2017-11-15T12:57:25-06:00 2016-12-31 330155525 HBLA CERTIFIED PUBLIC ACCOUNTANTS INC 19600 FAIRCHILD STE 320 IRVINE CA 92612 990 2016-01-01 953885523 CITRUS VALLEY HEALTH PARTNERS INC CITR 6263317331 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 RAJESH K SHARMA EVP/CFO 6269387595 2017-11-13 1 EDWARD E BENOE P00032866 9498332815 64.88.174.3 2017-11-13 16:37:03 PS P 0632D4472AA4026539360035DF7CB7D46AFE60DA 311E1895E5ACC19E8D72624E0BDD30A09D7651E0 2016 2021-01-29 14:40:06Z ROBERT H CURRY 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 90715179 0 X CVHP.ORG X 1983 CA TO PROVIDE SUPPORT TO TWO ACUTE-CARE HOSPITALS, A HOSPICE, AND A HOME HEALTH AGENCY WHICH, IN TURN, PROVIDE INPATIENT AND OUTPATIENT CLINICAL SERVICES. 21 19 356 3 785071 520078 0 0 57553799 60380253 775802 -841785 873776 853771 59203377 60392239 0 0 0 0 35548384 36927329 0 0 0 22880877 24673749 58429261 61601078 774116 -1208839 71925479 76160442 27617778 30995005 44307701 45165437 X OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A SAFE, COMPASSIONATE ENVIRONMENT. 0 0 54707100 58313558 PROVIDE OVERALL SUPERVISION, GUIDANCE, LONG RANGE PLANNING, FINANCIAL MANAGEMENT, AND INVESTMENT OF FUNDS FOR THE BENEFIT OF CITRUS VALLEY MEDICAL CENTER, FOOTHILL PRESBYTERIAN HOSPITAL, AND HOSPICE. ALL OF WHICH ARE 501(C)(3). PROVIDE SUPPORT TO TWO ACUTE-CARE HOSPITALS, A HOSPICE, AND A HOME HEALTH AGENCY WHICH, IN TURN, PROVIDE INPATIENT AND OUTPATIENT CLINICAL SERVICES. 1226917 1354401 FIRST 5 LA OPTIMIZES THE DEVELOPMENT AND WELL BEING OF ALL CHILDREN, FROM THE PRENATAL STAGE UNTIL THEIR 5TH BIRTHDAYS, BY INCREASING RESOURCES, ENSURING ACCESS TO SERVICES, AND IMPROVING THE ABILITIES OF FAMILIES, COMMUNITIES AND PROVIDERS OF SERVICES. 337543 377021 TO PROVIDE EDUCATION PRIMARILY ABOUT COVERED CALIFORNIA WHILE PROMOTING A CULTURE OF COVERAGE AND MOTIVATING PARTICIPANTS TO TAKE ACTION AND ENROLL. TO ENSURE THAT ALL ELIGIBLE CHILDREN AND PARENTS IN CALIFORNIA HAVE HEALTHCARE COVERAGE, TO CREATE PARTNERSHIPS THAT HELP TO PREVENT CHILDHOOD OBESITY AND TO INCREASE THE NUMBER OF CHILDREN IN LOS ANGELES COUNTY WHO ARE READY TO LEARN WHEN THEY REACH SCHOOL AGE. 56271560 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 159 0 1 356 1 1 1 0 0 0 0 0 0 0 0 0 X 21 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X X RAJESH K SHARMA EXECUTIVE VPCFO 6269387595 140 WEST COLLEGE ST PO BOX 6108 COVINA CA 917225108 WALTER ALLEN III CHAIR 3.00 X 0 0 0 ROBERT E DUNCAN VICE CHAIR 3.00 X 0 0 0 CLIFFORD CHRIST TREASURER 3.00 X 0 0 0 PATRICIA HANES PHD SECRETARY 3.00 X 0 0 0 MARY JANE BETTFREUND BOARD OF DIRECTORS 3.00 X 0 0 0 BERNARD BOLLINGER JR ESQ BOARD OF DIRECTORS 3.00 X 0 0 0 HAROLD BORAK SR BOARD OF DIRECTORS 3.00 X 0 0 0 DONALD BOSS ESQ BOARD OF DIRECTORS 3.00 X 0 0 0 THOMAS BRYAN MD BOARD OF DIRECTORS 3.00 X 0 0 0 ROBERT