2014-11-13T18:06:35-06:00 2013-12-31 330155525 HBLA CERTIFIED PUBLIC ACCOUNTANTS INC 19600 FAIRCHILD STE 320 IRVINE CA 92612 990 2013-01-01 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 2014-11-12 1 EDWARD E BENOE P00032866 9498332815 2013 2015-11-30 17:44:51Z ROBERT H CURRY 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 106402108 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 18 335 5 311574 310574 0 0 42551863 47878120 998148 1570776 595635 824679 44145646 50273575 0 0 0 0 27158127 29274707 0 0 0 16218952 19624645 43377079 48899352 768567 1374223 63708406 74749262 21226677 29336347 42481729 45412915 X OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A COMPASSIONATE ENVIRONMENT. 0 0 43860015 47188544 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. 522016 592120 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. 346790 345716 TO ENSURE THAT ALL ELIGIBLE CHILDREN, YOUTH AND PARENTS IN CALIFORNIA HAVE HEALTHCARE COVERAGE THROUGH HEALTHY FAMILIES AND MEDI-CAL PROGRAMS. 185027 25521 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. 185027 25521 44913848 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 0 0 0 1 162 0 1 335 1 1 1 0 0 0 0 0 0 0 0 0 X 22 18 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 SOHANJEET BASSI MD BOARD OF DIRECTORS 3.00 X 0 12437 0 ROBERT DUNCAN BOARD OF DIRECTORS 3.00 X 0 0 0 HUMBERTO GALLENO MD BOARD OF DIRECTORS 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 21207 0 0 BILL W TANG MD BOARD OF DIRECTORS 3.00 X 0 59900 0 ROBERT H CURRY PRESIDENT/CEO/BOARD OF DIRECTORS 18.00 22.00 X X 1069801 0 43405 BERNARD BOLLINGER JR ESQ BOARD OF DIRECTORS 3.00 X 0 0 0 PATRICIA GOMER LCSW SECRETARY 3.00 X 0 0 0 J PAUL HOLLAND MD BOARD OF DIRECTORS 3.00 X 0 0 0 TERI MEISTER ESQ 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 RAJESH SHARMA SR. VP, CFO 18.00 22.00 X 544075 0 32164 DIANA LUGO-ZENNER CHIEF NURSING OFFICER 9.00 31.00 X 456893 0 27909 PAVELJIT BINDRA CHIEF MEDICAL OFFICER/CHIE 16.00 24.00 X 594952 0 15507 MARTIN KLEINBART CHIEF STRATEGY OFFICER 3.60 36.40 X 371348 0 31385 JILLISA JACOBS CHIEF COMPLIANCE OFFICER 3.60 36.40 X 371952 0 21030 MARY ZIMMER CHIEF MEDICAL OFFICER 3.60 36.40 X 368867 0 35516 3799095 72337 206916 55 0 1 0 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 SOFTWARE SYSTEMS 1104797 AUXILIO INC PO BOX 388 PALO ALTO CA 94302 PRINT/COPING SERV/RENTAL 867987 CDW GOVERNMENT INC 75 REMITTANCE DR SUITE 1515 CHICAGO IL 60675 SOFTWARE LICENSES 704727 NUANCE COMMUNICATIONS INC PO BOX 2561 CAROL STREAM IL 601322561 TRANSCRIPTION SERV/SOFTWARE 570066 HYLAND SOFTWARE 28500 CLEMENS ROAD WESTLAKE OH 44145 MEDICAL RECORDS SOFTWARE 386941 12 MANAGEMENT INCOME 900099 46824289 46824289 PROGRAM REVENUE GOVT. GRANTS 900099 1053831 1053831 47878120 756019 12808 743211 266739 14607 252132 252132 252132 56928683 56113926 814757 814757 814757 PASSTHROUGH INCOME FROM GLENDORA 900099 311574 311574 CASH DISCOUNTS & OTHERS 900099 248524 248524 MEDICAL RECORDS 900099 12449 12449 572547 50273575 48151901 311574 1810100 781457 693687 87770 20627242 18310487 2316755 674555 613155 61400 5535340 5307046 228294 1656113 1594995 61118 2206257 2051308 154949 502530 454299 48231 331318 298186 33132 255009 255009 1173804 1059724 114080 215751 194176 21575 683231 637455 45776 161044 150140 10904 130470 125191 5279 2161926 1979061 182865 41910 41910 PURCHASED SERVICES 7882039 7480601 401438 OTHER EXPENSES 1048931 952112 96819 EQUIPMENT RENTALS/LEASE 571152 569267 1885 DUES AND SUBSCRIPTIONS 530195 485895 44300 1729078 1660144 68934 48899352 44913848 3985504 0 4500 4500 597804 802500 537 8011 236690 2314246 1051125 1788722 33806184 21077405 12028553 12728779 44635848 47542979 5153349 9559525 63708406 74749262 13196921 18088657 8029756 11247690 21226677 29336347 X 42476329 45407515 5400 5400 42481729 45412915 63708406 74749262 X 1374223 1868538 -311575 X X 0 1 X 1 0 X X X 0 0 0 CITRUS VALLEY HOSPICE INC 953493611 12 1 1 1 529116 CITRUS VALLEY HEALTH FOUNDATION INC 952534063 13 1 1 1 21262 CITRUS VALLEY MEDICAL CENTER INC 956006469 7 1 1 1 38280959 FOOTHILL PRESBYTERIAN HOSPITAL 952413054 7 1 1 1 7992952 4 46824289 0 0 0 0 0 1 851130 0 0 0 851130 0 PART II-B, LINE 1: CITRUS VALLEY HEALTH PARTNERS, INC PAID $256,804 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 13.43% OF THE DUES TOWARDS LOBBYING ACTIVITIES. CVHP ALSO CONTRIBUTED $2,300 TO THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS. 100% OF THE CONTRIBUTION IS FOR LOBBYING EXPENSE. CVHP WAS ASSESSED $814,341 BY THE CALIFORNIA HOSPITAL ASSOCIATION TO FUND A BALLOT INITIATIVE TO ENACT LEGISLATION TITLED MEDI-CAL FUNDING AND ACCOUNTABILITY ACT OF 2014. 