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        <Address>
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          <City>los angeles</City>
          <State>CA</State>
          <ZIPCode>90007</ZIPCode>
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        <NeedsAssessment>Part VI, Line 2: Orthopaedic Hospital (OH) operates a community clinic in the Downtown Los Angeles area. The community clinic is licensed as "Los Angeles Orthopaedic Medical Center"Orthopaedic Hospital (OH) is the safety net provider of pediatric orthopaedic services in Los Angeles, with the highest population based concentration of under and uninsured children in the Country. Los Angeles County, OH's primary catchment area, supports 43 Federally Qualified Community Health Clinics (FQHCs) for the uninsured and under insured residents of Los Angeles. FQHCs provide only primary care, often posing a quandary for specialty care. OH works closely with this network of FQHCs to make the services this organization is capable of providing relevant and accessible to this patient population. The FQHCs, under one Medical Group called Health Care LA IPA, are the largest referral source of pediatric orthopaedic patients to Orthopaedic Hospital.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: Patient education and assistance with obtaining third party coverage starts with registration and extends through Patient Accounting. New patients without coverage presenting to the Orthopaedic Hospital Clinics for pediatric orthopedic care are advised upon their first encounter on the availability of Medi-Cal, CCS/Medi-Cal and Healthy Families coverage. Each of these programs starts with enrollment in an HMO and assignment to a primary care provider. The surest route to coverage is via an enrollment specialist in any of the 43 FQHCs that are convenient to the patient's home. Additionally, the social Services department at OH regularly engages patients in treatment who are likely to incur high out of pocket costs in assessment and enrollment in applicable coverage. Patients who are eventually billed, upon calling the Patient Accounting Department are advised of and encouraged to come and complete a charity application form, allowing the Orthopaedic Hospital personnel to make a fair and qualified assessment of the family's financial situation, and implement Orthopaedic Hospital's Charity Care policy, often resulting in a drastically reduced payment plan or a charitable write off.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: Orthopaedic Hospital's primary catchment area is Los Angeles County. In 2010, Orthopaedic Hospital's pediatric orthopedic patient care clinics provided care to 13,782 children with 36,024 visits. More than 65% of these services were provided to children with government based health coverage. The demographic compositions of the Orthopaedic Hospital clinics reflect the demographics of this community very closely.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: In July 2008, Orthopaedic Hospital and the EveryChild Foundation joined with other benefactors to build a playground on the Orthopaedic Hospital campus. While this may seem minor to an out-of-area reader, it is one of a very limited number of play areas open 7 days a week in this urban area that is packed with children. In addition to the playground being well used by families seeking close to home outside play-time, the playground area is used by several community outreach groups to promote increasing active lifestyles in this population prone to weight gain and its' ensuing health complications.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: In July 2005, Orthopaedic Hospital terminated its inpatient services and outpatient surgical services and transferred such activities to the Santa Monica-UCLA Medical Center, now relicensed as " Santa Monica-UCLA Medical Center and Orthopaedic Hospital". Orthopaedic Hospital continues to operate its outpatient clinics, medical education and research programs at its downtown Los Angeles facilty.Orthopaedic Hospital also continues to support the Orthopaedic Hospital Medical Magnet High School (OHMMHS) located adjacent to Orthopaedic Hospital. This high school (OHMMS) attracts children who have some interest in a health career. The Medical and Ancillary Staff at OH are very engaged in providing many learning experiences through in-school lectures, labs and volunteer opportunities, providing teenagers with a wide range of chances to see and even try out potential careers.</OtherInformation>
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        <Explanation>JAMES V. LUCK, JR., M.D. $88,705 457(F) PLAN</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>CHRISTOPHER MARTIN'S FIRM HAS CONTRACTED WITH A COMPANY WHERE MICHAEL LOMBARDI IS A SENIOR OFFICER ON AN UNRELATED REAL ESTATE DEVELOPMENT PROJECT IN LOS ANGELES. EDWARD SCHNEIDER IS A LIMITED PARTNER IN A PARTNERSHIP WHERE MICHAEL LOMBARDI IS A GENERAL PARTNER.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>ORTHOPAEDIC HOSPITAL is a California non profit public benefit membership corporation. ORTHOPAEDIC HOSPITAL's members are individuals who serve as ORTHOPAEDIC HOSPITAL'S Board of Directors and responsible for exercising all powers of ORTHOPAEDIC HOSPITAL, including electing directors and officers, approving budgets and overseeing all aspects of ORTHOPAEDIC HOSPITAL's activities.</Explanation>
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        <Explanation>THE GOVERNANCE COMMITTEE OF THE ORTHOPAEDIC HOSPITAL'S BOARD OF DIRECTORS AND THE LOS ANGELES ORTHOPAEDIC HOSPITAL FOUNDATION'S BOARD OF TRUSTEES IS ASSIGNED WITH THE RESPONSIBILITY OF RECRUITING NEW DIRECTORS AND TRUSTEES FOR BOTH ORGANIZATIONS. THE COMMITTEE GOES THROUGH ITS DILIGENCE PROCESS OF REVIEWING POTENTIAL MEMBER'S STATUS IN THE COMMUNITY AND QUALIFICATIONS FOR BOARD MEMBERSHIP AND THEN MAKES ITS RECOMMENDATIONS TO EACH BOARD.</Explanation>
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        <Explanation>THE GOVERNANCE COMMITTEE OF THE ORTHOPAEDIC HOSPITAL'S BOARD OF DIRECTORS AND THE LOS ANGELES OTHOPAEDIC HOSPITAL FOUNDATION'S BOARD OF TRUSTEES REQUIRES ALL DIRECTORS AND TRUSTEES TO SUBMIT A "CONFLICT OF INTEREST STATEMENT" ANNUALLY. THE COMMITTEE REVIEWS THESE STATEMENTS AND PRESENTS ANY POTENTIAL CONFLICT TO BOARDS FOR DISCUSSION AND APPROVAL OF ANY ACTION NEEDED. OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO SUBMIT A "CONFLICT OF INTEREST STATEMENT" ANNUALLY TO THE HUMAN RESOURCES DEPARTMENT. STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER WHO CHECKS FOR ANY EXISTING CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>CEO - COMPENSATION IS REVIEWED AND DOCUMENTED BY THE COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY. KEY PHYSICIAN POSITIONS - COMPENSATIONS ARE REVIEWED BY CONSULTANT, LAWYER AND THEN APPROVED BY THE STRATEGIC COMMITTEE AND THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES - COMPENSATIONS ARE REVIEWED BY THE CEO WITH THE DIRECTOR OF HUMAN RESOURCES. ORTHOPAEDIC HOSPITAL PARTICIPATES IN SOME SALARY SURVEYS AND USES THIS INFORMATION TO COMPARE SALARIES IN THE ORGANIZATION.</Explanation>
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        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>ANY INQUIRY SHOULD BE DIRECTED TO THE CFO OR TO ORTHOPAEDIC HOSPITAL OFFICER.</Explanation>
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      <GeneralExplanation>
        <Explanation>FORM 990, PART XI, LINE 2C: No change FROM PRIOR YEAR</Explanation>
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