2015-11-16T10:34:26-06:00 2014-12-31 330155525 HBLA CERTIFIED PUBLIC ACCOUNTANTS INC 19600 FAIRCHILD STE 320 IRVINE CA 92612 990 2014-01-01 953885523 CITRUS VALLEY HEALTH PARTNERS INC CITR 6263317331 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 RAJESH K SHARMA SR VP & CFO 6269387595 2015-11-11 1 EDWARD E BENOE P00032866 9498332815 2014 2016-02-25 16:41:14Z ROBERT H CURRY 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 72259658 0 X CVHP.ORG X 1983 CA TO PROVIDE SUPPORT TO TWO ACUTE-CARE HOSPITALS, A HOSPICE, AND A HOME HEALTH AGENCY WHICH, IN TURN, PROVIDE INPATIENT AND OUTPATIENT CLINICAL SERVICES. 22 20 396 5 562722 531756 0 0 47878120 62684129 1570776 936127 824679 988248 50273575 64608504 0 0 0 0 29274707 31266907 0 0 0 19624645 32255214 48899352 63522121 1374223 1086383 74749262 75864510 29336347 29888386 45412915 45976124 X OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A SAFE, COMPASSIONATE ENVIRONMENT. 0 0 56497959 61458051 PROVIDE OVERALL SUPERVISION, GUIDANCE, LONG RANGE PLANNING, FINANCIAL MANAGEMENT, AND INVESTMENT OF FUNDS FOR THE BENEFIT OF CITRUS VALLEY MEDICAL CENTER, FOOTHILL PRESBYTERIAN HOSPITAL, HOSPICE, AND FOUNDATION. ALL OF WHICH ARE 501(C)(3). PROVIDE SUPPORT TO TWO ACUTE-CARE HOSPITALS, A HOSPICE, AND A HOME HEALTH AGENCY WHICH, IN TURN, PROVIDE INPATIENT AND OUTPATIENT CLINICAL SERVICES. 1393748 1356679 FIRST 5 LA OPTIMIZES THE DEVELOPMENT AND WELL BEING OF ALL CHILDREN, FROM THE PRENATAL STAGE UNTIL THEIR 5TH BIRTHDAYS, BY INCREASING RESOURCES, ENSURING ACCESS TO SERVICES, AND IMPROVING THE ABILITIES OF FAMILIES, COMMUNITIES AND PROVIDERS OF SERVICES. 57468 56885 TO PROVIDE EDUCATION PRIMARILY ABOUT COVERED CALIFORNIA WHILE PROMOTING A CULTURE OF COVERAGE AND MOTIVATING PARTICIPANTS TO TAKE ACTION AND ENROLL. 23135 14561 TO ENSURE THAT ALL ELIGIBLE CHILDREN AND PARENTS IN CALIFORNIA HAVE HEALTHCARE COVERAGE, TO CREATE PARTNERSHIPS THAT HELP TO PREVENT CHILDHOOD OBESITY AND TO INCREASE THE NUMBER OF CHILDREN IN LOS ANGELES COUNTY WHO ARE READY TO LEARN WHEN THEY REACH SCHOOL AGE. 23135 14561 57972310 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 151 0 1 396 1 1 1 0 0 0 0 0 0 0 0 0 X 22 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X X RAJESH K SHARMA SR VP & CFO 6269387595 140 WEST COLLEGE ST PO BOX 6108 COVINA CA 917225108 WALTER ALLEN III VICE CHAIR 3.00 X 0 0 0 ROBERT DUNCAN SECRETARY 3.00 X 0 0 0 PATRICIA HANES PHD BOARD OF DIRECTORS 3.00 X 0 0 0 RAYMOND MATTES IHM BOARD OF DIRECTORS 3.00 X 0 0 0 GORDON SHIPP BOARD OF DIRECTORS 3.00 X 0 0 0 HAROLD BORAK SR BOARD OF DIRECTORS 3.00 X 0 0 0 PATSY GORRELL BOARD OF DIRECTORS 3.00 X 0 0 0 ARTHUR LUDWICK TREASURER 3.00 X 0 0 0 EARL WASHINGTON BOARD OF DIRECTORS 3.00 X 0 0 0 GURJEET KALKAT MD BOARD OF DIRECTORS 3.00 X 0 0 0 CLIFFORD CHRIST CHAIR 3.00 X 0 0 0 JACQUELINE BRACY MD BOARD OF DIRECTORS 3.00 X 43662 0 0 BILL W TANG MD BOARD OF DIRECTORS 3.00 X 650 66900 0 ROBERT H CURRY PRESIDENT/CEO/BOARD OF DIRECTORS 18.00 22.00 X X 1099676 0 28649 PATRICIA GOMER LCSW SECRETARY 3.00 