VALLEY PRESBYTERIAN HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY PRESBYTERIAN HOSPITAL (EIN 95-1945832)
- Tax period
- 2015-11-01 to 2016-10-31
- Filed
- 2017-09-14
- IRS object ID
- 201732579349300123
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-09-14T10:47:48-05:00 | ReturnTs |
| Tax Period End | 2016-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Second Street Suite 900 | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951945832 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Presbyterian Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 8187826600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15107 Vanowen Street | AddressLine1Txt |
| City | Van Nuys | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91405 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Janice Klostermeier | PersonNm |
| Person Title | SVP Fin/CFO | PersonTitleTxt |
| Phone | 8187826600 | PhoneNum |
| Signature | 2017-09-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Renie Burbank | PreparerPersonNm |
| PTIN | P00159653 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Gustavo Valdespino | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15107 Vanowen Street | AddressLine1Txt |
| City | Van Nuys | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $383,741,687 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.valleypres.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1957 | TotalEmployeeCnt |
| Total Volunteers | 354 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,787,759 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,800,344 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $379,393,965 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $341,098,672 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,110,398 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,491,727 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,472,529 | PYOtherRevenueAmt |
| CY Other Revenue | $7,750,299 | CYOtherRevenueAmt |
| PY Total Revenue | $392,764,651 | PYTotalRevenueAmt |
| CY Total Revenue | $354,141,042 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,716,942 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $593,415 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $138,148,669 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $146,247,050 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $781,136 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $200,001,959 | PYOtherExpensesAmt |
| CY Other Expenses | $186,027,623 | CYOtherExpensesAmt |
| PY Total Expenses | $339,867,570 | PYTotalExpensesAmt |
| CY Total Expenses | $332,868,088 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,897,081 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,272,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $285,456,877 | TotalAssetsBOYAmt |
| Total Assets EOY | $309,304,159 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,152,022 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $100,256,842 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $184,304,855 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $209,047,317 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $276,036,797 | ExpenseAmt |
| Grant | $593,415 | GrantAmt |
| Revenue | $343,895,548 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $276,036,797 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 385 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1957 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Janice Klostermeier | PersonNm |
| Phone | 8187826600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15107 Vanowen St | AddressLine1Txt |
| City | Van Nuys | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Greg Kay MD | ||||||||
| Chairman | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| David Adelman | ||||||||
| Secretary | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Alex Guerrero | ||||||||
| Treasurer | 0.60 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William C Allen | ||||||||
| Secretary (Dec 2015) | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| David Chandler | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| David Fleming | ||||||||
| Chairman Emeritus | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Ruth Garcia-Corrales | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Dianne F Harrison PhD | ||||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Luca Jacobellis | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Richard Katz | ||||||||
| Director (Dec 2015) | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Peter Koetters MD | ||||||||
| Chief of Staff (Jan 2016) | 0.80 | Yes (X) | $5,000 | $0 | $0 | |||
| Matthew Mischel MD | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Todd Moldawer MD | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Ganesa Pandian MD | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Tracy Rafter | ||||||||
| Director (Dec 2015) | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Kevin Rice MD | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Joshua Rokaw MD | ||||||||
| Director (Dec 2015) | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Barbara Romero | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Munaf Shamji MD | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Sukshma Sreepathi MD | ||||||||
| Chief of Staff/Director | 0.80 | Yes (X) | $23,464 | $0 | $0 | |||
| Tony Tartaglia | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Francisco Uribe | ||||||||
| Director (Dec 2015) | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Vladimir Victorio | ||||||||
| Director | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Gustavo Valdespino | ||||||||
| President and CEO | 40.00 | Yes (X) | $1,662,026 | $0 | $186,783 | |||
| Lori Cardle | ||||||||
| SVP and CFO | 40.00 | Yes (X) | $470,685 | $0 | $92,369 | |||
| Jean O'Keefe Rico | ||||||||
| SVP-Chief Quality Officer | 40.00 | $760,530 | $0 | $95,646 | Yes (X) | |||
| Gayathri Jith | ||||||||
| SVP Strategy & Ambulatory | 40.00 | $631,091 | $0 | $86,806 | Yes (X) | |||
| Pegi Matsuda | ||||||||
| President-Foundation | 40.00 | $318,157 | $0 | $64,119 | Yes (X) | |||
| Jeffrey L Allport | ||||||||
| VP/Chf Information Officer | 40.00 | $275,741 | $0 | $50,011 | Yes (X) | |||
