMS. CHARACTERISTICS OF THE INITIATIVES INCLUDE:- UTILIZATION OF DEPARTMENTS THROUGHOUT THE MEDICAL CENTER FOR EDUCATION, REVIEW AND SUPPORT- CONTINUED PRESENCE IN TARGETED GEOGRAPHIC COMMUNITIES- PROGRAMS WITH COMPONENTS FOR MULTIPLE AUDIENCES WITHIN A COMMUNITY- MULTIPLE PROGRAMS TO REACH TARGETED GEOGRAPHIC COMMUNITIES- PROGRAMS THAT GROW AS COMMUNITY PARTNERSHIPS GROW- PROGRAMS THAT MEET THE NEEDS OF A COMMUNITY, AS EXPRESSED BY THE COMMUNITYCOMMUNITY HEALTH INITIATIVES - ACCOMPLISHMENTS - FISCAL YEAR 2011:- EXPANDED HEALTHY HABITS FOR KIDS AND HEALTHY HABITS FOR FAMILIES TO EIGHT ELEMENTARY SCHOOLS. 6,300 SECOND GRADERS WERE EACH TAUGHT 10 UNITS OF HEALTHY HABITS.- EXPANDED HEALTHY HABITS SUMMER PROGRAM IN SEVEN SITES, PROVIDING FREE SUMMER CAMP FOR ELIGIBLE STUDENTS, WITH OVER 1,600 ENCOUNTERS.- IMPLEMENTED HEALTHY HABITS REFRESHER COURSE CURRICULUM FOR THIRD GRADE STUDENTS. 1,100 3RD GRADERS WERE TAUGHT 5 UNITS OF HEALTHY HABITS.- LAUNCHED HEALTHY HABITS FOR KIDS NEWSLETTER AT FIVE SCHOOL SITES, REACHING OVER 2,600 HOUSEHOLDS.- LAUNCHED HEALTHY HABITS AFTER-SCHOOL PROGRAM.- IMPLEMENTED COMMUNITY-WIDE CAPACITY-BUILDING PROGRAMS FOR HEALTHY HABITS FOR FAMILY PARTICIPANTS INCLUDING YOGA IN THE PARK AND VISIT A COMMUNITY GARDEN.- PILOT-TESTED AND RECEIVED GRANT-FUNDED SUPPORT FOR THE HEALTHY HABITS MIDDLE SCHOOL PROGRAM. A PROGRAM THAT TEACHES MIDDLE-SCHOOL-AGED CHILDREN HEALTHY HABITS AND ALSO INCREASES THEIR AWARENESS OF BROADER HEALTH ISSUES THROUGH INTERACTIVE DISCUSSIONS AND COMMUNITY ENGAGEMENT.- CONTINUED COMMUNITY HEALTH EDUCATION DISPLAYS IN SIX PRESCHOOL SITES, SERVING 800 PRESCHOOL FAMILIES.- EXPANDED NUMBER OF GROCERY STORE TOUR PROGRAMS. A FOUR WEEK INTENSIVE COURSE ON MAXIMIZING GROCERY SHOPPING WITH MAKING HEALTHY AND ECONOMICAL CHOICES FOR VULNERABLE COMMUNITIES.- BUILT EVALUATION INFRASTRUCTURE TO COLLECT COMMUNITY HEALTH INITIATIVES EVALUATION DATA.- ACHIEVED 11,000 TOTAL PARTICIPANT ENCOUNTERS FOR FISCAL YEAR 2011.FOR FISCAL YEAR 2012, CEDARS-SINAI PLANS TO ENHANCE COMMUNITY HEALTH INITIATIVES BY GROWING ITS PRESENCE AT EXISTING SITES AND REACHING MORE SCHOOLS AND COMMUNITY SITES:- EXPAND HEALTHY HABITS FOR KIDS AND HEALTHY HABITS FOR FAMILIES TO FOUR ADDITIONAL SCHOOLS.- IMPLEMENT 4TH GRADE HEALTHY HABITS FOR KIDS REFRESHER COURSES.- GROW HEALTHY HABITS FOR FAMILIES CAPACITY-BUILDING PROGRAMS.- IMPLEMENT FULLY DEVELOPED CURRICULUM FOR HEALTHY HABITS TO PROMOTE AND SUPPORT SCHOOL STAFF WELLNESS.- EXPAND GROCERY STORE TOUR PROGRAM THROUGH NEW PARTNERSHIPS WITH COMMUNITY BASED ORGANIZATIONS.- INCREASE COMMUNITY HEALTH EDUCATION DISPLAYS FROM SIX TO NINE SITES.- EXPAND HEALTHY HABITS MIDDLE SCHOOL PROGRAM TO REACH MORE STUDENTS.- ANALYZE COLLECTED EVALUATION. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 1J: COMMUNITY BENEFIT AND ECONOMIC VALUE:CEDARS-SINAI'S COMMITMENT TO IMPROVING THE HEALTH OF OUR COMMUNITY IS REFLECTED IN OUR SIGNIFICANT INVESTMENT IN COMMUNITY BENEFIT. THIS DEEPLY INGRAINED TRADITION OF COMMUNITY SERVICES TAKES MANY FORMS. WE OFFER ONGOING HEALTH EDUCATION PROGRAMS AND SERVICES SUCH AS IMMUNIZATIONS AND HEALTH SCREENINGS TO THOSE WITH THE GREATEST NEED THROUGH HUNDREDS OF PROGRAMS AT COMMUNITY CENTERS, FREE CLINICS, SCHOOLS, PARKS, AND OTHER SITES AROUND LOS ANGELES. WE INCREASE ACCESS TO HEALTHCARE FOR THE UNDERSERVED IN OUR COMMUNITY IN OTHER WAYS AS WELL. FOR EXAMPLE, CEDARS-SINAI PROVIDES FREE AND PART-PAY HOSPITAL CARE TO THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, AND WE HELP COVER THE UNPAID COSTS OF GOVERNMENT PROGRAMS SUCH AS MEDICARE. CEDARS-SINAI ALSO IMPACTS THE FUTURE HEALTH OF OUR COMMUNITY BY CONDUCTING MEDICAL RESEARCH THAT WILL ULTIMATELY IMPROVE QUALITY OF LIFE FOR COUNTLESS INDIVIDUALS, LOCALLY AND AROUND THE WORLD, AND BY EDUCATING THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 3: EIGHT FOCUS GROUPS WERE CONDUCTED WITH RESIDENTS REPRESENTING THE FOLLOWING AGE GROUPS: ADOLESCENTS, YOUNG ADULTS, ADULTS, AND SENIOR/OLDER ADULTS. CEDARS-SINAI WORKED WITH COMMUNITY ORGANIZATIONAL PARTNERS IN SERVICE PLANNING AREAS 4 AND 6 TO RECRUIT PARTICIPANTS FOR THE FOCUS GROUPS. (THE SELECTION OF SERVICE PLANNING AREAS 4 AND 6 WERE BASED ON THE RELATIVE DISPARITY/NEED IN THOSE SERVICE AREAS.) PARTICIPANTS WERE ASKED QUESTIONS ABOUT THE SOCIAL AND HEALTH DETERMINANTS AFFECTING THEIR QUALITY OF LIFE. ADDITIONALLY, PARTICIPANTS RANKED THE TOP HEALTH ISSUES THAT WERE IMPORTANT TO THEIR RESPECTIVE AGE GROUPS. THE NAMES OF THE INDIVIDUALS WHO PARTICIPATED IN THE FOCUS GROUPS WERE NOT DISCLOSED ON THE NEEDS ASSESSMENT SINCE THIS WAS NOT A REQUIREMENT UNDER CALIFORNIA SENATE BILL 697. FURTHERMORE, WE DID NOT RETAIN IN OUR DOCUMENTATION THE PARTICIPANTS' NAMES SINCE THIS WAS NOT A REQUIREMENT UNDER CALIFORNIA SENATE BILL 697. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 7: CEDARS-SINAI HAS NOT ADDRESSED ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED NEEDS ASSESSMENT AND HAS NOT PERFORMED THE ANALYSIS NECESSARY TO DETERMINE WHY THOSE NEEDS HAVE NOT BEEN ADDRESSED SINCE THIS IS NOT A REQUIREMENT UNDER CALIFORNIA SENATE BILL 697. CEDARS-SINAI WILL COMPLY WITH THIS AND ALL OF THE OTHER REQUIREMENTS OF IRC SEC. 501(R) PRIOR TO THE END OF ITS FISCAL YEAR 2013. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 13G: SINCE THE MEDICAL CENTER'S POLICY IS A 40+ PAGE DOCUMENT, IT IS NOT DISTRIBUTED TO PATIENTS IN ITS ENTIRETY. THE MEDICAL CENTER OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS FOR PATIENTS, ALONG WITH TELEPHONE NUMBERS TO CALL. THE INFORMATION IS POSTED IN THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT AND CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS. INFORMATION REGARDING THE POLICY IS DISTRIBUTED TO THE PATIENT DURING THE ADMISSION OR REGISTRATION PROCESS. IT IS ALSO INCLUDED ON OUR BILLING STATEMENTS. THE POLICY, INCLUDING ALL ATTACHMENTS, IS AVAILABLE FOR REVIEW ON THE WEBSITE OF THE OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT (OSHPD) AT WWW.OSHPD.CA.GOV/. THE MEDICAL CENTER ALSO ATTEMPTS TO LINK POTENTIAL FINANCIAL ASSISTANCE PATIENTS TO GOVERNMENT PROGRAMS.CEDARS-SINAI MEDICAL CENTER:PART V, SECTION B, LINE 15C: THE COLLECTION ACTION, LIEN ON RESIDENCE, IS NEVER PERMITTED FOR A LOW-INCOME/UNINSURED PATIENT. IT MAY BE ALLOWED FOR OTHER PATIENTS, BUT ONLY WITH THE APPROVAL OF THE PRESIDENT/CEO. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 15E: NONE OF THE COLLECTION ACTIONS CHECKED ON LINE 15 OR SHOWN BELOW IS PERMITTED BEFORE MAKING REASONABLE EFFORTS TO DETERMINE THE PATIENT'S ELIGIBILITY UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY.OTHER ACTIONS ALLOWED BY THE POLICY INCLUDE THE FOLLOWING:1)DEBTOR EXAMINATION/SUBPOENA FOR INFORMATION2)ENFORCING JUDGMENT THROUGH LIEN OR RECORD ABSTRACT ON OTHER PROPERTY3)ENFORCING JUDGMENT THROUGH WAGE GARNISHMENT/LEVY4)ENFORCING JUDGMENT THROUGH BANK ACCOUNT LEVY5)ENFORCING JUDGMENT THROUGH A KEEPERCEDARS-SINAI MEDICAL CENTER:PART V, SECTION B, LINE 17A: FOR INPATIENTS WITH NO INSURANCE, INPATIENTS RECEIVE A 75% DISCOUNT FROM BILLED CHARGES. FOR OUTPATIENTS WITH NO INSURANCE RECEIVING EMERGENCY ROOM SERVICES, OUTPATIENTS RECEIVE A 65% DISCOUNT FROM BILLED CHARGES. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 19D: CEDARS-SINAI'S POLICY INDICATES THAT THE MOST RECENTLY PUBLISHED FEDERAL POVERTY LEVEL IS USED TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE BASED ON FINANCIAL NEED. CEDARS-SINAI HAS AN ELIGIBILITY SCALE, BASED ON SPECIFIC PARAMETERS (GREATER THAN 200% OF FEDERAL POVERTY LEVEL AND LESS THAN 450% OF FEDERAL POVERTY LEVEL), TO CALCULATE ANY AMOUNT DUE FROM THOSE INDIVIDUALS WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE. THE PERCENTAGE DISCOUNT APPLIED FOR PATIENTS WHO QUALIFY IS BASED ON A SLIDING SCALE USING THE INCOME LEVEL AND SIZE OF THE PATIENT'S FAMILY UNIT. PATIENTS TREATED ON AN INPATIENT BASIS AND QUALIFIED FOR A FINANCIAL ASSISTANCE DISCOUNT OF LESS THAN 100% WILL NOT BE FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNT OF THE MEDICARE DRG RATES. PATIENTS THAT WERE TREATED ON AN OUTPATIENT BASIS AND QUALIFIED FOR A FINANCIAL ASSISTANCE DISCOUNT LESS THAN 100% WILL NOT BE FINANCIALLY RESPONSIBLE FOR MORE THAN THE MEDICAL CENTER'S AVERAGE OUTPATIENT MEDICARE REIMBURSEMENT RATE. CEDARS-SINAI MEDICAL CENTER PART V, SECTION B, LINE 21: PATIENTS WHO PAID GROSS CHARGES DURING THE TAX YEAR MAKE UP A SMALL MINORITY OF ALL OF THE MEDICAL CENTER'S PATIENTS. GROSS CHARGES ARE GENERALLY APPLICABLE TO OUTPATIENTS WHO DO NOT QUALIFY FOR FULL OR PARTIAL FINANCIAL ASSISTANCE UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY OR WHO MAY NOT HAVE BEEN ELIGIBLE FOR OTHER DISCOUNTS. ALL PATIENTS WHO MEET THE ELIGIBILITY CRITERIA AND ARE APPROVED BY THE MEDICAL CENTER TO RECEIVE FINANCIAL ASSISTANCE WILL BE GIVEN BILLING ADJUSTMENTS. PART VI, LINE 2: FOR THE 2010 COMMUNITY NEEDS ASSESSMENT (CNA), CEDARS-SINAI WORKED CLOSELY WITH OUR COMMUNITY PARTNERS TO SOLICIT INPUT FROM RESIDENTS ABOUT THEIR PERCEPTIONS ABOUT THE MAJOR SOCIAL AND HEALTH DETERMINANTS AFFECTING THEIR QUALITY OF LIFE. THE CNA PROVIDES CEDARS-SINAI WITH GUIDING INFORMATION FOR PLANNING PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: CEDARS-SINAI PROVIDES THE FOLLOWING NOTICES REGARDING FULL AND PARTIAL CHARITY CARE FOR THE FINANCIALLY QUALIFIED PATIENT:A. POSTED SIGNAGE - NOTICE OF CEDARS-SINAI'S POLICY IS POSTED IN THE FOLLOWING LOCATIONS: THE EMERGENCY DEPARTMENT, THE ADMITTING DEPARTMENT, CENTRALIZED AND DECENTRALIZED REGISTRATION AREAS AND OTHER OUTPATIENT SETTINGSB. NOTICES HANDED TO PATIENTS - DURING THE REGISTRATION OR ADMISSION PROCESS, PATIENTS ARE PROVIDED WITH THE FOLLOWING HANDOUTS: I. NOTICE OF FINANCIAL ASSISTANCE (ALL PATIENTS) II. ROSENTHAL FAIR DEBT COLLECTION ACT NOTICE (ALL PATIENTS) III. MEDI-CAL APPLICATION (SELF-PAY PATIENTS) IV. COVER LETTER (SELF-PAY PATIENTS)C. PATIENT STATEMENT NOTICES - CEDARS-SINAI PRINTS A NOTICE ON THE BACK OF THE PATIENT STATEMENTS ABOUT FINANCIAL ASSISTANCE POLICIES THAT INFORMS PATIENTS HOW TO APPLY FOR CHARITY CARE AND/OR OTHER FINANCIAL ASSISTANCE