H CURRY PRESIDENT, CEO, BOD 18.00 22.00 X X 1288100 0 24888 SUBHASH DHAND MD BOARD OF DIRECTORS 3.00 X 0 0 0 GEORGE FERENCZI MD BOARD OF DIRECTORS 3.00 X 0 0 0 NAJI KANDALAFT MD BOARD OF DIRECTORS 3.00 X 0 60709 0 MARY KIRCHEN IHM BOARD OF DIRECTORS 3.00 X 0 0 0 ANNA LEUNG MD BOARD OF DIRECTORS 3.00 X 0 0 0 ARTHUR LUDWICK BOARD OF DIRECTORS 3.00 X 0 0 0 PHILIP MALDONADO DDS BOARD OF DIRECTORS 3.00 X 0 0 0 GARY MATHEWSON BOARD OF DIRECTORS 3.00 X 0 0 0 RAYMOND MATTES IHM BOARD OF DIRECTORS 3.00 X 0 0 0 OJ RODRIGUEZ BOARD OF DIRECTORS 3.00 X 0 0 0 SHARON YEE MD BOARD OF DIRECTORS 3.00 X 0 0 0 PATSY GORRELL BOARD OF DIRECTORS 3.00 X 0 0 0 ROBINSON BARON BOARD OF DIRECTORS 3.00 X 0 0 0 JAQUELINE BRACY MD BOARD OF DIRECTORS 3.00 X 0 0 0 J PAUL HOLLAND MD BOARD OF DIRECTORS 3.00 X 0 0 0 GURJEET KALKAT MD BOARD OF DIRECTORS 3.00 X 0 0 0 JEFFREY SHAPIRO MD BOARD OF DIRECTORS 3.00 X 0 0 0 GORDON SHIPP BOARD OF DIRECTORS 3.00 X 0 0 0 EARL WASHINGTON BOARD OF DIRECTORS 3.00 X 0 0 0 LANCE WILCHNER DNP BOARD OF DIRECTORS 3.00 X 0 0 0 RAJESH SHARMA EXECUTIVE VP/CFO 18.00 22.00 X 726109 0 19197 PAUL HEREDIA CHIEF HUMAN RESOURCES OFFICER 3.60 36.40 X 482927 0 21770 JORGE REYNO CHIEF POPULATION HEALTH 16.00 24.00 X 474340 0 17355 JILLISA PLESH CHIEF LEGAL OFC & GEN COUNSEL 3.60 36.40 X 463739 0 22931 MARY ZIMMER CHIEF CLINICAL SERVICE OFFICER 3.60 36.40 X 424979 0 27070 MARTIN KLEINBART CHIEF STRATEGY OFFICER 3.60 36.40 X 408579 0 24420 4268773 60709 157631 66 0 1 0 AUXILIO INC PO BOX 388 PALO ALTO CA 94302 COPY/PRINTING 1188393 NATIONAL GOVERNMENT SERV PO BOX 50438 INDIANAPOLIS IN 46250 MANAGED CARE/HOSPICE AUDIT 1034458 HOOPER LUNDY & BOOKMAN INC 1875 CENTURY PARK EAST SUITE 1600 LOS ANGELES CA 90067 LEGAL 1024955 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 SOFTWARE SYSTEMS 954825 TURNAROUND TIME TRANSCRIPTION INC 3536 OCEANVIEW BLVD 100 GLENDALE CA 91208 TRANSCRIPTION SERVICES 492651 44 MANAGEMENT INCOME 900099 58092820 58092820 PROGRAM REVENUE GOVT. GRANTS 900099 1731422 1731422 MANAGEMENT INCOME 900099 556011 556011 60380253 1094242 74575 1019667 504402 13263 491139 491139 15781 475358 28373650 30309677 -1936027 -1936027 -1936027 PASSTHROUGH INCOME FROM GLENDORA 900099 254781 254781 CASH DISCOUNTS & OTHERS 900099 128849 128849 MEDICAL RECORDS 900099 13460 13460 -34458 3854 -41502 3190 362632 60392239 60044980 785071 -437812 X 926232 812152 114080 25939677 22744808 3194869 1227694 1157373 70321 6934829 6701290 233539 1898897 1840339 58558 1604355 1475272 129083 2566119 2309507 256612 325926 293333 32593 167805 167805 509175 482240 26935 234702 213164 21538 717330 674314 43016 207604 195067 12537 89658 83945 5713 4221976 3827509 394467 292830 292830 UNRELATED BUSINESS INCO 411165 411165 PURCHASED SERVICES 9517726 8985702 532024 OTHER EXPENSE 825193 768530 56663 DUES AND SUBSCRIPTIONS 