2013-09-15T16:03:54-05:00 2012-10-31 910189318 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2011-11-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 LORI CARDLE 8187826600 2013-09-16 1 RENIE BURBANK P00159653 4159561500 2011 2016-02-24 21:20:13Z LORI CARDLE 15107 VANOWEN STREET VAN NUYS CA 91405 335098667 0 X N/A X 1948 CA VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. 14 8 1938 382 0 0 600982 713476 294119036 327823317 142717 121030 4208799 6180749 299071534 334838572 1928288 1900121 0 0 124504701 135608626 0 0 0 149672664 173626346 276105653 311135093 22965881 23703479 173472084 199180714 89678524 90847604 83793560 108333110 X VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY. 0 0 266252593 327823317 SEE SCHEDULE O 266252593 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 0 0 0 0 0 0 0 0 0 0 1 327 0 1 1938 1 0 0 0 0 0 1 1 0 0 0 0 X 14 8 0 0 0 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 WILLIAM ALLEN 0.40 X X 0 0 0 JAMES PORTER 0.40 X X 0 0 0 IRA FRIEDMAN MD 0.40 X 0 0 0 DAVID FLEMING 0.40 X X 0 0 0 RICHARD KATZ 0.40 X 0 0 0 STUART SOLOMON 0.40 X 0 0 0 GREG KAY MD 0.40 X 0 0 0 PEGI MATSUDA 0.40 X 0 0 0 TRACY RAFTER 0.40 X 0 0 0 PATRICK WALSH MD 0.40 X 0 0 0 NICHOLAS DI DOMENICO MD 0.40 X 0 0 0 ALEX GUERRERO 0.40 X 0 0 0 JOSHUA ROKAW 0.40 X 0 0 0 SRIDHAR RAMACHANDRAN MD 0.40 X 0 0 0 LEROY CHASE 0.40 X 0 0 0 SUKSHMA SREEPATHI MD 0.40 X 0 0 0 KAMRAN MALEK MD 0.40 X 0 0 0 SUMAN PATEL MD 0.40 X 0 0 0 GUSTAVO VALDESPINO 40.00 X 809615 0 191224 JEAN O'KEEFE RICO 40.00 X 377837 0 93896 NORMA RESNEDER 40.00 X 312822 0 75354 JULIE REBACK 40.00 X 270214 0 51219 RAY MOSS 40.00 X 268448 0 67361 GAYATHRI JITH 40.00 X 254484 0 60665 JENNIFER CASTALDO 40.00 X 229102 0 10064 MICHELLE QUIGLEY 40.00 X 251240 0 35123 LORI CARDLE 40.00 X 212146 0 2683 LAUREN LEBARON 40.00 X 195603 0 13488 SOHEILA RAHMAN-ATAR 40.00 X 215153 0 11861 HASMIG ANANIAN 40.00 X 214738 0 12052 SYLVIA SONG 40.00 X 201556 0 11648 DOMINADOR CRUZ 40.00 X 192956 0 18567 JUNG KIM 40.00 X 193082 0 13549 4198996 0 668754 274 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 56 71442 100595 541439 713476 PATIENT SERVICE REV. 621110 327142186 327142186 EXEMPT ORG. RENT 531120 681131 681131 327823317 94902 94902 209331 13437 195894 195894 195894 231027 204899 26128 26128 26128 27408 71442 41759 -14351 -14351 OTHER REVENUE 900099 4813871 4813871 FOOD SALES 722210 919381 919381 GIFT SHOP REVENUE 453220 265954 265954 5999206 334838572 327823317 0 6301779 1900121 1900121 3949057 3949057 810287 810287 106131506 91801094 14330412 2809318 1869921 939397 13929461 9585423 4344038 7978997 6844248 1134749 494771 494771 256618 256618 25379877 18948488 6431389 6697434 5178781 1518653 1680212 1680212 4697381 4697381 124139 23873 100266 1556772 1556772 7169554 6350332 819222 1819276 1819276 CAPITATION EXPENSES 41887621 41887621 MEDICAL SUPPLIES 36612816 36612816 PROVIDER PROGRAM FEES 31797010 