TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) THOMAS M PRISELAC........................................................................ PRESIDENT/CEO	70.00 .......................5.00	X	X	3,748,266	887,916
(2) VERA GUERIN........................................................................ CHAIRMAN/FORMER VICE CHAIRMAN	20.00 .......................1.00	X		0	0
(3) MARC H RAPAPORT........................................................................ VICE CHAIRMAN/FORMER SECRETARY	15.00 .......................1.00	X	X	0	0
(4) SUE NEUMAN HOCHBERG........................................................................ SECRETARY	10.00 .......................0.00	X	X	0	0
(5) MICHAEL ALEXANDER MD........................................................................ BOARD MEMBER/STAFF PHYS.	60.00 .......................0.00	X		865,287	70,463
(6) ROBERT K BARTH........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(7) JOHN BENDHEIM........................................................................ BOARD MEMBER	5.00 .......................1.00	X		0	0
(8) STEVEN D BROIDY........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(9) ILANA CASS MD........................................................................ BOARD MEMBER/STAFF PHYS.	60.00 .......................0.00	X		460,313	67,401
(10) DALE COCHRAN........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(11) JOHN COLEMAN........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(12) ROBERT DAVIDSON........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(13) RUTH DUNN........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(14) DEBORAH FREUND PHD........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(15) STEVEN GALEN MD........................................................................ BOARD MEMBER/FORMER CHIEF OF STAFF	30.00 .......................0.00	X		120,000	0
(16) MARK S GREENFIELD........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0
(17) ANDY HEYWARD........................................................................ BOARD MEMBER	5.00 .......................0.00	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) STEVEN M HITTER........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(19) DAVID B KAPLAN........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(20) SHEILA KAR MD........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(21) SCOTT KARLAN MD........................................................................ BOARD MEMBER/STAFF PHYS.	60.00 .......................0.00	X				392,875	30,353
(22) JEFFREY KATZENBERG........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(23) ANDREW KLEIN MD........................................................................ BOARD MEMBER/STAFF PHYS.	60.00 .......................0.00	X				1,067,847	120,953
(24) STEWART KWOH........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(25) JOHN C LAW........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(26) THOMAS J LEANSE ESQ........................................................................ BOARD MEMBER	5.00 .......................1.00	X				0	0
(27) JAMES M LIPPMAN........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(28) PHILOMENA MCANDREW MD........................................................................ BOARD MEMBER	5.00 .......................0.00	X				1,500	0
(29) ZAB MOSENIFAR MD........................................................................ BOARD MEMBER/STAFF PHYS.	60.00 .......................0.00	X				749,096	205,217
(30) JAMES A NATHAN........................................................................ BOARD MEMBER	5.00 .......................1.00	X				0	0
(31) CHRISTOPHER NG MD........................................................................ BOARD MEMBER/CHIEF OF STAFF	30.00 .......................0.00	X				48,000	0
(32) STEVEN B NICHOLS........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(33) LUIS NOGALES........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(34) LOUISE PHANSTIEL........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(35) LAWRENCE B PLATT........................................................................ BOARD MEMBER/FORMER CHAIRMAN	5.00 .......................1.00	X				0	0
(36) ANTONY P RESSLER........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(37) RICHARD RIGGS MD........................................................................ BOARD MEMBER/STAFF PHYS.	60.00 .......................0.00	X				524,748	51,369
(38) STEVEN ROMICK........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(39) MARK S SIEGEL........................................................................ BOARD MEMBER	5.00 .......................1.00	X				0	0
(40) PAUL SILKA MD........................................................................ BOARD MEMBER/STAFF PHYS.	54.00 .......................0.00	X				515,092	98,040
(41) STEVEN SPIELBERG........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(42) BARBRA STREISAND........................................................................ BOARD MEMBER	5.00 .......................0.00	X				0	0
(43) LESLIE VERMUT........................................................................ BOARD MEMBER	5.00 .......................1.00	X				0	0
(44) PHILLIP ZAKOWSKI MD........................................................................ BOARD MEMBER	5.00 .......................0.00	X				321	0
(45) EDWARD PRUNCHUNAS........................................................................ CHIEF FINANCIAL OFFICER	60.00 .......................6.00		X			1,263,700	293,117
(46) MARK GAVENS........................................................................ CHIEF OPERATING OFFICER	60.00 .......................0.00			X		1,250,458	130,746
(47) SHLOMO MELMED MD........................................................................ CHIEF ACADEMIC OFFICER	60.00 .......................0.00			X		2,032,279	306,054
(48) KEITH BLACK MD........................................................................ CHAIRMAN-NEUROSURGERY	60.00 .......................0.00				X	2,675,153	63,749
(49) RAJENDRA MAKKAR MD........................................................................ DIRECTOR - INTERVENTIONAL	60.00 .......................0.00				X	2,140,593	79,041
(50) EDUARDO MARBAN MD........................................................................ DIRECTOR - HEART INSTITUTE	60.00 .......................1.00				X	1,918,262	207,192
(51) BRUCE GEWERTZ MD........................................................................ CHAIRMAN-DEPT OF SURGERY	60.00 .......................0.00				X	1,755,132	128,199
(52) RICHARD JACOBS........................................................................ SYSTEM DEVELOPMENT	60.00 .......................2.00				X	1,697,300	164,340

(A) Name and business address	(B) Description of services	(C) Compensation
CROSS COUNTRY STAFFING6551 PARK OF COMMERCE BLVDBOCA RATONFL33487	STAFFING SERVICES	18,149,084
ENCORE HEALTH RESOURCES INCPO BOX 3109 24350HOUSTONTX77056	EIS CONSULTING SERVICE	16,321,718
COMMUNITY URGENT CARE MEDICAL GROUP9440 SANTA MONICA BLVDBEVERLY HILLSCA90210	URGENT CARE MEDICAL SERVICES	14,937,830
PACIFIC NATIONAL GROUP2392 SOUTH BATEMAN AVEIRWINDALECA91010	CONSTRUCTION SERVICES	9,352,933
DVA RENAL HEALTHCARE INCPO BOX 402946ATLANTAGA30384	HEALTH SERVICES	8,433,109
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 329

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	55,239,581	55,239,581
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	63,000	63,000
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	16,097,244	10,783,901	5,313,343
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	2,207,539	1,785,468	422,071
7	Other salaries and wages	1,036,417,670	920,237,099	109,345,642	6,834,929
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	91,009,828	76,268,374	14,204,622	536,832
9	Other employee benefits .......	167,257,462	156,944,302	9,029,431	1,283,729
10	Payroll taxes ...........	67,993,605	56,846,534	10,633,579	513,492
11	Fees for services (non-employees):
a	Management ......	14,913,409	14,913,409
b	Legal .........	8,003,294	62,478	7,940,816
c	Accounting ...........	1,006,006		1,006,006
d	Lobbying ...........	2,051,173	2,051,173
e	Professional fundraising services. See Part IV, line 17	62,205			62,205
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	211,442,598	175,411,988	32,877,967	3,152,643
12	Advertising and promotion ....	11,709,256	455,946	11,070,385	182,925
13	Office expenses .......	42,234,366	37,523,085	4,416,776	294,505
14	Information technology ......	76,709,875	46,091,727	30,618,148
15	Royalties ..	5,867,841	5,867,841
16	Occupancy ...........	47,297,591	34,168,252	12,733,990	395,349
17	Travel ............	7,456,792	5,730,133	1,544,703	181,956
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	2,768,986	2,143,951	521,849	103,186
20	Interest ...........	44,066,838	37,147,073	6,919,765
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	149,686,199	127,152,177	22,534,022
23	Insurance ..............	30,336,208	25,572,961	4,763,247
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	334,909,677	334,909,677
b	MISCELLANEOUS	50,973,917	31,712,958	18,957,446	303,513
c	MEDI-CAL PROGRAM FEE	23,241,783	23,241,783
d	DUES & SUBSCRIPTIONS	4,540,397	2,288,320	2,128,081	123,996
e	All other expenses	3,412,614	1,802,982	1,591,410	18,222
25	Total functional expenses. Add lines 1 through 24e	2,508,976,954	2,186,416,173	308,573,299	13,987,482
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	75,023,084	1	61,839,020
2	Savings and temporary cash investments .........	51,773,479	2	0
3	Pledges and grants receivable, net ...........	139,177,496	3	143,797,081
4	Accounts receivable, net .............	460,321,974	4	468,320,578
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		3,980,530	5	3,938,616
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		335,552	6	343,746
7	Notes and loans receivable, net .............	17,101,120	7	15,359,602
8	Inventories for sale or use ..............	26,992,857	8	29,770,423
9	Prepaid expenses and deferred charges ..........	17,707,756	9	21,145,174
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,806,951,259
b	Less: accumulated depreciation .....	10b	1,051,116,659	1,734,907,528	10c	1,755,834,600
11	Investments—publicly traded securities ..........	1,058,330,967	11	1,454,366,659
12	Investments—other securities. See Part IV, line 11 .....	552,228,000	12	616,832,000
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	64,847,099	14	64,847,099
15	Other assets. See Part IV, line 11 ...........	79,658,592	15	95,970,821
16	Total assets. Add lines 1 through 15 (must equal line 34)......	4,282,386,034	16	4,732,365,419
	17	Accounts payable and accrued expenses .........	421,628,391	17	462,699,763
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	1,123,697,408	20	1,075,829,696
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23	14,000,000
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	142,116,524	25	160,405,120
26	Total liabilities. Add lines 17 through 25.........	1,687,442,323	26	1,712,934,579
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	2,066,866,952	27	2,472,070,467
28	Temporarily restricted net assets ...........	276,944,662	28	279,586,522
29	Permanently restricted net assets ...........	251,132,097	29	267,773,851
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,594,943,711	33	3,019,430,840
34	Total liabilities and net assets/fund balances ........	4,282,386,034	34	4,732,365,419

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization CEDARS-SINAI MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization CEDARS-SINAI MEDICAL CENTER

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

1,854,533

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

196,640

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

2,051,173

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	PART II-B, LINE 1F: CONSULTING FIRMS HELP CEDARS-SINAI NAVIGATE THROUGH COMPLEX LEGISLATIVE AND REGULATORY CHANGES AND SERVE AS A RESOURCE TO IDENTIFY FEDERAL GRANTS, REPORT ON LEGISLATIVE AND REGULATORY INITIATIVES, ATTEND BRIEFINGS AND HEARINGS, AND PROVIDE ANALYSES. IN ADDITION, TRADE ORGANIZATIONS PROVIDE STRONG AND EFFECTIVE REPRESENTATION AND ADVOCACY TO ACHIEVE LEGISLATIVE, REGULATORY AND LEGAL ACCOMPLISHMENTS AT THE STATE AND FEDERAL LEVEL. PART II-B, LINE 1G: MEETING WITH ELECTED OFFICIALS ON THE FEDERAL, STATE AND CITY LEVEL AS WELL AS FEDERAL AND STATE OFFICIALS AND CITY AGENCY EXECUTIVES TO ADVOCATE ON ISSUES IMPORTANT TO THE CITY AND REGION'S QUALITY OF LIFE AND ECONOMIC DEVELOPMENT.

Return Reference

Explanation

PART II-B, LINE 1:

PART II-B, LINE 1F: CONSULTING FIRMS HELP CEDARS-SINAI NAVIGATE THROUGH COMPLEX LEGISLATIVE AND REGULATORY CHANGES AND SERVE AS A RESOURCE TO IDENTIFY FEDERAL GRANTS, REPORT ON LEGISLATIVE AND REGULATORY INITIATIVES, ATTEND BRIEFINGS AND HEARINGS, AND PROVIDE ANALYSES. IN ADDITION, TRADE ORGANIZATIONS PROVIDE STRONG AND EFFECTIVE REPRESENTATION AND ADVOCACY TO ACHIEVE LEGISLATIVE, REGULATORY AND LEGAL ACCOMPLISHMENTS AT THE STATE AND FEDERAL LEVEL. PART II-B, LINE 1G: MEETING WITH ELECTED OFFICIALS ON THE FEDERAL, STATE AND CITY LEVEL AS WELL AS FEDERAL AND STATE OFFICIALS AND CITY AGENCY EXECUTIVES TO ADVOCATE ON ISSUES IMPORTANT TO THE CITY AND REGION'S QUALITY OF LIFE AND ECONOMIC DEVELOPMENT.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other CONTRIBUTES TO HEALING

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	513,424,240	443,236,081	418,709,065	353,913,733	295,551,488
b	Contributions ........	57,337,018	46,436,249	27,334,243	50,126,715	49,385,421
c	Net investment earnings, gains, and losses	37,718,470	27,755,755	8,556,769	25,230,233	18,536,273
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	4,078,881	4,003,845	11,363,996	10,561,616	9,559,449
f	Administrative expenses ....
g	End of year balance ......	604,400,847	513,424,240	443,236,081	418,709,065	353,913,733

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

55.700 %

Permanent endowment SchDMd Bullet

44.300 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	56,522,220		56,522,220
b	Buildings ................	1,775,431,078	617,431,858	1,157,999,220
c	Leasehold improvements ............	43,979,988	23,963,019	20,016,969
d	Equipment ................	724,447,088	409,721,782	314,725,306
e	Other .................	206,570,885		206,570,885
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,755,834,600

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) ALTERNATIVE INVESTMENTS	616,832,000	F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	616,832,000

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
WORKERS' COMPENSATION LIABILITY PROGRAM		60,569,000
MALPRACTICE AND GENERAL LIABILITY PROGRAM		46,937,000
DEFERRED FEMA GRANT INCOME		25,721,214
DEFERRED COMPENSATION		1,813,860
MEDICARE LIABILITY		3,936,236
PENSION LIABILITY		21,427,810



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		160,405,120
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	2,930,236,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	120,630,557
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	120,630,557
3	Subtract line 2e from line 1.....................			3	2,809,605,443
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	19,056,162
c	Add lines 4a and 4b.......................			4c	19,056,162
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	2,828,661,605

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	2,457,372,000
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	-51,605,096
e	Add lines 2a through 2d......................			2e	-51,605,096
3	Subtract line 2e from line 1.....................			3	2,508,977,096
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	-142
c	Add lines 4a and 4b.......................			4c	-142
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	2,508,976,954

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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:	IN THIS FISCAL YEAR ENDING JUNE 30, 2014, THE ACQUISITIONS COMMITTEE VOTED TO ACCEPT 41 ARTWORKS INTO THE CEDARS-SINAI ART COLLECTION. THE FINE MUSEUM QUALITY ARTWORKS OBTAINED WERE CREATED BY SOME WELL-KNOWN ARTISTS SUCH AS GEORGE HURRELL, LEN PRICE, CLIFF BENJAMIN, LARRY COHEN, ED RUSCHA, RICHARD SERRA,AND LORNA RITZ. 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 AND THE ADVISORY COUNCIL FOR THE ARTS ARE COMMITTED TO THE CONCEPT OF THE HEALING POWER OF ART, SEEKING ALWAYS TO UPHOLD THAT CONCEPT. THIS ONGOING ARTS 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 TO THEIR RECOVERY.
PART V, LINE 4:	THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF APPROXIMATELY 200 INDIVIDUAL FUNDS FOR A VARIETY OF PURPOSES. THE INTENDED USES ARE FOR RESEARCH, DONOR-DESIGNATED OR FOR GENERAL PURPOSES.
PART X, LINE 2:	THE MEDICAL CENTER COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE MEDICAL CENTER HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE MEDICAL CENTER IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE MEDICAL CENTER BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	NET ASSETS RELEASED FROM RESTRICTIONS -135,466,481. RESTRICTED REVENUES - PERM 16,641,754. RESTRICTED REVENUES - TEMP 139,359,256. FUNDRAISING DIRECT EXPENSES SHOWN AS REVENUE OFFSET IN 990 PART VIII LINE 8B -1,477,145. ROUNDING -1,222.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RESTRICTED EXPENSES NOT INCLUDED IN THE AUDITED FINANCIAL STATEMENTS 135,466,481. FUNDRAISING EXPENSES RECLASS AS REVENUE OFFSET 1,477,145. FOUNDATION FUNDING IN EXPENSES FOR TAX, EQUITY FOR BOOKS -53,082,241. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -135,466,481.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	ROUNDING -142.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PASSIVE INVESTMENTS	N/A	423,494,687
	MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,	0	0	PROGRAM SERVICES	SEE PART V NARRATIVE	16,265
	NORTH AMERICA	1	2	PROGRAM SERVICES	SEE PART V NARRATIVE	229,306
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	SEE PART V NARRATIVE	55,562
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	SEE PART V NARRATIVE	5,756
	EAST ASIA AND THE PACIFIC	0	0	GRANT MAKING	N/A	50,000
	MIDDLE EAST AND NORTH AFRICA	0	0	GRANT MAKING	N/A	12,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	GRANT MAKING	N/A	1,000









3a	Sub-total .....	1	2			423,864,576
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	1	2			423,864,576

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
MIDDLE EAST AND NORTH AFRICA	PREPAREDNESS FOR MASS CASUALTY EVENT	6,000	CHECK
MIDDLE EAST AND NORTH AFRICA	SUPPORT OF TEL AVIV UNIVERSITY SCHOLARSHIPS	6,000	CHECK
EAST ASIA AND THE PACIFIC	SUPPORT FOR PHILIPPINES TYPHOON APPEAL	50,000	CHECK

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, 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. SCHEDULE F, PART I, LINE 3 PART I, LINE 3, COLUMN E REGION: MIDDLE EAST AND NORTH AFRICA - THE ORGANIZATION IS PROVIDING FUNDING FOR A PRE-CLINICAL RESEARCH COLLABORATIVE AGREEMENT WITH PHARMASEED LTD IN ISRAEL AND IS ALSO PROVIDING FUNDING TO SELYNO BIOMEDICAL LTD IN ISRAEL FOR HELPING TO DEVELOP A MEDICAL DEVICE CANDIDATE CONSISTING OF ULTRASOUND-MEDIATED GENE TARGETING TO ENDOGENOUS MSCS FOR BONE REPAIR. 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. IN ADDITION, THE ORGANIZATION IS PROVIDING FUNDING FOR ANTI-TFNA THERAPY RESEARCH PERFORMED AT THE UNIVERSITY OF CALGARY AND ALSO PROVIDING FUNDING FOR SPONDYLITIS RESEARCH AT UHN TORONTO WESTERN HOSPITAL. REGION: EAST ASIA AND THE PACIFIC - THE ORGANIZATION IS PROVIDING FUNDING IN AUSTRALIA FOR GENETICS RESEARCH TO BE PERFORMED AT THE UNIVERSITY OF QUEENSLAND AND IS ALSO PROVIDING FUNDING IN TAIWAN FOR HYPERTENSION RESEARCH IN TAIWAN CHINESE PERFORMED AT THE NATIONAL HEALTH RESEARCH INSTITUTES. REGION: EUROPE - THE ORGANIZATION IS PROVIDING FUNDING IN ITALY FOR RESEARCH INTO RELIABLE EVALUATION OF CORONARY ARTERY DISEASE USING MYOCARDIAL BOLD MRI WITH CO2. PART I, LINE 3, COLUMN F REGION: CENTRAL AMERICA AND THE CARIBBEAN VALUE OF INVESTMENTS MADE: 406,057,102 AMOUNT OF INVESTMENT FEES: 17,437,585 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.

