2021-11-12T13:17:48-06:00 2020-12-31 910189318 MOSS ADAMS LLP 21700 OXNARD ST STE 300 LOS ANGELES CA 91367 990 2020-01-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 JANICE KLOSTERMEIER SVP OF FINANCE & CFO 8187826600 2021-11-12 1 JANICE KLOSTERMEIER 999009999 MICHAEL LUMSDEN P01262236 8185771900 2021-11-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GUSTAVO VALDESPINO 15107 VANOWEN STREET VAN NUYS CA 91405 545904953 0 X WWW.VALLEYPRES.ORG X 1948 CA TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 18 15 2086 123 0 0 4882100 21504321 470939417 361421582 7539615 10976637 3316774 1971315 486677906 395873855 289401 273219 0 0 156462284 159460292 0 0 0 226842267 234329467 383593952 394062978 103083954 1810877 513064474 558178015 102067850 133965755 410996624 424212260 X TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 0 0 351343288 273219 361421582 SEE SCHEDULE O 351343288 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 452 0 1 2086 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X JANICE KLOSTERMEIER 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 GUSTAVO A VALDESPINO PRESIDENT AND CEO 40.00 0.00 X 976801 0 204645 LORI E CARDLE EVP & CHIEF OPERATING OFFICER 40.00 0.00 X 653441 0 130355 CLYDE WESP JR MD SVP & CMO THROUGH 3/2020 40.00 0.00 X 592192 0 26051 JANICE R KLOSTERMEIER SVP OF FINANCE & CFO 40.00 0.00 X 436997 0 96235 LORI L BURNELL SVP AND CHIEF NURSING OFFICER 40.00 0.00 X 422881 0 89463 JEFFREY L ALLPORT VP AND CHIEF INFORMATION OFFICER 40.00 0.00 X 348025 0 19386 KEITH STANHILL VP, HUMAN RESOURCES THROUGH 9/2020 40.00 0.00 X 318882 0 27061 TOM KIM CONTROLLER 40.00 0.00 X 235545 0 32893 THERESA SOLIS-BITO DIRECTOR, SERVICE AND SUPPORT 40.00 0.00 X 226997 0 34672 EDINANCE N MUWONGE CLINICAL NURSE SUPERVISOR 40.00 0.00 X 250964 0 9009 DALLAS A RYAN DIRECTOR, MATERIALS MANAGEMENT 40.00 0.00 X 241967 0 15826 JOHN F NEVILLE CLINICAL NURSE II 40.00 0.00 X 225513 0 25649 HANNAH G GROSSMAN MD SVP & CMO START 3/2020 40.00 0.00 X 245003 0 5976 TAMALA CHOMA VP, GENERAL COUNSEL 40.00 0.00 X 230247 0 11328 DIANA MILAN-FINLEY ASSOCIATE ADMINISTRATOR, OPERATIONS SUPPORT SERVIC 40.00 0.00 X 224211 0 11287 BRIAN OSTICK MD DIRECTOR / CHIEF OF STAFF 1.00 0.00 X 57825 0 0 TONY EVANS CHIEF INFO OFFICER START 11/2020 40.00 0.00 X 39038 0 203 KEVIN RICE MD DIRECTOR 1.00 0.00 X 14000 0 0 KALPESH PATEL MD DIRECTOR 1.00 0.00 X 12000 0 0 GREG KAY MD CHAIR OF THE BOARD 1.00 0.00 X X 0 0 0 BETH ZACHARY VICE CHAIR OF THE BOARD 1.00 0.00 X X 0 0 0 ALEX GUERRERO TREASURER / ACTING SECRETARY 1.00 0.00 X X 0 0 0 DAVID ADELMAN SECRETARY THROUGH 3/2020 1.00 0.00 X X 0 0 0 DAVID W FLEMING DIRECTOR / CHAIR EMERITUS 1.00 0.00 X 0 0 0 DANIEL CHANDLER DIRECTOR 1.00 0.00 X 0 0 0 DIANNE F HARRISON PHD DIRECTOR 1.00 0.00 X 0 0 0 LUCA JACOBELLIS DIRECTOR 1.00 0.00 X 0 0 0 MERRYLL MCELWAIN DIRECTOR 1.00 0.00 X 0 0 0 MATTHEW MISCHEL MD DIRECTOR 1.00 0.00 X 0 0 0 TODD MOLDAWER MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT C MYRTLE DPA DIRECTOR 1.00 0.00 X 0 0 0 GANESA PANDIAN MD DIRECTOR 1.00 0.00 X 0 0 0 ELLEN RILEY DIRECTOR 1.00 0.00 X 0 0 0 DIANA SANCHEZ DIRECTOR 1.00 0.00 X 0 0 0 KEVEN STEINBERG DIRECTOR 1.00 0.00 X 0 0 0 5752529 0 740039 479 0 1 0 CARDINAL HEALTH PHARMACY SERVICES LLC 21377 NETWORK PLACE CHICAGO IL 60673 HEALTHCARE MANAGEMENT 6851209 ST VINCENT ANESTHESIA MED GROUP 7032 COLLECTION CENTER DR CHICAGO IL 60693 ANESTHESIA SERVICES 3280661 SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 HEALTHCARE MANAGEMENT 3195537 KINDRED HOSPITAL REHABILITATION SERVICES PO BOX 502096 ST LOUIS MO 631502096 REHAB SERVICES 2763677 ALLIED UNIVERSAL SECUIRTY SERVICES PO BOX 31001-2374 PASADENA CA 911102374 SECURITY SERVICES 2203617 130 215578 18705623 2583120 21504321 NET PATIENT SERVICE REVENUE 622110 261887582 261887582 CAPITATION PREMIUM REVENUE 622110 93362438 93362438 OTHER OPERATING REVENUE 622110 6171562 6171562 361421582 6775209 6775209 341562 0 341562 341562 341562 154161258 149182832 776998 4978426 -776998 4201428 4201428 37472 215578 71268 -33796 -33796 CAFETERIA REVENUE 722514 835088 835088 PARKING REVENUE 812930 786053 786053 GIFT SHOP REVENUE 453220 42408 42408 1663549 395873855 361421582 0 12947952 X 273219 273219 5142291 1453389 3688902 129500965 113767205 15733760 3917285 3394977 522308 11436923 10708376 728547 9462828 8346149 1116679 710606 710606 201700 201700 96274 96274 199829 199829 60723884 52231960 8491924 97176 1625 95551 9090290 7736438 1353852 5964141 5122004 842137 4264336 4264336 268433 191066 77367 52926 19236 33690 786566 786566 10782720 9260200 1522520 4930512 4234324 696188 