31797010 BAD DEBT EXPENSE 9298869 9298869 4153996 4153996 311135093 266252593 44882500 0 3195285 5407167 34989922 39672379 799355 803520 25057125 29195045 3709422 3669608 8611675 1897318 237885991 156510765 80221233 81375226 5293506 6362486 11594561 30797965 173472084 199180714 45383170 56303066 15494241 0 14987284 20636447 13813829 13908091 89678524 90847604 X 78790854 103544286 5002706 4788824 83793560 108333110 173472084 199180714 X 23703479 836071 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 76271 76271 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 137524403 86904683 50619720 96751495 69606082 27145413 2022871 2022871 81375226 SELF INSURANCE RESERVE -7777 OTHER RECEIVABLES 30805742 30797965 SELF INSURANCE RESERVES 12042574 ANNUITY AND TRUST PAYABLE 1865517 13908091 334838572 311135093 23703479 85144 750927 836071 24539550 333787959 85144 750928 836072 332951887 1886685 1886685 334838572 309248409 0 309248409 1886684 1886684 311135093 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012 OR 2011. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 750,928. ROUNDING -1. TOTAL TO SCHEDULE D, PART XI, LINE 8: 750,927. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 750,928. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES -13,437. RECLASSIFICATION OF GRANT EXPENSE 1,900,121. ROUNDING 1. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES -13,437. RECLASSIFICATION OF GRANT EXPENSES 1,900,121. GOLF TOURNAMENT 98850 71442 27408 450 3113 20035 516 1975 15670 98850 71442 27408 450 3113 20035 516 1975 15670 41759 -14351 1 1 1 X 350.000000000000 1 X 1 1 1 0 1 1 2443697 2443697 0.00810 163508313 140265228 23243085 0.07700 7877902 1301840 6576062 0.02180 173829912 141567068 32262844 0.10690 532610 532610 0.00180 368000 368000 0.00120 900610 900610 0.00300 174730522 141567068 33163454 0.10990 76000 76000 0.00030 76000 76000 0.00030 1 9298869 8500000 73631921 77894871 -4262950 X 1 1 1 1 VALLEY PRESBYTERIAN HOSPITAL

15107 VANOWEN STREET VAN NUYS CA 91405

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 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 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 $ 9298869. 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. 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 2012. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 13G: 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 19D: 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. THIS LARGE CONSORTIUM OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IS CURRENTLY CONDUCTING RESEARCH AND WILL PRODUCE ITS SIXTH TRIENNIAL REPORT BY LATE SUMMER 2013. 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.VALLEY PRESBYTERIAN HOSPITAL'S THREE MATERNITY PLANS ARE AS FOLLOWS:- NORMAL DELIVERY UP TO A 2-DAY STAY - $3,000,- C-SECTION UP TO A 3-DAY STAY - $5,000,- C-SECTION 4-DAY STAY - $6,500DURING THE ADMISSION, IF A PATIENT CHOOSES TO HAVE A CIRCUMCISION PERFORMED ON THE CHILD, IT IS INCLUDED IN THE MATERNITY PLAN. IF A DECISION IS MADE TO PERFORM THE PROCEDURE ON AN OUTPATIENT SURGERY BASIS, THE COST WILL BE CALCULATED BASED ON THE CALCULATION FOR OUTPATIENT UNINSURED DISCOUNT RATES.