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	BETH MOSKOWITZ 2043 COLORADO 7 SM, CA90404	CONSULTING SERVICES	Yes		1,158,533	21,878	1,136,655
	GRANT ASSOCIATES 5670 WILSHIRE 1590 LA, CA90036	CONSULTING SERVICES	Yes		815,908	40,327	775,581








Total .................					1,974,441	62,205	1,912,236

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, DC

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 PINK PARTY (event type)	(b) Event #2 FASHION INDUSTRIES GUILD GALA (event type)	(c) Other events 8 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	1,339,150	1,115,474	2,277,768	4,732,392
2	Less: Contributions . .	1,019,200	1,005,824	1,888,421	3,913,445
3	Gross income (line 1 minus line 2) . . .	319,950	109,650	389,347	818,947
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .	382,187	32,677	112,778	527,642
7	Food and beverages .	56,063	153,457	176,209	385,729
8	Entertainment . . .			75,600	75,600
9	Other direct expenses .	87,906	30,346	369,922	488,174
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				1,477,145
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-658,198

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

87,225

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

87,225

Enter the state(s) in which the organization operates gaming activities: CA

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

THE ORGANIZATION IS NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL'S OFFICE.

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

LEO CORONADO

Address

8700 BEVERLY BLVD
LOS ANGELES,CA90048

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

VARIOUS - SEE PART IV

Gaming manager compensation right arrow

Description of services provided right arrow

SEE PART IV

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

$ 78,503

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference

Explanation

SCHEDULE G, PART I, LINE 2B, COLUMN (V)

GRANT ASSOCIATES WAS HIRED TO SOLICIT DONATIONS AND ATTENDEES. THEY MAILED OUT INVITATIONS AND THEN RECEIVED RSVP'S. THEY WERE CHARGED WITH DELIVERING MONIES AND FINANCIAL REPORTS ON A DAILY OR AGREED UPON SCHEDULE TO CSMC DESIGNATED STAFF. BETH MOSKOWITZ WAS HIRED TO PLAN AN ANNUAL EVENT, PERFORM CHARITABLE SOLICITATIONS AND INCREASE REVENUE STREAMS.

PART III, LINES 3, 6, 16

PART III, LINE 3: NONCASH PRIZES BY EVENT: BOG GALA $ 71,656 TOM COLLIER MEMORIAL REGATTA $ 915 C.O.A.C.H FOR KIDS $ 15,344 PART III, LINE 6 - VOLUNTEER LABOR BY EVENT: BOG GALA 0% TOM COLLIER MEMORIAL REGATTA 5% C.O.A.C.H FOR KIDS 0% PART III, LINE 16: GAMING MANAGER INFORMATION: BOG GALA: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $1,500, ONSITE SALES BOG GALA: VICTORIA CATES. EMPLOYEE, $115.60, OVERSIGHT TOM COLLIER MEMORIAL REGATTA: HANNA COLLIER, VOLUNTEER, $0, OVERSIGHT TOM COLLIER MEMORIAL REGATTA: ROXY KINSTETTER, EMPLOYEE, $130.00, OVERSIGHT C.O.A.C.H. FOR KIDS: CHARITY ANGELS, INDEPENDENT CONTRACTOR, $1,000, ONSITE SALES C.O.A.C.H. FOR KIDS: FAYNE PITTS-WILLIAMS, EMPLOYEE, $124.00, OVERSIGHT

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 45000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	15,622,886	0	15,622,886	0.620 %
b	Medicaid (from Worksheet 3, column a) ....	216,570,163	146,188,692	70,381,471	2.810 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	14,052,258	8,871,640	5,180,618	0.210 %
d	Total Financial Assistance and Means-Tested Government Programs .	246,245,307	155,060,332	91,184,975	3.640 %
Other Benefits		27,077,660	331,410	26,746,250	1.070 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	27,077,660	331,410	26,746,250	1.070 %
f	Health professions education (from Worksheet 5) ..	71,072,332	10,645,833	60,426,499	2.410 %
g	Subsidized health services (from Worksheet 6) ..	2,171,650	2,155,259	16,391	0 %
h	Research (from Worksheet 7)	149,791,438	81,673,704	68,117,734	2.710 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	796,250	0	796,250	0.030 %
j	Total. Other Benefits ..	250,909,330	94,806,206	156,103,124	6.220 %
k	Total. Add lines 7d and 7j .	497,154,637	249,866,538	247,288,099	9.860 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0
2	Economic development	52,963	52,963	0 %
3	Community support	1,060,754	1,060,754	0.040 %
4	Environmental improvements	5,700	5,700	0 %
5	Leadership development and training for community members	106,875	106,875	0 %
6	Coalition building	92,150	92,150	0 %
7	Community health improvement advocacy	39,093	39,093	0 %
8	Workforce development	2,224,509	2,224,509	0.090 %
9	Other	950	950	0 %
10	Total	3,582,994	3,582,994	0.130 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

177,237,342

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

150,153,503

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

540,493,208

Enter Medicare allowable costs of care relating to payments on line 5.....

760,939,132

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-220,445,924

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 NA
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES,CA90048 WWW.CEDARS-SINAI.EDU 930000110	X	X	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CEDARS-SINAI MEDICAL CENTER
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CEDARS-SINAI.EDU

