Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (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 | |||||
| (A)
CEDARS-SINAI MEDICAL CENTER |
951644600 | 3 | Yes | 0 | 0 | |
| (B)
TORRANCE MEMORIAL MEDICAL CENTER |
951644042 | 3 | Yes | 0 | 0 | |
| (C)
PASADENA HOSPITAL ASSOCIATION LTD |
951644036 | 3 | Yes | 0 | 0 | |
|
Total 3
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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.).. | ||||||
| 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 0.015 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 0.035 | 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 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION A, LINE 5A: | CEDARS-SINAI HEALTH SYSTEM ("THE HEALTH SYSTEM") ADDED PASADENA HOSPITAL ASSOCIATION LTD ("PHA", EIN: 95-1644036) DBA HUNTINGTON HOSPITAL AS ITS SUPPORTED ORGANIZATION DURING FISCAL YEAR 2022. ON JULY 15, 2020, THE HEALTH SYSTEM ENTERED INTO AN AFFILIATION AGREEMENT WITH PHA FOR THE PURPOSE OF PHA JOINING THE HEALTH SYSTEM'S INTEGRATED HEALTH CARE DELIVERY SYSTEM. ON AUGUST 4, 2021, THE AFFILIATION WAS COMPLETED UPON THE APPROPRIATE GOVERNMENT REGULATORY APPROVALS. THE HEALTH SYSTEM BECAME THE SOLE CORPORATE MEMBER OF PHA AS PART OF THE AFFILIATION THAT INCLUDES COMMITMENTS TO CONTINUE INVESTMENT IN PHA THROUGH ENTERPRISE INFORMATION TECHNOLOGY, EXPANDED AMBULATORY SERVICES, AND ENHANCED PHYSICIAN DEVELOPMENT. IT WILL ALSO ENABLE COLLABORATIONS WITH THE OTHER ENTITIES IN THE HEALTH SYSTEM TO ENSURE ACCESS TO HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE CARE THROUGHOUT THE REGION. THE HEALTH SYSTEM'S BYLAWS GIVE ITS BOARD OF DIRECTORS THE POWER TO ADD NEW ENTITIES AS AFFILIATE HOSPITAL ORGANIZATIONS, AND THE HEALTH SYSTEM AMENDED AND RESTATED ITS ARTICLES OF INCORPORATION TO ACCOMPLISH THIS. |
| PART IV, SECTION D, LINE 3: | THE ORGANIZATION'S BOARD IS COMPOSED OF BOARD MEMBERS AND OFFICERS OF ITS SUPPORTED ORGANIZATIONS, CEDARS-SINAI MEDICAL CENTER, TORRANCE MEMORIAL MEDICAL CENTER, AND PASADENA HOSPITAL ASSOCIATION LTD. THUS, ITS SUPPORTED ORGANIZATIONS WILL HAVE SIGNIFICANT INPUT INTO THE USE OF ITS INCOME AND ITS ASSETS. |
| PART IV, SECTION E, LINE 3A: | THE ORGANIZATION HAS THE POWER SET FORTH BELOW UPON AFFIRMATIVE VOTE OF A MAJORITY OF ITS BOARD OF DIRECTORS: (I) ELECT INDIVIDUALS TO THE BOARD OF DIRECTORS OF AN AFFILIATE HOSPITAL ORGANIZATION IN ACCORDANCE WITH THE NOMINATION AND ELECTION PROCESS SET FORTH IN THE AFFILIATE HOSPITAL ORGANIZATION'S BYLAWS; (II) REMOVE INDIVIDUALS FROM THE BOARD OF DIRECTORS OF THE AFFILIATE HOSPITAL ORGANIZATION WITH OR WITHOUT CAUSE. |
| PART IV, SECTION E, LINE 3B: | THE ORGANIZATION HAS THE POWER SET FORTH BELOW UPON AFFIRMATIVE VOTE OF A MAJORITY OF ITS BOARD OF DIRECTORS: (I) ADOPT, REPEAL, MODIFY, AMEND OR RESTATE THE ARTICLES OF INCORPORATION, BYLAWS, OR OTHER GOVERNING DOCUMENTS, AS APPLICABLE, OF AN AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES; (II) TRANSFER NON-CASH ASSETS FROM AN AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES TO THE ORGANIZATION; (III) ESTABLISH OR CONSUMMATE A TRANSACTION THAT RESULTS IN A CHANGE OF CONTROL OF AN AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES; (IV) CHANGE THE MISSION, VISION, AND VALUES OF THE AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES; (V) CHANGE THE CORPORATE STRUCTURE OF THE AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES IF SUCH CHANGE WOULD AFFECT THE AFFILIATE HOSPITAL ORGANIZATION'S OR ITS AFFILIATE'S STATUS AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (VI) ELECT TO VOLUNTARILY DISSOLVE THE AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES; (VII) CHANGE THE NAME OF THE AFFILIATE HOSPITAL ORGANIZATION OR A LICENSED HOSPITAL OWNED AND OPERATED BY THE AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES; (VIII) SELL ANY REAL PROPERTY OWNED BY AN AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES; (IX) APPROVE AN AFFILIATE HOSPITAL ORGANIZATION'S STRATEGIC PLANS, CAPITAL BUDGETS, AND OPERATING BUDGETS; AND (X) APPROVE THE INCURRENCE OF DEBT OR LENDING OF MONEY IN MATERIAL AMOUNTS BY THE AFFILIATE HOSPITAL ORGANIZATION OR ANY OF ITS AFFILIATES. