Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2017 , and ending 06-30-2018
BCheck if applicable:
CName of organization
Children's Hospital Los Angeles
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4650 Sunset Boulevard
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Los Angeles, CA900270982
D Employer identification number

95-1690977
E Telephone number

G Gross receipts $ 1,854,612,671
F Name and address of principal officer:
Paul S Viviano
4650 Sunset Boulevard
Los Angeles,CA900270982
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.chla.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1901
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Promotion and advancement of children's health through patient care, research, and education.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 74
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 61
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 6,663
6 Total number of volunteers (estimate if necessary) ............. 6 583
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 62,744
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 2,493,412
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 109,573,712 137,204,403
9 Program service revenue (Part VIII, line 2g) ......... 907,075,288 1,252,937,564
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -3,645,571 32,897,512
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,860,963 10,414,659
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,022,864,392 1,433,454,138
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 80,700 4,598,465
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) 538,062,595 588,955,941
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 744,411 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet21,856,711    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 532,802,161 594,914,915
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,071,689,867 1,188,469,321
19 Revenue less expenses. Subtract line 18 from line 12....... -48,825,475 244,984,817
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,756,118,463 2,125,453,027
21 Total liabilities (Part X, line 26)............. 668,419,925 790,282,246
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,087,698,538 1,335,170,781
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: We create hope and build healthier futures. As a leading academic children's hospital, we fulfill our mission by: Caring for children, adolescents, young adults, families and each other; Advancing knowledge; Preparing future generations; Building our financial strength.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 846,723,098 including grants of $ 4,598,465 ) (Revenue $ 1,225,246,430 )
Medical Care Provided to Children:It is the policy of the Hospital to strive to maintain quality health care delivery in a manner that respects the dignity of the individual and family, regardless of the ability to pay. Under the Hospital's policy, medical care may be provided without charge or at amounts less than its established rates to people who are uninsured or underinsured and cannot afford to pay for their own medical care. The Hospital provides additional community support by providing care to patients who participate in programs, like Medi-Cal, that do not pay full charges. Approximately three-fourths of the Hospital's patients are covered by Medi-Cal Programs.
4b (Code:   ) (Expenses $ 26,783,786 including grants of $   ) (Revenue $ 15,534,212 )
Graduate Medical Education provides training and education to medical students in Los Angeles County who, in turn, provide services to patients at the Hospital. Also, includes Education Revenue from the Residency and Fellowship programs at CHLA. The Hospital subsidizes a large part of the cost of training physicians, allied health professionals, and other health care workers in its emergency room, clinics, inpatient areas, and other parts of its facilities.
4c (Code:   ) (Expenses $ 77,542,701 including grants of $   ) (Revenue $ 12,156,922 )
Research Revenues further the exempt purpose of CHLA by providing the patients of CHLA access to new technologies, discoveries and medications for treatment. Results of this research is disseminated through publications in scientific journals and presentations by the principal investigators. The Hospital subsidizes a large part of the cost of medical research taking place in its facilities.
(Code:   ) (Expenses $ 820,115 including grants of $   ) (Revenue $ 528,509 )
Other program service revenues also include residents housing and miscellaneous tuition and education income.
4d Other program services (Describe in Schedule O.)
(Expenses $ 820,115 including grants of $   ) (Revenue $ 528,509 )
4e Total program service expensesMediumBullet951,869,700
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
774
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,663
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
74
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
61
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletGrace Oh4650 Sunset Blvd   Los Angeles,CA900270980 (323) 361-7450
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Jeffrey Worthe......................................................................
Trustee, Chair-Elect
 2.00
.................
0.00 		X   X       0 0 0
(2) Lynda Boone Fetter......................................................................
Trustee, Co-Chair
 2.00
.................
0.00 		X   X       0 0 0
(3) Arnold J Kleiner......................................................................
Trustee, Co-Chair
 2.00
.................
0.00 		X   X       0 0 0
(4) Paul S Viviano......................................................................
Trustee, President & CEO
 55.00
.................
0.00 		X   X       1,455,943 0 411,450
(5) Judith M Kline......................................................................
Corporate Secretary (Start 8/17)
 55.00
.................
0.00 		X   X       257,024 0 20,118
(6) Ashwin Adarkar......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(7) Brooke Anderson......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(8) June Banta......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(9) Kevin H Brogan......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(10) Jay Carson......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(11) Alex Chaves Sr......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(12) Peggy Tsiang Cherng PhD......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(13) Gary J Cohen......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(14) Martha N Corbett......................................................................
Trustee
 2.00
.................
0.00 		X           0 0 0
(15) Cheryl Kunin Fair......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(16) Richard D Farman......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(17) Henri R Ford MD MHA......................................................................
Trustee, Faculty Physician
 40.00
.................
0.00 		X           901,076 0 0
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Deborah A Freund PhD........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(19) Margaret Rodi Galbraith........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(20) Ranjan Goswami........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(21) Mary Hart........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(22) Megan Hernandez........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(23) Marcia Wilson Hobbs........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(24) Gloria Holden........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(25) Jihee Huh........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(26) James S Hunt........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(27) William H Hurt........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(28) Karen Kay Imagawa MD........................................................................
Trustee/Faculty Phy. (Start 10/17)
 40.00
.......................0.00 		X           194,456 0 0
(29) Lee Kort........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(30) Kathleen McCarthy Kostlan........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(31) Mark D Krieger MD........................................................................
Trustee, Faculty Physician
 40.00
.......................0.00 		X           705,358 0 0
(32) Nancy Lee RN........................................................................
Trustee, SVP CCO
 40.00
.......................0.00 		X           581,876 0 105,154
(33) Burt Levitch........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(34) Michael J Madden........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(35) Susan H Mallory........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(36) Carol Mancino........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(37) Christopher A Martin FAIA........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(38) Bonnie McClure........................................................................
Trustee/Fundraiser Coordinator
 30.00
.......................0.00 		X           64,000 0 0
(39) Caryll Sprague Mingst........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(40) Eugene Mitchell........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(41) Todd E Molz........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(42) Mary Adams O'Connell........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(43) Jennifer Page........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(44) Laurence E Paul MD........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(45) John D Pettker........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(46) Chester J Pipkin........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(47) Ronald Preissman........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(48) Elisabeth Hunt Price........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(49) Kathryn Connolly Purwin........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(50) Elizabeth Estrada Rahn........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(51) Dayle Roath........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(52) Stephen D Rountree........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(53) Allan M Rudnick........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(54) Michael A Sachs........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(55) Theodore R Samuels........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(56) Paul M Schaeffer........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(57) Gary Scott MD........................................................................
Trustee/Faculty Phy. (Start 7/17)
 40.00
.......................0.00 		X           160,200 0 0
(58) Robert Shaddy MD........................................................................
Trustee/Faculty Phy. (Start 6/17)
 40.00
.......................0.00 		X           138,937 0 0
(59) Kimberly Popovich Shepherd........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(60) Thomas M Simms........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(61) Victoria Simms PhD........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(62) Alexandra Meneses Simpson........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(63) Lisa Stevens........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(64) James Terrile........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(65) Hon Dickran M Tevrizian........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(66) Joyce Bogart Trabulus........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(67) Alia Tutor........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(68) Rohit Varma MD MPH........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(69) Eric C Wasserman........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(70) Cathy Siegel Weiss........................................................................
Trustee
 2.00
.......................0.00 		X           0 0 0
(71) Roberta G Williams MD........................................................................
Trustee, Faculty Physician
 40.00
.......................0.00 		X           459,907 0 0
(72) Alan J Wilson........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(73) Richard Zapanta MD........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(74) Robert A Zielinski........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(75) Scott Lieberenz........................................................................
SVP, Chief Financial Officer
 55.00
.......................0.00 		    X       547,065 0 96,675
(76) Steve Garske........................................................................
SVP, CIO
 55.00
.......................0.00 		      X     517,297 0 89,382
(77) Lara Khouri........................................................................
SVP, Chief Strategy Officer
 55.00
.......................0.00 		      X     624,146 0 92,413
(78) Marilyn Ho........................................................................
Chief of Staff
 55.00
.......................0.00 		      X     331,425 0 67,670
(79) Gayathri Jith........................................................................
SVP, CAO
 55.00
.......................0.00 		      X     538,522 0 20,989
(80) Grace Oh........................................................................
SVP General Counsel
 55.00
.......................0.00 		      X     507,666 0 138,927
(81) Bhavana Kumar Arora........................................................................
Medical Director
 55.00
.......................0.00 		        X   370,250 0 5,797
(82) Nancy T Blake........................................................................
Dir, Patient Care Svcs
 55.00
.......................0.00 		        X   496,279 0 41,775
(83) Mary Dolores Hacker........................................................................
VP, Inter-Prof Nursing Resrch
 55.00
.......................0.00 		        X   411,499 0 45,680
(84) Geon L Lee........................................................................
Reg Nurse Lead
 55.00
.......................0.00 		        X   696,552 0 51,508
(85) Jodi Shirlyn Ogden........................................................................
VP, Research Operations
 55.00
.......................0.00 		        X   373,896 0 74,486
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 10,333,374 0 1,262,024
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,686
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Comforce Technical Services Inc

