2014-09-15T15:10:24-05:00 2013-10-31 910189318 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2012-11-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 LORI CARDLE 8187826600 2014-09-15 1 RENIE BURBANK P00159653 4159561500 2012 2015-11-30 17:44:51Z LORI CARDLE 15107 VANOWEN STREET VAN NUYS CA 91405 319678591 0 X N/A X 1948 CA VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. 14 10 2016 723 0 0 713476 875589 327823317 296576806 121030 622321 6180749 12006512 334838572 310081228 1900121 1330201 0 0 135608626 132352817 0 0 0 173626346 158211677 311135093 291894695 23703479 18186533 199180714 223004112 90847604 91203076 108333110 131801036 X VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. 0 0 218156934 1330201 296576806 SEE SCHEDULE O 218156934 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 1 0 0 0 0 1 0 0 0 1 388 0 1 2016 1 0 0 0 0 0 1 1 0 0 0 0 X 14 10 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LORI CARDLE 8187826600 15107 VANOWEN ST VAN NUYS CA 91405 X GREG KAY MD 0.40 X X 0 0 0 WILLIAM ALLEN 0.40 X X 0 0 0 JAMES PORTER 0.40 X X 0 0 0 LEROY CHASE 0.40 X 0 0 0 ALEX GUERRERO 0.40 X 0 0 0 RICHARD KATZ 0.40 X 0 0 0 MATTHEW MISCHEL MD 0.40 X 0 0 0 GANESA PANDIAN MD 0.40 X 0 0 0 TRACY RAFTER 0.40 X 0 0 0 SRIDHAR RAMACHANDRAN MD 0.40 X 0 0 0 JOSHUA ROKAW MD 0.40 X 0 0 0 STUART SOLOMON 0.40 X 0 0 0 SUKSHMA SREEPATHI MD 0.40 X 0 0 0 PATRICK WALSH MD 0.40 X 0 0 0 GUSTAVO VALDESPINO 40.00 X 836323 0 196646 JEAN O'KEEFE RICO 40.00 X 396846 0 97399 NORMA RESNEDER 40.00 X 325380 0 79314 MICHELLE QUIGLEY 40.00 X 316463 0 58919 GAYATHRI JITH 40.00 X 282581 0 68207 LORI CARDLE 40.00 X 282497 0 51098 JULIE REBACK 40.00 X 280681 0 69344 RAY MOSS 40.00 X 279691 0 69071 PEGI MATSUDA 40.00 X 180974 0 38705 DOMINADOR CRUZ 40.00 X 219132 0 20083 JENNIFER CASTALDO 40.00 X 213266 0 10725 HASMIG ANANIAN 40.00 X 208560 0 11870 SYLVIA SONG 40.00 X 201316 0 12295 SOHEILA RAHMAN-ATAR 40.00 X 201133 0 11192 GEORGE STYER 40.00 X 198187 0 28459 4423030 0 823327 258 0 1 0 PREFERRED IPA 1025 N BRAND BLVD 100 GLENDALE CA 91202 MEDICAL SERVICES 7275929 BLUMBERG RIBNER INC 315 S BEVERLY DR 505 BEVERLY HILLS CA 90212 HEALTHCARE CONSULTANTS 2796101 COMMUNITY FAMILY CARE MEDICAL GROUP 19210 S VERMONT AVE STE 400 GARDENA CA 90048 MEDICAL SERVICES 2420540 REHABCARE GROUP PO BOX 502096 ST LOUIS MO 63150 HEALTHCARE MANAGEMENT 2346577 ST VINCENT ANESTHESIA MEDICAL PO BOX 50045 PASADENA CA 91115 ANESTHESIA SERVICES 1637500 63 163285 207209 505095 252194 875589 PATIENT SERVICE REV. 541900 295889062 295889062 EXEMPT ORG. REVENUE 541900 687744 687744 296576806 729939 729939 218229 14480 203749 203749 203749 9409242 1745 9518605 0 -109363 1745 -107618 -107618 39310 163285 64278 -24968 -24968 OTHER REVENUE 900099 10652881 10652881 FOOD SALES 811000 943469 943469 GIFT SHOP REVENUE 453220 231381 231381 11827731 310081228 296576806 0 12628833 X 1330201 1330201 4084158 4084158 103997565 86802819 17194746 2903182 2903182 13224377 218537 13005840 8143535 6351077 1792458 829619 829619 177442 177442 29211352 19772552 9438800 624568 3074 621494 7655342 5718250 1937092 1362595 1362595 3778867 240717 3538150 313516 70216 243300 120997 16496 104501 2115630 2115630 8804251 8804251 1799941 1799941 MEDICAL SUPPLIES 33706267 33685347 20920 CAPITATION EXPENSES 31867684 31867684 PROVIDER PROGRAM FEES 29063751 29063751 OTHER CONTROLLABLE EXP 6779855 3016213 3763642 291894695 218156934 73737761 0 5407167 4219712 39672379 6520432 803520 803520 29195045 29227654 3669608 3488614 1897318 2059011 246657872 