2835836 2835836 4584721 4040982 543739 26385627 17036423 9349204 12728779 2429242 F UNRESTRICTED INVESTMENTS 45113737 F 47542979 DEPOSIT - WORKERS COMPENSATION L.T. 106518 HOSP/PROF EXCESS INS RECOVERIES - LT 3782000 DEPOSIT - WORKERS COMPENSATION STATE 5190264 PHYSICIAN GUARANTEE - L/T 480743 9559525 62489 OTHER CURRENT LIABILITIES 2145201 HOSPITAL /PROF INSURANCE RESERVES 9040000 11247690 X 51338000 1868538 15587 1884125 49453875 819700 819700 50273575 48406000 14774 14774 48391226 508126 508126 48899352 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, 2013 OR 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ON RENTAL UNITS OFFSET IN 990 14,607. ROUNDING DIFFERENCE 980. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES OFFSET AGAINST REVENUE IN FINANCIAL REPORT 255,009. BANK SERVICE CHARGES OFFSET TO INCOME IN F/S 10,628. INCOME TAXES OFFSET TO INCOME IN F/S 242,489. PASSTHROUGH INCOME FROM GLENDORA SURGICAL CENTER 311,574. PART XII, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ON RENTAL UNITS OFFSET IN 990 14,607. ROUNDING DIFFERENCE 167. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES OFFSET AGAINST REVENUE IN FINANCIAL REPORT 255,009. BANK SERVICE CHARGES OFFSET TO INCOME IN F/S 10,628. INCOME TAXES OFFSET TO INCOME IN F/S 242,489. X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 ROBERT H CURRY PRESIDENT/CEO/BOARD OF DIRECTORS 665502 0 309914 0 94385 0 23694 0 19711 0 1113206 0 0 0 RAJESH SHARMA SR. VP, CFO 371469 0 131361 0 41245 0 12494 0 19670 0 576239 0 0 0 DIANA LUGO-ZENNER CHIEF NURSING OFFICER 315665 0 107764 0 33464 0 14516 0 13393 0 484802 0 0 0 PAVELJIT BINDRA CHIEF MEDICAL OFFICER/CHIE 407938 0 139052 0 47962 0 14742 0 765 0 610459 0 0 0 MARTIN KLEINBART CHIEF STRATEGY OFFICER 255390 0 90383 0 25575 0 11715 0 19670 0 402733 0 0 0 JILLISA JACOBS CHIEF COMPLIANCE OFFICER 257203 0 90383 0 24366 0 13233 0 7797 0 392982 0 0 0 MARY ZIMMER CHIEF MEDICAL OFFICER 256487 0 90383 0 21997 0 15846 0 19670 0 404383 0 0 0 PART I, LINE 1A PATRICK KEGIN RECEIVED $5,000 FOR HOUSING EXPENSE INCLUDED IN HIS W-2. PART I, LINE 4A PATRICK KEGIN WAS PAID A SEVERANCE PACKAGE. SCHEDULE J, PART I, QUESTION 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 2012. 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 31, 2012, 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 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 PATIENT EXPERIENCE OFFICER, CHIEF COMMUNICATIONS OFFICER, AND CEO (CITRUS VALLEY HEALTH FOUNDATION). FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING -1. PASSTHROUGH INCOME FROM GLENDORA SURGICAL CENTER -311,574. 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 2013. 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 COPORATE 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: DIANA LUGO-ZENNER DEVOTED 5, 5, 1, AND 20 HOURS TO FPH, CVH, CVHF, AND CVMC, RESPECTIVELY. 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) 7 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) 13 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) 12 N/A 0 FOOTHILL PRESBYTERIAN HOSPITAL 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952413054 ACUTE CARE HOSPITAL CA 501 (C)(3) 7 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 311574 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 63001 FAIR MARKET VALUE CITRUS VALLEY HEALTH FOUNDATION L 21262 FAIR MARKET VALUE CITRUS VALLEY HOSPICE L 529116 FAIR MARKET VALUE FOOTHILL PREBYTERIAN HOSPITAL L 7992952 FAIR MARKET VALUE CITRUS VALLEY MEDICAL CENTER L 38280959 FAIR MARKET VALUE CITRUS VALLEY MEDICAL CENTER O -119286358 FAIR MARKET VALUE CITRUS VALLEY HEALTH FOUNDATION O -454642 FAIR MARKET VALUE CITRUS VALLEY HOSPICE O -4242571 FAIR MARKET VALUE FOOTHILL PREBYTERIAN HOSPITAL O -163231 FAIR MARKET VALUE FORM 990 SCHEDULE R, PART V, NUMBER 2, CODE O: THE SALARIES REPORTED ON FORM 990 ARE PROCESSED THROUGH CITRUS VALLEY HEATLH 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 2,922 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 2,484 EMPLOYEES, CITRUS VALLEY HOSPICE'S FORM 990 REPORTED 93 EMPLOYEES, CITRUS VALLEY HEALTH FOUNDATION'S FORM 990 REPORTED 10 EMPLOYEES AND CITRUS VALLEY HEALTH PARTNER'S FORM 990 REPORTED 335 EMPLOYEES.