999 Stewart Ave Ste 100
Bethpage,NY11714 		Healthcare Workforce Management 26,991,154
Sodexo Inc

9801 Washington Blvd
Gaithersburg,MD20878 		Food and Housekeeping Services 12,689,302
Cerner Corporation

2800 Rockcreek Parkway
North Kansas City,MO64117 		Technology Services 8,880,778
Accenture LLP

1255 Treat Blvd Ste 250
Walnut Creek,CA94597 		Consulting Services 8,396,897
Parking Company of America

11101 Lakewood Blvd
Downey,CA90241 		Parking Services 4,263,274
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet183
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 349,066
d Related organizations1d  
e Government grants (contributions)1e 47,635,650
f All other contributions, gifts, grants, and similar amounts not included above1f 89,219,687
g Noncash contributions included in lines 1a - 1f:$ 1g 1,183,700
h Total. Add lines 1a-1f.......MediumBullet 137,204,403
Program Service RevenueAmt Business Code
2a Patient Revenue 621110 1,225,246,430 1,225,246,430    
b Research Revenue 900099 12,156,922 12,156,922    
c Graduate Medical Edu. 900099 11,852,351 11,852,351    
d Education Revenue 900099 3,681,861 3,681,861    
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 1,252,937,564
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 8,705,530   34,632 8,670,898
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 81,323     81,323
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   445,206,580 7a
b Less: cost or other basis and sales expenses 2,621,718 418,392,880 7b
c Gain or (loss) -2,621,718 26,813,700 7c
d Net gain or (loss).........MediumBullet 24,191,982     24,191,982
8a Gross income from fundraising events (not including $ 349,066of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 143,935
c Net income or (loss) from fundraising events..MediumBullet -143,935   -143,935
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Cafeteria 722514 3,960,400     3,960,400
b Parking Garage 812930 3,807,205     3,807,205
c Child Development Ctr 624410 1,238,850     1,238,850
d All other revenue .... 1,470,816 528,509 28,112 914,195
e Total. Add lines 11a–11d ...... MediumBullet 10,477,271
12 Total revenue. See instructions.....MediumBullet 1,433,454,138 1,253,466,073 62,744 42,720,918
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 4,598,465 4,598,465
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 7,160,027 1,284,447 5,635,211 240,369
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 490,233,089 384,968,444 94,327,515 10,937,130
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,082,600 8,246,531 1,607,126 228,943
9 Other employee benefits ....... 46,373,266 39,539,228 5,716,288 1,117,750
10 Payroll taxes ........... 35,106,959 27,063,181 7,347,531 696,247
11 Fees for services (non-employees):        
a Management ...... 5,312 1,685 3,627  
b Legal ......... 2,974,452 240,836 2,733,616  
c Accounting ........... 1,034,514   1,034,514  
d Lobbying ........... 1,003,090   1,003,090  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,027,707   1,027,707  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 199,298,349 130,937,636 64,507,791 3,852,922
12 Advertising and promotion .... 8,125,776 8,125,776    
13 Office expenses ....... 147,234,057 142,256,227 4,682,497 295,333
14 Information technology ...... 34,853,310 28,657,900 5,780,062 415,348
15 Royalties .. 209,412 209,412    
16 Occupancy ........... 10,615,180 5,881,288 3,749,812 984,080
17 Travel ............ 2,559,291 1,812,434 608,410 138,447
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,280,866 1,590,237 218,684 471,945
20 Interest ........... 19,696,548 18,670,358 1,026,190  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 65,662,841 61,578,457 2,977,876 1,106,508
23 Insurance ... 3,884,372 3,483,444 189,422 211,506
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 Quality Assurance Fees 62,964,785 62,964,785    
b Utilities 12,453,751 11,836,192 617,559 0
c Dues and Subscriptions 3,397,730 591,303 2,380,325 426,102
d Minor Equipment 3,034,352 2,572,080 457,883 4,389
e All other expenses 12,599,220 4,759,354 7,110,174 729,692
25 Total functional expenses. Add lines 1 through 24e 1,188,469,321 951,869,700 214,742,910 21,856,711
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 179,870 1 46,374
2 Savings and temporary cash investments ......... 43,114,958 2 105,640,504
3 Pledges and grants receivable, net ...... 54,272,581 3 38,152,112
4 Accounts receivable, net ............. 136,591,135 4 201,584,285
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 314,506 7 751,893
8 Inventories for sale or use ............ 7,989,808 8 9,890,802
9 Prepaid expenses and deferred charges ...... 7,366,605 9 21,442,233
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,650,769,443
b Less: accumulated depreciation 10b 778,652,707 885,578,944 10c 872,116,736
11 Investments—publicly traded securities . 556,966,751 11 624,145,950
12 Investments—other securities. See Part IV, line 11 ..... 4,834,044 12 5,131,972
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 58,909,261 15 246,550,166
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,756,118,463 16 2,125,453,027
Liabilities 17 Accounts payable and accrued expenses ..... 135,968,474 17 148,978,773
18 Grants payable ...   18  
19 Deferred revenue ......... 30,945,867 19 146,341,349
20 Tax-exempt bond liabilities ......... 468,314,876 20 465,336,311
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
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 33,190,708 25 29,625,813
26 Total liabilities. Add lines 17 through 25.. 668,419,925 26 790,282,246
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,087,698,538 32 1,335,170,781
33 Total liabilities and net assets/fund balances ........ 1,756,118,463 33 2,125,453,027
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,433,454,138
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,188,469,321
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
244,984,817
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,087,698,538
5
Net unrealized gains (losses) on investments ...............
5
-345,227
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
2,832,653
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,335,170,781
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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 VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
Children's Hospital Los Angeles
  		Employer identification number
95-1690977
Part I
Contributors
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
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
Children's Hospital Los Angeles
  		Employer identification number

95-1690977
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
Children's Hospital Los Angeles
  		Employer identification number

95-1690977
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2019)

Additional Data


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Software Version:  
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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) ........................ 1,003,090  
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 1,003,090  
d Other exempt purpose expenditures ............................................................................... 950,866,610  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 951,869,700  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
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) ................................................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 3,090  
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? ...................................................................................................................