PROGRAMS PART VI, LINE 4: THE COMMUNITY IS DEFINED AS THOSE INDIVIDUALS IN ZIP CODES SURROUNDING THE MEDICAL CENTER (90048): 44% ARE HISPANIC, 23% ARE WHITE, 17% ARE AFRICAN AMERICAN, 10% ARE ASIAN/PACIFIC ISLANDER, 1% ARE NATIVE AMERICAN/ALASKAN NATIVE AND 5% ARE MULTIRACIAL. AMONG THE PEOPLE WHO LIVE IN THE SERVICE AREA, 7% ARE LESS THAN 5 YEARS OF AGE, 13% ARE 5-14 YEARS OF AGE, 8% ARE 15-19 YEARS OF AGE, 21% ARE 20-34 YEARS OF AGE, 40% ARE 35-64 YEARS OF AGE AND 11% ARE 65 YEARS OF AGE OR OLDER. OVERALL, 17% OF FAMILIES ARE BELOW THE POVERTY LINE. THE AVERAGE HOUSEHOLD INCOME IS $50,343. PART VI, LINE 6: CEDARS-SINAI IS DRIVEN BY ITS MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROVIDE LEADERSHIP AND EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE DEPARTMENT OF COMMUNITY HEALTH AND EDUCATION IS CHARGED WITH ENHANCING CEDARS-SINAI'S SERVICE TO, AND CONNECTION WITH, THE COMMUNITY AS MEASURED BY ITS COMMUNITY EDUCATION, SERVICE PROGRAMS, PARTICIPATION AND INVOLVEMENT WITH OTHER COMMUNITY SERVICE ORGANIZATIONS. WITH THE EXPERIENCE AND EXPERTISE OF MEDICAL AND ADMINISTRATIVE STAFF THROUGHOUT THE MANY DEPARTMENTS OF CEDARS-SINAI, AND WITH ITS COLLABORATIVE RELATIONSHIPS WITH COMMUNITY PARTNERS, CEDARS-SINAI HAS MADE A SIGNIFICANT CONTRIBUTION, BOTH IN QUANTIFIABLE AND NONQUANTIFIABLE TERMS, TO THE BENEFIT OF THE COMMUNITY.CEDARS-SINAI IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF MEMBERS OF THE COMMUNITY. FURTHER, THE COMMUNITIES ARE SERVED BY AN OPEN MEDICAL STAFF. ALSO, ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY.CEDARS-SINAI PROVIDES A BREADTH OF SERVICES TO MEET IDENTIFIED HEALTH NEEDS IN THE COMMUNITY. MANY CEDARS-SINAI PROGRAMS ARE OPERATED AT A FINANCIAL LOSS (BECAUSE REIMBURSEMENT FROM GOVERNMENT PAYORS IS AT A FRACTION OF THE ACTUAL COST TO PROVIDE PATIENT CARE) BUT CONTINUE TO BE OFFERED BECAUSE THEY ARE AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION TO SERVE THE COMMUNITY'S HEALTH NEEDS. AN EXAMPLE OF A MUCH-NEEDED AND IMPORTANT PROGRAM IS THE TRAUMA CENTER.DURING THE TAX YEAR, CEDARS-SINAI'S COMMUNITY BENEFIT EXPENSES TOTALED APPROXIMATELY $519,500,000 DIVIDED AMONG SIX MAJOR CATEGORIES. FOR PURPOSES OF ESTIMATING CEDARS-SINAI'S FINANCIAL CONTRIBUTION TO COMMUNITY BENEFIT, THE FOLLOWING DEFINITIONS ARE USED:CATEGORY 1: TRADITIONAL CHARITY CARE - INCLUDES THE UNREIMBURSED COST OF FREE AND DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO MEET THE MEDICAL CENTER'S CRITERIA FOR FINANCIAL ASSISTANCE AND ARE THEREFORE DEEMED UNABLE TO PAY FOR ALL OR A PORTION OF THE SERVICES. IF THERE IS ANY SUBSIDY DONATED FOR THESE SERVICES, THAT AMOUNT IS DEDUCTED FROM THE GROSS AMOUNT. TRADITIONAL CHARITY CARE IS INCLUDED ON PART I, LINE 7A.CATEGORY 2: UNPAID COST OF STATE PROGRAMS - ALSO BENEFITS THE INDIGENT, BUT IS LISTED SEPARATELY. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. THESE COSTS ARE INCLUDED ON PART I, LINE 7B. IN THE STATE OF CALIFORNIA THE MEDICAID PROGRAM IS CALLED MEDI-CAL. CATEGORY 3: UNPAID COSTS OF SPECIALTY GOVERNMENT PROGRAMS - ALSO PROVIDES COMMUNITY BENEFIT UNDER SUCH PROGRAMS AS THE VETERANS ADMINISTRATION, LOS ANGELES POLICE DEPARTMENT, SHORT DOYLE, PROPOSITION 99 AND OTHER PROGRAMS TO BENEFIT THE INDIGENT. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THESE VARIOUS MEANS-TESTED PROGRAMS. IF THIS COMMUNITY BENEFIT WAS NOT PROVIDED, THE FEDERAL, STATE, OR LOCAL GOVERNMENTS WOULD NEED TO FURNISH THESE SERVICES. THESE COSTS ARE INCLUDED ON PART I, LINE 7C.CATEGORY 4: UNPAID COST OF FEDERAL PROGRAMS - PRIMARILY BENEFITS THE ELDERLY. THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDICARE PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDICARE PROGRAM. APPROXIMATELY 40 PERCENT OF MEDICARE ADMISSIONS ARE PEOPLE WITH LIMITED MEANS. CEDARS-SINAI INCLUDES CATEGORY 4 IN THE 2011 COMMUNITY BENEFIT UPDATE AND PLAN REPORT BECAUSE IF COSTS WERE NOT PAID BY THE MEDICAL CENTER, THE FEDERAL GOVERNMENT AND OTHERS WOULD BE SUBJECT TO THOSE LOSSES. MEDICARE SHORTFALLS ARE INCLUDED ON PART III, SECTION B.CATEGORY 5: RESEARCH - COST OF PROVIDING TRANSLATIONAL AND CLINICAL RESEARCH AND STUDIES ON HEALTH CARE DELIVERY. DURING THE YEAR ENDED JUNE 30, 2011, THE MEDICAL CENTER RECEIVED OUTSIDE SUPPORT FOR ITS RESEARCH EFFORTS TOTALING $52,833,000. THUS FOR THE YEAR ENDED JUNE 30, 2011, THE NET COST BORNE BY THE MEDICAL CENTER WAS $57,642,000. THESE COSTS ARE INCLUDED ON PART I, LINE 7H.CATEGORY 6: OTHER COMMUNITY BENEFITS - COST OF SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY. CATEGORY 6 INCLUDES UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH AND IN-KIND DONATIONS. THESE COSTS ARE INCLUDED ON PART I, LINES 7F, 7G, 7E, AND 7I, RESPECTIVELY. REPORTS FILED WITH STATES PART VI, LINE 7 CA 0 ALABAMA HEALTH RESEARCH & EDUCATION FOUNDATION 500 NORTHEAST BLVD MONTGOMERY AL 36117 636049673 501(C)(3) 25000 GENERAL SUPPORT AMERICAN ACADEMY OF NURSING 888 17TH STREET NW WASHINGTON DC 20006 522213870 501(C)(3) 25000 GENERAL SUPPORT AMERICAN CANCER SOCIETY INC CALIFORNIA 