2024-05-15T13:41:39-05:00 2023-06-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2022-07-01 954457756 CEDARS-SINAI MEDICAL CARE FOUNDATION CEDA 3103853200 6500 WILSHIRE BLVD 19TH FLOOR LOS ANGELES CA 90048 JILL MARTIN PRESIDENT 3103853200 2024-05-15 0 JILL MARTIN 999009999 1 KARA ADAMS P00023315 9497942300 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X THOMAS M PRISELAC 8700 BEVERLY BLVD LOS ANGELES CA 90048 727884395 0 X WWW.CEDARS-SINAI.ORG X 1994 CA TO ENHANCE CEDARS-SINAI'S ABILITY TO EFFECTIVELY AND EFFICIENTLY DELIVER HEALTH CARE SERVICES. 11 7 2198 0 1033164 0 6220866 586355 660538280 724693871 12544 2604169 0 0 666771690 727884395 0 0 0 0 162879675 185217345 0 0 0 604093863 662589549 766973538 847806894 -100201848 -119922499 562403044 543277791 243702689 225068158 318700355 318209633 X THE FOUNDATION WAS FORMED TO ENHANCE THE ABILITY OF THE MEDICAL CENTER TO EFFECTIVELY AND EFFICIENTLY DELIVER HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIA. (SEE SCHEDULE O FOR CONTINUATION)IN PARTICULAR, THE MEDICAL CENTER BELIEVES THE FOUNDATION WILL FURTHER ITS CHARITABLE HEALTH CARE PURPOSES BY PROVIDING MEDICAL EDUCATION, RESEARCH AND VARIOUS MEDICAL BENEFITS TO THE COMMUNITY. PLEASE REFER TO THE STATEMENT OF PROGRAM ACCOMPLISHMENTS FOR A FULL DESCRIPTION OF SERVICES PROVIDED. 0 0 826910923 724693871 CEDARS-SINAI MEDICAL CARE FOUNDATION (FOUNDATION), A NONPROFIT PUBLIC BENEFIT CORPORATION, WAS FORMED BY CEDARS-SINAI MEDICAL CENTER (MEDICAL CENTER), AN IRC SECTION 501(C)(3) CORPORATION, AS A MEDICAL PRACTICE FOUNDATION DESCRIBED IN SECTION 1206(L) OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE PURPOSE OF ESTABLISHING AND OPERATING OUTPATIENT MEDICAL CARE CLINICS AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN LOS ANGELES COUNTY, CALIFORNIA. (SEE SCHEDULE O FOR CONTINUATION)THE MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. IN ADDITION, THE MEDICAL CENTER IS LICENSED AS A GENERAL ACUTE CARE HOSPITAL UNDER APPLICABLE CALIFORNIA LAWS AND OWNS AND OPERATES HEALTH CARE FACILITIES PRINCIPALLY LOCATED IN LOS ANGELES, CALIFORNIA. THE FACILITIES ARE LICENSED FOR 889 BEDS AND INCLUDE A 1.6 MILLION SQUARE FOOT MAIN COMPLEX AND OTHER PHYSICAL STRUCTURES CONTIGUOUS THERETO SITUATED ON A 19-ACRE SITE. THE MEDICAL CENTER IS THE LARGEST PRIVATE VOLUNTARY HEALTH CARE FACILITY IN THE STATE OF CALIFORNIA AND IS A TERTIARY CARE TEACHING HOSPITAL WHICH PROVIDES A FULL COMPLEMENT OF SPECIALTY AND SUBSPECIALTY SERVICES AS A REGIONAL RESOURCE.THE FOUNDATION WAS FORMED TO ENHANCE THE ABILITY OF THE MEDICAL CENTER TO EFFECTIVELY AND EFFICIENTLY DELIVER HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIA. IN PARTICULAR, THE MEDICAL CENTER BELIEVES THE FOUNDATION WILL FURTHER ITS CHARITABLE HEALTH CARE PURPOSES IN THE FOLLOWING WAYS:1. PROVIDING RESPONSE TO THE NEED FOR OUTPATIENT SERVICES: THE DELIVERY OF HEALTH CARE SERVICES IS RAPIDLY CONVERTING FROM AN INPATIENT TO AN OUTPATIENT SETTING, RESULTING IN THE NEED FOR A VEHICLE TO DELIVER OUTPATIENT AS WELL AS INPATIENT SERVICES THROUGH AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE FOUNDATION SERVES AS THE VEHICLE. COORDINATION OF THE MEDICAL CENTER'S ACUTE CARE HOSPITAL OPERATIONS AND THE FOUNDATION'S OUTPATIENT CLINIC OPERATIONS HELP AVOID UNNECESSARY DUPLICATION, POTENTIAL EXCESS CAPACITY, AND RELATED INEFFICIENCIES, AND THEREBY REDUCES THE OVERALL COST OF DELIVERING HEALTH CARE TO THE RESIDENTS OF LOS ANGELES COUNTY.2. PROVIDES RESOURCES TO DEVELOP AND MANAGE OUTPATIENT CLINICS: THE FOUNDATION PROVIDES RESOURCES WHICH THE MEDICAL CENTER USES TO DEVELOP