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        <TotalCommunityBenefitExpense>324131</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>324131</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CommunityHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>324131</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>324131</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>138050183</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>113929327</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>24120856</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09000</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>23000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>23000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>23000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>23000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>8163685</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>67854336</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>76531928</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-8677592</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>VALLEY PRESBYTERIAN HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>15107 VANOWEN STREET</AddressLine1>
          <City>VAN NUYS</City>
          <State>CA</State>
          <ZIPCode>91405</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>VALLEY PRESBYTERIAN HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>09</NeedsAssessmentConducted>
        <TakeIntoAccount>0</TakeIntoAccount>
        <OtherFacilities>1</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>350.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>350.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>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 $ 8163685.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: SEE FORM 990, PART III, LINE 4A AND SCHEDULE O.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>VALLEY PRESBYTERIAN HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 4: ABODE COMMUNITIESGLENDALE ADVENTIST HOSPITALACCESS TO CARE GLENDALE HEALTHY KIDSADVANCE HEALTH MEDICAL GROUP HAVEN HILLSALLIANCE FOR A BETTER COMMUNITY HENRY MAYO NEWHALL MEMORIAL HOSPITALAMERICAN CANCER SOCIETY SFV HILLVIEW MENTAL HEALTH CERITER 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 KAISER PERMANENTE PANORAMA CITYCHILD AND FAMILY GUIDANCE CENTER KAISER PERMANENTE WOODLAND HILLSCHILD 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 &amp; 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 &amp; 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 MISSION CITY COMMUNITY HOSPITALGARY 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, PACOIMASHERMAN OAKS HOSPITAL SAGE PROGRAMNORTH EAST VALLEY HEALTH CORPORATION, SAN FERNANDO TARZANA TREATMENT CENTER, NORTHRIDGENORTHEAST VALLEY HOMELESS HEALTH CLINIC TARZANA TREATMENT CENTER, RESEDANORTHRIDGE HOSPITAL MEDICAL CENTER THE 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 VALLEY CARE OLIVE VIEW-UCLAPPA NORTH HOLLYWOOD HEALTH CENTER VALLEY COMMUNITY CLINICPROJECT GRAD LOS ANQELES (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 CLINICPROVIDENCE HOLY CROSS VERDUGO MENTAL HEALTH CENTERPROVIDENCE SAINT JOSEPH MEDICAL CENTER VOA HEAD START AND EARLY STARTPROVIDENCE TARZANA MEDICAL CENTER VOLUNTEERS OF AMERICA LA HEAD START &amp; EARLY HEAD STARTPUEBLO Y SALUD INC. WELLNESS WORKS INCSAN FERNANDO VALLEY DENTAL SOCIETY ZEV YAROSLAVSKY THIRD DISTRICT OFFICESAN FERNANDO COMMUNITY MENTAL HEALTH INC.SAN FERNANDO COMMUNITY MENTAL HEALTH