1710 WEBSTER ST OAKLAND CA 94612 941170350 501(C)(3) 8500 GENERAL SUPPORT ASSOCIATION OF CALIFORNIA NURSE LEADERS 3835 NORTH FREEWAY 120 SACRAMENTO CA 95834 942910850 501(C)(3) 40000 GENERAL SUPPORT BEVERLY HILLS CHAMBER OF COMMERCE 239 S BEVERLY DRIVE BEVERLY HILLS CA 90212 950548070 501(C)(6) 5725 GENERAL SUPPORT BEVERLY HILLS FIREMEN'S ASSOCIATION PO BOX 1720 BEVERLY HILLS CA 90213 953173205 501(C)(5) 6500 GENERAL SUPPORT B'NAI B'RITH 2020 K STREET NW 7TH FLOOR WASHINGTON DC 20006 530179971 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K ST SACRAMENTO CA 95814 941498697 501(C)(3) 974399 GENERAL SUPPORT CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS 1215 K ST NO 800 SACRAMENTO CA 95814 941205908 501(C)(6) 70000 GENERAL SUPPORT CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 954772979 501(C)(3) 1451251 GENERAL SUPPORT CALIFORNIA INSTITUTE FOR NURSING & HEALTHCARE 715 HEARST AVENUE STE 203 BERKELEY CA 94710 820570413 501(C)(3) 50000 GENERAL SUPPORT CALIFORNIA NURSING STUDENTS' ASSOCIATION INC 3835 NORTH FREEWAY 120 SACRAMENTO CA 95834 946104412 501(C)(3) 10000 GENERAL SUPPORT COALITION FOR COMPASSIONATE CARE 1331 GARDEN HIGHWAY SACRAMENTO CA 95833 270419836 501(C)(3) 15000 GENERAL SUPPORT CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 954457756 501(C)(3) 32228278 GENERAL SUPPORT COMMUNITY PARTNERS 1000 N ALAMEDA ST 240 LOS ANGELES CA 90012 954302067 501(C)(3) 7000 GENERAL SUPPORT FRIENDS OF THE SABAN FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 953433824 501(C)(3) 237500 GENERAL SUPPORT GENETICS POLICY INSTITUTE INC 11924 FOREST HILL BLVD 22 WELLINGTON FL 33414 205509308 501(C)(3) 10000 GENERAL SUPPORT HEALTH RESEARCH AND EDUCATIONAL TRUST 155 NORTH WACKER DRIVE CHICAGO IL 60606 362203931 501(C)(3) 10000 GENERAL SUPPORT HEBREW UNION COLLEGE - JEWISH INSTITUTE OF RELIGION 3101 CLIFTON AVE 3RD FLOOR CINCINATTI OH 45220 310537067 501(C)(3) 50000 GENERAL SUPPORT JEWISH FEDERATION COUNCIL OF GREATER LA 6505 WILSHIRE BLVD LOS ANGELES CA 90048 951643388 501(C)(3) 10000 GENERAL SUPPORT JEWISH VOCATIONAL SERVICE 6505 WILSHIRE BLVD 200 LOS ANGELES CA 90048 951691012 501(C)(3) 9000 GENERAL SUPPORT LEAGUE OF WOMEN VOTERS OF LOS ANGELES EDUCATION FUND 3303 WILSHIRE BLVD ROOM 310 LOS ANGELES CA 90010 953972988 501(C)(3) 10000 GENERAL SUPPORT LIMMUDLA 1880 CENTURY PARK EAST STE 200 LOS ANGELES CA 90067 260170470 501(C)(3) 10000 GENERAL SUPPORT LOS ANGELES AREA CHAMBER OF COMMERCE 350 SOUTH BIXEL STREET LOS ANGELES CA 90017 950947860 501(C)(6) 16000 GENERAL SUPPORT LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER 1124 W CARSON ST BLDG N-14 TORRANCE CA 90502 952138184 501(C)(3) 6000 GENERAL SUPPORT LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST 1240 LOS ANGELES CA 90067 951366460 501(C)(6) 16600 GENERAL SUPPORT MARCH OF DIMES 1275 MAMARONECK AVE WHITE PLAINS NY 10605 131846366 501(C)(3) 98250 GENERAL SUPPORT MEXICAN AMERICAN BAR FOUNDATION PO BOX 862127 LOS ANGELES CA 90086 954358513 501(C)(3) 15000 GENERAL SUPPORT MUSICARES FOUNDATION INC 3030 OLYMPIC BLVD SANTA MONICA CA 90404 954470909 501(C)(3) 12500 GENERAL SUPPORT NATIONAL BLACK NURSES ASSOCIATION 8630 FENTON STREET SILVER SPRING MD 20910 237194995 501(C)(3) 15000 GENERAL SUPPORT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 101 N WACKER DR CHICAGO IL 60606 364483505 501(C)(3) 25000 GENERAL SUPPORT NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST STE 1300 LOS ANGELES CA 90071 237314808 501(C)(3) 13500 GENERAL SUPPORT NATIONAL MEDICAL FELLOWSHIPS 347 FIFTH AVE NEW YORK NY 10016 362125449 501(C)(3) 10000 GENERAL SUPPORT PARTNERS IN CARE FOUNDATION 732 MOTT STREET 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 16000 GENERAL SUPPORT PUBLIC HEALTH INSTITUTE 555 12TH ST 10TH FLOOR OAKLAND CA 94607 941646278 501(C)(3) 50000 GENERAL SUPPORT THE HEART FOUNDATION 32107 LINDERO CYN RD 235 WESTLAKE VILLAGE CA 91361 450471117 501(C)(3) 20000 GENERAL SUPPORT THE MAPLE COUNSELING CENTER 9107 WILSHIRE BLVD LOWER LEVEL BEVERLY HILLS CA 90210 952753118 501(C)(3) 77500 GENERAL SUPPORT TOWER CANCER RESEARCH FOUNDATION 9090 WILSHIRE BLVD SUITE 350 BEVERLY HILLS CA 90211 954596354 501(C)(3) 21000 GENERAL SUPPORT UCLA FOUNDATION 405 HILGARD AVE LOS ANGELES CA 90095 952250801 501(C)(3) 54970 GENERAL SUPPORT UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS LOS ANGELES CA 90089 951642394 501(C)(3) 15000 GENERAL SUPPORT VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 346500 GENERAL SUPPORT WOMEN'S GUILD OF CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD ROOM 2416 LOS ANGELES CA 90048 956097903 501(C)(3) 31200 GENERAL SUPPORT 37 5 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION CONSISTENTLY CONTRIBUTES TO WELL-ESTABLISHED EXEMPT ORGANIZATIONS AND RELIES ON THE GOVERNING BODY OF EACH OF THESE ORGANIZATIONS TO ENSURE THAT GRANT FUNDS DONATED TO EACH AND EVERY ORGANIZATION ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 THOMAS M PRISELAC 1076196 0 799242 0 341054 0 525350 0 31152 0 2772994 0 233877 0 WILLIAM W BRIEN MD 