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 APPRXOIMATELY 28% ARE UNINSURED. REPORTS FILED WITH STATES PART VI, LINE 7 CA 1 CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET STE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 1778771 CA HOSPITAL PROVIDER PROGRAM LOS ANGELES COUNTY BUSINESS FEDERATION 1000 N ALAMEDA ST STE 240 LOS ANGELES CA 90012 260295348 501(C)(6) 30000 LOS ANGELES COUNTY BUSINESS DEVELOPMENT BOYS & GIRLS CLUB OF THE SAN FERNANDO VALLEY 11251 GLENOAKS BLVD PACOIMA CA 91331 952468448 501(C)(3) 25000 COMMUNITY SUPPORT CSUN FOUNDATION 18111 NORDHOFF STREET NORTHRIDGE CA 91330 956196006 501(C)(3) 10000 PERFORMING ARTS CENTER DONATION PARTNERS IN CARE FOUNDATION 732 MOTT ST STE 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 8200 DEVELOP SOLUTIONS THAT IMPROVE HEALTH & SOCIAL SERVICES FOR INDIVIDUALS, FAMILIES, AND THEIR COMMUNITIES LOS ANGELES COUNTY ECONOMIC DEVELOPMENT CORPORATION 444 S FLOWER ST 37TH FL LOS ANGELES CA 90071 953643339 501(C)(3) 5000 SUPPORT FOR LA COUNTY ECONOMIC DEVELOPMENT EFFORTS LOS ANGELES FIRE DEPARTMENT FOUNDATION 1875 CENTURY PARK EAST STE 200 LOS ANGELES CA 90067 272007326 5000 PROVIDE ESSENTIAL EQUIPMENT, TECHNOLOGY AND TRAINING TO THE LA FIRE DEPARTMENT ARTHRITIS FOUNDATION 800 W 6TH ST STE 1250 LOS ANGELES CA 90017 951885447 501(C)(3) 5000 FUND ARTHRITIS RESEARCH AND EDUCATION PROGRAMS BARLOW FOUNDATION 2000 STADIUM WAY LOS ANGELES CA 90026 954560787 501(C)(3) 5000 FUND PROGRAMS, SERVICES AND MEDICAL TECHNOLOGY OF BARLOW RESPIRATORY HOSPITAL NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST STE 1300 LOS ANGELES CA 90071 237314808 501(C)(3) 5000 SUPPORT MORE EFFECTIVE HEALTHCARE DELIVERY OF THE UNDERSERVED 8 2 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 0 1 0 0 0 1 0 0 0 GUSTAVO VALDESPINO 605165 0 204450 0 0 0 168553 0 22671 0 1000839 0 0 0 JEAN O'KEEFE RICO 313172 0 64665 0 0 0 71309 0 22587 0 471733 0 0 0 NORMA RESNEDER 259117 0 53705 0 0 0 59255 0 16099 0 388176 0 0 0 JULIE REBACK 231036 0 39178 0 0 0 43091 0 8128 0 321433 0 0 0 RAY MOSS 229629 0 38819 0 0 0 45216 0 22145 0 335809 0 0 0 GAYATHRI JITH 217847 0 36637 0 0 0 39277 0 21388 0 315149 0 0 0 JENNIFER CASTALDO 195786 0 33316 0 0 0 7946 0 2118 0 239166 0 0 0 MICHELLE QUIGLEY 207534 0 43706 0 0 0 35123 0 0 0 286363 0 0 0 LORI CARDLE 145744 0 66402 0 0 0 2683 0 0 0 214829 0 0 0 LAUREN LEBARON 171840 0 23763 0 0 0 6383 0 7105 0 209091 0 0 0 SOHEILA RAHMAN-ATAR 214995 0 158 0 0 0 8541 0 3320 0 227014 0 0 0 HASMIG ANANIAN 214580 0 158 0 0 0 7419 0 4633 0 226790 0 0 0 SYLVIA SONG 201348 0 208 0 0 0 7557 0 4091 0 213204 0 0 0 DOMINADOR CRUZ 192798 0 158 0 0 0 6202 