EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (EIN 95-2413054)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-06
IRS object ID: 201303109349301590
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-06T16:45:02-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	330155525	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HBLA CERTIFIED PUBLIC ACCOUNTANTS INC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	19600 FAIRCHILD STE 320	AddressLine1
City	IRVINE	City
State	CA	State
ZIP Code	92612	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	952413054	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FOOTHILL PRESBYTERIAN HOSPITAL -	BusinessNameLine1
Business Name Line2	MORRIS L JOHNSTON MEMORIAL	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	FOOT	NameControl
Phone	6269638411	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	140 W COLLEGE ST PO BOX 6108	AddressLine1
City	COVINA	City
State	CA	State
ZIP Code	917225108	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RAJESH SHARMA	Name
Title	SR VP, CFO	Title
Phone	6269387577	Phone
Date Signed	2013-10-23	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	EDWARD E BENOE	Name
PTIN	P00032866	PTIN
Phone	9498332815	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	FOOTHILL PRESBYTERIAN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT H CURRY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	140 W COLLEGE ST PO BOX 6108	AddressLine1
City	COVINA	City
State	CA	State
ZIP Code	917225108	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	96497221	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	CVHP.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1965	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	OPERATION OF ACUTE CARE HOSPITAL.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	637	TotalNbrEmployees
Total Nbr Volunteers	317	TotalNbrVolunteers
Total Gross UBI	39894	TotalGrossUBI
Net Unrelated Business Txbl Income	35168	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	309038	ContributionsGrantsPriorYear
Contributions Grants Current Year	8181	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	73096927	ProgramServiceRevenuePriorYear
Program Service Revenue CY	78332772	ProgramServiceRevenueCY
Investment Income Prior Year	69560	InvestmentIncomePriorYear
Investment Income Current Year	100362	InvestmentIncomeCurrentYear
Other Revenue Prior Year	692184	OtherRevenuePriorYear
Other Revenue Current Year	2292713	OtherRevenueCurrentYear
Total Revenue Prior Year	74167709	TotalRevenuePriorYear
Total Revenue Current Year	80734028	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	39542343	SalariesEtcPriorYear
Salaries Etc Current Year	37728150	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	33538543	OtherExpensePriorYear
Other Expenses Current Year	36550216	OtherExpensesCurrentYear
Total Expenses Prior Year	73080886	TotalExpensesPriorYear
Total Expenses Current Year	74278366	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1086823	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6455662	RevenuesLessExpensesCY
Total Assets BOY	52275490	TotalAssetsBOY
Total Assets EOY	56050444	TotalAssetsEOY
Total Liabilities BOY	14219727	TotalLiabilitiesBOY
Total Liabilities EOY	11407725	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	38055763	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	44642719	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A COMPASSIONATE ENVIRONMENT.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	65849495	Expense
Revenue	80120397	Revenue
Description	FOOTHILL PRESBYTERIAN HOSPITAL IS AN ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE TO THE SURROUNDING COMMUNITY. FPH PROVIDES FOR, ON AVERAGE, 49 PATIENTS PER DAY. TOTAL ADJUSTED INPATIENT DAYS WERE 30,550. OUTPATIENT AND EMERGENCY VISITS TOTALED 56,819. FPH PROVIDED CHARITY CARE AT COST TOTALING $625,000, UNREIMBURSED MEDI-CAL COST TOTALING $5,989,000 AND OTHER COMMUNITY BENEFIT COST TOTALING $261,000. COMMUNITY WELLNESS SERVICES IS COMMITTED TO IMPROVING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF OUR COMMUNITIES AND TO CONSERVE AND ENHANCE THE ORGANIZATION'S RESOURCES. THIS IS ACCOMPLISHED THROUGH A VARIETY OF CLASSES, COMMUNITY PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, SCREENINGS, EDUCATIONAL PROGRAMS WITHIN OUR SCHOOLS, CHURCHES, LIBRARIES, SENIOR CENTERS AS WELL AS THE USE OF TELEPHONE REFERRALS. MOST PROGRAMS ARE OFFERED AT NO CHARGE. ALL PROGRAMMING IS OPEN TO EVERY MEMBER OF OUR COMMUNITY AND SURROUNDING COMMUNITIES.	Description
Total Program Service Expense	65849495	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	119	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	637	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RAJESH K SHARMA SR VP CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6269387595	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	140 W COLLEGE PO BOX 6108	AddressLine1
City	COVINA	City
State	CA	State
ZIP Code	917225108	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per Week RelatedAverageHoursPerWeekRelated	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
WALTER ALLEN III
BOARD OF DIRECTORS	3.00	X	0	0	0
SOHANJEET BASSI MD
BOARD OF DIRECTORS	3.00	X	24500	0	0
ROBERT DUNCAN
BOARD OF DIRECTORS	3.00	X	0	0	0
RAYMOND MATTES IHM
BOARD OF DIRECTORS	3.00	X	0	0	0
HUMBERTO GALLENO MD
BOARD OF DIRECTORS	3.00	X	0	0	0
GORDON SHIPP
BOARD OF DIRECTORS	3.00	X	0	0	0
PATRICIA HANES PHD
BOARD OF DIRECTORS	3.00	X	0	0	0
BERNARD BOLLINGER JR ESQ
BOARD OF DIRECTORS	3.00	X	0	0	0
JACQUELINE BRACY MD
BOARD OF DIRECTORS	3.00	X	0	14297	0
CLIFFORD CHRIST
VICE CHAIR	3.00	X	0	0	0
PATSY GORRELL
BOARD OF DIRECTORS	3.00	X	0	0	0
ARTHUR LUDWICK
BOARD OF DIRECTORS	3.00	X	0	0	0
BILL W TANG MD
SECRETARY	3.00	X	0	23200	0
EARL WASHINGTON
CHAIR	3.00	X	0	0	0
ROBERT H CURRY
PARENT PRESIDENT, CEO, BOARD MEMBER	4.00	X	0	858332	35097	36.00	X
HAROLD BORAK SR
TREASURER	3.00	X	0	0	0
PATRICIA GOMER LCSW
BOARD OF DIRECTORS	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 RODRIGUEZ
BOARD OF DIRECTORS	3.00	X	0	0	0
GURJEET KALKAT MD
BOARD OF DIRECTORS	3.00	X	0	0	0
KHAN HAMEED MD
BOARD OF DIRECTORS	3.00	X	0	0	0
WILLIAM HANES MD
BOARD OF DIRECTORS	3.00	X	0	157200	0
MARY KIRCHEN IHM
BOARD OF DIRECTORS	3.00	X	0	0	0
EDWARD M TRONAAS EDD
BOARD OF DIRECTORS	3.00	X	0	0	0
CARL WILLIAMS
BOARD OF DIRECTORS	3.00	X	0	0	0
ELVIA FOULKE
PARENT EVP, COO	5.00		0	321892	5389	35.00	X
RAJESH SHARMA
PARENT SR. VP, CFO	4.00		0	483824	16453	36.00	X
DIANA LUGO-ZENNER
CEO	40.00		0	338901	24565			X
STANLEY KOZAKA
PHARMACIST	40.00		186057	0	23072			X
JOHN CASSARA
DIR. OF PHARMACY	40.00		164624	0	17977			X
CHANDRA REDDY
RSO/NUCLEAR MED	40.00		177755	0	20645			X
KATHLEEN HANGGE
CORP DIR, NURS. ADMN.	40.00		29366	144119	16814			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	582302	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2341765	TotalReportableCompFrmRltdOrgs
Total Other Compensation	160012	TotalOtherCompensation
Number Individuals GT100 K	72	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
QUESTAR ENGINEERING INC
17841 MITCHELL NORTH	IRVINE	CA	92614	ENGINEERING/CONSTRUCTION	1291299
JOHN J DI MARE MD
26 N PORTOLA	LAGUNA BEACH	CA	926516707	CONSULTING	172515
MOHAN DIALYSIS
638 S GLENDORA AVE	GLENDORA	CA	91740	MEDICAL SERVICES	101600

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Related Organizations	5200	RelatedOrganizations
All Other Contributions	2981	AllOtherContributions