739601 674814 64787 2242584 2160401 82183 61601078 56271560 5329518 0 4499 4500 1718500 2855980 24014 18236 2081968 1915991 2328192 1933281 48137220 28922124 14362752 19215096 46272794 40715775 2120090 5132760 7381493 71925479 76160442 19682917 23036581 7934861 7958424 27617778 30995005 X 44302301 45160037 5400 5400 44307701 45165437 71925479 76160442 X -1208839 2283734 -217159 X X 0 1 X 1 0 X X 4 CITRUS VALLEY HOSPICE INC 953493611 10 1 0 0 CITRUS VALLEY MEDICAL CENTER INC 956006469 3 1 0 0 FOOTHILL PRESBYTERIAN HOSPITAL 952413054 3 1 0 0 CITRUS VALLEY HEALTH FOUNDATION INC 952534063 7 1 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 31309 0 0 0 31309 0 PART II-B, LINE 1: CITRUS VALLEY HEALTH PARTNERS, INC PAID $301,917 IN DUES TO THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA TO COVER MEMBERSHIP IN THE CALIFORNIA HOSPITAL ASSOCIATION, CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. HASC USED 10.37% OF THE DUES TOWARDS LOBBYING ACTIVITIES. 3670742 3670742 42302526 28531342 13771184 2163952 390782 1773170 19215096 1695242 F UNRESTRICTED INVESTMENTS 39020533 F 40715775 HOSP/PROF EXCESS INS RECOVERIES - LT 1721000 DEPOSIT - WORKERS COMPENSATION STATE -145 NOTE RECEIVABLE - COVINA VALLEY MANAGEMENT INC 5660638 7381493 261888 OTHER CURRENT LIABILITIES 537536 HOSPITAL /PROF INSURANCE RESERVES 7159000 7958424 X 61889000 2283734 13708 2297442 59591558 800681 800681 60392239 61031000 13444 13444 61017556 583522 583522 61601078 PART X, LINE 2: ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2016 OR 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ON RENTAL UNITS OFFSET IN 990 13,263. ROUNDING DIFFERENCE 445. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES OFFSET AGAINST REVENUE IN FINANCIAL REPORT 167,805. BANK SERVICE CHARGES OFFSET TO INCOME IN F/S 4,552. INCOME TAXES OFFSET TO INCOME IN F/S 411,165. PASSTHROUGH INCOME FROM GLENDORA SURGICAL CENTER 254,781. PASSTHROUGH INCOME FROM DISPOSED PTP'S -42,336. PASSTHROUGH INCOME FROM PTP'S 4,714. PART XII, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ON RENTAL UNITS OFFSET IN 990 13,263. ROUNDING DIFFERENCE 181. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES OFFSET AGAINST REVENUE IN FINANCIAL REPORT 167,805. BANK SERVICE CHARGES OFFSET TO INCOME IN F/S 4,552. INCOME TAXES OFFSET TO INCOME IN F/S 411,165. 1 X X X X X 0 0 0 0 0 0 0 0 0 ROBERT H CURRY PRESIDENT, CEO, BOD 868458 0 398352 0 21290 0 10600 0 14288 0 1312988 0 0 0 RAJESH SHARMA EXECUTIVE VP/CFO 549461 0 163534 0 13114 0 9600 0 9597 0 745306 0 0 0 PAUL HEREDIA CHIEF HUMAN RESOURCES OFFICER 360659 0 110611 0 11657 0 7950 0 13820 0 504697 0 0 0 JORGE REYNO CHIEF POPULATION HEALTH 410793 0 50000 0 13547 0 3406 0 13949 0 491695 0 0 0 JILLISA PLESH CHIEF LEGAL OFC & GEN COUNSEL 345699 0 106698 0 11342 0 13250 0 9681 0 486670 