0 12365 0 211523 0 0 0 JUNG KIM 192924 0 158 0 0 0 9187 0 4362 0 206631 0 0 0 PART I, LINE 4B PART I, LINE 4B: DURING CALENDAR YEAR 2011, 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 NORMA RESNEDER JULIE REBACK RAY MOSS GAYATHRI JITH JENNIFER CASTALDO 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. TRACY RAFTER DIRECTOR (BOARD MEMBER) - RAFTER GROUP 47500 MARKETING/PUBLIC RELATIONS SERVICES 0 KAMRAN MALEK MD DIRECTOR (BOARD MEMBER) - MALEK & FRIEDMAN OB GYN 134100 MEDICAL SERVICES 0 PATRICK WALSH MD DIRECTOR (BOARD MEMBER) - PATRICK WALSH, MD 130224 MEDICAL SERVICES 0 SUKSHMA SREEPATHI MD DIRECTOR (BOARD MEMBER) - TRI-VALLEY NEONATAL MEDICAL GROUP 36680 MEDICAL SERVICES 0 SRIDHAR RAMACHANDRAN MD DIRECTOR (BOARD MEMBER) - SRIDHAR RAMACHANDRAN, MD 12800 MEDICAL SERVICES 0 SUMAN PATEL MD DIRECTOR (BOARD MEMBER) - SUMAN PATEL, MD 44880 MEDICAL SERVICES 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 ALMOST 60,000 PATIENTS IN FY 2011/2012. 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 4,200 BABIES BORN IN FY 2011/2012. LAST YEAR, VPH OPENED A NEWLY REMODELED AND EXPANDED LABOR, DELIVERY AND RECOVERY UNIT. THIS $4.5 MILLION RENOVATION 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 MORE THAN 150 ATTENDEES IN FY 2011/2012. 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 ADVANCE CARDIOLOGY PROGRAMS STAFFED BY CARDIOLOGISTS, NURSE 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. EXEMPT PURPOSE ACHIEVEMENTS (CONTINUATION) 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 2011/2012, MORE THAN 2,700 INDIVIDUALS ATTENDED WOMEN AND MATERNITY SERVICES COMMUNITY EDUCATION PROGRAMS. ALL WOMEN'S SERVICES PROGRAM ARE HELD AT THE HOSPITAL. EDUCATION PROGRAMS OFFERED IN FY 2011/2012 INCLUDE: "BABY SHOWERS" (ENGLISH AND SPANISH) THIS IS A 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) AND WILL CONTINUE INTO THE NEXT FISCAL YEAR. TOTAL ATTENDANCE AT THE 12 WORKSHOPS LAST YEAR WAS 2,470. 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 2011/2012 AND WAS ATTENDED BY 266 INDIVIDUALS OR APPROXIMATELY 133 COUPLES (TWO OR MORE ATTENDEES PER REGISTRATION). 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 WAS OFFERED THREE TIMES LAST YEAR AND ATTRACTED 25 ATTENDEES. PLANS TO INCLUDE THE PROGRAM IN SPANISH WILL BE IMPLEMENTED NEXT YEAR. BREASTFEEDING PREPARATION (ENGLISH AND SPANISH) PARTICIPANTS LEARN BASIC BREASTFEEDING TECHNIQUES AND WHERE TO GET ASSISTANCE, IF NEEDED. A TOTAL OF THREE WORKSHOPS WERE HELD LAST YEAR AND ATTRACTED 25 ATTENDEES. PLANS ARE UNDER CONSIDERATION TO PROMOTE THIS PROGRAM TO A BROADER AUDIENCE NEXT YEAR. BABY CAR SEAT AWARENESS IN FY 2011/2012, VPH DISTRIBUTED MORE THAN 4,000 INFANT CAR SEATS TO NEW MOTHERS, FREE OF CHARGE. THE CAR SEAT PROGRAM WAS IMPLEMENTED BECAUSE 95% OF ALL MATERNITY PATIENTS COME FROM POVERTY-LEVEL CIRCUMSTANCES AND 85% OF ALL MATERNITY PATIENTS COME FROM THE LOCAL LATINO