2023-11-03T11:58:53-05:00 2022-12-31 910189318 MOSS ADAMS LLP 21700 OXNARD ST STE 300 WOODLAND HILLS CA 91367 990 2022-01-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 LORI CARDLE EVP, COO AND CFO 8187826600 2023-10-31 1 LORI CARDLE 999009999 1 MICHAEL LUMSDEN P01262236 8185771900 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GUSTAVO VALDESPINO 15107 VANOWEN STREET VAN NUYS CA 91405 640786124 0 X WWW.VALLEYPRES.ORG X 1948 CA TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 18 13 1935 119 0 0 2304871 3489685 477295346 471600485 32681241 3534864 2431271 2987849 514712729 481612883 272225 246220 0 0 158969563 161008097 0 0 0 301861385 348731859 461103173 509986176 53609556 -28373293 665303454 564957236 171951032 157857554 493352422 407099682 X TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 0 0 460619288 246220 471600485 SEE SCHEDULE O 460619288 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1025 0 1 1935 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 18 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LORI CARDLE 8189022902 15107 VANOWEN STREET VAN NUYS CA 91405 BOLATITO ABE MD DIRECTOR 1.00 0.00 X 21379 0 0 NORAMAY CADENA DIRECTOR 1.00 0.00 X 0 0 0 DANIEL CHANDLER DIRECTOR 1.00 0.00 X 0 0 0 DAVID W FLEMING DIRECTOR / CHAIR EMERITUS 1.00 0.00 X 0 0 0 LIVA YATES GRITTON MD DIRECTOR 1.00 0.00 X 67587 0 0 LUCA JACOBELLIS SECRETARY 1.00 0.00 X X 0 0 0 GREG KAY MD CHAIR OF THE BOARD 1.00 0.00 X X 0 0 0 PETER KOETTERS MD DIRECTOR 1.00 0.00 X 89238 0 0 MERRYLL MCELWAIN TREASURER 1.00 0.00 X X 0 0 0 TODD MOLDAWER MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT C MYRTLE DPA DIRECTOR 1.00 0.00 X 0 0 0 BRIAN OSTICK MD DIRECTOR 1.00 0.00 X 16434 0 0 KALPESH PATEL MD DIRECTOR / CHIEF OF STAFF 1.00 0.00 X 57197 0 0 ELLEN RILEY DIRECTOR 1.00 0.00 X 0 0 0 DIANA SANCHEZ DIRECTOR THROUGH 7/2022 1.00 0.00 X 0 0 0 STUART SOLOMON DIRECTOR 1.00 0.00 X 0 0 0 KEVEN STEINBERG DIRECTOR 1.00 0.00 X 0 0 0 MARY BETH WALKER VICE CHAIR OF THE BOARD 1.00 0.00 X 0 0 0 BETH ZACHARY DIRECTOR 1.00 0.00 X 0 0 0 GUSTAVO VALDESPINO PRESIDENT & CEO 40.00 0.00 X 1033871 0 238322 LORI CARDLE EVP & CHIEF OPERATING & FIN OFFICER 40.00 0.00 X 1027436 0 152064 JANICE KLOSTERMEIER SVP & CFO THROUGH 6/2022 40.00 0.00 X 691616 0 99935 LORI BURNELL SVP & CHIEF NURSING OFFICER 40.00 0.00 X 629061 0 99142 HANNAH GROSSMAN MD SVP & CHIEF MEDICAL OFFICER 40.00 0.00 X 538968 0 98070 TAMALA CHOMA VP & GENERAL COUNSEL 40.00 0.00 X 403662 0 75166 TONY EVANS VP & CHIEF INFORMATION OFFICER 40.00 0.00 X 347576 0 54694 CHARLES ORLANDO VP & CFO 2/2022 - 8/2022 40.00 0.00 X 271280 0 6335 DIANA MILAN-FINLEY ASSOCIATE ADMINISTRATOR 40.00 0.00 X 290545 0 47937 TODD CONNELLY ASSOCIATE ADMINISTRATOR HUMAN RESOURCES 40.00 0.00 X 205834 0 19152 TOM KIM CONTROLLER 40.00 0.00 X 284600 0 33137 EDINANCE MUWONGE CLINICAL NURSE SUPERVISOR 40.00 0.00 X 292284 0 10244 DALLAS RYAN DIRECTOR, MATERIALS MANAGEMENT 40.00 0.00 X 271237 0 16109 THERESA SOLIS-BITO DIRECTOR, SERVICE AND SUPPORT 40.00 0.00 X 238073 0 35157 NIGHAT KHAN CLINICAL NURSE SUPERVISOR 40.00 0.00 X 254588 0 17460 7032466 0 1002924 572 0 1 0 CARDINAL HEALTH PHARMACY SERVICES LLC 21377 NETWORK PLACE CHICAGO IL 60673 HEALTHCARE MGMT - PHARMACY SERVICES 7392549 CAREREV 2108 N STREET SUITE 4037 SACRAMENTO CA 95816 AGENCY/STAFFING 7057508 WESTWAYS STAFFING SERVICES INC PO BOX 970 SAN JOSE CA 95108 AGENCY/STAFFING 4107117 SODEXO 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 HEALTHCARE MANAGEMENT - DIETARY 2931063 LIFEPOINT REHABILITATION OF CA PO BOX 502096 ST LOUIS MO 63150 HEALTHCARE MGMT - REHAB SERVICES 2812643 117 269189 2002198 1218298 3489685 NET PATIENT SERVICE REVENUE 622110 261591647 261591647 CAPITATION PREMIUM REVENUE 622110 204327447 204327447 OTHER OPERATING REVENUE 622110 5681391 5681391 471600485 6365626 6365626 967169 0 967169 967169 967169 156275150 159105912 -2830762 -2830762 -2830762 33221 269189 67329 -34108 -34108 CAFETERIA REVENUE 722514 1035925 1035925 PARKING REVENUE 812930 972093 972093 GIFT SHOP REVENUE 459900 46770 46770 2054788 481612883 471600485 0 6522713 X 246220 246220 6443706 1478280 4965426 128630171 115026372 13603799 4857520 4686605 170915 11243359 10180497 1062862 9833341 8541796 1291545 682116 682116 186645 186645 254667 254667 75899527 66467338 9432189 121953 121953 11944824 10376365 1568459 7649733 6630789 1018944 4763056 4763056 178019 10847 167172 108584 30082 78502 1247618 1247618 12407390 10754726 1652664 6376588 5527226 849362 CAPITATION EXPENSES 147467802 147467802 PROVIDER PROGRAM FEES 31822454 31822454 MEDICAL SUPPLIES 30987135 30987135 OTHER CONTROLLABLE EXP 16633748 5621698 11012050 509986176 460619288 49366888 0 12287315 22413898 23169819 172546 904380 904380 29437758 32202441 7452016 6765620 5240439 5366489 395208527 251016828 119115861 144191699 355398684 240556762 310232 0 878784 0 111108166 112383401 665303454 564957236 45664194 55509844 13868472 0 14742742 106631 97675624 102241079 171951032 157857554 X 491332129 404908877 2020293 2190805 493352422 407099682 665303454 564957236 X -28373293 -57852219 -27228 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 163607 163607 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), AND PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS, INC. (PEACH). A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES BY CHA, HASC, AND PEACH ON BEHALF OF THEIR MEMBERS. 