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ObjectId: 201611379349310746 - Submission: 2016-05-16
TIN: 95-1644600
Form
990
Department of the Treasury
Internal 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)
Do not enter social security numbers on this form as it may be made public.
Information about Form 990 and its instructions is at
www.IRS.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public Inspection
A
For the 2014 calendar year, or tax year beginning
07-01-2014
, and ending
06-30-2015
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
CEDARS-SINAI MEDICAL CENTER
Doing business as
Number and street (or P.O. box if mail is not delivered to street address)
8700 BEVERLY BOULEVARD
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LOS ANGELES
,
CA
90048
D Employer identification number
95-1644600
E Telephone number
(310) 423-3277
G
Gross receipts $
3,377,127,860
F
Name and address of principal officer:
THOMAS M PRISELAC
8700 BEVERLY BLVD
LA
,
CA
90048
I
Tax-exempt status:
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
J
Website:
WWW.CEDARS-SINAI.EDU
H(a)
Is this a group return for
subordinates?
Yes
No
H(b)
Are all subordinates
included?
Yes
No
If "No," attach a list. (see instructions)
H(c)
Group exemption number
K
Form of organization:
Corporation
Trust
Association
Other
L
Year of formation:
1902
M
State of legal domicile:
CA
Part I
Summary
1
Briefly describe the organization’s mission or most significant activities:
CSMC IS AN ACUTE-CARE, TEACHING AND RESEARCH HOSPITAL PROVIDING THE HIGHEST-QUALITY HEALTHCARE.
2
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
........
3
36
4
Number of independent voting members of the governing body (Part VI, line 1b)
.....
4
24
5
Total number of individuals employed in calendar year 2014 (Part V, line 2a)
......
5
13,021
6
Total number of volunteers (estimate if necessary)
.............
6
2,897
7a
Total unrelated business revenue from Part VIII, column (C), line 12
........
7a
19,230,109
b
Net unrelated business taxable income from Form 990-T, line 34
.........
7b
-2,642,170
Prior Year
Current Year
8
Contributions and grants (Part VIII, line 1h)
.........
100,269,920
149,349,737
9
Program service revenue (Part VIII, line 2g)
.........
2,645,549,575
2,944,793,264
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
....
51,646,021
76,070,786
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
31,196,089
29,377,488
12
Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)
2,828,661,605
3,199,591,275
13
Grants and similar amounts paid (Part IX, column (A), lines 1–3 )
...
55,302,581
99,391,520
14
Benefits paid to or for members (Part IX, column (A), line 4)
.....
0
0
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)
1,380,983,348
1,436,617,672
16a
Professional fundraising fees (Part IX, column (A), line 11e)
.....
62,205
61,633
b
Total fundraising expenses (Part IX, column (D), line 25)
11,106,021
17
Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)
....
1,072,628,820
1,268,260,300
18
Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)
2,508,976,954
2,804,331,125
19
Revenue less expenses. Subtract line 18 from line 12
.......
319,684,651
395,260,150
Beginning of Current Year
End of Year
20
Total assets (Part X, line 16)
.............
4,732,365,419
5,083,306,804
21
Total liabilities (Part X, line 26)
.............
1,712,934,579
1,747,160,139
22
Net assets or fund balances. Subtract line 21 from line 20
.....
3,019,430,840
3,336,146,665
Part II
Signature Block
Sign Here
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.
2016-05-16
Signature of officer
Date
EDWARD PRUNCHUNAS
EXECUTIVE VP/CFO
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
KARA ADAMS
Preparer's signature
KARA ADAMS
Date
Check
if
self-employed
PTIN
P00023315
Firm's name
ERNST & YOUNG US LLP
Firm's EIN
34-6565596
Firm's address
18101 VON KARMAN AVENUE SUITE 1700
IRVINE
,
CA
92612
Phone no.
(949) 794-2300
May the IRS discuss this return with the preparer shown above? (see instructions)
..........