COMMUNITY. ACCORDING TO THE AMERICAN ACADEMY OF PEDIATRICS, MINORITY CHILDREN ARE LESS LIKELY TO BE RESTRAINED IN A MOTOR VEHICLE. ADDITIONALLY, WHEN POOR FAMILIES PROVIDE INFANT RESTRAINTS, THEY ARE MORE LIKELY TO USE A SECOND-HAND CAR SEAT BECAUSE THEY LACK THE FINANCIAL RESOURCES TO PURCHASE A NEW CAR SEAT (NEW ECONOMICS FOR WOMEN). IN ADDITION TO PROVIDING FREE CAR SEATS, VPH REFERRED PATIENTS TO A FREE CAR SEAT SAFETY WORKSHOP PROVIDED BY NEW ECONOMICS FOR WOMEN. AND, VPH PROVIDED FREE RESOURCES TO INFORM PATIENTS WHERE TO OBTAIN A FREE CARD SEAT INSPECTION. COMMUNITY EDUCATION PROGRAMS DIABETES EDUCATION AND AWARENESS: VPH UNDERSTANDS THE IMPORTANCE OF DIABETES EDUCATION AND AWARENESS. ACCORDING TO THE VALLEY COMMUNITY CARE CONSORTIUM LED, "COMMUNITY 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. ALTHOUGH THE HOSPITAL OFFERS SEVERAL COMMUNITY EDUCATION PROGRAMS AT THE FACILITY, HOSPITAL ADMINISTRATION ALSO IDENTIFIED NUMEROUS COMMUNITY PROGRAMS. VPH FORMED RELATIONSHIPS WITH OTHER ORGANIZATIONS TO HELP PROMOTE DISEASE AWARENESS AND EDUCATION. IN FY 2011/2012, 12 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. EIGHTY INDIVIDUALS ATTENDED THESE WORKSHOPS IN FY2011/2012. PLANS ARE UNDERWAY TO PROMOTE THIS PROGRAM TO A BROADER AUDIENCE IN THE FUTURE. VPH PARTNERED WITH SEVERAL EXTERNAL PARTNERS TO COMMUNICATE DIABETES EDUCATION AND AWARENESS. SOME EXTERNAL PROGRAMS INCLUDED: AMERICAN DIABETES ASSOCIATION (ADA) - STOP DIABETES AT WORK THE ADA CREATED THIS PROGRAM PRIMARILY TARGETED TO LARGE EMPLOYERS THROUGHOUT LOS ANGELES COUNTY. THE PROGRAM WAS FOCUSED ON DIABETES PREVENTION AND AWARENESS. VPH ATTENDED FIVE (5) WORKSHOPS AND REACHED MORE THAN 700 INDIVIDUALS TO PROMOTE DIABETES PREVENTION. AMERICAN DIABETES ASSOCIATION (ADA) - DIABETES EXPO IN ANOTHER PARTNERSHIP WITH THE ADA, VPH ATTENDED THE ADA'S ANNUAL DIABETES PREVENTION AND EDUCATION HEALTH FAIR. ATTENDING THIS HEALTH FAIR PROVIDED NUMEROUS OPPORTUNITIES TO DISTRIBUTE DIABETES PREVENTION AND EDUCATION MATERIALS TO ALMOST 5,000 ATTENDEES. STROKE EDUCATION AND AWARENESS: VALLEY PRESBYTERIAN HOSPITAL HOSTED ITS SECOND ANNUAL COMMUNITY HEALTH FAIR WITH MORE THAN 200 ATTENDEES. AT THE HEALTH FAIR, VPH CLINICIANS ADMINISTERED FREE FLU VACCINATIONS, CAROTID ARTERY SCREENINGS, CHOLESTEROL, GLUCOSE (BLOOD SUGAR), BLOOD PRESSURE SCREENINGS, AND BODY FAT (BMI) ANALYSES. ATTENDEES ALSO ENJOYED HEALTHY COOKING DEMONSTRATIONS AND OBTAINED TIPS FROM CLINICAL DIETICIANS ON LIVING A HEALTHY LIFESTYLE. PHYSICIANS ASSOCIATED WITH VPH CONDUCTED PRESENTATIONS ON STOKE AND DIABETES AWARENESS. REPRESENTATIVES FROM VPH WERE ON HAND TO DISTRIBUTE INFORMATION ON COMMUNITY HEALTH ALONG WITH REPRESENTATIVES FROM SEVERAL HEALTH SERVICES COMMUNITY ORGANIZATIONS. JOINT REPLACEMENT: IN FY 2011/2012, VALLEY PRESBYTERIAN HOSPITAL HOSTED TWO (2) FREE COMMUNITY WORKSHOPS TO HELP COMMUNITY RESIDENTS UNDERSTAND JOINT REPLACEMENT OPTIONS, TREATMENT