2013-11-06T16:45:02-06:00 2012-12-31 330155525 HBLA CERTIFIED PUBLIC ACCOUNTANTS INC 19600 FAIRCHILD STE 320 IRVINE CA 92612 990 2012-01-01 952534063 CITRUS VALLEY HEALTH FOUNDATION INC CITR 6268142421 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 RAJESH K SHARMA SR VP 6269387595 2013-10-23 1 EDWARD BENOE P00032866 9498332815 2012 2016-03-07 17:11:31Z ROBERT H CURRY 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 6051730 0 X CVHP.ORG X 1967 CA FUND DEVELOPMENT PROGRAMS FOR CITRUS VALLEY MEDICAL CENTER, FOOTHILL PRESBYTERIAN HOSPITAL, AND CITRUS VALLEY HOSPICE. 26 24 8 3 0 0 2168025 1322248 15050 15000 402819 529332 130318 87325 2716212 1953905 1181541 979325 0 0 996267 1003766 0 0 1273999 363169 332240 2540977 2315331 175235 -361426 11857450 12041877 696289 818340 11161161 11223537 A PHILANTHROPIC ORGANIZATION DEDICATED TO PROVIDING FINANCIAL, EDUCATIONAL, AND OTHER RESOURCES IN ACCOMPLISHING THE MISSION, VISION AND VALUES OF CITRUS VALLEY HEALTH PARTNERS. 0 0 979325 979325 FUND DEVELOPMENT PROGRAMS FOR CITRUS VALLEY MEDICAL CENTER, CITRUS VALLEY HOSPICE, AND FOOTHILL PRESBYTERIAN HOSPITAL, WHICH ARE ALSO EXEMPT ENTITIES. 10561 15000 FUNDING OF ECHO PROGRAM - EVERY CHILD IS HEALTHY ORGANIZATION 989886 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 15 1 1 8 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 26 24 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X RAJESH K SHARMA SR VP & CFO 6269387595 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 X HAROLD J BORAK SR 1.00 X 0 0 0 ADAM CAPITANO 1.00 X 0 0 0 MITCHELL FUERST 1.00 X 0 0 0 PATSY GORRELL 1.00 X 0 0 0 RICHARD JETT 1.00 X 0 0 0 DAN KISS MD 1.00 X 0 0 0 GILBERT MARTIN MD 1.00 X 0 0 0 BILL W TANG MD 1.00 X 0 23200 0 ANDREW MCINTYRE 1.00 X 0 0 0 ROBERT H CURRY 2.00 38.00 X X 0 858332 35097 RICHARD PEDEVILLANO 1.00 X 0 0 0 OJ RODRIGUEZ 1.00 X 0 0 0 DONALD EDWIN BOSS ESQ 1.00 X 0 0 0 MICHAEL O QUINN 1.00 X 0 0 0 ROBERT E DUNCAN 1.00 X 0 0 0 DUANE KEENE 1.00 X 0 0 0 IRENE BOURDON 40.00 X X 0 359431 32031 MARY JANE BETTFREUND 1.00 X 0 0 0 JACQUELINE BRACY MD 1.00 X 0 14297 0 DONALD R CANZONERI 1.00 X 0 0 0 JOSE G GUTIERREZ 1.00 X 0 0 0 MICHAEL J STARR 1.00 X 0 0 0 FRAN DELACH 1.00 X 0 0 0 UDAY GADGIL 1.00 X 0 0 0 GORDON SHIPP 2.00 X 0 0 0 KURUGANTI VASANTHA REDDY 1.00 X 0 0 0 ELVIA FOULKE 1.00 39.00 X 0 321892 5389 RAJESH SHARMA 2.00 38.00 X 0 483824 16453 0 2060976 88970 2 0 1 0 0 302724 1019524 290763 1322248 ECHO PROGRAM 900099 15000 15000 15000 327381 327381 4169334 3967383 201951 201951 201951 241725 302724 130442 111283 111283 TRUST INVESTMENT INCOME (LOSS) 900099 31009 31009 CHANGE IN NPV OF TRUST OBLIGATION 900099 -54967 -54967 -23958 1953905 15000 0 616657 979325 979325 437297 17492 419805 341772 13670 328102 13160 526 12634 157604 6304 151300 53933 2157 51776 90211 10561 3186 76464 41886 1675 40211 9211 368 8843 8518 341 8177 6690 268 6422 16708 668 16040 PURCHASED SERVICES 119020 3191 115829 OTHER EXPENSES 33969 1359 32610 TELEPHONE 4868 195 4673 UTILITIES 1159 46 1113 2315331 989886 51446 1273999 498 810 853849 283618 702000 794000 188 9816 32203 7881 794225 232794 532283 561431 9736429 10384321 11857450 12041877 153376 151414 542913 666926 696289 818340 X 2014124 2106061 3404887 3359558 