2024-05-14T16:34:55-05:00 2023-06-30 821030164 KBF CPAS LLP 400 SPECTRUM CENTER DRIVE 250 IRVINE CA 92618 990 2022-07-01 953777340 CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP CHIL 3233612329 3250 WILSHIRE BLVD 1101 LOS ANGELES CA 90010 JAMES LIN CFO 3233612329 2024-05-14 1 JAMES LIN 999009999 0 CLARK R DUNN P00363849 9495293900 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JAMES LIN 3250 WILSHIRE BLVD STE 1101 LOS ANGELES CA 90010 243847042 0 X WWW.CHILDRENSHOSPITALLAMEDICALGROUP.ORG X HEALTH CARE 1982 CA PROVIDE HIGH QUALITY MEDICAL CARE TO CHILDREN; TEACH & CONDUCT RESEARCH TO PREVENT DISEASE. 18 0 225 0 0 0 0 0 226393930 237281694 912755 1558334 2621100 0 229927785 238840028 0 0 0 0 189547242 182113025 0 0 0 38821905 53446686 228369147 235559711 1558638 3280317 99580937 115245838 38547392 47057154 61033545 68188684 TO BE THE PREEMINENT PEDIATRIC, MULTISPECIALTY MEDICAL GROUP IN THE NATION, DEDICATED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO INFANTS, CHILDREN AND ADOLESCENTS; AND SUPPORTING THE FINEST TEACHING AND RESEARCH ENDEAVORS OF OUR FACULTY. 0 0 197802403 238074446 MEDICAL CARE PROVIDED TO CHILDRENCHLAMG PROVIDES SPECIALTY MEDICAL SERVICES AT CHILDREN'S HOSPITAL LOS ANGELES IN THE SUBSPECIALTIES REPRESENTING THE DEPARTMENTS OF PEDIATRICS, SURGERY, ANESTHESIA/CRITICAL CARE MEDICINE, RADIOLOGY, AND PATHOLOGY TO THE UNDERSERVED PEDIATRIC POPULATION OF LOS ANGELES AND SURROUNDING COUNTIES REGARDLESS OF THEIR ABILITY TO PAY. THE MAJORITY OF PATIENTS SERVED BY CHLAMG ARE BENEFICIARIES OF MEDI-CAL (AND OTHER STATE PROGRAMS FOR THE MEDICALLY INDIGENT) AND MOST PATIENTS AND FAMILIES SERVED LIVE IN AREAS DEMONSTRATED TO BE POOR OR MEDICALLY UNDERSERVED. CHLAMG PROVIDES SERVICES TO THE UNINSURED (AND UNDERSERVED) AT RATES SIGNIFICANTLY BELOW ITS ESTABLISHED FEES. 19098775 765582 TRAINING PHYSICIANS AND RESEARCHAS FACULTY MEMBERS AT THE UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE, CHLAMG PHYSICIANS SUPPORT MEDICAL EDUCATION BY TRAINING MEDICAL STUDENTS, RESIDENTS, AND FELLOWS. CHLAMG ALSO SPONSORS LECTURES AND CONTINUING MEDICAL EDUCATION CONFERENCES FOR COMMUNITY PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. CHLAMG PHYSICIANS SERVE ON NATIONAL BOARDS AND PROFESSIONAL ASSOCIATIONS. THESE ACTIVITIES CREATE A BROADER GROUP OF HIGHLY TRAINED INDIVIDUALS TO SERVE AND BENEFIT THE COMMUNITY AND ENHANCE THE QUALITY OF HEALTHCARE. CHLAMG CONDUCTS BASIC, CLINICAL AND TRANSLATIONAL RESEARCH THAT ADVANCES THE QUALITY AND AVAILABILITY OF HEALTH CARE SERVICES TO PATIENTS AND POPULATIONS BEYOND ITS IMMEDIATE REACH. 