Total Contributions	8181	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REV/MEDICARE/MEDICAID PAY	900099	72714775	72714775
HOSPITAL FEE PROGRAM REVENUE	900099	5564059	5564059
GRANT PROGRAM	900099	53938	53938

Field	Value	IRS element (for citing)
Total Program Service Revenue	78332772	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	105910	TotalRevenueColumn
Exclusion	$105,910	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	173364	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	173364	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	173364	TotalRevenueColumn
Unrelated Business Revenue	39894	UnrelatedBusinessRevenue
Exclusion	$133,470	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	15741514	Securities
Other	16131	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	15751334	Securities
Other	11859	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-9820	Securities
Other	4272	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-5548	TotalRevenueColumn
Exclusion	-$5,548	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
ELECTRONIC HEALTH RECORDS PROGRAM	900099	1716972	1716972
CAFETERIA	900099	180630		$180,630
REBATES & REFUNDS	900099	141259		$141,259

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	80488	TotalRevenueColumn
Related Or Exempt Function Income	70653	RelatedOrExemptFunctionIncome
Exclusion	$9,835	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2119349	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	80734028	TotalRevenueColumn
Related Or Exempt Function Income	80120397	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	39894	UnrelatedBusinessRevenue
Exclusion	$565,556	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	204781	Total
Program Services	61258	ProgramServices
Management And General	143523	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	27350137	Total
Program Services	26786477	ProgramServices
Management And General	563660	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	794415	Total
Program Services	782572	ProgramServices
Management And General	11843	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6883377	Total
Program Services	6782235	ProgramServices
Management And General	101142	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2495440	Total
Program Services	2461002	ProgramServices
Management And General	34438	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	9157	Total
Program Services	7807	ProgramServices
Management And General	1350	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	300	Total
Program Services	300	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	19411	Total
Management And General	19411	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1011485	Total
Program Services	568302	ProgramServices
Management And General	443183	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8860053	Total
Program Services	8839671	ProgramServices
Management And General	20382	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	863676	Total
Program Services	863676	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	5151	Total
Program Services	264	ProgramServices
Management And General	4887	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	167583	Total
Program Services	167583	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3067504	Total
Program Services	3055691	ProgramServices
Management And General	11813	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	419286	Total
Program Services	419286	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
UNRELATED BUS INC TAX	10530	10530
PURCHASED SERVICES	10067437	7055898	3011539
HOSPITAL FEE PROGRAM	5550042		5550042
BAD DEBT EXPENSE	5363445		5363445

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1135156	Total
Program Services	1128345	ProgramServices
Management And General	6811	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	74278366	Total
Program Services	65849495	ProgramServices
Management And General	8428871	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2696209	BOY
EOY	4049093	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12214343	BOY
EOY	8872250	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2611	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	687725	BOY
EOY	686075	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	925459	BOY
EOY	378455	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	80726179	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	49848383	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	31120179	BOY
EOY	30877796	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1684332	BOY
EOY	7992597	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	464331	BOY
EOY	366291	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2480301	BOY
EOY	2827887	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	52275490	BOY
EOY	56050444	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8801783	BOY
EOY	6617603	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	3867485	BOY
EOY	3281701	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1550459	BOY
EOY	1508421	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	14219727	BOY
EOY	11407725	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	35779467	BOY
EOY	42224780	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1241268	BOY
EOY	1367668	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1035028	BOY
EOY	1050271	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	38055763	BOY
EOY	44642719	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	52275490	BOY
EOY	56050444	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6455662	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	149491	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-18197	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1035028	BeginningOfYearBalance
Investment Earnings Or Losses	15243	InvestmentEarningsOrLosses
End Of Year Balance	1050271	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1022791	BeginningOfYearBalance
Investment Earnings Or Losses	12237	InvestmentEarningsOrLosses
End Of Year Balance	1035028	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1012394	BeginningOfYearBalance
Investment Earnings Or Losses	10397	InvestmentEarningsOrLosses
End Of Year Balance	1022791	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	997293	BeginningOfYearBalance
Investment Earnings Or Losses	15101	InvestmentEarningsOrLosses
End Of Year Balance	1012394	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1017468	BeginningOfYearBalance
Investment Earnings Or Losses	-20175	InvestmentEarningsOrLosses
End Of Year Balance	997293	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1173257	OtherCostOrOtherBasis
Book Value	1173257	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44363189	OtherCostOrOtherBasis
Depreciation	20801751	Depreciation
Book Value	23561438	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35189733	OtherCostOrOtherBasis
Depreciation	29046632	Depreciation
Book Value	6143101	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	30877796	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DEBT ISSUANCE COSTS	102969
BENEFICIAL INTEREST IN CVHF	1723690
HOSPITAL FEE PROGRAM	925228
HOSPITAL/PROF. EXCESS INS RECOVERIES-CURRENT	7000
HOSPITAL/PROF. EXCESS INS RECOVERIES-L/T	69000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2827887	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
OTHER CURRENT LIABILITIES	$558,240
MALPRACTICE RESERVE LONG TERM	$403,999
CAPITAL LEASE PAYABLE	$546,182

Field	Value	IRS element (for citing)