CAPITATION EXPENSES 69100804 69100804 PROVIDER PROGRAM FEES 28829153 28829153 MEDICAL SUPPLIES 26575327 26575327 OTHER CONTROLLABLE EXP 11654790 5535526 6119264 394062978 351343288 42719690 0 2996635 9983545 7642277 38167440 904380 904380 32454644 31604488 5404128 6387256 4433069 4449878 339019063 228455259 112236195 110563804 261640305 279769320 273250 278217 1178784 878784 83900807 75190903 513064474 558178015 47679567 51663480 14748430 14320961 22200000 39639853 45781314 102067850 133965755 X 409236081 422370338 1760543 1841922 410996624 424212260 513064474 558178015 1810877 11404759 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 96274 96274 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), AND PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS, INC. (PEACH). A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES BY CHA, HASC AND PEACH ON BEHALF OF THEIR MEMBERS. 1587222 1587222 180581042 109154038 71427004 2030062 1994035 36027 135287691 117307186 17980505 19533046 19533046 110563804 OTHER RECEIVABLES 5340388 WORKERS COMP RESERVE 111722 DEPOSITS 2360544 HOSPITAL FEE PROGRAM RECEIVABLE 67378249 75190903 SELF INSURANCE RESERVES 11876822 ASSET RETIREMENT OBLIGATION 4091120 MEDICAL CLAIMS PAYABLE 10887007 SPLIT-INTEREST PAYABLES 158962 DUE TO THIRD-PARTY PAYORS 1484038 HOSPITAL FEE PROGRAM PAYABLE 17283365 45781314 GOLF CLASSIC 253050 215578 37472 852 14058 2518 8967 600 44273 253050 215578 37472 852 14058 2518 8967 600 44273 71268 -33796 1 1 X 1 X 350.000000000000 1 X 650.000000000000 1 1 1 0 1 1 3497326 3497326 0.00890 275016152 210695665 64320487 0.16320 106749393 99840471 6908922 0.01750 385262871 310536136 74726735 0.18960 2810409 2810409 0.00710 991675 991675 0.00250 452672 452672 0.00110 4254756 4254756 0.01070 389517627 310536136 78981491 0.20030 9480 9480 0.00000 1022 1022 0.00000 154003 154003 0.00040 164505 164505 0.00040 1 5808002 772803 66811510 68568605 -1757095 X 1 1 1 1 VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN STREET VAN NUYS CA 91405 WWW.VALLEYPRES.ORG 930000170 X X X VALLEY PRESBYTERIAN HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT/ X 1 19 1 HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT/ 0 1 X 350.000000000000 650.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 5: VALLEY PRESBYTERIAN HOSPITAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. NINETEEN (19) INTERVIEWS WERE COMPLETED IN NOVEMBER AND DECEMBER, 2018. COMMUNITY STAKEHOLDERS IDENTIFIED BY VPH WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH, OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. INPUT WAS OBTAINED FROM THE LOCAL PUBLIC HEALTH DEPARTMENT.THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE VALLEY PRESBYTERIAN HOSPITAL 8 STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN.INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: HEALTH ISSUES IN THE COMMUNITY; CHALLENGES AND BARRIERS PEOPLE FACE ADDRESSING THESE ISSUES; SOCIOECONOMIC, BEHAVIORAL, OR ENVIRONMENTAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY; POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS; AND ADDITIONAL COMMENTS AND CONCERNS.IN ADDITION, THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WERE MADE WIDELY AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. PUBLIC COMMENT WAS SOLICITED ON THE REPORTS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 11: IN 2020, VALLEY PRESBYTERIAN HOSPITAL ENGAGED IN ACTIVITIES AND PROGRAMS THAT ADDRESSED THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2019 - 2021 IMPLEMENTATION STRATEGY/COMMUNITY BENEFIT PLAN. VPH CHOSE TO ADDRESS ACCESS TO HEALTH CARE, CHRONIC DISEASES WITH AN EMPHASIS ON DIABETES, FOOD INSECURITY, MENTAL HEALTH AND SUBSTANCE USE AND MISUSE THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND RESOURCES. DUE TO THE COVID-19 PANDEMIC VPH CANCELED ALL IN-PERSON COMMUNITY RELATED EVENTS AND CLASSES. IN RESPONSE TO THE DEMONSTRATED NEEDS OF THE COMMUNITY, VPH REDESIGNED ITS OUTREACH APPROACH BY CONVERTING CLASSES TO A VIRTUAL PLATFORM AND FOLLOWING PROPER SAFETY MEASURES WHEN OUT IN THE COMMUNITY. THROUGH IT ALL, VPH REMAINED COMMITTED TO ITS MISSION AND VALUES AS A VITAL ASSET TO THE COMMUNITY AND COMMUNITY-BASED ORGANIZATIONS. THE SPIRIT OF COMMUNITY SUPPORT WAS FURTHER DELIVERED BY BOTH THE COMPASSION AND RESILIENCE OF OUR STAFF AND FIRST RESPONDERS.ACCESS TO HEALTH CARE:A LACK OF ACCESS TO CARE PRESENTS BARRIERS TO GOOD HEALTH. ACCESS TO PRIMARY CARE IS A KEY DETERMINANT OF HEALTH THAT EXPOSES INDIVIDUALS TO PREVENTIVE MEASURES AND DISEASE MANAGEMENT, REDUCING THE LIKELIHOOD OF HOSPITALIZATIONS AND