2011-06-15T19:57:21-05:00 2010-06-30 990 2009-07-01 951644600 Cedars-Sinai Medical Center CEDA 3238668951 8700 Beverly Boulevard Los Angeles CA 90048 EDWARD PRUNCHUNAS 3238668951 2011-06-15 2009 2016-02-24 21:20:13Z X THOMAS M PRISELAC 8700 BEVERLY BLVD LA CA 90048 2314209781 0 X HTTP://web.csmc.edu/ X 1902 CA CSMC is an acute-care, teaching and research hospital providing the highest-quality healthcare. 41 32 11820 2850 17185960 0 51996077 89549319 2113681231 2200992181 -1278117 5616105 13507628 13118989 2177906819 2309276594 17854936 23442582 0 997511758 1074346285 239236 61675 17307396 1042125881 1058605283 2057731811 2156455825 120175008 152820769 2647482080 3349460552 1136718347 1666136792 1510763733 1683323760 Cedars-Sinai Health System, a non-profit, independent health care organization is committed to:- 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 1618299614 23214187 2069634709 Cedars-Sinai provided acute care services to 48,998 patients with 275,597 days of care, psychiatry services to 1,602 patients with 16,285 days and received program service revenue totaling $2,056,846,400. 86501304 55395 56238077 Research activities to improve the health of the community were performed at a net cost of $30,263,227 after grants from the government and others totaling $56,238,077 163621900 173000 52834468 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 $110,787,432. 1868422818 1 1 0 1 0 0 1 0 1 1 0 1 0 1 1 1 0 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 0 0 1 1904 1 1 11820 1 1 1 1 NL 0 0 0 1 1 0 0 0 41 32 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Larry W Sawyer 3238668951 8700 Beverly Blvd Los Angeles CA 90048 MARC SIEGEL 20.00 X 0 0 0 Lawrence B Platt 10.00 X 0 0 0 VERA GUERIN 5.00 X X 0 0 0 John Bendheim 5.00 X 0 0 0 William W Brien MD 24.00 X 187385 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 X 0 0 0 Irving Feintech 5.00 X 0 0 0 Julian A Gold MD 2.50 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 537049 0 39780 SCOTT KARLAN MD 60.00 X 444800 0 35586 Jeffrey Katzenberg 5.00 X 0 0 0 ANDREW KLEIN MD 60.00 X 1005711 0 150563 JOHN C LAW 5.00 X 0 0 0 THOMAS J LEANSE ESQ 5.00 X 0 0 0 John W Mack 2.50 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 812186 0 185743 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 Richard Powell 2.50 X 0 0 0 Thomas M Priselac 60.00 X X 3153589 0 764618 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 NORMAN SCHULMAN MD 1.50 X 0 0 0 Paul Silka MD 54.00 X 395519 0 76960 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 Walter Zifkin 5.00 X 0 0 0 Edward Prunchunas 60.00 X 2083452 0 221668 Mark Gavens 60.00 X 1037576 0 231360 Shlomo Melmed MD 60.00 X 1260200 0 459187 KEITH BLACK MD 60.00 X 3557618 0 58187 Bruce Gewertz MD 60.00 X 2075746 0 100573 PETER BRAVEMAN 60.00 X 1948206 0 119454 EDWARD Phillips MD 60.00 X 1771007 0 50256 LINDA BURNES BOLTON 60.00 X 1613186 0 119462 21883230 0 2613397 2297 0 1 0 COMPREHENSIVE CANCER CENTER INC 8201 BEVERLY BLVD LOS ANGELES CA 90048 MANAGEMENT SERVICES 82270892 DELOITTE CONSULTING PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING SERVICES 19978617 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 17847368 PEROT SYSTEMS CORPORATION 2300 WEST PLANO PARKWAY PLANO TX 75075 COMPUTER CONSULTING SERVICES 17518651 COMMUNITY URGENT CARE MEDICAL GROUP 9440 SANTA MONICA BLVD BEVERLY HILLS CA 90210 URGENT CARE MEDICAL SERVICES 13474374 289 3274604 41073717 45200998 1154313 89549319 Net patient revenue 622110 1695867106 1695867106 Medicare & Medical 622110 472177185 472177185 Laboratory revenue 621511 17201439 17201439 CSMC FDN MGMT feeS 561110 10408478 10408478 Parking revenue 531310 5063151 5063151 274822 254485 20337 2200992181 9528273 9528273 13626821 13626821 3912168 -3912168 -3912168 -3912168 443003 3274604 1021019 -578016 -578016 106000 106000 106000 Alternative Invest Inc 523999 -35816 -35816 -35816 2309276594 2178707254 17185960 23834061 23435582 23435582 7000 7000 11070171 7422602 3647569 1693422 1421431 271991 818109586 724840328 85414615 7854643 72670279 64154262 7809328 706689 112867972 99659677 12106586 1101709 57934855 51145640 6225823 563392 27231518 27231518 7512516 182503 7298818 31195 707433 707433 494196 494196 61675 61675 183982858 132460593 48780297 2741968 7327512 1036062 6220495 70955 284517396 276998274 5594424 1924698 93406393 81564828 11841565 5913766 5906830 6936 33231770 19831541 12376963 1023266 6357496 4253134 1988156 116206 3100488 2077840 575626 447022 46694424 34041902 12652522 96185890 73269363 22916527 36429610 26504588 9924982 40 Provision for bad debts 172005316 172005316 0 0 Miscellaneous 47761713 35305458 11872849 583406 Dues & subscription 4057317 2130264 1846521 80532 Licenses and taxes 1687671 1042086 645585 0 2156455825 1868422818 270725611 17307396 -8140494 11884165 233174874 317447445 113100719 104993834 414742789 379751286 960000 600000 7072499 9323995 14483716 17289597 20770574 17254476 2116207956 957243305 1002638390 1158964651 523579659 822789157 290858000 421111000 46366009 34241354 41684937 2647482080 3349460552 331319734 320078688 710937642 1237111451 94460971 108946653 1136718347 1666136792 X 1093077056 1244764677 221944774 222730368 195741903 215828715 1510763733 1683323760 2647482080 3349460552 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 739068 739068 739068 739068 2155716757 2282220561 2156455825 2282959629 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1500000 739068 739068 250000 250000 375000 X X X CONTRIBUTES TO HEALING 0 217422488 25858421 9613273 9559449 243334733 206088964 11232980 16213400 16112856 217422488 0.11300 0.88700 0 0 26014443 26014443 1177590142 496069356 681520786 14260883 7702808 6558075 704966172 453471141 251495031 193376316 193376316 1158964651 Alternative Investments 421111000 F 421111000 Workers' compensation liability program 29760000 Malpractice and general liability program 32049000 Deferred FEMA grant income 28978782 split dollar self invested 239161 Deferred compensation 1525000 PENSION LIABILITIES 16394710 108946653 2309276594 2156455825 152820769 55801784 -36062526 19739258 172560027 2344033000 55801784 55801784 2288231216 21045378 21045378 2309276594 2135164000 -21291825 -21291825 2156455825 0 2156455825 Part III, Line 1a: THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER SFAS 116, 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 SIX WORKS OF ART INTO THE ORGANIZATION'S COLLECTION. THE COMMITTEE MAKES 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. THE ACQUISITION COMMITTEE IS AWARE THAT ART WITHIN A HOSPITAL SETTING MAY EFFECTIVELY COMPLEMENT HEALTHCARE BY CREATING A STIMULATING AND ATTRACTIVE ENVIRONMENT. THE ORGANIZATION AND THE ACQUISITION COMMITTEE ARE COMMITTED TO THE CONCEPT OF THE HEALING POWER OF ART AND SEEK ALWAYS TO 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. NUMEROUS PHONE CALLS ARE RECEIVED FROM PATIENTS, VISITORS, AND STAFF EXPRESSING HOW BEAUTIFUL THE WORKS OF ART ARE AND HOW SIGNIFICANT THEY WERE IN THE PATIENTS' RECOVERY. Part V, Line 4: Description of Intended Use of Endowment Funds: THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF APPROXIMATELY 160 INDIVIDUAL FUNDS FOR A VARIETY OF PURPOSES. THE INTENDED USES ARE FOR RESEARCH, DONOR-DESIGNATED OR FOR GENERAL PURPOSES. Part XI, Line 8 - Other Adjustments: Transfers to Greater Valley Management services Org Inc/CALIF HEART CTR FDTN: -1787642. PENSION losses: -34274883. rounding: -1. Part XII, Line 4b - Other Adjustments: Net assets released from restrictions: -XXX-XX-XXXX. Restricted revenues - perm: 20087000. restricted revenues - temp: XXX-XX-XXXX. restricted revenues - temp: 8790000. fundraising direct expenses shown as revenue offset in 990 part VIII line 8b: -1021019. rounding: 2397. Part XIII, Line 