X 0 0 0 J PAUL HOLLAND MD BOARD OF DIRECTORS 3.00 X 0 0 0 OJ RODRIQUEZ BOARD OF DIRECTORS 3.00 X 0 0 0 MARY KIRCHEN IHM BOARD OF DIRECTORS 3.00 X 0 0 0 PHILIP MALDONADO DDS BOARD OF DIRECTORS 3.00 X 0 0 0 LANCE WILCHER DNP FNP-BC BOARD OF DIRECTORS 3.00 X 0 0 0 ROBINSON BARON BOARD OF DIRECTORS 3.00 X 0 0 0 JEFFREY SHAPIRO MD BOARD OF DIRECTORS 3.00 X 0 0 0 DONALD BOSS ESQ BOARD OF DIRECTORS 3.00 X 0 0 0 THOMAS BRYAN MD BOARD OF DIRECTORS 3.00 X 0 0 0 RAJESH SHARMA SR. VP, CFO 18.00 22.00 X 571276 0 27198 DIANA LUGO-ZENNER CHIEF NURSING OFFICER 9.00 31.00 X 447050 0 25624 PAVELJIT BINDRA CHIEF MED STAFF/INFO OFC 16.00 24.00 X 564862 0 20147 MARTIN KLEINBART CHIEF STRATEGY OFFICER 3.60 36.40 X 371114 0 27644 JILLISA PLESH CHIEF LEGAL OFFICER 3.60 36.40 X 382354 0 18280 PAUL HEREDIA CHIEF HUMAN RESOURCES OFFICER 3.60 36.40 X 430682 0 25130 3911326 66900 172672 68 0 1 0 AUXILIO INC PO BOX 388 PALO ALTO CA 94302 PRINT/COPYING SERV/RENTAL 1671561 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 SOFTWARE MAINTENANCE 863638 HOOPER LUNDY & BOOKMAN INC 1875 CENTURY PARK EAST STE 1600 LOS ANGELES CA 90067 LEGAL SERVICES 701870 HYLAND SOFTWARE INC 28500 CLEMENS ROAD WESTLAKE OH 44145 MED SOFTWARE MAINT. 581626 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 SOFTWARE MAINTENANCE 518070 9 MANAGEMENT INCOME 900099 61176427 61176427 PROGRAM REVENUE GOVT. GRANTS 900099 1474391 1474391 MANAGEMENT INCOME 900099 33311 33311 62684129 746317 78363 667954 280406 15762 264644 264644 264644 7825202 7598194 37198 227008 -37198 189810 -37198 227008 PASSTHROUGH INCOME FROM GLENDORA 900099 529411 529411 CASH DISCOUNTS & OTHERS 900099 180451 180451 MEDICAL RECORDS 900099 13742 13742 723604 64608504 62886176 562722 1159606 X 821372 724623 96749 22216182 19599352 2616830 825998 780164 45834 5753427 5512264 241163 1649928 1592927 57001 1271890 1162764 109126 2535761 2283349 252412 324558 292102 32456 188564 188564 1154290 1043241 111049 340872 308352 32520 725984 679859 46125 189994 178158 11836 152957 144475 8482 2413015 2197740 215275 41117 41117 UNRELATED BUSINESS INCO 187165 187165 0 OTHER EXPENSES 10615354 9571414 1043940 PURCHASED SERVICES 9269095 8791495 477600 DUES AND SUBSCRIPTIONS 919718 836870 82848 1924880 1856315 68565 63522121 57972310 5549811 0 4500 4500 802500 1723500 8011 8011 2314246 2158552 1788722 1986912 37971004 22802363 12728779 15168641 47542979 47727283 9559525 7087111 74749262 75864510 18088657 11816876 11247690 18071510 29336347 29888386 X 45407515 45970724 5400 5400 45412915 45976124 74749262 75864510 X 1086383 6237 -529411 X X 0 1 X 1 0 X X 4 CITRUS VALLEY HOSPICE INC 953493611 9 1 0 0 CITRUS VALLEY HEALTH FOUNDATION INC 952534063 509(A)(3) 1 0 0 CITRUS VALLEY MEDICAL CENTER INC 956006469 3 1 0 0 FOOTHILL PRESBYTERIAN HOSPITAL 952413054 3 1 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A LINE 11G COLUMN VI THE AMOUNTS ENTERED ON LINES 11G IN COLUMN VI IS THE VALUE OF THE MANAGEMENT FEE SERVICES PROVIDED BY THE ORGANIZATION TO THE SUPPORTED ORGANIZATIONS. THESE AMOUNTS ARE PAID TO THE ORGANIZATION BY THE SUPPORTED ORGANIZATION. 