EMERGENCY ROOM ADMISSIONS. INDIVIDUALS, WHO RECEIVE SERVICES IN A TIMELY MANNER, HAVE GREATER OPPORTUNITY TO PREVENT OR DETECT DISEASE DURING EARLIER, TREATABLE STAGES. A DELAY OF NECESSARY CARE CAN LEAD TO AN INCREASED RISK OF COMPLICATIONS.RESPONSE TO NEED: VALLEY PRESBYTERIAN HOSPITAL REMOVED BARRIERS AND INCREASED ACCESS TO HEALTH CARE. THE HOSPITAL OFFERED TRANSPORTATION TO 1,850 RIDERS TO INCREASE ACCESS TO HEALTH CARE. THE VPH CONTRACTED TRANSPORTATION SERVICE PROVIDED RIDES FREE OF CHARGE TO COMMUNITY RESIDENTS TO AND FROM THEIR HOMES TO THE HOSPITAL AND TO AND FROM THEIR HOMES TO A COMMUNITY CLINIC. ADDITIONALLY, 300 TAP CARDS WERE DISTRIBUTED TO PERSONS WHO LACKED TRANSPORTATION TO OR FROM HEALTH CARE SERVICES. WE ACTIVELY ASSISTED MORE THAN 4,200 PATIENTS ENROLL IN MEDI-CAL PROGRAMS AND OTHER LOW-COST PROGRAMS THROUGH COVERED CALIFORNIA. THE HOSPITAL PARTNERED WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE ACCESS TO CARE. ADDITIONALLY, BARLOW RESPIRATORY HOSPITAL CO-LOCATED SERVICES AT VPH TO PROVIDE AREA RESIDENTS WITH INCREASED ACCESS TO SPECIALTY RESPIRATORY CARE. IN PARTNERSHIP WITH FIRST 5 LA, THE HOSPITAL CONTINUED THE WELCOME BABY PROGRAM. THIS FREE AND VOLUNTARY PROGRAM SUPPORTED NEW MOTHERS AND THEIR INFANTS. AS A PART OF THIS PROGRAM, VPH PARTNERED WITH THE NONPROFIT ORGANIZATION EL NIDO FAMILY CENTERS, TO PROVIDE HOME-BASED SERVICES TO WELCOME BABY PARTICIPANTS. THE WELCOME BABY PROGRAM PLAYS A KEY ROLE IN ENSURING THAT PARENTS HAVE THE RESOURCES IN PLACE TO FOLLOW UP ON NEWBORN CARE SUCH AS HEALTH ASSESSMENTS AND VACCINATIONS. IN ADDITION, VPH PROVIDED CHILDBIRTH EDUCATION CLASSES TO 2,147 COMMUNITY RESIDENTS.CHRONIC DISEASES WITH AN EMPHASIS ON DIABETES:CHRONIC DISEASES ARE LONG-TERM MEDICAL CONDITIONS THAT TEND TO PROGRESSIVELY WORSEN. CHRONIC DISEASES, SUCH AS CANCER, HEART DISEASE, DIABETES, AND ASTHMA, ARE MAJOR CAUSES OF DISABILITY AND DEATH. CHRONIC DISEASES ARE ALSO THE MAJOR CAUSES OF PREMATURE ADULT DEATHS.RESPONSE TO NEED: VPH MAINTAINED A PRESENCE IN THE COMMUNITY BY SPONSORING AND PARTICIPATING IN SEVERAL VIRTUAL COMMUNITY EVENTS INCLUDING, DRIVE-THROUGH OUTREACH AND EDUCATION EVENTS PUT ON BY OUR COMMUNITY PARTNERS. VPH PROVIDED WELLNESS EDUCATION MATERIALS TO INDIVIDUALS AT THESE COMMUNITY EVENTS BY WAY OF DRIVE-THROUGH PICKUPS. PROPER NUTRITION IS ESSENTIAL FOR INDIVIDUALS WITH DIABETES. THE PANDEMIC MADE ACCESSING NUTRITIOUS FOOD MORE DIFFICULT AS MANY COMMUNITY MEMBERS WERE FACED WITH NEW CHALLENGES INCLUDING, JOB LOSS, ANXIETY, AND BARRIERS TO PROPER HEALTHCARE. VPH WAS ABLE TO SUPPORT NUMEROUS FOOD PROGRAMS, INCLUDING THOSE THAT DIRECTLY IMPACTED INDIVIDUALS WITH DIABETES. IN ADDITION, VPH SUPPORTED ORGANIZATIONS THAT CONVERTED THEIR DIABETES HEALTH EDUCATION/PREVENTION PROGRAMS TO A VIRTUAL PLATFORM SO THAT COMMUNITY MEMBERS CONTINUED TO HAVE ACCESS TO THESE NEEDED SERVICES, INCLUDING NORTHEAST VALLEY HEALTH CENTER AND NORTH LOS ANGELES REGIONAL CENTER.GIVEN THE CONTINUED NEED, VPH REINVENTED THE ANNUAL HEALTH FAIR WHILE ADHERING TO COVID-19 SAFETY MEASURES. THE 2020 ANNUAL COMMUNITY HEALTH AND WELLNESS FAIR REACHED 300 COMMUNITY RESIDENTS. INDIVIDUALS PARTICIPATED IN A SOCIALLY DISTANT OUTDOOR EVENT WHERE THEY WERE ABLE TO RECEIVE INFORMATION RELATED TO LOCAL COMMUNITY RESOURCES. FLU SHOTS WERE PROVIDED TO 260 PERSONS AND 600 GRAB-N-GO LUNCHES WERE PROVIDED TO ATTENDEES. ADDITIONALLY, THE HOSPITAL PROVIDED A COMMUNITY EXERCISE PROGRAM FOR SENIORS. THREE TIMES A WEEK, SENIORS ATTENDED THE HOSPITAL'S HEALTHY MATURITY SENIOR EXERCISE CLASS. IN 2020 THE CLASS WAS BRIEFLY PAUSED DUE TO COVID-19 AND CONVERTED TO A VIRTUAL PLATFORM. DURING THE PAST YEAR, THERE WERE 755 PARTICIPANTS IN THE FREE SENIOR EXERCISE CLASSES.BREASTFED BABIES ARE KNOWN TO BE LESS OVERWEIGHT AS THEY GROW OLDER THAN BOTTLE FED BABIES. VPH OFFERED BREASTFEEDING CLASSES IN ENGLISH AND SPANISH AND A BREASTFEEDING SUPPORT GROUP; 103 PERSONS PARTICIPATED IN THESE PROGRAMS. THIS CLASS WAS ALSO CONVERTED TO A VIRTUAL PLATFORM TO ALLOW MOTHERS CONTINUED ACCESS TO THIS MUCH NEEDED SUPPORT IN NURSING.FOOD INSECURITY:FOOD INSECURITY IS AN ECONOMIC AND SOCIAL INDICATOR OF THE HEALTH OF A COMMUNITY. THE U.S. DEPARTMENT OF AGRICULTURE (USDA) DEFINES FOOD INSECURITY AS A LIMITED OR UNCERTAIN AVAILABILITY OF NUTRITIONALLY ADEQUATE FOODS OR UNCERTAIN ABILITY TO ACQUIRE THESE FOODS IN SOCIALLY ACCEPTABLE WAYS. GIVEN THE SIGNIFICANT IMPACT OF COVID-19, FOOD INSECURITY QUICKLY STOOD OUT AS A SIGNIFICANT NEED IN THE COMMUNITY.RESPONSE TO NEED: HISTORICALLY THE VPH COMPASSION IN ACTION PROGRAM, A HOSPITAL SPONSORED EMPLOYEE VOLUNTEER