PRIMARY CARE AND MULTI-SPECIALTY OUTPATIENT MEDICAL CLINICS TO BETTER SERVE THE COMMUNITY. THE MEDICAL CENTER MAINTAINS SUFFICIENT CONTROL SO AS TO ENSURE THAT THOSE CLINICS OPERATE ON A NONPROFIT BASIS IN FURTHERANCE OF THE OVERALL CHARITABLE HEALTH CARE GOALS OF THE MEDICAL CENTER AND THE FOUNDATION.3. ASSUMES RISK THROUGH CAPITATED MODEL: HEALTH CARE PAYERS HAVE SHIFTED HEALTH CARE RISKS TO THE PROVIDERS OF CEDARS-SINAI MEDICAL CARE FOUNDATION HEALTH CARE SERVICES. IN DOING SO, THE PAYERS HAVE CREATED MECHANISMS AND INCENTIVES TO PROVIDE QUALITY CARE AT THE LOWEST POSSIBLE COST. THE FOUNDATION ALLOWS THE MEDICAL CENTER AND THE PHYSICIANS WITH WHOM THE FOUNDATION CONTRACTS FOR MEDICAL SERVICES TO COORDINATE INPATIENT, OUTPATIENT AND ANCILLARY SERVICES, ACHIEVE EFFICIENCIES OF SCALE, AND IN GENERAL, OPERATE MORE EFFICIENTLY IN A MANAGED CARE ENVIRONMENT, WITHOUT SACRIFICING QUALITY OF CARE. THE FOUNDATION'S MEDICAL SERVICES ARE TO BE DELIVERED EITHER AT THE OUTPATIENT CLINICS OWNED BY THE FOUNDATION OR AT THE MEDICAL CENTER'S HOSPITAL. THE FOUNDATION MAINTAINS URGENT CARE HOURS ON WEEKDAYS AND WEEKENDS DESIGNED TO HANDLE NON-LIFE-THREATENING MEDICAL EMERGENCIES WHICH DO NOT REQUIRE A VISIT TO THE HOSPITAL EMERGENCY ROOM. ADDITIONALLY, FOUNDATION PHYSICIANS ARE ON CALL 24 HOURS A DAY. TO FURTHER IMPROVE ACCESS TO CARE, CEDARS-SINAI LAUNCHED CS CONNECT, A VIRTUAL MEDICAL SERVICE AND MOBILE APPLICATION THAT ALLOWS USERS IN CALIFORNIA TO GET CARE FROM CEDARS-SINAI PROVIDERS 24/7. THE FOUNDATION ALSO PARTICIPATES IN OTHER VALUE-BASED PAYER ARRANGEMENTS TO IMPROVE PATIENT OUTCOMES AND LOWER THE SOCIETAL COST OF HEALTH CARE. THE FOUNDATION PROVIDES BEHAVIORAL HEALTH SERVICES VIA A COLLABORATIVE CARE PROGRAM IN PRIMARY CARE, FILLING A CRITICAL VOID IN THE MENTAL HEALTH CARE SYSTEM IN LOS ANGELES. THE FOUNDATION ALSO PARTICIPATES IN CMS INNOVATION PROGRAMS DESIGNED TO IMPROVE QUALITY AND LOWER THE COST OF CARE FOR MEDICARE BENEFICIARIES. THESE "ACCOUNTABLE CARE ORGANIZATIONS" ENABLE THE FOUNDATION TO PROVIDE COORDINATED SERVICES TO AN EVEN LONGER SEGMENT OF THE COMMUNITY. AMONGST THESE CAPITATED CONTRACTS ARE TWO SENIOR PROGRAMS THAT RESULT IN LOWER COSTS TO PATIENTS, AND DESIGNED TO ATTRACT AND SERVE PATIENTS WITH SPECIAL NEEDS AND FROM TRADITIONALLY DISADVANTAGED COMMUNITIES.4. PROVIDES COMMUNITY AND PHYSICIAN HEALTH EDUCATION, AND PERFORMS CLINICAL RESEARCH ACTIVITIES: THE MEDICAL CENTER AND THE FOUNDATION PROVIDE A SIGNIFICANT AMOUNT OF COMMUNITY MEDICAL EDUCATIONAL AND CLINICAL RESEARCH ACTIVITIES. THESE PROGRAMS ARE AN IMPORTANT AND MATERIAL PART OF THE OVERALL SERVICES OFFERED BY THE HEALTH SYSTEM, FOR WHICH TREMENDOUS MEDICAL AND CAPITAL RESOURCES ARE EXPENDED. THE NUMBER OF PROGRAMS OFFERED TO THE GENERAL PUBLIC WILL REPRESENT A SUBSTANTIAL INCREASE IN THE AVAILABILITY OF THESE PROGRAMS TO THE MEMBERS OF THE COMMUNITY WITHIN THE FOUNDATION SERVICE AREA.CEDARS-SINAI MEDICAL CARE FOUNDATION CONTINUES PURSUING DIVERSITY, INCLUSION, AND HEALTH EQUITY. CEDARS-SINAI MEDICAL CARE FOUNDATION EVALUATES DATA BASED ON RACE, ETHNICITY, AND LANGUAGE TO IDENTIFY DISPARITIES IN PREVENTIVE SCREENINGS AND CLINICAL OUTCOMES AND HELPS TO DESIGN INTERVENTIONS TO REDUCE THESE DISPARITIES. THE PHYSICIANS PROVIDE PROGRAMS THAT BENEFIT THE UNDERSERVED COMMUNITY. EXAMPLES INCLUDE:- HEAL - PROVIDES SPORT PHYSICALS AND TESTS TO THREE UNDERSERVED HIGH SCHOOLS IN CARSON AND SOUTH LOS ANGELES.