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 450.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES, AND TO PROVIDE A FRAMEWORK FOR PRIORITIZING ITS COMMUNITY HEALTH PROGRAMS, CEDARS-SINAI REGULARLY CONDUCTS A WIDE-RANGING COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS ASSESSMENTS ARE THE PRIMARY TOOLS USED TO DETERMINE A HOSPITAL'S "COMMUNITY BENEFIT" PLANS, THAT IS, HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES. COMMUNITY BENEFIT SERVICE AREACOMPARED WITH LOS ANGELES COUNTY OVERALL, CEDARS-SINAI'S COMMUNITY BENEFIT AREA CONTAINS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LINE. THIS MAY BE SURPRISING TO SOME, AS THEY MAY NOT BE AWARE THAT NEARBY TO CEDARS-SINAI ARE SOME OF THE REGION'S POOREST COMMUNITIES AS WELL AS SOME OF ITS WEALTHIEST.CEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. ITS COMMUNITY BENEFIT SERVICE AREA INCLUDES LARGE PORTIONS OF LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND SMALLER PORTIONS OF SPA 2 (SAN FERNANDO), SPA 7 (EAST) AND SPA 8 (SOUTH BAY).POPULATION CHARACTERISTICS DATA SOURCE: CLARITAS 2014 ESTIMATESCEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 1,795,400.RACETHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: WHITE (46%), BLACK/AFRICAN AMERICAN (16%), ASIAN (11%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.2%), AMERICAN INDIAN/ALASKAN NATIVE (0.7%), SOME OTHER RACE (22%), 2+ RACES (5%)ETHNICITYHISPANIC/LATINO (42%), NOT HISPANIC/LATINO (58%)AGELESS THAN 18 YEARS (21%), 18-24 (79%), 25-64 (69%), GREATER THAN 65 YEARS (12%)GENDERFEMALE (50%), MALE (50%)SOCIOECONOMIC STATUSFAMILIES LIVING BELOW POVERTY LINE (19%), FAMILIES WITH CHILDREN LIVING BELOW POVERTY LINE (15%)LOS ANGELES COUNTY (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 10,063,995.RACETHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: WHITE (50%), BLACK/AFRICAN AMERICAN (8%), ASIAN (14%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.3%), AMERICAN INDIAN/ALASKAN NATIVE (0.8%), SOME OTHER RACE (22%), 2+ RACES (5%)ETHNICITYHISPANIC/LATINO (49%), NOT HISPANIC/LATINO (51%)AGELESS THAN 18 YEARS (24%), 18-24 (76%), 25-64 (66%), GREATER THAN 65 YEARS (12%)GENDERFEMALE (49%), MALE (51%)SOCIOECONOMIC STATUSFAMILIES LIVING BELOW POVERTY LINE (14%), FAMILIES WITH CHILDREN LIVING BELOW POVERTY LINE (11%)DATA COLLECTIONSECONDARY DATATHE COMMUNITY HEALTH NEEDS ASSESSMENT USES DATA SOURCES FOR THE COMMUNITY BENEFIT SERVICE AREA TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, AND HEALTH BEHAVIORS. WHEN APPLICABLE, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND COMPARED TO THE HEALTHY PEOPLE 2020 OBJECTIVES. PRIMARY DATA - STAKEHOLDER INTERVIEWSTARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWENTY-THREE INTERVIEWS WERE COMPLETED. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. BELOW IS A SUMMARY OF THE KEY FINDINGS FROM THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (BOTH DATA AND INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS), FOLLOWED BY RECOMMENDATIONS FOR HOW TO IMPROVE HEALTH AND REDUCE DISPARITIES IN THE COMMUNITIES.SOCIAL AND ECONOMIC FACTORS* AMONG THE RESIDENTS IN THE SPAS REPRESENTED IN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA, SPA 6 HAS THE HIGHEST POVERTY RATES: 48.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 74.9% ARE AT 200% OR BELOW FPL. IN SPA 4, 29% OF THE POPULATION IS AT THE POVERTY LEVEL, IN SPA 5, 12.2% ARE LIVING IN POVERTY. RATES OF POVERTY IN SPAS 4 AND 6 ARE HIGHER THAN FOUND IN THE COUNTY.* A VIEW OF CHILDREN IN POVERTY BY SERVICE PLANNING AREA (SPA) INDICATES THAT OVER HALF (57.6%) OF CHILDREN IN SPA 6 LIVE IN POVERTY, 41.7% OF CHILDREN IN SPA 4 AND 15.7% OF CHILDREN IN SPA 5 ARE <100% FPL. POVERTY LEVELS<100% FPL: SPA 4 (29.0%), SPA 5 (12.2%), SPA 6 (48.9%), LOS ANGELES COUNTY (22.7%)<200% FPL: SPA 4 (51.3%), SPA 5 (20.8%), SPA 6 (74.9%), LOS ANGELES COUNTY (42.9%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009CHILDREN IN POVERTY, AGES 0-170-99% FPL: SPA 4 (41.7%), SPA 5 (15.7%), SPA 6 (57.6%), LOS ANGELES COUNTY (29.3%)100-199% FPL: SPA 4 (24.8%), SPA 5 (9.3%), SPA 6 (24.6%), LOS ANGELES COUNTY (22.0%)200-299% FPL: SPA 4 (14.0%), SPA 5 (7.9%), SPA 6 (11.3%), LOS ANGELES COUNTY (12.6%)300% FPL AND ABOVE: SPA 4 (19.5%), SPA 5 (67.1%), SPA 6 (6.5%), LOS ANGELES COUNTY (36.1%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* THE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $47,608 AND THE AVERAGE HOUSEHOLD INCOME IS $69,500. * AMONG ADULTS, AGES 25 AND OLDER, IN THE CEDARS-SINAI SERVICE AREA, APPROXIMATELY ONE-FOURTH OF THE POPULATION (23.7%) HAVE NO HIGH SCHOOL DIPLOMA.* ACCORDING TO THE 2011 LOS ANGELES HOMELESS SERVICES AUTHORITY COUNT, SPA 4 HAD AN ANNUALIZED ESTIMATE OF 11,571 HOMELESS INDIVIDUALS; SPA 5 HAD 3,512 HOMELESS INDIVIDUALS; AND SPA 6 HAD 8,735 HOMELESS. HEALTH ACCESS* IN SPA 6, OVER ONE-QUARTER OF THE POPULATION (26.0%) WERE UNINSURED; 21.9% WERE UNINSURED IN SPA 4 AND 11.6% WERE UNINSURED IN SPA 5. * IN SPA 4, 39.2% OF THE POPULATION HAS EMPLOYMENT-BASED INSURANCE. IN SPA 5, 50.6% HAVE EMPLOYMENT-BASED INSURANCE. IN SPA 6, 22.1% HAVE EMPLOYMENT-BASED INSURANCE. INSURANCE COVERAGEMEDI-CAL: SPA 4 (19%), SPA 5 (5.1%), SPA 6 (35.3%), LOS ANGELES COUNTY (17.5%)HEALTHY FAMILIES: SPA 4 (2.3%), SPA 5 (0.1%), SPA 6 (2.7%), LOS ANGELES COUNTY (2.0%)MEDICARE ONLY: SPA 4 (1.2%), SPA 5 (0.8%), SPA 6 (1.0%), LOS ANGELES COUNTY (0.9%)MEDI-CAL/MEDICARE: SPA 4 (5.1%), SPA 5 (4.1%), SPA 6 (5.7%), LOS ANGELES COUNTY (3.5%)MEDICARE & OTHERS: SPA 4 (4.3%), SPA 5 (14.9%), SPA 6 (2.4%), LOS ANGELES COUNTY (6.7%)OTHER PUBLIC: SPA 4 (1.7%), SPA 5 (1.7%), SPA 6 (0.8%), LOS ANGELES COUNTY (1.6%)EMPLOYMENT BASED: SPA 4 (39.2%), SPA 5 (50.6%), SPA 6 (22.1%), LOS ANGELES COUNTY (44.8%)PRIVATE PURCHASE: SPA 4 (5.3%), SPA 5 (11.1%), SPA 6 (3.6%), LOS ANGELES COUNTY (6.0%)NO INSURANCE: SPA 4 (21.9%), SPA 5 (11.6%), SPA 6 (26.4%), LOS ANGELES COUNTY (17.0%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* COMMUNITY CLINICS PROVIDE PRIMARY CARE (INCLUDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES) FOR UNINSURED AND MEDICALLY UNDERSERVED POPULATIONS. EVEN WITH COMMUNITY HEALTH CENTERS SERVING THE COMMUNITY BENEFIT SERVICE AREA, THERE ARE A SIGNIFICANT NUMBER OF LOW-INCOME RESIDENTS WHO ARE NOT SERVED BY ONE OF THESE CLINIC PROVIDERS. 577,147 LOW-INCOME RESIDENTS, APPROXIMATELY 84.8% OF THE POPULATION AT OR BELOW 200% FPL ARE NOT SERVED BY A COMMUNITY HEALTH CENTER.* ADULTS IN THE COMMUNITY BENEFIT SERVICE AREA EXPERIENCE A NUMBER OF BARRIERS TO ACCESSING CARE, INCLUDING: COST OF CARE, LACK OF A MEDICAL HOME, LANGUAGE BARRIERS, AND LACK OF TRANSPORTATION. ADULTS IN SPA 6 HAD HIGHER RATES OF BEING UNABLE TO AFFORD CARE.* 12.6% OF CHILDREN IN SPA 4, 13.6% OF CHILDREN IN SPA 5 AND 15.7% OF CHILDREN IN SPA 6 HAD NEVER BEEN TO A DENTIST. BIRTH CHARACTERISTICS* IN 2010, THERE WERE 23,789 BIRTHS IN THE AREA.* TEEN BIRTHS OCCURRED AT A RATE OF 85.1 PER 1,000 BIRTHS (OR 8.5% OF TOTAL BIRTHS). THIS RATE IS LOWER THAN THE COUNTY RATE OF 8.8% TEEN BIRTHS. BIRTHS TO TEENAGE MOTHERS (UNDER AGE 20) BY GEOGRAPHICAL AREACEDARS-SINAI SERVICE AREA: BIRTHS TO TEEN MOTHERS (2,025), LIVE BIRTHS (23,789), RATE PER 1,000 LIVE BIRTHS (85.1)LOS ANGELES COUNTY: BIRTHS TO TEEN MOTHERS (11,677), LIVE BIRTHS (132,175), RATE PER 1,000 LIVE BIRTHS (88.3)CALIFORNIA: BIRTHS TO TEEN MOTHERS (43,651), LIVE BIRTHS (511,825), RATE PER 1,000 LIVE BIRTHS (85.3)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* PREGNANT WOMEN IN THE SERVICE AREA ENTERED PRENATAL CARE LATE - AFTER THE FIRST TRIMESTER - AT A RATE OF 133.7 PER 1,000 LIVE BIRTHS. THIS RATE OF LATE ENTRY INTO PRENATAL CARE TRANSLATES TO 86.6% OF WOMEN ENTERING PRENATAL CARE WITHIN THE FIRST TRIMESTER. THIS IS MARGINALLY BETTER THAN THE LA COUNTY RATE OF 86.2%.
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: (CONTINUED)* LOW BIRTH WEIGHT IS A NEGATIVE BIRTH INDICATOR. BABIES BORN AT A LOW BIRTH WEIGHT ARE AT HIGHER RISK FOR DISEASE, DISABILITY AND POSSIBLY DEATH. FOR THIS MEASUREMENT, A LOWER RATE IS A BETTER INDICATOR. THE CEDARS-SINAI SERVICE AREA RATE OF LOW BIRTH WEIGHT BABIES IS 7.9% (79.0 PER 1,000 LIVE BIRTHS). THIS IS HIGHER THAN THE STATE RATE OF 6.8% (68.1 PER 1,000 LIVE BIRTHS).* THE INFANT (LESS THAN ONE YEAR OF AGE) MORTALITY RATE IN THE CEDARS-SINAI SERVICE AREA WAS 5.2 DEATHS PER 1,000 LIVE BIRTHS. IN COMPARISON, THE INFANT DEATH RATE IN THE STATE WAS SLIGHTLY LOWER AT 4.7 DEATHS PER 1,000 LIVE BIRTHS. * BREASTFEEDING RATES AT CEDARS-SINAI INDICATE 95.1% OF NEW MOTHERS USE SOME BREASTFEEDING AND 68.6% USE BREASTFEEDING EXCLUSIVELY. THESE RATES ARE BETTER THAN FOUND AMONG HOSPITALS IN LA COUNTY AND THE STATE.MORTALITY/CAUSES OF DEATH* THE LEADING CAUSE OF PREMATURE DEATH (BEFORE AGE 75) FOR SPAS 4 AND 5 IS HEART DISEASE. FOR SPA 6 THE LEADING CAUSE OF PREMATURE DEATH IS HOMICIDE. THE THREE LEADING CAUSES OF DEATH IN THE COMMUNITY BENEFIT SERVICE AREA ARE HEART DISEASE, CANCER AND STROKE. * THE HEART DISEASE MORTALITY RATE IN THE COMMUNITY BENEFIT SERVICE AREA IS 169.0 PER 100,000 PERSONS, WHICH DOES NOT MEET THE HEALTHY PEOPLE 2020 OBJECTIVE OF 100.8 DEATHS PER 100,000 PERSONS. MORTALITY RATES, PER 100,000 PERSONS, 2010CEDARS-SINAI SERVICE AREA: HEART DISEASE: NUMBER (2,967), RATE (169.0)CANCER: NUMBER (2,500), RATE (142.40)STROKE: NUMBER (563), RATE (32.1)CHRONIC LOWER RESPIRATORY DISEASE: NUMBER (408), RATE (23.2)INFLUENZA AND PNEUMONIA: NUMBER (379), RATE (21.6)UNINTENTIONAL INJURIES: NUMBER (351), RATE (20.0)ALZHEIMER'S DISEASE: NUMBER (343), RATE (19.5)DIABETES: NUMBER (332), RATE (18.9)LIVER DISEASE: NUMBER (186), RATE (10.6)SUICIDE: NUMBER (150), RATE (8.5)CALIFORNIA: HEART DISEASE: RATE (155.7)CANCER: RATE (150.6)STROKE: RATE (36.4)CHRONIC LOWER RESPIRATORY DISEASE: RATE (34.7)INFLUENZA AND PNEUMONIA: RATE (15.7)UNINTENTIONAL INJURIES: RATE (27.1)ALZHEIMER'S DISEASE: RATE (29.1)DIABETES: RATE (18.9)LIVER DISEASE: RATE (11.4)SUICIDE: RATE (10.3)HP 2020: HEART DISEASE: RATE (100.8)CANCER: RATE (160.6)STROKE: RATE (33.8)CHRONIC LOWER RESPIRATORY DISEASE: RATE (98.5)INFLUENZA AND PNEUMONIA: NO OBJECTIVEUNINTENTIONAL INJURIES: RATE (36.0)ALZHEIMER'S DISEASE: NO OBJECTIVEDIABETES: RATE (65.8)LIVER DISEASE: NO OBJECTIVESUICIDE: RATE (10.2)SOURCE: CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, 2010CHRONIC DISEASE* DIABETES IS A GROWING CONCERN IN THE COMMUNITY. 15.8% OF ADULTS IN SPA 6 AND 8.3% IN SPAS 4 AND 5 HAVE BEEN DIAGNOSED WITH DIABETES. IN SPAS 4 AND 6 ASIANS HAVE THE HIGHEST RATES OF DIABETES AND IN SPA 5 LATINOS HAVE THE HIGHEST RATES OF DIABETES.ADULT DIABETES DIAGNOSED PRE/BORDERLINE DIABETIC: SPA 4 (4.6%), SPA 5 (6.5%), SPA 6 (2.9%), LOS ANGELES COUNTY (7.1%)DIAGNOSED WITH DIABETES: SPA 4 (8.3%), SPA 5 (8.3%), SPA 6 (15.8%), LOS ANGELES COUNTY (10.9%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* HEART DISEASE HAS BEEN DIAGNOSED AMONG 7% OF ADULTS IN SPA 4, 6.2% OF SPA 5 AND 5% OF ADULTS IN SPA 6 HAVE BEEN DIAGNOSED WITH HEART DISEASE. IN SPA 4, LATINOS (7.6%) HAVE THE HIGHEST RATE OF HEART DISEASE. WHITES IN SPA 5 (8.6%) AND SPA 6 (39.3%) HAVE THE HIGHEST RATES OF BEING DIAGNOSED WITH HEART DISEASE. MEN HAVE HIGHER RATES OF HEART DISEASE THAN WOMEN.ADULT HEART DISEASEDIAGNOSED WITH HEART DISEASE: SPA 4 (7%), SPA 5 (6.2%), SPA 6 (5.0%), LOS ANGELES COUNTY (5.8%)* HYPERTENSION (HIGH BLOOD PRESSURE) IS A HEALTH FACTOR THAT CAN NEGATIVELY IMPACT DIABETES AND HEART DISEASE. IN SPA 4, 61.5% OF ADULTS HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. IN SPA 5, 24.2% HAVE HIGH BP AND IN SPA 6, 34.1% OF ADULTS HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. HIGH BLOOD PRESSUREDIAGNOSED WITH HIGH BLOOD PRESSURE: SPA 4 (26.0%), SPA 5 (24.2%), SPA 6 (34.1%), LOS ANGELES COUNTY (27.6%)TAKES MEDICATION FOR HIGH BLOOD PRESSURE: SPA 4 (61.5%), SPA 5 (83.4%), SPA 6 (63.4%) LOS ANGELES COUNTY (70.2%)* THE POPULATION DIAGNOSED WITH ASTHMA IN SPA 4 IS 11.3%, IN SPA 5 12.5% AND IN SPA 6 IS 13.5%. AMONG YOUTH IN SPA 4, 11.6% HAVE BEEN DIAGNOSED WITH ASTHMA, 10.8% IN SPA 5 AND 15.7% OF YOUTH IN SPA 6 HAVE BEEN DIAGNOSED ASTHMA.* THE TOP THREE AMBULATORY CARE SENSITIVE (ACS) CONDITIONS RESULTING IN HOSPITALIZATION ARE CONGESTIVE HEART FAILURE, DIABETES AND PNEUMONIA. A LOOK AT THE ER RATES FOR THE ACS CONDITIONS INDICATES THAT URINARY TRACT INFECTIONS, ASTHMA AND DIABETES ARE THE TOP THREE CONDITIONS PRESENTING AT THE ER.HEALTH BEHAVIORS:* IN SPA 5, 13.1% OF CHILDREN ARE OVERWEIGHT, 12.3% IN SPA 4 AND 11.8% OF CHILDREN IN SPA 6 ARE OVERWEIGHT. OVER ONE-THIRD OF ADULTS ARE OVERWEIGHT IN SPA 6 (38.4%). IN SPA 4 28% AND IN SPA 5 29% OF ADULTS ARE OVERWEIGHT. * ADULT OVERWEIGHT AND OBESITY BY RACE AND ETHNICITY INDICATES OVER HALF OF THE ADULT POPULATION AMONG LATINOS ARE OVERWEIGHT OR OBESE.OVERWEIGHTADULT: SPA 4 (28.0%), SPA 5 (29.0%), SPA 6 (38.4%), LOS ANGELES COUNTY (33.2%)TEEN: SPA 4 (29.3%), SPA 5 (20.8%), SPA 6 (11.3%), LOS ANGELES COUNTY (18.6%)CHILD: SPA 4 (12.3%), SPA 5 (13.1%), SPA 6 (11.8%), LOS ANGELES COUNTY (12.1%)ADULT OVERWEIGHT AND OBESITY BY RACE/ETHNICITYAFRICAN AMERICAN: SPA 4 (48.8%), SPA 5 (47.5%), SPA 6 (56.2%), LOS ANGELES COUNTY (65.0%)ASIAN: SPA 4 (19.6%), SPA 5 (21.9%), SPA 6 (85.1%), LOS ANGELES COUNTY (34.9%)LATINO: SPA 4 (61.9%), SPA 5 (69.8%), SPA 6 (69.9%), LOS ANGELES COUNTY (64.0%)WHITE: SPA 4 (44.0%), SPA 5 (40.3%), SPA 6 (63.7%), LOS ANGELES COUNTY (51.5%)* IN SERVICE PLANNING AREA 4, 14.8% OF CHILDREN AND TEENS CONSUME TWO OR MORE SODA OR SWEETENED DRINKS A DAY. 21.3% OF CHILDREN AND TEENS IN SPA 5 AND 21.7% IN SPA 6 CONSUME TWO OR MORE SODA OR SWEETENED DRINKS A DAY.* IN SPA 4 AND SPA 6 OVER HALF OF THE CHILDREN CONSUME FIVE FRUITS AND VEGETABLES IN A DAY. IN SPA 5, 45.9% OF CHILDREN CONSUME FIVE SERVINGS OF FRUIT AND VEGETABLES DAILY. FRESH FRUIT AND VEGETABLE CONSUMPTION DECREASES CONSIDERABLY AMONG TEENS. * IN SPA 4, 50.2% OF CHILDREN ENGAGED IN VIGOROUS PHYSICAL ACTIVITY AT LEAST THREE DAYS A WEEK. IN SPA 5, 75.7% AND IN SPA 6, 61.5% OF CHILDREN ENGAGED IN VIGOROUS PHYSICAL ACTIVITY. AND OVER 74% OF YOUTH VISITED A PARK, PLAYGROUND OR OPEN SPACE. HOWEVER, 15.1% OF CHILDREN IN SPA 4, 6.6% IN SPA 5, AND 15.2% IN SPA 6 WERE SEDENTARY DURING THE WEEK. * THE RATE OF HIV/AIDS DIAGNOSED IN 2011 HAS DECREASED FROM 2010. RATES OF DIAGNOSIS OF HIV/AIDS ARE HIGHER IN SPAS 4 AND 6 THAN FOUND IN THE COUNTY.* SPA 6 HAS HIGH RATES OF CHLAMYDIA (966.9 PER 100,000 PERSONS) AND GONORRHEA (225.7). SPA 4 HAS RATES OF PRIMARY AND SECONDARY SYPHILIS (20.9) AND EARLY LATENT SYPHILIS (31.5). FEMALES HAVE THE HIGHEST RATES OF CHLAMYDIA. YOUNG ADULTS, AGES 20-24, AND BLACKS/AFRICAN AMERICANS HAVE THE HIGHEST RATES OF SEXUALLY TRANSMITTED INFECTIONS.