2020-11-03T15:43:56-06:00 2019-12-31 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2019-01-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 JANICE KLOSTERMEIER SVP OF FINANCE & CFO 8187826600 2020-11-03 1 LAUREN A HAVERLOCK P00545829 3104770450 2020-10-29 172.90.17.200 2020-11-03 14:03:57 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 45A0DEE88EBA5BC01B2D6E064F66B43F0304238A 2019 2021-01-29 14:40:06Z GUSTAVO VALDESPINO 15107 VANOWEN STREET VAN NUYS CA 91405 644552492 0 X WWW.VALLEYPRES.ORG X 1948 CA TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 19 19 2072 396 0 0 341214 4882100 36497929 470939417 2245068 7539615 323099 3316774 39407310 486677906 46933 289401 0 0 22643798 156462284 0 0 0 27268358 226842267 49959089 383593952 -10551779 103083954 377948785 513064474 106442784 102067850 271506001 410996624 X TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 0 0 365533974 289401 470939417 SEE SCHEDULE O 365533974 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 1 463 0 1 2072 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X JANICE KLOSTERMEIER 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 GUSTAVO VALDESPINO PRESIDENT AND CEO 40.00 1.00 X 815687 0 221433 LORI CARDLE SVP AND COO 40.00 0.00 X 878696 0 140202 LORI L BURNELL SVP AND CNO 40.00 0.00 X 641458 0 90273 DEBORAH GAC VP, HUMAN RESOURCES 40.00 0.00 X 528546 0 59470 CLYDE WESP SVP AND CMO 40.00 0.00 X 406950 0 62168 JANICE KLOSTERMEIER SVP OF FINANCE & CFO 40.00 1.00 X 384820 0 79510 JEFFREY ALLPORT VP AND CIO 40.00 0.00 X 311561 0 77903 MARY RIEDINGER DIRECTOR, EDUCATION DEPT 40.00 0.00 X 275378 0 24788 GWENDOLYN CHAMBERS INTERIM VP, HUMAN RESOURCES 40.00 0.00 X 296400 0 0 STARR K WILLIAMS III PHARMACIST 40.00 0.00 X 245174 0 20603 TAIWO M FANU RN 40.00 0.00 X 222357 0 18514 RYAN DALLAS DIRECTOR, MATERIALS MANAGEMENT 40.00 0.00 X 225501 0 14447 TOM KIM DIRECTOR, ACCOUNTING DEPT. 40.00 0.00 X 216278 0 23034 KEITH STANHILL VP, HUMAN RESOURCES 40.00 0.00 X 67154 0 1300 GREG KAY MD CHAIRMAN 2.00 0.00 X X 0 0 0 ALEX GUERRERO TREASURER 1.00 0.00 X X 0 0 0 DAVID ADELMAN SECRETARY 1.00 0.00 X X 0 0 0 DAVID CHANDLER DIRECTOR 1.00 0.00 X 0 0 0 DAVID FLEMING CHAIRMAN EMERITUS 1.00 0.00 X 0 0 0 DIANNE F HARRISON PHD DIRECTOR 1.00 0.00 X 0 0 0 LUCA JACOBELLIS DIRECTOR 1.00 0.00 X 0 0 0 PETER KOETTERS MD DIRECTOR / CHIEF OF STAFF 1.00 0.00 X 0 0 0 MATTHEW MISCHEL MD DIRECTOR 1.00 0.00 X 0 0 0 TODD MOLDAWER MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT C MYRTLE DIRECTOR 1.00 0.00 X 0 0 0 BRIAN OSTICK DIRECTOR 1.00 0.00 X 0 0 0 GANESA PANDIAN MD DIRECTOR 1.00 0.00 X 0 0 0 KEVIN RICE MD DIRECTOR 1.00 0.00 X 0 0 0 ELLEN RILEY DIRECTOR 1.00 0.00 X 0 0 0 MERRYLL MCELWAIN DIRECTOR (FROM 12/11/19) 1.00 0.00 X 0 0 0 DIANA SANCHEZ DIRECTOR (FROM 12/11/19) 1.00 0.00 X 0 0 0 KEVIN STEINBERG DIRECTOR (FROM 12/11/19) 1.00 0.00 X 0 0 0 BETH ZACHARY DIRECTOR 1.00 0.00 X 0 0 0 5515960 0 833645 430 0 1 0 CARDINAL HEALTH PHARMACY SVCS LLC 21377 NETWORK PLACE CHICAGO IL 60673 HEALTHCARE MANAGEMENT 6969216 SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 HEALTHCARE MANAGEMENT 3023661 ST