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		6,000,000
c Total lobbying expenditures 552,827 537,068 3,518,172 1,003,090 5,611,157
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,500,000
f Grassroots lobbying expenditures 0 0 0    
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 596,010,538 543,706,004 572,973,705 618,919,327 570,394,064
b Contributions ... 51,602,973 53,936,257 52,408,489 49,906,314 43,017,518
c Net investment earnings, gains, and losses 28,227,452 57,761,047 -23,833,941 702,974 70,018,758
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		68,467,461 59,392,770 57,842,249 96,554,910 64,511,013
f Administrative expenses ....          
g End of year balance ...... 607,373,502 596,010,538 543,706,004 572,973,705 618,919,327
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet65.230 %
b
Permanent endowment SchDMd Bullet30.820 %
c
Term endowment SchDMd Bullet3.950 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   38,481,257 38,481,257
b Buildings ....   1,099,566,466 397,846,696 701,719,770
c Leasehold improvements        
d Equipment ....   455,985,503 372,349,182 83,636,321
e Other .....   56,736,217 8,456,829 48,279,388
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 872,116,736
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)Hospital Fee Program Receivable 220,045,037
(2)Capital Accumulation Account 6,261,824
(3)Goldman Sach-Swap Collateral 4,500,000
(4)Receivables Under Government Program 13,820,001
(5)Other 1,923,304
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 246,550,166
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 29,625,813
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) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
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  
3 Subtract line 2e from line 1.................. 3  
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  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
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  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
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  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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 V, Line 4: Endowment funds are intended to be used according to the donor's wishes which vary from ongoing program support, to specific research, to building or asset acquisition, or support of academic chairs within the organization.
Part X, Line 2: The Hospital is recognized by the Internal Revenue Service and the California Franchise Tax Board as tax-exempt under Internal Revenue Code Section 501(c)(3). Accordingly, no provision for income taxes has been made in the accompanying consolidated statements of activities.
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




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" on 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 arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
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?
b
If "Yes," list the 10 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
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on 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.









VerticalRevenue
(a) Event #1

Walk & Play LA
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
349,066
 
 
349,066

2
Less: Contributions . . . .
349,066
 
 
349,066
3 Gross income (line 1 minus
line 2) . . . . . .
 
 
 
 