* BEVERLY HILLS (8%) AND CULVER CITY (8.7%) HAVE LOW RATES OF SMOKING IN THE SERVICE AREA. WEST HOLLYWOOD (19.6%) HAD THE HIGHEST RATE OF SMOKING IN THE TARGET SERVICE AREA.* AMONG ADULTS, 27.8% IN SPA 4, 29.2% IN SPA5, AND 25.2% IN SPA 6 HAD ENGAGED IN BINGE DRINKING IN THE PAST YEAR. IN SPA 4, LESS THAN 1% OF TEENS AND 5.6% OF TEENS IN SPA 5 HAD ENGAGED IN BINGE DRINKING.* AMONG ADULTS, 10.7% IN SPA 4, 3.6% IN SPA 5, AND 14.8% IN SPA 6 EXPERIENCED SERIOUS PSYCHOLOGICAL DISTRESS IN THE PAST YEAR. 19.4% OF ADULTS NEEDED HELP FOR MENTAL HEALTH PROBLEMS IN SPA 4, 16% IN SPA 5, AND 13.2% OF ADULTS IN SPA 6 NEEDED HELP FOR MENTAL HEALTH PROBLEMS.* 3.5% OF TEENS NEEDED HELP FOR MENTAL HEALTH PROBLEMS IN SPA 4, 9.7% IN SPA 5, AND 26.4% OF TEENS IN SPA 6 NEEDED HELP FOR MENTAL HEALTH PROBLEMS. MENTAL HEALTH INDICATORS, TEENS TEENS WHO NEEDED HELP FOR EMOTIONAL-MENTAL AND/OR ALCOHOL-DRUG ISSUES IN PAST YEAR: SPA 4 (3.5%), SPA 5 (9.7%), SPA 6 (26.4%), LOS ANGELES COUNTY (15.3%)TEENS RECEIVED PSYCHOLOGICAL/EMOTIONAL COUNSELING IN PAST YEAR: SPA 4 (5.7%), SPA 5 (23.4%), SPA 6 (4.3%), LOS ANGELES COUNTY (7.5%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* OVER HALF THE ADULTS IN SPA 4 (52.6%) AND IN SPA 6 (56.4%), AND 41.2% OF ADULTS IN SPA 5 WHO NEEDED HELP FOR AN EMOTIONAL OR MENTAL HEALTH PROBLEM DID NOT RECEIVE TREATMENT.* AMONG SENIORS, 42.9% IN SPA 6, 62.6% IN SPA 4, AND 72% IN SPA 5 HAD RECEIVED A FLU SHOT. OVER HALF THE SENIORS IN SPA 4 (54.6%), SPA 5 (71.5% AND SPA 6 (51.1%) HAD OBTAINED A PNEUMONIA VACCINE.FLU VACCINERECEIVED FLU VACCINE, 65+ YEARS OLD: SPA 4 (62.6%), SPA 5 (73.0%), SPA 6 (42.9%), LOS ANGELES COUNTY (63.8%)RECEIVED FLU VACCINE, 18-64: SPA 4 (18.5%), SPA 5 (34.3%), SPA 6 (25.3%), LOS ANGELES COUNTY (27.3%)RECEIVED FLU VACCINE, 0-17 YEARS OLD: SPA 4 (48.8%), SPA 5 (47.6%), SPA 6 (42.3%), LOS ANGELES COUNTY (45.4%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: (CONTINUED)* THE HEALTHY PEOPLE 2020 OBJECTIVE FOR MAMMOGRAMS IS THAT 81.1% OF WOMEN 40+ YEARS HAVE A MAMMOGRAM IN THE PAST TWO YEARS. IN SPA 4, 68.5% OF WOMEN HAVE HAD A MAMMOGRAM, 78.5% IN SPA 5, AND 72% OF WOMEN, AGE 40+, HAD A MAMMOGRAM IN SPA 6.* THE HEALTHY PEOPLE 2020 OBJECTIVE FOR PAP SMEARS IN THE PAST THREE YEARS IS 93%. IN SPA 4, 84.6% OF WOMEN HAD A PAP SMEAR, IN SPA 5, 87.3% AND IN SPA 6, 88.3% OF WOMEN HAVE HAD A PAP SMEAR IN THE PAST THREE YEARS. * THE HEALTHY PEOPLE 2020 OBJECTIVE FOR COLORECTAL CANCER SCREENING IS 70.5%. SPA 4 (73.1%) AND SPA 5 (81.3%) EXCEED THIS SCREENING OBJECTIVE. WITH 67.1% OF ADULTS OBTAINING COLORECTAL SCREENING, SPA 6 HAS A RATE LESS THAN THE HEALTHY PEOPLE 2020 OBJECTIVE. COMMUNITY STAKEHOLDER INTERVIEWS MANY OF THE ISSUES OF GREATEST CONCERN TO THE INTERVIEWEES STEM FROM THE IMPACT OF THE ECONOMIC DOWNTURN AND ECONOMIC INSECURITY* LACK OF MONEY/POVERTY* HOUSING COSTS* UNEMPLOYMENT AND UNDEREMPLOYMENT* LACK OF HEALTH INSURANCE AND DIFFICULTY ACCESSING HEALTH CARE* HIGH STRESS LEVELS, DEPRESSION AND HOPELESSNESS* LACK OF ACCESS TO QUALITY EDUCATION* INCREASES IN SUBSTANCE ABUSE AND DOMESTIC VIOLENCE* TRANSPORTATION CHALLENGESPEOPLE WHO FACE ECONOMIC INSECURITY OFTEN LIVE IN NEIGHBORHOODS WHERE THE ENVIRONMENT DOES NOT SUPPORT HEALTHY LIFESTYLE CHOICES. THIS RESULTS IN:* LACK OF ACCESS TO HEALTHY, AFFORDABLE FOOD (I.E., FOOD DESERTS)* "UBIQUITOUS PRESENCE" OF FAST FOOD OUTLETS, CORNER STORES AND UNREGULATED VENDORS THAT SELL JUNK FOOD AND DO NOT OFFER HEALTHY OPTIONS * LACK OF ACCESS TO SAFE RECREATIONAL OPPORTUNITIES AND PHYSICAL ACTIVITIES, INCLUDING PARKSIN ADDITION, THE FOLLOWING PUBLIC HEALTH PROBLEMS WERE IDENTIFIED AS CONCERNS:* HEPATITIS B, PARTICULARLY IN THE KOREAN POPULATION* HIV/AIDS* CHRONIC DISEASES, SUCH AS DIABETES AND HEART DISEASE, AND INCREASED INCIDENCE OF STROKE AND HEART PROBLEMS AMONG AFRICAN AMERICANS AND LATINOS* OBESITY, AMONG CHILDREN AND ADULTS* SEXUALLY TRANSMITTED INFECTIONS AND SEX EDUCATION * ALCOHOL AND TOBACCO USE, PARTICULARLY AMONG YOUTH* DENTAL CARE* VIOLENCEOTHER IMPORTANT ISSUES OF CONCERN IDENTIFIED BY THE INTERVIEWEES INCLUDED:* ACCESS TO QUALITY, AFFORDABLE PRIMARY AND SPECIALTY CARE DUE TO LACK OF HEALTH CARE SERVICE PROVIDERS* COORDINATION OF SERVICES* IMMIGRATION ISSUES - SUCH AS LIMITED ABILITY TO SPEAK ENGLISH AND CULTURAL ISOLATION* ISSUES RELATED TO BEING UNDOCUMENTED - SUCH AS FEARS OF DEPORTATION AND FEARS OF SEEKING SERVICES* HOMELESSNESS* DIFFICULTY AMONG OLDER ADULTS AND IMMIGRANT POPULATIONS IN UNDERSTANDING AND NAVIGATING HEALTH CARE OPTIONS AND SYSTEMS* ISSUES FOR OLDER ADULTS RELATED TO MOBILITY/TRANSPORTATION AND PLANNING FOR CARE* CONCERN WITHIN THE LATINO COMMUNITY THAT A LARGE PROPORTION OF THE COMMUNITY HAS A LOWER EDUCATION STATUS, WHICH IN TURN RESULTS IN REDUCED ACCESS TO HIGH-PAYING JOBS (AND HEALTH INSURANCE) AS WELL AS HIGHER POVERTY AND GREATER LIKELIHOOD OF LIVING IN NEIGHBORHOODS WITH ENVIRONMENTS THAT DO NOT PROMOTE HEALTH, INCREASING THE RISKS FOR VIOLENCE, OBESITY, ALCOHOL USE AND CHRONIC DISEASE.A NUMBER OF RECOMMENDATIONS WERE MADE TO IMPROVE HEALTH AND REDUCE DISPARITIES IN THE COMMUNITIES SERVED BY CEDARS-SINAI.* REDUCE HEALTH DISPARITIES AMONG ETHNIC COMMUNITIES, PARTICULARLY AMONG THE LATINO, KOREAN AND AFRICAN AMERICAN POPULATIONS* INCREASE THE NUMBER AND/OR CAPACITY OF PRIMARY CARE CLINICS TO MEET THE NEED/DEMAND FOR SERVICES* PROVIDE RESOURCES FOR CASE MANAGEMENT TO SUPPORT PATIENT COMPLIANCE WITH PROVIDER RECOMMENDATIONS FOR CHRONIC DISEASE MANAGEMENT* ADDRESS THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH - SUCH AS EDUCATION, JOBS AND HOUSING - AS THESE HAVE AS GREAT AN IMPACT ON OVERALL HEALTH STATUS AND ACCESS TO HEALTH SERVICES* FOCUS ON HEALTHY LIVING AND OBESITY PREVENTION THROUGH ADVOCACY AND POLICY THAT INCREASES ACCESS TO AFFORDABLE, FRESH FRUITS AND VEGETABLES (AND REDUCES ACCESS TO FAST FOOD, SODA AND OTHER JUNK FOOD), AND TO SAFE PLACES FOR PHYSICAL ACTIVITY * ASSURE THERE ARE REFERRALS AND FOLLOW-UP RESOURCES FOR CONDITIONS DETECTED THROUGH SCREENINGS (E.G., BREAST HEALTH CONCERNS, HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR LEVELS)* AFFORDABLE MENTAL HEALTH SERVICES NEED TO BE INCREASED, NOT REDUCED* A COORDINATED, COUNTYWIDE FIGHT AGAINST DIABETES IS NEEDED* FOSTER COLLABORATIONS AS A WAY TO SHARE INFORMATION ACROSS ORGANIZATIONS AND REDUCE UNNECESSARY DUPLICATIONS* ASSESS AND ADDRESS HEALTH DISPARITIES AMONG OLDER POPULATIONSIDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDSBASED ON THE RESULTS OF THE PRIMARY AND SECONDARY DATA COLLECTION, AND THE EXAMINATION OF AMBULATORY CARE SENSITIVE CONDITIONS, HEALTH NEEDS WERE IDENTIFIED. EACH HEALTH NEED WAS CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE (I.E., THE HEALTH NEED WAS SUGGESTED BY MORE THAN ONE SOURCE OF SECONDARY OR PRIMARY DATA). IN ADDITION, THE HEALTH NEEDS WERE BASED ON THE SIZE OF THE PROBLEM (NUMBER OF PEOPLE PER 1,000, 10,000, OR 100,000 POPULATION); OR THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF A PROBLEM, THE HEALTH NEED INDICATORS IDENTIFIED IN THE SECONDARY DATA WERE MEASURED AGAINST BENCHMARK DATA, SPECIFICALLY CALIFORNIA STATE RATES OR HEALTHY PEOPLE 2020 OBJECTIVES. INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST THESE BENCHMARKS WERE CONSIDERED TO HAVE MET THE SIZE OR SERIOUSNESS CRITERIA. ADDITIONALLY, PRIMARY DATA SOURCES WERE ASKED TO IDENTIFY COMMUNITY AND HEALTH ISSUES BASED ON THE PERCEIVED SIZE OR SERIOUSNESS OF A PROBLEM. THE IDENTIFIED HEALTH NEEDS IN ALPHABETICAL ORDER:ACCESS TO CARE* DENTAL CARE* INSURANCE COVERAGE* MEDICATIONS* MENTAL HEALTH* PRIMARY CARE * SPECIALTY CARE* TRANSPORTATIONCHRONIC DISEASE* ASTHMA* CANCER* CARDIOVASCULAR DISEASE* DIABETES* MEDICATIONS* OVERWEIGHT AND OBESITY: HEALTHY FOOD CHOICES* OVERWEIGHT AND OBESITY: PHYSICAL ACTIVITY* PREVENTIVE CARE AND ONGOING MONITORINGHEALTH BEHAVIORS* ALCOHOL USE* HEALTH EDUCATION* PREVENTIVE CARE (PAP SMEARS, MAMMOGRAMS, VACCINES)* SEXUALLY TRANSMITTED DISEASES* SMOKINGPRIORITIZATION PROCESS PRIORITY SETTING IS A REQUIRED STEP IN THE COMMUNITY BENEFIT PLANNING PROCESS. THE IRS REGULATIONS INDICATE THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT MUST PROVIDE A PRIORITIZED DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AND INCLUDE A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN PRIORITIZING THE HEALTH NEEDS. CEDARS-SINAI COMPLETED THE FOLLOWING STEPS TO PRIORITIZE HEALTH NEEDS THAT EMERGED AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):CEDARS-SINAI ENGAGED BIEL CONSULTING, TO LEAD THE CHNA EFFORT. THE CHNA RESULTS INTEGRATED SECONDARY DATA OBTAINED FROM NUMEROUS DATA SOURCES, AS WELL AS PRIMARY DATA COLLECTED THROUGH A SERIES OF INTERVIEWS ON COMMUNITY HEALTH NEEDS. THE CHNA DATA COLLECTION AND ANALYSIS OCCURRED FROM JULY TO OCTOBER 2012. THE PRELIMINARY CHNA RESULTS WERE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, IN NOVEMBER, 2012. THE COMMUNITY BENEFIT COMMITTEE PROVIDED FEEDBACK ON THE PRELIMINARY ANALYSIS. THE CEDARS-SINAI COMMUNITY BENEFIT ADVISORY GROUP, MADE UP OF CEDARS-SINAI MANAGEMENT AND EXECUTIVES ACROSS DISCIPLINES, MET IN FEBRUARY, 2013 TO REVIEW THE CHNA RESULTS AND COMMUNITY HEALTH NEEDS. THE COMMUNITY BENEFIT ADVISORY GROUP PRIORITIZED HEALTH NEEDS RANKING EACH HEALTH NEED - LOW, MEDIUM OR HIGH - FOR ALL THE IDENTIFIED CRITERIA. PRIORITY SETTING CRITERIA* CURRENT AREA OF COMMUNITY BENEFIT FOCUS: CEDARS-SINAI HAS ACKNOWLEDGED COMPETENCIES AND EXPERTISE TO ADDRESS THE HEALTH NEED; AND THE HEALTH NEED FITS WITH THE ORGANIZATIONAL MISSION.* ESTABLISHED RELATIONSHIPS: CEDARS-SINAI HAS ESTABLISHED RELATIONSHIPS WITH COMMUNITY PARTNERS TO ADDRESS THE HEALTH NEED.* ORGANIZATIONAL CAPACITY: CEDARS-SINAI HAS THE CAPACITY TO ADDRESS THE HEALTH NEED. BASED ON THESE CRITERIA, HEALTH NEEDS THAT OBTAINED HIGH RANKINGS ON ANY OF THE CRITERIA WERE IDENTIFIED AS COMMUNITY BENEFIT PRIORITY AREAS.
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: (CONTINUED)THE PRIORITIZED HEALTH NEEDS WERE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE IN FEBRUARY, 2012 FOR REVIEW AND APPROVAL. TIME WAS ALLOTTED TO INCORPORATE FEEDBACK ON THE PRIORITIZED NEEDS. THE APPROVED PRIORITIZED HEALTH NEEDS ARE:PRIORITIZED HEALTH NEEDS1. PRIORITIZED BY AREAS OF HIGHEST NEED IN CEDARS-SINAI'S SERVICE AREA, WITH A PARTICULAR FOCUS ON SERVICE PLANNING AREAS 4 AND 6 (INCLUDING ZIP CODES THAT MAY BE SLIGHTLY OUTSIDE OUR SERVICE AREA), THESE PLANNING AREAS INCLUDE DIVERSE, LOW-INCOME COMMUNITIES WHERE THERE ARE MORE UNINSURED ADULTS AND CHILDREN AND GREATER HEALTH CHALLENGES THAN IN OTHER PARTS OF LOS ANGELES. WE ALSO FOCUS ON HIGH-NEED POPULATIONS CLOSER TO CEDARS-SINAI. 2. SELECTED COMMUNITY BENEFIT EFFORTS ARE FOCUSED ON INCREASING AND SUPPORTING ACCESS TO HEALTH CARE SERVICES THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS.PRIMARY CARESPECIALTY CAREMENTAL HEALTHPREVENTIVE CAREHEALTH EDUCATION3. SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS.CARDIOVASCULAR DISEASEDIABETESCANCEROVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITYPREVENTIVE CAREHEALTH EDUCATIONTHE CHNA, THE PRIORITIZED HEALTH NEEDS AND CEDARS-SINAI'S IMPLEMENTATION STRATEGY WERE PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL IN MAY, 2013. TIME WAS ALLOTTED FOR INCORPORATING FEEDBACK FOR ALL DOCUMENTS.
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 3: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWENTY-THREE INTERVIEWS WERE COMPLETED DURING JULY THROUGH SEPTEMBER, 2012. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY CEDARS-SINAI WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY." INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS:* THE DIRECTOR OF THE DIVISION OF CHRONIC DISEASE AND INJURY PREVENTION AT THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH WHO IS ALSO AN ADJUNCT PROFESSOR, DEPARTMENT OF EPIDEMIOLOGY, UCLA SCHOOL OF PUBLIC HEALTH.* THE AREA HEALTH OFFICER FOR THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SERVICE PLANNING AREA 6 WHO PRIOR TO JOINING THE LA COUNTY DEPARTMENT OF HEALTH SERVICES WAS AN EPIDEMIC INTELLIGENCE SERVICE OFFICER FOR THE CENTER FOR DISEASE CONTROL.* THE AREA HEALTH OFFICER FOR THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SERVICE PLANNING AREA 4.SCHEDULE H, PART V, SECTION B, LINE 5A:THE CHNA AND THE IMPLEMENTATION STRATEGY ARE POSTED ON THE HOSPITAL'S WEBSITE WWW.CEDARS-SINAI.EDU/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT AND ARE AVAILABLE UPON REQUEST
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 7: THE PRIORITY HEALTH NEEDS IDENTIFIED WERE DETERMINED THROUGH A DATA COLLECTION, ANALYSIS AND PRIORITIZATION PROCESS. DUE TO THE SHEER QUANTITY AND SCOPE OF ALL OF THE COMMUNITY'S HEALTH NEEDS IDENTIFIED, IT IS CRUCIAL THAT THERE BE PRIORITIZATION TO ENSURE THAT THE COMMUNITY BENEFIT INITIATIVES UNDERTAKEN ARE EFFECTIVE IN IMPROVING THE HEALTH OF THE COMMUNITIES. THE PRIORITIZATION CRITERIA INCLUDE GEOGRAPHY (TO FOCUS ON THOSE SPAS IN GREATEST NEED), EXISTING RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS AND ORGANIZATIONAL CAPACITY. IN LINE WITH CEDARS-SINAI'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, CEDARS-SINAI IS ALSO ENGAGING IN COMMUNITY BENEFIT PROGRAM EVALUATIONS TO ENSURE MAXIMUM IMPACT OF CEDARS-SINAI'S SIGNATURE COMMUNITY BENEFIT STRATEGIES. THE NUMEROUS AND DIVERSE PROGRAMS, PARTNERSHIPS AND STRATEGIES PRIORITIZED HIGHEST, BASED ON THE IDENTIFIED CRITERIA, WERE SELECTED IN ORDER TO MAXIMIZE EFFECTIVENESS IN ADDRESSING HEALTH NEEDS IN UNDERSERVED COMMUNITIES SERVED BY CEDARS-SINAI. IN ANY PRIORITIZATION TO MAXIMIZE EFFECTIVENESS, THERE WILL BE SOME AREAS THAT DO NOT MEET AS MANY OF THE CRITERIA OF THE PRIORITY AREAS, AND THUS MAY NOT BE ADDRESSED IN THE IMPLEMENTATION. THIS IS NOT INTENDED TO MINIMIZE THE IMPORTANCE OF THOSE HEALTH NEEDS; IT IS A REALITY OF HAVING A STRATEGIC FOCUS ON EFFECTIVENESS TO IMPROVE COMMUNITY HEALTH. THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA BUT NOT PRIORITIZED FOR 2013-2016 WERE MEDICATIONS, HEALTHCARE INSURANCE OUTREACH AND ENROLLMENT, DENTAL CARE, ASTHMA, ALCOHOL AND DRUG USE, TRANSPORTATION, SMOKING AND SEXUALLY TRANSMITTED DISEASES. ALTHOUGH ALL OF THESE AREAS REPRESENT IMPORTANT COMMUNITY HEALTH NEEDS, THEY WERE PRIORITIZED LOWER BECAUSE THEY MET FEWER OF THE CRITERIA (E.G., EXISTING RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS, ORGANIZATIONAL CAPACITY).
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 14G: SINCE THE MEDICAL CENTER'S POLICY (INCLUDING ATTACHMENTS) 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 PATIENTS 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 HEALTH PLANNING AND DEVELOPMENT (OSHPD) AT WWW.OSHPD.CA.GOV/. THE MEDICAL CENTER ALSO ATTEMPTS TO LINK THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE TO GOVERNMENT PROGRAMS.

