2015-09-14T22:15:20-05:00 2014-10-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2013-11-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 LORI CARDLE SVP FIN/CFO 8187826600 2015-09-09 1 RENIE BURBANK P00159653 4159561500 2013 2016-03-07 17:11:31Z LORI CARDLE 15107 VANOWEN STREET VAN NUYS CA 91405 306080231 0 X N/A X 1948 CA VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. 17 13 1967 773 0 0 875589 2324825 296576806 254586124 622321 4687974 12006512 9490053 310081228 271088976 1330201 327353 0 0 132352817 131784158 0 0 0 158211677 141678286 291894695 273789797 18186533 -2700821 223004112 228216894 91203076 95841034 131801036 132375860 X VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. 0 0 194871047 327353 254586124 SEE SCHEDULE O 194871047 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 353 0 1 1967 1 0 0 0 0 0 1 1 0 0 0 0 X 17 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LORI CARDLE 8187826600 15107 VANOWEN ST VAN NUYS CA 91405 X GREG KAY MD CHAIRMAN 0.40 X X 0 0 0 WILLIAM ALLEN SECRETARY 0.40 X X 0 0 0 JAMES PORTER TREASURER 0.40 X X 0 0 0 DAVID ADELMAN DIRECTOR 0.40 X 0 0 0 LEROY CHASE DIRECTOR 0.40 X 0 0 0 ALEX GUERRERO DIRECTOR 0.40 X 0 0 0 DIANNE F HARRISON PHD DIRECTOR 0.40 X 0 0 0 RICHARD KATZ DIRECTOR 0.40 X 0 0 0 DIEGO A MECHOSO MD DIRECTOR 0.40 X 0 0 0 MATTHEW MISCHEL MD DIRECTOR 0.40 X 0 0 0 TODD D MOLDAWER MD DIRECTOR 0.40 X 0 0 0 GANESA PANDIAN MD DIRECTOR 0.40 X 0 0 0 TRACY RAFTER DIRECTOR 0.40 X 0 0 0 SRIDHAR RAMACHANDRAN MD DIRECTOR 0.40 X 0 0 0 JOSHUA ROKAW MD DIRECTOR 0.40 X 0 0 0 STUART SOLOMON DIRECTOR 0.40 X 0 0 0 SUKSHMA SREEPATHI MD DIRECTOR 0.40 X 0 0 0 FRANCISCO URIBE DIRECTOR 0.40 X 0 0 0 PATRICK WALSH MD DIRECTOR 0.40 X 0 0 0 GUSTAVO VALDESPINO PRESIDENT & CEO 40.00 X 831678 0 202201 MICHELLE QUIGLEY VP & CNO 40.00 X 530648 0 5619 JEAN O'KEEFE RICO SR VP QUALITY 40.00 X 396355 0 102733 LORI CARDLE SR VP FINANCE & CFO 40.00 X 362180 0 75367 GAYATHRI JITH VP OPERATIONS 40.00 X 319706 0 70585 PEGI MATSUDA SR VP COMMUNITY/MARKET DEV 40.00 X 306584 0 60585 JULIE REBACK VP BUS DEVELOPMENT 40.00 X 266491 0 18927 RAY MOSS VP & CIO 40.00 X 256502 0 8412 JONATHAN WU VP HUMAN RESOURCES 40.00 X 182235 0 25758 SOHEILA RAHMAN-ATAR REGISTERED NURSE 40.00 X 221804 0 7796 SOMASUNDARAM DEVADASON PHARMACIST 40.00 X 212932 0 11815 GEORGE STYER DIRECTOR IT 40.00 X 191708 0 31559 JEREMY REDIN CONTROLLER 40.00 X 195426 0 6404 DOMINADOR CRUZ REGISTERED NURSE 40.00 X 188590 0 18910 4462839 0 646671 254 0 1 0 PREFERRED IPA 1025 N BRAND BLVD 100 GLENDALE CA 91202 MEDICAL SERVICES 6018965 COMMUNITY FAMILY CARE MEDICAL GROUP 19210 S VERMONT AVE GARDENA CA 90048 MEDICAL SERVICES 2502132 REHABCARE GROUP PO BOX 502096 ST LOUIS MO 63150 