2d - Other Adjustments: Restricted expenses not included in the audited financial statements: XXX-XX-XXXX. fundraising expenses reclass as revenue offset: 1021019. rounding: 2705. Foundation funding in expenses for tax, equity for books: -22315549. Net assets released from restrictions for operations: -XXX-XX-XXXX. 0 CENTRAL AMERICA AND THE CARIBBEAN PASSIVE INVESTMENTS N/A EUROPE PASSIVE INVESTMENTS N/A EUROPE GRANT MAKING N/A 7000 NORTH AMERICA 1 2 PROGRAM SERVICES AN OFFICE IS MAINTAINED WITHIN THE CLINICA LOMAS ALTAS IN MEXICO CITY. ONE OF THE MAIN PURPOSE OF MAINTAINING THIS OFFICE IS TO EXPAND ACCESS TO CEDARS-SINAI'S HEALTHCARE PRODUCTS AND SERVICES TO PATIENTS IN MEXICO ON A REFERRAL BASIS. 108783 SOUTH AMERICA PROGRAM SERVICES THE ORGANIZATION IS PROVIDING FUNDING TO OTOHARMONICS WHICH IS CONDUCTING RESEARCH RELATED TO THE TREATMENT OF SUBJECTIVE IDIOPATHIC TINNITUS, A CONDITION MORE COMMONLY KNOWS AS RINGING IN THE EAR. 48042 1 2 163825 EUROPE FUNDING OF RESEARCH 7000 WIRE TRANSFER SOUTH AMERICA FUNDING OF RESEARCH 48042 WIRE TRANSFER 0 2 Schedule F, Part IV Other Information PART I, LINE 2: REGION: EUROPE THE ORGANIZATION CONTRIBUTED TO A WELL-ESTABLISHED UNIVERSITY AND HAS RELIED ON THE GOVERNING BODY OF THIS UNIVERSITY TO ENSURE THAT GRANT FUNDS ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THE INTENDED USE. X X X X X X X 1 Grant Associates CONSULTING SERVICES 0 1542719 53675 1489044 LEVY PAZANTI & ASSOCIATES CONSULTING SERVICES 0 35600 8000 27600 1578319 61675 1516644 CA bog gala 2009 1542719 1254400 288319 1472 224087 231895 WCRI "RUN FOR HER" 708583 683508 25075 35181 6744 239078 5 1453595 1336696 116899 22667 31258 208350 3704897 3274604 430293 59320 262089 679323 1000732 -570439 106000 95710 0 106000 95710 95710 10290 CA 0 THE ORGANIZATION IS NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL'S OFFICE. 0 0 0 1.00000 KEN HUDSON 6500 WILSHIRE BOULEVARD LOS ANGELES CA 90048 0 KEN HUDSON 3600 MANAGING THE DETAILS OF THE CAR RAFFLE. X 1 95400 1 1 X 1 X 1 X 450.000000000000 1 1 1 0 1 1 32453009 32453009 0.01640 184104287 88365371 95738916 0.04820 11092255 6367240 4725015 0.00240 227649551 94732611 132916940 0.06700 9534078 819518 8714560 0.00440 66628118 9689421 56938697 0.02870 13767838 10186748 3581090 0.00180 96606794 96606794 0.04870 497595 497595 0.00030 187034423 20695687 166338736 0.08390 414683974 115428298 299255676 0.15090 59700 59700 0.00000 195323 195323 0.00010 500 500 0.00000 15250 15250 0.00000 100096 100096 0.00010 8200 8200 0.00000 93900 93900 0.00000 472969 472969 0.00020 0 36482328 20990204 429524593 585506555 -155981962 X 1 1 CEDARS-SINAI MEDICAL CENTER

8700 BEVERLY BLVD LOS ANGELES CA 90048

X X X X X CEDARS-SINAI MEDICAL CENTER

310 SAN VICENTE BLVD WEST HOLLYWOOD CA 90048

OUTPATIENT SURGICAL CEDARS-SINAI MEDICAL CENTER

444 S SAN VICENTE BLVD LOS ANGELES CA 90048

OUTPATIENT DIAGNOSTIC CEDARS-SINAI MEDICAL CENTER

8631 W 3RD STREET LOS ANGELES CA 90048

OUTPATIENT SERVICES CEDARS-SINAI MEDICAL CENTER

8635 W 3RD STREET LOS ANGELES CA 90048

OUTPATIENT SERVICES CEDARS-SINAI MEDICAL CENTER

8723 ALDEN DRIVE LOS ANGELES CA 90048

OUTPATIENT DIAGNOSTIC 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, Line 7g: Subsidized health services reported are for the provision of psychiatric services on an inpatient basis. The program is operated despite financial losses to the organization. The amounts reported here are not included elsewhere on Schedule H. Part I, Line 7f: OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN(A) WAS $2,156,455,825. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $172,005,316. THIS LEFT US WITH A TOTAL EXPENSE OF $1,984,450,509 FOR PURPOSES OF CALCULATING LINE 7, COLUMN(F). 