0 0 0 MARY ZIMMER CHIEF CLINICAL SERVICE OFFICER 316812 0 95276 0 12891 0 13250 0 13820 0 452049 0 0 0 MARTIN KLEINBART CHIEF STRATEGY OFFICER 303231 0 93591 0 11757 0 10600 0 13820 0 432999 0 0 0 PART I, LINE 3 ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO - CVHP USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO. PLEASE SEE ADDITIONAL EXPLANATION AT SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. ROBERT H CURRY OFFICER OF CVHP, INC. AND BOARD MEMBER OF OPTIMA 18692 CITRUS VALLEY HEALTH PARTNERS, INC. PURCHASES INSURANCE FROM OPTIMA. OPTIMA IS A FULL-SERVICE BROKERAGE COMPANY WHICH IS A WHOLLY OWNED SUBSIDIARY OF THE CALIFORNIA HEALTHCARE INSURANCE COMPANY, INC. 0 FORM 990, PART VI, SECTION B, LINE 11B STAFF ACCOUNTANTS, ACCOUNTING MANAGER AND VICE PRESIDENT OF CORPORATE FINANCE REVIEW FORM 990 FOR ACCURACY AND COMPLETENESS UPON RECEIVING IT FROM THE CPA TAX PREPARER. FORM 990 IS FORWARDED TO RAJESH SHARMA, EVP/CFO, FOR THE FINAL REVIEW. TAX PREPARER PRESENTS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR APPROVAL. THE BOARD DELEGATED REVIEW AND APPROVAL TO THE AUDIT AND COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, KEY EMPLOYEES, AND MANAGEMENT ARE COVERED BY THE CONFLICT OF INTEREST POLICY. DETERMINATIONS OF CONFLICT AND REVIEW OF CONFLICT ARE PERFORMED AT THE VARIOUS LEVELS OF THE ORGANIZATION. APPROPRIATE ACTION DEPENDING ON THE CONFLICT IS TAKEN BY MANAGEMENT, KEY EMPLOYEES AND THE BOARD. DISCLOSURE FORMS ARE REQUIRED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS, KEY EMPLOYEES AND MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE PAY AT CITRUS VALLEY HEALTH PARTNERS FOLLOWS MARKET-BASED PAY PRACTICES FOR HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND TYPE IN THE SOUTHERN CALIFORNIA AREA. SALARY RANGES FOR EXECUTIVES WORKING AT CVHP FACILITIES FALL WITHIN THE MIDDLE OF THE MARKET, JUST AS THEY DO FOR ALL EMPLOYEES OF OUR ORGANIZATION. EVERY POSITION IN THE ORGANIZATION HAS A SALARY RANGE ATTACHED TO IT THAT REPRESENTS WHAT OTHERS DOING A SIMILAR JOB IN OTHER ORGANIZATIONS ARE LIKELY TO BE PAID. THE LONG-STANDING PAY PHILOSOPHY FOR CVHP HAS BEEN TO POSITION OUR SALARY RANGES IN THE MIDDLE OF OUR LOCAL LABOR MARKET; WE DON'T WANT TO LAG THE LOCAL MARKET, NOR DO WE WANT TO LEAD THE MARKET, SINCE THAT IS NOT A STRATEGY WE CAN AFFORD TO SUSTAIN OVER TIME. WE RELY ON MARKET STUDIES TO DETERMINE WHERE OUR PAY PRACTICES ARE RELATIVE TO OTHER HOSPITALS IN SOUTHERN CALIFORNIA. FOR EXECUTIVE PAY, WE USE THE NATIONALLY-RECOGNIZED AND RESPECTED FIRM, HEWITT ASSOCIATES LLC, AN AON HEWITT COMPANY (AON), TO ANALYZE OUR EXECUTIVE PAY PROGRAM AND DETERMINE WHERE IT FALLS IN OUR MARKET. THIS STUDY IS PERFORMED EVERY OTHER YEAR. THE MOST RECENT EXECUTIVE COMPENSATION DATA IS DATED APRIL 2016. AS PART OF THEIR EXECUTIVE