- LENS OF RACE TO QUALITY OUTCOMES - SUPPORTS COLORECTAL CANCER SCREENINGS AND BREAST CANCER SCREENINGS BY HELPING TO PURSUE EQUITY INITIATIVES TO IMPROVE ACCESSIBILITY FOR SCREENING OPTIONS, RAISE AWARENESS, AND ADDRESS BARRIERS TO GETTING SCREENED.COMMUNITY EDUCATION:THE FOLLOWING FREE OR LOW COST HEALTH CARE EDUCATION PROGRAMS ARE OFFERED TO THE COMMUNITY:- SMOKING CESSATION PROGRAM- DIABETES MANAGEMENT- PRE-DIABETES- WEIGHT MANAGEMENT- MULTIPLE MEDICATION MANAGEMENT- EDUCATIONAL HEALTHCARE LECTURES TO THE COMMUNITY- COMMUNITY AND COMPANY HEALTHCARE SCREENINGS, SUCH AS GLUCOSE TESTING AND BLOOD PRESSURE CHECKS- ADVANCE CARE PLANNING - SOCIAL SUPPORT AND EDUCATION GROUPS INCLUDING FOR PATIENTS WITH LONG COVID- FALL PREVENTION CLASS- GRIEF WORKSHOP- LEAP PROGRAM TO HELP SENIORS PREVENT SOCIAL ISOLATION- PARTICIPATE WITH BLACKDOCTORS.ORG TO PROVIDE HEALTH EDUCATION AWARENESSCONTINUING PHYSICIAN EDUCATION:THE FOLLOWING EDUCATIONAL PROGRAMS ARE INTENDED TO BENEFIT THE COMMUNITY BY INCREASING THE LEVEL OF SKILL PROVIDED BY COMMUNITY PHYSICIANS:- CONTINUING EDUCATION, OPEN TO ALL PHYSICIANS IN THE COMMUNITY, INTENDED TO IMPROVE THE QUALITY OF CARE- EXPANDING THE FOCUS OF GRADUATE MEDICAL EDUCATION TO INCLUDE RESIDENCY AND FELLOWSHIP TRAINING IN PRIMARY CARE AND OUTPATIENT SERVICES- ALSO PROVIDE AN ACCREDITED RESIDENCY PROGRAM FOR PHARMACISTS, A SOCIAL WORK INTERNSHIP, AND MENTORING FOR PHARMACY STUDENTS THROUGH A COLLABORATION WITH MANY LOCAL SCHOOLS OF PHARMACY- FELLOWSHIP IN PALLIATIVE CARE PROVIDES INTERNSHIPS FOR STUDENTS IN PUBLIC HEALTH MASTERS PROGRAMSCLINICAL OUTREACH - THE FOUNDATION IS WORKING CLOSELY WITH INTERNAL MEDICINE PHYSICIANS IN THE COMMUNITY TO PERFORM CLINICAL OUTREACH TO CO-MANAGE THEIR PATIENTS WITH DIABETES, CARDIOVASCULAR DISEASE, AND THOSE WHO TAKE PERSISTENT MEDICATIONS. CLINICAL OUTREACH INTENDING TO BENEFIT THE COMMUNITY IS CONDUCTED IN THE FOLLOWING AREAS:- ANTI-COAGULATION MANAGEMENT- ASTHMA- BLOOD PRESSURE CONTROL- CHOLESTEROL MANAGEMENT- CHRONIC DISEASE MANAGEMENT- CHRONIC HEPATITIS C MANAGEMENT- CONGESTIVE HEART FAILURE- CORONARY ARTERY DISEASE- DIABETES- MIGRAINE MANAGEMENT- REDUCING HIGH RISK OPIOID AND BENZODIAZEPINE USE- STRATEGIES TO REDUCE THE COST OF CARE AND IMPROVE THE QUALITY OF CARE IN PHYSICIANS' OFFICES- WELLNESS AND PREVENTATIVE SCREENINGSHEALTH SERVICES RESEARCH:THE FOUNDATION CLINICIANS COLLABORATE WITH HSR RESEARCHERS ON PROJECTS TO IMPROVE OUTCOMES AND COST OF CARE, INCLUDING IN THE AREAS OF URINARY INCONTINENCE IN OLDER ADULTS, REDUCING POLYPHARMACY IN SENIORS, REDUCING HIGH RISK BENZODIAZEPINE USE AND REDUCING FALLS AND SOCIAL ISOLATION IN SENIORS.CLINICAL TRIALS - THE FOUNDATION ALSO PARTICIPATES IN DEDICATING TIME TO RECRUITING AND TRACKING PATIENTS FOR INSTITUTIONAL REVIEW BOARD (IRB)-APPROVED CLINICAL TRIAL EFFORTS, PARTICULARLY AROUND THE HEMATOLOGY/ONCOLOGY SPECIALTY, STUDYING SUCH AREAS AS GASTROENTEROLOGICAL AND BREAST CANCERS. THESE CLINICAL TRIALS ARE PROGRAM-RELATED AS PATIENT CARE. 826910923 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 1708 0 1 2198 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 11 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 CA X XINGTONG STELLA CHEN 3238668504 6500 WILSHIRE BLVD LOS ANGELES CA 90048 JOHN JENRETTE MD PRESIDENT/CEO 22.00 33.00 X X 0 1994099 -32080 JILL MARTIN PRESIDENT 22.00 33.00 X X 0 1481283 120852 DAVID M WRIGLEY CHIEF FINANCIAL OFFICER 1.00 65.00 X X 0 1947870 242343 JOHN BENDHEIM BOARD MEMBER 1.00 4.00 X 0 0 0 DAVID HOFFMAN MD BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM KATKOV MD BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS J LEANSE ESQ BOARD MEMBER 1.00 6.00 X 0 0 0 JAMES A LIPPMAN BOARD MEMBER 1.00 7.00 X 0 0 0 LAWRENCE B PLATT BOARD MEMBER 1.00 7.00 X 0 0 0 THOMAS