164675124 81375226 81982748 6362486 69944452 30797965 24757969 199180714 223004112 56303066 51689100 20636447 24466874 13908091 15047102 90847604 91203076 X 103544286 126557282 4788824 5243754 108333110 131801036 199180714 223004112 X 18186533 4076182 1205211 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 500 0 0 0 0 1 79566 80066 0 EXPLANATION OF LOBBYING ACTIVITIES: 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 140274049 89551344 50722705 100680657 75123780 25556877 4115944 4115944 81982748 SELF INSURANCE RESERVE 103916 OTHER RECEIVABLES 1896311 DUE TO THIRD-PARTY PAYORS 13980841 HOSPITAL PROVIDER FEE 8776901 24757969 SELF INSURANCE RESERVES 13286446 ANNUITY AND TRUST PAYABLE 1760656 15047102 X 310095708 14480 14480 310081228 0 310081228 290578970 14480 14480 290564490 1330205 1330205 291894695 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013 OR 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION RENTAL EXPENSES FOR NET RENTAL INCOME 14,480. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION RENTAL EXPENSES FOR NET RENTAL INCOME 14,480. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF GRANT EXPENSES 1,330,201. AUDITED FINANCIAL STATEMENT ROUNDING 4. GOLF TOURNAMENT 202595 163285 39310 837 7845 11500 15040 29056 202595 163285 39310 837 7845 11500 15040 29056 64278 -24968 1 1 1 X 350.000000000000 1 X 1 1 0 1 1 2052810 2052810 0.00700 176744250 142977138 33767112 0.11570 8601628 342846 8258782 0.02830 187398688 143319984 44078704 0.15100 759164 759164 0.00260 27723 27723 0.00010 786887 786887 0.00270 188185575 143319984 44865591 0.15370 1 10273112 7692350 74845437 73962122 883315 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 11 1 1 1 X 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 PART II: 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 2013 FILED MEDICARE COST REPORT. 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. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 3: COMMUNITY INPUT: VPH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED. INPUT WAS RECEIVED FROM HOSPITALS, COMMUNITY HEALTH CARE LEADERS AND BUSINESS LEADERS. WE ALSO SOUGHT INPUT FROM COMMUNITY BASED ORGANIZATIONS (CBOS) AND PUBLIC ENTITIES. THE HOSPITAL CONSULTED THE "PERSONS" THROUGH IN PERSON FOCUS GROUPS, TELEPHONE AND THROUGH WRITTEN SURVEYS. THE FIRST SURVEY WAS CONDUCTED BY CSUN AND DATA WAS RECEIVED FROM 120 COMMUNITY BASED ORGANIZATIONS. THE SECOND SURVEY WAS DISTRIBUTED TO 250 VIA EMAIL. OTHER SURVEYS WERE DISTRIBUTED AT CHNA MEETINGS FROM NOVEMBER 2009 THROUGH 2010. THROUGH THIS PROCESS, WE RECEIVED 109 COMPLETED SURVEYS. THE LIST OF CHNA "PARTICIPANTS" CONSISTED OF PERSONS CONSULTED DURING THE PROCESS; ALL WHOM PARTICIPATED BY IDENTIFYING COMMUNITY HEALTH NEEDS. THE MEMBERS OF THE COMMUNITY PARTICIPANTS CONSISTED OF:ABODE COMMUNITIESACCESS TO CARE GLENDALE HEALTHY KIDSADVANCE HEALTH MEDICAL GROUP HAVEN HILLSALLIANCE FOR A BETTER COMMUNITY AMERICAN CANCER SOCIETY SFV HILLVIEW MENTAL HEALTH CENTER, INC.AMERICAN DIABETES ASSOCIATION LA HOMES FOR LIFE FOUNDATIONAMERICAN HEART ASSOCIATION IMMUNIZATION PROGRAM PUBLIC HEALTHARTHRITIS FOUNDATION VALLEY BRANCH JEWISH FAMILY SERVICES LOS ANGELESBOYS AND GIRLS CLUB JEWISH FAMILY SERVICES VALLEY STORE FRONTBRODOUS READY FOR SCHOOL FAMILY CHILD AND FAMILY GUIDANCE CENTER CHILD CARE RESOURCE CENTER KIDS COMMUNITY DENTAL CLINICCHILD DEVELOPMENT INSTITUTE LA COUNTY AREA AGENCY ON AGINGCHRYSALIS LA FAMILY HOUSINGCITY OF LOS ANGELES COUNCIL DISTRICT 7 LA VALLEY COLLEGECITY OF LOS