6387222 6387222 232896664 121019146 111877518 2229451 2035993 193458 144590087 127961689 16628398 9105103 9105103 144191699 OTHER RECEIVABLES 2388430 WORKERS COMP RESERVE 238045 DEPOSITS 467047 HOSPITAL FEE PROGRAM RECEIVABLE 105123898 DUE FROM THIRD-PARTY PAYORS 4165981 112383401 SELF INSURANCE RESERVES 11829496 ASSET RETIREMENT OBLIGATION 4678588 MEDICAL CLAIMS PAYABLE 34426322 SPLIT-INTEREST PAYABLES 61377 HOSPITAL FEE PROGRAM PAYABLE 31619430 SHARED RISK LIABILITY PAYABLE 19625866 102241079 GOLF CLASSIC 302410 269189 33221 900 900 17366 13355 700 34108 302410 269189 33221 900 900 17366 13355 700 34108 67329 -34108 1 1 X 1 X 400.000000000000 1 X 650.000000000000 1 1 1 0 1 1 4565169 4565169 0.00900 109430729 87651783 21778946 0.04270 113995898 87651783 26344115 0.05170 1268904 1268904 0.00250 4966331 4966331 0.00970 441059 441059 0.00090 6676294 6676294 0.01310 120672192 87651783 33020409 0.06480 2400 2400 0.00000 20671 20671 0.00000 1022 1022 0.00000 24093 24093 0.00000 1 7339732 0 75832053 89231947 -13399894 X 1 1 1 1 VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN STREET VAN NUYS CA 91405 WWW.VALLEYPRES.ORG 930000170 X X X X VALLEY PRESBYTERIAN HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT/ X 1 22 1 HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT/ 0 1 X 400.000000000000 650.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 5: VPH CONDUCTED INTERVIEWS AND SURVEYS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS.INTERVIEWS:SIXTEEN (16) INTERVIEWS WERE COMPLETED IN JUNE AND JULY 2021. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT INTERVIEWS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY". THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN THE PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. PLEASE REFERENCE ATTACHMENT 2 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT POSTED ON THE ORGANIZATION'S WEBSITE FOR A LIST OF INDIVIDUALS INTERVIEWED.SURVEY: VALLEY PRESBYTERIAN HOSPITAL CONDUCTED A COMMUNITY SURVEY. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK, AND IN A PAPER COPY FORMAT. THE SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM JUNE 14 THROUGH AUGUST 30, 2021 AND DURING THIS TIME, 73 SURVEYS WERE COLLECTED (19 IN SPANISH AND 54 IN ENGLISH). VALLEY PRESBYTERIAN HOSPITAL DISTRIBUTED THE SURVEYS AT COMMUNITY MEETINGS AND THROUGH SOCIAL MEDIA. A WRITTEN INTRODUCTION EXPLAINED THE PURPOSE OF THE SURVEY AND ASSURED PARTICIPANTS THE SURVEY WAS VOLUNTARY, AND THEIR RESPONSES WOULD REMAIN ANONYMOUS. THE SURVEY ASKED FOR DEMOGRAPHIC INFORMATION ON THE SURVEY RESPONDENTS. THE SURVEY ASKED ABOUT COMMUNITY NEEDS AND BARRIERS, VULNERABLE POPULATIONS WHO ARE MOST IMPACTED BY THE COMMUNITY NEEDS AND ACCESSING HEALTH CARE SERVICES. FINALLY, THE SURVEY RESPONDENTS WERE ASKED TO PRIORITIZE THE MOST IMPORTANT COMMUNITY NEEDS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 11: IN 2021, VALLEY PRESBYTERIAN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO COMPLY WITH FEDERAL AND STATE REGULATIONS GUIDING TAX-EXEMPT HOSPITALS. THE CHNA INCORPORATED DEMOGRAPHIC AND HEALTH DATA FOR THE COMMUNITIES SERVED BY THE HOSPITAL. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS. HEALTH INDICATORS WERE CONSIDERED HIGH-RISK HEALTH NEEDS WHEN THEY EXCEEDED BENCHMARK DATA, SPECIFICALLY COUNTY OR STATE RATES OR HEALTHY PEOPLE 2030 OBJECTIVES. THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED: ACCESS TO HEALTH CARE; ALZHEIMER'S DISEASE; BIRTH INDICATORS; CHRONIC DISEASES; COVID-19; DENTAL CARE; ECONOMIC INSECURITY; HOUSING AND HOMELESSNESS; MENTAL HEALTH; OVERWEIGHT AND OBESITY; PREVENTIVE PRACTICES; AND SUBSTANCE USE. OF THOSE SIGNIFICANT HEALTH NEEDS, VPH WILL ADDRESS THE FOLLOWING NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND CHARITABLE RESOURCES: ACCESS TO CARE (INCLUDING PREVENTIVE PRACTICES AND TRANSPORTATION); HOUSING AND HOMELESSNESS; CHRONIC DISEASE (WITH AN EMPHASIS ON DIABETES); OVERWEIGHT AND OBESITY; AND MENTAL HEALTH.ACCESS TO HEALTH CARE: IN RESPONSE TO THIS NEED: 1. VPH REMOVED BARRIERS AND INCREASED ACCESS TO HEALTH CARE. THE HOSPITAL OFFERED TRANSPORTATION TO 1,393 RIDERS TO INCREASE ACCESS TO HEALTH CARE. VPH CONTRACTED TRANSPORTATION SERVICE PROVIDED RIDES FREE OF CHARGE TO COMMUNITY RESIDENTS TO AND FROM THEIR HOMES TO THE HOSPITAL AND TO AND FROM THEIR HOMES TO A COMMUNITY CLINIC. WE ACTIVELY ASSISTED MORE THAN 6,550 PATIENTS TO ENROLL IN MEDI-CAL PROGRAMS AND OTHER LOW-COST PROGRAMS THROUGH COVERED CALIFORNIA. THE HOSPITAL PARTNERED WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE ACCESS TO CARE. 2. VPH PARTICIPATED IN THE AFRICAN AMERICAN INFANT AND MATERNAL MORTALITY COHORT FOR THE SAN FERNANDO VALLEY, BY FACILITATING A PRESENTATION ON WOMEN'S HEART HEALTH. AS WELL AS A VIRTUAL LOVE YOUR HEART EVENT DURING HEART HEALTH MONTH. 3. COVID-19 VACCINES WERE OFFERED TO COMMUNITY MEMBERS DURING OUR ANNUAL HEALTH FAIR AND POP-UP CLINICS EARLY IN 2022. 4. HOSPITAL CLINICAL LEADERS VOLUNTEERED DURING VARIOUS COMMUNITY HEALTH FAIRS TO PROVIDE BLOOD PRESSURE SCREENINGS. 