| Timothy Elder | ||||||||
| VP Ancillary/Support Serv. | 40.00 | $234,905 | $0 | $1,422 | Yes (X) | |||
| Lori L Burnell | ||||||||
| SVP/Chief Nursing Officer | 40.00 | $302,342 | $0 | $53,007 | Yes (X) | |||
| Jonathan Wu | ||||||||
| VP-Human Resources | 40.00 | $263,235 | $0 | $33,647 | Yes (X) | |||
| Somasundaram Devadason | ||||||||
| Pharmacist | 40.00 | $241,333 | $0 | $16,689 | Yes (X) | |||
| Jeremy Redin | ||||||||
| Former Assistant CFO | 40.00 | $238,176 | $0 | $24,768 | Yes (X) | |||
| Starr K Williams III | ||||||||
| Pharmacist | 40.00 | $208,055 | $0 | $14,982 | Yes (X) | |||
| Darryl Toy | ||||||||
| Director, Pharmacy | 40.00 | $203,320 | $0 | $10,500 | Yes (X) | |||
| Dena L Decker | ||||||||
| Director, Qlty & Ptnt Sfty | 40.00 | $192,051 | $0 | $12,920 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,030,111 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $743,669 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 333 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Preferred IPA | |||||
| 1025 N Brand Blvd 100 | Glendale | CA | 91202 | Medical Services | $9,013,226 |
| Community Family Care | |||||
| 19210 S Vermont Ave | Los Angeles | CA | 90048 | Medical Services | $2,792,975 |
| Rehabcare Group of California Inc | |||||
| PO Box 502096 | St Louis | MO | 63150 | Healthcare Management | $2,524,082 |
| St Vincent Anesthesia Medical Group | |||||
| PO Box 50045 | Pasadena | CA | 91115 | Anesthesia Services | $1,587,500 |
| Dell Computer Corporation | |||||
| PO Box 677654 | Dallas | TX | 75267 | Consulting Services | $1,574,692 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 82 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $332,875 | FundraisingAmt |
| Government Grants | $1,393,851 | GovernmentGrantsAmt |
| All Other Contributions | $1,073,618 | AllOtherContributionsAmt |
| Total Contributions | $2,800,344 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 541900 | $340,384,517 | $340,384,517 |
| Program Related Rental Revenue | 541900 | $714,155 | $714,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $341,098,672 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,561,489 | TotalRevenueColumnAmt |
| Exclusion | $3,561,489 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $286,784 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,826 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $270,958 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $270,958 | TotalRevenueColumnAmt |
| Exclusion | $270,958 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,334,347 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,402,702 | SecuritiesAmt |
| Other | $1,407 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,068,355 | SecuritiesAmt |
| Other | -$1,407 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,069,762 | TotalRevenueColumnAmt |
| Exclusion | -$1,069,762 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $119,505 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $332,875 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $180,710 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$61,205 | TotalRevenueColumnAmt |
| Exclusion | -$61,205 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| ANCILLARY & OTHER REV | 900099 | $6,197,706 | $2,796,876 | $3,400,830 |
| FOOD Service Revenue | 722210 | $1,159,936 | $1,159,936 | |
| GIFT SHOP REVENUE | 453220 | $182,904 | $182,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,540,546 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $354,141,042 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $343,895,548 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,445,150 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,415 | TotalAmt |
| Program Services | $593,415 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,821,493 | TotalAmt |
| Program Services | $924,053 | ProgramServicesAmt |
| Management And General | $2,897,440 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,804,910 | TotalAmt |
| Program Services | $103,308,319 | ProgramServicesAmt |
| Management And General | $12,000,135 | ManagementAndGeneralAmt |
| Fundraising | $496,456 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,264,171 | TotalAmt |
| Management And General | $3,264,171 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,620,920 | TotalAmt |
| Program Services | $168,546 | ProgramServicesAmt |
| Management And General | $14,449,840 | ManagementAndGeneralAmt |
| Fundraising | $2,534 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,735,556 | TotalAmt |
| Program Services | $7,558,524 | ProgramServicesAmt |
| Management And General | $1,144,273 | ManagementAndGeneralAmt |
| Fundraising | $32,759 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $789,573 | TotalAmt |
| Management And General | $788,723 | ManagementAndGeneralAmt |
| Fundraising | $850 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,040 | TotalAmt |
| Management And General | $189,040 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,825 | TotalAmt |
| Management And General | $82,825 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,030 | TotalAmt |
| Management And General | $124,030 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,017,619 | TotalAmt |
| Program Services | $27,917,377 | ProgramServicesAmt |
| Management And General | $5,999,102 | ManagementAndGeneralAmt |
| Fundraising | $101,140 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,908 | TotalAmt |
| Management And General | $203,908 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,309,704 | TotalAmt |
| Program Services | $5,718,371 | ProgramServicesAmt |
| Management And General | $2,534,975 | ManagementAndGeneralAmt |
| Fundraising | $56,358 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,405,116 | TotalAmt |
| Program Services | $2,976,072 | ProgramServicesAmt |
| Management And General | $414,743 | ManagementAndGeneralAmt |
| Fundraising | $14,301 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,135,720 | TotalAmt |
| Program Services | $390,548 | ProgramServicesAmt |
| Management And General | $3,745,172 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $575,137 | TotalAmt |
| Program Services | $232,659 | ProgramServicesAmt |
| Management And General | $324,225 | ManagementAndGeneralAmt |