HEALTHCARE MANAGEMENT 2351905 SHANGRI-LA CONSTRUCTION 36 DISCOVERY SUITE 240 IRVINE CA 92618 CONSTRUCTION 1879580 ST VINCENT ANESTHESIA MEDICAL PO BOX 50045 PASADENA CA 91115 ANESTHESIA SERVICES 1491667 54 306575 892401 1125849 3896 2324825 PATIENT SERVICE REV. 541900 253891736 253891736 EXEMPT ORG. REVENUE 541900 694388 694388 254586124 1991872 1991872 297455 15776 281679 281679 281679 37535366 34839264 2696102 2696102 2696102 118925 306575 136215 -17290 -17290 OTHER REVENUE 900099 8065160 8065160 FOOD SALES 811000 950879 950879 GIFT SHOP REVENUE 453220 209625 209625 9225664 271088976 254586124 0 14178027 X 327353 327353 3449882 3449882 103524639 86450205 17074434 3070721 3070721 13709495 177547 13531948 8029421 6350784 1678637 807976 807976 219741 219741 250262 250262 35305432 22272245 13033187 516804 294 516510 7382659 5642582 1740077 1456634 1456634 4066777 362338 3704439 1528313 241068 1287245 106113 33589 72524 2276058 2276058 8215351 8215351 1808226 1808226 CAPITATION EXPENSES 35355793 35355793 MEDICAL SUPPLIES 31133653 31126749 6904 OTHER CONTROLLABLE EXP 8151315 3433321 4717994 PROVIDER PROGRAM FEES 3097179 3097179 273789797 194871047 78918750 0 4219712 3048740 6520432 3722421 803520 835140 29227654 29360403 3488614 3674252 2059011 3360229 258628513 172533267 81982748 86095246 69944452 87762989 24757969 10357474 223004112 228216894 51689100 46845477 0 2003618 24466874 31534811 15047102 15457128 91203076 95841034 X 126557282 126583970 5243754 5791890 131801036 132375860 223004112 228216894 X -2700821 3250518 25127 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 139436 139436 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), AND PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS, INC. (PEACH). A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES BY CHA, HASC AND PEACH ON BEHALF OF THEIR MEMBERS. 1587222 1587222 148659009 92091325 56567684 102381326 80441942 21939384 6000956 6000956 86095246 SELF INSURANCE RESERVES 13795900 ANNUITY AND TRUST PAYABLE 1661228 15457128 X 271104752 15776 15776 271088976 0 271088976 273478220 15776 15776 273462444 327353 327353 273789797 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, 2014 OR 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION RENTAL EXPENSES FOR NET RENTAL INCOME 15,776. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION RENTAL EXPENSES FOR NET RENTAL INCOME 15,776. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF GRANT EXPENSES 327,353. GOLF TOURNAMENT 237350 189225 48125 15391 11600 15125 22306 DINNER 188150 117350 70800 2660 37480 6700 24953 425500 306575 118925 15391 14260 52605 6700 47259 136215 -17290 1 1 1 X 350.000000000000 1 X 1 1 0 1 1 1774453 17616 1756837 0.00640 143380832 103826807 39554025 0.14450 4922825 431640 4491185 0.01640 150078110 104276063 45802047 0.16730 1238913 1238913 0.00450 197967 197967 0.00070 1436880 1436880 0.00520 151514990 104276063 47238927 0.17250 55065 55065 0.00020 105620 105620 0.00040 63600 63600 0.00020 427298 427298 0.00160 6099 6099 0.00000 657682 657682 0.00240 1 7592036 3884765 69805367 64082382 5722985 X 1 1 1 1 VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN STREET VAN NUYS CA 91405 WWW.VALLEYPRES.ORG X X X VALLEY PRESBYTERIAN HOSPITAL 1 1 X X X X X X X X 13 1 0 1 X WWW.VALLEYPRES.ORG X X X X X X X X X 0 0 1 1 350.000000000000 1 350.000000000000 1 X X X X X X X 1 1 X X X X 1 X X 1 X X X X X X 1 X 0 0 VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 3: COMMUNITY INPUT: VALLEY PRESBYTERIAN HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013. 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/FOR-COMMUNITY/COMMUNITY-BENEFIT.ASPX.THE MEMBERS OF THE COMMUNITY PARTICIPANTS CONSISTED OF:LACDHS-OLIVE VIEW UCLA MEDICAL CENTER AMBULATORY CARE NETWORK (OLIVE VIEW MID VALLEY COMPREHENSIVE HEALTH CENTER) ANTELOPE VALLEY COMMUNITY CLINIC ANTELOPE VALLEY PARTNERS FOR HEALTH CALIFORNIA STATE UNIVERSITY, NORTHRIDGEJEWISH FAMILY SERVICES OF LOS ANGELES KIDS' COMMUNITY DENTAL CLINIC LA COUNTY DEPARTMENT OF MENTAL HEALTH LAUSD WALKING GROUPSLOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH MID VALLEY COMPREHENSIVE CENTER NORTHEAST VALLEY HEALTH CORPORATION PROVIDENCE ACCESS TO CARE-HEALTH EDUCATION OUTREACH TARZANA TREATMENT CENTER THE CHURCH ON THE WAY VALLEY PRESBYTERIAN HOSPITAL FIELD REPRESENTATIVE OF CALIFORNIA STATE ASSEMBLYMAN, FELIPE FUENTES EXPERT LEADERS REPRESENTING CITY AND COUNTY GOVERNMENT, CLINICS, HOSPITALS, HOUSING PROVIDERS, MENTAL HEALTH AGENCIES, AND COMMUNITY ORGANIZATION LEADERS VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 7: AS A RESULT OF THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, PRIORITY HEALTH NEEDS WERE IDENTIFIED THAT THE HOSPITAL CHOSE TO ADDRESS. OUR SELECTED COMMUNITY BENEFIT EFFORTS FOCUS ON INCREASING AND SUPPORTING ACCESS TO HEALTH CARE SERVICES THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. OUR PROGRAMS ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS: - HEALTH EDUCATION THAT IS CULTURALLY AND LINGUISTICALLY APPROPRIATE - DIABETES - OBESITY - ACCESS TO PRIMARY HEALTH CARE - PREVENTIVE SCREENINGS - TEEN PREGNANCY - CHRONIC DISEASE MANAGEMENT - MENTAL HEALTH - NUTRITION - LACK OF ACCESS TO SPECIALTY CARE PROVIDERS VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 14G: 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 20D: THE HOSPITAL FACILITY BILLED 110% OF MEDICARE RATE TO INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FORM 990, SCHEDULE H, PART I, LINE 7 SEE FORM 990, PART III, LINE 4A AND SCHEDULE O. PART II, COMMUNITY BUILDING ACTIVITIES: SEE FORM 990, PART III, LINE 4A AND SCHEDULE O. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENT THAT ADDRESSES ACCOUNTS RECEIVABLE IS AS FOLLOWS:THE HOSPITAL CARRIES ITS ACCOUNTS RECEIVABLE AT BILLED AMOUNTS LESS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL DOES NOT ACCRUE INTEREST ON ITS RECEIVABLES. ON A PERIODIC BASIS, THE HOSPITAL EVALUATES ITS ACCOUNTS RECEIVABLE AND ESTABLISHES ALLOWANCES BASED ON CONTRACTUAL ARRANGEMENTS, HISTORY OF PAST WRITE-OFFS AND COLLECTIONS AND CURRENT CREDIT CONDITIONS. THE HOSPITAL'S POLICY FOR WRITING OFF RECEIVABLES AS UNCOLLECTIBLE VARIES BASED ON THE PAYER ARRANGEMENTS AND MANAGEMENT'S ESTIMATE OF THE CUSTOMER'S ABILITY TO PAY. PART III, LINE 8: THE COSTING METHODOLOGY WAS BASED ON THE 2014 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 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. PART VI, LINE 2: COMMUNITY NEEDS ASSESSMENT AND PLANNING PROCESS:AS AN INDEPENDENT, NONPROFIT COMMUNITY HOSPITAL, VALLEY PRESBYTERIAN HOSPITAL 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, TRANSPARENCY 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 PLAN. THE FOUR STEPS INCLUDE:1. REVIEW THE 2013 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 ASSESSING 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 AND PROGRAMS TO BE IMPLEMENTED OR CONTINUED IN FY15. PART VI, LINE 3: PATIENT EDUCTION: 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 AREA 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 1 CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K STREET STE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 173660 CA HOSPITAL PROVIDER PROGRAM BARLOW FOUNDATION 2000 STADIUM WAY LOS ANGELES CA 20026 954560787 501(C)(3) 5900 SUPPORT FOR THE PROGRAMS AND SERVICES OF THE BARLOW RESPIRATORY HOSPITAL BOYS & GIRLS CLUB OF THE WEST VALLEY 11251 GLENOAKS BLVD PACOIMA CA 91331 952468448 501(C)(3) 5500 SUPPORT FOR THE PROGRAMS OF THE BOYS AND GIRLS CLUB CSUN FOUNDATION 18111 NORDHOFF STREET NORTHRIDGE CA 91330 956196006 501(C)(3) 20100 GENERAL SUPPORT TO FURTHER THE OBJECTIVES AND PURPOSES OF CSUN EL NIDO FAMILY CENTERS 10200 SEPULVEDA BLVD 350 MISSION HILLS CA 91345 953186429 501(C)(3) 20000 SUPPORT FOR THE HEALTH AND THERAPEUTIC SERVICES PROVIDED BY THE CENETR. LA ECONOMIC DEVELOPMENT COUNCIL 444 S FLOWER ST 37TH FLOOR LOS ANGELES CA 90071 953643339 501(C)(3) 10000 SUPPORT FOR LA COUNTY ECONOMIC DEVELOPMENT EFFORTS NORTHEAST VALLEY HEALTH CORP 1172 N MCLAY AVE SAN FERNANDO CA 91340 237120632 501(C)(3) 10000 SUPPORT PROVISION OF MEDICAL SERVICES TO THE UNDERSERVED