2011-07-05T13:18:03-07:00 2010-10-31 ANDERSON SATULOFF MACHADO & MENDELSOHN 20700 VENTURA BLVD STE 205 WOODLAND HILLS CA 913646279 990 2009-11-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 BILL WILSON 2011-07-05 PETER J SATULOFF 8187100622 2009 2016-02-24 21:20:13Z 281374379 false false X N/A X CA PROVIDE HEALTH CARE 16 14 1799 280 0 827340 796115 219733828 280526493 253095 51771 0 220814263 281374379 39000 1768654 0 107161436 117950034 0 382817 110946428 137993539 218146864 257712227 2667399 23662152 120079582 165230921 57986986 79078142 62092596 86152779 PROVIDE HEALTH CARE false false 159857923 SEE SCHEDULE ATTACHED 159857923 true true false true false false false false false false true true false false false false false false false false false true true false true false false false false false false true false false false true false false false false false true false false false true 320 0 true 1799 true false false false false false false false false false false false 0 false false false false false false false false 16 14 false false false false false false false true true false false false true true true true true true true true true true X BILL WILSON 8187826600 15107 VANOWEN ST VAN NUYS CA 91405 WILLIAM ALLEN 0. X 4166 5833 0 WESLEY R SCHMIDT 0. X 178169 0 0 TRACY RAFTER 0. X 4166 5833 0 SUMAN PATEL MD 0. X 0 0 0 STUART M SOLOMON 0. X 4166 5833 0 STEVE E KELLER 0. X 180284 0 0 SRIDHAR RAMACHANDRAN MD 0. X 0 0 0 SOMASUNDARAM DEVADASON 40.00 X 184422 0 0 SOHEILA RAHMAN-ATAR 40.00 X 194624 0 0 ROBERT L ALLEN 0. X 377196 0 0 ROBERT C BILLS 0. X 381093 0 0 RICHARD KATZ 0. X 4166 5833 0 RAY B MOSS 40.00 X X 255088 0 0 RAPHAEL VEGA 0. X 4166 5833 0 PEGI MATSUDA 0. X 4166 5833 0 PATRICK WALSH MD 0. X 0 0 0 NORMA RESNEDER 40.00 X X 205061 0 0 NICHOLAS DI DOMENICO MD 0. X 0 0 0 LISA SIA 40.00 X 201236 0 0 LEROY CHASE 0. X 4166 5833 0 KARMAN MALEK MD 0. X 0 0 0 JULIE B REBACK 40.00 X X 146406 0 0 JUDITH MAASS 0. X 457450 0 0 JENNIFER R CASTALDO 40.00 X X 184245 0 0 JEAN O'KEEFE RICO 40.00 X X 240392 0 0 JAMES C PORTER 0. X 4166 5833 0 IRA J FRIEDMAN MD 0. X 4166 5833 0 HASMIG ANANIAN 40.00 X 209572 0 0 GUSTAVO A VALDESPINO 40.00 X X 470221 0 0 GREG KAY MD 0. X 4166 5833 0 GAYATHRI S JITH 40.00 X X 145812 0 0 DONALD K KREITZ 0. X 418119 0 0 DAVID W FLEMING 0. X 4166 5833 0 DAVID A SPECTER 0. X 315049 0 0 ALBERT GREENE 0. X 259200 0 0 5049465 64163 19 true true false WEBMEDX INC 3350 RIVERWOOD PARKWAY 1850 ATLANTA GA 30339 TRANSCRIPTION SERVIC 1330853 ST VINCENT ANESTHESIA MEDICAL PO BOX 50045 PASADENA CA 91115 ANESTHESIA SERVICES 1650000 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 HEALTH CARE MANAGEME 1798620 PREFERRED IPA OF CALIFORNIA 1025 N BRAND BLVD 100 GLENDALE CA 91202 CAP RISK POOL PART 4406250 CMS-CAP MANAGEMENT SERVICES 16030 VENTURA BLVD 200 ENCINO CA 91436 MGMT CAPITATION PROG 1207008 5 796115 796115 SUNDRY, TELEPHONE, OTHER 3465806 3465806 RENTAL REVENUE 881418 881418 PATIENT REVENUE 275342014 275342014 GIFT SHOP 193093 193093 FOOD SALES 644162 644162 280526493 50121 50121 0 0 0 1650 1650 1650 1650 0 0 0 0 281374379 275343664 5234600 1768654 1768654 0 0 0 1693051 1693051 98322971 72015545 26076577 230849 0 0 11131982 137138 10994050 794 6802030 5068977 1716451 16602 0 2639987 2639987 0 0 0 0 0 0 0 0 0 231719 93228 148913 -10422 0 0 0 1425464 1425464 0 6677298 6677298 1659688 1659688 SUPPLIES 33269205 31410328 1855118 3759 PROVISION FOR BAD DEBTS 6688190 6688190 NONMEDICAL FEES 26090803 2379116 23686703 24984 MEDICAL FEES 8320809 8320809 capitation 24798541 24798541 26191835 7177397 18898187 116251 257712227 159857923 97471487 382817 152978 149907 8568459 3197982 0 26245584 26688797 0 0 0 2665300 3267563 1270723 1184710 216096601 142022985 73994098 74073616 0 0 0 0 7182440 56668346 120079582 165230921 26748300 41192576 12248527 17895992 18990159 19989574 57986986 79078142 X 57918544 81709623 4174052 4443156 62092596 86152779 120079582 165230921 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 58646 false false false 58646 false false 1587222 1587222 138727233 82830486 55896747 75782146 59192499 16589647 74073616 unconditional promise to give 3476610 self insurance reserve 153702 OTHER RECEIVABLES current 52708922 OTHER RECEIVABLES 169635 56668346 SELF INSURANCE RESERVES 11586551 ACCRUED PAYROLL & RELATED EXPENSES 8403023 19989574 281374379 257712227 23662152 398030 398030 24060182 281374379 281374379 281374379 257712227 257712227 257712227 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances UNREALIZED GAIN ON INVESTMENTS $398030 UNREALIZED GAIN ON INVESTMENTS IN ANNUITY AND UNITRUSTS $0 true true true X 350.000000000 true X true true true false true true 2135649 236329 1899320 0.00740 117350213 96668109 20682104 0.08030 9501526 1658514 7843012 0.03040 128987388 98562952 30424436 0.11810 496215 496215 0.00190 496215 496215 0.00190 129483603 98562952 30920651 0.12000 true 6688190 97046616 73961939 23084677 true true VALLEY PRESBYTERIAN HOSPITAL