| Fundraising | $18,253 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,011 | TotalAmt |
| Program Services | $52,471 | ProgramServicesAmt |
| Management And General | $83,885 | ManagementAndGeneralAmt |
| Fundraising | $1,655 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,119,258 | TotalAmt |
| Management And General | $1,119,258 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,923,274 | TotalAmt |
| Program Services | $7,798,941 | ProgramServicesAmt |
| Management And General | $1,086,855 | ManagementAndGeneralAmt |
| Fundraising | $37,478 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,169,398 | TotalAmt |
| Program Services | $2,770,054 | ProgramServicesAmt |
| Management And General | $386,033 | ManagementAndGeneralAmt |
| Fundraising | $13,311 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Capitation expenses | $52,408,892 | $52,408,892 | ||
| medical supplies | $34,628,253 | $34,628,253 | ||
| Provider Program fees | $25,243,733 | $25,243,733 | ||
| Other Controllable Exp | $8,564,132 | $3,346,569 | $5,211,522 | $6,041 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,868,088 | TotalAmt |
| Program Services | $276,036,797 | ProgramServicesAmt |
| Management And General | $56,050,155 | ManagementAndGeneralAmt |
| Fundraising | $781,136 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,371,697 | BOYAmt |
| EOY | $8,289,186 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,784,763 | BOYAmt |
| EOY | $14,277,503 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $868,380 | BOYAmt |
| EOY | $904,380 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,219,315 | BOYAmt |
| EOY | $31,367,490 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,837,499 | BOYAmt |
| EOY | $3,962,736 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,760,757 | BOYAmt |
| EOY | $3,010,460 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $282,631,119 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $187,850,316 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,312,963 | BOYAmt |
| EOY | $94,780,803 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,186,497 | BOYAmt |
| EOY | $134,061,307 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,115,006 | BOYAmt |
| EOY | $18,650,294 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,456,877 | BOYAmt |
| EOY | $309,304,159 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,754,216 | BOYAmt |
| EOY | $63,104,015 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,965,060 | BOYAmt |
| EOY | $16,819,712 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,432,746 | BOYAmt |
| EOY | $20,333,115 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,152,022 | BOYAmt |
| EOY | $100,256,842 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,984,669 | BOYAmt |
| EOY | $203,242,980 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,320,186 | BOYAmt |
| EOY | $5,804,337 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,304,855 | BOYAmt |
| EOY | $209,047,317 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,456,877 | BOYAmt |
| EOY | $309,304,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,272,954 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,829,945 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $639,563 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $82,825 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $82,825 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,587,222 | OtherCostOrOtherBasisAmt |
| Book Value | $1,587,222 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,207,657 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,365,547 | DepreciationAmt |
| Book Value | $54,842,110 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,030,062 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,853,889 | DepreciationAmt |
| Book Value | $176,173 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,523,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,630,880 | DepreciationAmt |
| Book Value | $25,892,332 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,282,966 | OtherCostOrOtherBasisAmt |
| Book Value | $12,282,966 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $94,780,803 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SELF INSURANCE RESERVES | $81,520 |
| OTHER RECEIVABLES | $1,682,924 |
| Due from third-party payors | $8,611,857 |
| HOSPITAL PROVIDER FEE Receivable | $6,891,342 |
| Trustee Held Funds Related to Long-Term Debt | $1,382,651 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,650,294 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE RESERVES | $14,841,249 |
| Annuity and Trust Liabilities | $1,683,110 |
| Asset Retirement Obligation | $3,093,005 |
| Capital Lease Obligation | $715,751 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,333,115 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $357,683,056 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,829,945 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $639,563 | OtherRevenueAmt |
| Revenue Not Reported | $3,469,508 | RevenueNotReportedAmt |
| Revenue Subtotal | $354,213,548 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $124,030 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$196,536 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$72,506 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $354,141,042 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $332,940,594 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $196,536 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $196,536 | ExpensesNotReportedAmt |
| Expenses Subtotal | $332,744,058 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $124,030 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $124,030 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $332,868,088 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Change in Value of Split-Interest Agreements 639,563. |
| Part XI, Line 4b - Other Adjustments: | Reclassification of Rental Expenses -15,826. Reclassification of Fundraising Expenses -180,710. |
| Part XII, Line 2d - Other Adjustments: | Reclassification of Rental Expenses 15,826. Reclassification of Fundraising Expenses 180,710. |