ANGELES, OFFICE OF MAYOR LAC DEPT. OF HEALTH SERVICESCOLUMBUS SCHOOL BASED CLINIC LAC DEPT. OF HEALTH SERVICES OFFICE OF AMBULATORY CARECOMPREHENSIVE COMMUNITY HEALTH CENTERS LAC DEPT. OF HEALTH SERVICES OFFICE OF PLANNING & DEVELOPMENTCOMMUNITY CLINIC ASSOCIATION LOS ANGELES COUNTY LAC DEPT. OF MENTAL HEALTHCOUNCIL MEMBER GRIEG SMITH LAC DEPT. OF PUBLIC HEALTHCRECENTA VALLEY YMCA LAC DEPT. OF PUBLIC HEALTH OFFICE HEALTH ASSESSMENT & EPIDEMIOLOGYCRI-HELP INC. LAC PROBATION DEPARTMENTDEL-CARMEN MEDICAL CENTER LACDA VICTIM WITNESS ASSISTANCEECONOMIC ALLIANCE OF THE SAN FERNANDO VALLEY LA HEALTH ACTIONEL CENTRO DE AMISTAD LAUSD DISTRICT 1EI NIDO FAMILY CENTERS LAUSD DISTRICT 2EL PROYECTO DEL BARRIO LUTHERAN SOCIAL SERVICEFAMILY CARE PARTNERSHIP MEET EACH NEED WITH DIGNITY/MENDFRIENDS OF THE FAMILY GARY HERMAN DDS, INC. MISSION CITY COMMUNITY HOSPITAL UCLA DENTAL CLINICNEIGHBORHOOD LEGAL SERVICES MISSION CITY COMMUNITY NETWORK, INC.NEW DIRECTIONS SANTA CLARITA ADULT DAY HEALTHNORTHEAST VALLEY HEALTH CORPORATION, CANOGA PARK SANTA CLARITA COMMUNITY DEV. CORP.NORTH EAST VALLEY HEALTH CORPORATION, PACOIMANORTH EAST VALLEY HEALTH CORPORATION, SAN FERNANDO TARZANA TREATMENT CENTER, NORTHRIDGENORTHEAST VALLEY HOMELESS HEALTH CLINIC TARZANA TREATMENT CENTER, RESEDATHE HELP GROUPOVARIAN CANCER COALITION THE VILLAGE CANOGA PARK READY FOR SCHOOLPACIFIC ASIAN COUNSELING SERVICES TRANSIT COALITION-CHAMBER OF COMMERCEPARTNERS IN CARE FOUNDATION UCAL SCHOOL OF DENTISTRYPEOPLE IN PROGRESS URBAN EDUCATION OF HEALTH SERVICESPHILLIPS GRADUATE INSTITUTE PPA NORTH HOLLYWOOD HEALTH CENTER VALLEY COMMUNITY CLINICPROJECT GRAD LOS ANGELES (PGLA) VALLEY COMMUNITY TEEN CLINICPROJECT SAFE VALLEY NON PROFIT HUMAN INTERACTION RESEARCH INSTITUTEPROJECT YOUTH GREEN PROVIDENCE CENTER FOR COMMUNITY HEALTH VALLEY TRAUMA CENTERPROVIDENCE SENIOR OUTREACH AND SCHOOL PROGRAMS VALLEY VIEW FAMILY CLINICVERDUGO MENTAL HEALTH CENTERVOA HEAD START AND EARLY STARTVOLUNTEERS OF AMERICA LA HEAD START & EARLY HEAD STARTPUEBLO Y SALUD INC. WELLNESS WORKS INC.SAN FERNANDO VALLEY DENTAL SOCIETY ZEV YAROSLAVSKY THIRD DISTRICT OFFICESAN FERNANDO COMMUNITY MENTAL HEALTH, INC.SAN FERNANDO COMMUNITY MENTAL HEALTH CORNERSTONE VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 4: LIST OF OTHER HOSPITAL PARTICIPANTS CONSISTED OF:GLENDALE ADVENTIST HOSPITALHENRY MAYO NEWHALL MEMORIAL HOSPITALKAISER PERMANENTE PANORAMA CITYKAISER PERMANENTE WOODLAND HILLSMISSION CITY COMMUNITY HOSPITALNORTHRIDGE HOSPITAL MEDICAL CENTER PROVIDENCE HOLY CROSS PROVIDENCE SAINT JOSEPH MEDICAL CENTERPROVIDENCE TARZANA MEDICAL CENTER SHERMAN OAKS HOSPITAL SAGE PROGRAMVALLEY CARE OLIVE VIEW-UCLA VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 7: THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS REVIEWED AND ANALYZED. PRIORITY HEALTH CARE NEEDS WERE IDENTIFIED AND A WRITTEN PLAN WAS CREATED. THE PLAN PROVIDED GUIDELINES FOR CREATING A COMMUNITY DEVELOPMENT PROGRAM AND INCLUDED OBJECTIVES FOR REACHING THE SPANISH SPEAKING MARKET, CREATION AND IMPLEMENTATION OF SEVERAL NEW COMMUNITY EDUCATION PROGRAMS, HEALTH EDUCATION INFORMATION (CHILDBIRTH AND DIABETES EDUCATION, AS AN EXAMPLE) AND THE CREATION OF A EMPLOYEE VOLUNTEER PROGRAM. THE PLAN WAS REVIEWED AND APPROVED BY A COMMITTEE OF THE BOARD OF DIRECTORS IN 2013. 