CHILDREN'S HOSPITAL LOS ANGELES

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1901

Legal Domicile

Principal Officer

PAUL S VIVIANO

Phone

3236602450

Tax Period

2023-07-01 to 2024-06-30

CHILDREN'S HOSPITAL LOS ANGELES, founded in 1901, is a large national nonprofit in the Health Care sector that reported $1.7B in total revenue in fiscal year 2023.

Mission

WE CREATE HOPE AND BUILD HEALTHIER FUTURES. AS A LEADING ACADEMIC CHILDREN'S HOSPITAL, WE FULFILL OUR MISSION BY: CARING FOR CHILDREN, ADOLESCENTS, YOUNG ADULTS, FAMILIES AND EACH OTHER; ADVANCING KNOWLEDGE; PREPARING FUTURE GENERATIONS; BUILDING OUR FINANCIAL STRENGTH.

Program Service Accomplishments

Program 1

Expenses: $1,211,661,197 Revenue: $1,403,998,100

MEDICAL CARE PROVIDED TO CHILDREN:IT IS THE POLICY OF THE HOSPITAL TO STRIVE TO MAINTAIN QUALITY HEALTH CARE DELIVERY IN A MANNER THAT RESPECTS THE DIGNITY OF THE INDIVIDUAL AND FAMILY, REGARDLESS OF THE ABILITY TO PAY. UNDER THE HOSPITAL'S POLICY, MEDICAL CARE MAY BE PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PEOPLE WHO ARE UNINSURED OR UNDERINSURED AND CANNOT AFFORD TO PAY FOR THEIR OWN MEDICAL CARE. THE HOSPITAL PROVIDES ADDITIONAL COMMUNITY SUPPORT BY PROVIDING CARE TO PATIENTS WHO PARTICIPATE IN PROGRAMS, LIKE MEDI-CAL, THAT DO NOT PAY FULL CHARGES. APPROXIMATELY THREE-FOURTHS OF THE HOSPITAL'S PATIENTS ARE COVERED BY MEDI-CAL PROGRAMS.

Program 2

Expenses: $75,019,452 Revenue: $29,981,213

GRADUATE MEDICAL EDUCATION PROVIDES TRAINING AND EDUCATION TO MEDICAL STUDENTS IN LOS ANGELES COUNTY WHO, IN TURN, PROVIDE SERVICES TO PATIENTS AT THE HOSPITAL. ALSO, INCLUDES EDUCATION REVENUE FROM THE RESIDENCY AND FELLOWSHIP PROGRAMS AT CHLA. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF TRAINING PHYSICIANS, ALLIED HEALTH PROFESSIONALS, AND OTHER HEALTH CARE WORKERS IN ITS EMERGENCY ROOM, CLINICS, INPATIENT AREAS, AND OTHER PARTS OF ITS FACILITIES.

Program 3

Expenses: $175,884,960 Revenue: $22,237,685

RESEARCH REVENUES FURTHER THE EXEMPT PURPOSE OF CHLA BY PROVIDING THE PATIENTS OF CHLA ACCESS TO NEW TECHNOLOGIES, DISCOVERIES AND MEDICATIONS FOR TREATMENT. RESULTS OF THIS RESEARCH IS DISSEMINATED THROUGH PUBLICATIONS IN SCIENTIFIC JOURNALS AND PRESENTATIONS BY THE PRINCIPAL INVESTIGATORS. THE HOSPITAL SUBSIDIZES A LARGE PART OF THE COST OF MEDICAL RESEARCH TAKING PLACE IN ITS FACILITIES.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $194,581,501

Program Service Revenue $1,456,216,998

Investment Income $59,606,833

Other Revenue $20,547,506

TOTAL REVENUE $1,730,952,838

Expense Breakdown

Grants Paid $8,314,643

Salaries & Benefits $970,094,380

Fundraising Expenses $21,541,469

Program Expenses $1,466,998,680

Other Expenses $839,652,009

TOTAL EXPENSES $1,818,061,032

Year-over-Year Comparison

	2023	2022	Change
Revenue	$1,730,952,838	$1,609,939,633	+0.1%
Expenses	$1,818,061,032	$1,652,929,444	+0.1%
Net Income	$-87,108,194	$-42,989,811	+1.0%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