| Part X, Line 2: | THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF OCTOBER 31, 2016 OR 2015. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | golf Tournament | Event1Nm |
| Gross Receipts Event1 | $191,230 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $145,975 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $45,255 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $679 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $17,324 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $15,835 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $15,038 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $30,383 | OtherDirectExpensesEvent1Amt |
| Event2 | DINNER | Event2Nm |
| Gross Receipts Event2 | $261,150 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $186,900 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $74,250 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $5,500 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $50,412 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $3,600 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $41,939 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $452,380 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $332,875 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $119,505 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $679 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $17,324 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $21,335 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $65,450 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $72,322 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $180,710 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$61,205 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $579,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $579,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $153,073,072 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $147,804,969 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,268,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,455,472 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,455,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $157,108,521 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $147,804,969 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,303,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,177,549 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,177,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,464,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,464,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $486,161 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $486,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,128,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,128,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,236,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $147,804,969 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,432,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03730 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,494,699 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,913,230 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $65,148,297 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $80,352,718 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$15,204,421 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY PRESBYTERIAN HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15107 VANOWEN STREET | AddressLine1Txt |
| City | VAN NUYS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.VALLEYPRES.ORG | WebsiteAddressTxt |
| State License | 930000170 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY PRESBYTERIAN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.valleypres.org/For-Community/Community-Benefit.aspx | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.valleypres.org/For-Community/Community-Benefit.aspx | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| VALLEY PRESBYTERIAN HOSPITAL | Part V, Section B, Line 5: VALLEY PRESBYTERIAN HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. VALLEY PRESBYTERIAN HOSPITAL CONTRACTED WITH VALLEY CARE COMMUNITY CONSORTIUM (VCCC) TO CONDUCT A CHNA THAT WAS COMPLIANT WITH STATE AND FEDERAL REGULATIONS. TO BETTER UNDERSTAND THE HEALTH NEEDS IN THE HOSPITAL SERVICE AREA, VCCC REVIEWED NUMEROUS STATE AND COUNTY SOURCES, COLLECTED PRIMARY DATA, CONDUCTED A LOCAL LITERATURE REVIEW, AND DOCUMENTED COMMUNITY ASSETS AND RESOURCES. THE CHNA MAY BE ACCESSED AT WWW.VALLEYPRES.ORG/FORCOMMUNITY/COMMUNITYBENEFIT.ASPX.The CHNA incorporated components of primary data collection and secondary data analysis that focus on the health and social needs of the service area. Secondary data were collected from a wide range of local, county, and state sources. Four key informant interviews were conducted. Five focus groups were convened to obtain information and opinions from 50 persons who represented the broad interests of the community served by the hospital. A total of 187 paper and electronic surveys were also administered to health professionals, community residents, elected official representatives, and seniors. The surveys were offered in English and Spanish. |
| VALLEY PRESBYTERIAN HOSPITAL | Part V, Section B, Line 11: VPH PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS THROUGH A COMMITMENT OF RESOURCES WITH THE FOLLOWING PROGRAMS AND SERVICES. CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH EDUCATION, ONE OF THE TEN COMMUNITY NEEDS IDENTIFIED FROM THE CHNA, WILL BE ADDRESSED BROADLY THROUGHOUT ALL OF VPH'S COMMUNITY EDUCATION EFFORTS. THE REMAINING NINE IDENTIFIED PRIORITY HEALTH NEEDS WILL BE INTERWOVEN INTO THE FOLLOWING COMMUNITY EDUCATION PROGRAM THEMES: DIABETES AWARENESS AND SCREENING (BLOOD GLUCOSE, ETC.); PREVENTIVE HEALTH SCREENINGS (BLOODPRESSURE, CAROTID ARTERY, CHOLESTEROL, BMI, FOOT SCREENINGS, ETC.); CHRONIC DISEASE CARE MANAGEMENT; MENTAL HEALTH; NUTRITION; STROKE AWARENESS AND EDUCATION; CHILDHOOD OBESITY AWARENESS AND EDUCATION; WOMEN'S SERVICES AND PRENATAL AWARENESS AND EDUCATION; HEALTHY AGING. |
| VALLEY PRESBYTERIAN HOSPITAL | Part V, Section B, Line 16i: OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED IS THROUGH FINANCIAL COUNSELING IF IDENTIFIED AS UNDERINSURED. |