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS ARTICLES OF INCORPORATION AND ITS BYLAWS DURING THE FISCAL YEAR TO REFLECT THE ADDITION OF PHA AS ITS MEMBER ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S FORM 990 UNDERGOES A COMPREHENSIVE REVIEW PROCESS. THE REVIEW INVOLVES A BIG FOUR ACCOUNTING FIRM, CEDARS-SINAI MEDICAL CENTER'S GENERAL COUNSEL AND THE ORGANIZATION'S TREASURER. A COMPLETE, UNREDACTED COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS IN ADVANCE OF A BOARD MEETING WHERE THE FORM 990 IS PRESENTED, ALLOWING THE ENTIRE BOARD THE OPPORTUNITY TO REVIEW AND DISCUSS THE INFORMATION REPORTED BEFORE THE FORM 990 IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CEDARS-SINAI HEALTH SYSTEM (CSHS) CONFLICT OF INTEREST POLICY IS A BOARD-APPROVED POLICY. CONFLICT REPORTING IS REQUIRED THROUGH THE OFFICE OF THE PRESIDENT/CEO, WHO REPORTS TO THE BOARD ON COI-RELATED MATTERS. THE POLICY APPLIES TO CSHS DIRECTORS, OFFICERS, COMMITTEE MEMBERS, AND OTHER INDIVIDUALS WHO HAVE OR ARE GRANTED THE AUTHORITY TO VOTE AT BOARD OR COMMITTEE MEETINGS OF CSHS. THESE INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. MORE FREQUENT DISCLOSURE IS REQUIRED AS WARRANTED BY ACTIVITIES UNDERTAKEN BETWEEN ANNUAL DISCLOSURES. THE POLICY EXTENDS TO FAMILY MEMBERS OF SUCH PERSONS AS THEY MAY DIRECTLY OR INDIRECTLY GIVE RISE TO CONFLICTS OF INTEREST. CONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED ANNUALLY AND THE OFFICE OF THE PRESIDENT OR HIS/HER DESIGNEE FOLLOWS UP WITH ANY PERSON WHO DOES NOT COMPLETE AND RETURN THE QUESTIONNAIRE IN A TIMELY MANNER. ALL QUESTIONNAIRES ARE ANALYZED AND ALL DISCLOSURES MADE ARE REVIEWED BY COUNSEL FOR VALIDITY, COMPLETENESS AND THE PRESENCE OF A REAL OR PERCEIVED CONFLICT OF INTEREST. COUNSEL WORKS WITH THE OFFICE OF THE PRESIDENT OR HIS/HER DESIGNEE TO PERFORM ANY NECESSARY DILIGENCE AND IDENTIFY STRATEGIES FOR MANAGING ANY IDENTIFIED CONFLICTS. MANAGEMENT GENERALLY INVOLVES SEPARATION OF THE INTERESTED PERSON FROM ANY INVOLVEMENT, MANAGEMENT OR DECISION-MAKING WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT, DISCLOSURE TO THE BOARD OF DIRECTORS, AND OTHER ACTIONS TO ENSURE THE IDENTIFIED CONFLICT IS SUFFICIENTLY MITIGATED OR ADDRESSED IN A MANNER THAT ENSURES THAT THE TRANSACTION THAT GIVES RISE TO THE CONFLICT IS FAIR AND REASONABLE TO CSHS AND CONSISTENT WITH FAIR MARKET VALUE. IN THE CASE OF A BOARD MEMBER WITH AN IDENTIFIED CONFLICT, THAT BOARD MEMBER IS PRECLUDED FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS REGARDING THE TRANSACTION THAT GIVES RISE TO THE CONFLICT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AND THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS SUPPORTED ORGANIZATIONS' FORMS 990. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATES -6,027,353. AFFILIATION WITH PASADENA HOSPITAL ASSOCIATION, LTD. 1,118,773,678. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH ITS SUBSIDIARY ORGANIZATIONS FOR FISCAL YEAR ENDED JUNE 30, 2022. THE OVERSIGHT OF THE AUDIT WAS PERFORMED BY CEDARS-SINAI MEDICAL CENTER'S AUDIT COMMITTEE. |
| Software ID: | |
| Software Version: |