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 receivable, historical cash collections experience and other relevant information. The Medical Center writes down the expected reimbursement after reasonable collection efforts have been exhausted.PART III, LINE 2 & 3 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 $20,990,204 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 $155,981,962 million 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. This year, Medicare accounted for 42% of hospital revenues. 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. Part VI, Line 2: For the 2007 Community Needs Assessment (CNA), Cedars-Sinai worked closely with the West Area Community Benefits Consortium (WACBC) to assess the needs of our community. The CNA provides Cedars-Sinai with guiding information for planning programs and services to meet the needs of the community. Cedars-Sinai relies on the 2007 CNA for fiscal year 2011 community benefit planning. The newest CNA was completed in December, 2010. Cedars-Sinai is currently integrating the new CNA data into planning and implementation of community benefit programs and services for the next three years. The 2010 CNA is a Cedars-Sinai internet-based tool that informs community partnership-building, program implementation and results-based health improvement projects. 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 Hand-Delivered 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. Charity Care Application v. Cover Letter (Self-Pay Patients) vi. Policy Summary of Charity Care for Financially Qualified Patients vii. Policy Summary of the Appeals Process for Individuals Whose Charity Care Applications Were Denied viii.Credit Counseling Services Letter that identifies non-profit services available in the area.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 within approximately 10 miles of the Medical Center (90048): 46% are Hispanic, 23% are white, 18% are black, 10% are Asian/Pacific Islander, and less than 3% are of other races. Within the service area, clusters of communities contain much higher percentage of concentrated groups. Among the people who live in the service area, 35% are 0-24 years of age, 56% are 25-64 years of age and 9% are 65 years of age or older. Overall, 47% of the households have an annual income under $35,000, 30% percent of the households have an annual income from $35,000 - $74,999 and 23% of the households have an annual income of $75,000 and over. Part VI, Line 5: 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 prevent disease. These activities are not included elsewhere on Schedule H. 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.The Medical Center 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. Some examples are the Trauma Center, Psychiatry, and Pediatrics.During the tax year, Cedars-Sinai's Community Benefit expenses totaled over $410,350,000 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 2010 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, 2010, the Medical Center received outside support for its research efforts totaling $47,202,000. Thus for the year ended June 30, 2010, the net cost borne by the Medical Center was $49,405,000. 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. CA 0 AIDS PROJECT LOS ANGELES 611 S KINGSLEY DR LOS ANGELES CA 90005 953842506 501(C)(3) 7750 GENERAL SUPPORT AMERICAN ACADEMY OF NURSING 888 17TH STREET NW WASHINGTON DC 20006 522213870 501(C)(3) 30000 GENERAL SUPPORT AMERICAN CANCER SOCIETY 5731 W SLAUSON AV 200 CULVER CITY CA 90230 941170350 501(C)(3) 13500 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 816 S FIGUEROA ST LOS ANGELES CA 90017 135613797 501(C)(3) 15650 GENERAL SUPPORT AMERICAN LIVER FOUNDATION 5777 W CENTURY BLVD 865 LOS ANGELES CA 90045 362883000 501(C)(3) 10000 GENERAL SUPPORT AMERICAN RED CROSS 2025 E STREET NW WASHINGTON DC 200065009 530196605 501(C)(3) 54773 GENERAL SUPPORT ASSOCIATION OF CALIFORNIA NURSE LEADERS 3835 NORTH FREEWAY 120 SACRAMENTO CA 95834 942910850 501(C)(3) 20000 GENERAL SUPPORT