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . . 20,002     20,002
6 Rent/facility costs . . . . 45,681     45,681
7 Food and beverages . . . 664     664
8 Entertainment . . . . 77,588     77,588
9 Other direct expenses . . .        
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 143,935
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -143,935
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
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? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
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 $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
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$  
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 provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2019
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		1 1,004 972,954   972,954 0.080 %
b Medicaid (from Worksheet 3, column a) . . . . .            
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . . 1 1,004 972,954   972,954 0.080 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 17 662,435 7,398,836   7,398,836 0.620 %
f Health professions education (from Worksheet 5) . . . 9 7,451 49,159,866 26,783,786 22,376,080 1.880 %
g Subsidized health services (from Worksheet 6) . . . . 1 2,543 4,137,786   4,137,786 0.350 %
h Research (from Worksheet 7) . 1 0 113,857,999 77,527,475 36,330,524 3.060 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 2 400 285,879   285,879 0.020 %
j Total. Other Benefits . . 30 672,829 174,840,366 104,311,261 70,529,105 5.930 %
k Total. Add lines 7d and 7j . 31 673,833 175,813,320 104,311,261 71,502,059 6.010 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		 1 127 253,042   253,042 0.020 %
6 Coalition building            
7 Community health improvement advocacy 3 200,565 591,132 122,078 469,054 0.040 %
8 Workforce development 2 17 516,920   516,920 0.040 %
9 Other            
10 Total 6 200,709 1,361,094 122,078 1,239,016 0.100 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
2,139,330
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
2,904,374
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
4,036,031
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-1,131,657
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Children's Hospital Los Angeles
4650 Sunset Blvd
Los Angeles,CA900270982
www.chla.org
930000032 		X X X X   X X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
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)
Children's Hospital Los Angeles
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V, Section C, Supplemental Info.
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Children's Hospital Los Angeles
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.chla.org/billing-and-insurance-paying-care
b
https://www.chla.org/billing-and-insurance-paying-care
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Children's Hospital Los Angeles
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 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
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Children's Hospital Los Angeles
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Children's Hospital Los Angeles Part V, Section B, Line 5: The 2016 Community Health Needs Assessment is being conducted by the Center for Nonprofit Management (CNM) and the Office of Community Affairs at Children's Hospital Los Angeles. Other institutions, organizations and agencies as well as members of the Children's Hospital Community Benefit Advisory Committee also contributed time and resources to assist with this assessment.The CNM team has extensive experience through being involved in and conducting more than 30 CHNA's for hospitals throughout Los Angeles County and San Diego County. In 2013, CNM conducted CHNA's for three Kaiser Foundation Hospitals (Baldwin Park, Los Angeles and West Los Angeles), Citrus Valley Health Partners, The Glendale Hospitals Collaborative (Glendale Adventist Medical Center, Glendale Memorial Hospital and US Verdugo Hills Hospital) and the Metro Hospitals Collaborative (California Hospital Medical Center, Good Samaritan Hospital and St. Vincent Medical Center) and assisted an additional two Kaiser Foundation Hospitals (Panorama City and San Diego) in community benefit planning based on the needs assessments. More recently, the CNM team conducted the 2014 CHNA for CASA Colina Hospital and Centers for Healthcare, and for Hope Street Family Center. The CNM team has also conducted 2016 CHNAs for two Kaiser Foundation Hospitals (West Los Angeles and Baldwin Park), Citrus Valley Health Partners, The Glendale Hospitals Collaborative and The Metro Hospitals Collaborative as well as CHLA's 2016 CHNA.CHLA has conducted a Community Health Needs Assessment (CHNA) in an effort to understand the health and social needs of the community and as required by state and federal law. The CHNA is a primary tool used by the Hospital to determine its community benefit plan. This assessment incorporates components of primary data collection and secondary data analysis that focus on the health and social needs of the service area. Sources of data include the U.S. Census 2010 Decennial Census and American Community Survey, California Health Interview Survey, California Department of Public Health, California Employment Development Department, Los Angeles County Health Survey, Los Angeles Homeless Services Authority, CDC National Health Statistics, National Cancer Institute, U.S. Department of Education, and others. When pertinent, these data sets are presented in the context of California State. The 2016 Community Health Needs Assessment methodology and process involved the collection of both secondary data and primary data. Approximately 300 secondary data indicators on a variety of health, social, economic, and environmental topics were collected by zip code, service planning area (SPA), county, and state levels (as available). In addition, primary data collection included an online survey, a youth-led photovoice project and a community forum with individuals who represent the broad interests of the community served by the Hospital. Additionally, input was obtained from Los Angeles County Department of Public Health Officials. For the community forum, community stakeholders identified by key departments at Children's Hospital Los Angeles were contacted and asked to participate in the prioritization of needs process. Participants included individuals who are leaders and representatives of medically underserved, low-income, minority and chronic disease populations, or regional, state or local health or other departments or agencies that have current data or other information relevant to the health needs of the community served by the hospital facility.
Children's Hospital Los Angeles Part V, Section B, Line 6b: A number of institutions, organizations, and departments contributed time and resources to assist with the assessment. These include Asian Pacific Health Care Venture, Children's Hospital Los Angeles - chaplain, Children's Hospital Los Angeles - clinical programs, children's agencies, Community Health Councils, Inc., Los Angeles County Department of Public Health, Esperanza Housing Corporation, Altamed at Children's Hospital, Community Clinic Association of Los Angeles, County Hospital Los Angeles - community affairs, Children's Hospital Los Angeles - family advisory council, Children's Hospital Los Angeles - pediatric residency program, Children's Hospital Los Angeles - promotoras, City Council, Community Clinic Association of L.A. County, Downtown L.A. YMCA, office of Senator Kevin de Leon, Zero to Three and Maternal and Child Health Access.
Children's Hospital Los Angeles Part V, Section B, Line 7d: The Community Health Needs Assessment ("CHNA") of the Hospital can be located at the following web address: http://www.chla.org/sites/default/files/atoms/files/CHLA-Childrens-Hospital-LA-CHNA-Report-FINAL.pdf
Children's Hospital Los Angeles Part V, Section B, Line 11: As part of the Community Health Needs Assessment (CHNA), health and social needs were identified through an examination of primary and secondary data and then prioritized through a structured process using the relative worth method. This method is a ranking strategy where each participant in the process received a fixed number of points to rank each identified need. The priority areas that are being addressed are: access to care, health promotion and prevention, health and wellness and economic development. Other health and social needs that were identified, such as mental health, chronic disease conditions, community safety, and early childhood development, are alreadybeing addressed by other local and regional community organizations. The Hospital is dedicated to making a difference in the lives of children, adolescents and their families and is addressing the priority areas identified in the CHNA by providing programs and services that are family centered and community based. - Access to Care - Children's Hospital Los Angeles is conducting community education and outreach regarding California's Health Insurance Exchange and the changes in health access programs. The Hospital is also expanding access to health care resources and information regarding transition and transfer of care for young adult patients living with chronic illness and disability.- Health Promotion and Prevention - The Hospital is promoting healthy behaviors and prevention of disease through outreach and education at local schools, community events and expositions. CHLA has partnered with community organizations to coordinate child health and safety campaigns.- Health and Wellness - Children's Hospital Los Angeles has collaborated with community clinics to promote pediatric health and wellness and make available information and resources to providers who care for families in underserved areas and collaborate with local community based organizations to work on initiatives that design and inform the development of interventions that address health inequities, particularly in underserved communities.- Economic Development - The Hospital is working to advance current efforts to expand internships, mentorships and work experience opportunities for young adults and unemployed individuals and will collaborate with community and civic stakeholders to maximize economic opportunity strategies that address health disparities and the social determinants of health.
Part V, Section B, Line 10a: The Implementation Strategy of the Hospital can be located at the following web address: http://www.chla.org/sites/default/files/atoms/files/CHLA-Community-Benefit-Implementation-Strategy-2016-2018.pdf
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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
Part I, Line 7: The organization uses the cost-to-charge ratio methodology to determine unreimbursed cost of care provided to Medi-Cal patients. All other costs are accounted for using an internal software called CBISA (Community benefit Inventory for Social Accountability), which features a blend of both statistical and narrative information.In October 2010, CMS approved legislation enacted by the State of California that provided for supplemental Medi-Cal payments to be paid to certain hospitals from funds collected from participating hospitals under the State's Quality Assurance Fee Program. Such amounts were allocated and paid to CHLA based on prior year patient data, which includes Medi-Cal patients. If these amounts had not been included, the Hospital would have reported a total community benefit percentage in excess of 20%.Provider Fee and DSH revenue were greater than the Medicaid shortfall, which would create a negative community benefit expense. As such, CHLA is reporting $0 for Medicaid.