Yes
No
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form
990
(2014)
Page 2
Form 990 (2014)
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:
CEDARS-SINAI HEALTH SYSTEM, A NON-PROFIT, INDEPENDENT HEALTH CARE ORGANIZATION IS COMMITTED TO:(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)- LEADERSHIP AND EXCELLENCE IN DELIVERING QUALITY HEALTHCARE SERVICES- EXPANDING THE HORIZONS OF MEDICAL KNOWLEDGE THROUGH BIOMEDICAL RESEARCH- EDUCATING AND TRAINING PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS- STRIVING TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY QUALITY PATIENT CARE IS OUR PRIORITY. PROVIDING EXCELLENT CLINICAL AND SERVICE QUALITY, OFFERING COMPASSIONATE CARE, AND SUPPORTING RESEARCH AND MEDICAL EDUCATION ARE ESSENTIAL TO OUR MISSION. THIS MISSION IS FOUNDED IN THE ETHICAL AND CULTURAL PRECEPTS OF THE JUDAIC TRADITION, WHICH INSPIRES DEVOTION TO THE ART AND SCIENCE OF HEALING, AND TO THE CARE WE GIVE TO OUR PATIENTS AND STAFF.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ?
....................
Yes
No
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?
..........................
Yes
No
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 $
2,034,360,903
including grants of $
94,673,293
) (Revenue $
2,751,030,411
)
CLINICAL CARE:A NON-PROFIT INSTITUTION FOUNDED BY THE COMMUNITY IN 1902, CEDARS-SINAI PROVIDES A WIDE SPECTRUM OF MEDICAL SERVICES, AND IS ONE OF THE LEADING SPECIALTY REFERRAL CENTERS FOR THE REGION. FROM ONGOING PRIMARY CARE TO HIGHLY SPECIALIZED SUBSPECIALTY CARE, PATIENTS COME TO CEDARS-SINAI FROM LOCAL COMMUNITIES AS WELL AS FROM THROUGHOUT CALIFORNIA, THE NATION AND THE WORLD. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)IN FISCAL YEAR 2015, CEDARS-SINAI HAD 243,040 INPATIENT DAYS (APPROXIMATELY 666 PER DAY), AND 697,539 OUTPATIENT VISITS (APPROXIMATELY 1,911 PER DAY). THERE WERE 47,320 INPATIENT ADMISSIONS, AND 88,422 EMERGENCY ROOM VISITS. CEDARS-SINAI'S EMERGENCY DEPARTMENT SERVES THE ENTIRE REGION AS ONE OF ONLY FOUR REMAINING LEVEL I TRAUMA CENTERS IN LOS ANGELES COUNTY (AND THE ONLY ONE NOT OPERATED BY THE GOVERNMENT), WITH STAFFING AND TECHNOLOGY TO TREAT THE MOST SEVERELY INJURED ACCIDENT AND NATURAL DISASTER VICTIMS. IN FISCAL YEAR 2015, CEDARS-SINAI'S TOTAL COST OF CLINICAL CARE WAS $2,033,595,695AS ONE OF THE LARGEST ACADEMIC MEDICAL CENTERS IN THE WESTERN UNITED STATES, CEDARS-SINAI PROVIDES MANY HIGHLY SPECIALIZED SERVICES THAT ARE NOT AVAILABLE AT MOST OTHER HOSPITALS, AND WHICH REQUIRE A SIGNIFICANT INFRASTRUCTURE OF TECHNOLOGY AND EXPERT STAFFING. FOR EXAMPLE, IN 2014, CEDARS-SINAI PERFORMED MORE HEART TRANSPLANTS THAN ANY OTHER HOSPITAL IN THE WORLD, 120. PATIENTS WITH ADVANCED HEART DISEASE COME TO CEDARS-SINAI BECAUSE OF THE EXPERTISE OF ITS CARDIOLOGISTS AND CARDIAC SURGEONS, AND BECAUSE CEDARS-SINAI HAS THE INFRASTRUCTURE TO OFFER HEART TRANSPLANTS AS WELL AS NEWER TECHNOLOGIES SUCH AS THE TOTAL ARTIFICIAL HEART AND OTHER COMPLEX DEVICES TO TREAT ADVANCED HEART DISEASE. CEDARS-SINAI'S SERVICES FOR CANCER PATIENTS ARE SIMILARLY BROAD IN SCOPE AND SIZE: FOR THE PAST SEVERAL YEARS, WE HAVE CARED FOR MORE INPATIENTS WITH CANCER (MEDICAL AND SURGICAL CASES) THAN ANY OTHER HOSPITAL IN LOS ANGELES COUNTY. IN FISCAL YEAR 2015, CEDARS-SINAI TREATED 5,992 CANCER INPATIENTS.