Total Of Amounts	1508421	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	75164000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	149491	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	149491	RevenueNotRptdF990
Revenue Subtotal	75014509	RevenueSubtotal
Other Revenues Not Included	5719519	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	5719519	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	80734028	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	68770000	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	68770000	ExpensesSubtotal
Other Expenses Not Included	5508366	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	5508366	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	74278366	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	PERMANENTLY RESTRICTED ASSETS ARE RESTRICTED INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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, 2012 OR 2011.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RESTRICTED INCOME ACTIVITY 56,919. INVESTMENT FEES INCLUDED IN INCOME 19,411. PASSTHROUGH INCOME DIFFERENCE 31,941. ROUNDING DIFFERENCE 828. BANK CHARGES INCLUDED IN INCOME 1,015. DECREASE IN BENEFICIAL INTEREST CVHF 240,760. PROVISION FOR BAD DEBTS 5,363,445. TRANSFER FROM CVHF 5,200.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RESTRICTED INCOME ACTIVITY 123,589. ROUNDING DIFFERENCE 906. INVESTMENT FEES INCLUDED IN INCOME 19,411. BANK CHARGES INCLUDED IN INCOME 1,015. BAD DEBT EXPENSE 5,363,445.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	625000	TotalCommunityBenefitExpense
Net Community Benefit Expense	625000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00910	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16583707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10608956	DirectOffsettingRevenue
Net Community Benefit Expense	5974751	NetCommunityBenefitExpense
Percent Of Total Expense	0.08670	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17208707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10608956	DirectOffsettingRevenue
Net Community Benefit Expense	6599751	NetCommunityBenefitExpense
Percent Of Total Expense	0.09580	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	240752	TotalCommunityBenefitExpense
Net Community Benefit Expense	240752	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20000	TotalCommunityBenefitExpense
Net Community Benefit Expense	20000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	260752	TotalCommunityBenefitExpense
Net Community Benefit Expense	260752	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17469459	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10608956	DirectOffsettingRevenue
Net Community Benefit Expense	6860503	NetCommunityBenefitExpense
Percent Of Total Expense	0.09960	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,363,445	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	16402140	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	16562408	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-160268	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FOOTHILL PRESBYTERIAN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	250 SOUTH GRAND AVENUE	AddressLine1
City	GLENDORA	City
State	CA	State
ZIP Code	91741	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FOOTHILL PRESBYTERIAN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	10	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	300.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	350.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: N/A
PART I, LINE 6A: THE SOLE MEMBER OF THIS ORGANIZATION IS CITRUS VALLEY HEALTH PARTNERS, INC., A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. CITRUS VALLEY HEALTH PARTNERS, INC. (CVHP), PREPARED AN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT THAT DESCRIBES THE HOSPITAL'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL.
PART I, LINE 7: MANY GOVERNMENT PROGRAMS (MEDI-CAL, HEALTHY FAMILIES, AND MEDICARE) AND OTHER THIRD PARTY COVERAGE PROGRAMS HAVE BEEN ESTABLISHED TO PROVIDE FOR OR DEFRAY THE HEALTHCARE COSTS FOR THE INDIVIDUALS WHO ALSO MAY BE CONSIDERED NEEDY. IN THE CASE WHERE ARRANGEMENTS FOR PAYMENT TO THE HOSPITAL REQUIRE THE HOSPITAL TO ACCEPT THE PAYMENT AMOUNT AS PAYMENT IN FULL, THE BALANCES OF THESE ACCOUNTS WRITTEN OFF ARE ATTRIBUTABLE TO CONTRACTUAL ADJUSTMENTS AND WILL NOT BE CONSIDERED CHARITY CARE. IN CASES WHERE THESE PROGRAMS REQUIRE THE PATIENTS TO PAY CO-PAYMENTS OR DEDUCTIBLES AND THE PATIENTS DO NOT HAVE THE ABILITY TO PAY; THESE AMOUNTS WILL BE CONSIDERED CHARITY CARE.CHARITY DETERMINATION WILL BE GRANTED ON "ALL, PARTIAL, OR NOTHING BASIS". THERE IS A CATEGORY OF PATIENTS WHO QUALIFY FOR MEDI-CAL, BUT DO NOT RECEIVE PAYMENT FOR THEIR ENTIRE STAY. UNDER THE CHARITY POLICY DEFINITION, THESE PATIENTS ARE ELIGIBLE FOR CHARITY CARE WRITE-OFFS. IN ADDITION, THE HOSPITAL SPECIFICALLY INCLUDES AS CHARITY THE CHARGES RELATED TO DENIED STAYS, DENIED DAYS OF CARE, AND NON-COVERED SERVICES. THESE "TREATMENT AUTHORIZATION REQUEST" DENIALS AND ANY LACK OF PAYMENT FOR NON-COVERED SERVICES PROVIDED TO MEDI-CAL PATIENTS ARE TO BE CLASSIFIED AS CHARITY. THESE PATIENTS ARE RECEIVING THE SERVICES AND THEY DO NOT HAVE THE ABILITY TO PAY FOR IT. IN ADDITION, MEDICARE PATIENTS WHO HAVE MEDI-CAL COVERAGE FOR THEIR CO-INSURANCE/DEDUCTIBLES, FOR WHICH MEDI-CAL DOES NOT MAKE PAYMENT AND MEDICARE DOES NOT ULTIMATELY PROVIDE BAD DEBT REIMBURSEMENT WILL ALSO BE INCLUDED AS CHARITY. THESE INDIGENT PATIENTS ARE RECEIVING A SERVICE FOR WHICH A PORTION OF THE RESULTING BILL IS NOT BEING REIMBURSED.THE ABOVE CHARITY WRITE-OFFS ARE CONVERTED INTO CHARITY COST USING THE COST TO CHARGE RATIO WHICH WAS DERIVED FROM WORKSHEET 2 OF THE INSTRUCTIONS TO THE IRS SCHEDULE H, "RATIO OF PATIENT CARE COST-TO-CHARGES."INCLUDED IN PART I, LINE 7B ARE NET FEE-FOR-SERVICE SUPPLEMENTAL MEDI-CAL PAYMENTS OF $14,017 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM ("PROGRAM") FOR THE HOSPITAL SERVICES TO MEDI-CAL PATIENTS WHICH COVERED THE 18-MONTH PERIOD FROM JULY 1, 2011 TO DECEMBER 31, 2012.THE PROGRAM WAS SIGNED INTO LAW AND WAS APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) IN JUNE 2012. UNDER THE PROGRAM, CALIFORNIA HOSPITALS WERE ASSESSED A FEE BASED ON THE NUMBER OF MEDI-CAL PATIENT DAYS EACH FACILITY PROVIDES. THE STATE WOULD USE THESE MONIES TO DRAW DOWN MATCHING FEDERAL FUNDS. THE FEES PAID BY HOSPITALS, COMBINED WITH THE FEDERAL MATCHING FUNDS, WERE DISTRIBUTED BACK TO THE HOSPITALS IN THE FORM OF SUPPLEMENTAL MEDI-CAL PAYMENTS. THE ACTUAL AMOUNT EACH HOSPITAL RECEIVED WAS BASED ON THE FACILITY'S VOLUME OF MEDI-CAL PATIENTS. FPH PROVIDED APPROXIMATELY 5,616 DAYS OF QUALITY HEALTH CARE SERVICES TO MEDI-CAL BENEFICIARIES DURING THIS 18-MONTH PERIOD.DUE TO DEEP FUNDING CUTS TO MEDI-CAL PROGRAM, AS WELL AS HISTORICAL LOW LEVELS OF REIMBURSEMENT AND HIGH RATE OF DENIALS, THE HOSPITAL FEE PROGRAM HAS BEEN CRITICAL IN HELPING FPH TO CONTINUE PROVIDING QUALITY HEALTH CARE SERVICES TO THE POOREST AND MOST VULNERABLE POPULATION IN THE COMMUNITY. WITHOUT THE PROGRAM, A NUMBER OF HOSPITALS MAY BE FORCED TO RESTRICT OR END SERVICES TO MEDI-CAL PATIENTS AND OUR HOSPITAL MAY FACE SIMILAR DILEMMA.THE PROGRAM REMAINS CRUCIAL IN MAINTAINING MEDI-CAL SERVICES AND CHARITY PROVIDED BY OUR HOSPITAL TO THE COMMUNITY'S LOW INCOME POPULATION, AND IT IS VITAL TO FPH THAT FUTURE SIMILAR PROGRAMS BE APPROVED AND IMPLEMENTED.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5363445.