Part II, Community Building Activities: Children's Hospital Los Angeles offers many community services and programs in response to the needs of children, youth and families. Community benefit services and activities are designed to provide treatment and promote health as a response to identified community needs. Our objectives are to improve access to health care services, enhance public health of the community, advance medical or health care knowledge that provides public benefit, and relieve or reduce the burden of government or other community efforts. The CHLA Community Health Outreach Network - Children's Hospital Los Angeles's Office of Community Affairs collaborated with the CHLA Salud "Promotoras" to reach over 10,000 individuals to promote healthy behaviors and providing information and referrals to assist in identifying available health coverage through outreach campaigns at more than 60 community events.CHLA's Department of Community Affairs/Government & Public Policy partnered with the Diabetes and Obesity Program's Kids N Fitness (KNF) staff to present at Los Angeles City Councilmember Mitch O'Farrell's Annual Fitness Challenge to promote physical fitness and healthy lifestyles for children in City of LA's Thirteenth Council District. Over 125 students and teachers from Ramona Elementary (East Hollywood), Glenfeliz Elementary (Atwater Village), Grant Elementary (Hollywood), Fletcher Drive Elementary (Glassell Park), Union Elementary (Echo Park), participated in mini nutrition lessons and physical activity. A registered dietitian from CHLA talked about the importance of the My Plate food guide and red-light/green-light foods. After a mini nutrition lesson, each class was challenged to create their healthy My Plate in teams by running across the park field to get a cut-out image of a food group and then run back to their team to complete their healthy plate to emphasize the importance of maintaining a balanced diet and a physically-active lifestyle.Careers in Health and Mentorship Program (CHAMP) CHLA's CHAMP provides underrepresented adults from the Los Angeles community the opportunity to participate in a series of comprehensive job readiness and leadership development workshops that are led by CHLA staff and hospital partners. Since its inception, over 100 young adults entered the CHLA CHAMP. After successfully completing the workshop series, "CHAMPers" are placed in nonclinical, project-based internships in participating hospital departments.Camp CHLA, a health careers exploration program, provides high school students a firsthand look into the daily lives of health care professionals. Since its inception in 2006, over 1,000 students from our community have had the opportunity to: job-shadow health care professionals, participate in hands-on skills labs, gain exposure to different health career paths, and share their experiences with other campers. CHLA continues to deepen its commitment to the community at large through the innovation and implementation of its community services and programs to improve the community's health and safety. Through our Community Benefit process we will gain a better understanding of the social determinants of health; and innovate and implement services and programs to improve the health and safety of the community.
Part III, Line 2: The total bad debt is equal to the total bad debt write offs less the bad debt recoveries.
Part III, Line 3: The Hospital recognizes patient service revenue on the basis of contractual rates for the services rendered for those patients who have third-party payor coverage. For uninsured patients who do not qualify for charity care, the Hospital recognizes revenue on the basis of its standard rates (or on the basis of discounted rates, if negotiated or provided by policy). Patients covered by insurance, but required to pay deductibles or copayments, are considered to be uninsured for those portions. Based on historical experience, the Hospital believes that a significant portion of its patient accounts will be uncollectible. Thus, it records a significant provision for bad debts related to patient accounts in the period the services are provided.Bad debts are NOT included as community benefits and contain -0- charity cost. Bad debts are calculated based on uncollectible accounts net of contractuals.
Part III, Line 4: Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments are estimated and accrued in the period in which the related services are rendered and adjusted in future periods as final settlements are determined.Patient accounts receivable are recorded on an accrual basis at established billing rates. The allowances for contractual adjustments and doubtful accounts are recorded on an accrual basis, using historical experience and established billing rates. In evaluating the collectibility of patient accounts receivable, the Hospital estimates the allowance for doubtful accounts by major payor type, based on historical experience for each type. The difference between the standard rates (or the discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts.
Part III, Line 8: CHLA is not including any Medicare Shortfall as part of its Community Benefit. Further, CHLA uses Federal Medicare Cost allocation methodology, as reported in its Medicare Cost report, to determine the allowable costs of care relating to Medicare payments received.
Part III, Line 9b: The Hospital's policy states that if the patient/guarantor is unable to pay for services due to their current financial situation, they could be eligible for uncompensated care, in which case the Hospital's applicable policy and procedure is further referenced. If the patient/guarantor does not qualify, the Hospital follows all applicable federal and state guidelines for debt collection, including the requirement of fair treatment, the prohibition of making false statements and restrictions on the time of day that debt collectors may contact the debtor.
Part VI, Line 2: CHLA continues its commitment to the children and families of the Los Angeles area through its community benefit activities which ensure that our hospital will remain responsive to the needs of the community. Children's Hospital Los Angeles strives to accomplish our objectives through our Strategic Plan, developed in accordance with the 2016 Community Health Needs Assessment. 2016 Community Health Needs Assessment Strategies: - Increase access to health care resources and information to children, youth and families in the community: conduct community education and outreach regarding federal, state, and local health access programs; carry out advocacy efforts that focus on children's health initiatives, including access to pediatric care and preventive services; and expand access to healthcare resources and information regarding mental health, oral health care, early childhood development, and transition and transfer of care. - Raise awareness of pediatric health and related safety and social issues in the community: promote healthy behaviors and prevention of disease through outreach and education at local schools, community events, and expositions; enhance knowledge and skills of parents, children, youth, and community service providers regarding child health and safety issues; and partner with community organizations to coordinate child health and safety campaigns. - Have an impact on overall health and wellness of children and youth in our community: collaborate with community clinics to promote pediatric health and wellness and make available information and resources to providers who care for families in underserved areas; and collaborate with local community-based organizations to work on initiatives that design and inform the development of interventions that address health inequities, particularly in underserved communities. - Expand economic opportunities for youth, young adults and families in our community: advance current hospital efforts to expand internships, mentorship and work experience opportunities; and collaborate with community and civic stakeholders to maximize economic opportunity strategies that address health disparities and the social determinants of health. CHLA is currently in the process of completing its 2019 Community Health Needs Assessment and continues to strengthen its commitment to understanding the health needs of the communities it serves.
Part VI, Line 3: Every patient or his or her representative shall, upon admission as an inpatient, receive a written notice containing information about the availability of Charity Care and Discount Care. The notice shall include information about this policy, as well as contact information for a hospital employee or office from which the patient or representative may obtain further information about this policy. This same notice shall be given to patients who receive emergency or outpatient care, and who may receive a bill for such care, but who were not admitted. The notice shall be provided in English and in the language spoken by the patient's Family if available. Notices regarding this policy will be clearly and conspicuously posted in locations visible to the public including, but not limited to, all of the following: the emergency department, billing office, admissions office, and outpatient settings. These posted notices will explain that CHLA has a variety of options available, including Financial Assistance, to individuals who are uninsured or underinsured. These notices will include a contact office and telephone number an individual can call to obtain more information about this Financial Assistance policy and to apply for Financial Assistance.
Part VI, Line 4: Our hospital services reach thousands across Southern California, with a primary service area of Los Angeles County--a region that spans 4,057 square miles and includes vast urban communities, suburban areas and rural neighborhoods. Approximately 85% of the Hospital's patients originate from Los Angeles County. Los Angeles County is home to more than 10 million residents of which 23.4 percent are children ages 0-17. It is the most populous county in the nation--approximately 26 percent of the state's population--and one of the most ethnically and radically diverse as well. Children (ages 0-11) represented 15.5% of the population in Los Angeles County. The majority population race/ethnicity in LA County is Hispanic or Latino (48.8%). Whites make up 26.4% of the population. Asians comprise 14.0% of the population, and African Americans are 8.0% of the population. Native Americans, Hawaiians, and other races combined total 2.8% of the population. In LA County, 56.8% of the population speaks a language other than English at home and 25.8% are linguistically isolated. In Los Angeles, almost a quarter of the population lived at or below 100% of the FPL (24.1%), which is higher than California (22.3%). Poverty decreases for the population of Los Angeles County at or below 200% of the FPL with 13.3%, almost that of California (13.8%).
Part VI, Line 5: The Hospital sponsors various community services to benefit the physically, mentally and genetically disabled as part of its charitable mission. These services include parental counseling, educational seminars, family support groups, and an outreach organization for families administered by the Hospital in an agency relationship and funded by the State of California. Additionally, a large number of health-related educational programs are provided for the benefit of the community, including health enhancements and wellness, telephone information services, and programs designed to improve the general standards of the health of the community.
Part VI, Line 7, Reports Filed With States CA
Schedule H (Form 990) 2019
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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number
95-1690977
Part I
General Information on Grants and Assistance
1
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? ........................
2
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) California Health Foundation and Trust
1215 K Street Suite 800
Sacramento,CA95814 		94-1498687 501(c)(3) 3,800,992       Support Charitable Activities at Hospitals And Health Systems in California
(2) Ronald McDonald House Charities of South
4560 Fountain Avenue
Los Angeles,CA90029 		95-3167869 501(c)(3) 528,065       Donation for CHLA Families Housing/Walk for Kids Sponsorship
(3) National Medical Fellowship Inc
347 Fifth Avenue Suite 510
New York,NY10016 		01-0963657 501(c)(3) 100,000       Los Angeles Champions of Health Awards and Primary Care Leadership Program
(4) March of Dimes
1275 Mamaroneck Avenue
White Plains,NY10605 		13-1846366 501(c)(3) 25,000       2018 March for Babies Sponsorship
(5) Patient Care Foundation of Los Angeles County
707 Wilshire Blvd Suite 3800
Los Angeles,CA90017 		26-2974477 501(c)(3) 23,575       2017 Healthcare Awards Gala Sponsorship
(6) American Heart Association
7272 Greenville Avenue
Dallas,TX75231 		13-5613797 501(c)(3) 15,000       LA Heart Walk Pledge
(7) Friends of the Los Angeles Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-3433824 501(c)(3) 15,000       50th Anniversary Dinner Gala Sponsorship
(8) Trustees of the University of Pennsylvania
3451 Walnut Street Suite 305
Philadelphia,PA19104 		23-1352685 501(c)(3) 10,000       Leonard Davis Institute of Health Economics Symposium Sponsorship
(9) National Forum for Latino Healthcare Executives
1201 Ardmode Avenue
ITASCA,IL60143 		26-2033192 501(c)(6) 10,000       Corporate Partner Sponsorship
(10) Make-A-Wish Foundation of Greater Los Angeles
11390 W Olympic Blvd Suite 300
Los Angeles,CA90064 		95-4107024 501(c)(3) 10,000       Make-A-Wish Greater Los Angeles 2017 Wish Gala Sponsorship
(11) American National Red Cross
PO Box 37839
Boone,IA50037 		53-0196605 501(c)(3) 10,000       Humanitarian Gala Sponsorship
(12) Nicole Parker Foundation For Children
5522 Fallbrook Avenue
Woodland Hills,CA91367 		95-4674799 501(c)(3) 10,000       2018 Golf Classic and Foundation Dinner
(13) Hathaway-Sycamores Child and Family Services
100 W Walnut St Suite 375
Pasadena,CA91124 		95-1691005 501(c)(3) 10,000       Gayle & Michael Galper Sponsorship
(14) Providence Health & Services Foundation
501 S Buena Vista St
Burbank,CA91505 		95-3544877 501(c)(3) 8,333       Providence Tarzana 2017 Foundation Gala Sponsorship
(15) Epilepsy Foundation of America
8301 Professional Place
Landover,MD20785 		52-0856660 501(c)(3) 7,500       Care and Cure Event Sponsorship
(16) American Diabetes Association
2451 Crystal Drive Suite 900
Arlington,VA22202 		13-1623888 501(c)(3) 7,500       21st Annual Los Angeles Political Roast Sponsorship
(17) National Health Foundation
515 S Figueroa Street Ste 1300
Los Angeles,CA90071 		23-7314808 501(c)(3) 7,500       2018 NHF Tribute Dinner Sponsorship
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
16
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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: Grants will only be made to 501(c)(3) and 501(c)(6) organizations to ensure the funds will be used properly.
Schedule I (Form 990) 2019