CORNERSTONE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>VALLEY PRESBYTERIAN HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 5C: THE NEEDS ASSESSMENT IS ALSO AVAILABLE TO THE PUBLIC THROUGH MAILING AND WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>VALLEY PRESBYTERIAN HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 7: THE HOSPITAL HAS NOT COMPLETED A FULL ANALYSIS OF THE NEEDS IDENTIFIED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>VALLEY PRESBYTERIAN HOSPITAL</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>VALLEY PRESBYTERIAN HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLED 110% OF MEDICARE RATE TO INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PATIENT EDUCATION: A PACKET IS GIVEN TO ALL PATIENTS AT VALLEY PRESBYTERIAN HOSPITAL. IT IS DESIGNED TO PROVIDE INFORMATION REGARDING CHARITY QUALIFICATION, DISCOUNTING PROCESSES, AND AN APPLICATION FOR MEDICAL AND OTHER GOVERNMENT PROGRAMS TO OUR UNINSURED PATIENTS.FINANCIAL ASSISTANCE PROGRAM - UNINSURED OR UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY THEIR BILL MAY BE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE, LEAVING YOU NO FINANCIAL OBLIGATION TO THE HOSPITAL FOR YOUR BILL. QUALIFICATIONS ARE BASED UPON VERIFIABLE INCOME AND FAMILY SIZE, AND DETERMINED BY CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY FOR OUR FINANCIAL ASSISTANCE PROGRAM, YOU MUST SUBMIT THE REQUIRED DOCUMENTATION WITHIN 15 DAYS OF DISCHARGE FROM THE HOSPITAL. PLEASE REFERENCE THE ATTACHED POLICY AND APPLICATION FOR ADDITIONAL INFORMATION AND REQUIREMENTS.UNINSURED DISCOUNT RATE - VALLEY PRESBYTERIAN HOSPITAL OFFERS DAILY RATES FOR INPATIENT SERVICES, AND A SIGNIFICANTLY REDUCED CHARGE RATE FOR OUTPATIENT SERVICES. THE REDUCED RATES EXCLUDE HIGH COST SERVICES SUCH AS IMPLANTABLE DEVICES OR HIGH COST PHARMACY PRODUCTS, WHICH WILL BE BILLED EQUIVALENT TO THE HOSPITAL'S COST. SURGICAL INPATIENTS WILL BE BILLED $2,500 FOR THE FIRST DAY STAY AND $2,000 FOR SUBSEQUENT DAYS UNTIL DISCHARGED. OUTPATIENT DISCOUNTED RATES ARE BASED UPON 110% OF MEDICARE REIMBURSABLE FOR THE TESTS OR PROCEDURES TO BE PERFORMED. VALLEY PRESBYTERIAN HOSPITAL'S THREE MATERNITY PLANS ARE AS FOLLOWS:-NORMAL DELIVERY UP TO A 2 DAY STAY - $2,500, -C-SECTION UP TO A 3 DAY STAY - $4,000, -C-SECTION 4 DAY STAY - $5,500 IF DURING THE ADMISSION, YOU CHOOSE TO HAVE A CIRCUMCISION COMPLETED ON YOUR 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 $800 FOR THE HOSPITAL FEES ONLY. PAYMENT PLANS - YOUR BALANCE IS DUE UPON DISCHARGE FROM THE HOSPITAL. IF YOU DO NOT QUALIFY FOR STATE ASSISTANCE OR OUR FINANCIAL ASSISTANCE PROGRAM, YOU MAY ESTABLISH PAYMENT ARRANGEMENTS WITH OUR FINANCIAL COUNSELOR. PAYMENT ARRANGEMENTS MAY BE MADE WITH NO INTEREST PENALTIES. DEFAULTING ON YOUR PAYMENT PLAN DISQUALIFIES YOU FROM TAKING ADVANTAGE OF THIS OPTION. MEDI-CAL AND GOVERNMENT PROGRAMS - YOU MAY QUALIFY FOR GOVERNMENT PROGRAMS TO ASSIST YOU WITH PAYMENT FOR ALL OR PART OF YOUR HOSPITAL EXPENSES. VALLEY PRESBYTERIAN HOSPITAL HAS AN INTERNAL MEDI-CAL ELIGIBILITY UNIT TO ASSIST YOU WITH YOUR MEDI-CAL APPLICATION PROCESS. FOR APPLICATION ASSISTANCE, PLEASE CALL 818-902-5125 OR VISIT THE MEDI-CAL ELIGIBILITY UNIT ON THE 5TH FLOOR TOWER OF THE HOSPITAL. YOU MAY RECEIVE BILLS FROM OTHER BILLING COMPANIES FOR PHYSICIAN CHARGES, RADIOLOGY, AMBULANCE, ETC. FOR ADDITIONAL ASSISTANCE OR QUESTIONS REGARDING YOUR HOSPITAL BILL, PLEASE CONTACT THE BUSINESS OFFICE AT 818-902-2913.