COMPENSATION REVIEW, AON ALSO ISSUES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE PAY PROGRAM FOR A NOT-FOR-PROFIT ORGANIZATION LIKE OURS THAT IS SUBJECT TO THE REQUIREMENTS OF SECTION 4958 OF THE INTERNAL REVENUE CODE AND UNITED STATES TREASURY DEPARTMENT REGULATIONS. IN THEIR APRIL 20, 2016, OPINION LETTER, AON WROTE, "THIS LETTER IS TO INDICATE THAT WE HAVE REVIEWED THE CURRENT COMPENSATION LEVELS, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAM AT THE CITRUS VALLEY HEALTH PARTNERS. THE FOLLOWING REVIEW IS BASED UPON OUR COMPREHENSIVE REPORT ENTITLED: ALIGNING EXECUTIVE COMPENSATION AND STRATEGY. THIS REPORT WAS PRESENTED TO THE COMPENSATION COMMITTEE ON APRIL 20TH AND DISCUSSED IN DETAIL. BASED UPON THIS REVIEW, WE FIND THEM IN SUBSTANTIAL COMPLIANCE WITH ALL CURRENT RULES, REGULATIONS, AND GUIDELINES GOVERNING EXECUTIVE COMPENSATION IN NOT-FOR-PROFIT (501.C) CORPORATIONS. FURTHER, THE LEVELS OF COMPENSATION AWARDED TO THE VARIOUS EXECUTIVES, BOTH IN TERMS OF OPPORTUNITY AND ACTUAL AMOUNTS, ARE CONSISTENT AND REASONABLE WITH PREVAILING MARKET TRENDS AND PRACTICES. LASTLY, THE GOVERNING PRACTICES OF THE COMPENSATION COMMITTEE ARE CONSISTENT WITH SARBANES-OXLEY GUIDELINES AND SECTION 4958 (INTERMEDIATE SANCTIONS) GUIDELINES FOR INDEPENDENCE." THE EXECUTIVE POSITIONS THAT ARE INCLUDED IN THE BIENNIAL EXECUTIVE COMPENSATION REVIEW INCLUDE THE PRESIDENT/CEO, CHIEF MEDICAL OFFICER/CHIEF INFORMATION OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, CHIEF HUMAN RESOURCES OFFICER, CHIEF CLINICAL SERVICES OFFICER, CHIEF STRATEGY OFFICER, CHIEF COMPLIANCE OFFICER, CHIEF TRANSFORMATION OFFICER, CHIEF COMMUNICATIONS & ADVOCACY OFFICER, AND CEO (CITRUS VALLEY HEALTH FOUNDATION). CITRUS VALLEY HEALTH PARTNERS' (CVHP) EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST CVHP IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE REQUIRED TO ENABLE CVHP TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES CVHP SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND CVHP'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE AND REVENUE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G RECRUITING: PROGRAM SERVICE EXPENSES 170,866. MANAGEMENT AND GENERAL EXPENSES 18,985. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,851. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 311,374. MANAGEMENT AND GENERAL EXPENSES 7,950. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 319,324. FORM 990, PART IX, LINE 24E EQUIPMENT RENTALS/LEASES: PROGRAM SERVICE EXPENSES 529,855. MANAGEMENT AND GENERAL EXPENSES 1,822. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,677. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 506,410. MANAGEMENT AND GENERAL EXPENSES 18,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 525,011. TELEPHONE: PROGRAM SERVICE EXPENSES 471,184. MANAGEMENT AND GENERAL EXPENSES 46,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 518,139. POSTAGE: PROGRAM SERVICE EXPENSES 307,610. MANAGEMENT AND GENERAL EXPENSES 8,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 315,941. LICENSES AND TAXES: PROGRAM SERVICE EXPENSES 257,055. MANAGEMENT AND GENERAL EXPENSES 6,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,529. UTILITIES: PROGRAM SERVICE EXPENSES 83,735. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,735. BANK CHARGES: PROGRAM SERVICE EXPENSES 4,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,552. FORM 990, PART XI, LINE 9: PASSTHROUGH INCOME FROM GLENDORA SURGICAL CENTER -254,781. PASSTHROUGH INCOME (LOSS) FROM PTP'S 42,336. PASSTHROUGH INCOME FROM PTP'S (GAIN/LOSS, ROYALTIES, DIV, INTEREST, -4,714. FORM 990, PART XII, LINES 2B: AUDITED FINANCIAL STATEMENTS THE FINANCIAL STATEMENTS OF CITRUS VALLEY HEALTH PARTNERS, INC. AND ITS AFFILIATES, CITRUS VALLEY MEDICAL CENTER, INC., CITRUS VALLEY HOSPICE, FOOTHILL PRESBYTERIAN HOSPITAL, CITRUS VALLEY HEALTH FOUNDATION, INC., GLENDORA SURGERY CENTER, AND COVINA VALLEY MANAGEMENT, INC., WERE AUDITED ON A CONSOLIDATED BASIS. FORM 990, PART XII, LINE 2C: AUDIT AND COMPLIANCE COMMITTEE THE BOARD OF DIRECTORS HAS CONSTITUTED AN AUDIT AND COMPLIANCE COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBILITY FOR ENGAGING INDEPENDENT AUDITORS AND MONITORING THE AUDIT PROCESS. THIS STRUCTURE HAS BEEN IN EFFECT IN PRIOR YEARS AND WAS NOT CHANGED IN 2016. FORM 990, PART VII, SECTION A, LINE 1A AND SCHEDULE J: REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS THE OFFICERS REPORTED ON PART VII OF FORM 990 AND SCHEDULE J RECEIVE THEIR ENTIRE COMPENSATION FROM CITRUS VALLEY HEALTH PARTNERS (CVHP). THE IRS INSTRUCTIONS TO FORM 990 REQUIRE THAT ALL COMPENSATION PAID BY A RELATED ORGANIZATION MUST BE DISCLOSED IN THE 990 RETURN FOR EACH AFFILIATED ENTITY. THEREFORE, THE OFFICER COMPENSATION REPORTED IN THE 990 RETURNS FOR CITRUS VALLEY MEDICAL CENTER, INC., CITRUS VALLEY HOSPICE, INC., FOOTHILL PRESBYTERIAN HOSPITAL AND CITRUS VALLEY HEALTH FOUNDATION, INC., ALL ORGANIZATIONS RELATED TO CVHP, CONSTITUTE THE COMPENSATION PAID BY CVHP AND DOES NOT REPRESENT ADDITIONAL COMPENSATION TO SUCH OFFICERS. FORM 990, PART VII, SECTION A: REPORTABLE HOURS FOR RELATED ORGANIZATIONS THE OFFICERS SERVE AS CORPORATE OFFICERS FOR CITRUS VALLEY HEALTH PARTNERS (CVHP), CITRUS VALLEY MEDICAL CENTER, INC. (CVMC), CITRUS VALLEY HOSPICE (CVH), INC., FOOTHILL PRESBYTERIAN HOSPITAL (FPH) AND CITRUS VALLEY HEALTH FOUNDATION, INC. (CVHF), ALL AFFILIATES OF THE TAXPAYER. THE NUMBER OF HOURS DEVOTED BY THE CORPORATE OFFICERS TO THE AFFILIATES ARE AS FOLLOWS: ROBERT CURRY DEVOTED 4, 2, 2, AND 14 HOURS TO FPH, CVH, CVHF, AND CVMC, RESPECTIVELY. RAJESH SHARMA DEVOTED 4, 2, 2, AND 