VINCENT ANESTHESIA MED GRP INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ANESTHESIA SERVICES 2371363 AV CONSTRUCTION INC 18444 WARD STREET FOUNTAIN VALLEY CA 92708 CONSTRUCTION 2041734 CONIFER HEALTH SOLUTIONS 1596 WHITEHALL ANNAPOLIS MD 21409 CAPITATION MANAGEMENT 2035127 120 128500 2223445 1917168 612987 4882100 NET PATIENT SERVICE REVENUE 622110 376246182 376246182 CAPITATION PREMIUM REVENUE 622110 88727057 88727057 OTHER OPERATING REVENUE 622110 5966178 5966178 470939417 7517719 7517719 302507 0 302507 302507 302507 157719121 157697225 21896 21896 21896 356995 128500 177361 179634 179634 CAFETERIA REVENUE 722514 1460197 1460197 PARKING REVENUE 812930 1249785 1249785 GIFT SHOP REVENUE 453220 124651 124651 2834633 486677906 470939417 0 10856389 X 289401 289401 5072151 1205159 3866992 124268917 121664196 2604721 3852872 3653285 199587 13962944 12627191 1335753 9305400 9046419 258981 1078218 1078218 210000 210000 99050 99050 199403 199403 48078588 45793528 2285060 99380 1955 97425 9187525 7859726 1327799 5134576 4876307 258269 4157661 4157661 322251 67555 254696 97439 58426 39013 879996 879996 10292514 9774801 517713 2958965 2810129 148836 CAPITATION EXPENSES 57297402 57297402 PROVIDER PROGRAM FEES 49075898 49075898 MEDICAL SUPPLIES 28863181 28863257 -76 OTHER CONTROLLABLE EXP 8804719 6097127 2707592 5501 5501 383593952 365533974 18059978 0 13099203 2996635 9533578 7642277 0 904380 29316355 32454644 5186151 5404128 6032555 4433069 330173967 217937772 108706895 112236195 198469451 261640305 7604597 85352841 377948785 513064474 53153327 47679567 11143322 0 15909330 14748430 26236805 39639853 106442784 102067850 X 271173645 409236081 332356 1760543 271506001 410996624 377948785 513064474 103083954 36406669 0 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 99050 99050 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. 1587222 1587222 169890763 104900233 64990530 2030062 1965667 64395 132922381 111071872 21850509 23743539 23743539 112236195 OTHER RECEIVABLES 4447331 WORKERS COMP RESERVE 140223 DEPOSITS 2753891 INVESTMENT IN MSO 1452034 HOSPITAL FEE PROGRAM RECEIVABLE 76559362 85352841 SELF INSURANCE RESERVES 11604011 ASSET RETIREMENT OBLIGATION 3825885 CAPITAL LEASE OBLIGATION 35465 MEDICAL CLAIMS PAYABLE 4291491 SPLIT-INTEREST PAYABLES 167042 DUE FROM THIRD-PARTY PAYORS 1193998 HOSPITAL FEE PROGRAM PAYABLE 18521961 39639853 GALA DINNER 273150 76900 196250 550 71244 4000 31997 GOLF CLASSIC 212345 51600 160745 844 22091 25302 5006 16327 485495 128500 356995 844 22641 25302 76250 4000 48324 177361 179634 1 1 X 1 X 350.000000000000 1 X 1 1 1 0 1 1 123267 123267 0.00030 315906267 275892935 40013332 0.10560 10491283 10491283 0.02770 326520817 275892935 50627882 0.13360 1304988 1304988 0.00340 1258 3437690 3437690 0.00910 541397 541397 0.00140 1258 5284075 5284075 0.01390 1258 331804892 275892935 55911957 0.14750 1 7943158 1064218 54029705 61091032 -7061327 X 1 1 1 1 VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN STREET VAN NUYS CA 91405 WWW.VALLEYPRES.ORG 930000170 X X X VALLEY PRESBYTERIAN HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V, PAGE 8 X 1 18 1 SEE PART V, PAGE 8 0 1 X 350.000000000000 350.000000000000 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 1 X X X X 1 X 0 0 VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENTINCORPORATED DEMOGRAPHIC AND HEALTH DATA FOR THE COMMUNITIES SERVED BY THEHOSPITAL. PUBLIC COMMENT WAS ALSO SOLICITED FOR THE PREVIOUS COMMUNITYHEALTH NEEDS ASSESSMENT. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROMISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FORTHE COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE INDICATEDBY SECONDARY DATA SOURCES, KEY INFORMANT INTERVIEWS, FOCUS GROUPSAND COMMUNITY SURVEYS. HEALTH INDICATORS WERE CONSIDERED HIGH-RISKHEALTH NEEDS WHEN THEY EXCEEDED BENCHMARK DATA, SPECIFICALLYCOUNTY OR STATE RATES OR HEALTHY PEOPLE 2020 OBJECTIVES. HEALTHNEEDS IMPACTING ONE OR MORE ETHNIC GROUP WERE ALSO INCLUDED ONTHE LIST OF HIGH-RISK HEALTH NEEDS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 11: IN 2018, VALLEY PRESBYTERIAN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO COMPLY WITH FEDERAL AND STATE REGULATIONS GUIDING TAX-EXEMPT HOSPITALS. 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 2020 OBJECTIVES.TO OBTAIN INPUT ON THE PRIORITY HEALTH NEEDS THE HOSPITAL WILL ADDRESS, VPH CONDUCTED PATIENT SURVEYS, MET WITH INTERNAL STAKEHOLDERS, AND DISCUSSED PARTNERSHIP OPPORTUNITIES WITH COLLABORATIVE PARTNERS.VPH WILL ADDRESS THE FOLLOWING HEALTH NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND CHARITABLE RESOURCES:ACCESS TO CARE: INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH THROUGH PREVENTIVE PRACTICES.DIABETES: REDUCE THE IMPACT OF DIABETES ON HEALTH AND INCREASE FOCUS ONPREVENTION, EDUCATION AND TREATMENT.MENTAL HEALTH: INCREASE ACCESS TO MENTAL HEALTH RESOURCES AND SERVICES.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, COMMUNITY SAFETY AND VIOLENCE PREVENTION, DENTAL CARE, ECONOMIC INSECURITY, EDUCATION AND HEALTH LITERACY, HOUSING AND HOMELESSNESS, AND OVERWEIGHT AND OBESITY. 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. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE DEDICATED TO THE SELECTED PRIORITY HEALTH NEEDS. 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 7A, CHNA WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT.ASPX PART V, LINE 10A, IS WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT.ASPX PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/FOR-PATIENTS/BILLING-INSURANCE-PAYMENT/BILLING-PAYMENT/CHARITY-CARE-FINANCIAL-ASSISTANCE.ASPX PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/FOR-PATIENTS/BILLING-INSURANCE-PAYMENT/BILLING-PAYMENT/CHARITY-CARE-FINANCIAL-ASSISTANCE.ASPX PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/FOR-PATIENTS/BILLING-INSURANCE-PAYMENT/BILLING-PAYMENT/CHARITY-CARE-FINANCIAL-ASSISTANCE.ASPX 2 1 - VALLEY HIP & KNEE INSTITUTE 5525 ETIWANDA AVENUE SUITE 324 TARZANA CA 91356 OUTPATIENT CARE CENTER 2 - THE PERINATAL CENTER 15243 VANOWEN STREET SUITE 502 VAN NUYS CA 91405 PERINATAL OUTPATIENT SERVICES PART I, LINE 7: THE ORGANIZATION IS UTILIZING A COST-TO-CHARGE RATIO (ARRIVED AT USING WORKSHEET 2 "RATIO