160915 0 1250 0 0 0 0 0 0 0 162165 0 0 0 BETH KARLAN MD 370878 0 94869 0 41898 0 34300 0 251 0 542196 0 0 0 SCOTT KARLAN MD 322945 0 53601 0 25075 0 19682 0 25912 0 447215 0 0 0 ANDREW KLEIN MD 788114 0 143810 0 204037 0 40047 0 36846 0 1212854 0 0 0 ZAB MOSENIFAR MD 503327 0 100697 0 302772 0 143350 0 25925 0 1076071 0 181725 0 PAUL SILKA MD 393894 0 81877 0 43814 0 28144 0 36738 0 584467 0 0 0 EDWARD PRUNCHUNAS 572407 0 284455 0 231971 0 153834 0 37756 0 1280423 0 0 0 MARK GAVENS 648416 0 285302 0 274079 0 36090 0 35447 0 1279334 0 117758 0 SHLOMO MELMED MD 762599 0 325903 0 115482 0 407350 0 31953 0 1643287 0 0 0 KEITH BLACK MD 1644209 0 520000 0 484240 0 20825 0 37477 0 2706751 0 0 0 BRUCE GEWERTZ MD 1140660 0 243705 0 315859 0 51342 0 26152 0 1777718 0 0 0 EDUARDO MARBAN MD 1126106 0 281474 0 529725 0 52200 0 44817 0 2034322 0 249606 0 EDWARD PHILLIPS MD 1235325 0 222819 0 115608 0 50853 0 34792 0 1659397 0 0 0 ALFREDO TRENTO MD 1021187 0 202500 0 457031 0 44419 0 28766 0 1753903 0 275663 0 PART I, LINE 1A THE ORGANIZATION'S TRAVEL POLICY CONTAINS A PROVISION THAT ALLOWS FLYING FIRST CLASS FOR ANY ONE-WAY FLIGHT THAT IS LONGER THAN EIGHT HOURS. EXCEPTIONS REQUIRE SENIOR EXECUTIVE APPROVAL. THE OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES HAVE, FROM TIME TO TIME, FLOWN FIRST CLASS AS ALLOWED BY THE TRAVEL POLICY. 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. CERTAIN INDIVIDUALS ALSO RECEIVED PAYOUTS FROM AMOUNTS ACCRUED IN PRIOR YEARS. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS FROM ONE OR BOTH OF THESE PLANS DURING THE YEAR ENDED DECEMBER 31, 2010. KEITH BLACK,MD 380,544 MARK GAVENS 221,030 BRUCE GEWERTZ,MD 188,568 BETH KARLAN,MD 17,602 SCOTT KARLAN,MD 11,977 ANDREW KLEIN,MD 118,928 EDUARDO MARBAN,MD 437,589 SHLOMO MELMED,MD 101,489 ZAB MOSENIFAR,MD 261,336 EDWARD PHILLIPS,MD 81,537 THOMAS M. PRISELAC 273,977 EDWARD PRUNCHUNAS 175,875 PAUL SILKA,MD 26,157 ALFREDO TRENTO,MD 386,900 CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LDG9 2009-10-21 541045288 NEW FAC CONST & PRIOR CAP EXP REIMB 0 0 0 CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FXJ4 2005-08-10 538366821 REFUND 1993 CERT, 1999 BONDS & COI - ISSUE DATES: 9/14/93, 11/4/99 0 0 0 18450000 541611264 33480049 414313011 93818204 0 0 0 1 23350000 538397437 3740661 534626160 2005 1 1 1 1 0 1 1 1 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE K SUPPLENTAL INFORMATION PART II, LINE 3, COLUMNS (A) AND (B): THE TOTAL PROCEEDS REPORTED ON LINE 3 IS THE SUM OF THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) PLUS THE CUMULATIVE INVESTMENT EARNINGS AS OF THE END OF THE TAX YEAR. M GAVENS-RES ACQ X 350000 140000 0 1 1 B GEWERTZ-RES ACQ X 500000 250000 0 1 1 A KLEIN - RES ACQ X 250000 100000 0 1 1 E MARBAN- RES ACQ X 500000 300000 0 1 1 790000 DR GIL MELMED PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 100499 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DR EARL BRIEN PART V NARRATIVE - FAMILY MEMBER OF DR. WILLIAM W. BRIEN, A BOARD MEMBER 621170 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DR CONNIE AGNEW PART V NARRATIVE - FAMILY MEMBER OF DR. WILLIAM W. BRIEN, A BOARD MEMBER 76660 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 DR SAIBAL KAR PART V NARRATIVE - FAMILY MEMBER OF DR. SHEILA KAR, A BOARD MEMBER 521170 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 BARBARA LEANSE PART V NARRATIVE - FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER 206358 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 FIRST PACIFIC ADVISORS LLC PART V NARRATIVE - LLC MORE THAN 5% OWNED BY STEVEN ROMICK, A BOARD MEMBER 1605175 PART V NARRATIVE - INVESTMENT MANAGEMENT FEES 0 IRIS INTERNATIONAL INC PART V NARRATIVE - CORPORATION IN WHICH DR. BETH KARLAN IS A BOARD MEMBER 161589 PART V NARRATIVE - PAYMENT FOR PURCHASES OF PRODUCTS AND RENTAL OF EQUIPMENT 0 X 27 0 X 1 0 X 14 958560 SEE SCH M, PART II X SEE PART II 1 0 1 0 0 0 NON REPORTING OF REVENUE: PART I, LINE 33: WORKS OF ART - THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER ACCOUNTING STANDARDS CODIFICATION 958, NOT TO REPORT ON ITS STATEMENT OF ACTIVITIES AND BALANCE SHEET, WORKS OF ART HELD FOR PUBLIC EXHIBITION. PART I, LINE 6: CARS AND OTHER VEHICLES - IT IS THE ORGANIZATION'S PRACTICE NOT TO REPORT ON ITS STATEMENT OF ACTIVITIES THE AMOUNT OF THE DONATED VEHICLE SINCE THE DONATED VEHICLE WAS THE PRIZE IN AN OPPORTUNITY DRAWING AND THE DONATION REVENUE LESS THE EXPENSE NETS TO ZERO. PART I, LINE 25 (OTHER): GIFT CARDS - THE ORGANIZATION DID NOT REPORT ON ITS STATEMENT OF ACTIVITIES THE AMOUNT OF THE DONATED GIFT CARDS SINCE THE PRIZES WERE FOR AN OPPORTUNITY DRAWING AND THE DONATION REVENUE LESS THE EXPENSE NETS TO ZERO. SCHEDULE M, PART I, LINE 9, COLUMN (D): METHOD OF DETERMINING REVENUE RELATED TO CONTRIBUTED SECURITIES - CALCULATION IS BASED ON THE MEAN BETWEEN HIGH AND LOW QUOTATIONS ON THE DATE THE SECURITIES PASS UNCONDITIONALLY FROM DONOR CONTROL TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 DR. SCOTT KARLAN AND DR. BETH KARLAN, BOTH BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 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 VICE-PRESIDENT AND SENIOR VICE-PRESIDENT/CHIEF FINANCIAL OFFICER. ADDITIONALLY, IT IS REVIEWED BY THE SENIOR VICE-PRESIDENT OF HUMAN RESOURCES, THE PRESIDENT AND CEO, THE COMPENSATION COMMITTEE, A COMMITTEE OF BOARD MEMBERS ASSIGNED THIS TASK BY THE CHAIRMAN OF THE BOARD, AND IT IS 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 THE CEDARS-SINAI MEDICAL CENTER (CSMC) CONFLICT OF INTEREST POLICY IS A BOARD-APPROVED POLICY: CONFLICT OF INTEREST OVERSIGHT THEREBY EXTENDS TO THE BOARD OF DIRECTORS. CONFLICT REPORTING IS REQUIRED THROUGH THE OFFICE OF THE PRESIDENT/CEO WHO REPORTS TO THE BOARD ON COI-RELATED MATTERS THROUGH THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. MONITORING PRACTICES: REGULAR AND CONSISTENT MONITORING IS DELEGATED BY THE PRESIDENT/CEO TO THE DIRECTOR OF INTERNAL AUDIT/CONFLICT OF INTEREST (COI) ADMINISTRATOR AND THE CONFLICT OF INTEREST STEERING COMMITTEE. ADDITIONAL MONITORING AND ENFORCEMENT OF CONFLICTS OF INTEREST IS HANDLED THROUGH RESEARCH ADMINISTRATION AND THE INSTITUTIONAL REVIEW BOARDS (IRB) IN SUPPORT OF COMPLIANCE WITH THE CONFLICT OF INTEREST REQUIREMENTS OF THE NATIONAL INSTITUTES OF HEALTH FOR SPECIFIC RESEARCH PROTOCOLS. MECHANISMS ARE IN PLACE TO PROVIDE FOR COLLABORATION BETWEEN COI ADMINISTRATION AND RESEARCH ADMINISTRATION. ADDITIONALLY, HOSPITAL-BASED PHYSICIANS COI MATTERS ARE HANDLED BY THE APPLICABLE HOSPITAL-BASED PHYSICIAN CHAIRMEN AND COORDINATION ALSO OCCURS WHERE NECESSARY (SUCH AS WITH THE MEDICAL STAFF OFFICE FOR PHYSICIANS HOLDING MEDICAL STAFF COMMITTEE APPOINTMENTS). WHERE CONFLICTS ARE IDENTIFIED THAT REQUIRE EITHER FORMAL OR INFORMAL MONITORING, RELATED ROUTINE OR PERIODIC MONITORING IN THESE INSTANCES IS SET AT THE DEPARTMENT CHAIRPERSON OR VICE PRESIDENTIAL LEVEL, WITH ANNUAL OR OTHER FOLLOW-UP BY THE COI STEERING COMMITTEE, IRB, OR COI ADMINISTRATOR AS DEEMED APPLICABLE. COVERED INDIVIDUALS: UNDER THE CONFLICT OF INTEREST POLICY, "COVERED INDIVIDUALS" REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE INCLUDE: MEMBERS OF THE BOARD OF DIRECTORS AND COMMITTEES OF THE BOARD; THE PRESIDENT/CEO; SENIOR EXECUTIVES (DIRECT REPORTS TO THE CEO); MEMBERS OF THE COI STEERING COMMITTEE; MEMBERS OF THE FACULTY; MEMBERS OF THE MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITIES; MEMBERS OF MEDICAL STAFF COMMITTEES; RESEARCH INVESTIGATORS; AND OTHER INDIVIDUALS IDENTIFIED BY THE BOARD OR EXECUTIVE LEADERSHIP. WHILE ALL EMPLOYEES ARE REQUIRED BY POLICY TO DISCLOSE POTENTIAL CONFLICTS TO THEIR SUPERVISORS WHEN THEY ARISE, THE NOTED COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE FORMAL ANNUAL DISCLOSURE USING A PRESCRIBED QUESTIONNAIRE. MORE FREQUENT DISCLOSURE IS REQUIRED AS WARRANTED BY ACTIVITIES UNDERTAKEN BETWEEN ANNUAL DISCLOSURES. THE DISCLOSURE POLICY EXTENDS TO FAMILY MEMBERS OF COVERED INDIVIDUALS AS THEY MAY DIRECTLY OR INDIRECTLY GIVE RISE TO CONFLICTS OF INTEREST. COI, DETERMINATION, AND REVIEW ACTION LEVELS: ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE ACCUMULATED IN A WEB-BASED DATABASE REFERRED TO AS THE COI SYSTEM. THIS DATABASE INCLUDES COVERED INDIVIDUAL DISCLOSURES, RELATED DOCUMENTS AND REVIEW COMMENTS, CONCLUSIONS AND ACTIONS. ALL QUESTIONNAIRES ARE ANALYZED AND ALL DISCLOSURES MADE ARE REVIEWED FOR VALIDITY, COMPLETENESS AND THE PRESENCE OF A REAL OR PERCEIVED CONFLICT OF INTEREST. AS STRUCTURED, CONFLICTS OF INTEREST ARE ANALYZED, REVIEWED, MONITORED AND ENFORCED THROUGH TWO PRIMARY WORKFLOWS REPORTING UP TO THE PRESIDENT/CEO TO ENSURE SEGREGATION OF ACCESS, REVIEW AND ANALYSIS WHERE ALL DISCLOSURES ARE REVIEWED FIRST BY COI ADMINISTRATION AND THEN: (1) BOARD, EXECUTIVE AND COI STEERING COMMITTEE MEMBERS ARE VETTED THROUGH GENERAL COUNSEL; AND (2) ALL OTHER INDIVIDUALS REQUIRED TO SUBMIT ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES ARE VETTED THROUGH THE COI STEERING COMMITTEE. ALL MEMBERS OF THE BOARD OF DIRECTORS, COMMITTEES OF THE BOARD OF DIRECTORS, CEO, CEO DIRECT REPORTS AND MEMBERS OF THE COI STEERING COMMITTEE ARE REVIEWED BY THE COI ADMINISTRATOR AND GENERAL COUNSEL, WITH REPORTING DIRECTLY THROUGH THE CEO AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. CERTAIN ENFORCEMENT ACTIONS ARE HANDLED AT THE CEO LEVEL BUT WITH REPORTING TO THE BOARD THROUGH THE AUDIT COMMITTEE; AND, CERTAIN ENFORCEMENT ACTIONS ARE DETERMINED BY THE AUDIT COMMITTEE WITH REPORTING AND/OR RECOMMENDATION TO THE BOARD. THE COI STEERING COMMITTEE IS AN ADVISORY COMMITTEE TO THE PRESIDENT AND CEO ON A VARIETY OF COI MATTERS INCLUDING THE MONITORING AND ENFORCEMENT OF COMPLIANCE WITH THE COI POLICY, COI POLICY DEVELOPMENT AND MAINTENANCE, AND OTHER COI RELATED MATTERS. A SUB-GROUP OF THE COMMITTEE REVIEWS MATTERS IDENTIFIED BY COI ADMINISTRATION AS REQUIRING ADDITIONAL REVIEW AND ACTION. THIS GROUP CLOSES OR MOVES THE MATTERS UP TO THE COI STEERING COMMITTEE LEVEL FOR REVIEW AND ACTION. REGARDLESS OF THE MONITORING AND ENFORCEMENT