216901178 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 117 0 225 1 0 0 0 0 0 0 0 0 0 0 X 18 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X X JAMES LIN CFO 3233612329 3250 WILSHIRE BLVD STE 1101 LOS ANGELES CA 90010 NELSON MARVIN MD DIRECTOR 40.00 X 409977 0 0 KRIEGER MARK MD DIRECTOR 40.00 X 918000 0 0 RANDOLPH LINDA MD DIRECTOR 40.00 X 221490 0 0 DEFILIPPOMD ROGER DIRECTOR 40.00 X 504143 0 0 SHADDY ROBERT MD DIRECTOR 40.00 X 647550 0 0 JUDKINS ALEXANDER MD DIRECTOR 40.00 X 766668 0 0 WETZEL RANDALL DIRECTOR 40.00 X 295000 0 0 NELSON LARA MD DIRECTOR 40.00 X 261050 0 0 BRYANT MICHAEL MD DIRECTOR 40.00 X 432958 0 0 VASQUEZ EVALYNN DIRECTOR 40.00 X 487796 0 0 LIU DEBORAH MD DIRECTOR 40.00 X 247681 0 0 ROBERTS SUZANNE MD DIRECTOR 40.00 X 146608 0 0 BELL MARISA DIRECTOR 40.00 X 339412 0 0 CHAPMAN RACHEL DIRECTOR 40.00 X 421161 0 0 HEINONEN SARAH ALLIED HEALTH BOARD MEMBER 40.00 X 0 0 0 GARY SCOTT MD IMMEDIATE PAST PRESIDENT 40.00 X 371300 0 0 KEEFER MATHEW MD PRESIDENT 40.00 X 286047 0 0 GERA MONA PATEL MD PRESIDENT ELECT 40.00 X 222904 0 0 HARRISON LARRY CEO OF PMG (A RELATED ORGA 40.00 X 0 800649 2120 SADAMITSU MARK CFO OF PMG (A RELATED ORGA 40.00 X 0 232466 607 LIN JAMES CEO OF PMG (A RELATED ORGA 40.00 X 0 374195 0 KAY ROBERT EMPLOYEE 40.00 X 697697 0 0 ANDRAS LINDSAY MD EMPLOYEE 40.00 X 757433 0 0 LEE THOMAS EMPLOYEE 40.00 X 724887 0 0 DURHAM SUSAN EMPLOYEE 40.00 X 695650 0 0 BERMAN DARREN EMPLOYEE 40.00 X 603403 0 0 10458815 1407310 2727 457 0 1 0 JAH MD PC 1630 RISING GLEN RD LOS ANGELES CA 90069 HEALTH CARE 693335 MARK M URATA MD DDS INC 4411 WOODLEIGH LN LA CANADA FLINTRIDGE CA 91011 HEALTH CARE 553217 PHILIPPE FRIEDLICH MD INC 23200 WEST PALOMA BLANCA DR MALIBU CA 90265 HEALTH CARE 535825 ARA BALKIAN MD MBA INC 12426 LANDALE ST STUDIO CITY CA 91604 HEALTH CARE 483517 ANDREW J COSTANDI MDINC 3325 WAVERLY DRIVE LOS ANGELES CA 90027 HEALTH CARE 444623 33 PATIENT SVC REVENUE 561000 130256391 130256391 OTHER MEDICAL REVENUE 561000 106985848 106985848 EXEMPT FUNCTION INCOME 561000 39455 39455 237281694 1710854 1710854 4854494 5007014 -152520 -152520 -152520 238840028 238840028 0 0 198000 198000 170269867 170269867 5238834 5238834 6406324 6406324 18460533 18460533 1128263 1128263 4328890 4328890 15436 15436 4312882 4312882 RESEARCH AND EDUCATION 18625356 18625356 OTHER OPERATING EXPENSE 6575326 6575326 235559711 216901178 18658533 0 25816754 20735579 19486514 19620053 2728879 131075 1943501 1886574 31346 56927 43004671 48365835 -2199695 0 10712468 26336369 99580937 115245838 27653940 31276777 10893452 15780377 38547392 47057154 X 0 0 0 0 61033545 68188684 61033545 68188684 99580937 115245838 3280317 3874822 0 X X 0 1 X 1 0 X 199618679 213901833 232528982 229015070 237281694 1112346258 199618679 213901833 232528982 229015070 237281694 1112346258 0 0 0 1112346258 897638 1295647 929334 941414 1558334 5622367 897638 1295647 929334 941414 1558334 5622367 200516317 215197480 233458316 229956484 238840028 1117968625 0.99500 0.99510 0.00500 0.00490 X 0 0 0 0 0 0 0 0 1 10057 10057 0 PART II-B, LINE 1: CHLAMG IS A DUES-PAYING MEMBER OF THE CHILDRENS SPECIALTY CARE COALITION, AN EDUCATIONAL AND ADVOCACY ORGANIZATION COMPRISED OF PHYSICIAN REPRESENTATIVES OF PEDIATRIC SUBSPECIALTY GROUPS WORKING IN PARTNERSHIP WITH LOCAL TAX-EXEMPT CHILDRENS HOSPITALS THROUGHOUT CALIFORNIA. 