PROGRAM, ALLOWS STAFF AND FACULTY TO PARTICIPATE IN NUMEROUS COMMUNITY EVENTS. DUE TO THE PANDEMIC, THESE OPPORTUNITIES WERE RESTRICTED. SOME OF THE ACTIVITIES THAT WE WERE ABLE TO PARTICIPATE IN, INCLUDED FEEDING THE HOMELESS, DRIVE-THROUGH FOOD DISTRIBUTION EVENTS, AND COLLECTING CANNED FOOD TO DONATE TO OUR LOCAL PARTNERS. OVER 5,000 COMMUNITY MEMBERS WERE POSITIVELY IMPACTED IN CY20. IN LIGHT OF THE PANDEMIC, A GRANT PROGRAM WAS MADE AVAILABLE TO ORGANIZATIONS THAT DIRECTLY PROVIDED SERVICES TO ADDRESS FOOD INSECURITY. THIS INCLUDED: (I) VPH STAFF PARTICIPATING IN THE WEEKLY DRIVE-THROUGH FOOD DISTRIBUTION EVENTS AT MEND (MEET EACH NEED WITH DIGNITY) SERVING 1,551 INDIVIDUALS; (II) THROUGH A GRANT FROM VPH, THE YMCA IMPLEMENTED A WEEKLY PRODUCE DISTRIBUTION SERVING OVER 15,000 INDIVIDUALS; AND (III) AS A BENEFICIARY OF A VPH FOOD INSECURITY GRANT, NORTH VALLEY CARING SERVICES PROVIDED FRESH PRODUCE AND CANNED FOOD TO OVER 1,500 INDIVIDUALS.MENTAL HEALTH AND SUBSTANCE USE AND MISUSE: POSITIVE MENTAL HEALTH IS ASSOCIATED WITH IMPROVED HEALTH OUTCOMES. INDICATORS AND CONTRIBUTORS TO POOR MENTAL HEALTH INCLUDE POVERTY AND LOW LEVELS OF EDUCATION. THE NEED TO ACCESS MENTAL HEALTH SERVICES WAS NOTED AS A HIGH A PRIORITY AMONG COMMUNITY MEMBERS.RESPONSE TO NEED: VALLEY PRESBYTERIAN HOSPITAL INCREASED ACCESS TO MENTAL HEALTH SERVICES THROUGH THE OFFERING OF TELE-PSYCH SERVICES. VPH PROVIDED 1,041 CONSULTATIONS FOR 843 PATIENTS IN 2020. OFFERING THIS SERVICE DECREASED THE AMOUNT OF TIME NEEDED TO EVALUATE A PATIENT WITH POSSIBLE MENTAL HEALTH SYMPTOMS. ADDITIONALLY, TO INCREASE ACCESS TO MENTAL HEALTH SERVICES, VPH EMPLOYS A PSYCHIATRIC NURSE PRACTITIONER. VPH PROVIDED ACCESS TO NEEDED PSYCHIATRIC CARE HOSPITALIZATION FOR LOW-INCOME PATIENTS. WHILE VPH DOES NOT HAVE DEDICATED INPATIENT MENTAL HEALTH CARE BEDS, IT FINANCIALLY SUPPORTS INPATIENT MENTAL HEALTH CARE FOR VULNERABLE PATIENTS NEEDING MENTAL HEALTH HOSPITALIZATION. PSYCHIATRIC CARE WAS PROVIDED TO 222 LOW-INCOME, VULNERABLE PATIENTS WHO WERE TREATED IN THE ED AND THEN TRANSPORTED TO A MEDICALLY NECESSARY INPATIENT MENTAL HEALTH CARE BED.NEEDS THE HOSPITAL WILL NOT ADDRESS:TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, VPH WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: ALZHEIMER'S DISEASE, BIRTH INDICATORS, COMMUNITY SAFETY AND VIOLENCE PREVENTION, DENTAL CARE, ECONOMIC INSECURITY, EDUCATION AND HEALTH LITERACY, HOUSING AND HOMELESSNESS, AND OVERWEIGHT AND OBESITY. SINCE VPH CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT IT CAN MOST EFFECTIVELY ADDRESS GIVEN AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE DEDICATED TO THE SELECTED PRIORITY HEALTH NEEDS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED IS THROUGH FINANCIAL COUNSELING IF IDENTIFIED AS UNDERINSURED. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/#:~:TEXT=A%20FINANCIAL%20ASSISTANCE%20PROGRAM%20IS,OF%20YOUR%20ANNUAL%20HOUSEHOLD%20INCOME. PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/#:~:TEXT=A%20FINANCIAL%20ASSISTANCE%20PROGRAM%20IS,OF%20YOUR%20ANNUAL%20HOUSEHOLD%20INCOME. PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/#:~:TEXT=A%20FINANCIAL%20ASSISTANCE%20PROGRAM%20IS,OF%20YOUR%20ANNUAL%20HOUSEHOLD%20INCOME. 2 1 - PERINATAL CENTER 15243 VANOWEN STREET SUITE 502 VAN NUYS CA 91405 SPECIALTY CENTER 2 - WOUND & HYPERBARIC CENTER 6850 SEPULVEDA BOULEVARD SUITE 200 VAN NUYS CA 91405 SPECIALTY CENTER PART I, LINE 7: THE ORGANIZATION IS UTILIZING A COST-TO-CHARGE RATIO TO DETERMINE AMOUNTS WITHIN SCHEDULE H, PART I, LINES 7A, 7B, AND 7C; AMOUNTS REPORTED ON LINE 7E, 7F, AND 7I WERE ARRIVED AT UTILIZING COST ACCOUNTING METHODOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT:HOSPITAL LEADERSHIP STAFF SUPPORTED COMMUNITY ORGANIZATIONS THROUGH PARTICIPATION ON COALITIONS, COMMUNITY BOARDS, COMMITTEES AND NETWORKS OF AGENCIES ADDRESSING COMMON ISSUES. EMPLOYEES ARE ALSO SUPPORTED BY THE HOSPITAL TO ENGAGE IN PLANNING, EDUCATION PRESENTATIONS, CONSORTIA, SUMMITS, AND MEETINGS WITH COMMUNITY GROUPS.COALITION BUILDING AND ADVOCACY:HOSPITAL REPRESENTATIVES SERVED ON A NUMBER OF COMMUNITY COMMITTEES AND BOARDS THAT ADDRESS HEALTH IMPROVEMENT AND COMMUNITY DEVELOPMENT. VPH ENGAGED IN ADVOCACY EFFORTS THAT SUPPORTED ACCESS TO HEALTH CARE.WORKFORCE DEVELOPMENT:VPH KNOWS THE IMPORTANCE OF CONNECTING WITH THE WORKFORCE OF THE FUTURE. THE HOSPITAL PARTICIPATED IN THE GRANADA HILLS CHARTER HIGH SCHOOL CAREER DAY AND THE BIRMINGHAM HIGH SCHOOL CAREER DAY TO PROVIDE INFORMATION ON HEALTH CARE CAREERS. STUDENTS FROM THESE HIGH SCHOOLS LISTENED TO PANEL DISCUSSIONS FROM A VARIETY OF CLINICAL AND NON-CLINICAL LEADERS DISCUSSING THEIR EDUCATIONAL BACKGROUNDS, THEIR PERSONAL JOURNEYS THROUGH HEALTH CARE AND AN ACCOUNT OF WHAT A TYPICAL DAY ON THE JOB ENTAILS. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FAP WAS ESTIMATED UTILIZING RECORD REVIEWS. THE ENTIRE AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT CONTAIN A SEPARATE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE FOOTNOTE THAT ADDRESSES "PATIENT ACCOUNTS RECEIVABLE" CAN BE FOUND ON PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY WAS BASED ON THE 2020 MEDICARE COST REPORT COST-TO-CHARGE RATIO. IT IS THE HOSPITAL'S BELIEF THAT THE SHORTFALL REFLECTED ON PART III, LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN THE HOSPITAL'S COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS. PART III, LINE 9B: THE HOSPITAL INITIALLY MAKES ALL REASONABLE EFFORTS TO OBTAIN FROM THE PATIENT OR HIS OR HER REPRESENTATIVE INFORMATION ABOUT WHETHER PRIVATE OR PUBLIC HEALTH INSURANCE OR SPONSORSHIP MAY FULLY OR PARTIALLY COVER THE CHARGES FOR CARE RENDERED BY THE HOSPITAL TO A PATIENT. ONCE ALL INSURERS HAVE ISSUED PAYMENT, AND THE ACCOUNT HAS BEEN REVIEWED BY A CLAIMS ADJUSTER, ANY REMAINING BALANCE IS OWED BY THE PATIENT. WHEN THE HOSPITAL IS NOT ABLE TO COLLECT OUTSTANDING PAYMENTS FROM A PATIENT OR AN INSURER THROUGH ITS OWN REASONABLE EFFORTS, IT MAY WORK WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN OUTSTANDING PAYMENTS. FOR ANY PATIENT THAT IS UNINSURED OR HAS HIGH MEDICAL COSTS, AS DISCUSSED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE COLLECTION AGENCY OR ANY OTHER AGENT OF THE HOSPITAL SHALL NOT REPORT ADVERSE INFORMATION TO A CREDIT REPORTING AGENCY OR TAKE ANY LEGAL ACTION AGAINST THE PATIENT FOR NONPAYMENT LESS THAN 150 DAYS AFTER THE PATIENT WAS FIRST BILLED. THIS TIMELINE WILL BE EXTENDED IF THE PATIENT HAS APPEALED THE BILL AND THE APPEAL IS PENDING. THE HOSPITAL, COLLECTION AGENCY, OR ANY OTHER AFFILIATE OF THE HOSPITAL CANNOT USE WAGE GARNISHMENTS OR LIEN ON PERSONAL RESIDENCES AS A MEANS OF COLLECTIONS.ALTERNATIVELY, PATIENTS WHO ARE UNABLE TO PAY THEIR BALANCE IN FULL ARE GIVEN THE OPPORTUNITY TO MAKE MONTHLY PAYMENTS BASED ON THE BALANCE OWED WITH NO INTEREST. THE COLLECTIONS VENDOR WILL MAKE EVERY ATTEMPT TO HAVE THE ACCOUNT PAID IN FULL WITHIN THREE MONTHS FOR ACCOUNTS WITH SMALLER BALANCES, AND 12 MONTHS FOR ACCOUNTS WITH LARGER BALANCES. IF THE PATIENT AND THE COLLECTIONS VENDOR CANNOT AGREE ON A PAYMENT PLAN THE HOSPITAL SHALL CREATE A REASONABLE PAYMENT PLAN, CONSISTING OF MONTHLY PAYMENTS NOT MORE THAN 10% OF THE PATIENT'S FAMILY MONTHLY INCOME, EXCLUDING MONEY SPENT ON ESSENTIAL LIVING EXPENSES. PART VI, LINE 2: TO DETERMINE IF A HEALTH ISSUE MENTIONED DURING THE PRIMARY OR SECONDARY DATA GATHERING PROCESS OF THE CHNA COULD BE LABELED A HEALTH NEED FOR THE HOSPITAL'S SERVICE AREA, A SET OF CRITERIA WAS DEVELOPED AND APPLIED. IF A HEALTH ISSUE MET ONE OR MORE OF THE FOLLOWING CRITERIA, IT WAS INITIALLY DETERMINED TO BE A PRELIMINARY HEALTH NEED: (I) IF THE HEALTH INDICATOR EXCEEDED COUNTY OR STATE BENCHMARK STANDARDS; (II) IF THE HEALTH INDICATOR SHOWED A TREND OF GETTING WORSE OVER TIME; (III) A HEALTH NEED SHOWED AN INCREASE IN MORBIDITY OR THE MORBIDITY RATES ARE HIGHER FOR THE SERVICE AREA; AND (IV) IF THE HEALTH NEED WAS IDENTIFIED BY THE COMMUNITY. AFTER THE CRITERIA WAS APPLIED TO THE HEALTH ISSUES IDENTIFIED THROUGH PRIMARY AND SECONDARY DATA PROCESS, THE HIGHEST SCORING HEALTH ISSUES WERE CATEGORIZED AS PRELIMINARY HEALTH NEEDS AND MOVED TO THE COMMUNITY PRIORITIZATION PROCESS, WHERE COMMUNITY MEMBERS, BUSINESS LEADERS, HEALTH PROFESSIONALS, AND VPH STAFF MEMBERS PRIORITIZED THE LIST OF 20 HEALTH NEEDS. PLEASE SEE THE NARRATIVE FOR SCHEDULE H, PART V, LINE 5 IN REGARDS TO HOW THE ORGANIZATION ASSESSED THE HEALTH NEEDS FROM THE BROADER COMMUNITY. PLEASE ALSO SEE THE NARRATIVE FOR SCHEDULE H, PART V, LINE 11 FOR A LIST OF THE ENTIRE 20 HEALTH NEEDS IDENTIFIED. PART VI, LINE 3: THE HOSPITAL DISTRIBUTES A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND OFFERS A CONFIDENTIAL APPLICATION FOR CHARITY CARE OR DISCOUNTED CARE PRIOR TO DISCHARGE. THE HOSPITAL ALSO DISTRIBUTES A WRITTEN NOTICE ABOUT THE AVAILABILITY OF THE HOSPITAL'S DISCOUNT PAYMENT AND CHARITY CARE POLICIES, ELIGIBILITY, AND CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE WHO CAN PROVIDE FURTHER INFORMATION ABOUT THESE POLICIES.INFORMATION ABOUT FINANCIAL ASSISTANCE IS ALSO DISSEMINATED AND MADE WIDELY AVAILABLE THROUGH VARIOUS MEANS INCLUDING: (I) MAKING PAPER COPIES AVAILABLE IN PERSON