Children’s Hospital Los Angeles
Health Systems Independent/No SystemChildren’s Hospital Los Angeles
501(c)(3)
4650 Sunset Blvd.
Los Angeles, CA
Total Sex Change Patients
Total unique children who underwent gender-affirming procedures or hormone/puberty blocker therapy.
Total Surgery Patients
Total unique children who underwent gender-affirming surgical procedures.
Total Hormone and Puberty Blocker Patients
Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
Total Prescriptions Written
Total number of scripts for puberty blockers or gender-affirming hormones.
Total Submitted Charges
Total amount submitted by providers or pharmacies to insurance for services, treatments, or prescriptions, before any reviews or adjustments. Includes medical procedures and prescription charges but may not reflect the final amount after negotiations.
Children’s Hospital Los Angeles is a nonprofit hospital located in Los Angeles, California. The hospital operates the Center for Transyouth Health and Development (CTYHD), which it describes as one of the oldest “transyouth” programs in the country. The hospital advertises sex change treatments under the services it provides. Claims data shows the hospital has billed for hormone therapy, puberty blockers, and sex change surgeries for minors.
For more information on the specific procedure and diagnostic codes and other methodology used to make these determination, read our white paper here.
Key Findings
The Center for Transyouth Health and Development (CTYHD) states that it differentiates itself from other gender programs by rejecting “the gatekeeper model of care” and instead focuses on “how to help our patients and families in the least restrictive environment possible.”
From 2015 to 2017, CTYHD’s patient load increased from 415 to over 900. The organization provides services up to the age of 25. It claims its youngest patients, as young as three years old, “receive no medical interventions, just counseling.”
In 2016, CTYHD treated 725 trans youth patients, with the youngest being three years old.
In 2019, CTYHD purportedly received “five new young people” every week and saw a “a huge rise in teenage girls and a rise in non-binary identities.”
CTYHD is led by its medical director Dr. Johanna Olson-Kennedy, an outspoken proponent of so-called “gender-affirming care.” She has argued that psychological assessments are not needed for children transitioning, endorsed providing “cross-sex hormones to kids as young as 12,” and maintained that “watchful waiting” “amounts to neglect.”
CTYHD has previously partnered with the Los Angeles Unified School District to provide gender resources to children. The clinic has given a presentation to LAUSD that “showcased a wide range of irreversible medical treatments.”
The Children’s Hospital Los Angeles treated a transgender youth who was transitioning from female to male. Under the direction of Dr. Olson, CTYHD gave this youth testosterone treatment.
Sex Change Treatments Offered
Center for Transyouth Health and Development (CTYHD)
Children’s Hospital Los Angeles offers sex change treatments through the CTYHD.
Sex Change Treatments available at CTYHD:
- Sex change treatments and mental health services
- Family support services and outside resources
- Case management services, including assistance with legal name and gender marker changes
- Peer support groups
- Voluntary participation in research
CTYHD offers the following resource guide for parents that explain:
- Binding
- “Binding refers to the process in which an individual utilizes some form of a multi-purpose garment to compress their chest for the appearance of a flatter chest. A flat chest can affirm an individual’s identity and allow them and their gender identity to be correctly perceived in public.”
- Tucking
- “Tucking refers to the practice in which an individual with a penis may engage in to achieve a flat front. Tucking and a flat front is not something that every individual desires, but some adopt it into their lifestyle.”
Definitions
SEX CHANGE PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures or hormone/puberty blocker therapy.
TOTAL SURGERY PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures.
TOTAL HORMONE AND PUBERTY BLOCKERS PATIENTS: Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
TOTAL PRESCRIPTIONS WRITTEN: Total number of prescriptions written by a provider for puberty blockers or gender-affirming hormones for children.
TOTAL SUBMITTED CHARGES: This is the initial amount a healthcare provider or pharmacy submits to the insurance company for a specific service, treatment, or prescription before the insurance company reviews and adjusts the payment. This value includes both the pharmacy-submitted cost of prescription drug claims and the line-item charges associated with medical procedures. Please note that this amount does not necessarily reflect the full cost of the procedure or prescription, as it is subject to adjustments and negotiations by the insurance company.
Leadership
Executive Leadership
| Name | Title | Compensation |
|---|---|---|
| Paul S. Viviano | President and Chief Executive Officer | $1,693,578 |
| Robert Adler, MD, MSEd | Chief Medical Director | N/A |
| Conrad Band | SVP and Chief Information Officer | N/A |
| Alexandra Carter, MBA, CFRE | SVP and Chief Development Officer | $427,662 |
| Kelly M. Johnson | SVP of Patient Care Services and Chief Nursing Officer | N/A |
| Lara M. Khouri | EVP and Chief Operating Officer | $778,055 |
| Mark Krieger, MD | SVP and Surgeon-in-Chief | $767,000 |
| Hanna Song, PhD | SVP and Chief DEI Officer | N/A |
| James Stein, MD, MSc, FACS, FAAP | SVP and Chief Medical Officer | $858,816 |
The current leadership/titles are based on the Children’s Hospital Los Angeles website, but the compensation information is from the Children’s Hospital Los Angeles 2022 Form 990, filed 5/10/23.
Compensation reflects tax year beginning July 1, 2021, and ending June 30, 2022.
Board of Trustees
| Name | Title | Compensation |
|---|---|---|
| Kevin H. Brogan | Chair | $0 |
| Paul S. Viviano | Chair | $1,693,578 |
| Jeffrey Worthe | Former Chair | N/A |
| Mark D. Krieger, MD | Director, Physician | $767,000 |
The current leadership/titles are based on the Children’s Hospital Los Angeles website, but the compensation information is from the Children’s Hospital Los Angeles 2022 Form 990, filed 5/10/23.
Compensation reflects tax year beginning July 1, 2021, and ending June 30, 2022.
In the News
Stay up to date with the latest news and updates.
U.S. Study on Puberty Blockers Goes Unpublished because of politics
10/23/2024The leader of the long-running study said that the drugs did not improve mental heath in children with gender distress…
Read More →When Children Say They’re Trans
08/01/2018Dr. Olson stated that psychological assessments are not needed for children transitioning.
Read More →Johanna Olson-Kennedy and the US Gender Affirmative Approach
04/17/2019Dr. Olson is "quite open in her view that a neutral approach of 'watchful waiting' amounts to neglect."
Read More →EXCLUSIVE: How One Of America’s Largest School Districts Became A…
02/28/2024CTYHD has previously partnered with the Los Angeles Unified School District to provide gender-affirming care resources to children. The clinic…
Read More →