OF L.A. COUNTY THE VALLEY ECONOMIC ALLIANCE 5121 VAN NUYS BLVD STE 200 SHERMAN OAKS CA 91403 954524503 501(C)(3) 5833 SUPPORT FOR THE PROMOTION OF THE ECONOMY OF THE SAN FERNANDO VALLEY VALLEY CARE COMMUNITY CONSORTIUM 7515 VAN NUYS BLVD 5TH FLOOR VAN NUYS CA 91405 205569606 501(C)(3) 10000 FUND ACCESS FOR SERVICE PLANNING AREA 2 OF LOS ANGELES VALLEY ECONOMIC DEVELOPMENT CENTER 5121 VAN NUYS BLVD 3RD FLOOR VAN NUYS CA 91403 953139419 501(C)(3) 7500 GENERAL SUPPORT TO CREATE AND SUSTAIN JOBS AND BUSINESSES IN OUR COMMUNITIES VALLEY INDUSTRY AND COMMERCE ASSOCIATION 5121 VAN NUYS BLVD STE 203 SHERMAN OAKS CA 91403 237182039 501(C)(6) 5493 GEN SUPPORT TO REPRESENT SF VALLEY BUSINESS TO GOVERNMENT WOODBURY UNIVERSITY 7500 N GLENOAKS BLVD BURBANK CA 91510 952786163 501(C)(3) 6200 GENERAL SUPPORT TO UNIVERSITY 11 1 PART I, LINE 2: 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. X X X X X X 1 1 0 0 0 1 0 0 0 GUSTAVO VALDESPINO PRESIDENT & CEO 646042 0 185636 0 0 0 176965 0 25236 0 1033879 0 0 0 MICHELLE QUIGLEY VP & CNO 201305 0 0 0 329343 0 0 0 5619 0 536267 0 0 0 JEAN O'KEEFE RICO SR VP QUALITY 328098 0 68257 0 0 0 77497 0 25236 0 499088 0 0 0 LORI CARDLE SR VP FINANCE & CFO 300224 0 61956 0 0 0 66351 0 9016 0 437547 0 0 0 GAYATHRI JITH VP OPERATIONS 264051 0 55655 0 0 0 64546 0 6039 0 390291 0 0 0 PEGI MATSUDA SR VP COMMUNITY/MARKET DEV 254667 0 51917 0 0 0 52452 0 8133 0 367169 0 0 0 JULIE REBACK VP BUS DEVELOPMENT 211626 0 0 0 54865 0 0 0 18927 0 285418 0 0 0 RAY MOSS VP & CIO 61858 0 0 0 194644 0 0 0 8412 0 264914 0 0 0 JONATHAN WU VP HUMAN RESOURCES 142634 0 39601 0 0 0 25513 0 245 0 207993 0 0 0 SOHEILA RAHMAN-ATAR REGISTERED NURSE 221488 0 316 0 0 0 7763 0 33 0 229600 0 0 0 SOMASUNDARAM DEVADASON PHARMACIST 212616 0 316 0 0 0 7453 0 4362 0 224747 0 0 0 GEORGE STYER DIRECTOR IT 176056 0 15652 0 0 0 6710 0 24849 0 223267 0 0 0 JEREMY REDIN CONTROLLER 182847 0 12579 0 0 0 0 0 6404 0 201830 0 0 0 DOMINADOR CRUZ REGISTERED NURSE 188274 0 316 0 0 0 6601 0 12309 0 207500 0 0 0 PART I, LINES 4A-B PART I, LINE 4A: DURING CALENDAR YEAR 2013, THE FOLLOWING INDIVDUALS RECEIVED A SEVERANCE: MICHELLE QUIGLEY, $329,343; RAY MOSS, $194,644; AND, JULIE REBACK, $54,865. PART I, LINE 4B: DURING CALENDAR YEAR 2013, 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 - $168,390 JEAN O'KEEFE RICO - $68,922 LORI CARDLE - $62,198 GAYATHRI JITH - $55,971 PEGI MATSUDA - $52,452 JONATHON WU - $25,513 JEFFREY ALLPORT - $8,530 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. DIEGO A MECHOSO MD DIRECTOR 802494 PEDIATRICS COVERAGE, PEDIATRIC DIRECTORSHIP AND IT SUPPORT 0 GANESHA PANDIAN MD DIRECTOR 20160 MEDICAL SERVICES 0 JOSHUA ROKAW MD DIRECTOR 33180 MEDICAL SERVICES 0 SUKSHMA