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. PART VI, LINE 2: COMMUNITY NEEDS ASSESSMENT AND PLANNING PROCESS:VALLEY PRESBYTERIAN HOSPITAL PARTICIPATES IN THE TRIENNIAL SAN FERNANDO/SANTA CLARITA VALLEY COMMUNITY NEEDS ASSESSMENT PROCESS THAT BEGAN IN 1997. THE 6TH TRIENNIAL REPORT WAS RELEASED IN MID-2013 AND FORMED THE PLATFORM FOR COMMUNITY PROGRAMS IMPLEMENTED IN FY 2013/2014. THE COPY OF THE 2010 COMMUNITY NEEDS ASSESSMENT CONTAINS THE NAMES OF THE PARTICIPATING ORGANIZATIONS AND A DESCRIPTION OF THE COLLABORATION PROCESS. THE SURVEY'S FINDINGS, ALONG WITH VARIOUS INTERNAL AND EXTERNAL ANALYSES, ARE USED TO ASSIST VALLEY PRESBYTERIAN HOSPITAL IN DETERMINING THE TYPES OF SERVICE MODIFICATIONS AND PROGRAMS THAT IT SHOULD CONSIDER TO ADDRESS THE NEEDS OF ITS COMMUNITY.THERE ARE FOUR KEY STEPS IN THE PLANNING PROCESS THAT DIRECTS OUR COMMUNITY DEVELOPMENT PROGRAM PLANNING. THESE FOUR STEPS INCLUDE:1. REVIEW OF COMMUNITY NEEDS ASSESSMENT: EVERY YEAR, VALLEY PRESBYTERIAN HOSPITAL REVIEWS CURRENT COMMUNITY PROGRAMS FOR RE-EVALUATION AND MEASUREMENT.2. CREATION OF NEW PROGRAMS: USING THE INFORMATION FROM THE COMMUNITY NEEDS ASSESSMENT AND THROUGH INTERACTION WITH COMMUNITY LEADERS, VALLEY PRESBYTERIAN HOSPITAL IDENTIFIES NEW PROGRAMS FOR IMPLEMENTATION.3. CREATION OF COMMUNITY STRATEGIC PLAN: AN ANNUAL PLAN IS CREATED AND PRESENTED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL.4. PROGRAM DESIGN AND IMPLEMENTATION: WHEN THE PLAN IS APPROVED, CURRENT COMMUNITY PROGRAMS ARE REVISED AND OR ENHANCED, IF NECESSARY. NEW COMMUNITY PROGRAMS ARE CREATED AND IMPLEMENTED. 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: VALLEY PRESBYTERIAN HOSPITAL'S TOTAL SERVICE AREA IS COMPRISED OF ALMOST 1.7 MILLION PERSONS WITH A FORECASTED INCREASE OF 3.0% BY 2016. VALLEY PRESBYTERIAN HOSPITAL'S 2011 PRIMARY SERVICE AREA (PSA) (THE AREA THAT GENERATES 75% OF VALLEY PRESBYTERIAN HOSPITAL'S DISCHARGES) HAS A POPULATION OF NEARLY 1 MILLION AND INCLUDES 19 ZIP CODES THAT HAVE SOME OF THE LOWEST MEDIAN HOUSEHOLD INCOME LEVELS AND HIGHEST POPULATION DENSITIES. IT INCLUDES THE COMMUNITIES OF VAN NUYS, PACOIMA, RESEDA, SUN VALLEY, CANOGA PARK, GRANADA HILLS, PANORAMA CITY, SAN FERNANDO, SYLMAR, NORTH HILLS, NORTH HOLLYWOOD, SHERMAN OAKS AND WINNETKA. WITH THE EXCEPTION OF SAN FERNANDO, THE PSA IS PART OF THE CITY OF LOS ANGELES. THE 2011 RACIAL/ETHNIC DISTRIBUTION IS:- HISPANIC 57%- CAUCASIAN 22%- ASIAN OR PACIFIC ISLANDER 13%- AFRICAN-AMERICAN 4%- OTHER 4%IN THE PSA, APPROXIMATELY 27% OF THE RESIDENTS ARE ON MEDI-CAL AND APPROXIMATELY 28% ARE UNINSURED. REPORTS FILED WITH STATES PART VI, LINE 7 CA 1 CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K STREET STE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 1262568 CA HOSPITAL PROVIDER PROGRAM CSUN FOUNDATION 18111 NORDHOFF STREET NORTHRIDGE CA 91330 956196006 501(C)(3) 10000 PERFORMING ARTS CENTER DONATION MEND 10641 SAN FERNANDO RD PACOIMA CA 91331 237306337 501(C)(3) 5000 DONATION TO BREAK THE BOUNDS OF POVERTY BY PROVIDING BASIC HUMAN NEEDS AND A PATHWAY TO SELF-RELIANCE TIERRA DEL SOL FOUNDATION 9919 SUNLAND BLVD SUNLAND CA 91040 952671260 501(C)(3) 10000 DONATION FOR DEVELOPING INNOVATIVE, ACCREDITED SERVICES ENABLING ADULTS WITH DEVELOPMENTAL DISABILITIES TO REALIZE THEIR GREATEST HUMAN POTENTIAL VALLEY CARE COMMUNITY CONSORTIUM 7515 VAN NUYS BLVD 5TH FLOOR VAN NUYS CA 91405 205569606 501(C)(3) 7000 FUND ACCESS FOR SERVICE PLANNING AREA 2 OF LOS ANGELES SO THAT ALL RESIDENTS WILL HAVE ACCESS TO COORDINATED AND COMPREHENSIVE HEALTH SYSTEMS VALLEY COMMUNITY CLINIC 68001 COLDWATER CANYON STE 1B NO HOLLYWOOD CA 91605 237050082 501(C)(3) 5000 DONATION TO PROVIDE HEALTHCARE SERVICES TO THOSE IN NEED VALLEY INDUSTRY AND COMMERCE ASSOCIATION 