M PRISELAC CHAIRMAN 1.00 66.00 X 0 5857203 768274 SUSAN RABIZADEH MD BOARD MEMBER 1.00 0.00 X 0 0 0 MARC H RAPAPORT BOARD MEMBER 1.00 6.00 X 0 0 0 SAMUEL ROSS MD BOARD MEMBER 1.00 0.00 X 0 0 0 GERALD WHITMAN MD BOARD MEMBER 1.00 0.00 X 0 5000 0 RICHARD B JACOBS SECRETARY 5.00 55.00 X 0 2192012 229784 ALEN VOSKANIAN CHIEF OPERATING OFFICER 55.00 0.00 X 626272 0 58585 CYNTHIA LITT DECULUS VICE PRESIDENT 55.00 0.00 X 0 751549 -194674 MARY CLARE LINGEL VICE PRESIDENT 50.00 0.00 X 0 809321 75493 CAROLINE GOLDZWEIG MD CHIEF MEDICAL DIRECTOR 50.00 0.00 X 0 763447 68397 STEPHEN DEUTSCH MD SENIOR MEDICAL DIRECTOR-CS 50.00 0.00 X 590876 0 -113529 LISA MAQUEIRA VICE PRESIDENT 38.00 12.00 X 0 552251 39294 DEBORAH A BOTTEN VICE PRESIDENT 50.00 0.00 X 0 519310 57779 EDWARD M PRUNCHUNAS FORMER OFFICER 0.00 47.00 X 0 2734586 156587 1217148 19607931 1477105 312 1 1 0 CEDARS-SINAI MEDICAL GROUP 6500 WILSHIRE BLVD 19TH FL LOS ANGELES CA 90048 PHYSICIAN SERVICES 119558446 BEVERLY ANESTHESIOLOGY INC 6500 WILSHIRE BLVD 19TH FL LA CA 90048 PHYSICIAN SERVICES 79036754 KERLAN-JOBE ORTHOPAEDIC CLINIC 6801 PARK TERRACE SUITE 500 LOS ANGELES CA 90045 PHYSICIAN SERVICES 30251717 INPATIENT SPECIALTY PRACTICES A MED GRP 6500 WILSHIRE BLVD 19TH FL LA CA 90048 PHYSICIAN SERVICES 23551976 BEVERLY PATHOLOGY INC 6500 WILSHIRE BLVD 19TH FL LA CA 90048 PHYSICIAN SERVICES 18157136 145 586355 586355 PATIENT CARE 621400 471349279 470316115 1033164 MEDICARE/MEDICAID PMT 621400 126711321 126711321 PREMIUM REVENUE 621400 125764178 125764178 SUBLEASE INCOME 531120 869093 869093 724693871 2604169 2604169 727884395 723660707 1033164 2604169 X 837743 753969 83774 587506 587506 144722157 136284430 8437727 5708846 5376020 332826 23008690 21668390 1340300 10352403 9748858 603545 8817992 8817992 443878956 440026381 3852575 3672 3672 2445659 2201093 244566 48984234 47024865 1959369 241055 241055 1165903 1165903 977 977 30834627 27229361 3605266 5884764 5884764 PATIENT CARE 102619715 102619715 REPAIR & MAINT. SERVICE 4075187 4075187 PARKING 3081561 3081561 FACILITY MAINT. SERVICE 1994873 1994873 8560374 8124351 436023 847806894 826910923 20895971 0 10124 4550 109400701 106616494 66149852 74525929 46400 31575 4738556 5234423 3907437 5207756 331633703 122415339 212798707 209218364 3394909 3890038 21631597 18026331 140324761 120522331 562403044 543277791 99149749 104801775 751382 311591 3394909 3890038 140406649 116064754 243702689 225068158 X 318700355 318209633 318700355 318209633 562403044 543277791 X -119922499 119431777 X X 0 1 X 1 1 1 X X 1 CEDARS-SINAI MEDICAL CENTER 951644600 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 297098935 97500546 199598389 32017860 24914793 7103067 2516908 2516908 209218364 SECURITY AND OTHER DEPOSITS 716071 LEASE ROU ASSETS 119806260 120522331 DUE TO/FROM AFFILIATES 3136845 LONG-TERM LEASE LIABILITIES 112927909 116064754 X PART IV, LINE 2B: IN CONNECTION WITH THE PURCHASE OF THREE PHYSICIAN PRACTICES IN DECEMBER 1993, OCTOBER 1995, AND DECEMBER 1996, THE FOUNDATION EXECUTED PROMISSORY NOTES FOR COVENANTS NOT-TO-COMPETE AND THE NONCASH CONSIDERATION OF THE PURCHASE PRICE. IN LIEU OF MAKING THE PAYMENTS IN ACCORDANCE WITH THE TERMS OF THE NOTES, THE PHYSICIAN PRACTICES AGREED TO HAVE THE FOUNDATION INVEST THE PAYMENT AMOUNTS IN LIFE INSURANCE POLICIES WHICH ARE VALUED AT CASH SURRENDER VALUE. PART X, LINE 2: THE FOLLOWING STATEMENT IS TAKEN FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CEDARS-SINAI HEALTH SYSTEM THAT INCLUDES THE FOUNDATION. THE CORPORATION COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE CORPORATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. 