4b
(Code:
) (Expenses $
178,156,228
including grants of $
3,699,027
) (Revenue $
102,495,108
)
RESEARCH:CEDARS-SINAI SCIENTISTS AND PHYSICIAN-RESEARCHERS ARE CURRENTLY CONDUCTING MORE THAN 1,500 STUDIES TO DISCOVER AND ADVANCE NEW TREATMENTS TO BENEFIT PATIENTS SUFFERING FROM HEART DISEASE, BRAIN DISORDERS, CANCER AND INNUMERABLE OTHER CONDITIONS. CEDARS-SINAI IS ALSO PIONEERING RESEARCH THAT IMPROVES THE QUALITY AND EFFICIENCY OF HEALTHCARE DELIVERY. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)WHILE SOME OF THESE RESEARCH PROJECTS ARE FUNDED IN PART OR IN WHOLE BY FUNDS FROM THE NATIONAL INSTITUTES OF HEALTH OR OTHER GOVERNMENT AGENCIES, MANY ARE FUNDED BY CEDARS-SINAI, ESPECIALLY SEED GRANTS TO SUPPORT INNOVATIVE NEW RESEARCH. IN FISCAL YEAR 2015, CEDARS-SINAI'S PROVIDED $75,660,000 TOWARD RESEARCH PROJECTS, WHILE NIH AND OTHER GRANTS PROVIDED $102,495,108. AMONG THE SPECIFIC RESEARCH PROJECTS AT CEDARS-SINAI IN FISCAL YEAR 2015: AN IN-DEPTH INVESTIGATION INTO THE GENETICS OF INFLAMMATORY BOWEL DISEASE IN AFRICAN-AMERICANS; A STUDY THAT SHOWS THE KEY TO BLOCKING THE PROGRESSION OF AMYOTROPHIC LATERAL SCLEROSIS MAY BE IN THE BRAIN'S MOTOR CORTEX INSTEAD OF THE SPINAL CORD; THE FINDING THAT AN INJECTION OF STEM CELLS INTO THE EYE COULD POTENTIALLY SLOW OR REVERSE EFFECTS OF EARLY-STAGE, AGE-RELATED MACULAR DEGENERATION; AND A PIONEERING GENE-DELIVERY PROCEDURE THAT CONVERTS UNSPECIALIZED HEART CELLS INTO "BIOLOGICAL PACEMAKER" CELLS.
4c
(Code:
) (Expenses $
234,567,689
including grants of $
1,019,200
) (Revenue $
83,272,849
)
TRAINING FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS:WITH SEVERE PROJECTED SHORTAGES OF PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS FACING THE NATION, CEDARS-SINAI'S TRAINING AND EDUCATION PROGRAMS HAVE BECOME MORE IMPORTANT TO THE HEALTH OF THE NATION THAN EVER BEFORE. IN FISCAL YEAR 2015, CEDARS-SINAI'S NET COST OF PROVIDING THESE TRAINING PROGRAMS WAS $151,294,840. (SEE SCHEDULE O FOR CONTINUATION)(CONTINUED)NEARLY 500 MEDICAL RESIDENTS AND FELLOWS WERE TRAINED IN SPECIALTY AND SUBSPECIALTY AREAS AT CEDARS-SINAI IN FISCAL YEAR 2015. IN ADDITION, CEDARS-SINAI'S BRAWERMAN NURSING INSTITUTE TRAINED MORE THAN 1,600 NURSES IN FISCAL YEAR 2015, ENABLING THEM TO BECOME REGISTERED NURSES, AND OTHER TO ADVANCE THEIR ABILITIES IN SPECIALTY AREAS SUCH AS CRITICAL CARE NURSING, ONCOLOGY NURSING, AND NEONATAL INTENSIVE CARE NURSING.FORM 990, PART V, LINE 7H: FORM 1098-C WAS NOT REQUIRED TO BE FILED.
4d
Other program services (Describe in Schedule O.)
(Expenses $
including grants of $
) (Revenue $
)
4e
Total program service expenses
2,447,084,820
Form
990
(2014)
Page 3
Form 990 (2014)
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 A
.....................
1
Yes
2
Is the organization required to complete
Schedule B, Schedule of Contributors
(see instructions)?
...
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 I
.............
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 II
..............
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 III
.................
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 I
..................
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 II
...
7
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets?
If "Yes," complete Schedule D, Part III
.............
8
Yes
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 IV
..............
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
Yes
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.
...................
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 VII
.......
11b
Yes
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 VIII
.......
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 IX
............