| VALLEY PRESBYTERIAN HOSPITAL | Part V, Section B, Line 22d: THE HOSPITAL FACILITY BILLED 110% OF MEDICARE RATE TO INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 4: | The organization's audited financial statements do not contain a bad debt footnote. The footnote from the audited financial statements that addresses Allowance for Doubtful Accounts is as follows:Patient accounts receivable are reduced by an allowance for doubtful accounts. 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. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts.The Hospital's allowance for doubtful accounts for self-pay patients was 90.0 percent of self-pay accounts receivable at both October 31, 2016 and 2015. In addition, the Hospital's write-offs totaled approximately $1,708,000 and $2,554,000 for the years ended October 31, 2016 and 2015, respectively. Decreased write-offs were the result of a lower number of self-pay accounts primarily related to the Affordable Care Act (ACA) and Medicaid expansion, resulting in less uninsured patients. The Hospital maintained allowances for doubtful accounts from third-party payors of approximately $3,636,000 and $4,719,000 as of October 31, 2016 and 2015, respectively.The Hospital has not changed its charity care or uninsured discount policies during the years ended October 31, 2016 or 2015. |
| Part III, Line 8: | THE COSTING METHODOLOGY WAS BASED ON THE 2016 MEDICARE COST REPORT COST TO CHARGE RATIO. |
| Part III, Line 9b: | PAYMENT PLANS: BALANCES ARE DUE UPON DISCHARGE FROM THE HOSPITAL. IF THE PATIENT DOES NOT QUALIFY FOR STATE ASSISTANCE OR VPH's FINANCIAL ASSISTANCE PROGRAM, PAYMENT ARRANGEMENTS MAY BE ESTABLISHED WITH VPH's FINANCIAL COUNSELOR. PAYMENT ARRANGEMENTS MAY BE MADE WITH NO INTEREST PENALTIES. DEFAULTING ON A PAYMENT PLAN WILL RESULT IN DISQUALIFICATION OF THIS OPTION. |
| Part VI, Line 2: | COMMUNITY NEEDS ASSESSMENT AND PLANNING PROCESS:AS AN INDEPENDENT, NONPROFIT COMMUNITY HOSPITAL, VPH IS DEDICATED TO IMPROVING THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. WE ARE A VALUES-BASED ORGANIZATION THAT STRIVES TO UPHOLD OUR CORE VALUES OF DIGNITY, RESPECT, COMPASSION, TRANSPERENCY, AND COLLABORATION. WE ARE COMMITTED TO SUPPORTING ACTIVITIES AND PROGRAMS THAT ADDRESS THE IDENTIFIED UNMET HEALTH NEEDS IN OUR SERVICE AREA.VPH FOLLOWS A FOUR-STEP PROCESS TO DEVELOP THE COMMUNITY BENEFIT PLAN. THE FOUR STEPS INCLUDE:1. REVIEW THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND OTHER INFORMATION FROM COMMUNITY-BASED ORGANIZATIONS, PUBLIC SOURCES, ETC.2. CREATE NEW PROGRAMS BASED ON INFORMATIon FROM THE NEEDS ASSESSMENT, DISCUSSIONS WITH OTHER HEALTH CARE PROFESSIONALS, AND REVIEWING AND ADDRESSING COMMUNITY PROGRAM INFORMATION FROM OTHER LOCAL HOSPITALS.3. REFERENCE THE VPH STRATEGIC PLAN TO ALIGN COMMUNITY BENEFIT PROGRAMS WITH OVERALL VPH GOALS, OBJECTIVES, AND STRATEGIES.4. ANALYZE EXISTING COMMUNITY BENEFIT PROGRAM RESULTS TO ENHANCE AND/OR MODIFY ACTIVITIES TO BE IMPLEMENTED OR CONTINUED IN FISCAL YEAR 2016. |
| Part VI, Line 3: | PATIENT EDUCATION: A PACKET IS GIVEN TO ANY PATIENT IDENTIFIED AS SELF PAY OR UNDER INSURED.FINANCIAL ASSISTANCE PROGRAM: UNINSURED OR UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY THEIR BILL MAY BE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE, LEAVING NO FINANCIAL OBLIGATION TO THE HOSPITAL FOR THE BILL. QUALIFICATIONS ARE BASED UPON VERIFIABLE INCOME, FAMILY SIZE AND CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY FOR VALLEY PRESBYTERIAN HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, REQUIRED DOCUMENTATION MUST BE SUBMITTED WITHIN 15 DAYS OF DISCHARGE FROM THE HOSPITAL. UNINSURED DISCOUNT RATE: VALLEY PRESBYTERIAN HOSPITAL OFFERS DAILY RATES FOR INPATIENT SERVICES AND A SIGNIFICANTLY REDUCED CHARGE RATE FOR OUTPATIENT SERVICES. THE DISCOUNT IS SIMILAR TO RATES PAID BY MEDICARE AND IS OFFERED UNDER THE UNINSURED DISCOUNT PROGRAM.PAYMENT PLANS: BALANCES ARE DUE UPON DISCHARGE FROM THE HOSPITAL. IF THE PATIENT DOES NOT QUALIFY FOR STATE ASSISTANCE OR VALLEY PRESBYTERIAN HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, PAYMENT ARRANGEMENTS MAY BE ESTABLISHED WITH VALLEY PRESBYTERIAN HOSPITAL'S FINANCIAL COUNSELOR. PAYMENT ARRANGEMENTS MAY BE MADE WITH NO INTEREST PENALTIES. DEFAULTING ON A PAYMENT PLAN WILL RESULT IN DISQUALIFICATION OF THIS OPTION. MEDI-CAL AND GOVERNMENT PROGRAMS: PATIENTS MAY QUALIFY FOR GOVERNMENT PROGRAMS TO ASSIST WITH ALL OR PART OF THE HOSPITAL EXPENSES. VALLEY PRESBYTERIAN HOSPITAL HAS AN INTERNAL MEDI-CAL ELIGIBILITY UNIT TO ASSIST PATIENTS WITH THE MEDI-CAL APPLICATION PROCESS. PATIENTS MAY RECEIVE BILLS FROM OTHER BILLING COMPANIES FOR ITEMS SUCH AS PHYSICIAN CHARGES, RADIOLOGY, AND AMBULANCE. |
| Part VI, Line 4: | COMMUNITY INFORMATION: The catchment area served by Valley Presbyterian Hospital is bordered to the north by the Santa Susana Mountains, the Santa Clarita Valley, and the city of Lancaster and Palmdale and rural communities in the Antelope Valley; to the east by the communities of Sylmar, Sun Valley, and Studio City; to the south by the communities of Van Nuys, Sherman Oaks, Encino, Tarzana, and the Santa Monica mountains; and to the west by the communities of Woodland Hills, Calabasas, Canoga Park, in Los Angeles County and Simi Valley of Ventura County. The hospital service includes higher income and middle-class households adjacent to pockets of extreme poverty and ethnic diversity.Valley Presbyterian Hospital's service area includes the towns of Calabasas, Canoga Park, Canyon Country, Castaic, Chatsworth, Encino, Granada Hills, Lancaster, Mission Hills, Newhall, North Hills, North Hollywood, Northridge, Pacoima, Palmdale, Panorama City, Reseda, San Fernando, Santa Clarita, Sherman Oaks, Studio City, Sun Valley, Sunland, Sylmar, Tarzana, Tujunga, Valencia, Valley Village, Van Nuys, West Hills, Winnetka, and Woodland Hills in Los Angeles County, and a portion of Simi Valley in Ventura County. The communities that Valley Presbyterian Hospital serves have diverse geography and topography, vary across levels of socio-economic status and educational attainment levels, and experience differences in physical environment and overall access to required health services.In the VPH service area, racial/ethnic diversity has increased substantially due to immigration from countries including Mexico, El Salvador, Iran, Israel, Armenia, Vietnam, Korea, India, and China. A nearly equal percentage of the region's residents are Latino and non-Hispanic white at close to 40% each, with a significant yet smaller percentage of Asian/Pacific Islanders and African Americans/Blacks. Although the county and the state have begun to experience a slight increase in employment, the recovery has been slow following the global recession of 2009. While area residents are more educated, and higher proportions hold of graduate and professional degrees compared to the rest of the county, poverty remains a significant barrier for families in several communities. |