5121 VAN NUYS BLVD STE 203 SHERMAN OAKS CA 91403 237182039 501(C)(3) 5833 GENERAL SUPPORT TO REPRESENT SAN FERNANDO VALLEY BUSINESS TO ALL LEVELS OF GOVERNMENT 7 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 0 1 0 0 0 1 0 0 0 GUSTAVO VALDESPINO 635939 0 200384 0 0 0 173975 0 22671 0 1032969 0 0 0 JEAN O'KEEFE RICO 326184 0 70662 0 0 0 74728 0 22671 0 494245 0 0 0 NORMA RESNEDER 266694 0 58686 0 0 0 63092 0 16222 0 404694 0 0 0 MICHELLE QUIGLEY 268631 0 47832 0 0 0 50468 0 8451 0 375382 0 0 0 GAYATHRI JITH 240286 0 42295 0 0 0 46525 0 21682 0 350788 0 0 0 LORI CARDLE 240181 0 42316 0 0 0 44138 0 6960 0 333595 0 0 0 JULIE REBACK 238214 0 42467 0 0 0 47021 0 22323 0 350025 0 0 0 RAY MOSS 237369 0 42322 0 0 0 46791 0 22280 0 348762 0 0 0 PEGI MATSUDA 133580 0 47394 0 0 0 30653 0 8052 0 219679 0 0 0 DOMINADOR CRUZ 218895 0 237 0 0 0 7718 0 12365 0 239215 0 0 0 JENNIFER CASTALDO 93063 0 0 0 120203 0 8575 0 2150 0 223991 0 0 0 HASMIG ANANIAN 208323 0 237 0 0 0 7224 0 4646 0 220430 0 0 0 SYLVIA SONG 200629 0 687 0 0 0 8204 0 4091 0 213611 0 0 0 SOHEILA RAHMAN-ATAR 200817 0 316 0 0 0 7872 0 3320 0 212325 0 0 0 GEORGE STYER 179582 0 18605 0 0 0 6854 0 21605 0 226646 0 0 0 PART I, LINE 4B 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 JEAN O'KEEFE RICO LORI CARDLE NORMA RESNEDER JULIE REBACK RAY MOSS GAYATHRI JITH PEGI MATSUDA MICHELLE QUIGLEY 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 (ALL EQUALLY WEIGHTED) OF WHICH ARE BENCHMARKED BY ACHIEVING SPECIFIC METRICS ON AN ANNUAL BASIS. GANESH PANDIAN MD DIRECTOR (BOARD MEMBER) - GANESH PANDIAN, MD 55013 MEDICAL ADMINISTRATIVE SERVICES 0 PATRICK WALSH MD DIRECTOR (BOARD MEMBER) - PATRICK WALSH, MD 119272 MEDICAL ADMINISTRATIVE SERVICES 0 SUKSHMA SREEPATHI MD DIRECTOR (BOARD MEMBER) - TRI-VALLEY NEONATAL MED GRP 39340 MEDICAL ADMINISTRATIVE SERVICES 0 SRIDHAR RAMACHANDRAN MD DIRECTOR (BOARD MEMBER) - SRIDHAR RAMACHANDRAN, MD 15500 MEDICAL ADMINISTRATIVE SERVICES 0 X 1 1016 FMV X 1 251178 FMV 0 0 0 EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A VALLEY PRESBYTERIAN HOSPITAL IS A FREESTANDING, NOT-FOR-PROFIT COMMUNITY HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING MEDICAL SERVICES IN THE SAN FERNANDO VALLEY AND NEIGHBORING AREAS. VALLEY PRESBYTERIAN HOSPITAL CURRENTLY HAS 350 LICENSED BEDS AND PROVIDES PRIMARY AND SECONDARY ACUTE CARE TO THE COMMUNITY. PROGRAMS, FACILITIES, AND SERVICES: EMERGENCY SERVICES - VPH'S EMERGENCY SERVICES TEAM PROVIDED EMERGENCY CARE TO OVER 64,000 PATIENTS IN FY 2012/2013. THE EMERGENCY SERVICES TEAM IS DESIGNATED AS A STEMI RECEIVING CENTER AND IS ABLE TO PROVIDE CRITICAL CARE WITHIN THE FIRST 90 MINUTES FROM EXPERIENCING HEART ATTACK SYMPTOMS. VPH ALSO PROVIDES "FAST TRACK" SERVICES FOR PATIENTS WITH URGENT, BUT NOT LIFE THREATENING NEEDS SUCH AS CUTS OR SPORTS INJURIES, COLDS, FEVER AND EARACHES, TO NAME A FEW. WOMEN'S SERVICES - VPH'S WOMEN'S SERVICES PROGRAM IS ONE OF THE BUSIEST IN THE REGION WITH MORE THAN 3,700 BABIES BORN IN FY 2012/2013. LAST YEAR, VPH OPENED A NEWLY RENOVATED PERINATAL CENTER ON CAMPUS. THE MEDICAL OFFICE COMBINES PERINATOLOGY, NON-STRESS TEST GENETIC COUNSELING AND HIGH-RISK INFANT FOLLOW-UP SERVICES UNDER ONE ROOF. IT FEATURES SPACIOUS, FAMILY-CENTERED WAITING ROOMS, STATE-OF-THE-ART MEDICAL TECHNOLOGY, AND COMFORTABLE, PATIENT TREATMENT ROOMS. THE NEW LOCATION AND COMBINATION OF SPECIALTY SERVICES IS DESIGNED TO IMPROVE OVERALL PATIENT SATISFACTION AND IMPROVE OPERATIONAL EFFICIENCY. THE HOSPITAL FEATURES A NEWLY REMODELED AND EXPANDED