11d
No
e
Did the organization report an amount for other liabilities in Part X, line 25?
If "Yes," complete Schedule D, Part X
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 X
11f
Yes
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII
.................
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
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
Yes
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
Yes
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
Yes
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)
....
17
Yes
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
............
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
...................
19
Yes
20a
Did the organization operate one or more hospital facilities?
If "Yes," complete Schedule H
....
20a
Yes
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
Form
990
(2014)
Page 4
Form 990 (2014)
Page
4
Part IV
Checklist of Required Schedules
(continued)
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
.....
21
Yes
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
........
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
.......................
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
...............
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
No
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
............
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
...................
25b
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?
If "Yes," complete Schedule L, Part II
................
26
Yes
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?
If "Yes," complete Schedule L, Part III
.........
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, or key employee?
If "Yes," complete Schedule L,
Part IV
........................
28a
No
b
A family member of a current or former officer, director, trustee, or key employee?
If "Yes," complete Schedule L, Part IV
.....................
28b
Yes
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?
If "Yes," complete Schedule L, Part IV
...
28c
Yes
29
Did the organization receive more than $25,000 in non-cash contributions?
If "Yes," complete Schedule M
..
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
.............
30
Yes
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
........
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
.........................
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
...
35b
Yes
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
.............
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 VI
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
Form
990
(2014)
Page 5
Form 990 (2014)
Page
5
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
3,013
b
Enter the number of Forms W-2G included in line 1a.
Enter -0-
if not applicable
.
1b
1
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?
..................
1c
Yes
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
13,021
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:
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
No
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
9a
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
Form
990
(2014)
Page 6
Form 990 (2014)
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
36
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
24
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
No
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
No
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
No
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
Yes
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
Yes
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filed
CA
,
AL
,
AK
,
CO
,
DC
,
FL
,
GA
,
IL
,
KY
,
MD
,
MA
,
MI
,
MN
,
MS
,
NV
,
NH
,
NJ
,
NM
,
NY
,
NC
,
ND
,
OH
,
OK
,
OR
,
SC
,
TN
,
UT
,
WA
,
WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 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.
Own website
Another's website
Upon request
Other (explain in Schedule O)
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:
EDWARD PRUNCHUNAS
8700 BEVERLY BLVD
LOS ANGELES
,
CA
90048
(310) 423-3277
Form
990
(2014)
Page 7
Form 990 (2014)
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.
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.
List all of the organization’s
current
key employees, if any. See instructions for definition of "key employee."
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.
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.
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.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
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
(1)
THOMAS M PRISELAC
......................................................................
PRESIDENT/CEO
70.00
.................
5.00
X
X
2,593,413
0
1,153,914
(2)
VERA GUERIN
......................................................................
CHAIRMAN
20.00
.................
1.00
X
0
0
0
(3)
MARC H RAPAPORT
......................................................................
VICE CHAIRMAN
15.00
.................
1.00
X
0
0
0
(4)
LUIS NOGALES
......................................................................
SECRETARY
10.00
.................
0.00
X
X
0
0
0
(5)
MICHAEL ALEXANDER MD
......................................................................
BOARD MEMBER/STAFF PHYS.
60.00
.................
0.00
X
955,101
0
69,253
(6)
ROBERT K BARTH
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(7)
JOHN BENDHEIM
......................................................................
BOARD MEMBER
5.00
.................
1.00
X
0
0
0
(8)
ILANA CASS MD
......................................................................
BOARD MEMBER/STAFF PHYS.
60.00
.................
0.00
X
507,488
0
65,621
(9)
DALE COCHRAN
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(10)
JOHN COLEMAN
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(11)
ROBERT DAVIDSON
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(12)
RUTH DUNN
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(13)
ARI ENGELBERG
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(14)
DEBORAH FREUND PHD
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(15)
RUSSELL GOLDSMITH
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(16)
MARK S GREENFIELD
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
(17)
ANDY HEYWARD
......................................................................
BOARD MEMBER
5.00
.................
0.00
X
0
0
0
Form
990
(2014)
Page 8
Form 990 (2014)
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
(18)
SUE NEUMAN HOCHBERG
........................................................................
BOARD MEMBER/FORMER SECRETARY
5.00
.......................
0.00
X
X
0
0
0
(19)
DAVID B KAPLAN
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(20)
SCOTT KARLAN MD
........................................................................
BOARD MEMBER/STAFF PHYS.