8288

Volunteers

497

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$3,700,324

Total Directors

$4,618,560

Key Employees

$7,019,018

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
PAUL S VIVIANO	DIRECTOR, PRESIDENT AND CEO	55.00	Officer Director	$2,263,905	$31,392	$2,295,297
KEVIN H BROGAN	DIRECTOR, CHAIR OF BOARD	2.00	Officer Director	$0	$0	$0
MONA PATEL GERA MD	DIR., FACULTY PHYSICIAN (START 7/23)	55.00	Director	$366,263	$0	$366,263
ALAN S WAYNE MD	DIR., FACULTY PHYSICIAN (START 9/23)	55.00	Director	$804,083	$0	$804,083
MARK D KRIEGER MD	DIRECTOR, FACULTY PHYSICIAN	55.00	Director	$838,750	$0	$838,750
ROBERT BOB E SHADDY MD	DIR., FACULTY PHYSICIAN (END 08/23)	10.00	Director	$314,167	$0	$314,167
ALIA TUTOR	DIRECTOR	1.00	Director	$0	$0	$0
BURT LEVITCH	DIRECTOR	1.00	Director	$0	$0	$0
BYRON H POLLITT JR	DIRECTOR	1.00	Director	$0	$0	$0
CARA NATTERSON MD	DIRECTOR (START 11/23)	1.00	Director	$0	$0	$0
CHERYL KUNIN FAIR	DIRECTOR	1.00	Director	$0	$0	$0
CHRISTOPHER C MARTIN FAIA	DIRECTOR	1.00	Director	$0	$0	$0
DIANA M BONTA RN DRPH	DIRECTOR	1.00	Director	$0	$0	$0
EUGENE MITCH MITCHELL	DIRECTOR	1.00	Director	$0	$0	$0
GEORGE H BROWN	DIRECTOR	1.00	Director	$0	$0	$0
JEFFREY JEFF WORTHE	DIRECTOR (START 07/23)	1.00	Director	$0	$0	$0
KIMBERLY KIM SHEPHERD	DIRECTOR (END 06/24)	1.00	Director	$0	$0	$0
LAURENCE LARRY E PAUL MD	DIRECTOR	1.00	Director	$0	$0	$0
SHERI SANI	DIRECTOR	1.00	Director	$0	$0	$0
M SCOTT LIEBERENZ	SVP, CHIEF FINANCIAL OFFICER	55.00	Officer	$1,089,348	$23,995	$1,113,343
JUDITH M KLINE	CORPORATE SECRETARY	55.00	Officer	$275,585	$16,099	$291,684
LARA KHOURI	SVP, CHIEF STRATEGY OFFICER	55.00	Key Emp	$1,141,684	$29,353	$1,171,037
ALEXANDRA CARTER	SVP, CHIEF DEVELOPMENT OFFICER	55.00	Key Emp	$964,505	$19,941	$984,446
JAMES STEIN MD	SVP, CHIEF MEDICAL OFFICER	55.00	Key Emp	$1,044,653	$10,124	$1,054,777
GRACE OH	SVP, GENERAL COUNSEL	55.00	Key Emp	$747,134	$40,124	$787,258
CONRAD BAND	SVP, CHIEF INFORMATION OFFICER	55.00	Key Emp	$600,122	$138,930	$739,052
NANCY LEE	SVP, CHIEF CLINICAL OFF. (END 04/23)	55.00	Key Emp	$670,559	$37,923	$708,482
MAMOON SYED	SVP, CHIEF PEOPLE OFFICER	55.00	Key Emp	$642,729	$29,482	$672,211
HANNA SONG	SVP, CHIEF DIVERSITY OFFICER	55.00	Key Emp	$364,730	$90,934	$455,664
KELLY JOHNSON	SVP, CHIEF NURSING OFFICER	55.00	Key Emp	$438,779	$7,312	$446,091
PAT R LEVITT MD	FACULTY PHYSICIAN	55.00	Highest	$896,906	$0	$896,906
BRUCE PAWEL MD	FACULTY PHYSICIAN	55.00	Highest	$565,668	$0	$565,668
JENNIFER BARD DIEN MD	FACULTY PHYSICIAN	55.00	Highest	$541,864	$0	$541,864
CINDY URBANCIC	VP, CENTER FOR GLOBAL HEALTH	55.00	Highest	$500,936	$15,996	$516,932
MICHAEL GORAN MD	FACULTY PHYSICIAN	55.00	Highest	$466,102	$0	$466,102

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	$1,730,952,838	$1,818,061,032	$2,668,662,474	$-87,108,194
2023	$1,609,939,633	$1,652,929,444	$2,696,953,883	$-42,989,811
2022	$1,475,323,488	$1,445,180,385	$2,607,463,497	$30,143,103
2021	$1,358,712,456	$1,333,617,659	$2,698,695,774	$25,094,797
2020	$1,425,966,307	$1,325,908,417	$2,416,252,249	$100,057,890
2020	$1,425,966,307	$1,325,908,417	$2,416,252,249	$100,057,890
2019	$1,557,865,860	$1,255,702,833	$2,320,601,938	$302,163,027
2018	$1,433,454,138	$1,188,469,321	$2,125,453,027	$244,984,817