PROCESSES AND HOW TO SELECT A QUALIFIED PHYSICIAN. THE TWO SEMINARS, ONE HELD IN APRIL AND A SECOND HELD IN OCTOBER, WERE WELL ATTENDED AND ATTRACTED MORE THAN 150 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 2011/2012 INCLUDES THE FOLLOWING: STUDENT HEALTHCARE PROGRAM VALLEY PRESBYTERIAN HOSPITAL PARTNERS WITH LOS ANGELES VALLEY COLLEGE (LAVC) TO BRING LOW AND NO COST QUALITY HEALTHCARE TO COMMUNITY COLLEGE STUDENTS. THROUGH THIS UNIQUE COLLABORATION, THE HOSPITAL PROVIDES PHYSICIANS AND PHYSICIAN ASSISTANTS FOR LAVC'S STUDENT HEALTH CENTER, WHERE ENROLLED STUDENTS BENEFIT FROM AN ARRAY OF HEALTHCARE SERVICES, INCLUDING PHYSICAL EXAMS, SCREENINGS, IMMUNIZATIONS AND REFERRALS. 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 2011/2012, VPH FILLED 21 NURSING POSITIONS WITH NEW GRADUATES. VALLEY SIMULATION LABORATORY THE VALLEY SIMULATION LABORATORY IS ONE OF THE REGION'S MOST TECHNOLOGICALLY ADVANCED. IN FY 2011/2012, 350 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 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 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C VALLEY PRESBYTERIAN HOSPITAL'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. ALL VALLEY PRESBYTERIAN HOSPITAL EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AS SOON AS IT IS KNOWN. ADDITIONALLY, VALLEY PRESBYTERIAN HOSPITAL'S COMPLIANCE OFFICER OVERSEES THIS POLICY ON A REGULAR AND CONSISTENT BASIS. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE VALLEY PRESBYTERIAN HOSPITAL BOARD. IN DETERMINING EACH INDIVIDUAL'S COMPENSATION, THE COMMITTEE, WHICH WAS ADVISED BY AN OUTSIDE CONSULTANT, UTILIZES THE MOST RECENT CALIFORNIA REGIONAL EXECUTIVE COMPENSATION SURVEY REPORTS PREPARED BY INTEGRATED HEALTHCARE STRATEGIES (FORMERLY KNOWN AS CLARK CONSULTING) AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. THESE SURVEYS PROVIDE EXECUTIVE COMPENSATION DATA (INCLUDING BENEFIT DATA) FROM 120 CALIFORNIA HEALTH SYSTEMS AND HOSPITALS. THE HOSPITAL'S EXECUTIVE COMPENSATION PACKAGE IS MADE UP OF BASE SALARY AND AN INCENTIVE BONUS BASED UPON BOTH THE ORGANIZATION'S AND THE INDIVIDUAL'S PERFORMANCE. DUE TO THE CHALLENGING TIMES AND COMPLEXITY OF THE ORGANIZATION, TOTAL COMPENSATION IS TARGETED AT THE 75TH PERCENTILE OF THE MARKET. THIS INCLUDES BASE SALARY, INCENTIVE BONUS, AND BENEFITS. THE INCENTIVE BONUS IS BASED ON KEY MEASURABLE SUCCESS INDICATORS DEVELOPED ANNUALLY BY THE GOVERNING BOARD'S COMPENSATION COMMITTEE. THESE INDICATORS INCLUDE QUALITY, FINANCIAL, AND PATIENT SATISFACTION GOALS (ALL THREE ARE EQUALLY WEIGHTED). FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST AT THE HOSPITAL LOCATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 85,144. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 750,928. ROUNDING -1. TOTAL TO FORM 990, PART XI, LINE 5: 836,071. AUDIT COMMITTEE AND OVERSIGHT FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.