LABOR, DELIVERY, AND RECOVERY UNIT. THIS $4.5 MILLION RENOVATION, COMPLETED IN JUNE 2012, INCLUDES SEVEN NEW SUITES DESIGNED TO PROVIDE COMFORT TO NEW MOTHERS DURING AND AFTER THE BIRTHING PROCESS. IN ADDITION TO THE RENOVATION, VPH ALSO CREATED AN OB LABORIST PROGRAM TO PROVIDE IN-HOSPITAL OBSTETRICAL CARE 24/7. AMONG THE BENEFITS OF IMPLEMENTING A LABORIST PROGRAM ARE DECREASED LENGTH OF PATIENT STAY AND ASSOCIATED COST, IMPROVED PATIENT SAFETY AND INCREASED PATIENT SATISFACTION. IN ADDITION TO OPENING UP THE NEW UNIT, A VARIETY OF EDUCATION AND COMMUNITY WORKSHOPS WERE INTRODUCED TO SUPPORT WOMEN AND THEIR FAMILIES THROUGH THE BIRTHING PROCESS. THESE COMMUNITY ACTIVITIES WERE ALL BRANDED UNDER A NEW PROGRAM CALLED "LITTLE TREASURES" OR "PEQUENOS TESOROS" AND ARE SPECIALLY PREPARED FOR SPANISH SPEAKING PATIENTS. OTHER WOMEN'S SERVICES INCLUDE A NON-STRESS TEST UNIT FOR PREGNANT WOMEN WHO REQUIRE ROUTINE MONITORING OF THEIR UNBORN BABY'S HEALTH AND OR ULTRASOUNDS, OB/TRIAGE FOR EMERGENT HIGH-RISK CARE DURING PREGNANCY AND AN OB HIGH-RISK ANTEPARTUM UNIT FOR WOMEN WITH HIGH-RISK PREGNANCIES. AMPUTATION PREVENTION CENTER - PRESERVING A LIMB AT RISK FOR AMPUTATION IS THE SINGULAR FOCUS OF THE AMPUTATION PREVENTION CENTER (APC). THE APC OFFERS AN INNOVATIVE, INTEGRATED APPROACH AND IS ONE OF ONLY A HANDFUL OF FACILITIES, NATIONWIDE AND THE ONLY FACILITY IN SOUTHERN CALIFORNIA. VALLEY HIP AND KNEE INSTITUTE - THIS FACILITY IS HOME TO AN OUTSTANDING TEAM OF NATIONALLY RECOGNIZED ORTHOPEDIC EXPERTS. CONTINUALLY INNOVATING AND ADVANCING JOINT REPLACEMENT AND REPAIR PROCEDURES, THE VALLEY HIP AND KNEE INSTITUTE SURGEONS HAVE PERFORMED THOUSANDS OF SUCCESSFUL PROCEDURES. IN ADDITION TO THE HIGH QUALITY MEDICAL SERVICES, VALLEY PRESBYTERIAN HOSPITAL ALSO OFFERS FREE COMMUNITY EDUCATION WORKSHOPS TO HELP PATIENTS UNDERSTAND JOINT REPLACEMENT OPTIONS, RECOVERY PROCESS AND HOW TO SELECT THE RIGHT PROCEDURES. THESE COMMUNITY EDUCATION WORKSHOPS WERE HELD TWICE LAST YEAR AND ATTRACTED NEARLY 100 ATTENDEES IN FY 2012/2013. HEPATOBILIARY AND PANCREAS CENTER (HPC) - THE HPC IS A HIGHLY SPECIALIZED, STATE-OF-THE-ART CENTER FOR THE TREATMENT OF PATIENTS WITH LIVER, BILE DUCT AND PANCREAS DISORDERS. THE PROGRAM OFFERS TREATMENTS TO ADDRESS A WIDE RANGE OF DISEASES, AS WELL AS LESIONS, CYSTS, STRICTURES AND TRAUMA. THE PROGRAM LAUNCHED IN LATE 2012, AND HAS SINCE DEVELOPED INTO A COLLABORATIVE NETWORK OF DEDICATED PARTNER PHYSICIANS TO CARE FOR PATIENTS THROUGH A MULTIDISCIPLINARY APPROACH. THE CARE TEAM CONSISTS OF GENERAL SURGEONS, GASTROENTEROLOGISTS, HEPATOLOGISTS, DIAGNOSTIC AND INTERVENTIONAL RADIOLOGISTS, RADIATION ONCOLOGISTS, ONCOLOGISTS, PATHOLOGISTS, PALLIATIVE CARE SPECIALISTS, NURSES AND COORDINATORS. CHILDREN'S SERVICES - EVERY CHILD ADMITTED TO THE HOSPITAL RECEIVES THE FULL ATTENTION OF A MULTI-DISCIPLINARY TEAM COMPRISED OF PEDIATRIC SPECIALISTS. OUR FAMILY-CENTERED APPROACH TO CARE ENSURES THAT PARENTS AND CHILDREN HAVE THE OPPORTUNITY TO STAY TOGETHER AND BE WELL-INFORMED THROUGHOUT THE COURSE OF TREATMENT. SPECIALTY SERVICES INCLUDE A NEONATAL INTENSIVE CARE UNIT (NICU) AND A PEDIATRIC INTENSIVE CARE UNIT (PICU) FOR THE MOST VULNERABLE PATIENTS. CARDIOVASCULAR SERVICES - VPH OFFERS ONE OF THE MOST ADVANCED CARDIOLOGY PROGRAMS STAFFED BY CARDIOLOGISTS, NURSES AND TECHNICIANS. WE ALSO OFFER A CARDIAC REHABILITATION AND FITNESS CENTER FOR MEDICALLY SUPERVISED EXERCISE, DIETARY AND LIFESTYLE COUNSELING. OUTPATIENT SERVICES - THE HOSPITAL OFFERS MANY OUTPATIENT SERVICES