PATH, DISCLOSURES ARE CONCLUDED IN ONE OF THE FOLLOWING MANNERS: -- NO CONFLICT EXISTS; -- MANAGED BY DISCLOSURE; -- MANAGED (BY SOME ACTION); -- MANAGED BY PLAN (FORMAL PLAN WITH FOLLOW-UP); -- MANAGED BY PLAN: IRB (FORMAL PLAN IS DEVELOPED AND MANAGED BY RESEARCH ADMINISTRATION FOR CLINICAL TRIAL RELATED MATTERS); -- MANAGED BY SEPARATION (FROM EITHER THEIR APPLICABLE CSMC ROLE OR THE ACTIVITY CREATING THE CONFLICT); -- CONFLICT (A CONFLICT THAT MUST BE REPORTED FOR CEO/BOARD LEVEL ACTION). ACTUAL OR POTENTIAL CONFLICTS CONCLUDED TO BE "MANAGED" ARE DEEMED TO BE INSIGNIFICANT, ADDRESSED DURING THE INITIAL EMPLOYMENT PROCESS AND IF CIRCUMSTANCES HAVE NOT CHANGED, APPROVED BY THE APPROPRIATE MANAGEMENT OR ACTION HAS BEEN IMPLEMENTED TO ENSURE THE IDENTIFIED CONFLICT IS SUFFICIENTLY MITIGATED. WHEN THERE IS A CONFLICT FOR WHICH SOME REASONABLE ACTION CANNOT OR WILL NOT BE TAKEN TO MITIGATE IT, THE MATTER IS REPORTED TO THE CEO, THE AUDIT COMMITTEE AND EVENTUALLY THE BOARD, AS APPROPRIATE, FOR DETERMINATION OF THE ACTION TO BE TAKEN. ADDITIONALLY, PROACTIVE PROCESSES HAVE BEEN IMPLEMENTED TO SUPPORT THE DISCLOSURE, IDENTIFICATION, REVIEW AND ANALYSIS PROCESS. FOR EXAMPLE, FORMAL RECUSAL IS DISCUSSED AND REQUIRED OF ALL BOARD AND BOARD COMMITTEE MEMBERS AND MEDICAL STAFF COMMITTEE MEMBERS (INCLUDING MEMBERS OF THE PERFORMANCE IMPROVEMENT COMMITTEE) AS PART OF THEIR APPOINTMENT RESPONSIBILITIES. THIS POLICY IS REVIEWED AT THE FIRST MEETING OF THE BOARD, EACH BOARD COMMITTEE AND EACH MEDICAL STAFF COMMITTEE AT THE BEGINNING OF RELATED ANNUAL CYCLES. RESTRICTIONS IMPOSED: ANYONE IN VIOLATION OF THE POLICY IS SUBJECT TO THE FOLLOWING ADMINISTRATIVE ACTIONS INCLUDING ORAL ADMONISHMENT, WRITTEN REPRIMAND, DISCIPLINE, REASSIGNMENT, DEMOTION, SUSPENSION, REMOVAL, TERMINATION OR SEPARATION. THE MEDICAL CENTER RESERVES THE RIGHT TO PURSUE OTHER ACTIONS AGAINST ANYONE WHO VIOLATES THE COI POLICY TO THE DETRIMENT OF THE MEDICAL CENTER. IN THIS REGARD, VARIOUS MECHANISMS ARE IN PLACE WITH REGARD TO ACTIONS TAKEN OR RESTRICTIONS IMPOSED. WHEN AN INDIVIDUAL IS DETERMINED TO BE INVOLVED IN A CONFLICTED RELATIONSHIP OR ACTIVITY, ONE OR MORE OF THE FOLLOWING ACTIONS ARE TAKEN: (1) THE INDIVIDUAL CEASES AND DESISTS THE ACTIVITY/RELATIONSHIP CREATING THE CONFLICT; OR (2) THE INDIVIDUAL ENDS THEIR APPLICABLE RELATIONSHIP WITH CSMC; OR (3) IF RELATIVE TO AN INDIVIDUAL'S ROLE IN A DECISION MAKING PROCESS, THE INDIVIDUAL WOULD BE ASKED TO RECUSE HIMSELF/HERSELF OR BE RECUSED FROM APPLICABLE DECISION-MAKING PROCESSES. (4) DEPENDING ON THE PRESENTED FACTS, A MANAGEMENT PLAN MAY BE PUT IN PLACE TO OVERSEE THE INDIVIDUAL TO ENSURE PERTINENT ACTIONS ARE TAKEN TO MITIGATE THE CONFLICT (E.G., AN OUTSIDE IRB IS USED OR INDEPENDENT RESEARCH INVESTIGATOR IS USED TO OVERSEE A RESEARCH PROJECT, SPECIFIC DISCLOSURES ARE REQUIRED IN CME PRESENTATIONS, DIRECT OVERSIGHT IS REQUIRED OF DEPARTMENT CHAIRS, ETC.). THE MANAGEMENT PLAN WOULD BE CENTRALLY (MEDICAL CENTER ADMINISTRATION) CONTROLLED OR LOCALLY CONTROLLED (DEPARTMENT VP OR CHAIR) DEPENDING UPON THE NATURE OF THE RELATIONSHIP. ASSURANCES WOULD BE SECURED THAT MANAGEMENT IS AWARE OF CERTAIN RELATIONSHIPS THAT MIGHT BE PERCEIVED AS A CONFLICT SO THEY ARE ON NOTICE SHOULD ANYTHING ARISE SUGGESTING THE POTENTIAL CONFLICT IS MORE OF AN ISSUE OR SHOULD THE RELATIONSHIP/ACTION EVOLVE INTO A MORE SIGNIFICANT MATTER. OTHER ACTIONS ARE TAKEN DEPENDING UPON THE NATURE OF THE RELATIONSHIPS/ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE PERSONNEL COMMITTEE (THE COMMITTEE) IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE ADDRESSES COMPENSATION AND BENEFITS REGARDING THE MEDICAL CENTER'S EXECUTIVE EMPLOYEES AND CONTRACTUALLY ENGAGED FACULTY (ALL COMPENSATED INDIVIDUALS REPORTED ON PART VII AND SCHEDULE J FALL UNDER ONE OF THESE TWO CATEGORIES), AND IS AUTHORIZED BY THE BOARD OF DIRECTORS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO SUCH ISSUES, AND OTHER GOVERNANCE ISSUES AS REQUESTED BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, THE CHAIR OF THE BOARD OF DIRECTORS, OR THE CEO, ALL SUBJECT TO THE COMMITTEE'S ONGOING REPORTING OBLIGATION TO THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. SPECIFICALLY, THE COMMITTEE EVALUATES THE PERFORMANCE AND APPROVES THE COMPENSATION AND BENEFITS FOR THE MEDICAL CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER; AND APPROVES THE COMPENSATION AND BENEFIT PLANS FOR EXECUTIVES AND THE MEDICAL CENTER'S CONTRACTUALLY ENGAGED FACULTY. THE COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S EXECUTION OF THOSE PLANS WITHIN ESTABLISHED PARAMETERS, TAKING INTO CONSIDERATION THE PERFORMANCE OF THE ORGANIZATION AS A WHOLE; AND ADDRESSES SUCH OTHER COMPENSATION ISSUES REGARDING THE MEDICAL CENTER'S EXECUTIVES AND CONTRACTUALLY ENGAGED FACULTY AS REQUESTED BY THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE APPOINTED ANNUALLY BY THE CHAIR OF THE BOARD OF DIRECTORS. APPOINTMENTS ARE FOR A ONE YEAR TERM. MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS OR LIFE