0 0 0 0 0 1 325755 0 0 0 325755 0 PART II-B, LINE 1: CITRUS VALLEY HEALTH PARTNERS, INC PAID $268,175 IN DUES TO THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA TO COVER MEMBERSHIP IN THE CALIFORNIA HOSPITAL ASSOCIATION, CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. HASC USED 14.76% OF THE DUES TOWARDS LOBBYING ACTIVITIES. CVHP ALSO CONTRIBUTED $37,500 TO THE COALITION TO PROTECT AMERICA'S HEALTH CARE. 100% OF THE CONTRIBUTION IS FOR LOBBYING EXPENSE. CVHP WAS ASSESSED $248,672 BY THE CALIFORNIA HOSPITAL ASSOCIATION TO FUND THE LABOR MANAGEMENT COOPERATION ACT COMMITTEE AND FOR CHCI TO RETIRE DEBT INCURRED IN THE SEIU-UHW OPPOSITION CAMPAIGN. 100% OF BOTH DUES ASSESSMENTS ARE FOR LOBBYING EXPENSES. 2835836 2835836 3881015 3432521 448494 31254153 19369842 11884311 15168641 1817242 F UNRESTRICTED INVESTMENTS 45910041 F 47727283 DEPOSIT - WORKERS COMPENSATION L.T. -442153 HOSP/PROF EXCESS INS RECOVERIES - LT 2339000 DEPOSIT - WORKERS COMPENSATION STATE 5190264 7087111 106174 OTHER CURRENT LIABILITIES 10600336 HOSPITAL /PROF INSURANCE RESERVES 7365000 18071510 X 63722000 6237 15824 22061 63699939 908565 908565 64608504 63159000 16033 16033 63142967 379154 379154 63522121 PART X, LINE 2: ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2014 OR 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ON RENTAL UNITS OFFSET IN 990 15,762. ROUNDING DIFFERENCE 62. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES OFFSET AGAINST REVENUE IN FINANCIAL REPORT 188,564. BANK SERVICE CHARGES OFFSET TO INCOME IN F/S 3,425. INCOME TAXES OFFSET TO INCOME IN F/S 187,165. PASSTHROUGH INCOME FROM GLENDORA SURGICAL CENTER 529,411. PART XII, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ON RENTAL UNITS OFFSET IN 990 15,762. ROUNDING DIFFERENCE 271. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES OFFSET AGAINST REVENUE IN FINANCIAL REPORT 188,564. BANK SERVICE CHARGES OFFSET TO INCOME IN F/S 3,425. INCOME TAXES OFFSET TO INCOME IN F/S 187,165. 1 X X X X X 0 0 0 0 0 0 0 0 0 ROBERT H CURRY PRESIDENT/CEO/BOARD OF DIRECTORS 730653 0 292738 0 76285 0 8250 0 20399 0 1128325 0 0 0 RAJESH SHARMA SR. VP, CFO 426023 0 112940 0 32313 0 6904 0 20294 0 598474 0 0 0 DIANA LUGO-ZENNER CHIEF NURSING OFFICER 334356 0 86419 0 26275 0 11825 0 13799 0 472674 0 0 0 PAVELJIT BINDRA CHIEF MED STAFF/INFO OFC 421486 0 109486 0 33890 0 7447 0 12700 0 585009 0 0 0 MARTIN KLEINBART CHIEF STRATEGY OFFICER 273946 0 73079 0 24089 0 7350 0 20294 0 398758 0 0 0 JILLISA PLESH CHIEF LEGAL OFFICER 284771 0 75736 0 21847 0 9636 0 8644 0 400634 0 0 0 PAUL HEREDIA CHIEF HUMAN RESOURCES OFFICER 318012 0 85037 0 27633 0 4836 0 20294 0 455812 0 0 0 PART I, LINE 3 ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR - CVHP USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PLEASE SEE ADDITIONAL EXPLANATION AT SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. FORM 990, PART VI, SECTION B, LINE 11 STAFF ACCOUNTANTS, ACCOUNTING MANAGER AND VICE PRESIDENT