OR BY MAIL UPON REQUEST AND WITHOUT CHARGE; (II) INFORMING AND NOTIFYING VISITORS THROUGH CONSPICUOUS PUBLIC DISPLAY, INCLUDING POSTING NOTICES IN AREAS SUCH AS THE EMERGENCY DEPARTMENT, BILLING OFFICE, ADMISSIONS OFFICE, AND OTHER OUTPATIENT SETTINGS; (III) INFORMING AND NOTIFYING THE COMMUNITY, SUCH AS BY DISTRIBUTING AN INFORMATION SHEET OR SUMMARY OF THE CHARITY CARE POLICY TO LOCAL PUBLIC AGENCIES AND NONPROFIT ORGANIZATIONS; AND (IV) MAKING AVAILABLE ON THE HOSPITAL'S WEB SITE THE CHARITY CARE POLICY AND A PLAIN LANGUAGE SUMMARY OF THE CHARITY CARE POLICY, AND THE CONFIDENTIAL APPLICATION FORM.ADDITIONALLY, FOR UNINSURED PATIENTS, THE PATIENT WILL BE PROVIDED AN ESTIMATE FOR THE PATIENT FINANCIAL RESPONSIBILITY THAT WILL BE DUE FOR THE TESTS/PROCEDURES TO BE PROVIDED OR, IN THE CASE OF AN INPATIENT ADMISSION, FOR THE ESTIMATED LENGTH OF STAY BASED UPON THEIR PRIMARY DIAGNOSIS. IF THE PATIENT IS UNABLE TO PAY THE ESTIMATE IN FULL OR MAKE PAYMENT ARRANGEMENTS, THE PATIENT WILL BE REFERRED TO FINANCIAL COUNSELING FOR A MEDI-CAL ELIGIBILITY SCREENING BASED ON THE PATIENT'S CONFIDENTIAL FINANCIAL INFORMATION. PART VI, LINE 4: VALLEY PRESBYTERIAN HOSPITAL IS LOCATED AT 15107 VANOWEN STREET, VAN NUYS, CALIFORNIA, IN THE HEART OF THE SAN FERNANDO VALLEY. OUR PRIMARY SERVICE AREA INCLUDES 15 ZIP CODES IN 9 CITIES: CANOGA PARK, NORTH HILLS, NORTH HOLLYWOOD, PACOIMA, RESEDA, SUN VALLEY, SYLMAR, VAN NUYS, AND WINNETKA. THE SERVICE AREA IS LOCATED IN LOS ANGELES CITY COUNCIL DISTRICT 6 AND LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 2.AT THE TIME OF THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, THE POPULATION IN THE SERVICE AREA WAS 877,760. IN THE PRIMARY SERVICE AREA, ADULTS (AGES 18-64) MAKE UP 65.6% OF THE POPULATION. CHILDREN AND YOUTH (AGES 0-17) MAKE UP 24.2% OF THE POPULATION WHILE 10.2% OF THE POPULATION ARE SENIOR ADULTS, 65 YEARS OF AGE AND OLDER. OVER HALF OF THE SERVICE AREA POPULATION (62.2%) IS COMPRISED OF HISPANICS OR LATINOS. WHITES MAKE UP 22.7% OF THE POPULATION. ASIANS COMPRISE 9.1% OF THE POPULATION, AND AFRICAN AMERICANS ARE 3.7% OF THE POPULATION. NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES ARE A COMBINED TOTAL OF 2.3% OF THE POPULATION. IN THE SERVICE AREA, 29.1% OF THE ADULT POPULATION HAS LESS THAN A HIGH SCHOOL DIPLOMA. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $39,095 IN VAN NUYS 91402 TO $63,895 IN SYLMAR. AMONG THE RESIDENTS REPRESENTED IN THE HOSPITAL SERVICE AREA, 21% OF HOUSEHOLDS HAVE INCOMES <100% OF THE FEDERAL POVERTY LEVEL. AMONG SPA 2 CHILDREN, AGES 0 TO 17, 97.6% ARE INSURED. 88.4% OF ADULTS IN SPA 2 HAVE INSURANCE COVERAGE. PART VI, LINE 5: ADDITIONAL INFORMATION DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES FURTHER ITS EXEMPT PURPOSE INCLUDES: (I) THAT THE MAJORITY OF VPH'S BOARD MEMBERS ARE UNPAID COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL SERVICE AREA; AND (II) ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 NORTHEAST VALLEY HEALTH 1172 N MACLAY AVE SAN FERNANDO CA 91340 237120632 501(C)(3) 57500 BEHAVIORAL HEALTH COORDINATOR POSITION EISNER HEALTH 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 951690966 501(C)(3) 55000 CAPITAL CAMPAIGN MID VALLEY FAMILY YMCA 6901 LENNOX AVE VAN NUYS CA 91405 951644052 501(C)(3) 30000 FOOD PANTRY VALLEY COMMUNITY HEALTHCARE 6801 COLDWATER CANYON AVE NORTH HOLLYWOOD CA 91605 237050082 501(C)(3) 12000 MENTAL HEALTH SUPPORT OVARIAN CANCER COALITION OF GREATER CALIFORNIA PO BOX 40035 STUDIO CITY CA 91614 650628064 501(C)(3) 10000 OVARIAN CANCER AWARNESS AND SUPPORT SAN FERNANDO VALLEY BREAST CENTER 15211 VANOWEN ST VAN NUYS CA 91405 853578900 501(C)(3) 10000 NON-INSURED BREAST CANCER ASSISTANCE SAN FERNANDO VALLEY RESCUE MISSION 8756 CANBY AVE NORTHRIDGE CA 91325 237278002 501(C)(3) 8000 THANKSGIVING MEAL SPONSORSHIP ONEGENERATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 6000 SENIOR SYMPOSIUM + COVID 19 GRANT 8 0 PART I, LINE 2: THE HOSPITAL GIVES GRANTS TO NONPROFIT ORGANIZATIONS THAT ARE EITHER IN THE HEALTHCARE SPACE OR VITAL TO THEIR COMMUNITY. THE HOSPITAL PROVIDES OVERSIGHT TO ENSURE THAT ANY RESTRICTED GRANT FUNDS ARE USED ACCORDING TO THE RESTRICTIONS, IF APPLICABLE. X X X X X 1 1 0 0 0 1 0 0 0 GUSTAVO A VALDESPINO PRESIDENT AND CEO 751101 0 208874 0 16826 0 194669 0 9976 0 1181446 0 9397 0 LORI E CARDLE EVP & CHIEF OPERATING OFFICER 515348 0 126474 0 11619 0 113092 0 17263 0 783796 0 4388 0 CLYDE WESP JR MD SVP & CMO THROUGH 3/2020 103992 0 0 0 488200 0 19500 0 6551 0 618243 0 0 0 JANICE R KLOSTERMEIER SVP OF FINANCE & CFO 369751 0 60016 0 7230 0 78972 0 17263 