5742150 5757918 11161161 11223537 11857450 12041877 X -361426 347307 76495 X X 0 1 X 1 0 X X X 0 0 0 CITRUS VALLEY MEDICAL CENTER INC 956006469 3 1 1 1 681863 CITRUS VALLEY HOSPICE INC 953493611 9 1 1 1 292262 CITRUS VALLEY HEALTH PARTNERS INC 953885523 11 1 1 1 0 FOOTHILL HOSPITAL - MORRIS L JOHNSTON MEMORIAL 952413054 3 1 1 1 5200 4 979325 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5742150 15768 5757918 5729888 12262 5742150 4706547 1023341 5729888 4706222 325 4706547 4705572 650 4706222 1.00000 0 0 343332 343332 169418 32190 137228 281475 200604 80871 561431 FIXED INCOME SECURITIES 5261525 F ASSETS HELD IN TRUST 922852 F MUTUAL FUNDS 2845913 F LIQUID ASSETS 215730 F LIFE INSURANCE 536523 F ACCRUED INCOME 26 F EQUITY COMMON STOCKS 601752 F 10384321 PAYABLE TO AFFILIATES 208248 PAYABLE TO BENEFICIARIES 458678 666926 X 1717000 347307 130441 477748 1239252 714653 714653 1953905 1413000 130441 130441 1282559 1032772 1032772 2315331 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 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE INCLUDED IN REVENUE 130,441. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES EXPENSE INCLUDED IN REVENUES 41,886. RESTRICTED FUND CHANGE IN VALUE OF TRUSTS -54,967. RESTRICTED FUND CONTRIBUTIONS 689,000. RESTRICTED FUND INVESTMENT INCOME TRUSTS 31,009. ROUNDING DIFFERENCE 1,180. RESTRICTED FUND CHANGE IN PLEDGES -76,493. RESTRICTED FUND UNREALIZED GAINS 67,795. LIFE INSURANCE VALUATION 15,243. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE INCLUDED IN REVENUE 130,441. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES EXPENSE INCLUDED IN REVENUES 41,886. RESTRICTED FUND DISTRIBUTIONS FOR PROGRAM EXPENSES 10,561. ROUNDING DIFFERENCE 1,000. GRANT TO CITRUS VALLEY MEDICAL CENTER, INC. 681,863. GRANT TO CITRUS VALLEY HOSPICE, INC. 292,262. GRANT TO FOOTHILL PRESBYTERIAN HOSPITAL 5,200. AUTUMN NOCTURNE DINNER DANCE 309426 108936 200490 2700 13865 21245 2800 40173 GOLF TOURNAMENT 235023 193788 41235 5527 23450 20682 544449 302724 241725 2700 5527 37315 21245 2800 60855 130442 111283 CA 1 0 0 0 1.00000 VINCE AND ADAM CAPITANO 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 0 PAM PARKINSON 500 SOLD TICKETS, ACCURATELY COUNTED MONEY AND CHANGE IF NEEDED, DISTRIBUTION OF WINNINGS AND TURN BALANCE OF MONEY OVER FOR DEPOSIT. X 0 1 CITRUS VALLEY MEDICAL CENTER INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 956006469 501 (C)(3) 681863 TO PROVIDE FUNDING TO ASSIST OPERATIONS OF ITS ACUTE CARE FACILITY. CITRUS VALLEY HOSPICE INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 953493611 501 (C)(3) 292262 TO PROVIDE FUNDING TO ASSIST WITH SERVICES TO TERMINALLY ILL PATIENTS AND HOME HEALTH CARE NURSING SERVICES. FOOTHILL PRESBYTERIAN HOSPITAL 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952413054 501 (C)(3) 5200 TO PROVIDE FUNDING TO ASSIST OPERATIONS OF ITS ACUTE CARE HOSPITAL. PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CONTRIBUTIONS AND TRANSFERS ARE MADE TO AFFILIATED/SUPPORTED ORGANIZATIONS TO ASSIST WITH THE FUNDING OF EXEMPT PURPOSE ACTIVITIES. 