200598 200598 0 1742903 1685976 56927 56927 OTHER ASSETS 57630 OTHER CURRENT ASSETS 6777062 DUE FROM AFFILIATES 15542689 INSURANCE RECEIVABLE 3879611 RIGHT-OF-USE LEASE ASSET 79377 26336369 MEDICAL MALPRACTICE RESERVE 13537112 DUE TO THIRD-PARTY PAYORS 2160240 FINANCE LEASE OBLIGATIONS 83025 15780377 X 238840028 0 238840028 0 238840028 235559711 0 235559711 0 235559711 PART X, LINE 2: THE GROUP ADOPTED THE PROVISIONS OF FASB ACCOUNTING STANDARDS CODIFICATION(ASC) 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JULY 1, 2009. THE GROUP RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY WHEN IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. FOR THE YEAR ENDED JUNE 30, 2016 THE GROUP HAS NO UNCERTAIN TAX POSITIONS. X X X 0 0 0 0 0 0 0 0 0 KRIEGER MARK MD DIRECTOR 300000 0 103000 0 515000 0 0 0 0 0 918000 0 0 0 HARRISON LARRY CEO OF PMG (A RELATED ORGA 0 800649 0 0 0 0 0 0 2120 0 2120 800649 0 0 JUDKINS ALEXANDER MD DIRECTOR 622880 0 81500 0 62288 0 0 0 0 0 766668 0 0 0 ANDRAS LINDSAY MD EMPLOYEE 85000 0 523996 0 148437 0 0 0 0 0 757433 0 0 0 LEE THOMAS EMPLOYEE 25000 0 637387 0 62500 0 0 0 0 0 724887 0 0 0 KAY ROBERT EMPLOYEE 399942 0 185954 0 111801 0 0 0 0 0 697697 0 0 0 DURHAM SUSAN EMPLOYEE 178182 0 120650 0 396818 0 0 0 0 0 695650 0 0 0 SHADDY ROBERT MD DIRECTOR 250000 0 138800 0 258750 0 0 0 0 0 647550 0 0 0 BERMAN DARREN EMPLOYEE 301854 0 58864 0 242685 0 0 0 0 0 603403 0 0 0 DEFILIPPOMD ROGER DIRECTOR 65000 0 432643 0 6500 0 0 0 0 0 504143 0 0 0 VASQUEZ EVALYNN DIRECTOR 130000 0 160000 0 197796 0 0 0 0 0 487796 0 0 0 BRYANT MICHAEL MD DIRECTOR 342272 0 50699 0 39987 0 0 0 0 0 432958 0 0 0 CHAPMAN RACHEL DIRECTOR 324144 0 8483 0 88534 0 0 0 0 0 421161 0 0 0 NELSON MARVIN MD DIRECTOR 341015 0 32100 0 36862 0 0 0 0 0 409977 0 0 0 LIN JAMES CEO OF PMG (A RELATED ORGA 0 374195 0 0 0 0 0 0 0 0 0 374195 0 0 GARY SCOTT MD IMMEDIATE PAST PRESIDENT 349300 0 10000 0 12000 0 0 0 0 0 371300 0 0 0 BELL MARISA DIRECTOR 250401 0 87611 0 1400 0 0 0 0 0 339412 0 0 0 WETZEL RANDALL DIRECTOR 220000 0 75000 0 0 0 0 0 0 0 295000 0 0 0 KEEFER MATHEW MD PRESIDENT 86946 0 6956 0 192145 0 0 0 0 0 286047 0 0 0 NELSON LARA MD DIRECTOR 184705 0 27745 0 48600 0 0 0 0 0 261050 0 0 0 LIU DEBORAH MD DIRECTOR 199655 0 27790 0 20236 0 0 0 0 0 247681 0 0 0 SADAMITSU MARK CFO OF PMG (A RELATED ORGA 0 232466 0 0 0 0 0 0 607 0 607 232466 0 0 GERA MONA PATEL MD PRESIDENT ELECT 125000 0 77284 0 20620 0 0 0 0 0 222904 0 0 0 RANDOLPH LINDA MD DIRECTOR 131436 0 28022 0 62032 0 0 0 0 0 221490 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 CHLAMG HAS 3 CLASSES OF SHAREHOLDERS, ALL OF WHICH ARE HEALTH CARE PROVIDERS AT CHILDREN'S HOSPITAL LOS ANGELES, WHOSE ONLY RIGHT IS TO VOTE ELECTED MEMBERS OF THE BOARD. NO SHAREHOLDER HAS THE RIGHT TO RECEIVE DIVIDENDS OR OTHER DISTRIBUTIONS OF PROFITS, PROPERTY, MONEY OR OTHER ASSETS OF CHLAMG, WHETHER IN LIQUIDATION OR OTHERWISE. FORM 990, PART VI, SECTION A, LINE 7A THE SHAREHOLDERS HAVE THE POWER TO ELECT 10 OF THE 18 