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: COMMUNITY INFORMATION: VALLEY PRESBYTERIAN HOSPITAL'S TOTAL SERVICE AREA IS COMPRISED OF ALMOST 17 MILLION PERSONS WITH A FORECASTED INCREASE OF 3.0 PERCENT BY 2016. VALLEY PRESBYTERIAN HOSPITAL'S 2011 PRIMARY SERVICE AREA (PSA) (THE AREA THAT GENERATES 75% OF VPH DISCHARGES) HAS A POPULATION OF JUST ABOUT 1 MILLION AND IS MADE UP OF 19 ZIP CODES THAT HAVE SOME OF THE LOWEST MEDIAN HOUSEHOLD INCOME LEVELS AND HIGHEST POPULATION DENSITIES. IN THE SAN FERNANDO VALLEY, IT INCLUDES THE COMMUNITIES OF VAN NUYS, PACOIMA, RESEDA, SUN VALLEY, CANOGA PARK, GRANADA HILLS, PANORAMA CITY, SAN FERNANDO, SYLMAR, NORTH HILLS, NORTH HOLLYWOOD, SHERMAN OAKS AND WINNETKA. WITH THE EXCEPTION OF SAN FERNANDO, THE PSA IS PART OF THE CITY OF LOS ANGELES. THE 2011 RACIAL/ETHNIC DISTRIBUTION IS:-HISPANIC 57%-CAUCASIAN 22% -ASIAN OR PACIFIC ISLANDER 13% -AFRICAN-AMERICAN 4% -OTHER 4%IN THE PSA, APPROXIMATELY 27% OF THE RESIDENTS ARE ON MEDI-CAL AND APPROXIMATELY 28% ARE UNINSURED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 7:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>CA</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CALIFORNIA HEALTH FOUNDATION AND TRUST</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1215 K STREET STE 800</AddressLine1>
          <City>SACRAMENTO</City>
          <State>CA</State>
          <ZIPCode>95814</ZIPCode>
        </AddressUS>
        <EINOfRecipient>941498697</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>1881188</AmountOfCashGrant>
        <PurposeOfGrant>CA HOSPITAL PROVIDER PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LOS ANGELES COUNTY BUSINESS JOURNAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5700 WILSHIRE BLVD SUITE 170</AddressLine1>
          <City>LOS ANGELES</City>
          <State>CA</State>
          <ZIPCode>90036</ZIPCode>
        </AddressUS>
        <EINOfRecipient>260295348</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>ADVERTISING PACKAGE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EL PROYECTO DEL BARRIO FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8902 WOODMAN AVENUE</AddressLine1>
          <City>ARLETA</City>
          <State>CA</State>
          <ZIPCode>91331</ZIPCode>
        </AddressUS>
        <EINOfRecipient>952662606</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SILVER SPONSORSHP - 40 YEAR OF HOPE EVENT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LOS ANGELES TIMES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>202 WEST 1ST STREET</AddressLine1>
          <City>LOS ANGELES</City>
          <State>CA</State>
          <ZIPCode>90012</ZIPCode>
        </AddressUS>
        <EINOfRecipient>364371324</EINOfRecipient>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>AMERICAN DIABETES ASSOC. &amp; LA TIMES "STEP OUT &amp; WALK" EVENT SPONSOR</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CSUN FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>18111 NORDHOFF STREET</AddressLine1>
          <City>NORTHRIDGE</City>
          <State>CA</State>
          <ZIPCode>91330</ZIPCode>
        </AddressUS>
        <EINOfRecipient>956196006</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>PERFORMING ARTS CENTER DONATION</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>2</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>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 VPE DEPARTMENT NOTIFIES THE DEVELOPMENT DEPARTMENT THAT A PROJECT HAS BEEN COMPLETED AND/OR EQUIPMENT HAS BEEN PURCHASED; A PURCHASE ORDER IS COMPLETED; 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 ATTENDING TRAINING, HOW MANY HOURS AND HOURLY RATES, 4) ONCE THE GRANT IS EXPENDED, THE GRANTOR IS NOTIFIED.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID FLEMING</NamePerson>
