Cedars-Sinai Health System

“The organization amended its articles of incorporation and its bylaws during the fiscal year to reflect the addition of torrance memorial medical center as its member organization.”

“The organization's form 990 undergoes a comprehensive review process. The review involves a big four accounting firm, cedars-sinai medical center's senior vice-president and its general counsel, and the organization's treasurer. The form 990 is presented at a board of directors' meeting allowing the board members the opportunity to review and discuss the information reported.”

“The cedars-sinai health system (cshs) conflict of interest policy is a board-approved policy. Conflict reporting is required through the office of the president/ceo, who reports to the board on coi-related matters. The policy applies to cshs directors, officers, committee members, and other individuals who have or are granted the authority to vote at board or committee meetings of cshs. These individuals are required to complete an annual conflict of interest disclosure questionnaire. More frequent disclosure is required as warranted by activities undertaken between annual disclosures. The policy extends to family members of such persons as they may directly or indirectly give rise to conflicts of interest. Conflict of interest questionnaires are distributed annually and the office of the president or his/her designee follows up with any person who does not complete and return the questionnaire in a timely manner. All questionnaires are analyzed and all disclosures made are reviewed by counsel for validity, completeness and the presence of a real or perceived conflict of interest. Counsel works with the office of the president or his/her designee to perform any necessary diligence and identify strategies for managing any identified conflicts. Management generally involves separation of the interested person from any involvement, management or decision-making with respect to the matter giving rise to the conflict, disclosure to the board of directors, and other actions to ensure the identified conflict is sufficiently mitigated or addressed in a manner that ensures that the transaction that gives rise to the conflict is fair and reasonable to cshs and consistent with fair market value. In the case of a board member with an identified conflict, that board member is precluded from participating in any deliberations or decisions regarding the transaction that gives rise to the conflict.”

“The conflict of interest policy and governing documents are not available to the public.”

“The organization's financial statements were audited on a consolidated basis with its subsidiary organizations for fiscal year ended june 30, 2018. The oversight of the audit was performed by cedars-sinai medical center's audit committee.”