15107 VANOWEN ST VAN NUYS CA 91405

X X X Charity Care - The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, these amounts are not reported as revenue. COMMUNITY NEEDS ASSESSMENT PROCESSValley 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 in the Appendix 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. Below is a copy of what is given to all patients at Valley Presbyterian HospitalValley Presbyterian Hospital 15107 Vanowen StreetVan Nuys, Ca. 91405Thank you for choosing Valley Presbyterian Hospital for your hospital services. This packet 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 - $2500C- Section: Up to a 3 day stay - $4000; C-Section: 4 day stay - $ 5500. 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.I hereby declare that I have been made aware of Valley Presbyterian Hospital's financial assistance programs. There were no other third party resources for coverage available to me at the time my services were rendered. Date Patient signature Witness Valley Presbyterian Hospital's total service area is comprised of almost 1.7 million persons with a forecasted increase of 3.0 percent by 2016. Valley Presbyterian Hospital's 2010 Primary Service Area (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. PRIMARY SERVICE AREA POPULATION BY AGE AND GENDERAge 2011 Population 2016 Population Change18 297,161 306,165 3.0%18-59 590,823 608,725 3.0%60-64 28,201 28,870 2.4%65-74 44,488 45,836 3.0%75+ 39,077 40,189 2.8%TOTAL 999,750 1,029,785 3.0%With the exception of San Fernando, the PSA is part of the city of Los Angeles. The 2008 racial/ethnic distribution is:Race/Ethnicity Hispanic 64% Asian or Pacific Islander 8% White 21% African-American 4% Other 3%In the PSA, approximately 27% of the residents are on Medi-Cal and approximately 28% are uninsured. Community Outreach and Education 3rd Annual Emergency Preparedness FairValley Presbyterian Hospital hosted the 3rd Annual "All Hazards" Disaster Fair in 2010. The fair brings first responders to the Valley community, offering tips on planning for the unexpected. The fair covered earthquake safety, fire, evacuation, home safety, business preparedness, and agency coordination. The 3rd Annual Disaster Fair is a free public event that was attended by nearly 300 community attendees. Continuing Medical Education (CME)Continuing Medical Education is a central component to improving the quality of care provided to our communities. Valley Presbyterian Hospital offers a robust Program to our medical staff and community physicians that adopts the Accreditation Council for Continuing Medical Education mission to further physician's knowledge and competence to improve quality medical care for patients and the communities they serve. In keeping with our commitment to provide an environment of learning for our physicians, VPH provided 2,380 hours of continuing education during the calendar year 2010. Physicians of all disciplines took advantage of listening to experts in various clinical fields. Community Health FairsValley Presbyterian Hospital continues to participate and invest in community wellness. VPH recognized the importance of supporting national associations that advocate and conduct research that will benefit the overall well being of all communities. In 2010, VPH participated in and/or sponsored the following events: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. Over 150 community members participated in the event.Breastfeeding Challenge and Family FairThis fair encourages expecting mothers to participate in breastfeeding their infants. Valley Presbyterian Hospital provided breastfeeding support informational materials and a registered RN to answer inquiries about breastfeeding.Children's