BEVERLY HILLS CHAMBER OF COMMERCE 239 S BEVERLY DRIVE BEVERLY HILLS CA 90212 950548070 501(C)(6) 5500 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 INTERNATIONAL 3397 BARHAM BLVD LOS ANGELES CA 90068 530179971 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA GOVERNOR'S CONFERENCE FOR 1321 SEVENTH STREET SANTA MONICA CA 90067 201465357 501(C)(4) 55000 GENERAL SUPPORT CALIFORNIA INSTITUTE FOR NURSING & HEALTHCARE 715 HEARST AVENUE STE 203 BERKELEY CA 94710 820570413 501(C)(3) 85000 GENERAL SUPPORT CALIFORNIA NURSING STUDENTS' ASSOCIATION INC 3835 NORTH FREEWAY 120 SACRAMENTO CA 95834 946104412 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA STATE UNIVERSITY SACRAMENTOOBESITY 3000 STATE UNIVERSITY DRIVE EAST SACRAMENTO CA 95819 680365325 GOVT 6000 GENERAL SUPPORT CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 954457756 501(C)(3) 22315549 GENERAL SUPPORT ENTERTAINMENT INDUSTRY FOUNDATION 1201 WEST 5TH ST T-700 LOS ANGELES CA 90017 951644609 501(C)(3) 12500 GENERAL SUPPORT FOUNDATION FOR BIOMEDICAL RESEARCH 818 CONNECTICUT AVE NW STE 900 WASHINGTON DC 20006 042746997 501(C)(3) 10000 GENERAL SUPPORT FRIENDS OF THE SABAN FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 953433824 501(C)(3) 137500 GENERAL SUPPORT HEALTH RESEARCH AND EDUCATIONAL TRUST ONE NORTH FRANKLIN CHICAGO IL 60606 362203931 501(C)(3) 22500 GENERAL SUPPORT HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA 515 S FIGUEROA ST STE 1300 LOS ANGELES CA 90071 951519378 501(C)(6) 6000 GENERAL SUPPORT JAPANESE AMERICAN CULTURAL & COMMUNITY CENTER 244 S SAN PEDRO ST LOS ANGELES CA 90012 237124042 501(C)(3) 10000 GENERAL SUPPORT JEWISH VOCATIONAL SERVICE 6505 WILSHIRE BLVD 200 LOS ANGELES CA 90048 951691012 501(C)(3) 15000 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) 15000 GENERAL SUPPORT LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST 1240 LOS ANGELES CA 90067 951366460 501(C)(6) 16750 GENERAL SUPPORT LOS ANGELES COUNTY BAR ASSOCIATION 1055 WEST 7TH STREET LOS ANGELES CA 90017 950947340 501(C)(6) 5425 GENERAL SUPPORT MARCH OF DIMES 3699 WILSHIRE BLVD 520 LOS ANGELES CA 90010 131846366 501(C)(3) 11000 GENERAL SUPPORT MENDING KIDS INTERNATIONAL PO BOX 1007 SANTA CLARITA CA 91386 954394305 501(C)(3) 10000 GENERAL SUPPORT MEXICAN AMERICAN BAR FOUNDATION PO BOX 862127 LOS ANGELES CA 90086 954358513 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 515 NORTH STATE STREET CHICAGO IL 60610 364483505 501(C)(3) 45000 GENERAL SUPPORT NATIONAL COUNCIL OF JEWISH WOMEN 543 NORTH FAIRFAX AVE LOS ANGELES CA 90036 951641433 501(C)(3) 7500 GENERAL SUPPORT NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST STE 1300 LOS ANGELES CA 90071 237314808 501(C)(3) 8500 GENERAL SUPPORT NATIONAL QUALITY FORUM 601 13TH STREET NW WASHINGTON DC 20005 522175544 501(C)(3) 18000 GENERAL SUPPORT NEW YORK WOMEN IN COMMUNICATIONS 355 LEXINGTON AVE NEW YORK NY 10017 136274650 501(C)(6) 7000 GENERAL SUPPORT ONELEGACY 221 SOUTH FIGUEROA ST LOS ANGELES CA 90012 953138799 501(C)(3) 7500 GENERAL SUPPORT PARTNERS IN CARE FOUNDATION 732 MOTT STREET 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 16000 GENERAL SUPPORT REAL MEN COOK FOUNDATION 129 REEF COURT MARINA DEL REY CA 90292 954256348 501(C)(3) 10000 GENERAL SUPPORT SOUTHERN CALIFORNIA LEADERSHIP NETWORK 350 SOUTH BIXEL STREET LOS ANGELES CA 90017 931055450 501(C)(3) 10000 GENERAL SUPPORT THE HEART FOUNDATION 32107 LINDERO CYN RD 235 WESTLAKE VILLAGE CA 91361 450471117 501(C)(3) 10000 GENERAL SUPPORT THE HELPING HAND OF LOS ANGELES INC 8700 BEVERLY BLVD LOS ANGELES CA 90048 951831107 501(C)(3) 8249 GENERAL SUPPORT THE MAPLE COUNSELING CENTER 9107 WILSHIRE BLVD LOWER LEVEL BEVERLY HILLS CA 90210 952753118 501(C)(3) 31375 GENERAL SUPPORT TOWER CANCER RESEARCH FOUNDATION 9090 WILSHIRE BLVD SUITE 350 BEVERLY HILLS CA 90211 954596354 501(C)(3) 10000 GENERAL SUPPORT UCLA FOUNDATION 405 HILGARD