SREEPATHI MD DIRECTOR 39130 MEDICAL SERVICES 0 PATRICK WALSH MD DIRECTOR 78572 MEDICAL SERVICES 0 SRIDHAR RAMACHANDRAN MD DIRECTOR 32550 MEDICAL SERVICES 0 FORM 990, PART III, LINE 4A COMMUNITY BENEFIT SERVICES PROMOTE HEALTH AND HEALING AND ARE FOCUSED ON ADDRESSING THE IDENTIFIED UNMET HEALTH NEEDS OF THE COMMUNITY. FOR A PROGRAM OR SERVICE TO BE CONSIDERED A COMMUNITY BENEFIT IT MUST: IMPROVE ACCESS TO HEALTH CARE; OR ENHANCE THE HEALTH OF THE COMMUNITY; OR ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE; OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER NON-PROFIT COMMUNITY EFFORTS. IN FY14, VPH PROVIDED COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS WITHIN ITS SERVICE AREA. A SUMMARY OF THESE ACTIVITIES FOLLOWS: COMMUNITY HEALTH IMPROVEMENT SERVICES: ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH, AVAILABLE TO THE PUBLIC, WHICH ADDRESS A COMMUNITY NEED. COMMUNITY HEALTH EDUCATION/COMMUNITY-BASED CLINICAL SERVICES: -VPH CARES ARE FREE PUBLIC HEALTH EDUCATION WORKSHOPS. THE WORKSHOPS EDUCATED COMMUNITY RESIDENTS ABOUT FIVE MAJOR HEALTH ISSUES FACING THE SAN FERNANDO VALLEY REGION: DIABETES, STROKE, CHILDHOOD OBESITY, WOMEN'S SERVICES AND HEALTHY AGING. PARTICIPANTS LEARNED HOW TO LIVE HEALTHY LIFESTYLES, MINIMIZE CHRONIC HEALTH CONDITIONS AND IMPROVE OVERALL HEALTH OUTCOMES. OVER 2,650 PERSONS WERE REACHED THROUGH COMMUNITY HEALTH EDUCATION. -COMMUNITY HEALTH FAIRS PROVIDED EDUCATION AND RESOURCES TO COMMUNITY RESIDENTS. AN IMPORTANT COMPONENT OF THE HEALTH FAIRS WERE FREE HEALTH CARE SCREENING TESTS OFFERED TO THE COMMUNITY. AT THESE EVENTS, OVER 1,300 PEOPLE RECEIVED CHOLESTEROL, BLOOD GLUCOSE, FOOT AND CAROTID ARTERY SCREENINGS. -HEARTSAVERS CLASSES PROVIDED 33 PEOPLE WITH CPR TRAINING. -VPH CARES MAGAZINE NEWSLETTER WAS MAILED TO SERVICE AREA RESIDENTS TO NOTIFY THE COMMUNITY OF FREE CLASSES, SUPPORT GROUPS, AND SCREENINGS OFFERED AT THE HOSPITAL, AS WELL AS PROVIDING PREVENTIVE HEALTH CARE MATERIALS. THE INFORMATION WAS ALSO POSTED ON OUR WEBSITE. HEALTH CARE SUPPORT SERVICES: -TRANSPORTATION ASSISTANCE (BUS TOKENS AND TAXI VOUCHERS) WAS PROVIDED TO OVER 1,000 PATIENTS AND FAMILIES WITH LIMITED RESOURCES TO SUPPORT ACCESS TO CARE. -ENROLLMENT RESOURCES FOR GOVERNMENT-SPONSORED HEALTH INSURANCE COVERAGE PROGRAMS. HEALTH PROFESSIONS EDUCATION EDUCATION PROGRAMS FOR PHYSICIANS, NURSES, NURSING STUDENTS, AND OTHER HEALTH PROFESSIONALS. CONTINUING EDUCATION FOR PHYSICIANS AND OTHER HEALTH PROVIDERS: VALLEY PRESBYTERIAN HOSTED WEEKLY MEDICAL EDUCATION EVENTS MADE AVAILABLE TO PHYSICIANS AND HEALTH PROVIDERS AMONG THE HOSPITAL STAFF AND THE PROVIDER COMMUNITY. MORE THAN 1,300 HEALTH CARE PROVIDERS ATTENDED MEDICAL EDUCATION EVENTS HOSTED BY THE