OF CORPORATE FINANCE REVIEW FORM 990 FOR ACCURACY AND COMPLETENESS UPON RECEIVING IT FROM THE CPA TAX PREPARER. FORM 990 IS FORWARDED TO RAJESH SHARMA, SR. VP & CFO, FOR THE FINAL REVIEW. TAX PREPARER PRESENTS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR APPROVAL. THE BOARD DELEGATED REVIEW AND APPROVAL TO THE AUDIT AND COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, KEY EMPLOYEES, AND MANAGEMENT ARE COVERED BY THE CONFLICT OF INTEREST POLICY. DETERMINATIONS OF CONFLICT AND REVIEW OF CONFLICT ARE PERFORMED AT THE VARIOUS LEVELS OF THE ORGANIZATION. APPROPRIATE ACTION DEPENDING ON THE CONFLICT IS TAKEN BY MANAGEMENT, KEY EMPLOYEES AND THE BOARD. DISCLOSURE FORMS ARE REQUIRED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS, KEY EMPLOYEES AND MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE PAY AT CITRUS VALLEY HEALTH PARTNERS FOLLOWS MARKET-BASED PAY PRACTICES FOR HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND TYPE IN THE SOUTHERN CALIFORNIA AREA. SALARY RANGES FOR EXECUTIVES WORKING AT CVHP FACILITIES FALL WITHIN THE MIDDLE OF THE MARKET, JUST AS THEY DO FOR ALL EMPLOYEES OF OUR ORGANIZATION. EVERY POSITION IN THE ORGANIZATION HAS A SALARY RANGE ATTACHED TO IT THAT REPRESENTS WHAT OTHERS DOING A SIMILAR JOB IN OTHER ORGANIZATIONS ARE LIKELY TO BE PAID. THE LONG-STANDING PAY PHILOSOPHY FOR CVHP HAS BEEN TO POSITION OUR SALARY RANGES IN THE MIDDLE OF OUR LOCAL LABOR MARKET; WE DON'T WANT TO LAG THE LOCAL MARKET, NOR DO WE WANT TO LEAD THE MARKET, SINCE THAT IS NOT A STRATEGY WE CAN AFFORD TO SUSTAIN OVER TIME. WE RELY ON MARKET STUDIES TO DETERMINE WHERE OUR PAY PRACTICES ARE RELATIVE TO OTHER HOSPITALS IN SOUTHERN CALIFORNIA. FOR EXECUTIVE PAY, WE USE THE NATIONALLY-RECOGNIZED AND RESPECTED FIRM, HAYGROUP, TO ANALYZE OUR EXECUTIVE PAY PROGRAM AND DETERMINE WHERE IT FALLS IN OUR MARKET. THIS STUDY IS PERFORMED EVERY OTHER YEAR. THE MOST RECENT EXECUTIVE COMPENSATION DATA IS DATED OCTOBER 2014. AS PART OF THEIR EXECUTIVE COMPENSATION REVIEW, HAYGROUP ALSO ISSUES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE PAY PROGRAM FOR A NOT-FOR-PROFIT ORGANIZATION LIKE OURS THAT IS SUBJECT TO THE REQUIREMENTS OF SECTION 4958 OF THE INTERNAL REVENUE CODE AND UNITED STATES TREASURY DEPARTMENT REGULATIONS. IN THEIR OCTOBER 16, 2014, OPINION LETTER, HAYGROUP WROTE, WE BELIEVE WE HAVE COMPARED THE EXECUTIVE COMPENSATION TO COMPENSATION AND BENEFITS PAID TO EXECUTIVES OF ORGANIZATIONS WITH LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES, AND AS A RESULT, WE BELIEVE THAT COMPENSATION AND BENEFITS PAID TO THE EXECUTIVES ARE REASONABLE WITHIN THE MEANING OF SECTION 53.4958-4(B)(1)(II)(A) OF THE TREASURY REGULATIONS. THE EXECUTIVE POSITIONS THAT ARE INCLUDED IN THE BIENNIAL EXECUTIVE COMPENSATION REVIEW INCLUDE THE PRESIDENT/CEO, CHIEF MEDICAL OFFICER/CHIEF INFORMATION OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, CHIEF HUMAN RESOURCES OFFICER, CHIEF CLINICAL SERVICES OFFICER, CHIEF STRATEGY OFFICER, CHIEF COMPLIANCE OFFICER, CHIEF TRANSFORMATION OFFICER, CHIEF COMMUNICATIONS & ADVOCACY OFFICER, AND CEO (CITRUS VALLEY HEALTH FOUNDATION). FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G RECRUITING: PROGRAM SERVICE EXPENSES 876,077. MANAGEMENT AND GENERAL EXPENSES 97,342. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 973,419. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 167,164. MANAGEMENT AND GENERAL EXPENSES 13,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,871. FORM 990, PART IX, LINE 24E EQUIPMENT RENTALS/LEASES: PROGRAM SERVICE EXPENSES 506,095. MANAGEMENT AND GENERAL EXPENSES 1,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 507,434. TELEPHONE: PROGRAM SERVICE EXPENSES 435,390. MANAGEMENT AND GENERAL EXPENSES 44,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 480,217. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 350,935. MANAGEMENT AND GENERAL EXPENSES 9,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,656. POSTAGE: PROGRAM SERVICE EXPENSES 293,812. MANAGEMENT AND GENERAL EXPENSES 7,644. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 301,456. LICENSES AND TAXES: PROGRAM SERVICE EXPENSES 168,778. MANAGEMENT AND GENERAL EXPENSES 5,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,812. UTILITIES: PROGRAM SERVICE EXPENSES 97,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,880. BANK CHARGES: PROGRAM SERVICE EXPENSES 3,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,425. FORM 990, PART XI, LINE 9: PASSTHROUGH INCOME FROM GLENDORA SURGICAL CENTER -529,411. FORM 990, PART XII, LINES 2B: AUDITED FINANCIAL STATEMENTS THE FINANCIAL STATEMENTS OF CITRUS VALLEY HEALTH PARTNERS, INC. AND ITS AFFILIATES, CITRUS VALLEY MEDICAL CENTER, INC., CITRUS VALLEY HOSPICE, FOOTHILL PRESBYTERIAN HOSPITAL, CITRUS VALLEY HEALTH FOUNDATION, INC., AND GLENDORA SURGERY CENTER, WERE AUDITED ON A CONSOLIDATED BASIS. FORM 990, PART XII, LINE 2C: AUDIT AND COMPLIANCE COMMITTEE THE BOARD OF DIRECTORS HAS CONSTITUTED AN AUDIT AND COMPLIANCE COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBILITY FOR ENGAGING INDEPENDENT AUDITORS AND MONITORING THE AUDIT PROCESS. THIS STRUCTURE HAS BEEN IN EFFECT IN PRIOR YEARS AND WAS NOT CHANGED IN 2014. FORM 990, PART VII, SECTION A, LINE 1A AND SCHEDULE J: REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS THE OFFICERS REPORTED ON PART VII OF FORM 990 AND SCHEDULE J ARE COMPENSATED BY CITRUS VALLEY HEALTH PARTNERS (CVHP). THE COMPENSATION AMOUNTS REPORTED IN PART VII OF FORM 990 AND SCHEDULE J REPRESENT 100% OF THE COMPENSATION PAID BY CVHP TO THE OFFICERS. THE OFFICERS ALSO SERVE AS CORPORATE OFFICERS FOR CITRUS VALLEY MEDICAL CENTER, INC., CITRUS VALLEY HOSPICE, INC., FOOTHILL PRESBYTERIAN HOSPITAL AND CITRUS VALLEY HEALTH FOUNDATION, INC., ALL AFFILIATES OF THE TAXPAYER. IN ACCORDANCE WITH OUR UNDERSTANDING OF THE FORM 990 INSTRUCTIONS, SIMILAR PART VII AND SCHEDULE J DISCLOSURES ARE MADE IN EACH OF THE AFOREMENTIONED AFFILIATES 990 RETURNS. FORM 990, PART VII, SECTION A: REPORTABLE HOURS FOR RELATED ORGANIZATIONS THE OFFICERS