Community School 14th Annual Health and Safety FairThis 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.West San Fernando Valley Family FestivalThe Valley Presbyterian Hospital Amputation Prevention Center collaborated with St. Stephen Presbyterian Church to provide educational materials on preventing amputations.Help Earth and Recycle with VPHIn an effort to improve the environment in which our communities live, Valley Presbyterian Hospital partnered with EZE Waste, a California approved waste collection center, and held a recycle your electronic waste event. This event encouraged community members to bring old computers, printers, televisions, batteries etc, to the hospital to be disposed of properly. Over 15,578 pounds of old electronic waste was collected and disposed.Tony Cardenas Community 2010 Health FairCouncilman Tony Cardenas brought together over 30 organizations including city, county, state and federal departments for his Community Health and Safety Fair. VPH offered blood pressure screenings to attendees and free information on cardiovascular health. In addition, the VPH Amputation Prevention Center provided educational information on preventing amputations, and also provided foot screening. Over 2,000 community members attended the event.H1N1Valley Presbyterian continues to be vigilant in enforcing policies and procedures to minimize exposure to the H1N1 Flu (a.k.a., Swine Flu) by our patients and staff. VPH continues to be proactive and implement measures that educate people who are exposed to highly transmissible diseases such as H1N1 Flu. As in 2009, VPH has continued its educational campaign. VPH formed an H1N1 Task force comprised of a multidisciplinary group of 25 people across different departments in the hospital, to address specific needs of the H1N1 pandemic. CA true LOS ANGELES COUNTY BUSINESS FEDERATION 350 SOUTH BIXEL ST LOS ANGELES CA 90017 260295348 15000 0 CME FUND 15107 VANOWEN ST VAN NUYS CA 91405 951945832 24000 0 CALIF HEALTH FOUNDATION & TRUST 1215 K STREET SACRAMENTO CA 95814 1729404 0 1 2 X X X X X true true false false false true false false false false WESLEY R SCHMIDT 123553 27308 27308 178169 STEVE E KELLER 165055 15229 180284 SOMASUNDARAM DEVADASON 184422 184422 SOHEILA RAHMAN-ATAR 194624 194624 ROBERT L ALLEN 304992 72204 377196 ROBERT C BILLS 381093 381093 RAY B MOSS 211046 44042 255088 NORMA RESNEDER 180061 25000 205061 LISA SIA 201236 201236 JUDITH MAASS 161583 38088 257779 457450 JENNIFER R CASTALDO 169256 14989 184245 JEAN O'KEEFE RICO 215392 25000 240392 HASMIG ANANIAN 209572 209572 GUSTAVO A VALDESPINO 470221 470221 DONALD K KREITZ 48615 369504 418119 DAVID A SPECTER 139649 39716 135684 315049 ALBERT GREENE 259200 259200 Dr Sridhar Ramachandran SHORT TERM LOAN X 125000 47683 false true true 47683 TRACEY RAFTER DIRECTOR 106600 CONSULTING SERVICES false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available UPON REQUEST AT THE HOSPITAL LOCATION. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process A COPY OF THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR ITS REVIEW AND COMMENT. Client Note1 Executive Compensation is determined by the Executive Committee of the Valley Presbyterian Hospital Board. In determining each individual's compensation the Committee utilizes the most recent California Regional Executive Compensation Survey Report prepared by Integrated Healthcare Strategies (formerly known as Clark Consulting). This survey provides 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 to achieve up to the 75th 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 a supplemental retirement plan, supplemental life insurance, supplemental long-term disability 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 Executive Committee. The objectives include quality, financial, and business development components. The remaining 20% of the incentive awards are awarded at the discretion of the Executive Committee. Target incentive awards are set at 20% of the Executive's base salary, with the exception of the CEO, whose target incentive award is set at 25% of base salary. HEALTH DYNAMICS INC 15107 VANOWEN ST VAN NUYS CA 91405 951945832 PARENT COMPANY OF HOSPITAL CA 501(C)(3) SUPPORTING HOSPITAL N/A false false false false false false false false false false false false false false false false false false