PART III, LINE 4: TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS- CVHP RECOGNIZES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON THE HISTORICAL EXPERIENCE OF EACH AFFILIATE.STATEMENT REGARDING COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III - REGARDING CARE OF THE POOR AND COMMUNITY BENEFIT REPORT - CVHP HAS A POLICY TO TREAT EMERGENCY PATIENTS REGARDLESS OF ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH CERTAIN ESTABLISHED POLICIES OF THE CORPORATION. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED BECAUSE OF INABILITY TO PAY. CVHP PROVIDES PROGRAMS AND ACTIVITIES THAT CONTRIBUTE TO CHARITY CARE, CARE OF THE POOR, AND COMMUNITY BENEFIT. THESE PROGRAMS AND ACTIVITIES SERVE A MAJORITY OF PERSONS WHO ARE BENEFICIARIES OF MEDI-CAL AND COUNTY/STATE PROGRAMS FOR THE MEDICALLY INDIGENT. ALSO INCLUDED ARE ACTIVITIES THAT IMPROVE THE COMMUNITY'S HEALTH STATUS, AND EDUCATE OR PROVIDE SOCIAL SERVICES TO THE ELDERLY AND CHILDREN. THE CORPORATION USES 3 CATEGORIES TO CLASSIFY CARE OF THE POOR AND COMMUNITY BENEFIT: CATEGORY 1: TRADITIONAL CHARITY CARE - CARE OF THE POOR INCLUDES SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. THIS WRITE-OFF IS ARRANGED BEFORE THE CARE IS GIVEN WHEN POSSIBLE. IF THERE IS ANY SUBSIDY DONATED FOR THESE SERVICES, THAT AMOUNT IS DEDUCTED FROM THE GROSS AMOUNT. CATEGORY 2: UNPAID COST OF PUBLIC PROGRAMS - THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. CATEGORY 3: COMMUNITY BENEFIT - SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY, IE., OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT THAT NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE THE ELDERLY, SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH AIDS. THEY ALSO INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION, AND HEALTH CLINICS AND SCREENINGS.STATEMENT REGARDING BAD DEBT EXPENSE:THE POLICY OF THE ORGANIZATION IS TO PROVIDE OUR UNINSURED AND UNDERINSURED PATIENTS THE SAME ALLOWANCES PROVIDED TO ITS MANAGED CARE CONTRACTORS. THAT IS, THOSE PATIENTS SHALL HAVE APPLIED TO THEIR ACCOUNTS APPROPRIATE ALLOWANCES AND PER DIEM RATES. THE ORGANIZATION IS TO FOLLOW UP ON AND COLLECT ALL SELF PAY ACCOUNT BALANCES, AS WELL AS, WHERE THIRD PARTY BENEFITS EXIST, ALL PATIENT CO-PAYS AND DEDUCTIBLES, EITHER AT THE TIME OF SERVICE, OR WHEN THEY BECOME DUE. THIS SHALL BE ACCOMPLISHED IN A FAIR, CARING AND COMPASSIONATE MANNER. THE RESULTING NET REALIZABLE BALANCE ON THESE ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL COLLECTION EFFORTS AND FOLLOW UP ATTEMPTS HAVE BEEN MADE. THE ORGANIZATION RECOGNIZES BAD DEBT EXPENSE BASED UPON ITS HISTORICAL EXPERIENCE.
PART III, LINE 8: MEDICARE COST REPORT WAS USED TO REPORT THE MEDICARE REVENUE AND MEDICARE ALLOWABLE COSTS. THE MEDICARE RAC (RECOVERY AUDIT CONTRACTORS) AMOUNT RETRACTED BY MEDICARE IN THE CURRENT YEAR FOR THE SERVICES PROVIDED TO THE MEDICARE PATIENTS IN THE PRIOR YEARS WAS NOT OFFSET AGAINST THE MEDICARE REVENUE IN THE CURRENT YEAR. MEDICARE ALLOWABLE COSTS TEND TO UNDERSTATE THE ACTUAL COSTS WHICH INCLUDED CERTAIN COST DISALLOWANCES AND NON-REIMBURSABLE COST CENTERS SUCH AS NON-ALLOWABLE PHYSICIAN FEES, CAFETERIA COSTS, MANAGED CARE OUTSIDE MEDICAL CLAIMS, HOME OFFICE'S MANAGEMENT FEES ADJUSTMENT, NON-ALLOWABLE MEALS, HOME OFFICE BUILDING COSTS, AND OTHER NON-ALLOWABLE EXPENSES. IF THE MEDICARE RAC AUDIT TAKEBACKS OF $352,366 AND THE ESTIMATED ADDITIONAL ALLOCATED DISALLOWABLE MEDICARE COSTS OF $658,256 WERE INCLUDED IN LINE 5 AND LINE 6 RESPECTIVELY, THE (SHORTFALL) ON LINE 7 WOULD BE ($1,170,890).