AVE LOS ANGELES CA 90095 952250801 501(C)(3) 20000 GENERAL SUPPORT VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 25000 GENERAL SUPPORT WEST HOLLYWOOD LIBRARY FUND PO BOX 46636 WEST HOLLYWOOD CA 90046 800170521 501(C)(3) 50000 GENERAL SUPPORT WOMEN'S GUILD OF CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD ROOM 2416 LOS ANGELES CA 90048 956097903 501(C)(3) 15900 GENERAL SUPPORT YOUNG ISRAEL OF CENTURY CITY 9317 W PICO BLVD LOS ANGELES CA 90035 953075173 501(C)(3) 7500 GENERAL SUPPORT 40 8 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 William W Brien MD 155002 0 32250 0 133 0 0 0 0 0 187385 0 0 0 BETH KARLAN MD 340293 0 84548 0 112208 0 34300 0 5480 0 576829 0 42052 0 SCOTT KARLAN MD 303323 0 52600 0 88877 0 16850 0 18736 0 480386 0 0 0 ANDREW KLEIN MD 725917 0 134809 0 144985 0 109128 0 41435 0 1156274 0 0 0 Zab Mosenifar MD 465681 0 97835 0 248670 0 161184 0 24559 0 997929 0 192607 0 Thomas M Priselac 1038578 0 750467 0 1364544 0 725139 0 39479 0 3918207 0 1282319 0 Paul Silka MD 393037 0 1875 0 607 0 40001 0 36959 0 472479 0 0 0 Edward Prunchunas 560137 0 272500 0 1250815 0 181831 0 39837 0 2305120 0 995001 0 Mark Gavens 615259 0 260000 0 162317 0 193724 0 37637 0 1268937 0 90909 0 Shlomo Melmed MD 743958 0 300213 0 216029 0 422350 0 36837 0 1719387 0 109461 0 KEITH BLACK MD 1516539 0 500000 0 1541079 0 20825 0 37362 0 3615805 0 964108 0 Bruce Gewertz MD 1101563 0 238208 0 735975 0 59645 0 40928 0 2176319 0 345778 0 PETER BRAVEMAN 433496 0 195000 0 1319710 0 82252 0 37202 0 2067660 0 0 0 EDWARD Phillips MD 1200525 0 222819 0 347663 0 7350 0 42906 0 1821263 0 161497 0 LINDA BURNES BOLTON 325718 0 121482 0 1165986 0 104268 0 15194 0 1732648 0 0 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 4a 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. In response to new regulatory requirements associated with Internal Revenue Code sections 409A and 457(f), the organization provided an option to its employees on paying out accumulated balances on its various non-qualified deferred compensation arrangements in 2009, or deferring its distribution subject to cliff vesting, in accordance with the IRS-approved one-time 409A transition rule. Certain employees selected the payout option on the accumulated balance associated with the capital accumulation plan and its restoration plan during 2009. The amounts paid out have been included in the W-2 of those participants electing the payout option. Some of the listed persons participate in a retention program that is intended to encourage continued employment with CSHS. Since 2007, the President had participated in this retention program. He received a partial payout of $57,035 in 2009. The President received an additional lump sum payment of $912,759 pursuant to a 2001 agreement that was intended to support a competitive level of overall retirement income considering his 30 years of service at CSHS. The following officers, directors, key employees and highest-compensated employees received payments during the year ended December 31, 2009. A significant portion of the amounts listed below were earned in previous years. Beth Karlan,MD 67,584 Scott Karlan,MD 57,091 Andrew Klein,MD 45,572 Zab Mosenifar,MD 192,607 Thomas M. Priselac 1,282,319 Edward Prunchunas 1,196,374 Mark Gavens 90,909 Shlomo Melmed,MD 165,769 Keith Black,MD 1,518,149 Bruce Gewertz,MD 603,624 Peter Braveman 1,298,210 Edward Phillips,MD 278,353 Linda Burnes Bolton 1,138,030 CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LDG9 2009-10-21 541045288 NEW FAC CONST & PRIOR CAP EXP REIMB 0 0 CA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FXJ4 2005-08-10 538366821 REFUND 1993 CERT, 1999 BONDS & COI 0 0 541295501 283308578 8118724 249617987 0 0 0 1 538377604 3740661 2005 1 0 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 M GAVENS-RES ACQ X 350000 175000 0 1 1 B GEWERTZ-RES ACQ X 