60.00
.......................
0.00
X
399,886
0
32,820
(21)
JEFFREY KATZENBERG
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(22)
ANDREW KLEIN MD
........................................................................
BOARD MEMBER/STAFF PHYS.
60.00
.......................
0.00
X
1,125,089
0
117,294
(23)
STEWART KWOH
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(24)
THOMAS J LEANSE ESQ
........................................................................
BOARD MEMBER
5.00
.......................
1.00
X
0
0
0
(25)
JAMES M LIPPMAN
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(26)
JOSHUA LOBEL
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(27)
PHILOMENA MCANDREW MD
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(28)
JAMES A NATHAN
........................................................................
BOARD MEMBER
5.00
.......................
1.00
X
0
0
0
(29)
CHRISTOPHER NG MD
........................................................................
BOARD MEMBER/CHIEF OF STAFF
30.00
.......................
0.00
X
160,000
0
0
(30)
STEVEN B NICHOLS
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(31)
LOUISE PHANSTIEL
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(32)
LAWRENCE B PLATT
........................................................................
BOARD MEMBER
5.00
.......................
1.00
X
0
0
0
(33)
ANTONY P RESSLER
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(34)
RICHARD RIGGS MD
........................................................................
BOARD MEMBER/STAFF PHYS.
60.00
.......................
0.00
X
533,848
0
51,250
(35)
STEVEN ROMICK
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(36)
MARK S SIEGEL
........................................................................
BOARD MEMBER
5.00
.......................
1.00
X
0
0
0
(37)
STEVEN SPIELBERG
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(38)
BARBRA STREISAND
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(39)
LESLIE VERMUT
........................................................................
BOARD MEMBER
5.00
.......................
1.00
X
0
0
0
(40)
CLEMENT YANG MD
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(41)
PHILLIP ZAKOWSKI MD
........................................................................
BOARD MEMBER
5.00
.......................
0.00
X
0
0
0
(42)
EDWARD PRUNCHUNAS
........................................................................
CHIEF FINANCIAL OFFICER
60.00
.......................
6.00
X
1,402,091
0
295,716
(43)
MARK GAVENS
........................................................................
CHIEF OPERATING OFFICER
60.00
.......................
0.00
X
1,360,878
0
109,911
(44)
SHLOMO MELMED MD
........................................................................
CHIEF ACADEMIC OFFICER
60.00
.......................
0.00
X
1,426,304
0
463,851
(45)
KEITH BLACK MD
........................................................................
CHAIRMAN-NEUROSURGERY
60.00
.......................
0.00
X
2,804,194
0
66,666
(46)
RAJENDRA MAKKAR MD
........................................................................
DIRECTOR - INTERVENTIONAL CARDIOLOGY
60.00
.......................
0.00
X
2,247,609
0
77,852
(47)
EDUARDO MARBAN MD
........................................................................
DIRECTOR - HEART INSTITUTE
60.00
.......................
1.00
X
2,106,372
0
206,065
(48)
BRUCE GEWERTZ MD
........................................................................
CHAIRMAN-DEPT OF SURGERY
60.00
.......................
0.00
X
1,872,126
0
142,567
(49)
EDWARD PHILLIPS MD
........................................................................
VICE-CHAIR DEPT OF SURGERY
60.00
.......................
0.00
X
1,621,697
0
131,659
1b
Sub-Total
................
c
Total from continuation sheets to Part VII, Section A
....
d
Total (add lines 1b and 1c)
...........
21,116,096
0
2,984,439
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
3,285
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
COMMUNITY URGENT CARE MEDICAL GROUP
9440 SANTA MONICA BLVD
BEVERLY HILLS
,
CA
90210
URGENT CARE MEDICAL SERVICES
15,309,015
CROSS COUNTRY STAFFING
6551 PARK OF COMMERCE BLVD
BOCA RATON
,
FL
33487
STAFFING SERVICES
15,024,451
WONG DOODY INC
1011 WESTERN AVE STE 900
SEATTLE
,
WA
98104
MEDIA SERVICES
12,491,000
HATHAWAY DINWIDDLE CONSTRUCTION CO
811 WILSHIRE BLVD STE 1500
LOS ANGELES
,
CA
90017
CONSTRUCTION SERVICES
9,843,373
DELL MARKETING LP
500 FIRST AVE
PITTSBURG
,
PA
15222
EIS CONSULTING SERVICES
9,446,006
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
378
Form
990
(2014)
Page 9
Form 990 (2014)
Page
9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII
.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
1a
Federated campaigns
..