Schedule H (Form 990) 2013

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	CEDARS-SINAI MEDICAL CENTER 310 SAN VICENTE BLVD WEST HOLLYWOOD,CA90048	OUTPATIENT SURGICAL
2	CEDARS-SINAI MEDICAL CENTER 8723 ALDEN DRIVE LOS ANGELES,CA90048	OUTPATIENT SERVICES-AMBULATORY CARE/ENDOCRINOLOGY/PRIMARY ADULT CARE
3	CEDARS-SINAI MEDICAL CENTER 8631 W 3RD STREET LOS ANGELES,CA90048	OUTPATIENT SERVICES-BLOOD DRAW/CARDIOLOGY/PITUITARY CTR/RADIOLOGY/ETC.
4	CEDARS-SINAI MEDICAL CENTER 8536 WILSHIRE BLVD BEVERLY HILLS,CA90211	OUTPATIENT SERVICES-NUCLEAR CARDIAC STRESS
5	CEDARS-SINAI MEDICAL CENTER 444 S SAN VICENTE BLVD LOS ANGELES,CA90048	OUTPATIENT SERVICES-GAMMA KNIFE/PAIN CTR/PRENATAL DIAG/REHAB/ETC.
6	CEDARS-SINAI MEDICAL CENTER 8635 W 3RD STREET BEVERLY HILLS,CA90211	OUTPATIENT SERVICES-ORGAN TRANSPLANT/ETC.
7	CEDARS-SINAI MEDICAL CENTER 9090 WILSHIRE BLVD BEVERLY HILLS,CA90211	OUTPATIENT SERVICES-CANCER TREATMENT CENTER
8	CEDARS-SINAI MEDICAL CENTER 127 S SAN VICENTE BLVD LOS ANGELES,CA90048	OUTPATIENT SERVICES-NEUROSCIENCES/HEART INST/IMAGING/LAB SVC
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Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: TO IDENTIFY THE UNMET HEALTH NEEDS OF THE COMMUNITIES, AND TO PROVIDE A FRAMEWORK FOR PRIORITIZING ITS COMMUNITY HEALTH PROGRAMS, CEDARS-SINAI REGULARLY CONDUCTS A WIDE-RANGING COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS ASSESSMENTS ARE THE PRIMARY TOOLS USED TO DETERMINE A HOSPITAL'S "COMMUNITY BENEFIT" PLANS, THAT IS, HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY NEEDS THROUGH THE PROVISION OF COMMUNITY HEALTH SERVICES. COMMUNITY BENEFIT SERVICE AREACOMPARED WITH LOS ANGELES COUNTY OVERALL, CEDARS-SINAI'S COMMUNITY BENEFIT AREA CONTAINS A HIGHER PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LINE. THIS MAY BE SURPRISING TO SOME, AS THEY MAY NOT BE AWARE THAT NEARBY TO CEDARS-SINAI ARE SOME OF THE REGION'S POOREST COMMUNITIES AS WELL AS SOME OF ITS WEALTHIEST.CEDARS-SINAI IS LOCATED AT 8700 BEVERLY BOULEVARD, LOS ANGELES, CALIFORNIA 90048. ITS COMMUNITY BENEFIT SERVICE AREA INCLUDES LARGE PORTIONS OF LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS): 4 (METRO), 5 (WEST) AND 6 (SOUTH), AND SMALLER PORTIONS OF SPA 2 (SAN FERNANDO), SPA 7 (EAST) AND SPA 8 (SOUTH BAY).POPULATION CHARACTERISTICS DATA SOURCE: CLARITAS 2014 ESTIMATESCEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 1,795,400.RACETHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: WHITE (46%), BLACK/AFRICAN AMERICAN (16%), ASIAN (11%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.2%), AMERICAN INDIAN/ALASKAN NATIVE (0.7%), SOME OTHER RACE (22%), 2+ RACES (5%)ETHNICITYHISPANIC/LATINO (42%), NOT HISPANIC/LATINO (58%)AGELESS THAN 18 YEARS (21%), 18-24 (79%), 25-64 (69%), GREATER THAN 65 YEARS (12%)GENDERFEMALE (50%), MALE (50%)SOCIOECONOMIC STATUSFAMILIES LIVING BELOW POVERTY LINE (19%), FAMILIES WITH CHILDREN LIVING BELOW POVERTY LINE (15%)LOS ANGELES COUNTY (CURRENT):THE TOTAL POPULATION FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) IS 10,063,995.RACETHE POPULATION CHARACTERISTICS FOR CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA (CURRENT) ARE AS FOLLOWS: WHITE (50%), BLACK/AFRICAN AMERICAN (8%), ASIAN (14%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.3%), AMERICAN INDIAN/ALASKAN NATIVE (0.8%), SOME OTHER RACE (22%), 2+ RACES (5%)ETHNICITYHISPANIC/LATINO (49%), NOT HISPANIC/LATINO (51%)AGELESS THAN 18 YEARS (24%), 18-24 (76%), 25-64 (66%), GREATER THAN 65 YEARS (12%)GENDERFEMALE (49%), MALE (51%)SOCIOECONOMIC STATUSFAMILIES LIVING BELOW POVERTY LINE (14%), FAMILIES WITH CHILDREN LIVING BELOW POVERTY LINE (11%)DATA COLLECTIONSECONDARY DATATHE COMMUNITY HEALTH NEEDS ASSESSMENT USES DATA SOURCES FOR THE COMMUNITY BENEFIT SERVICE AREA TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, AND HEALTH BEHAVIORS. WHEN APPLICABLE, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND COMPARED TO THE HEALTHY PEOPLE 2020 OBJECTIVES. PRIMARY DATA - STAKEHOLDER INTERVIEWSTARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWENTY-THREE INTERVIEWS WERE COMPLETED. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. BELOW IS A SUMMARY OF THE KEY FINDINGS FROM THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (BOTH DATA AND INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS), FOLLOWED BY RECOMMENDATIONS FOR HOW TO IMPROVE HEALTH AND REDUCE DISPARITIES IN THE COMMUNITIES.SOCIAL AND ECONOMIC FACTORS* AMONG THE RESIDENTS IN THE SPAS REPRESENTED IN THE CEDARS-SINAI COMMUNITY BENEFIT SERVICE AREA, SPA 6 HAS THE HIGHEST POVERTY RATES: 48.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 74.9% ARE AT 200% OR BELOW FPL. IN SPA 4, 29% OF THE POPULATION IS AT THE POVERTY LEVEL, IN SPA 5, 12.2% ARE LIVING IN POVERTY. RATES OF POVERTY IN SPAS 4 AND 6 ARE HIGHER THAN FOUND IN THE COUNTY.* A VIEW OF CHILDREN IN POVERTY BY SERVICE PLANNING AREA (SPA) INDICATES THAT OVER HALF (57.6%) OF CHILDREN IN SPA 6 LIVE IN POVERTY, 41.7% OF CHILDREN IN SPA 4 AND 15.7% OF CHILDREN IN SPA 5 ARE <100% FPL. POVERTY LEVELS<100% FPL: SPA 4 (29.0%), SPA 5 (12.2%), SPA 6 (48.9%), LOS ANGELES COUNTY (22.7%)<200% FPL: SPA 4 (51.3%), SPA 5 (20.8%), SPA 6 (74.9%), LOS ANGELES COUNTY (42.9%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009CHILDREN IN POVERTY, AGES 0-170-99% FPL: SPA 4 (41.7%), SPA 5 (15.7%), SPA 6 (57.6%), LOS ANGELES COUNTY (29.3%)100-199% FPL: SPA 4 (24.8%), SPA 5 (9.3%), SPA 6 (24.6%), LOS ANGELES COUNTY (22.0%)200-299% FPL: SPA 4 (14.0%), SPA 5 (7.9%), SPA 6 (11.3%), LOS ANGELES COUNTY (12.6%)300% FPL AND ABOVE: SPA 4 (19.5%), SPA 5 (67.1%), SPA 6 (6.5%), LOS ANGELES COUNTY (36.1%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* THE MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY BENEFIT SERVICE AREA IS $47,608 AND THE AVERAGE HOUSEHOLD INCOME IS $69,500. * AMONG ADULTS, AGES 25 AND OLDER, IN THE CEDARS-SINAI SERVICE AREA, APPROXIMATELY ONE-FOURTH OF THE POPULATION (23.7%) HAVE NO HIGH SCHOOL DIPLOMA.* ACCORDING TO THE 2011 LOS ANGELES HOMELESS SERVICES AUTHORITY COUNT, SPA 4 HAD AN ANNUALIZED ESTIMATE OF 11,571 HOMELESS INDIVIDUALS; SPA 5 HAD 3,512 HOMELESS INDIVIDUALS; AND SPA 6 HAD 8,735 HOMELESS. HEALTH ACCESS* IN SPA 6, OVER ONE-QUARTER OF THE POPULATION (26.0%) WERE UNINSURED; 21.9% WERE UNINSURED IN SPA 4 AND 11.6% WERE UNINSURED IN SPA 5. * IN SPA 4, 39.2% OF THE POPULATION HAS EMPLOYMENT-BASED INSURANCE. IN SPA 5, 50.6% HAVE EMPLOYMENT-BASED INSURANCE. IN SPA 6, 22.1% HAVE EMPLOYMENT-BASED INSURANCE. INSURANCE COVERAGEMEDI-CAL: SPA 4 (19%), SPA 5 (5.1%), SPA 6 (35.3%), LOS ANGELES COUNTY (17.5%)HEALTHY FAMILIES: SPA 4 (2.3%), SPA 5 (0.1%), SPA 6 (2.7%), LOS ANGELES COUNTY (2.0%)MEDICARE ONLY: SPA 4 (1.2%), SPA 5 (0.8%), SPA 6 (1.0%), LOS ANGELES COUNTY (0.9%)MEDI-CAL/MEDICARE: SPA 4 (5.1%), SPA 5 (4.1%), SPA 6 (5.7%), LOS ANGELES COUNTY (3.5%)MEDICARE & OTHERS: SPA 4 (4.3%), SPA 5 (14.9%), SPA 6 (2.4%), LOS ANGELES COUNTY (6.7%)OTHER PUBLIC: SPA 4 (1.7%), SPA 5 (1.7%), SPA 6 (0.8%), LOS ANGELES COUNTY (1.6%)EMPLOYMENT BASED: SPA 4 (39.2%), SPA 5 (50.6%), SPA 6 (22.1%), LOS ANGELES COUNTY (44.8%)PRIVATE PURCHASE: SPA 4 (5.3%), SPA 5 (11.1%), SPA 6 (3.6%), LOS ANGELES COUNTY (6.0%)NO INSURANCE: SPA 4 (21.9%), SPA 5 (11.6%), SPA 6 (26.4%), LOS ANGELES COUNTY (17.0%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* COMMUNITY CLINICS PROVIDE PRIMARY CARE (INCLUDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES) FOR UNINSURED AND MEDICALLY UNDERSERVED POPULATIONS. EVEN WITH COMMUNITY HEALTH CENTERS SERVING THE COMMUNITY BENEFIT SERVICE AREA, THERE ARE A SIGNIFICANT NUMBER OF LOW-INCOME RESIDENTS WHO ARE NOT SERVED BY ONE OF THESE CLINIC PROVIDERS. 577,147 LOW-INCOME RESIDENTS, APPROXIMATELY 84.8% OF THE POPULATION AT OR BELOW 200% FPL ARE NOT SERVED BY A COMMUNITY HEALTH CENTER.* ADULTS IN THE COMMUNITY BENEFIT SERVICE AREA EXPERIENCE A NUMBER OF BARRIERS TO ACCESSING CARE, INCLUDING: COST OF CARE, LACK OF A MEDICAL HOME, LANGUAGE BARRIERS, AND LACK OF TRANSPORTATION. ADULTS IN SPA 6 HAD HIGHER RATES OF BEING UNABLE TO AFFORD CARE.* 12.6% OF CHILDREN IN SPA 4, 13.6% OF CHILDREN IN SPA 5 AND 15.7% OF CHILDREN IN SPA 6 HAD NEVER BEEN TO A DENTIST. BIRTH CHARACTERISTICS* IN 2010, THERE WERE 23,789 BIRTHS IN THE AREA.* TEEN BIRTHS OCCURRED AT A RATE OF 85.1 PER 1,000 BIRTHS (OR 8.5% OF TOTAL BIRTHS). THIS RATE IS LOWER THAN THE COUNTY RATE OF 8.8% TEEN BIRTHS. BIRTHS TO TEENAGE MOTHERS (UNDER AGE 20) BY GEOGRAPHICAL AREACEDARS-SINAI SERVICE AREA: BIRTHS TO TEEN MOTHERS (2,025), LIVE BIRTHS (23,789), RATE PER 1,000 LIVE BIRTHS (85.1)LOS ANGELES COUNTY: BIRTHS TO TEEN MOTHERS (11,677), LIVE BIRTHS (132,175), RATE PER 1,000 LIVE BIRTHS (88.3)CALIFORNIA: BIRTHS TO TEEN MOTHERS (43,651), LIVE BIRTHS (511,825), RATE PER 1,000 LIVE BIRTHS (85.3)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* PREGNANT WOMEN IN THE SERVICE AREA ENTERED PRENATAL CARE LATE - AFTER THE FIRST TRIMESTER - AT A RATE OF 133.7 PER 1,000 LIVE BIRTHS. THIS RATE OF LATE ENTRY INTO PRENATAL CARE TRANSLATES TO 86.6% OF WOMEN ENTERING PRENATAL CARE WITHIN THE FIRST TRIMESTER. THIS IS MARGINALLY BETTER THAN THE LA COUNTY RATE OF 86.2%.
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: (CONTINUED)* LOW BIRTH WEIGHT IS A NEGATIVE BIRTH INDICATOR. BABIES BORN AT A LOW BIRTH WEIGHT ARE AT HIGHER RISK FOR DISEASE, DISABILITY AND POSSIBLY DEATH. FOR THIS MEASUREMENT, A LOWER RATE IS A BETTER INDICATOR. THE CEDARS-SINAI SERVICE AREA RATE OF LOW BIRTH WEIGHT BABIES IS 7.9% (79.0 PER 1,000 LIVE BIRTHS). THIS IS HIGHER THAN THE STATE RATE OF 6.8% (68.1 PER 1,000 LIVE BIRTHS).* THE INFANT (LESS THAN ONE YEAR OF AGE) MORTALITY RATE IN THE CEDARS-SINAI SERVICE AREA WAS 5.2 DEATHS PER 1,000 LIVE BIRTHS. IN COMPARISON, THE INFANT DEATH RATE IN THE STATE WAS SLIGHTLY LOWER AT 4.7 DEATHS PER 1,000 LIVE BIRTHS. * BREASTFEEDING RATES AT CEDARS-SINAI INDICATE 95.1% OF NEW MOTHERS USE SOME BREASTFEEDING AND 68.6% USE BREASTFEEDING EXCLUSIVELY. THESE RATES ARE BETTER THAN FOUND AMONG HOSPITALS IN LA COUNTY AND THE STATE.MORTALITY/CAUSES OF DEATH* THE LEADING CAUSE OF PREMATURE DEATH (BEFORE AGE 75) FOR SPAS 4 AND 5 IS HEART DISEASE. FOR SPA 6 THE LEADING CAUSE OF PREMATURE DEATH IS HOMICIDE. THE THREE LEADING CAUSES OF DEATH IN THE COMMUNITY BENEFIT SERVICE AREA ARE HEART DISEASE, CANCER AND STROKE. * THE HEART DISEASE MORTALITY RATE IN THE COMMUNITY BENEFIT SERVICE AREA IS 169.0 PER 100,000 PERSONS, WHICH DOES NOT MEET THE HEALTHY PEOPLE 2020 OBJECTIVE OF 100.8 DEATHS PER 100,000 PERSONS. MORTALITY RATES, PER 100,000 PERSONS, 2010CEDARS-SINAI SERVICE AREA: HEART DISEASE: NUMBER (2,967), RATE (169.0)CANCER: NUMBER (2,500), RATE (142.40)STROKE: NUMBER (563), RATE (32.1)CHRONIC LOWER RESPIRATORY DISEASE: NUMBER (408), RATE (23.2)INFLUENZA AND PNEUMONIA: NUMBER (379), RATE (21.6)UNINTENTIONAL INJURIES: NUMBER (351), RATE (20.0)ALZHEIMER'S DISEASE: NUMBER (343), RATE (19.5)DIABETES: NUMBER (332), RATE (18.9)LIVER DISEASE: NUMBER (186), RATE (10.6)SUICIDE: NUMBER (150), RATE (8.5)CALIFORNIA: HEART DISEASE: RATE (155.7)CANCER: RATE (150.6)STROKE: RATE (36.4)CHRONIC LOWER RESPIRATORY DISEASE: RATE (34.7)INFLUENZA AND PNEUMONIA: RATE (15.7)UNINTENTIONAL INJURIES: RATE (27.1)ALZHEIMER'S DISEASE: RATE (29.1)DIABETES: RATE (18.9)LIVER DISEASE: RATE (11.4)SUICIDE: RATE (10.3)HP 2020: HEART DISEASE: RATE (100.8)CANCER: RATE (160.6)STROKE: RATE (33.8)CHRONIC LOWER RESPIRATORY DISEASE: RATE (98.5)INFLUENZA AND PNEUMONIA: NO OBJECTIVEUNINTENTIONAL INJURIES: RATE (36.0)ALZHEIMER'S DISEASE: NO OBJECTIVEDIABETES: RATE (65.8)LIVER DISEASE: NO OBJECTIVESUICIDE: RATE (10.2)SOURCE: CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, 2010CHRONIC DISEASE* DIABETES IS A GROWING CONCERN IN THE COMMUNITY. 15.8% OF ADULTS IN SPA 6 AND 8.3% IN SPAS 4 AND 5 HAVE BEEN DIAGNOSED WITH DIABETES. IN SPAS 4 AND 6 ASIANS HAVE THE HIGHEST RATES OF DIABETES AND IN SPA 5 LATINOS HAVE THE HIGHEST RATES OF DIABETES.ADULT DIABETES DIAGNOSED PRE/BORDERLINE DIABETIC: SPA 4 (4.6%), SPA 5 (6.5%), SPA 6 (2.9%), LOS ANGELES COUNTY (7.1%)DIAGNOSED WITH DIABETES: SPA 4 (8.3%), SPA 5 (8.3%), SPA 6 (15.8%), LOS ANGELES COUNTY (10.9%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* HEART DISEASE HAS BEEN DIAGNOSED AMONG 7% OF ADULTS IN SPA 4, 6.2% OF SPA 5 AND 5% OF ADULTS IN SPA 6 HAVE BEEN DIAGNOSED WITH HEART DISEASE. IN SPA 4, LATINOS (7.6%) HAVE THE HIGHEST RATE OF HEART DISEASE. WHITES IN SPA 5 (8.6%) AND SPA 6 (39.3%) HAVE THE HIGHEST RATES OF BEING DIAGNOSED WITH HEART DISEASE. MEN HAVE HIGHER RATES OF HEART DISEASE THAN WOMEN.ADULT HEART DISEASEDIAGNOSED WITH HEART DISEASE: SPA 4 (7%), SPA 5 (6.2%), SPA 6 (5.0%), LOS ANGELES COUNTY (5.8%)* HYPERTENSION (HIGH BLOOD PRESSURE) IS A HEALTH FACTOR THAT CAN NEGATIVELY IMPACT DIABETES AND HEART DISEASE. IN SPA 4, 61.5% OF ADULTS HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. IN SPA 5, 24.2% HAVE HIGH BP AND IN SPA 6, 34.1% OF ADULTS HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. HIGH BLOOD PRESSUREDIAGNOSED WITH HIGH BLOOD PRESSURE: SPA 4 (26.0%), SPA 5 (24.2%), SPA 6 (34.1%), LOS ANGELES COUNTY (27.6%)TAKES MEDICATION FOR HIGH BLOOD PRESSURE: SPA 4 (61.5%), SPA 5 (83.4%), SPA 6 (63.4%) LOS ANGELES COUNTY (70.2%)* THE POPULATION DIAGNOSED WITH ASTHMA IN SPA 4 IS 11.3%, IN SPA 5 12.5% AND IN SPA 6 IS 13.5%. AMONG YOUTH IN SPA 4, 11.6% HAVE BEEN DIAGNOSED WITH ASTHMA, 10.8% IN SPA 5 AND 15.7% OF YOUTH IN SPA 6 HAVE BEEN DIAGNOSED ASTHMA.* THE TOP THREE AMBULATORY CARE SENSITIVE (ACS) CONDITIONS RESULTING IN HOSPITALIZATION ARE CONGESTIVE HEART FAILURE, DIABETES AND PNEUMONIA. A LOOK AT THE ER RATES FOR THE ACS CONDITIONS INDICATES THAT URINARY TRACT INFECTIONS, ASTHMA AND DIABETES ARE THE TOP THREE CONDITIONS PRESENTING AT THE ER.HEALTH BEHAVIORS:* IN SPA 5, 13.1% OF CHILDREN ARE OVERWEIGHT, 12.3% IN SPA 4 AND 11.8% OF CHILDREN IN SPA 6 ARE OVERWEIGHT. OVER ONE-THIRD OF ADULTS ARE OVERWEIGHT IN SPA 6 (38.4%). IN SPA 4 28% AND IN SPA 5 29% OF ADULTS ARE OVERWEIGHT. * ADULT OVERWEIGHT AND OBESITY BY RACE AND ETHNICITY INDICATES OVER HALF OF THE ADULT POPULATION AMONG LATINOS ARE OVERWEIGHT OR OBESE.OVERWEIGHTADULT: SPA 4 (28.0%), SPA 5 (29.0%), SPA 6 (38.4%), LOS ANGELES COUNTY (33.2%)TEEN: SPA 4 (29.3%), SPA 5 (20.8%), SPA 6 (11.3%), LOS ANGELES COUNTY (18.6%)CHILD: SPA 4 (12.3%), SPA 5 (13.1%), SPA 6 (11.8%), LOS ANGELES COUNTY (12.1%)ADULT OVERWEIGHT AND OBESITY BY RACE/ETHNICITYAFRICAN AMERICAN: SPA 4 (48.8%), SPA 5 (47.5%), SPA 6 (56.2%), LOS ANGELES COUNTY (65.0%)ASIAN: SPA 4 (19.6%), SPA 5 (21.9%), SPA 6 (85.1%), LOS ANGELES COUNTY (34.9%)LATINO: SPA 4 (61.9%), SPA 5 (69.8%), SPA 6 (69.9%), LOS ANGELES COUNTY (64.0%)WHITE: SPA 4 (44.0%), SPA 5 (40.3%), SPA 6 (63.7%), LOS ANGELES COUNTY (51.5%)* IN SERVICE PLANNING AREA 4, 14.8% OF CHILDREN AND TEENS CONSUME TWO OR MORE SODA OR SWEETENED DRINKS A DAY. 21.3% OF CHILDREN AND TEENS IN SPA 5 AND 21.7% IN SPA 6 CONSUME TWO OR MORE SODA OR SWEETENED DRINKS A DAY.* IN SPA 4 AND SPA 6 OVER HALF OF THE CHILDREN CONSUME FIVE FRUITS AND VEGETABLES IN A DAY. IN SPA 5, 45.9% OF CHILDREN CONSUME FIVE SERVINGS OF FRUIT AND VEGETABLES DAILY. FRESH FRUIT AND VEGETABLE CONSUMPTION DECREASES CONSIDERABLY AMONG TEENS. * IN SPA 4, 50.2% OF CHILDREN ENGAGED IN VIGOROUS PHYSICAL ACTIVITY AT LEAST THREE DAYS A WEEK. IN SPA 5, 75.7% AND IN SPA 6, 61.5% OF CHILDREN ENGAGED IN VIGOROUS PHYSICAL ACTIVITY. AND OVER 74% OF YOUTH VISITED A PARK, PLAYGROUND OR OPEN SPACE. HOWEVER, 15.1% OF CHILDREN IN SPA 4, 6.6% IN SPA 5, AND 15.2% IN SPA 6 WERE SEDENTARY DURING THE WEEK. * THE RATE OF HIV/AIDS DIAGNOSED IN 2011 HAS DECREASED FROM 2010. RATES OF DIAGNOSIS OF HIV/AIDS ARE HIGHER IN SPAS 4 AND 6 THAN FOUND IN THE COUNTY.