INCLUDING THE SERVICES OF A GI LABORATORY, OCCUPATIONAL THERAPY, RADIOLOGY/IMAGING, GENERAL LABORATORY SERVICES, PHYSICAL THERAPY, RESPIRATORY THERAPY, NUCLEAR MEDICINE AND RADIATION THERAPY. SURGICAL SERVICES - VPH OFFERS A WIDE PORTFOLIO OF SURGICAL SERVICES FOR THE COMMUNITY. SOME EXAMPLES OF SURGICAL PROCEDURES INCLUDE CARDIOTHORACIC AND VASCULAR, HIP AND KNEE REPLACEMENTS, SPORTS-RELATED INJURIES, OTOLOGIC SURGERY, ESOPHAGEAL AND GASTRIC, OPEN HEART, NASAL AND SINUS SURGERY, SPINE, FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY AND MANY TYPES OF GENERAL SURGERY. FORM 990, PART III, LINE 4A WOMEN'S SERVICES: A NUMBER OF FREE COMMUNITY EDUCATION PROGRAMS ARE OFFERED TO WOMEN AND THEIR FAMILIES TO HELP THEM THROUGH A SAFE AND HAPPY PREGNANCY AND CHILDBIRTH. IN FY 2012/2013, 2,000 INDIVIDUALS ATTENDED WOMEN AND MATERNITY SERVICES COMMUNITY EDUCATION PROGRAMS. ALL WOMEN'S SERVICES PROGRAM ARE HELD AT THE HOSPITAL. EDUCATION PROGRAMS OFFERED IN FY 2012/2013 INCLUDE: "BABY SHOWERS" (ENGLISH AND SPANISH) THIS IS A FUN WAY TO LEARN MORE ABOUT THE HOSPITAL'S LABOR, DELIVERY AND RECOVERY PROGRAMS. PARTICIPANTS CAN TAKE A TOUR OF THE FACILITY, MEET THE HOSPITAL STAFF, AND SIGN UP FOR MEDICAL COVERAGE. THIS PROGRAM WAS OFFERED ONCE EACH MONTH (12 WORKSHOPS). TOTAL ATTENDANCE AT THE 12 WORKSHOPS LAST YEAR WAS 1,315. CHILDBIRTH PREPARATION SERIES (ENGLISH AND SPANISH) BOTH PARENTS LEARN THE LATEST IN LABOR AND DELIVERY COMFORT MEASURES AND HOW TO PROMOTE HEALTHY BIRTHING. THIS PROGRAM WAS OFFERED 15 TIMES IN FY 2012/2013 AND WAS ATTENDED BY 141 INDIVIDUALS. BABY BEGINNINGS AND INFANT CARE (ENGLISH) THIS IS A "PARENTS TO BE" WORKSHOP TO HELP NAVIGATE YOUR FIRST WEEKS AT HOME WITH A NEW BABY. PARTICIPANTS LEARN WHAT TO EXPECT FROM A NEWBORN, HOW TO CARE FOR A NEWBORN INCLUDING DIAPERING, SWADDLING TECHNIQUES, BATHING TIPS, FEEDING OPTIONS, INFANT SAFETY, NEWBORN SLEEPING PATTERNS AND MUCH MORE. THIS PROGRAM'S AVAILABLE SESSIONS NEARLY TRIPLED FROM LAST YEAR AND ATTRACTED NEARLY 60 ATTENDEES. BREASTFEEDING PREPARATION (ENGLISH AND SPANISH) PARTICIPANTS LEARN BASIC BREASTFEEDING TECHNIQUES AND WHERE TO GET ASSISTANCE, IF NEEDED. A TOTAL OF SEVEN WORKSHOPS WERE HELD LAST YEAR AND ATTRACTED 40 ATTENDEES. PLANS ARE UNDER CONSIDERATION TO PROMOTE THIS PROGRAM TO A BROADER AUDIENCE NEXT YEAR. COMMUNITY EDUCATION PROGRAMS DIABETES EDUCATION AND AWARENESS: VPH UNDERSTANDS THE IMPORTANCE OF DIABETES EDUCATION AND AWARENESS. ACCORDING TO THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT, THE ESTIMATED CASES OF DIABETES ARE APPROXIMATELY 6.21% OR APPROXIMATELY 11,000 OF THE TOTAL POPULATION. THE COMMUNITY NEEDS ASSESSMENT INDICATES THAT DIABETES HAS INCREASED BY 17.8% OVER THE PAST FIVE YEARS, SPECIFICALLY IN VAN NUYS, WHERE THE HOSPITAL IS LOCATED. IN FY 2012/2013, 22 WORKSHOPS ON DIABETES EDUCATION AND MANAGEMENT WERE HELD IN BOTH ENGLISH AND SPANISH. NURSE/EDUCATORS HELP WORKSHOP ATTENDEES MANAGE THEIR DIABETES THROUGH HEALTHY LIFESTYLE, EATING AND EXERCISE TECHNIQUES. IN FY 2012/2013 DIABETES EDUCATION PARTICIPATION DOUBLED TO MORE THAN 166 INDIVIDUALS WHO ATTENDED ONE ON ONE DIABETES EDUCATION MEETINGS AND SEVERAL DIABETES AWARENESS AND MANAGEMENT WORKSHOPS. ADDITIONALLY, THE COMMUNITY DEVELOPMENT DEPARTMENT HOSTED THREE HEALTHY COOKING CLASSES, WHICH ATTRACTED NEARLY 40 INDIVIDUALS, AND HIGHLIGHTED THE IMPORTANCE OF MAINTAINING A WELL-BALANCED DIET IN ORDER TO PREVENT DIABETES. ADDITIONALLY, MORE THAN 200 FREE BLOOD GLUCOSE SCREENINGS WERE PROVIDED TO MEMBERS OF THE