1a
b
Membership dues
..
1b
c
Fundraising events
..
1c
5,049,663
d
Related organizations
1d
e
Government grants (contributions)
1e
56,504,093
f
All other contributions, gifts, grants, and similar amounts not included above
1f
87,795,981
g
Noncash contributions included
in lines 1a-1f:$
8,932,938
h Total.
Add lines 1a-1f
.......
149,349,737
Business Code
2a
NET PATIENT REVENUE
622110
2,316,895,637
2,316,895,637
b
MEDICARE & MEDICAL
622110
619,902,731
619,902,731
c
PARKING REVENUE
531310
7,994,896
7,994,896
d
e
f
All other program service revenue.
g Total.
Add lines 2a–2f
.....
2,944,793,264
3
Investment income (including dividends, interest, and other
similar amounts)
........
76,876,451
76,876,451
4
Income from investment of tax-exempt bond proceeds
5
Royalties
...........
10,770,468
10,770,468
(ii) Personal
(i) Real
6a
Gross rents
b
Less: rental expenses
c
Rental income or (loss)
d
Net rental income or (loss)
......
(ii) Other
(i) Securities
7a
Gross amount from sales of assets other than inventory
175,445,331
b
Less: cost or other basis and sales expenses
176,250,996
c
Gain or (loss)
-805,665
d
Net gain or (loss)
.....
-805,665
-805,665
8a
Gross income from fundraising events (not including $
5,049,663
of contributions reported on line 1c).
See Part IV, line 18
....
a
602,235
b
Less: direct expenses
...
b
1,285,589
c
Net income or (loss) from fundraising events
..
-683,354
-683,354
9a
Gross income from gaming activities.
See Part IV, line 19
...
a
60,265
b
Less: direct expenses
...
b
0
c
Net income or (loss) from gaming activities
..
60,265
60,265
10a
Gross sales of inventory, less
returns and allowances
..
a
b
Less: cost of goods sold
..
b
c
Net income or (loss) from sales of inventory
..
Business Code
Miscellaneous Revenue
11a
LABORATORY REVENUE
621511
19,763,122
19,763,122
b
UNRELATED DEBT FIN INC
531120
484,213
484,213
c
LACTATION CENTER - REV
900099
230,890
230,890
d
All other revenue
....
-1,248,116
-1,248,116
e
Total.
Add lines 11a–11d
......
19,230,109
12
Total revenue.
See Instructions.
.....
3,199,591,275
2,936,798,368
19,230,109
94,213,061
Form
990
(2014)
Page 10
Form 990 (2014)
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
99,372,796
99,372,796
2
Grants and other assistance to individuals in the United States. See Part IV, line 22
3
Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
18,724
18,724
4
Benefits paid to or for members
5
Compensation of current officers, directors, trustees, and key employees
....
13,050,960
8,610,963
4,439,997
6
Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
....
1,921,756
1,550,666
371,090
7
Other salaries and wages
1,110,095,795
981,571,697
121,526,725
6,997,373
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
....
102,023,533
83,782,348
17,766,579
474,606
9
Other employee benefits
.......
134,201,806
130,035,312
3,031,566
1,134,928
10
Payroll taxes
...........
75,323,822
61,736,364
13,133,487
453,971
11
Fees for services (non-employees):
a
Management
......
15,194,295
15,194,295
b
Legal
.........
11,086,446
71,113
11,015,333
c
Accounting
...........
1,248,909
68,706
1,180,203
d
Lobbying
...........
536,114
536,114
e
Professional fundraising services.
See Part IV, line 17
61,633
61,633
f
Investment management fees
......
g
Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
238,643,399
178,141,999
60,369,210
132,190
12
Advertising and promotion
....
11,408,684
760,445
10,609,929
38,310
13
Office expenses
.......
47,629,514
42,263,467
4,920,307
445,740
14
Information technology
......
68,591,843
57,125,314
11,466,529
15
Royalties
..
4,862,639
4,809,469
53,170
16
Occupancy
...........
49,478,008
31,022,867
17,995,536
459,605
17
Travel
............
8,004,819
5,622,853
2,132,327
249,639
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
.
19
Conferences, conventions, and meetings
....
3,030,230
2,118,686
798,847
112,697
20
Interest
...........