* SPA 6 HAS HIGH RATES OF CHLAMYDIA (966.9 PER 100,000 PERSONS) AND GONORRHEA (225.7). SPA 4 HAS RATES OF PRIMARY AND SECONDARY SYPHILIS (20.9) AND EARLY LATENT SYPHILIS (31.5). FEMALES HAVE THE HIGHEST RATES OF CHLAMYDIA. YOUNG ADULTS, AGES 20-24, AND BLACKS/AFRICAN AMERICANS HAVE THE HIGHEST RATES OF SEXUALLY TRANSMITTED INFECTIONS.* BEVERLY HILLS (8%) AND CULVER CITY (8.7%) HAVE LOW RATES OF SMOKING IN THE SERVICE AREA. WEST HOLLYWOOD (19.6%) HAD THE HIGHEST RATE OF SMOKING IN THE TARGET SERVICE AREA.* AMONG ADULTS, 27.8% IN SPA 4, 29.2% IN SPA5, AND 25.2% IN SPA 6 HAD ENGAGED IN BINGE DRINKING IN THE PAST YEAR. IN SPA 4, LESS THAN 1% OF TEENS AND 5.6% OF TEENS IN SPA 5 HAD ENGAGED IN BINGE DRINKING.* AMONG ADULTS, 10.7% IN SPA 4, 3.6% IN SPA 5, AND 14.8% IN SPA 6 EXPERIENCED SERIOUS PSYCHOLOGICAL DISTRESS IN THE PAST YEAR. 19.4% OF ADULTS NEEDED HELP FOR MENTAL HEALTH PROBLEMS IN SPA 4, 16% IN SPA 5, AND 13.2% OF ADULTS IN SPA 6 NEEDED HELP FOR MENTAL HEALTH PROBLEMS.* 3.5% OF TEENS NEEDED HELP FOR MENTAL HEALTH PROBLEMS IN SPA 4, 9.7% IN SPA 5, AND 26.4% OF TEENS IN SPA 6 NEEDED HELP FOR MENTAL HEALTH PROBLEMS. MENTAL HEALTH INDICATORS, TEENS TEENS WHO NEEDED HELP FOR EMOTIONAL-MENTAL AND/OR ALCOHOL-DRUG ISSUES IN PAST YEAR: SPA 4 (3.5%), SPA 5 (9.7%), SPA 6 (26.4%), LOS ANGELES COUNTY (15.3%)TEENS RECEIVED PSYCHOLOGICAL/EMOTIONAL COUNSELING IN PAST YEAR: SPA 4 (5.7%), SPA 5 (23.4%), SPA 6 (4.3%), LOS ANGELES COUNTY (7.5%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009* OVER HALF THE ADULTS IN SPA 4 (52.6%) AND IN SPA 6 (56.4%), AND 41.2% OF ADULTS IN SPA 5 WHO NEEDED HELP FOR AN EMOTIONAL OR MENTAL HEALTH PROBLEM DID NOT RECEIVE TREATMENT.* AMONG SENIORS, 42.9% IN SPA 6, 62.6% IN SPA 4, AND 72% IN SPA 5 HAD RECEIVED A FLU SHOT. OVER HALF THE SENIORS IN SPA 4 (54.6%), SPA 5 (71.5% AND SPA 6 (51.1%) HAD OBTAINED A PNEUMONIA VACCINE.FLU VACCINERECEIVED FLU VACCINE, 65+ YEARS OLD: SPA 4 (62.6%), SPA 5 (73.0%), SPA 6 (42.9%), LOS ANGELES COUNTY (63.8%)RECEIVED FLU VACCINE, 18-64: SPA 4 (18.5%), SPA 5 (34.3%), SPA 6 (25.3%), LOS ANGELES COUNTY (27.3%)RECEIVED FLU VACCINE, 0-17 YEARS OLD: SPA 4 (48.8%), SPA 5 (47.6%), SPA 6 (42.3%), LOS ANGELES COUNTY (45.4%)SOURCE: CALIFORNIA HEALTH INTERVIEW SURVEY, 2009
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: (CONTINUED)* THE HEALTHY PEOPLE 2020 OBJECTIVE FOR MAMMOGRAMS IS THAT 81.1% OF WOMEN 40+ YEARS HAVE A MAMMOGRAM IN THE PAST TWO YEARS. IN SPA 4, 68.5% OF WOMEN HAVE HAD A MAMMOGRAM, 78.5% IN SPA 5, AND 72% OF WOMEN, AGE 40+, HAD A MAMMOGRAM IN SPA 6.* THE HEALTHY PEOPLE 2020 OBJECTIVE FOR PAP SMEARS IN THE PAST THREE YEARS IS 93%. IN SPA 4, 84.6% OF WOMEN HAD A PAP SMEAR, IN SPA 5, 87.3% AND IN SPA 6, 88.3% OF WOMEN HAVE HAD A PAP SMEAR IN THE PAST THREE YEARS. * THE HEALTHY PEOPLE 2020 OBJECTIVE FOR COLORECTAL CANCER SCREENING IS 70.5%. SPA 4 (73.1%) AND SPA 5 (81.3%) EXCEED THIS SCREENING OBJECTIVE. WITH 67.1% OF ADULTS OBTAINING COLORECTAL SCREENING, SPA 6 HAS A RATE LESS THAN THE HEALTHY PEOPLE 2020 OBJECTIVE. COMMUNITY STAKEHOLDER INTERVIEWS MANY OF THE ISSUES OF GREATEST CONCERN TO THE INTERVIEWEES STEM FROM THE IMPACT OF THE ECONOMIC DOWNTURN AND ECONOMIC INSECURITY* LACK OF MONEY/POVERTY* HOUSING COSTS* UNEMPLOYMENT AND UNDEREMPLOYMENT* LACK OF HEALTH INSURANCE AND DIFFICULTY ACCESSING HEALTH CARE* HIGH STRESS LEVELS, DEPRESSION AND HOPELESSNESS* LACK OF ACCESS TO QUALITY EDUCATION* INCREASES IN SUBSTANCE ABUSE AND DOMESTIC VIOLENCE* TRANSPORTATION CHALLENGESPEOPLE WHO FACE ECONOMIC INSECURITY OFTEN LIVE IN NEIGHBORHOODS WHERE THE ENVIRONMENT DOES NOT SUPPORT HEALTHY LIFESTYLE CHOICES. THIS RESULTS IN:* LACK OF ACCESS TO HEALTHY, AFFORDABLE FOOD (I.E., FOOD DESERTS)* "UBIQUITOUS PRESENCE" OF FAST FOOD OUTLETS, CORNER STORES AND UNREGULATED VENDORS THAT SELL JUNK FOOD AND DO NOT OFFER HEALTHY OPTIONS * LACK OF ACCESS TO SAFE RECREATIONAL OPPORTUNITIES AND PHYSICAL ACTIVITIES, INCLUDING PARKSIN ADDITION, THE FOLLOWING PUBLIC HEALTH PROBLEMS WERE IDENTIFIED AS CONCERNS:* HEPATITIS B, PARTICULARLY IN THE KOREAN POPULATION* HIV/AIDS* CHRONIC DISEASES, SUCH AS DIABETES AND HEART DISEASE, AND INCREASED INCIDENCE OF STROKE AND HEART PROBLEMS AMONG AFRICAN AMERICANS AND LATINOS* OBESITY, AMONG CHILDREN AND ADULTS* SEXUALLY TRANSMITTED INFECTIONS AND SEX EDUCATION * ALCOHOL AND TOBACCO USE, PARTICULARLY AMONG YOUTH* DENTAL CARE* VIOLENCEOTHER IMPORTANT ISSUES OF CONCERN IDENTIFIED BY THE INTERVIEWEES INCLUDED:* ACCESS TO QUALITY, AFFORDABLE PRIMARY AND SPECIALTY CARE DUE TO LACK OF HEALTH CARE SERVICE PROVIDERS* COORDINATION OF SERVICES* IMMIGRATION ISSUES - SUCH AS LIMITED ABILITY TO SPEAK ENGLISH AND CULTURAL ISOLATION* ISSUES RELATED TO BEING UNDOCUMENTED - SUCH AS FEARS OF DEPORTATION AND FEARS OF SEEKING SERVICES* HOMELESSNESS* DIFFICULTY AMONG OLDER ADULTS AND IMMIGRANT POPULATIONS IN UNDERSTANDING AND NAVIGATING HEALTH CARE OPTIONS AND SYSTEMS* ISSUES FOR OLDER ADULTS RELATED TO MOBILITY/TRANSPORTATION AND PLANNING FOR CARE* CONCERN WITHIN THE LATINO COMMUNITY THAT A LARGE PROPORTION OF THE COMMUNITY HAS A LOWER EDUCATION STATUS, WHICH IN TURN RESULTS IN REDUCED ACCESS TO HIGH-PAYING JOBS (AND HEALTH INSURANCE) AS WELL AS HIGHER POVERTY AND GREATER LIKELIHOOD OF LIVING IN NEIGHBORHOODS WITH ENVIRONMENTS THAT DO NOT PROMOTE HEALTH, INCREASING THE RISKS FOR VIOLENCE, OBESITY, ALCOHOL USE AND CHRONIC DISEASE.A NUMBER OF RECOMMENDATIONS WERE MADE TO IMPROVE HEALTH AND REDUCE DISPARITIES IN THE COMMUNITIES SERVED BY CEDARS-SINAI.* REDUCE HEALTH DISPARITIES AMONG ETHNIC COMMUNITIES, PARTICULARLY AMONG THE LATINO, KOREAN AND AFRICAN AMERICAN POPULATIONS* INCREASE THE NUMBER AND/OR CAPACITY OF PRIMARY CARE CLINICS TO MEET THE NEED/DEMAND FOR SERVICES* PROVIDE RESOURCES FOR CASE MANAGEMENT TO SUPPORT PATIENT COMPLIANCE WITH PROVIDER RECOMMENDATIONS FOR CHRONIC DISEASE MANAGEMENT* ADDRESS THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH - SUCH AS EDUCATION, JOBS AND HOUSING - AS THESE HAVE AS GREAT AN IMPACT ON OVERALL HEALTH STATUS AND ACCESS TO HEALTH SERVICES* FOCUS ON HEALTHY LIVING AND OBESITY PREVENTION THROUGH ADVOCACY AND POLICY THAT INCREASES ACCESS TO AFFORDABLE, FRESH FRUITS AND VEGETABLES (AND REDUCES ACCESS TO FAST FOOD, SODA AND OTHER JUNK FOOD), AND TO SAFE PLACES FOR PHYSICAL ACTIVITY * ASSURE THERE ARE REFERRALS AND FOLLOW-UP RESOURCES FOR CONDITIONS DETECTED THROUGH SCREENINGS (E.G., BREAST HEALTH CONCERNS, HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR LEVELS)* AFFORDABLE MENTAL HEALTH SERVICES NEED TO BE INCREASED, NOT REDUCED* A COORDINATED, COUNTYWIDE FIGHT AGAINST DIABETES IS NEEDED* FOSTER COLLABORATIONS AS A WAY TO SHARE INFORMATION ACROSS ORGANIZATIONS AND REDUCE UNNECESSARY DUPLICATIONS* ASSESS AND ADDRESS HEALTH DISPARITIES AMONG OLDER POPULATIONSIDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDSBASED ON THE RESULTS OF THE PRIMARY AND SECONDARY DATA COLLECTION, AND THE EXAMINATION OF AMBULATORY CARE SENSITIVE CONDITIONS, HEALTH NEEDS WERE IDENTIFIED. EACH HEALTH NEED WAS CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE (I.E., THE HEALTH NEED WAS SUGGESTED BY MORE THAN ONE SOURCE OF SECONDARY OR PRIMARY DATA). IN ADDITION, THE HEALTH NEEDS WERE BASED ON THE SIZE OF THE PROBLEM (NUMBER OF PEOPLE PER 1,000, 10,000, OR 100,000 POPULATION); OR THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF A PROBLEM, THE HEALTH NEED INDICATORS IDENTIFIED IN THE SECONDARY DATA WERE MEASURED AGAINST BENCHMARK DATA, SPECIFICALLY CALIFORNIA STATE RATES OR HEALTHY PEOPLE 2020 OBJECTIVES. INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST THESE BENCHMARKS WERE CONSIDERED TO HAVE MET THE SIZE OR SERIOUSNESS CRITERIA. ADDITIONALLY, PRIMARY DATA SOURCES WERE ASKED TO IDENTIFY COMMUNITY AND HEALTH ISSUES BASED ON THE PERCEIVED SIZE OR SERIOUSNESS OF A PROBLEM. THE IDENTIFIED HEALTH NEEDS IN ALPHABETICAL ORDER:ACCESS TO CARE* DENTAL CARE* INSURANCE COVERAGE* MEDICATIONS* MENTAL HEALTH* PRIMARY CARE * SPECIALTY CARE* TRANSPORTATIONCHRONIC DISEASE* ASTHMA* CANCER* CARDIOVASCULAR DISEASE* DIABETES* MEDICATIONS* OVERWEIGHT AND OBESITY: HEALTHY FOOD CHOICES* OVERWEIGHT AND OBESITY: PHYSICAL ACTIVITY* PREVENTIVE CARE AND ONGOING MONITORINGHEALTH BEHAVIORS* ALCOHOL USE* HEALTH EDUCATION* PREVENTIVE CARE (PAP SMEARS, MAMMOGRAMS, VACCINES)* SEXUALLY TRANSMITTED DISEASES* SMOKINGPRIORITIZATION PROCESS PRIORITY SETTING IS A REQUIRED STEP IN THE COMMUNITY BENEFIT PLANNING PROCESS. THE IRS REGULATIONS INDICATE THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT MUST PROVIDE A PRIORITIZED DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AND INCLUDE A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN PRIORITIZING THE HEALTH NEEDS. CEDARS-SINAI COMPLETED THE FOLLOWING STEPS TO PRIORITIZE HEALTH NEEDS THAT EMERGED AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):CEDARS-SINAI ENGAGED BIEL CONSULTING, TO LEAD THE CHNA EFFORT. THE CHNA RESULTS INTEGRATED SECONDARY DATA OBTAINED FROM NUMEROUS DATA SOURCES, AS WELL AS PRIMARY DATA COLLECTED THROUGH A SERIES OF INTERVIEWS ON COMMUNITY HEALTH NEEDS. THE CHNA DATA COLLECTION AND ANALYSIS OCCURRED FROM JULY TO OCTOBER 2012. THE PRELIMINARY CHNA RESULTS WERE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, IN NOVEMBER, 2012. THE COMMUNITY BENEFIT COMMITTEE PROVIDED FEEDBACK ON THE PRELIMINARY ANALYSIS. THE CEDARS-SINAI COMMUNITY BENEFIT ADVISORY GROUP, MADE UP OF CEDARS-SINAI MANAGEMENT AND EXECUTIVES ACROSS DISCIPLINES, MET IN FEBRUARY, 2013 TO REVIEW THE CHNA RESULTS AND COMMUNITY HEALTH NEEDS. THE COMMUNITY BENEFIT ADVISORY GROUP PRIORITIZED HEALTH NEEDS RANKING EACH HEALTH NEED - LOW, MEDIUM OR HIGH - FOR ALL THE IDENTIFIED CRITERIA. PRIORITY SETTING CRITERIA* CURRENT AREA OF COMMUNITY BENEFIT FOCUS: CEDARS-SINAI HAS ACKNOWLEDGED COMPETENCIES AND EXPERTISE TO ADDRESS THE HEALTH NEED; AND THE HEALTH NEED FITS WITH THE ORGANIZATIONAL MISSION.* ESTABLISHED RELATIONSHIPS: CEDARS-SINAI HAS ESTABLISHED RELATIONSHIPS WITH COMMUNITY PARTNERS TO ADDRESS THE HEALTH NEED.* ORGANIZATIONAL CAPACITY: CEDARS-SINAI HAS THE CAPACITY TO ADDRESS THE HEALTH NEED. BASED ON THESE CRITERIA, HEALTH NEEDS THAT OBTAINED HIGH RANKINGS ON ANY OF THE CRITERIA WERE IDENTIFIED AS COMMUNITY BENEFIT PRIORITY AREAS.
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 1J: (CONTINUED)THE PRIORITIZED HEALTH NEEDS WERE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE IN FEBRUARY, 2012 FOR REVIEW AND APPROVAL. TIME WAS ALLOTTED TO INCORPORATE FEEDBACK ON THE PRIORITIZED NEEDS. THE APPROVED PRIORITIZED HEALTH NEEDS ARE:PRIORITIZED HEALTH NEEDS1. PRIORITIZED BY AREAS OF HIGHEST NEED IN CEDARS-SINAI'S SERVICE AREA, WITH A PARTICULAR FOCUS ON SERVICE PLANNING AREAS 4 AND 6 (INCLUDING ZIP CODES THAT MAY BE SLIGHTLY OUTSIDE OUR SERVICE AREA), THESE PLANNING AREAS INCLUDE DIVERSE, LOW-INCOME COMMUNITIES WHERE THERE ARE MORE UNINSURED ADULTS AND CHILDREN AND GREATER HEALTH CHALLENGES THAN IN OTHER PARTS OF LOS ANGELES. WE ALSO FOCUS ON HIGH-NEED POPULATIONS CLOSER TO CEDARS-SINAI. 2. SELECTED COMMUNITY BENEFIT EFFORTS ARE FOCUSED ON INCREASING AND SUPPORTING ACCESS TO HEALTH CARE SERVICES THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS.PRIMARY CARESPECIALTY CAREMENTAL HEALTHPREVENTIVE CAREHEALTH EDUCATION3. SELECTED COMMUNITY BENEFIT EFFORTS FOCUSED ON THE PREVENTION OF KEY CHRONIC HEALTH CONDITIONS AND THEIR UNDERLYING RISK FACTORS.CARDIOVASCULAR DISEASEDIABETESCANCEROVERWEIGHT/OBESITY: HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITYPREVENTIVE CAREHEALTH EDUCATIONTHE CHNA, THE PRIORITIZED HEALTH NEEDS AND CEDARS-SINAI'S IMPLEMENTATION STRATEGY WERE PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL IN MAY, 2013. TIME WAS ALLOTTED FOR INCORPORATING FEEDBACK FOR ALL DOCUMENTS.
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 3: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWENTY-THREE INTERVIEWS WERE COMPLETED DURING JULY THROUGH SEPTEMBER, 2012. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY CEDARS-SINAI WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY." INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS:* THE DIRECTOR OF THE DIVISION OF CHRONIC DISEASE AND INJURY PREVENTION AT THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH WHO IS ALSO AN ADJUNCT PROFESSOR, DEPARTMENT OF EPIDEMIOLOGY, UCLA SCHOOL OF PUBLIC HEALTH.* THE AREA HEALTH OFFICER FOR THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SERVICE PLANNING AREA 6 WHO PRIOR TO JOINING THE LA COUNTY DEPARTMENT OF HEALTH SERVICES WAS AN EPIDEMIC INTELLIGENCE SERVICE OFFICER FOR THE CENTER FOR DISEASE CONTROL.* THE AREA HEALTH OFFICER FOR THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SERVICE PLANNING AREA 4.SCHEDULE H, PART V, SECTION B, LINE 5A:THE CHNA AND THE IMPLEMENTATION STRATEGY ARE POSTED ON THE HOSPITAL'S WEBSITE WWW.CEDARS-SINAI.EDU/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT AND ARE AVAILABLE UPON REQUEST
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 7: THE PRIORITY HEALTH NEEDS IDENTIFIED WERE DETERMINED THROUGH A DATA COLLECTION, ANALYSIS AND PRIORITIZATION PROCESS. DUE TO THE SHEER QUANTITY AND SCOPE OF ALL OF THE COMMUNITY'S HEALTH NEEDS IDENTIFIED, IT IS CRUCIAL THAT THERE BE PRIORITIZATION TO ENSURE THAT THE COMMUNITY BENEFIT INITIATIVES UNDERTAKEN ARE EFFECTIVE IN IMPROVING THE HEALTH OF THE COMMUNITIES. THE PRIORITIZATION CRITERIA INCLUDE GEOGRAPHY (TO FOCUS ON THOSE SPAS IN GREATEST NEED), EXISTING RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS AND ORGANIZATIONAL CAPACITY. IN LINE WITH CEDARS-SINAI'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, CEDARS-SINAI IS ALSO ENGAGING IN COMMUNITY BENEFIT PROGRAM EVALUATIONS TO ENSURE MAXIMUM IMPACT OF CEDARS-SINAI'S SIGNATURE COMMUNITY BENEFIT STRATEGIES. THE NUMEROUS AND DIVERSE PROGRAMS, PARTNERSHIPS AND STRATEGIES PRIORITIZED HIGHEST, BASED ON THE IDENTIFIED CRITERIA, WERE SELECTED IN ORDER TO MAXIMIZE EFFECTIVENESS IN ADDRESSING HEALTH NEEDS IN UNDERSERVED COMMUNITIES SERVED BY CEDARS-SINAI. IN ANY PRIORITIZATION TO MAXIMIZE EFFECTIVENESS, THERE WILL BE SOME AREAS THAT DO NOT MEET AS MANY OF THE CRITERIA OF THE PRIORITY AREAS, AND THUS MAY NOT BE ADDRESSED IN THE IMPLEMENTATION. THIS IS NOT INTENDED TO MINIMIZE THE IMPORTANCE OF THOSE HEALTH NEEDS; IT IS A REALITY OF HAVING A STRATEGIC FOCUS ON EFFECTIVENESS TO IMPROVE COMMUNITY HEALTH. THE HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA BUT NOT PRIORITIZED FOR 2013-2016 WERE MEDICATIONS, HEALTHCARE INSURANCE OUTREACH AND ENROLLMENT, DENTAL CARE, ASTHMA, ALCOHOL AND DRUG USE, TRANSPORTATION, SMOKING AND SEXUALLY TRANSMITTED DISEASES. ALTHOUGH ALL OF THESE AREAS REPRESENT IMPORTANT COMMUNITY HEALTH NEEDS, THEY WERE PRIORITIZED LOWER BECAUSE THEY MET FEWER OF THE CRITERIA (E.G., EXISTING RELATIONSHIPS WITH COMMUNITY PARTNER ORGANIZATIONS, ORGANIZATIONAL CAPACITY).
CEDARS-SINAI MEDICAL CENTER	PART V, SECTION B, LINE 14G: SINCE THE MEDICAL CENTER'S POLICY (INCLUDING ATTACHMENTS) 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 PATIENTS 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 HEALTH PLANNING AND DEVELOPMENT (OSHPD) AT WWW.OSHPD.CA.GOV/. THE MEDICAL CENTER ALSO ATTEMPTS TO LINK THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE TO GOVERNMENT PROGRAMS.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
CEDARS-SINAI MEDICAL CENTER