OF PATIENT CARE COST-TO-CHARGES" IN THE SCHEDULE H INSTRUCTIONS) TO DETERMINE AMOUNTS WITHIN SCHEDULE H, PART I, LINES 7A, 7B, AND 7C; AMOUNTS REPORTED ON LINE 7E, 7F, AND 7I WERE ARRIVED AT UTILIZING COST ACCOUNTING METHODOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION WAS NOT ABLE TO QUANTIFY COMMUNITY BUILDING ACTIVITIES ON SCHEDULE H, PART II AS THE MAJORITY OF THESE ACTIVITIES INVOLVE STAFF TIME. HOWEVER, A SUMMARY OF THESE COMMUNITY BUILDING ACTIVITIES ARE OUTLINED BELOW:ECONOMIC DEVELOPMENT:THE HOSPITAL PARTICIPATED IN MANY LOCAL ECONOMIC DEVELOPMENT ACTIVITIES IN THE COMMUNITY BY WORKING WITH A NUMBER OF ORGANIZATIONS THAT ASSIST SMALL BUSINESS DEVELOPMENT IN NEIGHBORHOODS WITH VULNERABLE POPULATIONS AND CREATE NEW EMPLOYMENT OPPORTUNITIES IN AREAS WITH HIGH RATES OF JOBLESSNESS. IN ADDITION TO SUPPORTING ECONOMIC DEVELOPMENT THROUGH A COMMITMENT OF LEADERSHIP TIME, THE HOSPITAL DONATED FUNDS TO SUPPORT DEVELOPMENT INITIATIVES.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 PARTICIPATED IN THE GRANADA HILLS CHARTER HIGH SCHOOL CAREER DAY AND THE BIRMINGHAM HIGH SCHOOL CAREER DAY TO PROVIDE INFORMATION ON HEALTH CARE CAREERS. STUDENTS FROM THESE HIGH SCHOOLS LISTENED TO PANEL DISCUSSIONS FROM A VARIETY OF CLINICAL 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: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FAP WAS ESTIMATED UTILIZING RECORD REVIEWS. 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; THE FOOTNOTE THAT ADDRESSES "ALLOWANCE FOR DOUBTFUL ACCOUNTS" CAN BE FOUND ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY WAS BASED ON THE 2019 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 BENFICIARIES. 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: TO DETERMINE IF A HEALTH ISSUE MENTIONED DURING THE PRIMARY OR SECONDARY DATA GATHERING PROCESS OF THE CHNA COULD BE LABELED A HEALTH NEED FOR THE HOSPITAL'S SERVICE AREA, A SET OF CRITERIA WAS DEVELOPED AND APPLIED. IF A HEALTH ISSUE MET ONE OR MORE FO THE FOLLOWING CRITERIA, IT WAS INITIALLY DETERMINED TO BE A PRELIMINARY HEALTH NEED: (I) IF THE HEALTH INDICATOR EXCEEDED COUNTY OR STATE BENCHMARK STANDARDS; (II) IF THE HEALTH INDICATOR SHOWED A TREND OF GETTING WORSE OVER TIME; (III) A HEALTH NEED SHOWED AN INCREASE IN MORBIDITY OR THE MORBIDITY RATES ARE HIGHER FOR THE SERVICE AREA; AND (IV) IF THE HEALTH NEED WAS IDENTIFIED BY THE COMMUNITY. AFTER THE CRITERIA WAS APPLIED TO THE HEALTH ISSUES IDENTIFIED THROUGH PRIMARY AND SECONDARY DATA PROCESS, THE HIGHEST SCORING HEALTH ISSUES WERE CATEGORIZED AS PRELIMINARY HEALTH NEEDS AND MOVED TO THE COMMUNITY PRIORITIZATION PROCESS, WHERE COMMUNITY MEMBERS, BUSINESS LEADERS, HEALTH PROFESSIONALS, AND VPH STAFF MEMBERS PRIORITIZED THE LIST OF 20 HEALTH NEEDS. PLEASE SEE THE NARRATIVE FOR SCHEDULE H, PART V, LINE 5 IN REGARDS TO HOW THE ORGANIZATION ASSESSED THE HEALTH NEEDS FROM THE BROADER COMMUNITY. PLEASE ALSO SEE THE NARRATIVE FOR SCHEDULE H, PART V, LINE 11 FOR A LIST OF THE ENTIRE 20 HEALTH NEEDS IDENTIFIED. 