TRUSTEES, WITH NO EXISTING CONFLICTS OF INTEREST WITHIN THE PRIOR FIVE (5) YEARS RELATED TO THE MEDICAL CENTER'S CEO, EXECUTIVES OR CONTRACTUALLY ENGAGED FACULTY WHOSE COMPENSATION AND BENEFITS AND RELATED BENEFIT PLANS ARE REVIEWED AND APPROVED BY THE COMMITTEE. INDEPENDENCE OF DIRECTORS AND LIFE TRUSTEES ARE DETERMINED BY STANDARDS ADOPTED BY THE INTERNAL REVENUE SERVICE. THE CEO IS A NON-VOTING MEMBER OF THE COMMITTEE AND WILL BE INVITED TO ATTEND ITS MEETINGS, UNLESS OTHERWISE DETERMINED BY THE COMMITTEE. WHENEVER THE COMMITTEE DISCUSSES THE CEO'S COMPENSATION AND BENEFITS OR ANY COMPENSATION AND BENEFIT PLAN IN WHICH THE CEO PARTICIPATES, THE CEO WILL BE IN ATTENDANCE ONLY TO THE EXTENT REQUESTED BY THE COMMITTEE. THE CEO WILL BE EXCUSED PRIOR TO THE COMMITTEE'S DECISION MAKING. THE COMMITTEE FOLLOWS A PROCESS THAT ENSURES THAT THE COMPENSATION AND BENEFITS PROVIDED TO THE CEO, OTHER EXECUTIVES AND CONTRACTUALLY ENGAGED FACULTY IS REASONABLE AND IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS. THE MEDICAL CENTER'S SVP OF HR PROVIDES STAFF SUPPORT TO THE COMMITTEE. THE COMMITTEE MAY INCLUDE MEMBERS OF THE MEDICAL CENTER'S MANAGEMENT TEAM OR ANY OTHER PERSON WHOSE PRESENCE THE COMMITTEE BELIEVES TO BE DESIRABLE OR APPROPRIATE. THE COMMITTEE MAY ENGAGE AN INDEPENDENT COMPENSATION AND BENEFITS CONSULTANT, AND ANY OTHER ADVISORS THEY DEEM NECESSARY. THE COMMITTEE MAY ALSO ENGAGE INDEPENDENT COUNSEL. THE MEDICAL CENTER WILL PROVIDE FOR APPROPRIATE FUNDING FOR PAYMENT OF COSTS TO ANY SUCH PERSONS RETAINED BY THE COMMITTEE. AT THE COMMITTEE'S DIRECTION, THE INDEPENDENT COMPENSATION CONSULTANT SHALL PREPARE SUCH REPORTS AS THE COMMITTEE REASONABLY DEEMS NECESSARY. AT A MINIMUM, SUCH REPORTS WILL INCLUDE MARKET SURVEY DATA FROM A PEER GROUP DESIGNATED BY THE COMMITTEE, WHICH SHALL BE CONSIDERED BY THE COMMITTEE PRIOR TO MAKING DECISIONS. THE COMMITTEE MEETS AS FREQUENTLY AS THE COMMITTEE DEEMS NECESSARY AND WILL MAINTAIN WRITTEN MINUTES OF ITS MEETINGS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 990-T ARE AVAILABLE UPON REQUEST. FORM 990 IS ALSO AVAILABLE ON THE GUIDESTAR.ORG WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION POSTS ITS CORPORATE COMPLIANCE PROGRAM PLAN ON ITS WEBSITE. THE CORPORATE COMPLIANCE PROGRAM PLAN OUTLINES THE STANDARDS OF CONDUCT FOR THE GOVERNING BOARD AND ALL EMPLOYEES. ADDITIONALLY, THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS FORM 990. FORM 990 PART VII - AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION: ROBERT ELLER 1 HOURS VERA GUERIN 1 HOURS THOMAS LEANSE, ESQ. 1 HOURS EDUARDO MARBAN, MD 1 HOURS JAMES NATHAN 1 HOURS LAWRENCE B. PLATT 1 HOURS THOMAS M. PRISELAC 5 HOURS EDWARD PRUNCHUNAS 6 HOURS MARK S. SIEGEL 1 HOURS LESLIE VERMUT 1 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 73,682,308. TRANSFERS TO GREATER VALLEY MANAGEMENT SERVICES ORG INC -1,005,214. PENSION GAINS 10,347,603. TOTAL TO FORM 990, PART XI, LINE 5: 83,024,697. PCX SYSTEMS LLC 8700 BEVERLY BLVD LOS ANGELES CA 90048 421535811 HOSPITAL BILLING DE 300763 0 N/A CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 954457756 PROVISION OF MEDICAL CARE, TEACHING AND RESEARCH CA 501(C)(3) 11, I CEDARS-SINAI MEDICAL CENTER 1 CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 954772979 PROMOTE, SUPPORT, AND DEVELOP EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES CA 501(C)(3) 7 CEDARS-SINAI MEDICAL CENTER 1 GIFT OF THE HEART SUPPORT FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90211 061690016 SUPPORTING ORGANIZATION OF CALIFORNIA HEART CENTER FOUNDATION CA 501(C)(3) 11, I CALIFORNIA HEART CENTER FOUNDATION 1 GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION INC 6500 WILSHIRE BLVD 8TH FLOOR LOS ANGELES CA 90048 954439758 MANAGEMENT FUNCTIONS CA NA C -16315 1.00000 OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES CA 90048 954522779 INFORMATION SYSTEMS CA NA C -12537 1.00000 CHARITABLE REMAINDER TRUSTS (CRAT-9 CRUT-4) TRUST CA N/A T CHARITABLE LEAD TRUSTS (1) TRUST CA N/A T 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 CEDARS-SINAI MEDICAL CARE FOUNDATION B 32228278 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION K 9662907 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION N 1701110 FAIR MARKET VALUE CEDARS-SINAI MEDICAL CARE FOUNDATION P 20864260 FAIR MARKET VALUE GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION INC B 1005214 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION B 1451251 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION N 1268183 FAIR MARKET VALUE CALIFORNIA HEART CENTER FOUNDATION P 183068 FAIR MARKET VALUE GIFT OF THE HEART SUPPORT FOUNDATION 0 SCHEDULE R, PART V, LINE 2, METHOD USED TO DETERMINE THE AMOUNTS REPORTED: REPRESENTS EXPENSES INCURRED ON BEHALF OF CEDARS-SINAI MEDICAL CARE FOUNDATION, GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION AND CALIFORNIA HEART CENTER FOUNDATION AND PAID BY CEDARS-SINAI MEDICAL CENTER (CSMC). CSMC OFFSETS THE EXPENSE AS A CAPITAL CONTRIBUTION TO EACH OF THE ENTITIES.