Employer identification number
95-1644600

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMANECER COMMUNITY COUNSELING SERVICE A NON-PROFIT CORPORATION 1200 WILSHIRE BLVD STE 500 LOS ANGELES,CA90017	95-3076578	501(C)(3)	35,000	COMMUNITY MENTAL HEALTH GRANT
(2) AMERICAN ACADEMY OF NURSING 1000 VERMONT AVENUE NW NO 910 WASHINGTON,DC20005	52-2213870	501(C)(3)	20,566	GENERAL SUPPORT
(3) AMERICAN CANCER SOCIETY INC NATIONAL HOME OFFICE 250 WILLIAMS STREET NW ATLANTA,GA30303	13-1788491	501(C)(3)	10,000	GENERAL SUPPORT
(4) AMERICAN COLLEGE OF MEDICAL GENETICS FOUNDATION 7220 WISCONSIN AVENUE SUITE 300 BETHESDA,MD20814	52-1841165	501(C)(3)	12,500	GENERAL SUPPORT
(5) AMERICAN LIVER FOUNDATION 39 BROADWAY SUITE 2700 NEW YORK,NY10006	36-2883000	501(C)(3)	16,500	GENERAL SUPPORT
(6) AMERICAN ORGANIZATION OF NURSE EXECUTIVES 155 NORTH WACKER DRIVE CHICAGO,IL60606	36-3591337	501(C)(6)	20,000	GENERAL SUPPORT
(7) AMERICAN SOCIETY OF HEALTH ECONOMISTS 725 15TH STREET NW WASHINGTON,DC20005	26-4526340	501(C)(3)	10,000	GENERAL SUPPORT
(8) ANTI - DEFAMATION LEAGUE 605 THIRD AVENUE NEW YORK,NY10158	13-1818723	501(C)(3)	17,000	GENERAL SUPPORT
(9) ASSOCIATES FOR BREAST & PROSTATE CANCER STUDIES 24100 CALABASAS ROAD CALABASAS,CA91302	95-4246971	501(C)(3)	5,950	GENERAL SUPPORT
(10) ASSOCIATION OF CALIFORNIA NURSE LEADERS 2520 VENTURE OAKS WAY SUITE 210 SACRAMENTO,CA95834	94-2910850	501(C)(3)	15,000	GENERAL SUPPORT
(11) BEIT T'SHUVAH 8831 VENICE BLVD LOS ANGELES,CA90034	77-0152646	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(12) BEVERLY HILLS FIREMENS ASSOCIATION PO BOX 1720 BEVERLY HILLS,CA90213	95-3173205	501(C)(5)	6,500	GENERAL SUPPORT
(13) BEVERLY HILLS POLICE OFFICERS BENEVOLENT FUND 464 N REXFORD DR BEVERLY HILLS,CA90210	95-4584633	501(C)(3)	7,000	GENERAL SUPPORT
(14) BIKUR CHOLIM 8489 WEST THIRD STREET LOS ANGELES,CA90048	95-4521980	501(C)(3)	6,000	GENERAL SUPPORT
(15) BNAI BRITH 2020 K ST NW 7TH FLOOR WASHINGTON,DC20006	53-0179971	501(C)(3)	10,000	GENERAL SUPPORT
(16) CALIFORNIA HEALTHCARE INSTITUTE 888 PROSPECT STREET NO 220 LA JOLLA,CA92037	94-3174767	501(C)(6)	10,000	GENERAL SUPPORT
(17) CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS,CA90211	95-4772979	501(C)(3)	1,343,273	GENERAL SUPPORT
(18) CALIFORNIA INSTITUTE FOR NURSING & HEALTH CARE PO BOX 70007 OAKLAND,CA94612	82-0570413	501(C)(3)	50,000	GENERAL SUPPORT
(19) CALIFORNIA NURSING STUDENTS' ASSOCIATION 2520 VENTURE OAKS WAY SUITE 210 SACRAMENTO,CA95833	94-6104412	501(C)(3)	10,000	GENERAL SUPPORT
(20) CARE HARBOR 5855 GREEN VALLEY CIRCLE SUITE 204 CULVER CITY,CA90230	27-2984870	501(C)(3)	25,000	GENERAL SUPPORT
(21) CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS,CA90211	95-4457756	501(C)(3)	51,738,967	GENERAL SUPPORT
(22) CENTER FOR THE STUDY OF YOUNG PEOPLE IN GROUPS PO BOX 48750 LOS ANGELES,CA90048	95-3760982	501(C)(3)	10,000	GENERAL SUPPORT
(23) CHILDREN'S INSTITUTE INC 2121 W TEMPLE STREET LOS ANGELES,CA90026	95-1641424	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(24) CLINICA MSR OSCAR A ROMERO 123 S ALVARADO ST LOS ANGELES,CA90057	95-3881333	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(25) COLLABORATIVE ALLIANCE FOR NURSING OUTCOMES (CALNOC) 2410 CAMINO RAMON SUITE 360 SAN RAMON,CA94583	27-3440795	501(C)(3)	10,000	GENERAL SUPPORT
(26) COMMUNITY PARTNERS 1000 NORTH ALAMEDA STREET NO 240 LOS ANGELES,CA90012	95-4302067	501(C)(3)	10,000	GENERAL SUPPORT
(27) DIDI HIRSCH PSYCHIATRIC SERVICE 4760 S SEPULVEDA BLVD CULVER CITY,CA90230	95-1816023	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(28) ECONOMIC DEVELOPMENT CORPORATION OF LOS ANGELES COUNTY 444 SOUTH FLOWER STREET 37TH FLOOR LOS ANGELES,CA90071	95-3643339	501(C)(3)	27,000	GENERAL SUPPORT
(29) EISNER PEDIATRIC & FAMILY MEDICAL CENTER 1530 SOUTH OLIVE STREET LOS ANGELES,CA90015	95-1690966	501(C)(3)	18,750	COMMUNITY MENTAL HEALTH GRANT
(30) EMANUEL CENTER INC 8844 BURTON WAY BEVERLY HILLS,CA90211	95-1696713	501(C)(3)	5,500	GENERAL SUPPORT
(31) FRANK W JOBE FOUNDATION 326 SOUTH STATE STREET LOS ANGELES,CA90033	95-4615202	501(C)(3)	10,000	GENERAL SUPPORT
(32) FRIENDS OF NATIONAL INSTITUTE OF NURSING RESEARCH 47595 WATKINS ISLAND SQUARE STERLING,VA20165	52-1832014	501(C)(3)	7,000	GENERAL SUPPORT
(33) HEALTH RESEARCH AND EDUCATIONAL TRUST 155 NORTH WACKER DRIVE CHICAGO,IL60606	36-2203931	501(C)(3)	10,000	GENERAL SUPPORT
(34) HEARTVIEW GLOBAL FOUNDATION 15260 VENTURA BLVD SHERMAN OAKS,CA91403	45-3984075	501(C)(3)	5,750	GENERAL SUPPORT
(35) HEBREW UNION COLLEGE - JEWISH INSTITUTE OF RELIGION 3101 CLIFTON AVE 3RD FLOOR CINCINNATI,OH45220	31-0537067	501(C)(3)	105,000	GENERAL SUPPORT
(36) HOMELESS HEALTH CARE LOS ANGELES 2410 BEVERLY BLVD LOS ANGELES,CA90057	95-4074970	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(37) HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA 515 SOUTH FIGUEROA NO 1300 LOS ANGELES,CA90071	95-1519378	501(C)(6)	8,000	GENERAL SUPPORT
(38) JEWISH FAMILY SERVICE OF LOS ANGELES 3580 WILSHIRE BLVD NO 700 LOS ANGELES,CA90010	95-1691013	501(C)(3)	75,000	COMMUNITY MENTAL HEALTH GRANT
(39) JEWISH VOCATIONAL SERVICE 6505 WILSHIRE BLVD SUITE 200 LOS ANGELES,CA90048	95-1691012	501(C)(3)	10,000	GENERAL SUPPORT
(40) KOREAN AMERICAN FAMILY SERVICES INC 3727 WEST 6TH STREET LOS ANGELES,CA90020	95-3899329	501(C)(3)	35,000	COMMUNITY MENTAL HEALTH GRANT
(41) LOS ANGELES AREA CHAMBER OF COMMERCE 350 SOUTH BIXEL ST LOS ANGELES,CA90017	95-0947860	501(C)(6)	8,500	GENERAL SUPPORT
(42) LOS ANGELES BUSINESS COUNCIL 2029 CENTURY PARK EAST SUITE 1240 LOS ANGELES,CA90067	95-1366460	501(C)(6)	13,900	GENERAL SUPPORT
(43) LOS ANGELES FIRE DEPARTMENT FOUNDATION 1875 CENTURY PARK EAST SUITE 200 LOS ANGELES,CA90067	27-2007326	501(C)(3)	196,000	GENERAL SUPPORT
(44) THE LOS ANGELES GAY AND LESBIAN COMMUNITY SERVICES CENTER 1625 NORTH SCHRADER BLVD LOS ANGELES,CA90028	95-3567895	501(C)(3)	35,000	COMMUNITY MENTAL HEALTH GRANT
(45) MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVE WHITE PLAINS,NY10605	13-1846366	501(C)(3)	50,000	GENERAL SUPPORT
(46) MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION 555 S FLOWER STREET SUITE 2710 LOS ANGELES,CA90071	45-4433505	501(C)(3)	25,000	GENERAL SUPPORT
(47) MEXICAN AMERICAN BAR FOUNDATION PO BOX 862127 LOS ANGELES,CA90086	95-4358513	501(C)(3)	40,000	GENERAL SUPPORT
(48) MOTION PICTURE AND TELEVISION FUND 23388 MULHOLLAND DRIVE WOODLAND HILLS,CA91364	95-1652916	501(C)(3)	20,000	GENERAL SUPPORT
(49) NATIONAL BLACK NURSES ASSOCIATION INC 8630 FENTON STREET SUITE 300 SILVER SPRING,MD20910	23-7194995	501(C)(3)	10,000	GENERAL SUPPORT
(50) NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 1700 W VAN BUREN NO 126B CHICAGO,IL60612	36-4483505	501(C)(3)	25,000	GENERAL SUPPORT
(51) NATIONAL HEALTH FOUNDATION 515 SOUTH FIGUEROA NO 1300 LOS ANGELES,CA90071	23-7314808	501(C)(3)	75,000	GENERAL SUPPORT
(52) NATIONAL HISPANIC HEALTH FOUNDATION 1920 L STREET NW SUITE 700 WASHINGTON,DC20036	26-0051902	501(C)(3)	10,000	GENERAL SUPPORT
(53) OCEAN PARK COMMUNITY CENTER 1453 16TH ST SANTA MONICA,CA90404	95-6143865	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(54) ONELEGACY FOUNDATION 221 SOUTH FIGUEROA STREET STE 500 LOS ANGELES,CA90012	45-2936915	501(C)(3)	9,000	GENERAL SUPPORT
(55) PANCREATIC CANCER ACTION NETWORK 1500 ROSECRANS AVENUE NO 200 MANHATTAN BEACH,CA90266	33-0841281	501(C)(3)	10,000	GENERAL SUPPORT
(56) PARA LOS NINOS 500 LUCAS AVENUE LOS ANGELES,CA90017	95-3443276	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(57) PARTNERS IN CARE FOUNDATION INC 732 MOTT STREET SAN FERNANDO,CA91340	95-3954057	501(C)(3)	11,000	GENERAL SUPPORT
(58) PATIENT CARE FOUNDATION OF LOS ANGELES COUNTY 707 WILSHIRE BLVD LOS ANGELES,CA90017	26-2974477	501(C)(3)	10,000	GENERAL SUPPORT
(59) PHASE ONE - THE ROAD TO CURING CANCER 256 26TH ST NO 201 SANTA MONICA,CA90402	91-2129319	501(C)(3)	10,000	GENERAL SUPPORT
(60) PUBLIC HEALTH INSTITUTE 555 12TH STREET 10TH FLOOR OAKLAND,CA94607	94-1646278	501(C)(3)	25,000	GENERAL SUPPORT
(61) RAND CORPORATION 1776 MAIN STREET PO BOX 2138 SANTA MONICA,CA90407	95-1958142	501(C)(3)	30,000	GENERAL SUPPORT
(62) SOUTHERN CALIFORNIA COUNSELING CENTER 5615 W PICO BLVD LOS ANGELES,CA90019	95-2430665	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(63) THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE NO 320 CULVER CITY,CA90230	95-4552419	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(64) THE ALS ASSOCIATION GOLDEN WEST CHAPTER PO BOX 565 AGOURA HILLS,CA91376	95-4163338	501(C)(3)	8,500	GENERAL SUPPORT
(65) THE FASHION FOOTWEAR CHARITABLE FOUNDATION OF NEW YORK INC 274 MADISON AVENUE NEW YORK,NY10016	13-4112482	501(C)(3)	50,000	GENERAL SUPPORT
(66) THE HEART FOUNDATION 31822 VILLAGE CENTER RD SUITE 208 WESTLAKE VILLAGE,CA91361	45-0471117	501(C)(3)	25,000	GENERAL SUPPORT
(67) THE HELPING HAND OF LOS ANGELES INC 8700 BEVERLY BLVD LOS ANGELES,CA90048	95-1831107	501(C)(3)	9,525	GENERAL SUPPORT
(68) THE LOS ANGELES FREE CLINIC DBA THE SABAN FREE CLINIC 8405 BEVERLY BOULEVARD LOS ANGELES,CA90048	95-2539105	501(C)(3)	212,500	COMMUNITY MENTAL HEALTH GRANT
(69) THE MAPLE COUNSELING CENTER 9107 WILSHIRE BOULEVARD LOWER LEVEL LEVEL BEVERLY HILLS,CA90210	95-2753118	501(C)(3)	50,000	COMMUNITY MENTAL HEALTH GRANT
(70) THE OVARIAN CANCER RESEARCH FUND INC FOURTEEN PENNSYLVANIA PLAZA NO 1710 NEW YORK,NY10122	13-3806788	501(C)(3)	10,000	GENERAL SUPPORT
(71) TOWER CANCER RESEARCH FOUNDATION 9090 WILSHIRE BOULEVARD SUITE 350 BEVERLY HILLS,CA90211	95-4596354	501(C)(3)	12,000	GENERAL SUPPORT
(72) UNION RESCUE MISSION 545 SOUTH SAN PEDRO STREET LOS ANGELES,CA90013	95-1709293	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(73) UNITED WAY INC 1150 S OLIVE STREET SUITE T500 LOS ANGELES,CA90015	95-2274801	501(C)(3)	100,000	GENERAL SUPPORT
(74) UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS LOS ANGELES,CA90089	95-1642394	501(C)(3)	45,000	GENERAL SUPPORT
(75) VENICE FAMILY CLINIC 604 ROSE AVENUE VENICE,CA90291	95-2769432	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(76) VISTA DEL MAR CHILD AND FAMILY SERVICES 3200 MOTOR AVE LOS ANGELES,CA90034	95-1647832	501(C)(3)	25,000	COMMUNITY MENTAL HEALTH GRANT
(77) WISE & HEALTHY AGING 1527 FOURTH ST NO 250 SANTA MONICA,CA90401	95-2788014	501(C)(3)	10,000	GENERAL SUPPORT
(78) WOMEN'S GUILD CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD ROOM 2416 LOS ANGELES,CA90048	95-6097903	501(C)(3)	32,400	GENERAL SUPPORT
(79) YESHIVAT CHOVEVEI TORAH RABBINICAL SCHOOL LTD 3700 HENRY HUDSON PARKWAY 2ND FLOOR NEW YORK,NY10463	13-4159739	501(C)(3)	10,000	GENERAL SUPPORT
(80) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF GREATER LOS ANGELES 1020 S OLIVE STREET 7TH FLOOR LOS ANGELES,CA90015	95-1652919	501(C)(3)	35,000	COMMUNITY MENTAL HEALTH GRANT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)THOMAS M PRISELACPRESIDENT/CEO	(i) (ii)	1,272,357 0	933,423 0	1,542,486 0	859,150 0	28,766 0	4,636,182 0	1,127,366 0
(2)MICHAEL ALEXANDER MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	625,627 0	128,032 0	111,628 0	17,850 0	52,613 0	935,750 0	0 0
(3)ILANA CASS MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	375,751 0	52,105 0	32,457 0	25,083 0	42,318 0	527,714 0	0 0
(4)SCOTT KARLAN MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	325,940 0	38,787 0	28,148 0	21,675 0	8,678 0	423,228 0	0 0
(5)ANDREW KLEIN MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	848,889 0	140,062 0	78,896 0	77,080 0	43,873 0	1,188,800 0	0 0
(6)ZAB MOSENIFAR MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	565,094 0	114,117 0	69,885 0	175,650 0	29,567 0	954,313 0	0 0
(7)RICHARD RIGGS MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	418,658 0	97,770 0	8,320 0	28,050 0	23,319 0	576,117 0	0 0
(8)PAUL SILKA MDBOARD MEMBER/STAFF PHYS.	(i) (ii)	400,192 0	65,400 0	49,500 0	57,413 0	40,627 0	613,132 0	0 0
(9)EDWARD PRUNCHUNASCHIEF FINANCIAL OFFICER	(i) (ii)	672,181 0	311,157 0	280,362 0	263,057 0	30,060 0	1,556,817 0	0 0
(10)MARK GAVENSCHIEF OPERATING OFFICER	(i) (ii)	751,560 0	327,599 0	171,299 0	89,507 0	41,239 0	1,381,204 0	0 0
(11)SHLOMO MELMED MDCHIEF ACADEMIC OFFICER	(i) (ii)	864,066 0	369,111 0	799,102 0	280,150 0	25,904 0	2,338,333 0	475,395 0
(12)KEITH BLACK MDCHAIRMAN-NEUROSURGERY	(i) (ii)	1,801,554 0	351,925 0	521,674 0	20,400 0	43,349 0	2,738,902 0	0 0
(13)RAJENDRA MAKKAR MDDIRECTOR - INTERVENTIONAL	(i) (ii)	992,170 0	902,583 0	245,840 0	35,700 0	43,341 0	2,219,634 0	0 0
(14)EDUARDO MARBAN MDDIRECTOR - HEART INSTITUTE	(i) (ii)	1,272,722 0	267,589 0	377,951 0	167,850 0	39,342 0	2,125,454 0	0 0
(15)BRUCE GEWERTZ MDCHAIRMAN-DEPT OF SURGERY	(i) (ii)	1,230,656 0	270,714 0	253,762 0	97,424 0	30,775 0	1,883,331 0	0 0
(16)RICHARD JACOBSSYSTEM DEVELOPMENT	(i) (ii)	550,082 0	267,319 0	879,899 0	146,335 0	18,005 0	1,861,640 0	475,395 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

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. THE ORGANIZATION ALLOWS FOR TRAVEL FOR COMPANIONS WHEN THERE IS A VALID BUSINESS PURPOSE.