| Part VI, Line 7, Reports Filed With States | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| Los Angeles Valley College | ||||||||
| 5800 Fulton Ave | Van Nuys | CA | 91401 | 952587353 | 501(c)(3) | $55,000 | General Support | |
| American Diabetes Association | ||||||||
| PO Box 930850 | Atlanta | GA | 311930850 | 131623888 | 501(c)(3) | $40,000 | Promatoras Program & Latino Initative Program | |
| El Nido Family Centers | ||||||||
| 10200 Sepulveda Boulevard Suite 350 | Mission Hills | CA | 91345 | 953186429 | 501(c)(3) | $20,000 | Payment for teen family services | 350 |
| Social and Environmental Entreprenuers | ||||||||
| 23532 Calabasas Rd Suite A | Calabasas | CA | 91302 | 954116679 | 501(c)(3) | $18,000 | General Support | |
| YMCA of Metropolitan Los Angeles | ||||||||
| 6901 Lennox Ave | Van Nuys | CA | 91405 | 951644052 | 501(c)(3) | $15,580 | General Support | |
| Ovarian Cancer Coalition of CA | ||||||||
| PO Box 40035 | Studio City | CA | 91614 | 954840165 | 501(c)(3) | $15,000 | General Support | |
| San Fernando Valley Mental Health Center | ||||||||
| 16360 Roscoe Blvd 2nd Floor | Van Nuys | CA | 91406 | 956194487 | 501(c)(3) | $15,000 | Hygiene kits and beds | |
| Valley Care Community Consortium | ||||||||
| 7515 Van nuys Blvd 5th floor | Van Nuys | CA | 91405 | 205569606 | 501(c)(3) | $13,000 | Mental Health Symposium | |
| Los Angeles County Economic Development Corporation | ||||||||
| 444 S Flower St 37th Floor | Los Angeles | CA | 90071 | 953643339 | 501(c)(3) | $10,000 | General Support | |
| MEND | ||||||||
| 10641 N San Fernando Rd | Pacoima | CA | 91331 | 237306337 | 501(c)(3) | $10,000 | Healthy Nutrition Program | |
| National Health Foundation | ||||||||
| 515 S Figueroa St Ste 1200 | Los Angeles | CA | 90071 | 237314808 | 501(c)(3) | $9,500 | General Support | |
| Valley Economic Development Center | ||||||||
| 5121 Van Nuys Blvd 3rd Floor | Sherman Oaks | CA | 91403 | 953139419 | 501(c)(3) | $7,500 | General Support | |
| Woodbury University | ||||||||
| 7500 N Glenoaks Blvd | Burbank | CA | 91510 | 952786163 | 501(c)(3) | $7,500 | General Support | |
| California State University Northridge | ||||||||
| 18111 Nordhoff St | Northridge | CA | 91330 | 956196006 | 501(c)(3) | $7,250 | General Support | |
| Tierra Del Sol Foundation | ||||||||
| 9919 Sunland Blvd | Sunland | CA | 91040 | 952671260 | 501(c)(3) | $5,500 | General Support | |
| BARLOW FOUNDATION | ||||||||
| 2000 Stadium Way | Los Angeles | CA | 90026 | 954560787 | 501(c)(3) | $5,000 | General Support | |
| FOUNDATION EXCELLENCE IN EDUCATION | ||||||||
| 14702 Sylvan St | Van Nuys | CA | 91411 | 953901313 | 501(c)(3) | $5,000 | Shower Truck | |
| San Fernando Valley Rescue Mission Alliance | ||||||||
| 8756 Canby Ave | Northridge | CA | 91325 | 237278002 | 501(c)(3) | $5,000 | General Support | |
| Los Angeles County Business Federation | ||||||||
| 1000 Alameda St 240 | Los Angeles | CA | 90012 | 260295348 | 501(c)(3) | $5,000 | Health Fair | |
| California Health Foundation and Trust | ||||||||
| 1215 K Street Ste 800 | Sacramento | CA | 95814 | 943186429 | 501(c)(3) | $238,980 | CA Hospital Provider Program | |
| Northeast Valley Health Corporation | ||||||||
| 1172 North Maclay Ave | San Fernando | CA | 91340 | 237120632 | 501(c)(3) | $60,000 | Propeller Health & Diabetes Care Coordinator | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 1) once a grant is received, grant covenants are identified, reviewed and communicated as appropriate, 2) covenants are calendared by month to ensure timely response and completion, 3A) if a grant is for capital equipment, the benefitting VALLEY PRESBYTERIAN HOSPITAL department notifies the development department that a project has been completed and/or equipment has been purchased; a purchase order is completed; THE development department notifies accounting that funds may be released, 3B) if the grant is for training, all steps in 3A apply, but instead of completing a purchase order, documentation of training details is attached including who attended training, how many hours and hourly rates, 4) once the grant is expended, the grantor is notified. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gustavo Valdespino | ||||||||||||||
| President and CEO | $665,870 | $0 | $174,925 | $0 | $821,231 | $0 | $164,557 | $0 | $22,226 | $0 | $1,848,809 | $0 | $810,457 | $0 |
| Lori Cardle | ||||||||||||||
| SVP and CFO | $400,005 | $0 | $63,000 | $0 | $7,680 | $0 | $76,412 | $0 | $15,957 | $0 | $563,054 | $0 | $0 | $0 |
| Jean O'Keefe Rico | ||||||||||||||
| SVP-Chief Quality Officer | $344,802 | $0 | $60,255 | $0 | $355,473 | $0 | $73,618 | $0 | $22,028 | $0 | $856,176 | $0 | $342,611 | $0 |
| Gayathri Jith | ||||||||||||||
| SVP Strategy & Ambulatory | $324,002 | $0 | $54,000 | $0 | $253,089 | $0 | $65,476 | $0 | $21,330 | $0 | $717,897 | $0 | $245,694 | $0 |
| Pegi Matsuda | ||||||||||||||
| President-Foundation | $262,038 | $0 | $45,794 | $0 | $10,325 | $0 | $56,211 | $0 | $7,908 | $0 | $382,276 | $0 | $0 | $0 |
| Jeffrey L Allport | ||||||||||||||
| VP/Chf Information Officer | $231,754 | $0 | $33,750 | $0 | $10,237 | $0 | $34,259 | $0 | $15,752 | $0 | $325,752 | $0 | $0 | $0 |
| Timothy Elder | ||||||||||||||
| VP Ancillary/Support Serv. | $195,472 | $0 | $8,984 | $0 | $30,449 | $0 | $0 | $0 | $1,422 | $0 | $236,327 | $0 | $0 | $0 |
| Lori L Burnell | ||||||||||||||
| SVP/Chief Nursing Officer | $262,662 | $0 | $30,601 | $0 | $9,079 | $0 | $37,162 | $0 | $15,845 | $0 | $355,349 | $0 | $0 | $0 |
| Jonathan Wu | ||||||||||||||
| VP-Human Resources | $222,789 | $0 | $32,445 | $0 | $8,001 | $0 | $32,639 | $0 | $1,008 | $0 | $296,882 | $0 | $0 | $0 |