0 1 0 0 0 0 0 0 0 THOMAS M PRISELAC CHAIRMAN 0 2281516 0 2201607 0 1374080 0 740266 0 28008 0 6625477 0 0 EDWARD M PRUNCHUNAS FORMER OFFICER 0 978626 0 582201 0 1173759 0 142603 0 13984 0 2891173 0 166667 RICHARD B JACOBS SECRETARY 0 863401 0 500534 0 828077 0 207018 0 22766 0 2421796 0 125000 DAVID M WRIGLEY CHIEF FINANCIAL OFFICER 0 842159 0 398603 0 707108 0 214265 0 28078 0 2190213 0 123333 JOHN JENRETTE MD PRESIDENT/CEO 0 1002215 0 597394 0 394490 0 -39924 0 7844 0 1962019 0 0 JILL MARTIN PRESIDENT 0 702644 0 350323 0 428316 0 107725 0 13127 0 1602135 0 83333 MARY CLARE LINGEL VICE PRESIDENT 0 458184 0 177929 0 173208 0 56575 0 18918 0 884814 0 0 CAROLINE GOLDZWEIG MD CHIEF MEDICAL DIRECTOR 0 476240 0 181436 0 105771 0 50855 0 17542 0 831844 0 0 ALEN VOSKANIAN CHIEF OPERATING OFFICER 442767 0 91025 0 92480 0 36586 0 21999 0 684857 0 0 0 LISA MAQUEIRA VICE PRESIDENT 0 338096 0 141307 0 72848 0 22841 0 16453 0 591545 0 0 DEBORAH A BOTTEN VICE PRESIDENT 0 359086 0 95306 0 64918 0 42700 0 15079 0 577089 0 0 CYNTHIA LITT DECULUS VICE PRESIDENT 0 450924 0 176029 0 124596 0 -206408 0 11734 0 556875 0 0 STEPHEN DEUTSCH MD SENIOR MEDICAL DIRECTOR-CS 447784 0 75731 0 67361 0 -129319 0 15790 0 477347 0 0 0 PART I, LINE 4B THERE ARE TWO NONQUALIFIED DEFERRED COMPENSATION PLANS IN WHICH ONE OR MORE OF THE LISTED PERSONS PARTICIPATE. THE FIRST PLAN IS A DEFERRED COMPENSATION PLAN. THIS IS A "GRANDFATHERED" TRADITIONAL DEFINED BENEFIT PLAN (NO NEW PARTICIPANTS HAVE BEEN ADDED SINCE 1986). THE BENEFIT FORMULA IS A PERCENTAGE OF THE HIGHEST FIVE YEARS AVERAGE ANNUAL SALARY TIMES THE NUMBER OF YEARS OF ELIGIBLE SERVICE, WITH A MAXIMUM CREDITED SERVICE OF 30 YEARS. THE SECOND PLAN IS A SUPPLEMENTAL RETIREMENT ALLOWANCE THAT IS PAYABLE DIRECTLY TO THE PARTICIPANTS EACH QUARTER. THE BENEFIT FORMULA FOR THIS PLAN HAS ANNUAL CONTRIBUTIONS THAT ARE EITHER A PERCENTAGE OF SALARY, OR ARE DESIGNED TO FUND A PERCENTAGE OF THE ESTIMATED FINAL 5-YEAR AVERAGE SALARY. IN ADDITION, SIX INDIVIDUALS HAVE RETENTION INCENTIVES WHICH HAD CLIFF-VESTING DATES DURING CALENDAR YEAR 2022. THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST-COMPENSATED EMPLOYEES RECEIVED PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2022 RELATED TO ONE OR BOTH OF THE PLANS REFERENCED ABOVE. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II AND ARE NOT INCREMENTAL PAYMENTS. DEBORAH A. BOTTEN 63,987 STEPHEN DEUTSCH, MD 55,904 CAROLINE GOLDZWEIG, MD 104,373 RICHARD B. JACOBS 804,143 JOHN JENRETTE, MD 283,469 MARY CLARE LINGEL 135,092 CYNTHIA LITT DECULUS 118,744 LISA MAQUEIRA 68,766 JILL MARTIN 419,551 THOMAS M. PRISELAC 1,234,854 EDWARD M. PRUNCHUNAS 849,453 ALEN VOSKANIAN 84,813 DAVID M. WRIGLEY 653,109 PART II, COLUMN C: THE NEGATIVE AMOUNTS IN SCHEDULE J PART II COLUMN C ARE RELATED TO A DECREASE IN ACTUARIAL VALUE OF THE ACCRUED BENEFITS OF A DEFERRED COMPENSATION PLAN. SAMUEL ROSS MD INC PART V NARRATIVE - CORP MORE THAN 35% OWNED BY SAMUEL ROSS MD, A BRD MEMBER 157683 PART V NARRATIVE - COMPENSATION FOR SERVICES 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUED) IN ADDITION TO THE PROGRAMS SET FORTH ABOVE, THE FOUNDATION PARTICIPATES WITH THE MEDICAL CENTER IN OUTCOMES RESEARCH REGARDING THE QUALITY OF HEALTH CARE. THE DEVELOPMENT OF A VERTICALLY-INTEGRATED HEALTH CARE SYSTEM REQUIRES BOTH DOCUMENTATION OF AND IMPROVEMENT IN THE QUALITY OF CARE, SPECIFICALLY, THE CARE PROVIDED IN PHYSICIANS' OFFICES. ALTHOUGH THE QUALITY OF CARE PROVIDED IN HOSPITALS HAS BEEN MEASURED ON AN ONGOING BASIS FOR MANY YEARS, THERE WAS LESS KNOWN ABOUT THE QUALITY OF CARE PROVIDED IN PHYSICIANS' OFFICES. OUTCOMES RESEARCH WHICH QUANTIFIES THE QUALITY OF CARE PROVIDED IN THE PHYSICIANS' OFFICES OF THE FOUNDATION IS READILY AVAILABLE IN A VERTICALLY-INTEGRATED HEALTH CARE SYSTEM. THE FOUNDATION PROVIDES THE INFORMATION NECESSARY TO DRAMATICALLY IMPROVE SUCH CARE, WHICH BENEFITS THE COMMUNITY. 