500000 300000 0 1 1 A KLEIN - RES ACQ X 250000 125000 0 1 1 600000 GENERAL ANESTHESIA SPECIALIST PARTNERSHIP PARTNERSHIP MORE THAN 5% OWNED BY DR. JULIAN A. GOLD, A BOARD MEMBER 2587600 COMPENSATION FOR SERVICES 0 WILLIAM W BRIEN MD INC CORPORATION MORE THAN 5% OWNED BY DR. WILLIAM W. BRIEN, A BOARD MEMBER 207375 COMPENSATION FOR SERVICES 0 DR GIL MELMED FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE 101289 COMPENSATION FOR SERVICES 0 DR EARL BRIEN FAMILY MEMBER OF DR. WILLIAM W. BRIEN, A BOARD MEMBER 186705 COMPENSATION FOR SERVICES 0 DR CONNIE AGNEW FAMILY MEMBER OF DR. WILLIAM W. BRIEN, A BOARD MEMBER 82403 COMPENSATION FOR SERVICES 0 DR SAIBAL KAR FAMILY MEMBER OF DR. SHEILA KAR, A BOARD MEMBER 442784 COMPENSATION FOR SERVICES 0 BARBARA LEANSE FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER 201730 COMPENSATION FOR SERVICES 0 X 6 0 X 1 0 X 12 1154313 SEE SCH M, PART II 0 0 0 1 Third Party Use: Part I, Line 32b: THE ORGANIZATION USES BROKERAGE FIRMS TO SELL PUBLICLY TRADED SECURITIES RECEIVED FROM DONORS. Non Reporting of Revenue: Part I, Line 33: Schedule M, Line 33: WORKS OF ART - THE ORGANIZATION HAS ELECTED, AS PERMITTED UNDER SFAS 116, NOT TO REPORT ON ITS STATEMENT OF ACTIVITIES AND BALANCE SHEET, WORKS OF ART HELD FOR PUBLIC EXHIBITION. 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. 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 Conflict of Interest Policy is a Board-approved Policy and conflict of interest oversight thereby extends to the Board of Directors. Reporting is required through the office of the Cedars-Sinai Medical Center (CSMC) President/CEO who reports to the Board on COI-related matters through the Audit Committee of the Board of Directors. Regular and consistent monitoring is delegated by the CSMC President to the Director of Internal Audit/Conflict of Interest (COI) Administrator and a 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 protocol conflict of interest disclosures. 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. Per the Board policy the following "Covered Individuals" are required to complete an annual conflict of interest disclosure questionnaire: Members of the Board of Directors and Committees of the Board; the President and CEO; Senior Executives (Direct Reports to the CEO); Members of the COI Steering Committee; 5) Members of the Faculty; Members of the Medical Staff with Administrative Responsibilities; Members of Medical Staff Committees; Research Investigators; and, 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. The disclosure policy extends to family members as they may directly or indirectly give rise to conflicts of interest. 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 to ensure segregation of access, review and analysis: 1) Board, Executive and COI Steering Committee members, and 2) all other individuals required to submit annual conflict of interest disclosure questionnaires. 1) Board, Executive and COI Steering Committee Member: 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. 2) COI Steering Committee: The COI Steering Committee is an advisory committee to the CSMC President and CEO on a variety of COI matters including the monitoring and enforcement of compliance with COI policy, COI policy development and maintenance, and other COI related matters. The Director of the Internal Audit/COI Administrator serves as the Secretary of the COI Steering Committee and manages the annual collection and review of the conflict of interest disclosure questionnaire process. The COI Steering committee meets several times annually (four times minimally) as well as on an adhoc basis and is supported by a COI Review Team that meets twice a month. The COI Steering Committee is comprised of: -- Chair - CSMC Director, Comprehensive Transplant Center -- Co-Chair - CSMC Chief Compliance Officer -- Secretary and COI Administrator - CSMC Director of Internal Audit -- CSMC Vice President of Legal Affairs -- CSMC VP Academic Affairs -- CSMC VP Research -- CSMC Director of Academic Services -- CSMC VP Medical Affairs -- CSMC VP Service Line Operations -- Medical Staff/Faculty Representative - CSMC Director Pulmonary Care -- IRB Representative - CSMC Executive Chair, IRBs -- Medical Staff/Faculty Representative - CSMC Director, General Clinical Research Center -- COI Program Analyst 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. Various mechanisms are in place with regard to actions taken or restrictions imposed depending on the individual's relationship to the Medical Center and the nature of the conflict. When an individual is determined to be involved in a relationship or activity that presents a conflict, the following actions are taken: (these actions apply relative to member of the Board, to executive management to the medical staff, etc. as applicable): 1) The individual ceases and desists the activity/relationship creating the conflict. 2) The individual ends their applicable relationship with Cedars-Sinai. 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) A management plan would 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. 5) 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. 6) Other actions are taken depending upon the nature of the relationships/activities. 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. Additionally, the Medical Center has implemented certain proactive processes to support the disclosure process, including but not limited to: 1) Formal recusal is discussed and required of all Board and Board Committee members as part of their appointment responsibilities. This policy is reviewed at the first meeting of the Board and each Board Committee at the beginning of its annual cycle. 2) Formal recusal is discussed and required of all Medical Staff Committee members as part of their appointment responsibilities. This policy is reviewed at the first meeting of each Medical Staff Committee at the beginning of its annual cycle. 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 MAKES ITS AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PAGE 1, BOX B: Schedule J has been amended to provide more detailed explanation on the current year payments of deferred compensation earned in previous years and to correct deferred compensation amounts for two individuals. Form 990, Schedule G, Part III, Line 3: The fair market value of the donated vehicle was not considered revenue for Part VIII purposes, but is included on Schedule G, Part III, Line 3. Schedule K Supplental Information PART II, LINE 6 - THIS AMOUNT REPRESENTS INTEREST PAID ON THE BONDS. 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. PCX Systems LLC 8700 Beverly Blvd Los Angeles CA 90048 421535811 HOSPITAL BILLING DE 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 N/A 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 N/A Greater Valley Management Services Organization INC 6500 WILSHIRE BLVD 8TH FLOOR Los Angeles CA 90048 954439758 Management functions CA N/A C 1.00000 Optimatrix Health Solutions Inc 6500 WILSHIRE BLVD 9TH FLOOR Los Angeles CA 90048 954522779 Information Systems CA N/A C 1.00000 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 CEDARS-SINAI MEDICAL CARE FOUNDATION B 22315549 CEDARS-SINAI MEDICAL CARE FOUNDATION K 10408478 CEDARS-SINAI MEDICAL CARE FOUNDATION N 1522319 CEDARS-SINAI MEDICAL CARE FOUNDATION P 10384752 GREATER VALLEY MANAGEMENT SERVICES ORGANIZATION INC B 1039206 CALIFORNIA HEART CENTER FOUNDATION B 748436 OPTIMATRIX HEALTH SOLUTIONS INC 0 Cedars-Sinai Medical Care Foundation 200 N Robertson Blvd Beverly Hills CA 90211 954457756 0 0 0 125134573 125134573 1000000 250000 0 0 0 California Heart Center Foundation 8536 Wilshire Blvd Los Angeles CA 90211 954772979 0 0 0 1369231 1369231 211923 52981 0 0 0