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. IN ADDITION, THREE INDIVIDUALS HAD A RETENTION INCENTIVE WHICH HAD A CLIFF VESTING DATE IN 2013. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2013 RELATED TO THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. MICHAEL ALEXANDER, MD 37,332 KEITH BLACK, MD 418,350 ILANA CASS, MD 18,698 MARK GAVENS 123,138 BRUCE GEWERTZ, MD 176,640 RICHARD JACOBS 829,174 SCOTT KARLAN, MD 14,812 ANDREW KLEIN, MD 48,813 RAJENDRA MAKKAR, MD 245,592 EDUARDO MARBAN, MD 188,640 SHLOMO MELMED, MD 765,367 ZAB MOSENIFAR, MD 22,648 THOMAS M. PRISELAC 1,466,978 EDWARD PRUNCHUNAS 216,642 RICHARD RIGGS, MD 7,752 PAUL SILKA, MD 27,895

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
CEDARS-SINAI MEDICAL CENTER

Employer identification number
95-1644600

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CA HEALTH FACILITIES FINANCING AUTHORITY	52-1643828	13033LVK0	12-21-2011	163,357,091	REFUND 1997A AND 1997B BONDS - ISSUE DATES: 9/15/97, 10/1/97		X		X		X
B	CA HEALTH FACILITIES FINANCING AUTHORITY	52-1643828	13033LDG9	10-21-2009	541,045,288	NEW FAC CONST & PRIOR CAP EXP REIMB		X		X		X
C	CA HEALTH FACILITIES FINANCING AUTHORITY	52-1643828	13033FXJ4	08-10-2005	538,366,821	REFUND 1993 CERT, 1999 BONDS & COI - ISSUE DATES: 9/14/93, 11/4/99		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	22,885,000		78,225,000		50,315,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	163,357,091		541,611,264		538,397,437
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	46,022,336		46,022,336
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	3,740,661				3,740,661
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	495,588,928		495,588,928
11 Other spent proceeds . . . . . . . . . . . . . .	163,357,091				534,656,776
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2012		2013		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X	X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X			X		X
b Exception to rebate? . . . . . . . .		X		X		X
c No rebate due? . . . . . . . .	X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K SUPPLENTAL INFORMATION

ISSUE B, PART II, LINE 3: THE TOTAL PROCEEDS REPORTED 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. ISSUE C, PART II, LINE 3: THE TOTAL PROCEEDS REPORTED 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. ISSUE A, PART IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 3/21/2014. ISSUE B, PART IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 9/11/2014. ISSUE C, PART IV, QUESTION 2C: THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 2/22/2011.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) M ALEXANDER	BRD MEM	HOUSING LOAN		X	350,000	105,000		No	Yes		Yes
(2) M GAVENS	KEY EMP	HOUSING LOAN		X	350,000	35,000		No	Yes		Yes
(3) B GEWERTZ MD	HC EMP	HOUSING LOAN		X	500,000	100,000		No	Yes		Yes
(4) A KLEIN MD	BRD MEM	HOUSING LOAN		X	250,000	25,000		No	Yes		Yes
(5) E MARBAN MD	HC EMP	HOUSING LOAN		X	1,250,000	675,000		No	Yes		Yes
(6) E MARBAN MD	HC EMP	LOAN ADVANCE		X	500,000	400,000		No	Yes		Yes
(7) G MELMED MD	FAMILY	HOUSING LOAN		X	150,000	135,000		No	Yes		Yes
(8) VAR INTERESTED PERSONS	OFF,BRD MEM, HC	INS PREMIUMS		X	2,598,616	2,598,616		No	Yes		Yes
(9) S KAR MD	FAMILY	INS PREMIUMS		X	208,746	208,746		No	Yes		Yes
Total ...... $						4,282,362

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) GIL MELMED MD	PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE	422,865	PART V NARRATIVE - COMPENSATION FOR SERVICES		No
(2) SAIBAL KAR MD	PART V NARRATIVE - FAMILY MEMBER OF DR. SHEILA KAR, A BOARD MEMBER	615,789	PART V NARRATIVE - COMPENSATION FOR SERVICES		No
(3) BARBARA LEANSE	PART V NARRATIVE - FAMILY MEMBER OF THOMAS J. LEANSE, A BOARD MEMBER	377,616	PART V NARRATIVE - COMPENSATION FOR SERVICES		No
(4) TALYA WALDMAN	PART V NARRATIVE - FAMILY MEMBER OF DR. SHLOMO MELMED, A KEY EMPLOYEE	62,177	PART V NARRATIVE - COMPENSATION FOR SERVICES		No
(5) ERIKA PRUNCHUNAS	PART V NARRATIVE - FAMILY MEMBER OF EDWARD PRUNCHUNAS, AN OFFICER	67,077	PART V NARRATIVE - COMPENSATION FOR SERVICES		No
(6) BETH KARLAN	PART V NARRATIVE - FAMILY MEMBER OF SCOTT KARLAN, A BOARD MEMBER	558,087	PART V NARRATIVE - COMPENSATION FOR SERVICES		No
(7) FIRST PACIFIC ADVISORS LLC	PART V NARRATIVE - LLC MORE THAN 5% OWNED BY STEVEN ROMICK, A BOARD MEMBER	1,610,540	PART V NARRATIVE - INVESTMENT MANAGEMENT FEES		No
(8) TCWMETWEST	PART V NARRATIVE - CORP WHOSE CEO IS A FAMILY MEMBER OF JAMES LIPPMAN, BM	143,820	PART V NARRATIVE - INVESTMENT MANAGEMENT FEES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	41	0
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..	X	1	0
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	22	3,253,677	SEE SCH M, PART II
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2013)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference

Explanation

PART I, COLUMN (B):

FOR PURPOSES OF SCHEDULE M, PART I, CEDARS-SINAI MEDICAL CENTER IS REPORTING THE NUMBERS OF ITEMS RECEIVED FOR LINES 1, 6 AND 9 WITH RESPECT TO ART-WORKS OF ART, CARS AND OTHER VEHICLES, AND SECURITIES-PUBLICLY TRADED.

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. 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.

Schedule M (Form 990) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Return Reference	Explanation
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 CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE COMPENSATION INFORMATION IS REVIEWED BY THE SENIOR VICE-PRESIDENT OF HUMAN RESOURCES AND THE COMPENSATION COMMITTEE, A COMMITTEE OF BOARD MEMBERS ASSIGNED THIS TASK BY THE CHAIRMAN OF THE BOARD. THE FORM 990 IS THEN PRESENTED AT A BOARD OF DIRECTORS' MEETING ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND DISCUSS THE INFORMATION REPORTED.
FORM 990, PART VI, SECTION B, LINE 12C	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. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	PENSION GAINS -15,828,079.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CEDARS-SINAI MEDICAL CENTER

Employer identification number

95-1644600

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) PCX SYSTEMS LLC 8700 BEVERLY BLVD LOS ANGELES,CA90048 42-1535811	HOSPITAL BILLING	DE	424,047	0	CEDARS-SINAI MEDICAL CENTER

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CEDARS-SINAI MEDICAL CARE FOUNDATION 200 N ROBERTSON BLVD 101 BEVERLY HILLS,CA90211 95-4457756	PROVISION OF MEDICAL CARE, TEACHING AND RESEARCH	CA	501(C)(3)	11, I	CEDARS-SINAI MEDICAL CENTER	Yes
(2) CALIFORNIA HEART CENTER FOUNDATION 8536 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS,CA90211 95-4772979	PROMOTE, SUPPORT, AND DEVELOP EDUCATIONAL AND SCIENTIFIC RESEARCH ACTIVITIES	CA	501(C)(3)	7	CEDARS-SINAI MEDICAL CENTER	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) GREATER VALLEY MGMT SERVICES ORGANIZATION INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES,CA90048 95-4439758	MANAGEMENT FUNCTIONS	CA	CEDARS-SINAI MEDICAL CENTER	C			100.000 %	Yes
(2) OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES,CA90048 95-4522779	INFORMATION SYSTEMS	CA	CEDARS-SINAI MEDICAL CENTER	C			100.000 %	Yes
(3) CHARITABLE REMAINDER TRUSTS (CRAT-5 CRUT-2)	TRUST	CA	N/A	T					No
(4) CHARITABLE LEAD TRUSTS (1)	TRUST	CA	N/A	T					No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CEDARS-SINAI MEDICAL CARE FOUNDATION	B	51,738,968	FAIR MARKET VALUE
(2) CEDARS-SINAI MEDICAL CARE FOUNDATION	O	-2,137,317	FAIR MARKET VALUE
(3)			FAIR MARKET VALUE
(4) CEDARS-SINAI MEDICAL CARE FOUNDATION	Q	53,876,285	FAIR MARKET VALUE
(5) CALIFORNIA HEART CENTER FOUNDATION	B	1,343,273	FAIR MARKET VALUE
(6) CALIFORNIA HEART CENTER FOUNDATION	O	1,265,594	FAIR MARKET VALUE
(7) CALIFORNIA HEART CENTER FOUNDATION	Q	77,679	FAIR MARKET VALUE

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
SCHEDULE R, PART V, LINE 2, METHOD USED TO DETERMINE THE AMOUNTS REPORTED:	REPRESENTS EXPENSES INCURRED ON BEHALF OF CEDARS-SINAI MEDICAL CARE FOUNDATION 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.

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CSMC IS AN ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL PROVIDING THE HIGHEST-QUALITY HEALTHCARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	37
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	27
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	12,686
6	Total number of volunteers (estimate if necessary) .............	6	2,988
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	18,175,169
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,564,282

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	129,548,599	100,269,920
9	Program service revenue (Part VIII, line 2g) .........	2,615,287,434	2,645,549,575
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	17,939,141	51,646,021
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	30,758,366	31,196,089
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,793,533,540	2,828,661,605
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	35,367,915	55,302,581
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,321,189,483	1,380,983,348
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	36,545	62,205
b	Total fundraising expenses (Part IX, column (D), line 25) 13,987,482
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,035,300,155	1,072,628,820
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,391,894,098	2,508,976,954
19	Revenue less expenses. Subtract line 18 from line 12.......	401,639,442	319,684,651
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,282,386,034	4,732,365,419
21	Total liabilities (Part X, line 26).............	1,687,442,323	1,712,934,579
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,594,943,711	3,019,430,840

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,817,813,145 including grants of $ 54,751,881 ) (Revenue $ 2,487,029,367 )
	CLINICAL CARE:A NON-PROFIT INSTITUTION FOUNDED BY THE COMMUNITY IN 1902, CEDARS-SINAI PROVIDES A WIDE SPECTRUM OF MEDICAL SERVICES, AND IS ONE OF THE LEADING SPECIALTY REFERRAL CENTERS FOR THE REGION. FROM ONGOING PRIMARY CARE TO HIGHLY SPECIALIZED SUBSPECIALTY CARE, PATIENTS COME TO CEDARS-SINAI FROM LOCAL COMMUNITIES AS WELL AS FROM THROUGHOUT CALIFORNIA, THE NATION AND THE WORLD. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)IN FISCAL YEAR 2014, CEDARS-SINAI HAD 234,271 INPATIENT DAYS (APPROXIMATELY 642 PER DAY), AND 662,055 OUTPATIENT VISITS (APPROXIMATELY 1,814 PER DAY). THERE WERE 45,344 INPATIENT ADMISSIONS, AND 85,082 EMERGENCY ROOM VISITS. CEDARS-SINAI'S EMERGENCY DEPARTMENT SERVES THE ENTIRE REGION AS ONE OF ONLY FOUR REMAINING LEVEL I TRAUMA CENTERS IN LOS ANGELES COUNTY (AND THE ONLY ONE NOT OPERATED BY THE GOVERNMENT), WITH STAFFING AND TECHNOLOGY TO TREAT THE MOST SEVERELY INJURED ACCIDENT AND NATURAL DISASTER VICTIMS. IN FISCAL YEAR 2014, CEDARS-SINAI'S TOTAL COST OF CLINICAL CARE WAS $1,817,813,145AS ONE OF THE LARGEST ACADEMIC MEDICAL CENTERS IN THE WESTERN UNITED STATES, CEDARS-SINAI PROVIDES MANY HIGHLY SPECIALIZED SERVICES THAT ARE NOT AVAILABLE AT MOST OTHER HOSPITALS, AND WHICH REQUIRE A SIGNIFICANT INFRASTRUCTURE OF TECHNOLOGY AND EXPERT STAFFING. FOR EXAMPLE, IN 2013, CEDARS-SINAI PERFORMED MORE HEART TRANSPLANTS THAN ANY OTHER HOSPITAL IN THE WORLD, 119. PATIENTS WITH ADVANCED HEART DISEASE COME TO CEDARS-SINAI BECAUSE OF THE EXPERTISE OF ITS CARDIOLOGISTS AND CARDIAC SURGEONS, AND BECAUSE CEDARS-SINAI HAS THE INFRASTRUCTURE TO OFFER HEART TRANSPLANTS AS WELL AS NEWER TECHNOLOGIES SUCH AS THE TOTAL ARTIFICIAL HEART AND OTHER COMPLEX DEVICES TO TREAT ADVANCED HEART DISEASE. CEDARS-SINAI'S SERVICES FOR CANCER PATIENTS ARE SIMILARLY BROAD IN SCOPE AND SIZE: FOR THE PAST SEVERAL YEARS, WE HAVE CARED FOR MORE INPATIENTS WITH CANCER (MEDICAL AND SURGICAL CASES) THAN ANY OTHER HOSPITAL IN LOS ANGELES COUNTY. IN FISCAL YEAR 2014, CEDARS-SINAI TREATED 10,970 CANCER INPATIENTS.

4b	(Code: ) (Expenses $ 145,995,796 including grants of $ 227,200 ) (Revenue $ 81,673,704 )
	RESEARCH:CEDARS-SINAI SCIENTISTS AND PHYSICIAN-RESEARCHERS ARE CURRENTLY CONDUCTING MORE THAN 1,200 STUDIES TO DISCOVER AND ADVANCE NEW TREATMENTS TO BENEFIT PATIENTS SUFFERING FROM HEART DISEASE, BRAIN DISORDERS, CANCER AND INNUMERABLE OTHER CONDITIONS. CEDARS-SINAI IS ALSO PIONEERING RESEARCH THAT IMPROVES THE QUALITY AND EFFICIENCY OF HEALTHCARE DELIVERY. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)WHILE SOME OF THESE RESEARCH PROJECTS ARE FUNDED IN PART OR IN WHOLE BY FUNDS FROM THE NATIONAL INSTITUTES OF HEALTH OR OTHER GOVERNMENT AGENCIES, MANY ARE FUNDED BY CEDARS-SINAI, ESPECIALLY SEED GRANTS TO SUPPORT INNOVATIVE NEW RESEARCH. IN FISCAL YEAR 2014, CEDARS-SINAI'S PROVIDED $64,322,092 TOWARD RESEARCH PROJECTS, WHILE NIH AND OTHER GRANTS PROVIDED $81,673,704. AMONG THE SPECIFIC RESEARCH PROJECTS AT CEDARS-SINAI IN FISCAL YEAR 2014: THE DEVELOPMENT OF SPECIALIZED STEM CELLS FROM A PATIENT'S OWN BODY TO POTENTIALLY HEAL HEART MUSCLE DAMAGED BY A HEART ATTACK; A STUDY OF BIOMARKERS THAT COULD HELP PHYSICIANS DEVELOP INDIVIDUALIZED TREATMENTS TO TARGET EACH SPECIFIC PATIENT'S PROSTATE CANCER; AND A LABORATORY STUDY THAT USED SKIN SCRAPINGS FROM PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS) TO CREATE NEURONS, INTO WHICH MOLECULES WERE INSERTED THAT COULD BLOCK THE DAMAGING EFFECTS OF THE GENE THAT CAUSES THE DISEASE.

4c	(Code: ) (Expenses $ 222,607,232 including grants of $ 323,500 ) (Revenue $ 76,846,504 )
	TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS:WITH SEVERE PROJECTED SHORTAGES OF PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS FACING THE NATION, CEDARS-SINAI'S TRAINING AND EDUCATION PROGRAMS HAVE BECOME MORE IMPORTANT TO THE HEALTH OF THE NATION THAN EVER BEFORE. IN FISCAL YEAR 2014, CEDARS-SINAI'S NET COST OF PROVIDING THESE TRAINING PROGRAMS WAS $145,760,728. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)APPROXIMATELY 500 MEDICAL RESIDENTS AND FELLOWS WERE TRAINED IN 86 SPECIALTY AND SUBSPECIALTY AREAS AT CEDARS-SINAI IN FISCAL YEAR 2014.FORM 990, PART V, LINE 7H: FORM 1098-C WAS NOT REQUIRED TO BE FILED.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,186,416,173

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	23,226,222	0	2,904,150

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		3,913,445
d	Related organizations...1d
e	Government grants (contributions)1e		39,848,825

f	All other contributions, gifts, grants, and similar amounts not included above1f		56,507,650

g	Noncash contributions included in lines 1a-1f:$		3,253,677
h	Total. Add lines 1a-1f.......			100,269,920
			Business Code
2a	NET PATIENT REVENUE		622110	2,081,070,553	2,081,070,553
b	MEDICARE & MEDICAL		622110	557,753,986	557,753,986
c	PARKING REVENUE		531310	6,725,036			6,725,036
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			2,645,549,575
3	Investment income (including dividends, interest, and other similar amounts).......			46,406,986			46,406,986
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........			13,504,668			13,504,668
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	545,773,051
b	Less: cost or other basis and sales expenses	540,534,016
c	Gain or (loss)	5,239,035
d	Net gain or (loss)..........			5,239,035			5,239,035
8a	Gross income from fundraising events (not including $ 3,913,445 of contributions reported on line 1c). See Part IV, line 18 ..
	a		906,172
b	Less: direct expenses ...b		1,477,145
c	Net income or (loss) from fundraising events..			-570,973			-570,973
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		87,225
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities...			87,225			87,225
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	LABORATORY REVENUE		621511	17,737,201		17,737,201
b	LACTATION CENTER - REV		900099	275,503		275,503
c	UNRELATED DEBT FIN INC		531120	234,850		234,850
d	All other revenue ....			-72,385		-72,385
e	Total. Add lines 11a–11d ......			18,175,169
12	Total revenue. See Instructions......			2,828,661,605	2,638,824,539	18,175,169	71,391,977


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			75,023,084	1	61,839,020
2	Savings and temporary cash investments .........			51,773,479	2	0
3	Pledges and grants receivable, net ...........			139,177,496	3	143,797,081
4	Accounts receivable, net .............			460,321,974	4	468,320,578
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				3,980,530	5	3,938,616
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				335,552	6	343,746
7	Notes and loans receivable, net .............			17,101,120	7	15,359,602
8	Inventories for sale or use ..............			26,992,857	8	29,770,423
9	Prepaid expenses and deferred charges ..........			17,707,756	9	21,145,174
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,806,951,259
b	Less: accumulated depreciation .....	10b	1,051,116,659	1,734,907,528	10c	1,755,834,600
11	Investments—publicly traded securities ..........			1,058,330,967	11	1,454,366,659
12	Investments—other securities. See Part IV, line 11 .....			552,228,000	12	616,832,000
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			64,847,099	14	64,847,099
15	Other assets. See Part IV, line 11 ...........			79,658,592	15	95,970,821
16	Total assets. Add lines 1 through 15 (must equal line 34)......			4,282,386,034	16	4,732,365,419
17	Accounts payable and accrued expenses .........			421,628,391	17	462,699,763
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			1,123,697,408	20	1,075,829,696
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23	14,000,000
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			142,116,524	25	160,405,120
26	Total liabilities. Add lines 17 through 25.........			1,687,442,323	26	1,712,934,579
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			2,066,866,952	27	2,472,070,467
28	Temporarily restricted net assets ...........			276,944,662	28	279,586,522
29	Permanently restricted net assets ...........			251,132,097	29	267,773,851
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			2,594,943,711	33	3,019,430,840
34	Total liabilities and net assets/fund balances ........			4,282,386,034	34	4,732,365,419

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No