HOSPITAL. NURSING EDUCATION: VPH PROVIDED PRECEPTORS FOR NURSING STUDENTS THIS PAST YEAR. A NURSE PRACTITIONER STUDENT FROM UCLA PARTICIPATED IN A CLINICAL ROTATION. THREE STUDENT NURSES FROM CALIFORNIA STATE UNIVERSITY DOMINGUEZ HILLS, IN THE LEADERSHIP AND MANAGEMENT TRACK, WORKED WITH HOSPITAL PRECEPTORS. VALLEY SIMULATION LABORATORY- THE VALLEY SIMULATION LABORATORY PROVIDES HIGH-FIDELITY MANNEQUINS THAT ARE DESIGNED TO SIMULATE PATIENT SITUATIONS AND RESPONSES. THE LABORATORY IS DESIGNED TO MODEL A PATIENT CARE UNIT WITH LABOR & DELIVERY AND THE ICU. 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. OTHER HEALTH PROFESSIONS EDUCATION: OTHER HEALTH PROFESSIONALS ARE EDUCATED AND PERFORM THEIR CLINICAL HOURS AND/OR INTERNSHIP ROTATIONS AT VPH. -33 RADIOLOGY TECHNICIAN STUDENTS FROM CASA LAMA COLLEGE, CALIFORNIA STATE UNIVERSITY, NORTHRIDGE, AND KAPLAN COLLEGE COMPLETED CLINICAL INTERNSHIPS. -19 RESPIRATORY THERAPY STUDENTS FROM CONCORDE CAREER COLLEGE AND LOS ANGELES VALLEY COLLEGE COMPLETED CLINICAL INTERNSHIPS. -8 PHYSICIAN ASSISTANT STUDENTS FROM USC COMPLETED CLINICAL INTERNSHIPS. -A STUDENT DIETICIAN FROM CALIFORNIA STATE UNIVERSITY, NORTHRIDGE COMPLETED A CLINICAL INTERNSHIP. -4 HEALTH ADMINISTRATION STUDENTS FROM CALIFORNIA STATE UNIVERSITY, NORTHRIDGE COMPLETED CLINICAL INTERNSHIPS. CASH AND IN-KIND CONTRIBUTIONS: FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY GROUPS AND NON-PROFIT ORGANIZATIONS. VPH PROVIDES IN-KIND DONATIONS OF MEETING SPACE FOR 30 NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS. CONTRIBUTIONS ARE MADE TO 21 NONPROFIT ORGANIZATIONS, CHARITY EVENTS AND EVENT SPONSORSHIPS. VALLEY PRESBYTERIAN IS PROUD OF ITS TRADITION OF GIVING BACK TO THE COMMUNITY. THROUGH ITS COMPASSION IN ACTION PROGRAM, HOSPITAL EMPLOYEES SUPPORT A NUMBER OF COMMUNITY EFFORTS BY PARTICIPATING IN HEALTH AWARENESS COMMUNITY EVENTS, SEEKING DONATIONS FOR NONPROFIT ORGANIZATIONS AND THE CLIENTS THEY SERVE, AND INCREASING UNDERSTANDING OF HEALTH CARE CAREER OPPORTUNITIES. 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. COMMUNITY SUPPORT: A NUMBER OF HOSPITAL STAFF SUPPORT COMMUNITY ORGANIZATIONS THROUGH PARTICIPATION ON COALITIONS, COMMITTEES AND NETWORKS OF AGENCIES ADDRESSING COMMON ISSUES. EMPLOYEES ARE ALSO SUPPORTED BY THE HOSPITALS TO ENGAGE IN PLANNING, EDUCATION PRESENTATIONS, CONSORTIA, SUMMITS, AND MEETINGS WITH COMMUNITY GROUPS. COALITION BUILDING AND ADVOCACY: HOSPITAL REPRESENTATIVES SERVE ON A NUMBER OF ORGANIZATIONS AND COMMITTEES THAT ADDRESS HEALTH IMPROVEMENT AND COMMUNITY DEVELOPMENT. VPH ENGAGES IN ADVOCACY EFFORTS THAT SUPPORT ACCESS TO HEALTH CARE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: EDUCATION AND AWARENESS OF