14 HOURS TO FPH, CVH, CVHF, AND CVMC, RESPECTIVELY. FORM 990, PART V, LINE 7H: FILING OF FORM 1098C THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF AUTOMOBILES, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY THERE WERE NO FORMS 1098C FILED. CITRUS VALLEY RX LLC 140 W COLLEGE ST PO BOX 6108 COVINA CA 91722 811738481 PHARMACY SERVICES - INACTIVE CA 100 DIRECT CONTROLLING ENTITY BY CVHP CITRUS VALLEY MEDICAL CENTER INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 956006469 ACUTE CARE HOSPITAL CA 501 (C)(3) LINE 3 N/A 0 CITRUS VALLEY HEALTH FOUNDATION INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952534063 EXEMPT ORGANIZATION PUBLIC SUPPORT CA 501 (C)(3) LINE 7 N/A 0 CITRUS VALLEY HOSPICE INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 953493611 HOME HEALTH & HOSPICE CARE CA 501 (C)(3) LINE 10 N/A 0 FOOTHILL PRESBYTERIAN HOSPITAL 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952413054 ACUTE CARE HOSPITAL CA 501 (C)(3) LINE 3 N/A 0 GLENDORA SURGERY CENTER 315 E ROUTE 66 101 GLENDORA CA 91740 510492499 OUTPATIENT SURGERY CENTER CA CITRUS VALLEY HEALTH PARTNERS INC S 254781 0.51000 1 COVINA VALLEY MANAGEMENT INC 210 W SAN BERNARDINO ROAD COVINA CA 91723 812647150 MANAGEMENT SERVICES CA C 1.00000 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 CITRUS VALLEY MEDICAL CENTER J 90000 FAIR MARKET VALUE CITRUS VALLEY HOSPICE J 63000 FAIR MARKET VALUE CITRUS VALLEY HOSPICE L 495578 FAIR MARKET VALUE FOOTHILL PREBYTERIAN HOSPITAL L 10573180 FAIR MARKET VALUE CITRUS VALLEY MEDICAL CENTER L 47003063 FAIR MARKET VALUE CITRUS VALLEY MEDICAL CENTER O 140284406 FAIR MARKET VALUE CITRUS VALLEY HEALTH FOUNDATION O 278991 FAIR MARKET VALUE CITRUS VALLEY HOSPICE O 4469643 FAIR MARKET VALUE COVINA VALLEY MANAGEMENT INC L 519731 FAIR MARKET VALUE FORM 990 SCHEDULE R, PART V, NUMBER 2, CODE O: THE EXECUTIVE SALARIES ARE PROCESSED THROUGH CITRUS VALLEY HEALTH PARTNERS. THE SALARIES REPORTED ON FORM 990 ARE PROCESSED THROUGH CITRUS VALLEY HEALTH PARTNERS. CITRUS VALLEY HEALTH PARTNERS ACTS AS A COMMON PAYMASTER FOR AFFILIATED ENTITIES, CITRUS VALLEY MEDICAL CENTER, CITRUS VALLEY HEALTH FOUNDATION AND CITRUS VALLEY HOSPICE. CITRUS VALLEY HEALTH PARTNERS FILED ONE FORM W-3 WHICH SHOWS A COMBINED NUMBER OF 3,243 EMPLOYEES. THE NUMBER OF EMPLOYEES FOR EACH ENTITY IS REPORTED SEPARATELY ON ITS OWN FORM 990 PART I LINE 5. CITRUS VALLEY MEDICAL CENTER'S FORM 990 REPORTED A TOTAL OF 2,787 EMPLOYEES, CITRUS VALLEY HOSPICE'S FORM 990 REPORTED 93 EMPLOYEES, CITRUS VALLEY HEALTH FOUNDATION'S FORM 990 REPORTED 7 EMPLOYEES AND CITRUS VALLEY HEALTH PARTNER'S FORM 990 REPORTED 356 EMPLOYEES. THE FILING ORGANIZATION FILES ITS OWN FORM W-3, HOWEVER AMOUNTS REPORTED ON SCHEDULE R, PART V, NUMBER 2, CODE O REPRESENT SHARED EMPLOYEE EXPENSES THAT OCCUR BETWEEN THE AFFILIATES.