        <BaseCompensationFilingOrg>60900</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>109119</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>60900</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>109119</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GUSTAVO VALDESPINO</NamePerson>
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        <NamePerson>JEAN O'KEEFE RICO</NamePerson>
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        <NamePerson>NORMA RESNEDER</NamePerson>
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        <NamePerson>JULIE REBACK</NamePerson>
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        <NamePerson>RAY MOSS</NamePerson>
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        <NamePerson>GAYATHRI JITH</NamePerson>
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        <NamePerson>JENNIFER CASTALDO</NamePerson>
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        <NamePerson>MICHELLE QUIGLEY</NamePerson>
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        <NamePerson>LORI CARDLE</NamePerson>
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        <NamePerson>LAUREN LEBARON</NamePerson>
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        <NamePerson>SOHEILA RAHMAN-ATAR</NamePerson>
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        <NamePerson>HASMIG ANANIAN</NamePerson>
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        <NamePerson>SYLVIA SONG</NamePerson>
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        <NamePerson>GEORGE STYER</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <NamePerson>JUNG KIM</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>PART I, LINE 4A: ROBERT BILLS RECEIVED SEVERANCE PAYMENT OF $73,287, WHICH WAS INCLUDED IN 2010 W-2 WAGES. PART I, LINE 4B: IN 2010, VALLEY PRESBYTERIAN HOSPITAL HAS 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</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>VALLEY PRESBYTERIAN HOSPITAL HAS AN INCENTIVE (BONUS) PLAN FOR EXECUTIVE TEAM MEMBERS AND DIRECTORS. PAYMENT OF ANY BONUS IS CONTINGENT ON SEVERAL CRITERIA, ONE OF WHICH IS BENCHMARKED BY ACHIEVING SPECIFIC EBITDA ON AN ANNUAL BASIS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>RAFTER GROUP</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR (BOARD MEMBER) - TRACY RAFTER</Relationship>
        <AmountOfTransaction>116100</AmountOfTransaction>
        <DescriptionOfTransaction>MARKETING/PUBLIC RELATIONS SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MALEK &amp; FREIDMAN OB GYN</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR (BOARD MEMBER) - KARMAN MALEK, MD &amp; IRA FRIEDMAN, MD</Relationship>
        <AmountOfTransaction>267500</AmountOfTransaction>
        <DescriptionOfTransaction>MEDICAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 4</Identifier>
        <Explanation>THE ORGANIZATION'S BYLAWS WERE CHANGED TO REFLECT THE FOLLOWING CHANGES. 1. PREVIOUSLY MEMBERSHIP INCLUDED ONE CLASS OF MEMBERSHIP, A SOLE MEMBER HEALTH DYNAMICS, INC. THIS WAS CHANGED IN THE NEW BYLAWS TO NO MEMBERS. 2. THE NEW BYLAWS INCREASE THE NUMBER OF BOARD OF DIRECTORS FROM 19 TO A MAXIMUM OF 25, OF WHICH TWO THIRDS OF THE MEMBERS ARE TO BE COMMUNITY DIRECTORS NOT ENGAGED IN HEALTHCARE AND BETWEEN 3-6 SHOULD PHYSICIANS IN GOOD STANDING ON THE MEDICAL STAFF. 3. THE MEMBERS TERMS WILL BE HELD FOR 3 YEARS AND UNTIL A SUCCESSOR HAS BEEN FOUND. MULTIPLE TERMS ARE ALLOWED. 