PART III, LINE 9B: THE CORPORATION OFFERS THE FOLLOWING COVERAGE OPTIONS WHICH ARE ALWAYS EXPLORED IN ASSESSING PATIENTS' ABILITY TO PAY:A) LINKAGE TO AVAILABLE STATE AID SUCH AS: (I) MEDI-CAL, (II) CALIFORNIA CHILDREN SERVICES, (III) HEALTHY FAMILIES, (IV) OTHERB) PATIENTS UNDER AGE TWENTY ONE YEARS, WHO ARE SELF PAY, SHALL BE REFERRED TO THE ONSITE MEDI-CAL ELIGIBILITY WORKER OR TO EITHER OF OUR CONTRACTED VENDORS FOR COMPLETION OF A MEDI-CAL APPLICATION AND/OR THE ON SITE GEM (GET ELIGIBILITY MOVING) PROGRAM.C) ALL OBSTETRICAL PATIENTS WHO ARE SELF PAY AND UNABLE TO MEET THEIR FINANCIAL OBLIGATION SHALL BE REFERRED TO THE ONSITE MEDI-CAL ELIGIBILITY WORKER OR TO EITHER OF OUR CONTRACTED VENDORS FOR COMPLETION OF A MEDI-CAL APPLICATION AND/OR THE ON SITE GEM PROGRAM.FOR THOSE PATIENTS WHO QUALIFY FOR CHARITY CARE ACCORDING TO THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNTS WOULD BE WRITTEN OFF TO CHARITY AND THE PATIENTS WOULD NOT BE BILLED.
PART V, SECTION B, LINE 3: COMMUNITY HEALTH NEEDS ASSESSMENT - PRIMARY DATA WERE COLLECTED DIRECTLY FROM PEOPLE IN THE COMMUNITY. TWENTY-TWO PEOPLE REPRESENTING 20 COMMUNITY ORGANIZATIONS AND AGENCIES WERE INTERVIEWED. ADDITIONALLY, FOUR FOCUS GROUPS WERE CONDUCTED WITH: HEALTH CARE PROVIDERS, SOCIAL SERVICES PROVIDERS, PROMOTORAS AND SCHOOL LIAISONS, AND BUSINESS AND EDUCATION LEADERS. THREE GROUPS WERE CONDUCTED IN ENGLISH AND ONE IN SPANISH (THE PROMOTORAS/SCHOOL LIAISONS GROUPS). FOR THE PROMOTORAS GROUP THAT SPOKE SPANISH, A BILINGUAL FACILITATOR CONDUCTED THE FOCUS GROUPS IN SPANISH. A TOTAL OF FORTY-NINE PEOPLE PARTICIPATED IN THE FOCUS GROUPS.	FOOTHILL PRESBYTERIAN HOSPITAL
PART V, SECTION B, LINE 4: COMMUNITY HEALTH NEEDS ASSESSMENT - THE HOSPITAL FACILITY'S NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:- CITRUS VALLEY MEDICAL CENTER - COVINA, CA- KAISER FOUNDATION HOSPITAL - BALDWIN PARK, CA	FOOTHILL PRESBYTERIAN HOSPITAL
PART V, SECTION B, LINE 20D: THE HOSPITAL DETERMINED, DURING THE TAX YEAR, THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE AS FOLLOWS:- THE PREVAILING MANAGED CARE PER DIEM RATE SHALL BE APPLIED FOR ALL INPATIENT STAYS. ANY IMPLANTS AND OR PROSTHETIC DEVICES AND HIGH COST DRUGS ARE EXCLUDED FROM THE PER DIEM RATES AND ARE PAYABLE AT INVOICE PLUS A 5% PROCESSING FEE.- ALL NON SURGICAL OUTPATIENT SERVICES SHALL BE REDUCED BY SIXTY FIVE PERCENT (65%) OF CHARGES AT THE TIME OF SERVICE. THIS DISCOUNT WILL BE CHANGED IN FUTURE YEARS TO APPROXIMATE THE AMOUNT EXPECTED TO BE RECEIVED FROM MANAGED CARE PLANS.ALL OUTPATIENT SURGICAL PROCEDURES SHALL BE CHARGED AT BENCHMARK MANAGED CARE CASE RATES. IMPLANTS AND/OR PROSTHETIC DEVICES ARE EXCLUDED FROM THE CASE RATE AND ARE PAYABLE AT INVOICE PLUS A 5% PROCESSING FEE.	FOOTHILL PRESBYTERIAN HOSPITAL
PART VI, LINE 2: NEEDS ASSESSMENT: IN 2010, CITRUS VALLEY HEALTH PARTNERS (CVHP) CONDUCTED A STATE-MANDATED COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS ASSESSMENTS ARE THE PRIMARY TOOLS USED TO DETERMINE THE HOSPITAL'S "COMMUNITY BENEFIT" PLANS, THAT IS, HOW THE HOSPITAL WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY HEALTH SERVICES TO ADDRESS UNMET COMMUNITY NEEDS. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH KAISER FOUNDATION HOSPITAL - BALDWIN PARK.IN 1994, CALIFORNIA PASSED LEGISLATION (SB 697) THAT REQUIRED NON-PROFIT HOSPITALS TO REPORT ON COMMUNITY BENEFIT THEY PROVIDE. THIS LEGISLATION FURTHER REQUIRED HOSPITALS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE AND DEVELOP PLANS TO ADDRESS PRIORITY NEEDS. IN ADDITION TO CALIFORNIA'S REQUIREMENT FOR HEALTH NEEDS ASSESSMENTS, THE RECENT PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, HAS INSTITUTED FEDERAL REGULATIONS FOR TAX EXEMPT HOSPITALS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS AND DEVELOP COMMUNITY BENEFIT PLANS EVERY THREE YEARS. CVHP IS IN THE PROCESS OF CONDUCTING A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013 IN ACCORDANCE WITH THE IRC NEW SECTION 501(R) CREATED BY THE AFFORDABLE CARE ACT.SERVICE AREA: CITRUS VALLEY HEALTH PARTNERS COMPRISES FOUR CAMPUSES: INTER-COMMUNITY IN COVINA, QUEEN OF THE VALLEY IN WEST COVINA, FOOTHILL PRESBYTERIAN IN GLENDORA, AND CITRUS VALLY HOSPICE IN WEST COVINA. THE SERVICE AREA FOR CITRUS VALLY HEALTH PARTNERS ENCOMPASSES 13 CITIES AND 4 CENSUS DESIGNATED PLACES (CDP'S).LIST OF CITIES AND CDP'S:AVOCADO HEIGHTS - CDP, AZUSA, BALDWIN PARK, COVINA, DIAMOND BAR, EL