5. PROVIDES CHARITY CARE: THE FOUNDATION PHYSICIANS ARE REQUIRED TO PARTICIPATE IN CHARITY HEALTH CARE PROGRAMS ESTABLISHED AND OPERATED BY THE FOUNDATION AND THE MEDICAL CENTER AND TO PROVIDE THE OUTPATIENT NEEDS OF THE INDIGENT IN THE COMMUNITY. CURRENTLY, THE MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SERVICES TO INDIGENT EMERGENCY ROOM PATIENTS WHO REQUIRE SUCH SERVICES. FOR THOSE PATIENTS UNABLE TO PAY, THE FOUNDATION PROVIDES THEM WITH CHARITY CARE DURING CLINIC HOURS IF THEY MEET PREDETERMINED CRITERIA. THE PHYSICIANS OF THE FOUNDATION ALSO PROVIDE INDIGENT CARE AT THE MEDICAL CENTER AS PART OF THEIR HOSPITAL STAFFING ASSISTANCE. THE FOUNDATION CARE MANAGERS AND SOCIAL WORKERS SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH AND CONNECT PATIENTS TO COMMUNITY RESOURCES. THE FOUNDATION PROVIDES FINANCIAL ASSISTANCE WHEN APPROPRIATE FOR SAFE TRANSITIONS OF CARE. THE FOUNDATION SOCIAL WORKERS PROVIDE CLOTHING FOR PATIENTS UNDER ITS CARE WHO ARE UNHOUSED OR LACK ADEQUATE RESOURCES. THE FOUNDATION PROVIDES HEALTH CARE SERVICES TO MEDI-CAL AND MEDICARE PROGRAM BENEFICIARIES WITHOUT DISCRIMINATING. 6. COMMITTED TO INCREASING ACCESS TO CARE AND COORDINATION OF CARE: THE FOUNDATION IS COMMITTED TO INCREASING ACCESS TO CARE, IMPROVING COORDINATION OF CARE IN ORDER TO REDUCE UNNECESSARY VARIATION AND UTILIZATION, AND IMPROVE PATIENT OUTCOMES. OUR PHYSICIANS, MANAGERS AND STAFF ARE COLLABORATING WITH COLLEAGUES ACROSS THE ENTIRE HEALTH SYSTEM, WITH THE MAJOR HEALTH PLANS, AND WITH COMMUNITY ORGANIZATIONS TO ACHIEVE THESE GOALS. SOME EXAMPLES OF THESE EFFORTS ARE: - OUR INITIATIVES ARE DESIGNED TO ENGAGE COMMUNITY PHYSICIANS IN PROJECTS TO ENSURE THAT PATIENTS ARE RECEIVING THE RIGHT CARE, AT THE RIGHT TIME, AT THE RIGHT PLACE, WITH THE RIGHT RESOURCES. - THE FOUNDATION IS REDESIGNING PRIMARY CARE TO ESTABLISH A MORE POPULATION-FOCUSED, PATIENT-CENTERED APPROACH TO CARE. BY CREATING A NEW CARE TEAM MODEL, PRIMARY CARE PHYSICIANS WILL IMPROVE THEIR ACCESS TO CARE, BE MORE PROACTIVE IN REACHING OUT TO PATIENTS FOR PREVENTIVE SERVICES, AND HAVE MORE TIME TO DEDICATE TO CHRONIC DISEASE MANAGEMENT. - CEDARS-SINAI MEDICAL CARE FOUNDATION IS SPONSORING THE IMPLEMENTATION OF A COMPREHENSIVE ELECTRONIC MEDICAL RECORD WITHIN ITS CLINICS, WITH THE PURPOSE OF IMPROVING PATIENT SAFETY, INCORPORATING EVIDENCE-BASED GUIDELINES, STREAMLINING OFFICE OPERATIONS, REDUCING DUPLICATIVE SERVICES, IMPROVING COORDINATION OF CARE AND MEETING FEDERAL REGULATIONS FOR ADOPTION OF ELECTRONIC HEALTH RECORDS. THIS IMPLEMENTATION WILL MEET ALL THE CRITERIA FOR "MEANINGFUL USE" AS DEFINED BY THE FEDERAL GOVERNMENT. CEDARS-SINAI MEDICAL CARE FOUNDATION ALSO OFFERS ITS PATIENTS A SECURE ONLINE PORTAL FOR IMPROVED ACCESS TO CARE AND SERVICES, BETTER SELF-MANAGEMENT, AND LOWER COST ALTERNATIVE OFFICE VISITS - CEDARS-SINAI MEDICAL CARE FOUNDATION HAS DEVELOPED AN ANALYTIC MODEL FOR IDENTIFYING ITS MOST FRAGILE PATIENTS. THESE PATIENTS HAVE DEDICATED CASE MANAGERS ENSURING THAT THEY ARE RECEIVING THEIR CARE IN A TIMELY MANNER IN THE MOST APPROPRIATE SETTING, AND THAT THEY ARE MAXIMIZING THE USE OF COMMUNITY RESOURCES. WE ALSO HAVE A SYSTEM TO MONITOR SEVERAL HEALTH INDICATORS THROUGH THE USE OF BIOMETRIC EQUIPMENT IN PATIENTS' HOMES. THE