4. THE NEW BYLAWS REQUIRE 8 REGULAR MEETINGS TO OCCUR ANNUALLY. 5. QUORUMS ARE CHANGE TO 50% FROM 40% AND ADDS A SUPER MAJORITY REQUIREMENT OF 75% OF MEMBERS TO APPROVE: - A DECISION TO SELL THE ASSETS - TO AUTHORIZE A MERGER - TO FILE FOR BANKRUPTCY - TO DISSOLVE THE CORPORATION - TO AMEND THIS PROVISION 6. THE NEW BYLAWS ALSO ELIMINATES COMPENSATION FOR THE BOARD OF DIRECTORS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE CFO AND VP FINANCE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 ITS KNOWN. ADDITIONALLY, VALLEY PRESBYTERIAN HOSPITAL RECENTLY HIRED A COMPLIANCE OFFICER TO OVERSEE THIS POLICY ON A REGULAR AND CONSISTENT BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>EXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE VALLEY PRESBYTERIAN HOSPITAL BOARD. IN DETERMINING EACH INDIVIDUAL'S COMPENSATION, THE COMMITTEE, 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 PAYS SENIOR EXECUTIVES BOTH A BASE SALARY AND AN INCENTIVE BONUS BASED UPON BOTH THE ORGANIZATION'S AND THE INDIVIDUAL'S PERFORMANCE. BASE SALARIES ARE PAID AT THE MIDPOINT BETWEEN THE 50TH AND 75TH PERCENTILES FOR CALIFORNIA HOSPITALS OF SIMILAR SIZE BASED UPON ANNUAL NET REVENUE. ANNUAL INCENTIVES ALLOW THE INDIVIDUAL EXECUTIVE BETWEEN THE 75TH-100TH PERCENTILE OF TOTAL CASH COMPENSATION FOR GOOD PERFORMANCE. THE 75TH PERCENTILE WAS CHOSEN GIVEN THE FACT THAT 1) NET REVENUE FOR THE HOSPITAL FAILS TO ADEQUATELY STATE THE COMPLEXITY OF THE ORGANIZATION BECAUSE NET REVENUE IS UNDERSTATED BY VIRTUE OF THE FACT THAT OVER-ALL REVENUE IS DEFLATED BY THE HOSPITAL'S LARGE MEDI-CAL PERCENTAGE AND THE FACT THAT IT IS CLASSIFIED AS A DISPROPORTIONATE SHARE HOSPITAL AND, 2) THE HOSPITAL DOES NOT PROVIDE COMMON SENIOR EXECUTIVE BENEFITS SUCH AS SUPPLEMENTAL RETIREMENT PLAN, SUPPLEMENTAL LIFE INSURANCE, AND LONG TERM CARE INSURANCE. 80% OF THE INDIVIDUAL ANNUAL EXECUTIVE INCENTIVE AWARDS ARE BASED UPON MEASURABLE OBJECTIVES ESTABLISHED AT THE START OF THE FISCAL YEAR BY THE GOVERNING BOARD'S COMPENSATION COMMITTEE. THE OBJECTIVES INCLUDE QUALITY, FINANCIAL, AND BUSINESS DEVELOPMENT COMPONENTS. THE REMAINING 20% OF THE INCENTIVE AWARDS ARE AWARDED AT THE DISCRETION OF THE COMPENSATION COMMITTEE. TARGET INCENTIVE AWARDS ARE SET ON A SLIDING SCALE OF 15-45% DEPENDING ON POSITION AND PERFORMANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>UPON REQUEST AT THE HOSPITAL LOCATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS PER WEEK DEVOTED BY MEMBER OF THE BOARD</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN B</ReturnReference>
        <Explanation>PATRICK WALSH, MD, SUMAN PATEL, MD AND SRIDHAR RAMACHANDRAN, MD ARE MEMBERS OF THE BOARD. THEY DEVOTE AN AVERAGE OF 0.40 HOURS PER WEEK RELATING TO THEIR ACTIVITIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE REPORTABLE COMPENSATION IS RELATED TO PROFESSIONAL MEDICAL SERVICES PROVIDED TO THE HOSPITAL AND ARE UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>ADJUSTMENT FOR PY RESTATEMENT DUE TO CA IP PROVIDER FEE -22,939,100. ADJUSTMENT FOR PY RESTATEMENT DUE TO ASSET RETIREMENT OBLIGATIONS -2,386,000. TOTAL TO FORM 990, PART XI, LINE 5: -25,325,100.