MONTE, GLENDORA, HACIENDA HEIGHTS - CDP, IRWINDALE, LA PUENTE, LA VERNE, ROWLAND HEIGHTS - CDP, SAN DIMAS, SOUTH EL MONTE, VALINDA - CDP, WALNUT, AND WEST COVINADATA COLLECTION:THIS COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES COLLECTION AND ANALYSES OF PRIMARY AND SECONDARY DATA.SERVICE AREA DESCRIPTION:THE SECONDARY DATA SELECTED FOR THIS REPORT EXAMINE UP-TO-DATE DATA SOURCES FOR THE SERVICE AREA TO PRESENT A COMMUNITY PROFILE, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACCESS TO HEALTH CARE, CHRONIC DISEASES, PREVENTIVE PRACTICES, HEALTH BEHAVIORS, SOCIAL ISSUES, AND SCHOOL AND STUDENT CHARACTERISTICS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND/OR THE STATE. DEMOGRAPHIC DATA ARE PRESENTED FOR ALL CITIES AND CDPS IN A SUPPLEMENTARY APPENDIX.THIS REPORT PRESENTS A SUMMARY THAT HIGHLIGHTS THE DATA FINDINGS, PRESENTS KEY NEEDS AND OPPORTUNITIES FOR ACTION. A DETAILED NARRATIVE EXAMINES EACH OF THE DATA SETS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA (WHERE AVAILABLE), COMPARING CVHP COMMUNITY DATA FINDINGS WITH NEWLY RELEASED HEALTHY PEOPLE 2020 OBJECTIVES.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE:THE HOSPITAL EMPLOYS A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY POSTING ITS CHARITY CARE POLICIES IN PUBLIC PLACES AND PROVIDING PATIENTS WITH WRITTEN NOTICE ABOUT THEIR FINANCIAL OPTIONS, INCLUDING THE AVAILABILITY OF DISCOUNTS, PAYMENT PLANS AND PUBLIC INSURANCE PROGRAMS SUCH AS MEDI-CAL, HEALTHY KIDS, HEALTHY FAMILIES, ACCESS FOR INFANTS AND MOTHERS PROGRAM AND OTHER OPTIONS. SINCE 1991, CVHP'S GEM (GET ENROLLMENT MOVING PROJECT) HAS BEEN A LEADER IN THE SAN GABRIEL VALLEY IN CONNECTING FAMILIES AND INDIVIDUALS WITH ACCESS TO FREE OR LOW-COST HEALTH INSURANCE, AS WELL AS REFERRALS TO OTHER HEALTH ACCESS PROGRAMS FOR THE UNINSURED. THE GEM PROJECT PARTNERS WITH PROMOTORAS (BILINGUAL HEALTH PROMOTERS), SCHOOLS, CHILD-CARE AGENCIES, CHURCHES, FAMILY RESOURCE CENTERS, CLINICS, COMMUNITY BASED ORGANIZATION, ETC. TO IDENTIFY UNINSURED CHILDREN AND ADULTS, AND PROVIDE INSURANCE ENROLLMENT SERVICES IN THE GEM OFFICE AND AT THE OFF-SITE COMMUNITY LOCATIONS. IN ADDITION, THE HOSPITAL HAS OUTREACH PROGRAMS TO LOW INCOME VULNERABLE POPULATIONS VIA DOOR-TO-DOOR, COMMUNITY SITES AND EVENTS. CVHP ALSO SUPPORTS ECHO (EVERY CHILD'S HEALTH OPTION) PROGRAM WHICH PROVIDES URGENT AND SPECIALTY CARE TO UNINSURED CHILDREN.
PART VI, LINE 4: COMMUNITY INFORMATION:FOOTHILL PRESBYTERIAN HOSPITAL (FPH) TOGETHER WITH ITS AFFILIATE CITRUS VALLEY MEDICAL CENTER (CVMC) SERVES AN URBAN COMMUNITY OF NEARLY ONE MILLION PEOPLE IN THE SAN GABRIEL VALLEY. CVMC HAS TWO HOSPITALS: INTER-COMMUNITY CAMPUS IN COVINA AND QUEEN OF THE VALLEY CAMPUS IN WEST COVINA. FOLLOWING IS A SUMMARY OF THE MAJOR DEMOGRAPHICS OF THE HOSPITAL AND ITS AFFILIATES' SERVICE AREA -- POPULATION BY AGE: 7.9% AGE 0-4, 20.9% AGE 5-17, 62.2% AGE 18-64 AND 9% AGE 65+; MEDIAN HOUSEHOLD INCOME $65,912; POVERTY LEVEL: 33.7% OF THE RESIDENTS IN THE HOSPITAL SERVICE AREA LIVE UNDER 200% OF THE FEDERAL POVERTY LEVEL AND ARE CLASSIFIED AS LOW-INCOME; PAYER MIX BASED ON FPH'S INPATIENT DAYS SERVED: MEDI-CAL AND MEDI-CAL MANAGED CARE 20.3%, MEDICARE AND MEDICARE MANAGED CARE, 52.7%, MANAGED CARE 23.2%, AND SELF-PAY 3.9%. APPROXIMATELY 8 OTHER HOSPITALS ARE SERVICING THE AREAS.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:FOOTHILL PRESBYTERIAN HOSPITAL, A FULLY ACCREDITED 105 BED NONPROFIT HOSPITAL, HAS PROUDLY SERVED THE COMMUNITIES OF GLENDORA, AZUSA, LA VERNE AND SAN DIMAS SINCE 1973. KEY SERVICES: FULL RANGE OF GENERAL ACUTE CARE SERVICES. CITRUS VALLEY HEALTH PARTNERS OUTPATIENT DIABETES EDUCATION PROGRAM - RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION AS A CENTER OF EXCELLENCE FOR DIABETES EDUCATION. 