5. IN PARTNERSHIP WITH FIRST 5 LA, THE HOSPITAL CONTINUED THE WELCOME BABY PROGRAM. THIS FREE AND VOLUNTARY PROGRAM SUPPORTED PARENTS AND THEIR INFANTS. AS A PART OF THIS PROGRAM, VPH PARTNERED WITH THE NONPROFIT ORGANIZATION CHILD CARE RESOURCE CENTERS, TO PROVIDE HOME-BASED SERVICES TO WELCOME BABY PARTICIPANTS. THE WELCOME BABY PROGRAM PLAYS A KEY ROLE IN ENSURING THAT PARENTS HAVE THE RESOURCES IN PLACE TO FOLLOW UP ON NEWBORN CARE SUCH AS HEALTH ASSESSMENTS AND VACCINATIONS. IN ADDITION, VPH PROVIDED CHILDBIRTH EDUCATION CLASSES TO 412 COMMUNITY RESIDENTS.HOMELESSNESS:IN RESPONSE TO THIS NEED, VPH IS A PARTICIPANT OF SAN FERNANDO AND SANTA CLARITA VALLEY SPA 2 HOMELESS COALITION WHICH FOCUSES ON HOMELESSNESS RESOURCES AND COMMUNITY PLANNING. IN CY22 VPH ALSO PROVIDED SUPPORT VIA SPONSORSHIPS AND GRANTS TO SEVERAL ORGANIZATIONS PROVIDING HOMELESS SERVICES, INCLUDING: (I) SUPPORTING THE SAN FERNANDO VALLEY RESCUE MISSION THANKSGIVING MEAL DISTRIBUTION; (II) HOPE OF THE VALLEY WAS THE RECIPIENT OF TWO GRANTS, ONE OF THE TINY HOMES PROJECT AND ONE FOR THE HOLIDAY MEAL CAMPAIGN; AND (III) THE GLOBAL ORPHAN PROJECT RECEIVED A GRANT TO ADDRESS IMMINENT NEEDS PRESENTED BY VARIOUS FOSTER YOUTH AGING OUT OF THE FOSTER CARE SYSTEM.CHRONIC DISEASES WITH AN EMPHASIS ON DIABETES: IN RESPONSE TO THIS NEED, VPH DEVELOPED THE LIVE WELL WITH DIABETES CLASS AIMED AT COMMUNITY MEMBERS LIVING WITH DIABETES. IN ADDITION TO GENERAL DIABETES EDUCATION, THE BILINGUAL CLASS ALLOWS PARTICIPANTS TO INTERACT WITH A PHARMACIST, REGISTERED DIETICIAN, AND FITNESS INSTRUCTOR. PROPER NUTRITION IS ESSENTIAL FOR INDIVIDUALS WITH DIABETES. DUE TO THE RISE IN INFLATION, FOOD INSECURITY REMAINED HIGH POST PANDEMIC. VPH WAS ABLE TO SUPPORT NUMEROUS FOOD PROGRAMS, INCLUDING THOSE THAT DIRECTLY IMPACTED INDIVIDUALS WITH DIABETES, INCLUDING: 1. RENEWED SUPPORT FOR THE LOCAL YMCA FRESH PRODUCE DISTRIBUTION PROGRAM.2. FACILITATED A GRANT FOR ONEGENERATION SENIOR CENTER WHICH PROVIDES IN-HOME MEAL DELIVERY, FOOD DISTRIBUTIONS, AND ALSO SERVED AS A CONGREGATE MEAL SITE, AND3. CONDUCTED THE ANNUAL HOSPITAL WIDE FOOD DRIVE WHERE OVER 4,000 LBS. OF FOOD WERE COLLECTED. THE 2022 VPH ANNUAL COMMUNITY HEALTH AND WELLNESS FAIR REACHED OVER 400 COMMUNITY RESIDENTS. INDIVIDUALS PARTICIPATED IN AN OUTDOOR EVENT WHERE THEY WERE ABLE TO RECEIVE MULTIPLE SCREENINGS, INCLUDING FOOT AND VISION, AND INFORMATION ON LOCAL COMMUNITY DIABETES RESOURCES. FLU SHOTS WERE PROVIDED TO 233 PEOPLE. OVER 600 GRAB-N-GO LUNCHES WERE PROVIDED TO ATTENDEES.NORTHEAST VALLEY HEALTH CENTER WAS THE RECIPIENT OF A VPH COMMUNITY GRANT THAT INCREASED BEHAVIORAL HEALTH SCREENING FOR INDIVIDUALS LIVING WITH DIABETES. A TOTAL OF 992 PARTICIPANTS BENEFITED FROM THE PROGRAMS.EXERCISE IN AN ESSENTIAL ACTIVITY TO REDUCE THE RISK OF DIABETES. THE HEALTHY MATURITY SENIOR EXERCISE CLASS IS HELD ON A WEEKLY BASIS ON THE VPH CAMPUS. DURING THE PAST YEAR, THERE WERE 155 PARTICIPANTS IN THE FREE SENIOR EXERCISE CLASSES. BREASTFED BABIES ARE KNOWN TO BE LESS OVERWEIGHT AS THEY GROW OLDER THAN BOTTLE FED BABIES. VPH OFFERED BREASTFEEDING CLASSES IN ENGLISH AND SPANISH, A BREASTFEEDING SUPPORT GROUP AND HELD ITS ANNUAL BREASTFEEDING AWARENESS MONTH EVENT IN AUGUST; 143 PEOPLE PARTICIPATED IN THESE PROGRAMS.OVERWEIGHT AND OBESITY:IN RESPONSE TO THIS NEED, VPH COLLABORATES YEAR-ROUND WITH THE LOCAL YMCA IN THEIR EFFORTS TO ADDRESS, FOOD INSECURITY AND TO INCREASE PHYSICAL ACTIVITY AMONG THE YOUTH. DURING THE ANNUAL VPH HEALTH FAIR EXERCISE KITS WERE PROVIDED TO THE COMMUNITY CHILDREN IN ATTENDANCE. VPH ALSO RENEWED SUPPORT FOR VARIOUS FRESH PRODUCE DISTRIBUTION SITES INCLUDING MID VALLEY YMCA, NORTH VALLEY CARING SERVICES, LA FOOD BANK, AND MEND.MENTAL HEALTH AND SUBSTANCE USE AND MISUSE:IN RESPONSE TO THIS NEED, VPH INCREASED ACCESS TO MENTAL HEALTH SERVICES THROUGH THE OFFERING OF TELE-PSYCH SERVICES. VPH PROVIDED 1,016 CONSULTATIONS FOR 810 PATIENTS IN CY22. OFFERING THIS SERVICE DECREASED THE AMOUNT OF TIME NEEDED TO EVALUATE A PATIENT WITH POSSIBLE MENTAL HEALTH SYMPTOMS. ADDITIONALLY, TO INCREASE ACCESS TO MENTAL HEALTH SERVICES, VPH EMPLOYS A PSYCHIATRIC NURSE PRACTITIONER. COMMUNITY GRANTS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS FOCUSED ON MENTAL HEALTH SERVICES: (I) TARZANA TREATMENT CENTER CONDUCTED WELLNESS ACTIVITIES FOR THEIR CLIENTS RECEIVING MENTAL HEALTH SERVICES; (II) SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER USED THE FUNDS TO PURCHASE ART SUPPLIES FOR THEIR ART THERAPY CLASS. VPH PROVIDED ACCESS TO NEEDED PSYCHIATRIC CARE HOSPITALIZATION FOR LOW-INCOME PATIENTS. WHILE VPH DOES NOT HAVE DEDICATED INPATIENT MENTAL HEALTH CARE BEDS, IT FINANCIALLY SUPPORTS INPATIENT MENTAL HEALTH CARE FOR VULNERABLE PATIENTS NEEDING MENTAL HEALTH HOSPITALIZATION. PSYCHIATRIC CARE WAS PROVIDED TO 151 LOW-INCOME, VULNERABLE PATIENTS WHO WERE TREATED IN THE ED AND THEN TRANSPORTED TO A MEDICALLY NECESSARY INPATIENT MENTAL HEALTH CARE BED. INFANT MASSAGE HAS BEEN SHOWN TO HAVE A DIRECT IMPACT ON THE MENTAL HEALTH OF BOTH THE MOTHER AND INFANT. THIS THERAPEUTIC TECHNIQUE IS OFFERED AS PART OF THE HOSPITAL'S COMMUNITY CLASS OFFERINGS. VPH PARTNERED WITH DRUM TO LEARN FOR STORY TIME AND TO TEACH CHILDREN OF THE COMMUNITY HOW DRUMMING CAN SERVE AS A COPING TOOL FOR EMOTIONAL REGULATION.COVID-19:IN RESPONSE TO THIS NEED, EFFORTS INCLUDED AWARDING VARIOUS GRANTS TO ORGANIZATIONS ALREADY PROVIDING SUPPORT AROUND MENTAL HEALTH, VACCINATION, AND ACCESS TO CARE. SOME OF THE IMMEDIATE ACTIONS TAKEN INCLUDED THE FOLLOWING: (I) EFFORTS WERE MADE TO KEEP THE PUBLIC INFORMED BY REGULARLY UPDATING THE MAIN HOSPITAL WEBSITE TO INCLUDE THE LATEST INFORMATION AROUND COVID-19; (II) THE HOSPITAL MATERNITY TOUR CONTINUED TO BE OFFERED THROUGH A MODIFIED APPROACH AND INCLUDED INFORMATION ON COVID-19 FOR EXPECTANT PARENTS; AND (III) VPH COLLABORATED WITH VALLEY COMMUNITY CARE CONSORTIUM AND THE DEPARTMENT OF PUBLIC HEALTH TO PROVIDE COVID-19 VACCINATION CLINICS. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, VPH WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: ALZHEIMER'S DISEASE; BIRTH INDICATORS; DENTAL CARE; ECONOMIC INSECURITY; AND SUBSTANCE USE. SINCE VPH CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT IT CAN MOST EFFECTIVELY ADDRESS GIVEN AREAS OF FOCUS AND EXPERTISE. THESE OTHER HEALTH NEEDS WILL BE ADDRESSED THROUGH REFERRALS TO COMMUNITY-BASED ORGANIZATIONS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED IS THROUGH FINANCIAL COUNSELING IF IDENTIFIED AS UNDERINSURED. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/ 2 1 - PERINATAL CENTER 15243 VANOWEN STREET SUITE 502 VAN NUYS CA 91405 SPECIALTY CENTER 2 - WOUND & HYPERBARIC CENTER 6850 SEPULVEDA BOULEVARD SUITE 200 VAN NUYS CA 91405 SPECIALTY CENTER PART I, LINE 7: THE ORGANIZATION IS UTILIZING A COST-TO-CHARGE RATIO TO DETERMINE AMOUNTS WITHIN SCHEDULE H, PART I, LINES 7A AND 7C; AMOUNTS REPORTED ON LINE 7E, 7F, AND 7I WERE ARRIVED AT UTILIZING COST ACCOUNTING METHODOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT:HOSPITAL LEADERSHIP STAFF SUPPORTED COMMUNITY ORGANIZATIONS THROUGH PARTICIPATION ON COALITIONS, COMMUNITY BOARDS, COMMITTEES AND NETWORKS OF AGENCIES ADDRESSING COMMON ISSUES. EMPLOYEES ARE ALSO SUPPORTED BY THE HOSPITAL TO ENGAGE IN PLANNING, EDUCATION PRESENTATIONS, CONSORTIA, SUMMITS, AND MEETINGS WITH COMMUNITY GROUPS.COALITION BUILDING AND ADVOCACY:HOSPITAL REPRESENTATIVES SERVED ON A NUMBER OF COMMUNITY COMMITTEES AND BOARDS THAT ADDRESS HEALTH IMPROVEMENT AND COMMUNITY DEVELOPMENT. VPH ENGAGED IN ADVOCACY EFFORTS THAT SUPPORTED ACCESS TO HEALTH CARE.WORKFORCE DEVELOPMENT:VPH KNOWS THE IMPORTANCE OF CONNECTING WITH THE WORKFORCE OF THE FUTURE. THE HOSPITAL COORDINATED A CAREER DAY WITH A LOCAL HIGH SCHOOL TO PROVIDE INFORMATION ON HEALTH CARE CAREERS TO 150 STUDENTS. STUDENTS LISTENED TO PANEL DISCUSSIONS FROM A VARIETY OF CLINICIAN AND NON-CLINICAL LEADERS DISCUSSING THEIR EDUCATIONAL BACKGROUNDS, THEIR PERSONAL JOURNEYS THROUGH HEALTH CARE, AND AN ACCOUNT OF WHAT A TYPICAL DAY ON THE JOB ENTAILS. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: NONE OF THE BAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 3 IS ATTRIBUTABLE TO PATIENTS WHO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY; THESE ACCOUNTS ARE WRITTEN-OFF TO CHARITY CARE RATHER THAN TO BAD DEBT. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT CONTAIN A SEPARATE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE FOOTNOTE THAT ADDRESSES "PATIENT ACCOUNTS RECEIVABLE" CAN BE FOUND ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY WAS BASED ON THE 2022 MEDICARE COST REPORT COST-TO-CHARGE RATIO. IT IS THE HOSPITAL'S BELIEF THAT THE SHORTFALL REFLECTED ON PART III, LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN THE HOSPITAL'S COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS. PART III, LINE 9B: THE HOSPITAL INITIALLY MAKES ALL REASONABLE EFFORTS TO OBTAIN FROM THE PATIENT OR HIS OR HER REPRESENTATIVE INFORMATION ABOUT WHETHER PRIVATE OR PUBLIC HEALTH INSURANCE OR SPONSORSHIP MAY FULLY OR PARTIALLY COVER THE CHARGES FOR CARE RENDERED BY THE HOSPITAL TO A PATIENT. ONCE ALL INSURERS HAVE ISSUED PAYMENT, AND THE ACCOUNT HAS BEEN REVIEWED BY A CLAIMS ADJUSTER, ANY REMAINING BALANCE IS OWED BY THE PATIENT. WHEN THE HOSPITAL IS NOT ABLE TO COLLECT OUTSTANDING PAYMENTS FROM A PATIENT OR AN INSURER THROUGH ITS OWN REASONABLE EFFORTS, IT MAY WORK WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN OUTSTANDING PAYMENTS. FOR ANY PATIENT THAT IS UNINSURED OR HAS HIGH MEDICAL COSTS, AS DISCUSSED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE COLLECTION AGENCY OR ANY OTHER AGENT OF THE HOSPITAL SHALL NOT REPORT ADVERSE INFORMATION TO A CREDIT REPORTING AGENCY OR TAKE ANY LEGAL ACTION AGAINST THE PATIENT FOR NONPAYMENT LESS THAN 150 DAYS AFTER THE PATIENT WAS FIRST BILLED. THIS TIMELINE WILL BE EXTENDED IF THE PATIENT HAS APPEALED THE BILL AND THE APPEAL IS PENDING. THE HOSPITAL, COLLECTION AGENCY, OR ANY OTHER AFFILIATE OF THE HOSPITAL CANNOT USE WAGE GARNISHMENTS OR LIEN ON PERSONAL RESIDENCES AS A MEANS OF COLLECTIONS.ALTERNATIVELY, PATIENTS WHO ARE UNABLE TO PAY THEIR BALANCE IN FULL ARE GIVEN THE OPPORTUNITY TO MAKE MONTHLY PAYMENTS BASED ON THE BALANCE OWED WITH NO INTEREST. THE COLLECTIONS VENDOR WILL MAKE EVERY ATTEMPT TO HAVE THE ACCOUNT PAID IN FULL WITHIN THREE MONTHS FOR ACCOUNTS WITH SMALLER BALANCES, AND 12 MONTHS FOR ACCOUNTS WITH LARGER BALANCES. IF THE PATIENT AND THE COLLECTIONS VENDOR CANNOT AGREE ON A PAYMENT PLAN THE HOSPITAL SHALL CREATE A REASONABLE PAYMENT PLAN, CONSISTING OF MONTHLY PAYMENTS NOT MORE THAN 10% OF THE PATIENT'S FAMILY MONTHLY INCOME, EXCLUDING MONEY SPENT ON ESSENTIAL LIVING EXPENSES. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. INITIALLY, SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA COLLECTED AND ANALYZED PRIOR TO THE INTERVIEWS AND SURVEYS. THE IDENTIFIED SIGNIFICANT HEALTH NEEDS INCLUDED: ACCESS TO HEALTH CARE; ALZHEIMER'S DISEASE; BIRTH INDICATORS; CHRONIC DISEASES; COVID-19; DENTAL CARE; ECONOMIC INSECURITY; HOUSING AND HOMELESSNESS; MENTAL HEALTH; OVERWEIGHT AND OBESITY; PREVENTIVE PRACTICES; AND SUBSTANCE ABUSE.THE IDENTIFIED SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED WITH INPUT FROM THE COMMUNITY. INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND A COMMUNITY SURVEY WERE USED TO GATHER INPUT ON THE SIGNIFICANT HEALTH NEEDS. THE FOLLOWING CRITERIA WERE USED TO PRIORITIZE THE HEALTH NEEDS: (I) THE PERCEIVED SEVERITY OF A HEALTH OR COMMUNITY ISSUE AS IT AFFECTS THE HEALTH AND LIVES OF THOSE IN THE COMMUNITY; (II) IMPROVING OR WORSENING OF AN ISSUE IN THE COMMUNITY; (III) AVAILABILITY OF RESOURCES TO ADDRESS THE NEED; AND (IV) THE LEVEL OF IMPORTANCE THE HOSPITAL SHOULD PLACE ON ADDRESSING THE ISSUE. EACH OF THE STAKEHOLDER INTERVIEWEES WAS SENT A LINK TO AN ELECTRONIC SURVEY (SURVEY MONKEY) IN ADVANCE OF THE INTERVIEW. ADDITIONALLY, THE LINK TO THE PRIORITIZATION SURVEY WAS MADE AVAILABLE TO COMMUNITY RESIDENTS. THE STAKEHOLDERS WERE ASKED TO RANK EACH IDENTIFIED HEALTH NEED. THE PERCENTAGE OF RESPONSES WERE NOTED AS THOSE THAT IDENTIFIED THE NEED AS HAVING SEVERE OR VERY SEVERE IMPACT ON THE COMMUNITY, HAD WORSENED OVER TIME, AND HAD A SHORTAGE OR ABSENCE OF RESOURCES AVAILABLE IN THE COMMUNITY. NOT ALL SURVEY RESPONDENTS ANSWERED EVERY QUESTION, THEREFORE, THE RESPONSE PERCENTAGES WERE CALCULATED BASED ON RESPONDENTS ONLY AND NOT ON THE ENTIRE SAMPLE SIZE. ACCESS TO HEALTH CARE, COVID-19, AND HOUSING AND HOMELESSNESS HAD THE HIGHEST SCORES FOR SEVERE IMPACT ON THE COMMUNITY IN THE SURVEY. HOUSING AND HOMELESSNESS, MENTAL HEALTH AND ECONOMIC INSECURITY HAD THE HIGHEST RANKINGS FOR WORSENED OVER TIME. HOUSING AND HOMELESSNESS, MENTAL HEALTH ACCESS TO HEALTH CARE AND ECONOMIC INSECURITY WERE RATED HIGHEST ON INSUFFICIENT RESOURCES AVAILABLE TO ADDRESS THE NEED.THE INTERVIEWEES AND COMMUNITY RESIDENTS WERE ALSO ASKED TO PRIORITIZE THE HEALTH NEEDS ACCORDING TO HIGHEST LEVEL OF IMPORTANCE IN THE COMMUNITY. THE TOTAL SCORE FOR EACH SIGNIFICANT HEALTH NEED (POSSIBLE SCORE OF 4) WAS DIVIDED BY THE TOTAL NUMBER OF RESPONSES FOR WHICH DATA WERE PROVIDED, RESULTING IN AN OVERALL SCORE FOR EACH HEALTH NEED. ACCESS TO HEALTH CARE, CHRONIC DISEASE AND PREVENTIVE PRACTICES WERE RANKED AS THE TOP THREE PRIORITY NEEDS IN THE SERVICE AREA. PART VI, LINE 3: THE HOSPITAL DISTRIBUTES A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND OFFERS A CONFIDENTIAL APPLICATION FOR CHARITY CARE OR DISCOUNTED CARE PRIOR TO DISCHARGE. THE HOSPITAL ALSO DISTRIBUTES A WRITTEN NOTICE ABOUT THE AVAILABILITY OF THE HOSPITAL'S DISCOUNT PAYMENT AND CHARITY CARE POLICIES, ELIGIBILITY, AND CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE WHO CAN PROVIDE FURTHER INFORMATION ABOUT THESE POLICIES.INFORMATION ABOUT FINANCIAL ASSISTANCE IS ALSO DISSEMINATED AND MADE WIDELY AVAILABLE THROUGH VARIOUS MEANS INCLUDING: (I) MAKING PAPER COPIES AVAILABLE IN PERSON OR BY MAIL UPON REQUEST AND WITHOUT CHARGE; (II) INFORMING AND NOTIFYING VISITORS THROUGH CONSPICUOUS PUBLIC DISPLAY, INCLUDING POSTING NOTICES IN AREAS SUCH AS THE EMERGENCY DEPARTMENT, BILLING OFFICE, ADMISSIONS OFFICE, AND OTHER OUTPATIENT SETTINGS; (III) INFORMING AND NOTIFYING THE COMMUNITY, SUCH AS BY DISTRIBUTING AN INFORMATION SHEET OR SUMMARY OF THE CHARITY CARE POLICY TO LOCAL PUBLIC AGENCIES AND NONPROFIT ORGANIZATIONS; AND (IV) MAKING AVAILABLE ON THE HOSPITAL'S WEB SITE THE CHARITY CARE POLICY AND A PLAIN LANGUAGE SUMMARY OF THE CHARITY CARE POLICY, AND THE CONFIDENTIAL APPLICATION FORM.ADDITIONALLY, FOR UNINSURED PATIENTS, THE PATIENT WILL BE PROVIDED AN ESTIMATE FOR THE PATIENT FINANCIAL RESPONSIBILITY THAT WILL BE DUE FOR THE TESTS/PROCEDURES TO BE PROVIDED OR, IN THE CASE OF AN INPATIENT ADMISSION, FOR THE ESTIMATED LENGTH OF STAY BASED UPON THEIR PRIMARY DIAGNOSIS. IF THE PATIENT IS UNABLE TO PAY THE ESTIMATE IN FULL OR MAKE PAYMENT ARRANGEMENTS, THE PATIENT WILL BE REFERRED TO FINANCIAL COUNSELING FOR A MEDI-CAL ELIGIBILITY SCREENING BASED ON THE PATIENT'S CONFIDENTIAL FINANCIAL INFORMATION. PART VI, LINE 4: THE TOTAL POPULATION OF THE VALLEY PRESBYTERIAN HOSPITAL (VPH) SERVICE AREA IS 882,305. OF THE AREA POPULATION, 49.6% ARE MALE AND 50.4% ARE FEMALE. CHILDREN AND TEENS, AGES 0-17, MAKE UP 23.0% OF THE POPULATION, 65.6% ARE ADULTS, AGES 18-64, AND 11.4% OF THE POPULATION ARE SENIORS, 65 AND OLDER. IN THE SERVICE AREA, VAN NUYS 91402 HAS THE LARGEST PERCENTAGE OF YOUTH, AGES 0-17 (25.4%). CANOGA PARK HAS THE HIGHEST PERCENTAGE OF ADULTS, AGES 65 AND OLDER (13.9%). AMONG ADULTS IN THE SERVICE AREA, 6.6% IDENTIFY AS PART OF THE LESBIAN, GAY, BISEXUAL COMMUNITY.IN THE SERVICE AREA, 61.5% OF THE POPULATION ARE HISPANIC/LATINO; WHITES MAKE UP 23.1% OF THE POPULATION; ASIANS COMPRISE 9.3% OF THE POPULATION; AFRICAN AMERICANS ARE 4.1% OF THE POPULATION; AND NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 3.9% OF THE POPULATION. THE SERVICE AREA HAS A LARGER PERCENTAGE OF HISPANIC/LATINO INDIVIDUALS COMPARED TO THE COUNTY (48.5%) AND STATE (39%).IN THE SERVICE AREA, SPANISH IS SPOKEN AT HOME AMONG 53.9% OF THE POPULATION. ENGLISH ONLY IS SPOKEN IN THE HOME AMONG 30.5% OF THE POPULATION. OF THE POPULATION, 