| Somasundaram Devadason | ||||||||||||||
| Pharmacist | $241,333 | $0 | $0 | $0 | $0 | $0 | $10,594 | $0 | $6,095 | $0 | $258,022 | $0 | $0 | $0 |
| Jeremy Redin | ||||||||||||||
| Former Assistant CFO | $210,435 | $0 | $18,000 | $0 | $9,741 | $0 | $6,223 | $0 | $18,545 | $0 | $262,944 | $0 | $0 | $0 |
| Starr K Williams III | ||||||||||||||
| Pharmacist | $195,447 | $0 | $0 | $0 | $12,608 | $0 | $8,157 | $0 | $6,825 | $0 | $223,037 | $0 | $0 | $0 |
| Darryl Toy | ||||||||||||||
| Director, Pharmacy | $185,647 | $0 | $16,222 | $0 | $1,451 | $0 | $9,901 | $0 | $599 | $0 | $213,820 | $0 | $0 | $0 |
| Dena L Decker | ||||||||||||||
| Director, Qlty & Ptnt Sfty | $176,147 | $0 | $15,391 | $0 | $513 | $0 | $6,522 | $0 | $6,398 | $0 | $204,971 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Lines 4a-b | DURING CALENDAR YEAR 2015, VALLEY PRESBYTERIAN HOSPITAL HAD A 457(F) PLAN. THE FOLLOWING ARE OFFICERS AND KEY EMPLOYEES THAT PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: GUSTAVO VALDESPINO - $184,975 JEAN O'KEEFE RICO - $76,961 LORI CARDLE - $78,711 GAYATHRI JITH - $71,820 PEGI MATSUDA - $52,331 JONATHON WU - $35,860 JEFFREY ALLPORT - $37,171 LORI BURNELL - $49,855 Jeremy redin - $9,667 During Calendar Year 2015, Valley Presbyterian Hospital had a key employee, Timothy Elder, who received a severence payment of $19,823. This amount was reported on his W-2. |
| Part I, Line 6 | VALLEY PRESBYTERIAN HOSPITAL has an Incentive (Bonus) plan for Executive Team members and HOSPITAL DEPARTMENT Directors. Payment of any bonus is contingent on several criteria, EBIDA, QUALITY, AND PATIENT SATISFACTION OF WHICH ARE BENCHMARKED BY ACHIEVING SPECIFIC METRICS ON AN ANNUAL BASIS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | In FY16, VPH provided community benefit activities and programs within its service area. A summary of these activities follows. Community Health Improvement Services: The hospital's community education programs are designed to meet the significant community health needs. During the fiscal year, 5,056 people participated in one or more of the hospital's free community education programs. Community Health Education/Community-Based Clinical Services: Women's Services - VPH offered a number of free community education programs to women and to their families to help them experience a safe pregnancy and childbirth. During the past year, more than 2,234 women and their families attended community classes on: 1) childbirth preparation, 2) caring for a new baby, and 3) breastfeeding support. A majority of women's services classes are held in English and in Spanish. Chronic Disease Education - VPH held workshops on diabetes awareness and heart health in English and Spanish. Heartsaver CPR classes were also offered. More than 65 community residents attended these free community workshops during the fiscal year. Healthy Aging - The hospital offered low-impact exercise classes for seniors living with chronic pain. The senior exercise classes were held twice a week and had 2,687 class visitors. As a result of the Healthy Maturity classes, participants identified changes they would make to their lives to include, increasing their physical activity, and stretching and reducing their stress levels. Community Health Fairs - The hospital hosted its annual Health and Wellness Community Fair on October 8, 2016. There were 975 attendees and 160 employee volunteers. The participants received 1,650 free screenings and 200 children participated in a health education activity. Over 1,200 pieces of fresh produce were distributed to attendees plus each attendee was offered a healthy luncheon meal. During the community health fair, there was a health cooking demonstration from the hospital's Dietary Director. Presentations were offered on diabetes awareness and the signs and prevention of stroke. VPH also participated in the Children's Community School Fair, Los Angeles Valley College Health Fair, Latino Expo, Successful Aging Expo, and Health Screenings at Curacao at the Panorama Mall. At these community events, more than 700 persons received free health screenings. VPH Cares - This community magazine was distributed twice during the fiscal year and included stories and educational information on living a healthy lifestyle, healthy cooking and eating, physical activity, heart health, first aid, cancer prevention and other important health education topics. The magazine was mailed to more than 31,269 homes within a five-mile radius of the hospital. Health Care Support Services: Patient Transportation - Transportation assistance (bus tokens and taxi vouchers) was provided to over 1,439 patients and families with limited resources to support access to care. VPH launched transportation van service available free of charge to community residents needing a ride to and from the hospital and to and from a community clinic. Insurance Enrollment - These services were provided to assist patients with government sponsored health insurance coverage programs. The hospital employed enroller assisted patients primarily with Medi-Cal coverage. During the fiscal year, the hospital enrolled more than 2,963 persons in one or more government-sponsored insurance coverage programs. Psychiatric Care - VPH financed inpatient mental health care services at a trusted community partner. In FY16, VPH supported inpatient mental health care for 146 vulnerable patients who needed intensive psychiatric care. Health Professions Education: Education programs for physicians, nurses, nursing students, and other health professionals were offered by the hospital throughout the fiscal year. Continuing Education for Physicians and Other Health Providers - Valley Presbyterian Hospital hosted medical education events made available to physicians and health providers among the hospital staff and the provider community. More than 879 health care providers attended medical education events hosted by the hospital. Nursing Education - The hospital provided preceptors for nursing students this past year. One Clinical Nurse Specialist student from California State University, Dominguez Hills participated in a clinical rotation. Student nurses in the leadership and management tracks from California State University, Dominguez Hills