37-BED DIABETES CARE UNIT. 13-BED CARL E. WYNN NEWBORN INN - STATE-OF-THE-ART, PRIVATE-ROOM MATERNITY CARE. 9-BED CORONARY CARE UNIT. 9-BED INTENSIVE CARE UNIT. 37-BED MEDICAL/SURGICAL CARE SERVICES. THE ARTHUR AND SARAH LUDWICK EMERGENCY CARE PAVILLION - 24-HOUR EMERGENCY SERVICES, FEATURING THE ONLY FAA-APPROVED HELIPORT BETWEEN SAN BERNARDINO AND ARCADIA LITHOTRIPSY SERVICES. CITRUS VALLEY CENTERS FOR REHABILITATION SERVICES - OFFERING SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY SERVICES FOR CHILDREN AND ADULTS. THE HOSPITAL IS GOVERNED BY A 21-MEMBER BOARD OF DIRECTORS COMPRISED OF PHYSICIANS, BUSINESS AND COMMUNITY LEADERS. THE BOARD HAS THE OVERALL RESPONSIBILITY FOR THE MANAGEMENT OF THE HOSPITAL. TO CARRY OUT THIS RESPONSIBILITY, THE GOVERNING BODY PROVIDES FOR THE EFFECTIVE FUNCTIONING OF ACTIVITIES RELATED TO: DELIVERY OF PATIENT CARE, PERFORMANCE IMPROVEMENT, PATIENT SAFETY, RISK MANAGEMENT, MEDICAL STAFF CREDENTIALING, FINANCIAL MANAGEMENT, STRATEGIC PLANNING AND COMMUNITY BENEFIT.THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITIES. AS OF DECEMBER 31, 2012, THE HOSPITAL'S MEDICAL STAFF CONSISTED OF 360 PHYSICIANS, OF WHICH 139 ARE MEMBERS OF ITS ACTIVE STAFF (DEFINED AS ADMITTING MORE THAN TWELVE PATIENTS PER YEAR). THE TEN MOST ACTIVE ADMITTING PHYSICIANS ACCOUNTED FOR APPROXIMATELY 56.4% OF TOTAL ADMISSIONS TO FPH. THESE PHYSICIANS HAD SPECIALTIES OF INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND PULMONARY MEDICINE. AS OF DECEMBER 31, 2012, 80.8% OF THE TOTAL MEDICAL STAFF MEMBERS AND 96.9% OF THE ACTIVE MEDICAL STAFF MEMBERS WERE BOARD-CERTIFIED IN THEIR RESPECTIVE SPECIALTIES.THE SURPLUS FUNDS HELD BY THE HOSPITAL ARE USED TO FULFILL ITS MISSION AS AN INTEGRATED HEALTH CARE ORGANIZATION COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A COMPASSIONATE ENVIRONMENT FOR THE PEOPLE IN THE SURROUNDING COMMUNITIES BY OFFERING OUTREACH EDUCATION AND CHARITY CARE, INVESTING IN ADVANCED MEDICAL TECHNOLOGY AND MODERNIZING HOSPITAL FACILITIES.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: CVHP, THE SOLE CORPORATE MEMBER OF CITRUS VALLEY MEDICAL CENTER (CVMC), FOOTHILL PRESBYTERIAN HOSPITAL (FPH), CITRUS VALLEY HOSPICE (HOSPICE), AND CITRUS VALLEY HEALTH FOUNDATION (CVHF), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT DESCRIBES SPECIFIC OUTREACH PROGRAMS AND SERVICES THAT SUPPORT AND PROVIDE CHARITY CARE AND EDUCATION AND PROMOTE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES SERVED BY FPH AND ITS AFFILIATE ORGANIZATIONS.CVMC OPERATES ACUTE CARE HOSPITALS WITH A TOTAL OF 518 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE COMMUNITIES SURROUNDING ITS TWO MEDICAL CENTER CAMPUSES: QUEEN OF THE VALLEY CAMPUS LOCATED IN WEST COVINA WITH 325 LICENSED BEDS, AND INTER-COMMUNITY CAMPUS LOCATED IN COVINA WITH 193 LICENSED BEDS. HOSPICE, LOCATED IN WEST COVINA, CALIFORNIA, OPERATES A 10 LICENSED BED SKILLED NURSING FACILITY AND IN HOME SERVICES FOR TERMINALLY ILL PATIENTS AND A HOME HEALTH CARE AGENCY DOING BUSINESS AS CITRUS VALLEY HOME HEALTH. CVHF PERFORMS THE FUND-RAISING AND TRUST ADMINISTRATION ACTIVITIES RELATED TO CVHP AND ITS AFFILIATES.COMMUNITY OUTREACH:CVHP IS AN ORGANIZATION RECOGNIZED FOR OUR OUTSTANDING COMMUNITY OUTREACH EFFORTS AND ACCOMPLISHMENTS. AN ORGANIZATION DEDICATED TO CREATING INNOVATIVE PARTNERSHIPS AMONG THE NUMEROUS HEALTH AND SOCIAL SERVICE ORGANIZATIONS IN OUR VALLEY, WITH CLOSE TO 100 AGENCIES FORMING A COLLABORATIVE RELATIONSHIP DEVOTED TO PROMOTING COMMUNITY HEALTH AND WELL-BEING. FOR EXAMPLE, CVHP'S PARTNERSHIP NURSING PROGRAM IS BASED ON THE CONCEPT THAT THROUGH WORKING PARTNERSHIPS BETWEEN FAITH COMMUNITIES, COMMUNITY ORGANIZATIONS AND MEDICAL PROFESSIONALS, HEALTH AND WELLNESS ISSUES CAN BE SIGNIFICANTLY IMPROVED. EVERY CHILD'S HEALTHY OPTION (ECHO) IS A COLLABORATIVE EFFORT INVOLVING CVHP, LOCAL SCHOOL DISTRICTS AND HEALTH PROVIDERS THAT ENSURES THAT EVERY CHILD, REGARDLESS OF INCOME LEVEL, HAS ACCESS TO QUALITY HEALTH CARE. PROMOTERS OF HEALTH IS A PEER EDUCATION PROGRAM DESIGNED TO TEACH AND INSPIRE AT-RISK CHILDREN - AGES 12 TO 20 - TO MAKE HEALTHY DECISIONS. AND THROUGH THE GET ENROLLMENT MOVING PROGRAM, ALSO KNOWN AS GEM, VOLUNTEERS AND CVHP STAFF MEMBERS WORK TOGETHER TO RECRUIT ELIGIBLE FAMILIES AND ENROLL THEM IN MEDI-CAL, HEALTHY FAMILIES OR OTHER STATE PROGRAMS. FAMILIES MUST MEET CERTAIN CRITERIA TO QUALIFY AND COST VARIES DEPENDING ON INCOME, NUMBER OF CHILDREN AND OTHER FACTORS. THE PROGRAM IS FUNDED BY STATE AND COUNTY GRANTS AWARDED TO CVHP.FOR CVHP'S ACCOMPLISHMENTS AND OUTSTANDING EFFORTS TO IMPROVE THE COMMUNITY'S HEALTH AND WELL-BEING, WE WERE NAMED WINNER OF A 1999 VHA LEADERSHIP AWARD IN COMMUNITY HEALTH IMPROVEMENT. CVHP WAS ONE OF ONLY EIGHT HONOREES NATIONWIDE TO RECEIVE A VOLUNTARY HOSPITALS OF AMERICA, INC. (VHA) AWARD IN 1999 AND WAS THE ONLY CALIFORNIA-BASED ORGANIZATION TO BE RECOGNIZED. AS A TEAM OF THE FOUR FINEST HEALTH CARE INSTITUTIONS IN THE REGION, OUR COLLECTIVE STRENGTHS ENABLE US TO CONTINUE THE COMMITMENT TO EXCELLENCE THE SAN GABRIEL VALLEY HAS COME TO KNOW AND TRUST.