7.6% SPEAK AN INDO-EUROPEAN LANGUAGE, AND 6.9% OF THE POPULATION SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE AT HOME. THE SERVICE AREA HAS A HIGHER PERCENTAGE OF THE POPULATION THAT SPEAKS SPANISH OR AN INDO-EUROPEAN LANGUAGE IN THE HOME WHEN COMPARED TO THE COUNTY AND THE STATE. WHEN EXAMINED BY SERVICE AREA ZIP CODE, PACOIMA (78.2%) AND VAN NUYS 91402 (66.6%) HAVE THE HIGHEST PERCENTAGE OF SPANISH SPEAKERS. WINNETKA (12.5%) AND VAN NUYS 91402 (11.9%) HAVE THE HIGHEST PERCENTAGE OF ASIAN/PACIFIC ISLANDER LANGUAGE SPEAKERS IN THE SERVICE AREA. THE HIGHEST PERCENTAGE OF INDO-EUROPEAN LANGUAGES SPOKEN AT HOME IS IN NORTH HOLLYWOOD 91605 (15.2%) AND VAN NUYS 91401 (14.6%). LINGUISTIC ISOLATION IS DEFINED AS THE POPULATION, AGES 5 AND OLDER, WHO SPEAKS ENGLISH "LESS THAN VERY WELL". IN THE SERVICE AREA, 30.6% OF THE POPULATION IS LINGUISTICALLY ISOLATED.IN THE SERVICE AREA, 2.7% OF THE POPULATION, 18 YEARS AND OLDER, ARE VETERANS. THIS IS LOWER THAN THE PERCENTAGE OF VETERANS FOUND IN THE COUNTY (3.3%) AND STATE (5.2%).THE COUNTY HEALTH RANKINGS RANK ORDER COUNTIES ACCORDING TO A VARIETY OF HEALTH FACTORS. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. CALIFORNIA'S 58 COUNTIES WERE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 58 FOR THE COUNTY WITH THE POOREST FACTORS. FOR SOCIAL AND ECONOMIC FACTORS, LOS ANGELES COUNTY IS RANKED 34, SHOWING A DECREASE IN RANK FROM 29 IN 2018.THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUALLY UPDATES OFFICIAL POVERTY POPULATION STATISTICS. IN 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. AMONG RESIDENTS IN THE SERVICE AREA, 16.8% HAD INCOMES < 200% FPL IN THE SERVICE AREA. FAMILY INCOME HAS BEEN SHOWN TO AFFECT CHILDREN'S WELLBEING. COMPARED TO THEIR PEERS, CHILDREN IN POVERTY ARE MORE LIKELY TO HAVE PHYSICAL, BEHAVIORAL AND EMOTIONAL HEALTH PROBLEMS. IN OUR SERVICE AREA, 12.6% OF CHILDREN LIVE BELOW THE POVERTY LEVEL AND 26.6% OF CHILDREN ARE CATEGORIZED AS LOW-INCOME (< 200% FPL). IN THE SERVICE AREA, 14.5% OF SENIORS LIVE IN POVERTY, WHICH IS HIGHER THAN THE COUNTY RATE (13.2%) AND THE STATE RATE (10.2%).AMONG ADULTS IN OUR SERVICE AREA, 24.3% REPORTED AVOIDING GOVERNMENT BENEFITS DUE TO CONCERNS ABOUT DISQUALIFICATION FROM OBTAINING A GREEN CARD OR US CITIZENSHIP, AS COMPARED TO LOS ANGELES COUNTY AT 18.8%. ADDITIONALLY, 37.7% OF ADULTS BELOW 200% FPL CANNOT AFFORD FOOD AND 22.2% UTILIZE FOOD STAMPS. AMONG ELIGIBLE CHILDREN IN OUR SERVICE AREA, 24.9%, ACCESS WIC BENEFITS AS COMPARED TO LOS ANGELES COUNTY AT 41.9%. AMONG LOW-INCOME OLDER AND DISABLED ADULTS, 7.3% IN OUR SERVICE AREA ARE RECEIVING SUPPLEMENTAL SECURITY INCOME AS COMPARED TO LOS ANGELES COUNTY AT 10.5%.THE NATIONAL SCHOOL LUNCH PROGRAM IS A FEDERALLY ASSISTED MEAL PROGRAM THAT PROVIDES FREE, NUTRITIONALLY BALANCED LUNCHES TO CHILDREN WHOSE FAMILIES MEET ELIGIBILITY INCOME REQUIREMENTS. AMONG CHILDREN IN THE LOS ANGELES UNIFIED SCHOOL DISTRICT, 80.3% ARE ELIGIBLE FOR THE PROGRAM. ADDITIONALLY, AMONG HOUSEHOLDS WITH INCOMES LESS THAN 300% OF FEDERAL POVERTY LEVEL, 24.4% IN OUR SERVICE AREA WERE FOOD INSECURE.UTILIZING THE MOST AVAILABLE DATA, IN 2020 THE UNEMPLOYMENT RATE IN LOS ANGELES COUNTY WAS 12.8% AND 10.1% IN CALIFORNIA. PRELIMINARY DATA FOR THE MONTH OF FEBRUARY 2021 SHOWED AN UNEMPLOYMENT RATE OF 10.6% IN LOS ANGELES COUNTY. HIGH UNEMPLOYMENT CAN BE ATTRIBUTED IN PART TO THE COVID PANDEMIC. PART VI, LINE 5: ADDITIONAL INFORMATION DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES FURTHER ITS EXEMPT PURPOSE INCLUDES: (I) THAT THE MAJORITY OF VPH'S BOARD MEMBERS ARE UNPAID COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL SERVICE AREA; AND (II) ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 EISNER HEALTH 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 951690966 501(C)(3) 51500 0 CAPITAL CAMPAIGN NORTHEAST VALLEY HEALTH CORPORATION 1172 N MACLAY AVE SAN FERNANDO CA 91340 237120632 501(C)(3) 31000 0 BEHAVIORAL HEALTH COORDINATOR POSITION HOPE THE MISSION 16641 ROSCOE PLACE NORTH HILLS CA 91343 272053273 501(C)(3) 15000 0 HOMELESSNESS SUPPORT YMCA OF METROPOLITAN LOS ANGELES 4301 W 3RD ST LOS ANGELES CA 90020 951644052 501(C)(3) 12760 0 FOOD PANTRY & CHRONIC DISEASE SUPPORT ONE GENERATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 11000 0 SENIOR SYMPOSIUM + COVID 19 GRANT OVARIAN CANCER COALITION OF GREATER CALIFORNIA 13636 VENTURA BLVD STE 410 SHERMAN OAKS CA 91423 954840165 501(C)(3) 10000 0 OVARIAN CANCER AWARNESS AND SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 0 ACCESS TO CARE SUPPORT CHRYSALIS CENTER 522 S MAIN STREET LOS ANGELES CA 90013 953972624 501(C)(3) 7500 0 HOMELESSNESS SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 6033 CENTURY BLVD STE 300 LOS ANGELES CA 90045 135644916 501(C)(3) 7500 0 ACCESS TO CARE SUPPORT 9 0 PART I, LINE 2: THE HOSPITAL GIVES GRANTS TO NONPROFIT ORGANIZATIONS THAT ARE EITHER IN THE HEALTHCARE SPACE OR VITAL TO THEIR COMMUNITY. THE HOSPITAL PROVIDES OVERSIGHT TO ENSURE THAT ANY RESTRICTED GRANT FUNDS ARE USED ACCORDING TO THE RESTRICTIONS, IF APPLICABLE. X X X X X 0 1 0 0 0 1 0 0 0 GUSTAVO VALDESPINO PRESIDENT & CEO 796412 0 227896 0 9563 0 221883 0 16439 0 1272193 0 0 0 LORI CARDLE EVP & CHIEF OPERATING & FIN OFFICER 578399 0 134477 0 314560 0 135625 0 16439 0 1179500 0 307225 0 JANICE KLOSTERMEIER SVP & CFO