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 HOSPITALS'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: VALLEY PRESBYTERIAN HOSPITAL RESIDES IN THE HEART OF THE SAN FERNANDOVALLEY. THE HOSPITAL SERVICE AREA INCLUDES HIGHER INCOME ANDMIDDLE-CLASS HOUSEHOLDS ADJACENT TO POCKETS OF EXTREMEPOVERTY AND ETHNIC DIVERSITY. VALLEY PRESBYTERIAN HOSPITAL'SPRIMARY SERVICE AREA INCLUDES: CANOGA PARK, GRANADA HILLS,NORTH HILLS, NORTH HOLLYWOOD, PACOIMA, PANORAMA CITY,RESEDA, SAN FERNANDO, SHERMAN OAKS, SUN VALLEY, SYLMAR,VAN NUYS AND WINNETKA IN LOS ANGELES COUNTY. THESECOMMUNITIES ARE LOCATED IN LOS ANGELES COUNTY SERVICEPLANNING AREA 2 (SPA 2). THE COMMUNITIES THAT VALLEYPRESBYTERIAN HOSPITAL SERVES HAVE DIVERSE GEOGRAPHY ANDTOPOGRAPHY, VARY ACROSS LEVELS OF SOCIOECONOMIC STATUS ANDEDUCATIONAL ATTAINMENT LEVELS, AND EXPERIENCE DIFFERENCES INPHYSICAL ENVIRONMENT AND OVERALL ACCESS TO REQUIRED HEALTHSERVICES.AT THE TIME OF THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT,THE POPULATION IN THE SERVICE AREA WAS 877,760. IN THE PRIMARYSERVICE AREA, ADULTS (AGES 18-64) MAKE UP 65.6% OF THEPOPULATION. CHILDREN AND YOUTH (AGES 0-17) MAKE UP24.2% OF THE POPULATION WHILE 10.2% OF THE POPULATION ARESENIOR ADULTS, 65 YEARS OF AGE AND OLDER. OVER HALF OF THESERVICE AREA POPULATION (62.2%) IS COMPRISED OF HISPANICS ORLATINOS. WHITES MAKE UP 22.7% OF THE POPULATION. ASIANSCOMPRISE 9.1% OF THE POPULATION AND AFRICAN AMERICANS ARE3.7% OF THE POPULATION. NATIVE AMERICANS, HAWAIIANS, AND OTHERRACES ARE A COMBINED TOTAL OF 2.3% OF THE POPULATION. IN THESERVICE AREA, 29.1% OF THE ADULT POPULATION HAS LESS THAN A HIGHSCHOOL DIPLOMA. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREARANGES FROM $39,095 IN VAN NUYS 91402 TO $63,895 IN SYLMAR.AMONG THE RESIDENTS REPRESENTED IN THE HOSPITAL SERVICE AREA, 21%OF HOUSEHOLDS HAVE INCOMES <100% OF THE FEDERAL POVERTY LEVEL.AMONG SPA 2 CHILDREN, AGES 0 TO 17, 97.6% ARE INSURED. 88.4% OFADULTS IN SPA 2 HAVE INSURANCE COVERAGE. 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 OLIVE ST LOS ANGELES CA 90015 951690966 501(C)(3) 55000 HEALTHY NUTRITION PROGRAM NORTHEAST VALLEY HEALTH CORPORATION 1172 NORTH MACLAY AVE SAN FERNANDO CA 91340 237120632 501(C)(3) 45000 PROPELLER HEALTH & DIABETES CARE COORDINATOR VALLEY COMMUNITY HEALTHCARE 6801 COLDWATER CANYON AVE NORTH HOLLYWOOD CA 91605 237050082 501(C)(3) 26000 OBESITY CLINICAL INTERVENTION PROGRAM MEND 10641 N SAN FERNANDO RD PACOIMA CA 91331 237306337 501(C)(3) 20000 HEALTHY NUTRITION PROGRAM MID VALLEY FAMILY YMCA 6901 LENNOX AVE VAN NUYS CA 91405 951644052 501(C)(3) 12942 GENERAL SUPPORT OVARIAN CANCER COALITION PO BOX 40035 STUDIO CITY CA 91614 954840165 501(C)(3) 10000 GENERAL SUPPORT SOCIAL AND ENVIRONMENTAL ENTREPRENUERS 23532 CALABASAS RD SUITE A CALABASAS CA 91302 954116679 501(C)(3) 10000 GENERAL SUPPORT SAN FERNANDO VALLEY MENTAL HEALTH 16360 ROSCOE BLVD 2ND FLR VAN NUYS CA 91406 956194487 501(C)(3) 10000 GENERAL SUPPORT TARZANA TREATMENT CENTERS INC 18646 OXNARD ST TARZANA CA 91356 942219349 501(C)(3) 10000 GENERAL SUPPORT ONEGENARATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 5400 GENERAL SUPPORT LOS ANGELES DAILY NEWS PO BOX 4120 WOODLANDS HILLS CA 91365 911994648 