2011-11-15T17:16:18-06:00 2010-12-31 HBLA CERTIFIED PUBLIC ACCOUNTANTS INC 19600 FAIRCHILD STE 320 IRVINE CA 92612 990 2010-01-01 952534063 CITRUS VALLEY HEALTH FOUNDATION INC CITR 6268142421 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 ROBERT H CURRY 6269387577 2011-11-11 1 EDWARD BENOE 9498332815 2010 2016-03-07 17:11:31Z ROBERT H CURRY 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 1685862 0 X CVHP.ORG X 1967 CA FUND DEVELOPMENT PROGRAMS FOR CITRUS VALLEY MEDICAL CENTER AND CITRUS VALLEY HOSPICE. 24 21 8 63 0 0 527179 914929 189968 29597 -32676 352398 -102936 23190 581535 1320114 0 0 0 0 468109 376018 16000 0 765289 275408 448152 759517 824170 -177982 495944 9493307 12085964 840326 676961 8652981 11409003 X A PHILANTHROPIC ORGANIZATION DEDICATED TO PROVIDING FINANCIAL, EDUCATIONAL, AND OTHER RESOURCES IN ACCOMPLISHING THE MISSION, VISION AND VALUES OF CITRUS VALLEY HEALTH PARTNERS. 0 1 FUND DEVELOPMENT PROGRAMS FOR CITRUS VALLEY MEDICAL CENTER, CITRUS VALLEY HOSPICE, AND FOOTHILL PRESBYTERIAN HOSPITAL, WHICH ARE ALSO EXEMPT ENTITIES. 28590 29597 FUNDING OF ECHO PROGRAM - EVERY CHILD IS HEALTHY ORGANIZATION 28590 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 14 1 1 8 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 24 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X ROBERT H CURRY CEO 6269387577 140 W COLLEGE STREET PO BOX 6108 COVINA CA 91722 X HAROLD J BORAK SR 3.00 X 0 0 0 ADAM CAPITANO 3.00 X 0 0 0 MITCHELL FUERST 3.00 X 0 0 0 PATSY GORRELL 3.00 X 0 0 0 RICHARD JETT 3.00 X 0 0 0 DAN KISS MD 3.00 X 0 0 0 GILBERT MARTIN MD 3.00 X 0 0 0 BILL TANG PHARM D MD 3.00 X 0 24800 0 ANDREW MCINTYRE 3.00 X 0 0 0 ROBERT CURRY 2.00 X X 0 723028 21632 RICHARD PEDEVILLANO 3.00 X 0 0 0 OJ RODRIGUEZ 3.00 X 0 0 0 DONALD EDWIN BOSS ESQ 3.00 X 0 0 0 MICHAEL O QUINN 3.00 X 0 0 0 ROBERT E DUNCAN 3.00 X 0 0 0 DUANE KEENE 3.00 X 0 0 0 PETER MILLER 3.00 X 0 0 0 IRENE BOURDON 20.00 X X 0 345403 21016 BARBARA LATASA 3.00 X 0 0 0 MARY JANE BETTFREUND 3.00 X 0 0 0 JACQUELINE BRACY MD 3.00 X 0 0 0 DONALD R CANZONERI 3.00 X 0 0 0 JOSE G GUTIERREZ 3.00 X 0 0 0 MICHAEL J STARR 3.00 X 0 0 0 ELVIA FOULKE 1.00 X 0 534785 13499 LOIS CONYERS 2.00 X 0 474331 15608 0 2102347 71755 1 0 1 0 0 218704 696225 39926 914929 ECHO PROGRAM 900099 29597 29597 29597 367391 367391 229571 244564 -14993 -14993 -14993 172689 218704 121184 51505 51505 TRUST INVESTMENT INCOM 900099 17395 17395 CHANGE IN NPV OF TRUST 900099 -45710 -45710 -28315 1320114 29597 0 375588 258647 10346 248301 23793 952 22841 368 15 353 74900 2996 71904 18310 732 17578 226560 28590 7919 190051 29921 1197 28724 7457 298 7159 3340 134 3206 3832 153 3679 14529 582 13947 PURCHASED SERVICES 117805 3180 114625 OTHER EXPENSES 24879 994 23885 CONTRACT LABOR 17555 702 16853 TELEPHONE 1314 53 1261 UTILITIES 960 38 922 824170 28590 30291 765289 499 285959 627818 62000 498000 10193 35039 739345 201948 547625 537397 8587530 10387211 9493307 12085964 27207 72433 813119 604528 840326 676961 X 1920760 3045430 2025674 2633685 4706547 5729888 8652981 11409003 9493307 12085964 X 495944 2260078 X X 0 1 1 X 0 X X X 0 0 0 CITRUS VALLEY MEDICAL CENTER INC 956006469 3 1 1 1 135009 CITRUS VALLEY HOSPICE INC 953493611 9 1 1 1 1077 CITRUS VALLEY HEALTH PARTNERS INC 953885523 11 1 1 1 0 FOOTHILL HOSPITAL - MORRIS L JOHNSTON MEMORIAL 952413054 3 1 1 1 0 4 136086 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4706547 550 4707097 4706222 325 4706547 4705572 650 4706222 1.00000 0 0 343332 343332 169418 18636 150782 226595 183312 43283 537397 FIXED INCOME SECURITIES 6173476 F ASSETS HELD IN TRUST 976622 F MUTUAL FUNDS 2695924 F LIQUID ASSETS 32146 F LIFE INSURANCE 509043 F 10387211 PAYABLE TO AFFILIATES 72181 PAYABLE TO BENEFICIARIES 532347 604528 1320114 824170 495944 459448 1800630 2260078 2756022 2023000 459448 121184 580632 1442368 -122254 -122254 1320114 886000 121184 121184 764816 59354 59354 824170 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFER FROM FOOTHILL PRESBYTERIAN HOSPITAL 1,936,716. TRANSFER TO CITRUS VALLEY MEDICAL CENTER -135,009. TRANSFER TO CITRUS VALLEY HOSPICE -1,077. ROUNDING PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE INCLUDED IN REVENUE 121,184. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES EXPENSE INCLUDED IN REVENUES 29,921. RESTRICTED FUND CHANGE IN VALUE OF TRUSTS -45,710. RESTRICTED FUND UNREALIZED GAINS 79,645. RESTRICTED FUND CHANGE IN PLEDGES -1,709. RESTRICTED FUND CONTRIBUTIONS -212,981. RESTRICTED FUND INVESTMENT LOSS TRUSTS 17,395. ROUNDING DIFFERENCE 788. LIFE INSURANCE VALUATION 10,397. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE INCLUDED IN REVENUE 121,184. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES EXPENSE INCLUDED IN REVENUES 29,921. RESTRICTED FUND DISTRIBUTIONS FOR PROGRAM EXPENSES 28,590. ROUNDING DIFFERENCE 843. AUTUMN NOCTURNE DINNER DANCE 191646 75844 115802 1551 50 2229 37213 7900 27228 GOLF TOURNAMENT 165880 121062 44818 4987 22502 489 13228 3 33867 21798 12069 252 428 3127 391393 218704 172689 1551 5037 24983 38130 7900 43583 121184 51505 CA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROBERT CURRY 0 523054 0 103652 0 96322 0 2348 0 19284 0 744660 0 0 IRENE BOURDON 0 260623 0 51828 0 32952 0 1841 0 19175 0 366419 0 0 ELVIA FOULKE 0 382435 0 76617 0 75733 0 0 0 13499 0 548284 0 0 LOIS CONYERS 0 341648 0 69291 0 63392 0 2109 0 13499 0 489939 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, QUESTION 3 - ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR - CVHP USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PLEASE SEE ADDITIONAL EXPLANATION AT SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. X AUCTION ITEMS - AUTUMN 171 32980 SALES PRICE X AUCTION ITEMS - GOLF 65 6946 SALES PRICE 0 1 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 THE ORGANIZATION CEASED CONDUCTING THE FOLLOWING PROGRAM SERVICES THAT WERE FUNDED THROUGH GOVERNMENT GRANTS: WEST COVINA COMMUNITY SERVICES CENTER MCGILL HOUSE STREET OUTREACH 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 ROBERT CURRY, CEO, 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 ANNUALY 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. SALARIES 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 2010. 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 FEBRUARY 8, 2011, 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, EXECUTIVE VICE PRESIDENT/COO, SENIOR VICE PRESIDENT/CFO, SENIOR VICE PRESIDENT/HUMAN RESOURCES, SENIOR VICE PRESIDENT/CIO, CITRUS VALLEY MEDICAL CENTER CHIEF MEDICAL OFFICER AND VICE PRESIDENT MEDICAL AFFAIRS, CEO/CITRUS VALLEY HOSPICE, FOOTHILL PRESBYTERIAN HOSPITAL ADMINISTRATOR/CNE, VICE PRESIDENT/CNE AT CITRUS VALLEY MEDICAL CENTER AND VICE PRESIDENT OF PUBLIC RELATIONS AND COMMUNICATION. 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 20 HOURS TO CVHP AND 20 HOURS TO THE FILING ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 459,448. TRANSFER FROM FOOTHILL PRESBYTERIAN HOSPITAL 1,936,716. TRANSFER TO CITRUS VALLEY MEDICAL CENTER -135,009. TRANSFER TO CITRUS VALLEY HOSPICE -1,077. ROUNDING TOTAL TO FORM 990, PART XI, LINE 5: 2,260,078. AUDITED FINANCIAL STATEMENTS FORM 990, PART XII, LINES 2B AND 2C: THE FINANCIAL STATEMENTS OF CITRUS VALLEY HEALTH PARTNERS, INC. AND ITS AFFILIATES, CITRUS VALLEY MEDICAL CENTER, INC., CITRUS VALLEY HOSPICE, FOOTHILL PRESBYTERIAN HOSPITAL, AND CITRUS VALEY HEALTH FOUNDATION, INC., 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 2010. 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. LOIS CONYERS DEVOTED 4, 2, 14, AND 18 HOURS TO FPH, CVH, CVMC, AND CVHP, RESPECTIVELY. ROBERT CURRY 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 91722 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 91722 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 91722 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 91722 952413054 ACUTE CARE HOSPITAL CA 501 (C)(3) 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 CITRUS VALLEY MEDICAL CENTER INC Q -135009 FAIR MARKET VALUE CITRUS VALLEY HOSPICE INC Q -1077 FAIR MARKET VALUE FOOTHILL PRESBYTERIAN HOSPITAL R 1936715 FAIR MARKET VALUE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FORM 990, SHEDULE R, PART V, NUMBER 2, CODE N: 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 3,274 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 2,798 EMPLOYEES, CITRUS VALLEY HOSPICE'S FORM 990 REPORTED 125 EMPLOYEES, CITRUS VALLEY HEALTH FOUNDATION'S FORM 990 REPORTED 8 EMPLOYEES AND CITRUS VALLEY HEALTH PARTNER'S FORM 990 REPORTED 343 EMPLOYEES.