THROUGH 6/2022 184990 0 77513 0 429113 0 91716 0 8219 0 791551 0 411429 0 LORI BURNELL SVP & CHIEF NURSING OFFICER 347523 0 69181 0 212357 0 82703 0 16439 0 728203 0 203057 0 HANNAH GROSSMAN MD SVP & CHIEF MEDICAL OFFICER 442541 0 87127 0 9300 0 81631 0 16439 0 637038 0 0 0 TAMALA CHOMA VP & GENERAL COUNSEL 341027 0 55225 0 7410 0 55025 0 20141 0 478828 0 0 0 TONY EVANS VP & CHIEF INFORMATION OFFICER 292397 0 47868 0 7311 0 38775 0 15919 0 402270 0 0 0 DIANA MILAN-FINLEY ASSOCIATE ADMINISTRATOR 257809 0 32736 0 0 0 31498 0 16439 0 338482 0 0 0 TOM KIM CONTROLLER 231253 0 23017 0 30330 0 8726 0 24411 0 317737 0 0 0 EDINANCE MUWONGE CLINICAL NURSE SUPERVISOR 273365 0 1373 0 17546 0 9708 0 536 0 302528 0 0 0 DALLAS RYAN DIRECTOR, MATERIALS MANAGEMENT 246950 0 23687 0 600 0 9009 0 7100 0 287346 0 0 0 CHARLES ORLANDO VP & CFO 2/2022 - 8/2022 238951 0 20000 0 12329 0 0 0 6335 0 277615 0 0 0 THERESA SOLIS-BITO DIRECTOR, SERVICE AND SUPPORT 200470 0 20838 0 16765 0 10746 0 24411 0 273230 0 0 0 NIGHAT KHAN CLINICAL NURSE SUPERVISOR 236861 0 1373 0 16354 0 8382 0 9078 0 272048 0 0 0 TODD CONNELLY ASSOCIATE ADMINISTRATOR HUMAN RESOUR 194361 0 10000 0 1473 0 0 0 19152 0 224986 0 0 0 PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A 457(F) PLAN AVAILABLE TO CERTAIN EXECUTIVES OF THE ORGANIZATION. DURING THE 2022 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS, WHICH IS REPORTED AS "RETIREMENT AND OTHER DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): GUSTAVO VALDESPINO - $210,283 LORI CARDLE - $124,025 JANICE KLOSTERMEIER - $81,566 LORI BURNELL - $72,553 HANNAH GROSSMAN, MD - $74,007 TAMALA CHOMA - $45,726 TONY EVANS - $37,988 DIANA MILAN-FINLEY - $22,848 IN ADDITION, DUE TO VESTING OF THE 457(F) PLAN IN 2022, THE FOLLOWING INDIVIDUALS RECOGNIZED THE FOLLOWING AMOUNTS AS TAXABLE COMPENSATION, WHICH HAS BEEN REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS ON SCHEDULE J, PART II, COLUMN (F), AS THESE AMOUNTS (EXCLUDING EARNINGS WITHIN THE PLAN, WHICH MAY HAVE BEEN INCLUDED IN THE VESTED AMOUNT BUT WERE UNABLE TO BE SEPARATED OUT) WERE REPORTED AS DEFERRED COMPENSATION IN A PRIOR YEAR: LORI CARDLE - $307,225 JANICE KLOSTERMEIER - $411,429 LORI BURNELL - $203,057 PART I, LINE 6 VALLEY PRESBYTERIAN HOSPITAL HAS AN INCENTIVE (BONUS) PLAN AVAILABLE FOR EXECUTIVE TEAM MEMBERS AND HOSPITAL DEPARTMENT DIRECTORS. PAYMENT OF ANY BONUS IS CONTINGENT ON SEVERAL CRITERIA, INCLUDING: EARNINGS BEFORE INTEREST, DEPRECIATION, AND AMORTIZATION (EBIDA); QUALITY; EMPLOYEE ENGAGEMENT; AND PATIENT SATISFACTION SCORES, WHICH ARE BENCHMARKED BY ACHIEVING SPECIFIC MEASURES ON AN ANNUAL BASIS. FORM 990, PART III, LINE 4A: VALLEY PRESBYTERIAN HOSPITAL IS ONE OF THE LARGEST AND MOST PRESTIGIOUS FULL-SERVICE, ACUTE CARE FACILITIES IN THE SAN FERNANDO VALLEY. THE 350-BED HOSPITAL SERVES THOUSANDS OF FAMILIES EACH YEAR, WITH ACCESS TO A WIDE RANGE OF MEDICAL EXPERTISE AND LEADING-EDGE TECHNOLOGY ACROSS ALL ELEMENTS OF CARE. KEY HOSPITAL MEDICAL SERVICES AND PROGRAM SERVICE ACCOMPLISHMENTS IN 2022 INCLUDE: EMERGENCY SERVICES - THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT PLAYS AN IMPORTANT ROLE IN SERVING THE COMMUNITY AND HAS SEVERAL DESIGNATIONS THAT DEMONSTRATE COMMITMENT TO EXCELLENT CARE. AS A CERTIFIED CARDIAC RECEIVING CENTER FOR HEART ATTACK PATIENTS, HEART SPECIALISTS COLLABORATE TO PROVIDE CRITICAL CARE WITHIN THE FIRST 90 MINUTES OF CHEST PAIN. IN ADDITION, THE HOSPITAL IS A CERTIFIED STROKE CENTER BASED ON ITS RESPONSE TO CRITICAL PATIENT CONDITIONS. THE HOSPITAL HAS A DEDICATED STROKE-FOCUSED PROGRAM STAFFED BY MEDICAL PROFESSIONALS WHO ARE SPECIALLY TRAINED IN STROKE CARE AND WHO USE ADVANCED TECHNIQUES TO ACT QUICKLY. VALLEY PRESBYTERIAN HOSPITAL IS DESIGNATED AS A PEDIATRIC MEDICAL CENTER (PMC), RECOGNIZED BY THE COUNTY OF LOS ANGELES. THIS DESIGNATION ALLOWS OUR TEAM OF PEDIATRIC SPECIALISTS TO TREAT AND HANDLE A HIGHER LEVEL OF CARE NEEDED FOR PEDIATRIC PATIENTS IN OUR PEDIATRIC INTENSIVE CARE UNIT (PICU). WE ARE ONE OF ONLY THREE HOSPITALS THAT HOLD THE PMC DESIGNATION IN THE SAN FERNANDO VALLEY. DURING 2022, 52,694 PATIENTS VISITED THE EMERGENCY SERVICES DEPARTMENT. REHABILITATION SERVICES - VALLEY PRESBYTERIAN HOSPITAL OFFERS A FULL RANGE OF REHABILITATION SERVICES. OUR PHYSICIANS, NURSES, THERAPISTS AND SPECIALISTS WORK TOGETHER TO PROVIDE PERSONALIZED TREATMENT PLANS. WE OFFER PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND REHABILITATION SERVICES IN OUR WELL-EQUIPPED REHABILITATION CENTER. THE DEPARTMENT HAS BEEN CERTIFIED BY THE CARF, THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. CHILDREN'S SERVICES - THE HOSPITAL PROVIDES COMPASSIONATE AND SPECIALIZED PEDIATRIC CARE FOR SICK OR INJURED CHILDREN. VPH HAS A 25-BED PEDIATRIC CARE CENTER FOR CHILDREN WITH SERIOUS CONDITIONS. ADDITIONALLY, THE HOSPITAL HAS A 10-BED PEDIATRIC INTENSIVE CARE UNIT (PICU) AND A 32-BED, LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) FOR CRITICALLY ILL NEWBORNS. VPH MAINTAINS THE PEDIATRIC MEDICAL CENTER DESIGNATION. MATERNITY SERVICES - THE MATERNITY PROGRAM IS WELL KNOWN AMONG FAMILIES IN THE REGION. DURING 2022, 2,388 BABIES WERE BORN AT VPH. SHOULD A NEED ARISE, A PHYSICIAN IS AVAILABLE 24/7 TO HANDLE PATIENT EMERGENCIES. THE HOSPITAL'S PERINATAL CENTER SERVES WOMEN WITH HIGH-RISK PREGNANCIES AND OFFERS "NON-STRESS" ULTRASOUNDS, FETAL