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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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on 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 .........
1b
 
 
2
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 on Line 1a? ..
2
 
 
3
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.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on 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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 on 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 in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Paul S Viviano
Trustee, President & CEO 		(i)

(ii)		 924,752
-------------
0 		300,000
-------------
0 		231,191
-------------
0 		385,207
-------------
0 		26,243
-------------
0 		1,867,393
-------------
0 		205,883
-------------
0
2Judith M Kline
Corporate Secretary (Start 8/17) 		(i)

(ii)		 234,144
-------------
0 		22,880
-------------
0 		0
-------------
0 		8,665
-------------
0 		11,453
-------------
0 		277,142
-------------
0 		0
-------------
0
3Henri R Ford MD MHA
Trustee, Faculty Physician 		(i)

(ii)		 802,244
-------------
0 		0
-------------
0 		98,832
-------------
0 		0
-------------
0 		0
-------------
0 		901,076
-------------
0 		0
-------------
0
4Karen Kay Imagawa MD
Trustee/Faculty Phy. (Start 10/17) 		(i)

(ii)		 194,456
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		194,456
-------------
0 		0
-------------
0
5Mark D Krieger MD
Trustee, Faculty Physician 		(i)

(ii)		 705,358
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		705,358
-------------
0 		0
-------------
0
6Nancy Lee RN
Trustee, SVP CCO 		(i)

(ii)		 452,014
-------------
0 		115,703
-------------
0 		14,159
-------------
0 		80,480
-------------
0 		24,674
-------------
0 		687,030
-------------
0 		0
-------------
0
7Gary Scott MD
Trustee/Faculty Phy. (Start 7/17) 		(i)

(ii)		 160,200
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		160,200
-------------
0 		0
-------------
0
8Roberta G Williams MD
Trustee, Faculty Physician 		(i)

(ii)		 459,907
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		459,907
-------------
0 		0
-------------
0
9Scott Lieberenz
SVP, Chief Financial Officer 		(i)

(ii)		 467,726
-------------
0 		79,339
-------------
0 		0
-------------
0 		78,601
-------------
0 		18,074
-------------
0 		643,740
-------------
0 		0
-------------
0
10Steve Garske
SVP, CIO 		(i)

(ii)		 427,707
-------------
0 		71,572
-------------
0 		18,018
-------------
0 		73,822
-------------
0 		15,560
-------------
0 		606,679
-------------
0 		0
-------------
0
11Lara Khouri
SVP, Chief Strategy Officer 		(i)

(ii)		 417,841
-------------
0 		125,000
-------------
0 		81,305
-------------
0 		79,201
-------------
0 		13,212
-------------
0 		716,559
-------------
0 		63,305
-------------
0
12Marilyn Ho
Chief of Staff 		(i)

(ii)		 261,782
-------------
0 		69,643
-------------
0 		0
-------------
0 		55,813
-------------
0 		11,857
-------------
0 		399,095
-------------
0 		0
-------------
0
13Gayathri Jith
SVP, CAO 		(i)

(ii)		 412,154
-------------
0 		126,368
-------------
0 		0
-------------
0 		8,177
-------------
0 		12,812
-------------
0 		559,511
-------------
0 		0
-------------
0
14Grace Oh
SVP General Counsel 		(i)

(ii)		 360,320
-------------
0 		92,025
-------------
0 		55,321
-------------
0 		72,388
-------------
0 		66,539
-------------
0 		646,593
-------------
0 		53,529
-------------
0
15Bhavana Kumar Arora
Medical Director 		(i)

(ii)		 324,677
-------------
0 		45,573
-------------
0 		0
-------------
0 		5,296
-------------
0 		501
-------------
0 		376,047
-------------
0 		0
-------------
0
16Nancy T Blake
Dir, Patient Care Svcs 		(i)

(ii)		 155,175
-------------
0 		40,000
-------------
0 		301,104
-------------
0 		9,797
-------------
0 		31,978
-------------
0 		538,054
-------------
0 		8,287
-------------
0
17Mary Dolores Hacker
VP, Inter-Prof Nursing Resrch 		(i)

(ii)		 302,816
-------------
0 		0
-------------
0 		108,683
-------------
0 		16,200
-------------
0 		29,480
-------------
0 		457,179
-------------
0 		90,683
-------------
0
18Geon L Lee
Reg Nurse Lead 		(i)

(ii)		 696,552
-------------
0 		0
-------------
0 		0
-------------
0 		41,906
-------------
0 		9,602
-------------
0 		748,060
-------------
0 		0
-------------
0
19Jodi Shirlyn Ogden
VP, Research Operations 		(i)

(ii)		 282,830
-------------
0 		61,916
-------------
0 		29,150
-------------
0 		58,485
-------------
0 		16,001
-------------
0 		448,382
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 4a: Nancy T. Blake received a severance of $259,007 in calendar year 2017, which was treated as taxable compensation.
Part I, Line 4b: The following individuals participated in CHLA's 457(f) plan, a supplemental nonqualified retirement plan. Amounts deferred under Section 457(f) plan are subject to substantial risk of forfeiture. These amounts will be reported as compensation for the year paid. Amounts recognized as taxable compensation on the employees 2017 Form W-2 reflect payments received by the employee during calendar year 2017 that were previously reported as deferred compensation in prior year Form 990s: Paul Viviano - $205,883 Lara Khouri - $63,305 Grace Oh - $53,529 Nancy T. Blake - $8,287 Mary Dolores Hacker - $90,683
Part I, Line 7: CHLA maintains an executive bonus program that awards incentive compensation based upon achievement of organizational objectives including health outcomes, quality improvement, level of community benefit provided and other measures as determined annually by the Compensation Committee. Although the amount of bonus incentives that each employee may be granted is based on a fixed formula, the Compensation Committee has the discretion to determine the extent of the goals that have been met by each employee. In addition to her fundraising activities, Bonnie McClure also administers the Hospital's photographic and memorabilia archives and administers the Tour Docent Program. She was compensated $64,000 for her services.
Part VII, Section A, Line 5 Pursuant to the affiliate agreement with the University of Southern California (USC), an unrelated organization, the following compensation amounts were paid to the following listed individuals by USC. USC was subsequently reimbursed by CHLA for the amounts: Henri R. Ford, M.D., MHA - $901,076 Karen Kay Imagawa, M.D. - $194,456 Mark D. Krieger, M.D. - $705,358 Gary Scott, M.D. - $160,200 Robert Shaddy, M.D. - $138,937 Roberta G. Williams, M.D. - $459,907
Schedule J (Form 990) 2019

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number
95-1690977
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
Yes No Yes No Yes No
A California Health Facilities Financing Authority
  		52-1643828 13033LB22 08-15-2012 182,930,717 See Part VI   X   X   X
B California Health Facilities Financing Authority
  		52-1643828 13032UNH7 06-06-2017 295,974,620 See Part VI   X   X   X
C California Health Facilities Financing Authority
  		52-1643828 13032UNJ3 06-06-2017 52,180,000 See Part VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 53,130,000      
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 182,930,717 296,178,058 52,180,000  
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   90,116,298    
7 Issuance costs from proceeds ............... 2,310,722 2,528,240 494,240  
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   33,225,192    
11 Other spent proceeds ............. 180,619,995 171,831,967 51,685,760  
12 Other unspent proceeds .............        
13 Year of substantial completion .............
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........ 		               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........ 		               
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   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X X     X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
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 X     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   X   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?                
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 ....SchKMediumBullet 0 % 0 % 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 ......... SchKMediumBullet 0 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0 % 0 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   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   X   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   X   X      
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to 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) 2019