GENERAL HEALTH ISSURES AS WELL AS SPECIFIC ISSUES SUCH AS WOMEN'S SERVICES, DIABETES, SENIOR HEALTH AND HEALTH FAIRS, SCREENINGS AND GENERAL SUPPORT AND ASSISTANCE FOR PATIENTS IN ACCESSING PUBLIC PROGRAMS. WORKFORCE DEVELOPMENT: SIXTY STUDENTS FROM VAN NUYS HIGH SCHOOL AND 65 STUDENTS FROM GRANADA HILLS CHARTER PARTICIPATED IN VPH-SPONSORED HEALTH CARE CAREER DAYS. FORM 990, PART VI, SECTION A, LINE 4 REVISED STRUCTURE FOR TERM LIMITS - GENERAL BOARD MEMBERS: - RECOMMEND INITIAL TERM OF THREE (3) YEARS - TERM MAY BE RENEWED TWO (2) TIMES - TOTAL YEARS OF SERVICE TO BE NINE (9) YEARS - AFTER SERVING NINE CONSECUTIVE YEARS OF SERVICE, A BOARD MEMBER MAY RETURN AFTER A TWO (2) YEAR ABSENCE IF NOMINATED AND REELECTED TO THE BOARD - IMPLEMENT TERMS LIMITS IMMEDIATELY FOR ALL NEW BOARD MEMBERS REVISED FOR ADDITIONAL TERM OF SERVICE - CHAIRMAN OF THE BOARD: EXPAND BYLAWS TO PROVIDE ADDITIONAL TERM OF SERVICE FOR THE CHAIRMAN OF THE BOARD IF TERM EXPIRES WHILE IN OFFICE OR IMMEDIATELY UPON LEAVING OFFICE. DUTIES OF THE CHAIRMAN OF THE BOARD: THE CHAIRMAN OF THE BOARD HAS THE POWER, WITH THE APPROVAL OF THE BOARD OF DIRECTORS, TO BESTOW HONORARY TITLES OR TO AWARD SPECIAL RECOGNITION TO PAST AND PRESENT BOARD MEMBERS AND OR TO OTHERS. FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND CONTROLLER REVIEW THE WORKPAPERS AND THE DRAFT 990. ONCE THE 990 IS COMPLETED, IT IS REVIEWED WITH THE CEO AND THE BOARD FINANCE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C VALLEY PRESBYTERIAN HOSPITAL'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. ALL VALLEY PRESBYTERIAN HOSPITAL EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AS SOON AS IT IS KNOWN. ADDITIONALLY, VALLEY PRESBYTERIAN HOSPITAL'S COMPLIANCE OFFICER OVERSEES THIS POLICY ON A REGULAR AND CONSISTENT BASIS. 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 VALLEY PRESBYTERIAN HOSPITAL 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 AND SCHEDULE L, PART IV BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: PATRICK WALSH, MD, SRIDHAR RAMACHANDRAN, MD, DIEGO A. MECHOSO, MD, GANESHA PANDIAN, MD, JOSHUA ROKAW, MD, AND SUKSHMA SREEPATHI, MD ARE MEMBERS OF THE BOARD. THEY DEVOTE AN AVERAGE OF 0.40 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 REPORTED ON SCHEDULE L, PART IV AND ARE UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 22,272,245. MANAGEMENT AND GENERAL EXPENSES 13,033,187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,305,432. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 25,127. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. CHARITABLE REMAINDER TRUST (5) HOLDING COMPANY CA VALLEY PRESBYTERIAN HOSPITAL T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0