CA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT H CURRY
PARENT PRESIDENT, CEO, BOARD MEMBER	0	594693	0	154551	0	109088	0	13968	0	21129	0	893429	0	0
WILLIAM HANES MD
BOARD OF DIRECTORS	0	0	0	0	0	157200	0	0	0	0	0	157200	0	0
ELVIA FOULKE
PARENT EVP, COO	0	204727	0	71527	0	45638	0	0	0	5389	0	327281	0	0
RAJESH SHARMA
PARENT SR. VP, CFO	0	315016	0	115624	0	53184	0	0	0	16453	0	500277	0	0
DIANA LUGO-ZENNER
CEO	0	253068	0	55030	0	30803	0	9462	0	15103	0	363466	0	0
STANLEY KOZAKA
PHARMACIST	183986	0	1824	0	247	0	8007	0	15065	0	209129	0	0	0
JOHN CASSARA
DIR. OF PHARMACY	156419	0	6164	0	2041	0	7114	0	10863	0	182601	0	0	0
CHANDRA REDDY
RSO/NUCLEAR MED	177367	0	250	0	138	0	8294	0	12351	0	198400	0	0	0
KATHLEEN HANGGE
CORP DIR, NURS. ADMN.	29366	131330	0	6924	0	5865	0	7510	0	9304	29366	160933	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521643828	IssuerEIN
Date Issued	2010-03-31	DateIssued
Issue Price	1300000	IssuePrice
Description Of Purpose	MEDICAL EQUIPMENT	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	1	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	1300000	TotalProceeds
Capital Expenditures	1300000	CapitalExpenditures
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	1	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	1	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ELVIA FOULKE
OFFICER OF CVHP, INC. AND BOARD MEMBER OF OPTIMA	211759	CITRUS VALLEY HEALTH PARTNERS, INC. PURCHASES INSURANCE FROM OPTIMA. OPTIMA IS A FULL-SERVICE BROKERAGE COMPANY WHICH IS A WHOLLY OWNED SUBSIDIARY OF THE CALIFORNIA HEALTHCARE INSURANCE COMPANY, INC.	0
ROBERT CURRY
OFFICER OF CVHP, INC. AND BOARD MEMBER OF OPTIMA	635278	CITRUS VALLEY HEALTH PARTNERS, INC. PURCHASES INSURANCE FROM OPTIMA. OPTIMA IS A FULL-SERVICE BROKERAGE COMPANY WHICH IS A WHOLLY OWNED SUBSIDIARY OF THE CALIFORNIA HEALTHCARE INSURANCE COMPANY, INC.	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART IV	Identifier
Return Reference	CHANGE IN OPTIMA BOARD	ReturnReference
Explanation	ELVIA FOULKE WAS AN OFFICER OF CVHP, INC. DURING THE CURRENT YEAR AND SERVED AS A BOARD MEMBER OF OPTIMA FROM JANUARY 2012 THROUGH MARCH 2012. ROBERT CURRY WAS ALSO AN OFFICER OF CVHP, INC. DURING THE CURRENT YEAR AND SERVED AS A BOARD MEMBER OF OPTIMA FROM APRIL 2012 THROUGH DECEMBER 2012.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FILING OF FORM 1098C	990 PART V LINE 7H	THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY THERE WERE NO FORMS 1098C FILED.
	FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THIS ORGANIZATION IS CITRUS VALLEY HEALTH PARTNERS, INC., A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION.
	FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER OF THIS ORGANIZATION IS CITRUS VALLEY HEALTH PARTNERS, INC. THE MEMBER THROUGH THE BOARD OF DIRECTORS HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
	FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE ORGANIZATION'S SOLE MEMBER, CITRUS VALLEY HEALTH PARTNERS.
	FORM 990, PART VI, SECTION B, LINE 11	STAFF ACCOUNTANTS, ACCOUNTING MANAGER AND DIRECTOR 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. 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 THESE 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 SUPPORT OPERATIONS OFFICER, CHIEF COMMUNICATIONS OFFICER, AND CEO (CITRUS VALLEY HEALTH FOUNDATION).
	FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST AN AUDIT REPORT IS AVAILABLE AS REQUIRED. NO OTHER DOCUMENTS ARE AVAILABLE.
REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, LINE 1A AND SCHEDULE J	THE OFFICERS REPORTED ON PART VII OF FORM 990 ARE COMPENSATED BY AN AFFILIATED ENTITY, CITRUS VALLEY HEALTH PARTNERS (CVHP). THE COMPENSATION AMOUNTS REPORTED ON PART VII OF FORM 990 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 DISCLOSURES ARE MADE IN EACH OF THE AFOREMENTIONED AFFILIATES' 990 RETURNS. TWO OF THE TOP FIVE HIGHLY COMPENSATED EMPLOYEES ARE ALSO COMPENSATED BY CVHP.
REPORTABLE HOURS FOR RELATED ORGANIZATIONS	PART VII, SECTION A	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. ELVIA FOULKE DEVOTED 20, 5, 1, AND 9 HOURS TO CVMC, CVH, CVHF, AND CVHP, RESPECTIVELY. ROBERT CURRY DEVOTED 14, 2, 2, AND 18 HOURS TO CVMC, CVH, CVHF, AND CVHP, RESPECTIVELY. RAJESH SHARMA DEVOTED 14, 2, 2, AND 18 HOURS TO CVMC, CVH, CVHF, AND CVHP, RESPECTIVELY.
OTHER FEES	FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 568,302. MANAGEMENT AND GENERAL EXPENSES 443,183. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,011,485.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF RESTRICTED FUNDS 259,704. PASSTHROUGH INCOME DIFFERENCE -31,941. DECREASE IN BENEFICIAL INTEREST CVHF -240,760. TRANSFERS FROM CVHF -5,200.
AUDIT AND COMPLIANCE COMMITTEE	FORM 990, PART XII, LINE 2C	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 2012.
AUDITED FINANCIAL STATEMENTS	PART XII LINES 2B:	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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
CITRUS VALLEY HEALTH PARTNERS INC
140 W COLLEGE STREET PO BOX 6108	COVINA	CA	917225108	953885523	EXEMPT ORGANIZATION SUPPORT & MANAGEMENT	CA	501(C)(3)	11 TYPE II	N/A	0
CITRUS VALLEY MEDICAL CENTER INC
140 W COLLEGE STREET PO BOX 6108	COVINA	CA	917225108	956006469	ACUTE CARE HOSPITAL	CA	501(C)(3)	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)	11 TYPE 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)	9	N/A	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	GLENDORA SURGERY CENTER	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 E ROUTE 66 101	AddressLine1
City	GLENDORA	City
State	CA	State
ZIP Code	91740	ZIPCode

Field	Value	IRS element (for citing)
EIN	510492499	EIN
Primary Activity	OUTPATIENT SURGERY CENTER	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	S	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CITRUS VALLEY MEDICAL CENTER
O	408457	FAIR MARKET VALUE
CITRUS VALLEY MEDICAL CENTER
O	-545786	FAIR MARKET VALUE

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS	Identifier
Return Reference	FORM 990, SCHEDULE R, PART V, NUMBER 2, CODE O:	ReturnReference
Explanation	THE EXECUTIVE SALARIES ARE PROCESSED THROUGH CITRUS VALLEY HEATLH PARTNERS. CITRUS VALLEY HEALTH PARTNERS ACTS AS A COMMON PAYMASTER FOR THE OTHER 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 3,004 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 2,569 EMPLOYEES, CITRUS VALLEY HOSPICE'S FORM 990 REPORTED 100 EMPLOYEES, CITRUS VALLEY HEALTH FOUNDATION'S FORM 990 REPORTED 8 EMPLOYEES AND CITRUS VALLEY HEALTH PARTNER'S FORM 990 REPORTED 327 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.	Explanation