Schedule K (Form 990) 2019
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, Part I, Bond Issues: Part I(f): The Series 1999 Bonds were issued on 05/26/1999; the Series 2009 Bonds were issued on 12/18/2009; and the Series 2010B Bonds were issued on 05/20/2010.
Schedule K, Part I, Bond Issues: Part I(f): The Series 2017A Bonds were issued to finance hospital projects; the advance refunding of the Borrower's Series 2010A Bonds (issued on 05/20/2010); and the current refunding of the Borrower's Series 2007 Bonds (issued on 04/24/2007) and Series 2012B Bonds (issued on 08/15/2012).
Schedule K, Part I, Bond Issues: Part I(f): The Series 2007 Bonds were issued on 04/24/2007; the Series 2012B Bonds were issued on 08/15/2012.
Part IV, Line 2b, Column A: Bond A: The 2012 Bonds met the 6 month exception to rebate.
Part IV, Line 6, Column B: This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the Bonds.
Schedule K (Form 990) 2019

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting 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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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?
Yes No
(1) Alex Chaves Sr (Trustee)
  		Owner of Parking Company of America 4,380,619 Provides parking services for the Hospital.   No
(2) Megan Hernandez (Trustee)
  		Husband Owns Security Co, Founder & Head of Intercon Security Systems 2,827,328 Provides private security services for the Hospital.   No
(3) Kathryn Purwin (Trustee)
  		President of Helinet Aviation Services 351,954 Provides transportation services for the Hospital.   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) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete 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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
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 ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles .. X 390 162,012 Cost or Selling Price
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 62 998,211 Cost or Selling Price
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 Right pointing arrow large image ( Other In-Kind ) X 11 23,477 Cost or Selling Pric
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
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
29
0
Yes
No
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 isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization didn't 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) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental 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): CHLA is reporting the number of items contributed for cars and other vehicles and number of contributions for securities-publicly traded and other in-kind contributions.
Part I, Line 32b: The Hospital uses brokerage houses to sell non-cash contributions.
Schedule M (Form 990) (2019)

Additional Data


Software ID:  
Software Version:  
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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
Return Reference Explanation
Form 990, Part VI, Section A, line 1 The name of the governing body is changed from the "Board of Trustees" to the "Board of Directors." Effective January 1, 2018, Board of Directors will be active voting members of the Board which is composed of (1) Independent Directors (elected by the Board; members of the Hospital's faculty or staff, USC faculty, and USC officers, are not eligible to serve); (2) Appointed Directors (based on specified position held at Hospital or USC); and (3) a Clinician-at-Large Director (elected by the Board; if a physician, must be a member of the Hospital's medical staff and USC faculty). To facilitate a smooth transition from the current governance structure to the new structure effective January 1, 2018, initial Independent Directors will be approved by the Hospital's Board of Trustees. The Initial Directors shall serve three and one-half year terms beginning on January 1, 2018 and will be divided into three classes having varying rights to serve additional terms. Transitional Directors will be approved by the Board of Directors and shall begin service effective on the date of their election (likely to be early January, 2018). The terms of the Transitional Directors shall expire either June 30, 2018 or June 30, 2019.
Form 990, Part VI, Section A, line 2 1. James Galbraith (Trustee) - Family relationship among Margaret Rodi Galbraith (Trustee). 2. Margaret Rodi Galbraith (Trustee) - Business relationship among John Pettker (Trustee). 3. Marcia Wilson Hobbs (Trustee) - Family relationship among Bonnie McClure (Trustee).
Form 990, Part VI, Section A, line 4 The name of the governing body is changed from the "Board of Trustees" to the "Board of Directors." Effective January 1, 2018, Board of Directors will be active voting members of the Board which is composed of (1) Independent Directors (elected by the Board; members of the Hospital's faculty or staff, USC faculty, and USC officers, are not eligible to serve); (2) Appointed Directors (based on specified position held at Hospital or USC); and (3) a Clinician-at-Large Director (elected by the Board; if a physician, must be a member of the Hospital's medical staff and USC faculty). To facilitate a smooth transition from the current governance structure to the new structure effective January 1, 2018, initial Independent Directors will be approved by the Hospital's Board of Trustees. The Initial Directors shall serve three and one-half year terms beginning on January 1, 2018 and will be divided into three classes having varying rights to serve additional terms. Transitional Directors will be approved by the Board of Directors and shall begin service effective on the date of their election (likely to be early January, 2018). The terms of the Transitional Directors shall expire either June 30, 2018 or June 30, 2019.
Form 990, Part VI, Section B, line 11b The Form 990 is prepared by Deloitte Tax LLP, working in conjunction with CHLA's finance department. CHLA's Director of Accounting has direct responsibility for this effort, subject to supervision by the Chief Financial Officer. After an initial draft of the Form 990 is prepared, it is circulated for review and comment by relevant members of the executive team who have responsibility and/or knowledge about the various matters disclosed and/or described in the Form. The Chief Financial Officer and General Counsel, in particular, review the Form 990 and ensure accuracy of descriptions and that disclosure is complete. The draft Form 990 is reviewed by the Audit Committee of CHLA, acting on behalf of the Board of Directors of CHLA. Once the draft Form 990 has been reviewed and discussed by the Audit Committee, any changes resulting from their review are incorporated into the final draft of the Form 990. The final draft of the Form 990 is then distributed to the Board of Directors via a secure website for their review and comments prior to the filing of the Form 990.
Form 990, Part VI, Section B, line 12c CHLA regularly and consistently monitors and enforces compliance with its Conflict of Interest Policy through annual circulation of a conflict of interest questionnaire which is required to be answered by all officers and members of the board of directors, key medical staff members, as well as certain key employees that are designated annually by the Governance Committee. These annual disclosures are reviewed by a combination of CHLA's General Counsel, Compliance Officer, Chief Executive Officer, Governance Committee of the Board and the full Board of Directors, depending on the individual making the disclosure. Additionally, the Legal Department of CHLA reviews contractual relationships entered into by CHLA. Furthermore, Board Members and Officers are asked to disclose any potential conflicts of interest on a continuous basis throughout the year. If a potential conflict exists, the Board or Committee determines whether the Board Member or Officer should be excluded from voting on that particular matter.
Form 990, Part VI, Section B, line 15 The process for determining the compensation of the Chief Executive Officer of CHLA is conducted by the Compensation Committee of the Board of Directors of CHLA, acting on behalf of the Board of Directors of the Organization. The Compensation Committee reported its deliberations and decisions to the Executive Committee of the Board of Directors. In determining the Chief Executive Officer's compensation during the tax period of this information return the Compensation Committee worked with and relied upon the counsel and expertise of Sullivan, Cotter and Associates, Inc., a firm with experience and expertise in the area of non-profit organization executive compensation. Sullivan Cotter provided reports to the Compensation Committee, which furnished the basis for the establishment of the Chief Executive Officer's compensation package. Their reports were based on a review of the executive compensation practices of a variety of hospitals and healthcare systems that are considered comparable to CHLA based on various metrics such as hospital type and revenue. The Compensation Committee deliberated on the issue of the Chief Executive Officer's compensation package in light of these reports and questions were asked of, and answered by, Sullivan Cotter regarding such reports and other relevant matters. Based on such deliberations, the Compensation Committee negotiated a written contract with the CEO. The process for determining the compensation of other officers and key employees of CHLA is conducted by the Compensation Committee of the Board of Directors of CHLA, acting on behalf of the Board of Directors of the organization, with support and guidance from the Chief Executive Officer and Human Resources Department. In determining such employee's compensation, during the compensation season the Human Resources Department and Compensation Committee worked with and relied upon the counsel and expertise of Sullivan Cotter, a firm with experience and expertise in the area of non-profit organization executive compensation. Sullivan Cotter provided an executive compensation report to the Human Resources Department and Compensation Committee which furnished the basis for the establishment of such employees' compensation package during the following year. Sullivan Cotter's report was based on a review of executive compensation practices of a variety of hospitals and healthcare systems that are considered comparable to CHLA based on various metrics such as hospital type and revenue. In addition, the Chief Executive Officer made a recommendation to the Compensation Committee with respect to each of such employee's compensation package in light of the Sullivan Cotter report and in light of the executive's performance. At the Compensation Committee meeting addressing such matters, questions were asked of, and answered by, Sullivan Cotter regarding such report and other relevant matters, and recommendations from the Chief Executive Officer were requested by and provided to the Compensation Committee. Based on such deliberations, the Compensation Committee made a decision regarding the compensation package for such employees for the following year.
Form 990, Part VI, Section C, line 19 CHLA does not make its governing documents and Conflict of Interest Policy available to the public. CHLA's financial statements are contained in its Form 990, which is available for public inspection during business hours.
Form 990, Part IX, line 11g Professional Medical Fees: Program service expenses 105,690,545. Management and general expenses 28,483,086. Fundraising expenses 378,787. Total expenses 134,552,418. Medical-Related Services: Program service expenses 9,350,726. Management and general expenses 54,037. Fundraising expenses 0. Total expenses 9,404,763. Other Purchased Services: Program service expenses 15,896,365. Management and general expenses 35,970,668. Fundraising expenses 3,474,135. Total expenses 55,341,168.
Form 990, Part XI, line 9: Change in Value of Split Interest Agreements -18,415. Transfers and Others 646. Change in CHLA Holdings LLC Balance Sheet -121,006. Change in Swap Mark to Market 2,971,428.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Children's Hospital Los Angeles
 