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDIT COMMITTEE AND OVERSIGHT</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXEMPT PURPOSE ACHIEVEMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>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: VALLEY PRESBYTERIAN HOSPITAL'S EMERGENCY DEPARTMENT SAW APPROXIMATELY 58,000 PATIENT VISITS IN FY 2011, NEARLY A 20% INCREASE OVER THE PREVIOUS YEAR. AS HAS BEEN DOCUMENTED IN NUMEROUS PUBLICATIONS, MANY LIMITED-INCOME PATIENTS MAKE THE EMERGENCY DEPARTMENT THEIR "PHYSICIAN'S OFFICE" AND OFTEN COME FOR ROUTINE MEDICAL AND FOLLOW UP CARE. THIS TYPE OF VOLUME DRAMATICALLY CONSTRICTS PATIENT FLOW THAT LEADS TO MANY VISITS THAT ARE NOT ELIGIBLE FOR REIMBURSEMENT. BECAUSE THE MAJORITY OF EMERGENCY ROOM VISITORS ARE MEDICAL AND UNINSURED PATIENTS, THIS CREATES SEVERAL CHALLENGES. ONE OF THE CHALLENGES IS THE HOSPITAL MUST ENSURE SPECIALTY PHYSICIAN COVERAGE FOR THESE PATIENTS. THIS REQUIRES THAT WE PROVIDE ORTHOPEDICS, SURGERY, ANESTHESIA, AND RADIOLOGY SERVICES. ANOTHER CHALLENGE IS THE EMERGENCY DEPARTMENT SEES A LARGE PERCENTAGE OF HIGH-RISK PREGNANCIES. TO SUPPORT THESE PATIENTS, WE HAVE A FIVE-BED OB TRIAGE UNIT THAT SEES APPROXIMATELY 500-550 PATIENTS EACH MONTH. EVEN WITH THE CHALLENGE OF THE PATIENT MIX, VALLEY PRESBYTERIAN HOSPITAL HAS CONTINUED TO ADD NEW SERVICES IN THE EMERGENCY DEPARTMENT TO MEET COMMUNITY NEEDS. THE HOSPITAL IS A STEMI CERTIFIED RECEIVING CENTER. AS A STEMI CERTIFIED RECEIVING CENTER, VALLEY PRESBYTERIAN HOSPITAL IS ONE OF THE REGION'S BEST-EQUIPPED FACILITIES FOR THE TREATMENT OF HEART ATTACK PATIENTS TRANSPORTED BY AMBULANCE. THE HOSPITAL'S CARDIAC RESPONSE TEAM IS A TIGHTLY KNIT GROUP OF NURSES, EMERGENCY ROOM PHYSICIANS, CARDIOLOGIST, SURGEONS AND TECHNICIANS - ALL WORKING TOGETHER TO MOVE PATIENTS FROM AN AMBULANCE TO A STATE-OF-THE-ART CARDIAC CATHETERIZATION LAB IN 90 MINUTES OR LESS. BY REALIGNING OUR PATIENT FLOW FROM THE EMERGENCY ROOM TO THE CATHETERIZATION LAB TO THE ICU, THE HOSPITAL HAS DRAMATICALLY REDUCED THE TIME IT TAKES FOR CORONARY PATIENTS TO GET THE LIFE-SAVING TREATMENT THEY NEED. LAST YEAR, THE STEMI RECEIVING CENTER TREATED 100 STEMI PATIENTS, WHICH ADDED TO THE ALREADY BUSY CARDIAC CATHETERIZATION LAB THAT PERFORMED 829 CARDIAC CATHETERIZATIONS AND ANOTHER 346 INTERVENTIONS. VALLEY PRESBYTERIAN HOSPITAL BECAME STROKE CERTIFIED THIS YEAR. AS A PRIMARY STROKE CENTER, THE HOSPITAL IS REQUIRED TO HAVE A NEUROLOGIST AVAILABLE 24/7. BECAUSE LOCAL NEUROLOGISTS WERE NOT AVAILABLE TO PROVIDE 24/7 COVERAGE, THE HOSPITAL CONTRACTED WITH A GROUP OF NEUROLOGISTS TO PROVIDE COVERAGE VIA TELEMEDICINE. THE HOSPITAL ALSO PURCHASED A 'ROBOT' THAT FACILITATES THE TELEMEDICINE CONSULTATION. USING THE RP-LITE ROBOT, THE REMOTELY LOCATED CONSULTING NEUROLOGIST HAS THE ABILITY TO VISUALLY EXAMINE THE STROKE PATIENT WHILE ALSO COMMUNICATING WITH THE ATTENDING PHYSICIAN AND NURSE. THE NEUROLOGIST CAN ALSO ACCESS THE PATIENT'S MEDICAL RECORDS, IMAGES AND LAB RESULTS JUST AS EASILY AS BEING IN THE ROOM. MOST IMPORTANTLY, REMOTE CONSULTATIONS TAKE PLACE WITHIN MOMENTS OF ADMITTING THE STROKE PATIENT, ALLOWING OUR PHYSICIANS TO INTERVENE QUICKLY BEFORE EXTENSIVE DAMAGE IS DONE. MANAGED CARE CAPITATION: VALLEY PRESBYTERIAN HOSPITAL PARTICIPATES IN THE CARE OF MANAGED MEDI-CAL CAPITATED PATIENTS IN PARTNERSHIP WITH SEVERAL MEDICAL GROUPS SERVING THE SAN FERNANDO VALLEY REGION. CAPITATION IS A METHOD OF PAYMENT FOR HEALTH SERVICES IN WHICH A HOSPITAL IS PAID A FIXED AMOUNT PER ENROLLEE TO COVER A DEFINED SCOPE OF SERVICES FOR A DEFINED POPULATION SET REGARDLESS OF ACTUAL NUMBER OR NATURE SERVICES PROVIDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXEMPT PURPOSE ACHIEVEMENTS (CONTINUATION)</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>CONTINUATION OF PROGRAMS, FACILITIES, AND SERVICES: OBSTETRICAL (OB) SERVICE AFFINITY PROGRAM - LITTLE TREASURES: VALLEY PRESBYTERIAN HOSPITAL HAS CREATED THE LITTLE TREASURES OR THE "PEQUENOS TESOROS" PROGRAM AS A WAY OF CREATING A