5000 GENERAL SUPPORT THE VALLEY ECONOMIC ALLIANCE 5121 VAN NUYS BLVD 200 SHERMAN OAKS CA 91403 954524503 501(C)(3) 5000 GENERAL SUPPORT 11 1 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 1 1 0 0 0 1 0 0 0 GUSTAVO VALDESPINO PRESIDENT AND CEO 730454 0 74463 0 10770 0 203322 0 18111 0 1037120 0 0 0 LORI CARDLE SVP AND COO 496496 0 36153 0 346047 0 124097 0 16105 0 1018898 0 338337 0 LORI L BURNELL SVP AND CNO 319197 0 23242 0 299019 0 74688 0 15585 0 731731 0 288556 0 DEBORAH GAC VP, HUMAN RESOURCES 124356 0 16378 0 387812 0 55674 0 3796 0 588016 0 0 0 CLYDE WESP SVP AND CMO 375874 0 19033 0 12043 0 46063 0 16105 0 469118 0 0 0 JANICE KLOSTERMEIER SVP OF FINANCE & CFO 350106 0 25492 0 9222 0 63405 0 16105 0 464330 0 0 0 JEFFREY ALLPORT VP AND CIO 281486 0 16397 0 13678 0 61798 0 16105 0 389464 0 0 0 MARY RIEDINGER DIRECTOR, EDUCATION DEPT 201981 0 5964 0 67433 0 7683 0 17105 0 300166 0 0 0 GWENDOLYN CHAMBERS INTERIM VP, HUMAN RESOURCES 296400 0 0 0 0 0 0 0 0 0 296400 0 0 0 STARR K WILLIAMS III PHARMACIST 228581 0 169 0 16424 0 12150 0 8453 0 265777 0 0 0 TAIWO M FANU RN 221580 0 777 0 0 0 7630 0 10884 0 240871 0 0 0 RYAN DALLAS DIRECTOR, MATERIALS MANAGEMENT 215493 0 9408 0 600 0 7549 0 6898 0 239948 0 0 0 TOM KIM DIRECTOR, ACCOUNTING DEPT. 209664 0 6014 0 600 0 0 0 23034 0 239312 0 0 0 PART I, LINES 4A-B SOME EMPLOYEES RECEIVED SEVERANCE PAYMENTS IN 2019, HOWEVER DUE TO THE SEVERANCE AGREEMENT CONFIDENTIALITY, THE AMOUNTS ARE NOT DISCLOSED. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A 457(F) PLAN AVAILABLE TO CERTAIN EXECUTIVES OF THE ORGANIZATION. DURING THE 2019 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS, WHICH IS REPORTED AS "RETIREMENT AND DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): GUSTAVO VALDESPINO - $193,872 LORI CARDLE - $114,647 JEFFREY ALLPORT - $52,348 LORI BURNELL - $65,238 JANICE KLOSTERMEIER - $63,405 CLYDE WESP - $46,063 DEBORAH GAC - $46,224 IN ADDITION, LORI CARDLE RECOGNIZED $338,337, AND LORI BURNELL $288,556 OF TAXABLE INCOME DUE TO THE VESTING OF THEIR 457(F) PLAN IN 2019, WHICH ARE REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS ON SCHEDULE J, PART II, COLUMN (F), AS THIS AMOUNT (EXCLUDING EARNINGS WITHIN THE PLAN, WHICH MAY HAVE BEEN INCLUDED IN THE VESTED AMOUNT BUT WERE UNABLE TO BE SEPARATED OUT) WAS REPORTED AS DEFERRED COMPENSATION IN A PRIOR YEAR. 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; AND PARTIENT SATISFACTION SCORES, WHICH ARE BENCHMARKED BY ACHIEVING SPECIFIC MEASURES ON AN ANNUAL BASIS. FORM 990, PAGE 1, PRIOR YEAR COLUMN: VALLEY PRESBYTERIAN HOSPITAL ("VPH") REPORTED A CHANGE IN ACCOUNTING PERIOD DURING 2018 AND AS SUCH FILED A TWO-MONTH STUB PERIOD FORM 990, FOR THE PERIOD ENDING NOVEMBER 1, 2018 TO DECEMBER 31, 2018. PRIOR YEAR COLUMN (LINES 8-19) ON PAGE 1 OF THE 12/31/19 FORM 990 REPORTS THIS TWO-MONTH STUB PERIOD AS PER THE IRS INSTRUCTIONS, WHEREAS THE CURRENT YEAR COLUMN (LINES 8-19) ON PAGE 1 OF THE 12/31/19 FORM 990 REPORTS FULL CALENDAR YEAR 2019 ACTIVITY OF VPH. 