ECHOCARDIOGRAM SERVICES AS WELL AS HIGH-RISK INFANT FOLLOW UP SERVICES. SURGERY SERVICES - THE HOSPITAL PROVIDES A BROAD RANGE OF SURGICAL SERVICES REPRESENTING A WIDE RANGE OF SPECIALTY AREAS. IN 2022, 6,798 SURGERIES WERE PERFORMED. PHYSICIANS AND SURGICAL STAFF HAVE THE TOOLS AND ADVANCED TECHNOLOGY NEEDED TO PERFORM A FULL RANGE OF SURGICAL PROCEDURES AND TO DELIVER THE HIGHEST QUALITY OF CARE. MANY PROCEDURES INVOLVE MINIMALLY INVASIVE TECHNIQUES, WHICH CAN MINIMIZE PAIN AND SPEED RECOVERY TIME. HEART & VASCULAR SERVICES - VALLEY PRESBYTERIAN HOSPITAL OFFERS A FULL RANGE OF CARDIAC SERVICES TO DIAGNOSE AND TREAT PATIENTS SUFFERING FROM CRITICAL HEART AND VASCULAR CONDITIONS QUICKLY AND ACCURATELY. THE EXPERT MULTIDISCIPLINARY MEDICAL TEAM IS DEDICATED TO ACTING QUICKLY AND SAVING PATIENTS' LIVES. THE FRITZ B. BURNS VALLEY CARDIAC CATHETERIZATION LAB IS ONE OF THE AREA'S MOST TECHNOLOGICALLY ADVANCED AND BEST EQUIPPED FACILITIES. VALLEY PRESBYTERIAN HOSPITAL IS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE SILVER QUALITY ACHIEVEMENT AWARD FOR OUR COMMITMENT TO ENSURE STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. OUTPATIENT SERVICES - THE HOSPITAL'S OUTPATIENT SERVICES DEPARTMENTS INCLUDE OUTPATIENT GENERAL AND GASTROINTESTINAL LABORATORIES; RADIOLOGY/IMAGING DEPARTMENT; AND THERAPY PROGRAMS, INCLUDING OCCUPATIONAL, PHYSICAL, RESPIRATORY, AND NUCLEAR MEDICINE. CENTER FOR WOUND HEALING - THE CENTER FOR WOUND HEALING IS AMONG A FEW FACILITIES NATIONWIDE THAT BRINGS TOGETHER THE INTERDISCIPLINARY EXPERTISE OF VASCULAR AND PODIATRIC SURGEONS, LIMB SALVAGE, AND WOUND MANAGEMENT SPECIALISTS. PATIENTS WITH "AT-RISK" LIMBS RECEIVE INTEGRATED CARE UTILIZING THE LATEST EQUIPMENT AND INSTRUMENTS TO PERFORM LIMB-SAVING PROCEDURES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED BY AN OUTSIDE ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE STAFF. THE CONTROLLER, VP OF FINANCE, AND THE EVP & CHIEF OPERATING AND FINANCIAL OFFICER THEN REVIEW THE DRAFT FORM 990, AND APPROPRIATE REVISIONS ARE MADE. THEREAFTER, THE FORM 990 IS REVIEWED WITH THE CEO AND THE BOARD FINANCE COMMITTEE, AND THEN IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C VPH'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE OF VPH IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE ATTESTATION. VPH'S COMPLIANCE OFFICER AND CEO REVIEW THESE ATTESTATIONS TO IDENTIFY ANY/ALL CONFLICTS THAT THE ORGANIZATION MUST BE AWARE OF SO THE APPROPRIATE MITIGATIONS CAN BE PUT IN PLACE. SHOULD A BOARD MEMBER, OFFICER, DIRECTOR, AND/OR KEY EMPLOYEE HAVE A CONFLICT WITH ANY ISSUES BEING DISCUSSED OR VOTED ON AT A MEETING OF THE BOARD OF DIRECTORS, THEY WOULD BE ASKED TO RECUSE THEMSELVES FROM THE DISCUSSION AND/OR VOTE ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS REVIEWED AND PAY ACTIONS ARE RECOMMENDED BY THE COMPENSATION COMMITTEE (WHICH CONSISTS OF BOARD AND NON-BOARD MEMBERS WITH COMPENSATION EXPERIENCE), AND THEN APPROVED BY THE VPH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTING FIRM AND MAINTAINS AN OBJECTIVE DECISION-MAKING PROCESS, ENSURING CONSISTENCY OF VPH'S EXECUTIVE PROGRAMS WITH THE ORGANIZATION'S EXECUTIVE PAY PHILOSOPHY AND OVERALL MISSION AND VALUES. VPH'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO FULFILL ITS MISSION OF IMPROVING THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY AND TO ENSURE ITS FINANCIAL STABILITY. TOTAL COMPENSATION OFFERED TO OUR EXECUTIVES INCLUDES BASE SALARY, INCENTIVE BONUS, AND BENEFITS. THE INCENTIVE BONUS IS BASED ON KEY MEASURABLE SUCCESS INDICATORS APPROVED IN ADVANCE BY THE COMPENSATION COMMITTEE. THESE INDICATORS INCLUDE QUALITY, FINANCIAL, PEOPLE AND PATIENT SATISFACTION GOALS. IN ORDER TO RETAIN OUR KEY EMPLOYEES, WE OFFER A DEFERRED COMPENSATION PLAN WHICH PROVIDES AN ANNUAL BENEFIT (BASED ON A PERCENTAGE OF COMPENSATION) TO BE PAID ON A FUTURE DATE UPON VESTING IN THE PLAN. IN DETERMINING EACH INDIVIDUAL'S COMPENSATION, THE COMMITTEE RELIES ON COMPARABILITY DATA PROVIDED BY OUR INDEPENDENT CONSULTANT AND OBTAINED FROM SEVERAL DATA SOURCES INCLUDING: FORMS 990 OF SELECT COMPARATOR ORGANIZATIONS (28 CALIFORNIA-BASED, SIMILARLY-SIZED NONPROFIT HOSPITALS) AND A NUMBER OF WELL-REGARDED NATIONAL HEALTHCARE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE HOSPITAL LOCATION. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 38,368,904. MANAGEMENT AND GENERAL EXPENSES 7,394,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,763,840. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 14,240,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,240,239. CONSULTING FEES: PROGRAM SERVICE EXPENSES 13,858,195. MANAGEMENT AND GENERAL EXPENSES 2,037,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,895,448. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS -27,228. CHARITABLE REMAINDER TRUSTS (4) CHARITABLE GIVING CA VPH 1 VALLEY PRESBYTERIAN SERVICES CORPORATION 15107 VANOWEN STREET VAN NUYS CA 91405 823927685 MANAGEMENT SERVICE ORGANIZATION CA VPH C 514171 1.00000 1 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 VALLEY PRESBYTERIAN SERVICES CORPORATION B 4233372 BOOK VALUE - RELIEF OF LOANS VALLEY PRESBYTERIAN SERVICES CORPORATION D 4466461 BOOK VALUE PRIOR TO RELIEF VALLEY PRESBYTERIAN SERVICES CORPORATION S 233089 BOOK VALUE - CLOSE-OUT TRANSFER