UNIFYING IDENTITY FOR THE FULL SUITE OF MATERNITY SERVICES OFFERED BY THE HOSPITAL. LITTLE TREASURES CREATES A VISUAL, EMOTIONAL AND RELATABLE EXPRESSION FOR THE MISSION OF VPH'S MATERNITY SERVICES: A SINGULAR COMMITMENT TO THE HEALTH AND WELL-BEING OF THE WOMEN OF OUR COMMUNITY, THEIR CHILDREN AND THEIR FAMILIES. HIGH RISK INFANT CLINIC: THE NEONATAL INTENSIVE CARE UNIT (NICU) IS CERTIFIED BY CALIFORNIA CHILDREN'S SERVICES (CCS) WITHIN THE SAN FERNANDO VALLEY TO PROVIDE FOLLOW-UP CARE FOR HIGH-RISK BABIES THAT QUALIFY FOR CCS CHILDBIRTH SERVICES. EACH HIGH-RISK INFANT IS EVALUATED EVERY SIX MONTHS, 18 MONTHS AND 24 MONTHS. AMPUTATION PREVENTION CENTER: VALLEY PRESBYTERIAN HOSPITAL'S AMPUTATION PREVENTION CENTER (APC) IS ONE OF A HANDFUL OF IDENTIFIED HOSPITAL-BASED CENTERS IN THE NATION TO OFFER CUTTING EDGE CLINICAL AND TECHNOLOGICAL EXPERTISE IN LIMB SALVAGE. CARDIAC REHABILITATION: CARDIAC REHABILITATION IS A CUSTOMIZED PROGRAM OF EXERCISE AND EDUCATION DESIGNED TO HELP PATIENTS RECOVER AFTER A HEART ATTACK FROM OTHER FORMS OF HEART DISEASE, OR AFTER SURGERY TO TREAT HEART DISEASE. VALLEY REHABILITATION CENTER (VRC): THE VALLEY REHABILITATION CENTER (VRC) OFFERS A 15-BED CAPACITY AND INCLUDES A PATIENT DINING AREA AND THERAPY GYM EQUIPPED WITH A BODY WEIGHT SUPPORT TREADMILL. PATIENTS REFERRED TO THE VRC RECEIVE CARE FROM THE VALLEY'S BEST INTERDISCIPLINARY TEAM OF EXPERTS. THE TEAM INCLUDES A PHYSICAL THERAPIST, 24/7 REHABILITATION NURSES, OCCUPATIONAL THERAPISTS, SPEECH AND RECREATIONAL THERAPISTS, DIETITIANS, ORTHOTIC/PROSTHETIC CONSULTANTS AND A LICENSED CLINICAL SOCIAL WORKER. A NEUROPSYCHOLOGIST IS ALSO AVAILABLE TO HELP WITH THE EMOTIONAL AND COGNITIVE ISSUES PATIENTS AND FAMILIES FACE DURING AND AFTER THEIR REHABILITATION. PHYSICIAN REFERRAL SERVICES: VALLEY PRESBYTERIAN HOSPITAL'S PHYSICIAN REFERRAL SERVICE IS A FREE SERVICE THAT HELPS COMMUNITY MEMBERS FIND A PRIMARY CARE PHYSICIAN OR SPECIALIST. THIS PROGRAM PROVIDES MORE THAN 300 FREE REFERRALS A MONTH TO MEMBERS OF THE COMMUNITY AND SURROUNDING GREATER SAN FERNANDO VALLEY. OUR CONSULTANTS ARE ABLE TO PROVIDE THE FOLLOWING INFORMATION ABOUT A PHYSICIAN: BOARD CERTIFICATION, EDUCATION, GENDER, LANGUAGES SPOKEN, MEDICAL INSURANCE ACCEPTED, OFFICE HOURS, AND LOCATIONS. MEDI-CAL ELIGIBILITY UNIT: VALLEY PRESBYTERIAN HOSPITAL OFFERS A MEDI-CAL ELIGIBILITY UNIT TO ASSIST IN QUALIFYING UNINSURED PATIENTS AND A SELECT GROUP OF INSURED PATIENTS FOR MEDI-CAL BENEFITS. CLINICAL CARE INTERNSHIPS: THE CLINICAL CARE EXTENDER PIPELINE PROGRAM RECRUITS A DIVERSE GROUP OF STUDENTS AND INDIVIDUALS IN CAREER TRANSITION FROM SURROUNDING COLLEGES AND UNIVERSITIES TO PARTICIPATE IN A YEAR-LONG VOLUNTEER CLINICAL INTERNSHIP. THROUGH THIS INTERNSHIP, PARTICIPANTS GAIN EXPERIENTIAL EDUCATION IN DEPARTMENTS THROUGHOUT THE HOSPITAL AND ARE MOTIVATED TO PURSUE CAREERS IN HEALTH CARE. NURSE SCHOLAR PROGRAM: THE NURSE SCHOLAR PROGRAM AIMS TO GROW NURSES FROM WITHIN THE COMMUNITY TO SERVE THE UNIQUE NEEDS OF VALLEY PRESBYTERIAN HOSPITAL'S DIVERSE PATIENT POPULATION. IN FISCAL YEAR 2011, VPH PROVIDED 16 NURSING STUDENTS WITH FINANCIAL SUPPORT ASSOCIATED WITH NURSING SCHOOL. IN ADDITION TO FINANCIAL SUPPORT, THE NURSE SCHOLARS ARE PROVIDED MENTORSHIP AND GUIDANCE BY EXPERIENCED NURSE EDUCATORS, AND THE NURSE EDUCATORS WORK WITH THEM THROUGH ANY CHALLENGES THAT OCCUR WHILE IN NURSING SCHOOL. UPON COMPLETING THEIR NURSING PROGRAMS, NURSE SCHOLARS ARE HIRED BY VALLEY PRESBYTERIAN HOSPITAL AND COMMIT TO SERVING THE COMMUNITY FOR A MINIMUM OF ONE YEAR. STUDENT HEALTHCARE PROGRAM: VALLEY PRESBYTERIAN