COMMUNITY. JOINT REPLACEMENT: IN FY 2012/2013, VALLEY PRESBYTERIAN HOSPITAL HOSTED A FREE COMMUNITY WORKSHOP TO HELP COMMUNITY RESIDENTS UNDERSTAND JOINT REPLACEMENT OPTIONS, TREATMENT PROCESSES AND HOW TO SELECT A QUALIFIED PHYSICIAN. THE SEMINAR, HELD IN APRIL, WAS WELL ATTENDED AND ATTRACTED NEARLY 100 PARTICIPANTS. SUPPORTING THE ECONOMIC VITALITY OF THE COMMUNITY IN ADDITION TO SUPPORTING A NUMBER OF SOCIAL AND COMMUNITY CAUSES, VPH ALSO SUPPORTS PROGRAMS THAT HELP THE LOCAL ECONOMY. THE PROGRAMS VPH IMPLEMENTED AND OR SUPPORTED IN FY 2012/2013 INCLUDE THE FOLLOWING: WORKFORCE DEVELOPMENT PROGRAM FOR NURSES THE HOSPITAL IS TAKING A PROACTIVE APPROACH TO DEVELOP A SUSTAINABLE PIPELINE OF SKILLED HEALTH CARE PROFESSIONALS. THIS SIX-MONTH PROGRAM CONNECTS NEW NURSE GRADUATES WITH PRECEPTORS OR EXPERIENCED NURSING PROFESSIONALS. THIS EARLY START TO A SUCCESSFUL NURSING CAREER PROVIDES THESE NEW GRADUATES AN OPPORTUNITY TO LEARN THE NURSING PROFESSION FROM THOSE ALREADY SKILLED IN THE PROFESSION. NEW GRADUATES RECEIVE TRAINING IN A SPECIALTY AREA SUCH AS EMERGENCY CARE, OPERATING ROOM, OBSTETRICS/MATERNITY, CHILDREN'S SERVICES OR TELEMETRY AND RECEIVE REGULAR EVALUATIONS ON THEIR PROGRESS. IN FY 2012/2013, VPH RECRUITED 21 NEW GRADUATES FOR THE PROGRAM. VALLEY SIMULATION LABORATORY THE VALLEY SIMULATION LABORATORY IS ONE OF THE REGION'S MOST TECHNOLOGICALLY ADVANCED. IN FY 2012/2013, APPROXIMATELY 500 COLLEGE STUDENTS VISITED THE LAB TO PRACTICE SKILLS IN A "REAL WORLD" ENVIRONMENT. THE LAB USES A FULL LINE OF HIGH FIDELITY MANNEQUINS THAT ARE DESIGNED TO SIMULATE REALISTIC PATIENT SITUATIONS AND RESPONSES BY ALLOWING INSTRUCTORS TO BUILD LIMITLESS MEDICAL SCENARIOS. THE LABORATORY IS DESIGNED TO MODEL A PATIENT CARE UNIT WITH A LABOR AND DELIVERY SECTION, ICU, THREE FULLY EQUIPPED MEDICAL/SURGICAL BAYS AND A NURSING STATION. VPH PARTNERS WITH CALIFORNIA STATE UNIVERSITY NORTHRIDGE (NORTH SAN FERNANDO VALLEY REGION), COLLEGE OF THE CANYONS (SANTA CLARITA), MOUNT ST. MARY'S COLLEGE (LOS ANGELES) AND LOS ANGELES VALLEY COLLEGE TO PROVIDE NURSING STUDENTS A LINK FROM DIDACTIC LEARNING TO HANDS-ON MEDICAL APPLICATION IN A NO-RISK ENVIRONMENT. 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 STRUCTURE FOR TERM LIMITS - CHAIRMAN OF THE BOARD: - THE CHAIRMAN MAY SERVE A MINIMUM OF THREE (3) YEARS AND A MAXIMUM OF FIVE (5) YEARS - UPON COMPLETING THE MAXIMUM OF FIVE YEARS OF SERVICES AS THE BOARD CHAIRMAN, THE CHAIRMAN MAY BE REELECTED TO THE BOARD OF DIRECTORS FOR ONE ADDITIONAL TERM OF THREE (3) YEARS - THE CHAIRMAN'S SERVICE MAY EXTEND ONE (1) ADDITIONAL TERM BEYOND THE MAXIMUM NINE (9) YEARS OF SERVICE IF THE CHAIRMAN'S NINE (9) YEAR'S MAXIMUM SERVICE IS REACHED WHILE SERVING AS CHAIRMAN 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 AND AUDIT COMMITTEE PRIOR TO FILING. 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 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. BUSINESS TRANSACTIONS WITH INTERESTED PERSONS FORM 990, PART VII, SECTION A AND SCHEDULE L, PART IV PATRICK WALSH, MD AND SRIDHAR RAMACHANDRAN, 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. OTHER FEES FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 19,772,552. MANAGEMENT AND GENERAL EXPENSES 9,438,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,211,352. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 1,205,207. AUDITED FINANCIAL STATEMENT ROUNDING 4. AUDIT COMMITTEE AND OVERSIGHT FORM 990, PART XII, LINE 2C 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