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 JANUARY 19 - DECEMBER 19 INCLUDE: EMERGENCY SERVICES: THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT PLAYS A CRITICAL 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. IN 2017 VALLEY PRESBYTERIAN HOSPITAL WAS DESIGNATED A PEDIATRIC MEDICAL CENTER (PMC), RECOGNIZED BY THE COUNTY OF LOS ANGELES, WHICH ALLOWS OUR TEAM OF PEDIATRIC SPECIALISTS TO TREAT AND HANDLE A HIGHER LEVEL OF CARE NEEDED FOR OUR 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. THE EMERGENCY DEPARTMENT HAS UNDERGONE A THREE-YEAR CONSTRUCTION PROJECT, WHICH WAS COMPLETED IN JAN 2019. IN JAN 2019 TO DEC 2019, 68,448 PATIENTS VISITED THE EMERGENCY SERVICES DEPARTMENT; AMONG THE LARGEST NUMBER OF PATIENTS ENTERING EMERGENCY SERVICES DEPARTMENTS IN THE REGION. MATERNITY SERVICES: THE BRANDED "LITTLE TREASURES" MATERNITY PROGRAM IS WELL KNOWN AMONG FAMILIES IN THE REGION. DURING JANUARY 19 TO DECEMBER 19, 2,718 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. 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. 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. IN 2016, VPH ACHIEVED THE PEDIATRIC MEDICAL CENTER DESIGNATION.SURGERY SERVICES: THE HOSPITAL PROVIDES A BROAD RANGE OF SURGICAL SERVICES REPRESENTING A WIDE RANGE OF SPECIALTY AREAS. IN JAN 2019 TO DEC 2019, 7,583 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 QUICKLY AND ACCURATELY DIAGNOSE AND TREAT PATIENTS SUFFERING FROM CRITICAL HEART AND VASCULAR CONDITIONS. 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. HEPATOBILIARY & PANCREAS CENTER: THE STATE-OF-THE-ART CENTER PROVIDES TREATMENTS TO ADDRESS A WIDE RANGE OF LIVER, BILE DUCT, AND PANCREAS DISORDERS. VALLEY PRESBYTERIAN HOSPITAL OFFERS A HIGHLY SPECIALIZED PROGRAM TO ADDRESS THE NEEDS OF PATIENTS WITH THESE RARE AND COMPLEX DISORDERS. 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. THE GI LAB WAS RECENTLY UPDATED AND REFURBISHED. AMPUTATION PREVENTION CENTER: THE AMPUTATION PREVENTION CENTER (APC) 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 AND THE SVP OF FINANCE & CFO 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, 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 20,851,315. MANAGEMENT AND GENERAL EXPENSES 737,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,588,811. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 11,035,166. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,035,166. CONSULTING FEES: PROGRAM SERVICE EXPENSES 13,729,390. MANAGEMENT AND GENERAL EXPENSES 1,547,564. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,276,954. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 177,657. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,657. VALLEY PRESBYTERIAN HOSPITAL FOUNDATION 15107 VANOWEN STREET VAN NUYS CA 91405 901119606 FUNDRAISING SUPPORT FOR VPH CA 501(C)(3) LINE 7 VALLEY PRESBYTERIAN HOSPITAL 1 CHARITABLE REMAINDER TRUST (4) CHARITABLE GIVING CA VPHF 1 VALLEY PRESBYTERIAN SERVICES CORPORATION 15107 VANOWEN STREET VAN NUYS CA 91405 823927685 MANAGEMENT SERVICE ORGANIZATION CA VPH C 2433176 1267793 1.00000 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 VALLEY PRESBYTERIAN HOSPITAL FOUNDATION C 2223445 BOOK VALUE