HOSPITAL PARTNERS WITH LOS ANGELES VALLEY COLLEGE (LAVC) TO BRING LOW-AND NO-COST QUALITY HEALTHCARE TO OUR COMMUNITY'S 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. MATERNAL CHILD HEALTH SERVICES: VALLEY PRESBYTERIAN HOSPITAL CONTINUES TO ADVOCATE AND ACT ON THE SURGEON GENERAL'S CALL-TO-ACTION TO SUPPORT BREASTFEEDING. BREASTFEEDING IS RECOGNIZED AS A PREVENTIVE MEASURE FOR OBESITY, DIABETES AND OTHER CHRONIC ILLNESSES. THIS IS WHY VALLEY PRESBYTERIAN HOSPITAL ADVOCATES BREASTFEEDING AS THE HEALTHIEST OPTION FOR NURTURING NEWBORNS. PREPARED CHILDBIRTH: PREPARED CHILDBIRTH CLASSES EDUCATE EXPECTING PARENTS-TO-BE ABOUT PERSONAL NUTRITION, RELAXATION SKILLS, BREATHING TECHNIQUES, ADMINISTRATION OF EPIDURAL ANESTHESIA, C-SECTION DELIVERY AND THE LATEST IN LABOR AND DELIVERY COMFORT MEASURES. CHILDBIRTH EDUCATION: VALLEY PRESBYTERIAN HOSPITAL RECOGNIZES THAT CHILDBIRTH EDUCATION IS A VITAL COMPONENT IN PREPARING FOR DELIVERING A BABY. TO ASSIST PARENTS IN PLANNING FOR THEIR DELIVERY, VPH OFFERS CLASSES THAT COVER IMPORTANT INFORMATION AND TRAINING ON THE FOLLOWING: BASIC PREGNANCY INFORMATION, PREPARATION FOR THE LABORING PROCESS, PAIN MANAGEMENT, RELAXATION TECHNIQUES, PARTNER COPING MEASURES, AND POST-PARTUM CARE. BABY BEGINNINGS: BABY BEGINNINGS CLASSES ARE INTENDED TO OFFER EXPECTING PARENTS-TO-BE A PROPER FOUNDATION WHEN IT COMES TO BASIC INFANT CARE. VALLEY PRESBYTERIAN HOSPITAL OFFERS CLASSES THAT EDUCATE PARENTS ON THE FOLLOWING: CHOOSING A PEDIATRICIAN, INFANT BEHAVIOR, BATHING TECHNIQUES, SAFETY, FEEDING PATTERNS, AND SWADDLING AND SOOTHING TECHNIQUES. HEART SAVER: THE HEART SAVER PROGRAM PROVIDES OUR COMMUNITY MEMBERS EDUCATION ON CARDIOPULMONARY RESUSCITATION (CPR) FOR ADULTS, CHILDREN AND INFANTS. COMMUNITY HEALTH AND WELLNESS OUTREACH: AS A PRIMARY STROKE CENTER, VALLEY PRESBYTERIAN HOSPITAL HOSTED ITS FIRST ANNUAL STROKE AND WELLNESS FAIR IN 2011, WHICH WAS ATTENDED BY MORE THAN 600 PEOPLE. VPH PROVIDED MORE THAN 400 FREE FLU VACCINATIONS; CAROTID ARTERY SCREENINGS; CHOLESTEROL, GLUCOSE (BLOOD SUGAR), AND BLOOD PRESSURE SCREENINGS, AND BODY FAT (BMI) ANALYSES. ANOTHER COMMUNITY OUTREACH PROGRAM WHERE VALLEY PRESBYTERIAN HOSPITAL PARTICIPATED WAS A COMMUNITY HEALTH AND SAFETY FAIR HOSTED BY LOS ANGELES CITY COUNCILMAN TONY CARDENAS. THIS EVENT BROUGHT TOGETHER MORE THAN 30 ORGANIZATIONS-INCLUDING CITY, COUNTY, STATE AND FEDERAL AGENCIES FOR THIS ANNUAL EVENT. VALLEY PRESBYTERIAN HOSPITAL OFFERED BLOOD PRESSURE SCREENINGS TO ATTENDEES AND FREE INFORMATION ON CARDIOVASCULAR HEALTH. MORE THAN 2,000 COMMUNITY MEMBERS ATTENDED THE EVENT. VALLEY PRESBYTERIAN HOSPITAL ALSO PARTICIPATED IN THE FOLLOWING COMMUNITY WELLNESS PROGRAMS: -HEALTHY KIDS DAY - THIS EVENT EDUCATED THE COMMUNITY ON HEALTHY EATING HABITS, NUTRITIONAL FOOD MODELS FOR LOW CALORIE OPTIONS, PROPORTIONAL FOOD SERVINGS AND BALANCED NUTRITIONAL MEALS. MORE THAN 150 COMMUNITY MEMBERS PARTICIPATED IN THE EVENT. -BREASTFEEDING CHALLENGE AND FAMILY FAIR - THIS FAIR ENCOURAGES EXPECTING MOTHERS TO PARTICIPATE IN BREASTFEEDING THEIR INFANTS. VALLEY PRESBYTERIAN HOSPITAL PROVIDED BREASTFEEDING SUPPORT INFORMATIONAL MATERIALS AND A REGISTERED NURSE TO ANSWER INQUIRIES ABOUT BREASTFEEDING. -CHILDREN'S COMMUNITY SCHOOL 16TH ANNUAL HEALTH AND SAFETY FAIR - THIS HEALTH FAIR IS ATTENDED BY VAN NUYS CHILDREN AND FAMILIES SEEKING EDUCATION ON DIABETES. VPH PROVIDED HEALTH CARE PROFESSIONALS TO PERFORM GLUCOSE SCREENINGS AND DISTRIBUTE EDUCATIONAL MATERIALS ON DIABETES PREVENTION.</Explanation>
      </GeneralExplanation>
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