1 0 0 0 0 0 0 0 0 ROBERT H CURRY 0 594693 0 154551 0 109088 0 13968 0 21129 0 893429 0 0 IRENE BOURDON 0 274105 0 54987 0 30339 0 10999 0 21032 0 391462 0 0 ELVIA FOULKE 0 204727 0 71527 0 45638 0 0 0 5389 0 327281 0 0 RAJESH SHARMA 0 315016 0 115624 0 53184 0 0 0 16453 0 500277 0 0 PART I, LINE 4A RANDY MUELLER RECEIVED A SEVERANCE PAYMENT. X 1 246633 FMV AT DONATION DATE X AUCTION ITEMS - AUTUMN 146 41292 SALES PRICE X AUCTION ITEMS - GOLF 24 2838 SALES PRICE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 VINCE AND ADAM CAPITANO HAVE A FAMILY RELATIONSHIP. 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 K. 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 CVHP UTILIZES THE FOLLOWING TO ESTABLISH REASONABLE COMPENSATION: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT CONTRACT; COMPENSATION SURVEY/STUDIES; APPROVAL BY BOARD OR COMPENSATION COMMITTEE, WHICH APPROVAL IS DOCUMENTED IN CONTEMPORANEOUS WRITTEN MINUTES. 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. BOARD MEMBER COMPENSATION PART VII, SECTION A IRENE BOURDON IS A BOARD MEMBER AND OFFICER OF CITRUS VALLEY HEALTH FOUNDATION, AN AFFILIATE OF CITRUS VALLEY HEALTH PARTNERS (CVHP) AND RECEIVED COMPENSATION FROM CVHP. SHE DEVOTED 40 HOURS TO THE FILING ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ROUNDING DIFFERENCE 2. TRANSFER - PLEDGES 76,493. AUDITED FINANCIAL STATEMENTS FORM 990, 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. 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. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A THE OFFICERS REPORTED ON PART VII OF FORM 990 ARE COMPENSATED BY AN AFFILIATED ENTITY, CITRUS VALLEY HEALTH PARTNERS (CVHP). THE COMPENSATION AMOUNTS REPORTED IN 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. 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 5, 5, 20, AND 9 HOURS TO FPH, CVH, CVMC, AND CVHP, RESPECTIVELY. ROBERT CURRY DEVOTED 4, 2, 14, AND 18 HOURS TO FPH, CVH, CVMC, AND CVHP, RESPECTIVELY. RAJESH SHARMA DEVOTED 4, 2, 14, AND 18 HOURS TO FPH, CVH, CVMC, AND CVHP, RESPECTIVELY. FILING OF FORM 1098C 990 PART V LINE 7H THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF AUTOMOBILES, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY THERE WERE NO FORMS 1098C FILED. CITRUS VALLEY MEDICAL CENTER INC 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 956006469 ACUTE CARE HOSPITAL CA 501 (C)(3) 3 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 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 FOOTHILL PRESBYTERIAN HOSPITAL 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952413054 ACUTE CARE HOSPITAL CA 501 (C)(3) 3 N/A 0 GLENDORA SURGERY CENTER 315 E ROUTE 66 101 GLENDORA CA 91740 510492499 OUTPATIENT SURGERY CENTER CA N/A S 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 CITRUS VALLEY MEDICAL CENTER INC B 681863 FAIR MARKET VALUE CITRUS VALLEY HOSPICE INC B 292262 FAIR MARKET VALUE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FORM 990, SHEDULE R, PART V, NUMBER 2, CODE O: THE SALARIES REPORTED ON FORM 990 ARE PROCESSED THROUGH CITRUS VALLEY HEATLH PARTNERS. CITRUS VALLEY HEALTH PARTNERS ACTS AS A COMMON PAYMASTER FOR AFFILIATED ENTITIES, CITRUS VALLEY MEDICAL CENTER, CITRUS VALLEY HEALTH FOUNDATION AND CITRUS VALLEY HOSPICE. CITRUS VALLEY HEALTH PARTNERS FILED ONE FORM W-3 WHICH SHOWS A COMBINED NUMBER OF 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.