Employer identification number

95-1690977
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) CHLA Holdings LLC
4650 Sunset Blvd
Los Angeles,CA90027
27-3653228 		Investment Vehicle CA 46,622 256,676 Children's Hospital Los Angeles
 
(2) Children's Health System of Los Angeles LLC
4650 Sunset Blvd
Los Angeles,CA90027
95-1690977 		Healthcare Services CA 0 0 Children's Hospital Los Angeles
 
(3) CHLA Health Network LLC
4650 Sunset Blvd
Los Angeles,CA90027
95-1690977 		Healthcare Services CA 0 0 Children's Hospital Los Angeles
 
(4) CHLA International LLC
4650 Sunset Blvd
Los Angeles,CA90027
47-1738947 		Healthcare Services CA 0 4,900 Children's Hospital Los Angeles
 
(5) CHLA Teaching Clinics LLC
4650 Sunset Blvd
Los Angeles,CA90027
82-0677283 		Healthcare Services CA 0 0 Children's Hospital Los Angeles
 
(6) CHLA Foundation LLC
4650 Sunset Blvd
Los Angeles,CA90027
 Healthcare Services CA 0 0 Children's Hospital Los Angeles
 
(7) 4520 Sunset Blvd LLC
4650 Sunset Blvd
Los Angeles,CA90027
83-3837347 		Healthcare Services CA 0 0 Children's Hospital Los Angeles
 
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?
Yes No
(1)Anchors Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118986 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(2)Antelope Valley Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118987 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(3)Bel Air Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118835 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(4)BrightEyes
4650 Sunset Blvd MS 4

Los Angeles,CA90027
46-1214808 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(5)Centennial Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
14-1878642 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(6)Children's Chain Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-4559789 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(7)Della Robbia Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118990 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(8)Delta Delta Delta for Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
23-7294093 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(9)El Segundo Auxiliary Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118991 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(10)Flintridge Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118993 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(11)Focus
4650 Sunset Blvd MS 4

Los Angeles,CA90027
80-0290181 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(12)Friends of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
14-1878647 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(13)Glendale Auxiliary of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118994 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(14)Green House
4650 Sunset Blvd MS 4

Los Angeles,CA90027
23-7215226 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(15)Healing Arts Reaching Kids (HARK)
4650 Sunset Blvd MS 4

Los Angeles,CA90027
20-4459362 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(16)La Providencia Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6128178 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(17)Las Hermanas Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6128176 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(18)Las Madrinas Inc
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-1959907 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(19)Las Primeras Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121928 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(20)Mary Duque of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121921 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(21)Mary Duque Juniors of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-3786303 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(22)Men's Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
26-0109744 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(23)Monrovia Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121929 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(24)Northridge Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121930 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(25)Pasadena Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121932 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(26)Peninsula Committee
4650 Sunset Blvd MS 4

Los Angeles,CA90027
23-7091175 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(27)Project CHLA
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-4524737 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(28)San Antonio Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121934 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(29)Santa Monica Bay Auxiliary of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
23-7293607 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(30)Sierra Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121935 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(31)South Bay Auxiliary of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6118996 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(32)Spiritual Care of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
20-0872821 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(33)Teen Impact Affiliates
4650 Sunset Blvd MS 4

Los Angeles,CA90027
45-4799602 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(34)This Little Light of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-4445549 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(35)Toluca Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6098666 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(36)Young Professionals Council
4650 Sunset Blvd MS 4

Los Angeles,CA90027
46-1301196 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(37)Westside Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6059321 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
(38)Whittier Guild of Children's Hospital Los Angeles
4650 Sunset Blvd MS 4

Los Angeles,CA90027
95-6121939 		Fundraising CA Section 501(c)(3) Schedule A, Line 12d N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



 		(k)
Percentage
ownership
Yes No 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?
Yes No
(1) CHLA ESBT

4650 Sunset Boulevard
Los Angeles,CA90027
20-3115169 		Investment CA Children's Hospital Los Angeles
  		T 94,858   100.000 % Yes  
(2) CHLA Medical Foundation

4650 Sunset Boulevard
Los Angeles,CA90027
82-4816550 		Healthcare Services CA Children's Hospital Los Angeles
  		C     100.000 % Yes  
(3) William F & Mary J Campbell Charitable Remainder Unitrust

4650 Sunset Boulevard
Los Angeles,CA90027
95-6889283 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(4) Judith Bertanga Charitable Remainder Unitrust

4650 Sunset Boulevard
Los Angeles,CA90027
95-6907969 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(5) James D Reagan Charitable Remainder Unitrust

4650 Sunset Boulevard
Los Angeles,CA90027
95-7109746 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(6) Ronald L Reagan Charitable Remainder Trust

4650 Sunset Boulevard
Los Angeles,CA90027
95-7114975 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(7) John D Pettker Charitable Remainder Unitrust

4650 Sunset Boulevard
Los Angeles,CA90027
95-7123752 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(8) Mary M Langley Charitable Trust

4650 Sunset Boulevard
Los Angeles,CA90027
95-6605056 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(9) Juliette Page Declaration of Trust for Mayos Mortons and Rowlands

4650 Sunset Boulevard
Los Angeles,CA90027
95-6555411 		Charitable Trust CA Children's Hospital Los Angeles
  		T         No
(10) Delories S Fischal Trust 26-22012

4650 Sunset Boulevard
Los Angeles,CA90027
95-6922190 		Testamentary Trust CA Children's Hospital Los Angeles
  		T         No
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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





Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


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