VOTING MEMBERS TO THE CHLAMG BOARD. FORM 990, PART VI, SECTION A, LINE 7B MATTERS IDENTIFIED BY THE ARTICLES OF INCORPORATION, BYLAWS OF THE CORPORATION AND AS REQUIRED BY APPLICABLE PROVISIONS OF THE CALIFORNIA CORPORATIONS CODE ARE APPROVED BY SHAREHOLDERS. APPROVAL BY SHAREHOLDERS IS OBTAINED BY WRITTEN BALLOT OR A DULY NOTICE OF MEETING OF SHAREHOLDERS. FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS CONDUCTED PRIOR TO FILING. A COPY OF THE 990 IS AVAILABLE TO BE REVIEWED BY THE MEMBERS OF THE AUDIT AND INVESTMENT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A SPECIFIC CONFLICTS OF INTEREST POLICY AND ALSO REQUIRES DISCLOSURE OF CONFLICTS IN ITS CODE OF CONDUCT. EACH YEAR AFFECTED PARTIES ARE REQUIRED TO DISCLOSE CERTAIN INTERESTS IN ACCORDANCE WITH THE POLICY. THESE DISCLOSURES ARE CAPTURED IN A CONFLICT OF INTEREST DATABASE AND ARE REVIEWED BY THE ORGANIZATION'S COMPLIANCE OFFICER. IN THE EVENT A POTENTIAL CONFLICT IS IDENTIFIED, THE CONFLICT IS REQUIRED TO BE MANAGED OR DIVESTED TO REMOVE THE CONFLICT. DOCUMENTATION OF MANAGEMENT PLANS OR DIVESTITURE ACTIONS, IF APPLICABLE TO ANY PARTY, WOULD BE MAINTAINED BY THE COMPLIANCE OFFICER AND THE RESPONSIBLE MANAGEMENT OFFICIAL. FORM 990, PART VI, SECTION B, LINE 15 THE BUDGET AND COMPENSATION COMMITTEE REVIEWS COMPENSATION FOR FACULTY MEMBERS OF CHLAMG. THE COMMITTEE CONSISTS OF THE FIVE DEPARTMENT CHAIRS, COMMITTEE CHAIR, PRESIDENT, IMMEDIATE PAST PRESIDENT, PRESIDENT-ELECT, CEO AND CFO. SALARIES FOR THE KEY EMPLOYEES ARE DETERMINED IN THE SPRING OF EACH YEAR. THE DEPARTMENT CHAIRS CONDUCT A DIVISION-LEVEL "GAP ANALYSIS," COMPARING THEIR FACULTY MEMBERS' ACTUAL SALARY AND PERFORMANCE BASED COMPENSATION TO THE APPROPRIATE BENCHMARK SALARY DATA OR FAIR MARKET VALUE FOR THE PAST FISCAL YEAR. THE CHAIRS CONDUCT AN EQUITY REVIEW OF THEIR FACULTY MEMBERS' SALARIES TO HIGHLIGHT ANY AREAS FOR SALARY ADJUSTMENTS BASED ON EQUITY AND DIVERSITY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE ANNUAL AUDITED FINANCIAL STATEMENTS, TAX RETURNS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. INQUIRIES SHOULD BE DIRECTED TO: JAMES LIN, CFO, CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. 3250 WILSHIRE BLVD SUITE 1101, LOS ANGELES CA 90010. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT MAKE ANY CHANGES TO THE POLICIES AND PROCEDURES RELATED OVERSIGHT OF THE AUDIT OR SELECTION OF THE INDEPENDENT AUDITORS DURING THE FISCAL YEAR. FORM 990, PART IX, LINE 5 MATTHEW KEEFER M.D. RECEIVES $198,000 AS COMPENSATION FOR HIS ROLE AS THE PRESIDENT OF CHLAMG. PEDIATRIC MANAGEMENT GROUP LLC 3250 WILSHIRE BLVD SUITE 1101 LOS ANGELES CA 90010 954602048 MANAGEMENT SERVICES CA CHILDRENS HOSPITAL LOS ANGELEST MEDICAL GROUP INC RELATED 0 0 0.94730 CHLAMG-PATHOLOGY LP 3250 WILSHIRE BLVD SUITE 1101 LOS ANGELES CA 90010 274470693 MEDICAL SERVICES CA CHILDRENS HOSPITAL LOS ANGELEST MEDICAL GROUP INC RELATED 0 0 0.99000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0