GOAL IS TO REDUCE THESE PATIENTS' NEED FOR HIGH COST EMERGENCY AND INPATIENT SERVICES - CEDARS-SINAI IS DEDICATING RESOURCES TO EVALUATE THE MOST COMMON CAUSES FOR READMISSION AND CREATING NEW PROGRAMS AND SERVICES TO ADDRESS THE NEEDS OF THIS POPULATION OF PATIENTS. CEDARS-SINAI MEDICAL CARE FOUNDATION FULLY SUPPORTS THE AFFORDABLE CARE ACT, AS DEMONSTRATED BY ITS PARTICIPATION IN THE MEDICARE SHARED SAVINGS PROGRAM, FOUR COMMERCIAL ACCOUNTABLE CARE ORGANIZATIONS, AND THE CALIFORNIA EXCHANGE, COVERED CALIFORNIA. CEDARS-SINAI MEDICAL CARE FOUNDATION PROVIDES A ROBUST INFRASTRUCTURE OF CARE COORDINATION FOR ALL THE PATIENTS IT SERVES, REGARDLESS OF PAYER ARRANGEMENT, INCLUDING CARE MANAGEMENT, SOCIAL WORK SERVICES, HOUSE CALLS, DISEASE MANAGEMENT AND SUPPORTIVE CARE MEDICINE. THESE SERVICES ARE ALSO PROVIDED TO MEMBERS OF THE COMMUNITY WHO APPEAR TO BE USING THE EMERGENCY DEPARTMENT AT CEDARS-SINAI MEDICAL CENTER FOR PRIMARY CARE. THESE PATIENTS ARE TYPICALLY UNINSURED, HOMELESS, OR OTHERWISE MEDICALLY OR SOCIALLY FRAGILE. CEDARS-SINAI MEDICAL CARE FOUNDATION HAS A DEDICATED CARE MANAGER WHO REACHES OUT TO THEM AND CONNECTS THEM TO CEDARS-SINAI MEDICAL CARE FOUNDATION OR OTHER COMMUNITY RESOURCES. CEDARS-SINAI MEDICAL CARE FOUNDATION SCREENS PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH TO BETTER INFORM ITS REFERRALS TO COMMUNITY RESOURCES. THE CARE MANAGERS AND SOCIAL WORKERS ALSO PARTNER WITH CEDARS-SINAI COMMUNITY HEALTH WORKERS TO DEVELOP LONGITUDINAL RELATIONSHIPS WITH ESPECIALLY VULNERABLE PATIENTS TO SUPPORT ADHERENCE TO CARE PLANS AND CONNECT THEM TO APPROPRIATE COMMUNITY RESOURCES. CEDARS-SINAI MEDICAL CARE FOUNDATION PROVIDES EDUCATIONAL EVENTS FREE OF CHARGE FOR 9 LOCAL SKILLED NURSING FACILITIES. CEDARS-SINAI MEDICAL CARE FOUNDATION ALSO PROVIDES A MONTHLY ADVANCE CARE PLANNING CLASS, AND A QUARTERLY CAREGIVER SUPPORT GROUP. THE FOUNDATION CONTINUES TO STUDY RACIAL AND ETHNIC DISPARITIES IN ITS HMO PATIENT POPULATIONS CANCER SCREENINGS AND CHRONIC DISEASE MANAGEMENT, AND IDENTIFYING OPPORTUNITIES AND STRATEGIES TO ADDRESS IDENTIFIED DISPARITIES. FORM 990, PART VI, SECTION A, LINE 6 CEDARS-SINAI MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF CEDARS-SINAI MEDICAL CARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CEDARS-SINAI MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER, ELECTS BOARD OF DIRECTORS TO CEDARS-SINAI MEDICAL CARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF CEDARS-SINAI MEDICAL CENTER, THE SOLE CORPORATE MEMBER OF THE FOUNDATION. THE FOLLOWING ACTIONS MUST BE APPROVED OR ACTED UPON BY CEDARS-SINAI MEDICAL CENTER BEFORE BECOMING EFFECTIVE: (A) ANY SALE OR OTHER DISPOSITION OF ALL OR A SUBSTANTIAL PORTION OF THE ASSETS OF THE FOUNDATION; (B) ANY MERGER OR AFFILIATION OF THE FOUNDATION WITH ANY PERSON OR ENTITY OTHER THAN THE MEMBER; (C) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION; (D) CONDUCTING ANY HOSPITAL BUSINESS, OR ANY NON-HEALTHCARE BUSINESS, OR OWNERSHIP OF ANY DIRECT OR INDIRECT INTEREST IN ANY HOSPITAL; (E) ANY ACT OR OMISSION WHICH CREATES ANY MATERIAL RISK TO THE MEMBER'S TAX-EXEMPT STATUS, OR CREATES ANY MATERIAL RISK OF A VIOLATION OF ANY STATE OR FEDERAL LAWS; (F) DISSOLUTION OF THE FOUNDATION OR THE FILING OF ANY BANKRUPTCY PETITION; (G) CREATION OF ANY NEW CORPORATION, PARTNERSHIP OR ASSOCIATION; (H) ACQUISITION OF OR THE INVESTMENT IN A NEW OPERATING BUSINESS; (I) ENTERING INTO ANY PARTNERSHIPS OR JOINT VENTURES; (J) ADOPTION OF OR CHANGES TO OPERATING OR CAPITAL BUDGETS, OR THE ADOPTION OF OR CHANGES TO LONG-RANGE AND STRATEGIC PLANS; (K) UNBUDGETED