41,570,527
34,297,672
7,272,855
21
Payments to affiliates
.......
22
Depreciation, depletion, and amortization
..
159,071,822
133,455,935
25,582,228
33,659
23
Insurance
...
25,745,222
21,248,213
4,497,009
24
Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
MEDICAL SUPPLIES
351,593,158
351,593,158
b
MEDI-CAL PROGRAM FEE
158,211,290
158,211,290
c
MISCELLANEOUS
63,797,259
39,825,080
23,593,424
378,755
d
DUES & SUBSCRIPTIONS
4,676,662
2,413,762
2,140,457
122,443
e
All other expenses
3,879,460
1,625,512
2,243,476
10,472
25
Total functional expenses.
Add lines 1 through 24e
2,804,331,125
2,447,084,820
346,140,284
11,106,021
26
Joint costs.
Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation.
Check here
if following SOP 98-2 (ASC 958-720).
Form
990
(2014)
Page 11
Form 990 (2014)
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
1
Cash–non-interest-bearing
........
61,839,020
1
122,861,584
2
Savings and temporary cash investments
.........
2
3
Pledges and grants receivable, net
......
143,797,081
3
159,006,957
4
Accounts receivable, net
.............
468,320,578
4
563,962,639
5
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
3,938,616
5
762,850
6
Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
343,746
6
606,620
7
Notes and loans receivable, net
....
15,359,602
7
17,797,088
8
Inventories for sale or use
........
29,770,423
8
31,491,980
9
Prepaid expenses and deferred charges
......
21,145,174
9
20,018,840
10a
Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D
10a
2,968,227,092
b
Less: accumulated depreciation
10b
1,210,077,492
1,755,834,600
10c
1,758,149,600
11
Investments—publicly traded securities
.
1,454,366,659
11
1,522,811,118
12
Investments—other securities. See Part IV, line 11
.....
616,832,000
12
641,852,000
13
Investments—program-related. See Part IV, line 11
..
13
14
Intangible assets
...............
64,847,099
14
64,847,099
15
Other assets. See Part IV, line 11
...........
95,970,821
15
179,138,429
16
Total assets.
Add lines 1 through 15 (must equal line 34)
...
4,732,365,419
16
5,083,306,804
17
Accounts payable and accrued expenses
.....
462,699,763
17
529,099,294
18
Grants payable
...
18
19
Deferred revenue
.........
19
20
Tax-exempt bond liabilities
.........
1,075,829,696
20
1,031,981,069
21
Escrow or custodial account liability.
Complete Part IV of Schedule D
21
22
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons.
Complete Part II of Schedule L
..
22
23
Secured mortgages and notes payable to unrelated third parties
..
14,000,000
23
13,400,000
24
Unsecured notes and loans payable to unrelated third parties
..
24
25
Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24).
Complete Part X of Schedule D
160,405,120
25
172,679,776
26
Total liabilities.
Add lines 17 through 25
..
1,712,934,579
26
1,747,160,139
Organizations that follow SFAS 117 (ASC 958),
check here
and complete lines 27 through 29, and lines 33 and 34.
27
Unrestricted net assets
2,472,070,467
27
2,740,776,348
28
Temporarily restricted net assets
...........
279,586,522
28
312,722,032
29
Permanently restricted net assets
267,773,851
29
282,648,285
Organizations that do not follow SFAS 117 (ASC 958),
check here
and complete lines 30 through 34.
30
Capital stock or trust principal, or current funds
.....
30
31
Paid-in or capital surplus, or land, building or equipment fund
...
31
32
Retained earnings, endowment, accumulated income, or other funds
32
33
Total net assets or fund balances
...........
3,019,430,840
33
3,336,146,665
34
Total liabilities and net assets/fund balances
........
4,732,365,419
34
5,083,306,804
Form
990
(2014)
Page 12
Form 990 (2014)
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
3,199,591,275
2
Total expenses (must equal Part IX, column (A), line 25)
............
2
2,804,331,125
3
Revenue less expenses. Subtract line 2 from line 1
..............
3
395,260,150
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
..
4
3,019,430,840
5
Net unrealized gains (losses) on investments
...............
5
-72,222,999
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
-6,321,326
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
3,336,146,665
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:
Cash
Accrual
Other
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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
(2014)
Page 13
Form 990 (2014)
Page
13
Additional Data
Software ID:
Software Version:
Form 990, Special Condition Description:
Special Condition Description