and California State University, Northridge worked with hospital preceptors. Valley Simulation Laboratory - The Valley Simulation Laboratory at Valley Presbyterian Hospital provides high-fidelity mannequins that are designed to simulate patient situations and responses. The Laboratory is designed to model Labor & Delivery and the Intensive Care Unit. VPH partnered with local nursing programs to provide nursing students with a link from classroom learning to hands-on medical applications in a no-risk environment. The Simulation Laboratory was used 80 times in the past year. Other Health Professions Education - The hospital also provided preceptors for 111 students in various health care disciplines: -17 Respiratory Therapy students from Concorde Career College and Los Angeles Valley College completed clinical internships. -1 student dietician from California State University Northridge completed a clinical internship. -1 public health student from California State University Northridge participated in a precepted clinical rotation. -28 podiatric medical students from Western University of Health Sciences College of Podiatric Medicine, participated in clinical rotations. -35 Radiology Technician students from Casa Loma College, California State University Northridge, and Kaplan College completed clinical internships. -2 Health Administration students from California State University Northridge and USC completed internships. -2 Medical Laboratory Technician students from College of the Canyons completed a clinical rotation. -4 Surgical Technician students from Concorde Career College and Simi Valley Surgical Technicians School completed a clinical rotation. -2 Health Information Management students from Santa Barbara Community College obtained precepted training. Cash and In-Kind Contributions: Funds and in-kind services were donated to community groups and not for profit organizations. The support of these organizations furthered the hospital's mission and/or aligned with the ten community health needs identified through the Community Health Needs Assessment. Donated Space - The hospital donated meeting space within its facility for 23 not profit organizations and/or community forums during the fiscal year. Compassion in Action - The hospital sponsored an employee volunteer program throughout the fiscal year. Through this program, 81 employees contributed 670 hours in programs to benefit the community. Activities included feeding the homeless, conducting free community health screenings, collecting food and clothing for the homeless and donating toys to children during the holiday season, and many other activities. Although the hospital supports employee involvement, some of these activities are conducted by employees on their own time. Cash Donations - During FY16, 34 community organizations were supported by the hospital. These community organizations were partners with the hospital in the furtherance of its mission and/or alignment with needs identified through the Community Health Needs Assessment. The hospital also participated with local economic development activities in the community by participating in 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 economic initiatives. Hospital executives also participated on a number of coalitions, committees and networks of agencies addressing common community issues. |
| FORM 990, PART III, LINE 4A: | Community Building Activities: These are activities that support community assets by offering the expertise and resources of the hospital. These activities may address the root causes of health problems, such as homelessness, poverty, and environmental concerns. Economic Development: In FY16, the hospital provided support to the Women's Entrepreneur Center and the future Young Adult Entrepreneur Center through a partnership with the Valley Economic Development Center (VEDC). The VEDC has assisted more than 104,000 businesses in creating and retaining over 19,400 jobs. Over 3,100 individuals have graduated from the Entrepreneurial Training Program at the Women's Business Center and entered the Los Angeles |
| Form 990, Part VI, Section B, line 11 | THE CFO and ASSISTANT CFO review the draft 990. Once the 990 is completed, it is reviewed with the CEO, the Board Finance committee, and 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 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 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 | Upon request at the hospital location. |
| FORM 990, PART VII, SECTION A: | BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: Peter Koetters, MD and Sukshma Sreepathi, MD are both members of the board, each devoting an average of 0.80 hours per week relating to their activities associated with serving on the Board of Directors. The reportable compensation related to professional medical administrative services provided to the hospital is unrelated to the average number of hours per week reported on Form 990, Part VII, Section A. |
| Form 990, Part IX, line 11g | Other fees for Services: Program service expenses 17,238,157. Management and general expenses 3,842,360. Fundraising expenses 0. Total expenses 21,080,517. Physician Fees: Program service expenses 9,195,795. Management and general expenses 46,250. Fundraising expenses 0. Total expenses 9,242,045. Consulting Fees: Program service expenses 1,483,425. Management and general expenses 2,110,492. Fundraising expenses 101,140. Total expenses 3,695,057. |
| Form 990, Part XI, line 9: | CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 639,563. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY PRESBYTERIAN HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15107 Vanowen Street | AddressLine1Txt |
| City | Van Nuys | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 901119606 | EIN |
| Primary Activities | To support VPH | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 11a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY PRESBYTERIAN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUST (4) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Charitable Giving | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Presbyterian Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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