SERVE AS CORPORATE OFFICERS FOR CITRUS VALLEY HEALTH PARTNERS (CVHP), CITRUS VALLEY MEDICAL CENTER, INC. (CVMC), CITRUS VALLEY HOSPICE (CVH), INC., FOOTHILL PRESBYTERIAN HOSPITAL (FPH) AND CITRUS VALLEY HEALTH FOUNDATION, INC. (CVHF), ALL AFFILIATES OF THE TAXPAYER. THE NUMBER OF HOURS DEVOTED BY THE CORPORATE OFFICERS TO THE AFFILIATES ARE AS FOLLOWS: ROBERT CURRY DEVOTED 4, 2, 2, AND 14 HOURS TO FPH, CVH, CVHF, AND CVMC, RESPECTIVELY. RAJESH SHARMA DEVOTED 4, 2, 2, AND 14 HOURS TO FPH, CVH, CVHF, AND CVMC, RESPECTIVELY. FORM 990, PART V, LINE 7H: FILING OF FORM 1098C THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF AUTOMOBILES, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY THERE WERE NO FORMS 1098C FILED. CITRUS VALLEY MEDICAL CENTER INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 956006469 ACUTE CARE HOSPITAL CA 501 (C)(3) LINE 3 N/A 0 CITRUS VALLEY HEALTH FOUNDATION INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952534063 EXEMPT ORGANIZATION SUPPORT CA 501 (C)(3) LINE 11A, I N/A 0 CITRUS VALLEY HOSPICE INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 953493611 HOME HEALTH & HOSPICE CARE CA 501 (C)(3) LINE 9 N/A 0 FOOTHILL PRESBYTERIAN HOSPITAL 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952413054 ACUTE CARE HOSPITAL CA 501 (C)(3) LINE 3 N/A 0 GLENDORA SURGERY CENTER 315 E ROUTE 66 101 GLENDORA CA 91740 510492499 OUTPATIENT SURGERY CENTER CA CITRUS VALLEY HEALTH PARTNERS INC S 529411 0.51000 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 CITRUS VALLEY MEDICAL CENTER J 90000 FAIR MARKET VALUE CITRUS VALLEY HOSPICE J 63000 FAIR MARKET VALUE CITRUS VALLEY HOSPICE L 686537 FAIR MARKET VALUE FOOTHILL PREBYTERIAN HOSPITAL L 10547422 FAIR MARKET VALUE CITRUS VALLEY MEDICAL CENTER L 49921758 FAIR MARKET VALUE CITRUS VALLEY MEDICAL CENTER O -125677789 FAIR MARKET VALUE CITRUS VALLEY HEALTH FOUNDATION O -262705 FAIR MARKET VALUE CITRUS VALLEY HOSPICE O -4412236 FAIR MARKET VALUE FOOTHILL PREBYTERIAN HOSPITAL O -167401 FAIR MARKET VALUE FORM 990 SCHEDULE R, PART V, NUMBER 2, CODE O: THE EXECUTIVE SALARIES ARE PROCESSED THROUGH CITRUS VALLEY HEALTH PARTNERS. THE SALARIES REPORTED ON FORM 990 ARE PROCESSED THROUGH CITRUS VALLEY HEALTH PARTNERS. CITRUS VALLEY HEALTH PARTNERS ACTS AS A COMMON PAYMASTER FOR AFFILIATED ENTITIES, CITRUS VALLEY MEDICAL CENTER, CITRUS VALLEY HEALTH FOUNDATION AND CITRUS VALLEY HOSPICE. CITRUS VALLEY HEALTH PARTNERS FILED ONE FORM W-3 WHICH SHOWS A COMBINED NUMBER OF 3,066 EMPLOYEES. THE NUMBER OF EMPLOYEES FOR EACH ENTITY IS REPORTED SEPARATELY ON ITS OWN FORM 990 PART I LINE 5. CITRUS VALLEY MEDICAL CENTER'S FORM 990 REPORTED A TOTAL OF 2,570 EMPLOYEES, CITRUS VALLEY HOSPICE'S FORM 990 REPORTED 92 EMPLOYEES, CITRUS VALLEY HEALTH FOUNDATION'S FORM 990 REPORTED 8 EMPLOYEES AND CITRUS VALLEY HEALTH PARTNER'S FORM 990 REPORTED 396 EMPLOYEES. THE FILING ORGANIZATION FILES ITS OWN FORM W-3, HOWEVER AMOUNTS REPORTED ON SCHEDULE R, PART V, NUMBER 2, CODE O REPRESENT SHARED EMPLOYEE EXPENSES THAT OCCUR BETWEEN THE AFFILIATES.