CAPITAL EXPENDITURES OVER $25,000; (L) LOANS, BORROWINGS OR GUARANTEES IN EXCESS OF $100,000, UNLESS APPROVED IN THE BUDGET; (M) ANY SECURITY INTERESTS OR MORTGAGES ON THE PROPERTY OF FOUNDATION; (N) OPERATING OR CAPITAL LEASES WHERE THE TERM IS OVER FIVE YEARS OR THE TOTAL OBLIGATION UNDER THE LEASE EXCEEDS $100,000, UNLESS APPROVED IN THE BUDGET; (O) TERMINATION OR APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE FOUNDATION; OR (P) TERMINATION OR SELECTION OF THE AUDITORS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 UNDERGOES AN INTENSE AND HIGHLY COMPREHENSIVE REVIEW PROCESS. THE REVIEW INVOLVES VARIOUS MANAGEMENT PERSONNEL, INCLUDING THE GENERAL COUNSEL, AND A BIG FOUR ACCOUNTING FIRM. A REVIEW IS PERFORMED WITHIN THE FINANCE DEPARTMENT INCLUDING REVIEW BY THE EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE. 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 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 THE ORGANIZATION'S DIRECTORS, OFFICERS, COMMITTEE MEMBERS, AND OTHER INDIVIDUALS WHO HAVE OR ARE GRANTED THE AUTHORITY TO VOTE AT BOARD OR COMMITTEE MEETINGS OF THE ORGANIZATION. THESE INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE AND PROVIDE DISCLOSURE OF ACTIVITIES UNDERTAKEN BETWEEN ANNUAL DISCLOSURES. 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 DISCLOSURES MADE ARE REVIEWED BY THE VICE PRESIDENT OF CORPORATE INTEGRITY FOR COMPLETENESS AND TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE VICE PRESIDENT OF CORPORATE INTEGRITY 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 ADDRESSED IN A MANNER THAT ENSURES THAT THE TRANSACTION THAT GIVES RISE TO THE CONFLICT IS FAIR AND REASONABLE TO THE ORGANIZATION 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 B, LINE 15 THE COMPENSATION OF FOUNDATION EXECUTIVES IS REVIEWED AND APPROVED BY THE EXECUTIVE PERSONNEL COMMITTEE OF THE BOARD OF CEDARS-SINAI MEDICAL CENTER, THE SOLE MEMBER OF THE FOUNDATION. THE EXECUTIVE PERSONNEL COMMITTEE OF CEDARS-SINAI MEDICAL CENTER (THE COMMITTEE) IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE ADDRESSES COMPENSATION AND BENEFITS AND IS AUTHORIZED BY THE BOARD OF DIRECTORS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO SUCH ISSUES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO ITS CORPORATE MEMBER'S FORM 990. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PSA REIMBURSEMENTS: PROGRAM SERVICE EXPENSES 320,472,237. MANAGEMENT AND GENERAL EXPENSES 3,237,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,709,330. MEDICAL EXPENSES - CLAIMS & CAP: PROGRAM SERVICE EXPENSES 52,922,904. MANAGEMENT AND GENERAL EXPENSES 534,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,457,479. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 27,766,704. MANAGEMENT AND GENERAL EXPENSES 80,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,847,611. MD BENEFITS & OTHER RELATED EXPENSES: PROGRAM SERVICE EXPENSES 36,580,461. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,580,461. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 1,626,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,626,383. ANSWERING SERVICES: PROGRAM SERVICE EXPENSES 657,692. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 657,692. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES (CSMC) 119,431,776. ROUNDING 1. FORM 990, PART XII, LINE 2C THE FOUNDATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH ITS PARENT FOR FISCAL YEAR ENDED JUNE 30, 2023. THE OVERSIGHT OF THE AUDIT WAS PERFORMED BY ITS PARENT'S AUDIT COMMITTEE. 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