0 533232 0 0 0 LORI L BURNELL SVP AND CHIEF NURSING OFFICER 331313 0 80880 0 10688 0 72720 0 16743 0 512344 0 3459 0 JEFFREY L ALLPORT VP AND CHIEF INFORMATION OFFICER 296494 0 41982 0 9549 0 2123 0 17263 0 367411 0 2375 0 KEITH STANHILL VP, HUMAN RESOURCES THROUGH 9/2020 208346 0 8907 0 101629 0 19500 0 7561 0 345943 0 0 0 TOM KIM CONTROLLER 216604 0 18341 0 600 0 7549 0 25344 0 268438 0 0 0 THERESA SOLIS-BITO DIRECTOR, SERVICE AND SUPPORT 194493 0 16851 0 15653 0 9328 0 25344 0 261669 0 0 0 EDINANCE N MUWONGE CLINICAL NURSE SUPERVISOR 236476 0 1338 0 13150 0 8190 0 819 0 259973 0 0 0 DALLAS A RYAN DIRECTOR, MATERIALS MANAGEMENT 222631 0 18736 0 600 0 7872 0 7954 0 257793 0 0 0 JOHN F NEVILLE CLINICAL NURSE II 210983 0 1338 0 13192 0 5318 0 20331 0 251162 0 0 0 HANNAH G GROSSMAN MD SVP & CMO START 3/2020 228846 0 12500 0 3657 0 0 0 5976 0 250979 0 0 0 TAMALA CHOMA VP, GENERAL COUNSEL 211961 0 13750 0 4536 0 0 0 11328 0 241575 0 0 0 DIANA MILAN-FINLEY ASSOCIATE ADMINISTRATOR, OPERATIONS 216096 0 7500 0 615 0 0 0 11287 0 235498 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: TWO EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVED SEVERANCE PAYMENTS IN 2020. HOWEVER, DUE CONFIDENTIALITY CLAUSES IN THE SEVERANCE ARRANGEMENTS, THE AMOUNTS ARE NOT BEING DISCLOSED. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A 457(F) PLAN AVAILABLE TO CERTAIN EXECUTIVES OF THE ORGANIZATION. DURING THE 2020 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS, WHICH IS REPORTED AS "RETIREMENT AND OTHER DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): GUSTAVO VALDESPINO - $160,894 LORI E CARDLE - $90,550 CLYDE WESP, JR., MD - $19,500 JANICE R KLOSTERMEIER - $63,852 LORI BURNELL - 58,215 KEITH STANHILL - $19,500 IN ADDITION, DUE TO VESTING OF THE 457(F) PLAN IN 2020, THE FOLLOWING INDIVIDUALS RECOGNIZED THE FOLLOWING AMOUNTS AS TAXABLE COMPENSATION, WHICH HAS BEEN REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS ON SCHEDULE J, PART II, COLUMN (F), AS THESE AMOUNTS (EXCLUDING EARNINGS WITHIN THE PLAN, WHICH MAY HAVE BEEN INCLUDED IN THE VESTED AMOUNT BUT WERE UNABLE TO BE SEPARATED OUT) WERE REPORTED AS DEFERRED COMPENSATION IN A PRIOR YEAR: GUSTAVO VALDESPINO - $9,397 LORI E CARDLE - $4,388 LORI BURNELL - $3,459 JEFFREY L ALLPORT - $2,375 PART I, LINE 6 VALLEY PRESBYTERIAN HOSPITAL HAS AN INCENTIVE (BONUS) PLAN AVAILABLE FOR EXECUTIVE TEAM MEMBERS AND HOSPITAL DEPARTMENT DIRECTORS. PAYMENT OF ANY BONUS IS CONTINGENT ON SEVERAL CRITERIA, INCLUDING: EARNINGS BEFORE INTEREST, DEPRECIATION, AND AMORTIZATION (EBIDA); QUALITY; AND PATIENT SATISFACTION SCORES, WHICH ARE BENCHMARKED BY ACHIEVING SPECIFIC MEASURES ON AN ANNUAL BASIS. FORM 990, PART III, LINE 4A: VALLEY PRESBYTERIAN HOSPITAL IS ONE OF THE LARGEST AND MOST PRESTIGIOUS FULL-SERVICE, ACUTE CARE FACILITIES IN THE SAN FERNANDO VALLEY. THE 350-BED HOSPITAL SERVES THOUSANDS OF FAMILIES EACH YEAR, WITH ACCESS TO A WIDE RANGE OF MEDICAL EXPERTISE AND LEADING-EDGE TECHNOLOGY ACROSS ALL ELEMENTS OF CARE. KEY HOSPITAL MEDICAL SERVICES AND PROGRAM SERVICE ACCOMPLISHMENTS IN 2020 INCLUDE: EMERGENCY SERVICES - THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT PLAYS AN IMPORTANT ROLE IN SERVING THE COMMUNITY AND HAS SEVERAL DESIGNATIONS THAT DEMONSTRATE COMMITMENT TO EXCELLENT CARE. AS A CERTIFIED CARDIAC RECEIVING CENTER FOR HEART ATTACK PATIENTS, HEART SPECIALISTS COLLABORATE TO PROVIDE CRITICAL CARE WITHIN THE FIRST 90 MINUTES OF CHEST PAIN. IN ADDITION, THE HOSPITAL IS A CERTIFIED STROKE CENTER BASED ON ITS RESPONSE TO CRITICAL PATIENT CONDITIONS. THE HOSPITAL HAS A DEDICATED STROKE-FOCUSED PROGRAM STAFFED BY MEDICAL PROFESSIONALS WHO ARE SPECIALLY TRAINED IN STROKE CARE AND WHO USE ADVANCED TECHNIQUES TO ACT QUICKLY. VALLEY PRESBYTERIAN HOSPITAL IS DESIGNATED AS A PEDIATRIC MEDICAL CENTER (PMC), RECOGNIZED BY THE COUNTY OF LOS ANGELES. THIS DESIGNATION ALLOWS OUR TEAM OF PEDIATRIC SPECIALISTS TO TREAT AND HANDLE A HIGHER LEVEL OF CARE NEEDED FOR PEDIATRIC PATIENTS IN OUR PEDIATRIC INTENSIVE CARE UNIT (PICU). WE ARE ONE OF ONLY THREE HOSPITALS THAT HOLD THE PMC DESIGNATION IN THE SAN FERNANDO VALLEY. DURING 2020, 47,467 PATIENTS VISITED THE EMERGENCY SERVICES DEPARTMENT DURING THE COVID-19 PANDEMIC. REHABILITATION SERVICES - VALLEY PRESBYTERIAN HOSPITAL OFFERS A FULL RANGE OF REHABILITATION SERVICES. OUR PHYSICIANS, NURSES, THERAPISTS AND SPECIALISTS WORK TOGETHER TO PROVIDE PERSONALIZED TREATMENT PLANS. WE OFFER PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND REHABILITATION SERVICES IN OUR WELL-EQUIPPED REHABILITATION CENTER. CHILDREN'S SERVICES - THE HOSPITAL PROVIDES COMPASSIONATE AND SPECIALIZED PEDIATRIC CARE FOR SICK OR INJURED CHILDREN. VPH HAS A 25-BED PEDIATRIC CARE CENTER FOR CHILDREN WITH SERIOUS CONDITIONS. ADDITIONALLY, THE HOSPITAL HAS A 10-BED PEDIATRIC INTENSIVE CARE UNIT (PICU) AND A 32-BED, LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) FOR CRITICALLY ILL NEWBORNS. VPH MAINTAINS THE PEDIATRIC MEDICAL CENTER DESIGNATION. MATERNITY SERVICES - THE BRANDED "LITTLE TREASURES" MATERNITY PROGRAM IS WELL KNOWN AMONG FAMILIES IN THE REGION. DURING 2020, 2,489 BABIES WERE BORN AT VPH. SHOULD A NEED ARISE, A PHYSICIAN IS AVAILABLE 24/7 TO HANDLE PATIENT EMERGENCIES. THE HOSPITAL'S PERINATAL CENTER SERVES WOMEN WITH HIGH-RISK PREGNANCIES AND OFFERS "NON-STRESS" ULTRASOUNDS, FETAL ECHOCARDIOGRAM SERVICES AS WELL AS HIGH-RISK INFANT FOLLOW UP SERVICES. SURGERY SERVICES - THE HOSPITAL PROVIDES A BROAD RANGE OF SURGICAL SERVICES REPRESENTING A WIDE RANGE OF SPECIALTY AREAS. IN 2020, 6,089 SURGERIES WERE PERFORMED. PHYSICIANS AND SURGICAL STAFF HAVE THE TOOLS AND ADVANCED TECHNOLOGY NEEDED TO PERFORM A FULL RANGE OF SURGICAL PROCEDURES AND TO DELIVER THE HIGHEST QUALITY OF CARE. MANY PROCEDURES INVOLVE MINIMALLY INVASIVE TECHNIQUES, WHICH CAN MINIMIZE PAIN AND SPEED RECOVERY TIME. HEART & VASCULAR SERVICES - VALLEY PRESBYTERIAN HOSPITAL OFFERS A FULL RANGE OF CARDIAC SERVICES TO DIAGNOSE AND TREAT PATIENTS SUFFERING FROM CRITICAL HEART AND VASCULAR CONDITIONS QUICKLY AND ACCURATELY. THE EXPERT MULTIDISCIPLINARY MEDICAL TEAM IS DEDICATED TO ACTING QUICKLY AND SAVING PATIENTS' LIVES. THE FRITZ B. BURNS VALLEY CARDIAC CATHETERIZATION LAB IS ONE OF THE AREA'S MOST TECHNOLOGICALLY ADVANCED AND BEST EQUIPPED FACILITIES. VALLEY PRESBYTERIAN HOSPITAL IS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE SILVER QUALITY ACHIEVEMENT AWARD FOR OUR COMMITMENT TO ENSURE STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. OUTPATIENT SERVICES - THE HOSPITAL'S OUTPATIENT SERVICES DEPARTMENTS INCLUDE OUTPATIENT GENERAL AND GASTROINTESTINAL LABORATORIES; RADIOLOGY/IMAGING DEPARTMENT; AND THERAPY PROGRAMS, INCLUDING OCCUPATIONAL, PHYSICAL, RESPIRATORY, AND NUCLEAR MEDICINE. CENTER FOR WOUND HEALING - THE CENTER FOR WOUND HEALING IS AMONG A FEW FACILITIES NATIONWIDE THAT BRINGS TOGETHER THE INTERDISCIPLINARY EXPERTISE OF VASCULAR AND PODIATRIC SURGEONS, LIMB SALVAGE, AND WOUND MANAGEMENT SPECIALISTS. PATIENTS WITH "AT-RISK" LIMBS RECEIVE INTEGRATED CARE UTILIZING THE LATEST EQUIPMENT AND INSTRUMENTS TO PERFORM LIMB-SAVING PROCEDURES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED BY AN OUTSIDE ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE STAFF. THE CONTROLLER AND THE SVP OF FINANCE & CFO THEN REVIEW THE DRAFT FORM 990, AND APPROPRIATE REVISIONS ARE MADE. THEREAFTER, THE FORM 990 IS REVIEWED WITH THE CEO AND THE BOARD FINANCE COMMITTEE, AND THEN IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C VPH'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE OF VPH IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE ATTESTATION. VPH'S COMPLIANCE OFFICER AND CEO REVIEW THESE ATTESTATIONS TO IDENTIFY ANY/ALL CONFLICTS THAT THE ORGANIZATION MUST BE AWARE OF SO THE APPROPRIATE MITIGATIONS CAN BE PUT IN PLACE. SHOULD A BOARD MEMBER, OFFICER, DIRECTOR, AND/OR KEY EMPLOYEE HAVE A CONFLICT WITH ANY ISSUES BEING DISCUSSED OR VOTED ON AT A MEETING OF THE BOARD OF DIRECTORS, THEY WOULD BE ASKED TO RECUSE THEMSELVES FROM THE DISCUSSION AND/OR VOTE ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS REVIEWED AND PAY ACTIONS ARE RECOMMENDED BY THE COMPENSATION COMMITTEE (WHICH CONSISTS OF BOARD AND NON-BOARD MEMBERS WITH COMPENSATION EXPERIENCE), AND THEN APPROVED BY THE VPH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTING FIRM AND MAINTAINS AN OBJECTIVE DECISION-MAKING PROCESS, ENSURING CONSISTENCY OF VPH'S EXECUTIVE PROGRAMS WITH THE ORGANIZATION'S EXECUTIVE PAY PHILOSOPHY AND OVERALL MISSION AND VALUES. VPH'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO FULFILL ITS MISSION OF IMPROVING THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY AND TO ENSURE ITS FINANCIAL STABILITY. TOTAL COMPENSATION OFFERED TO OUR EXECUTIVES INCLUDES BASE SALARY, INCENTIVE BONUS, AND BENEFITS. THE INCENTIVE BONUS IS BASED ON KEY MEASURABLE SUCCESS INDICATORS APPROVED IN ADVANCE BY THE COMPENSATION COMMITTEE. THESE INDICATORS INCLUDE QUALITY, FINANCIAL, AND PATIENT SATISFACTION GOALS. IN ORDER TO RETAIN OUR KEY EMPLOYEES, WE OFFER A DEFERRED COMPENSATION PLAN WHICH PROVIDES AN ANNUAL BENEFIT (BASED ON A PERCENTAGE OF COMPENSATION) TO BE PAID ON A FUTURE DATE UPON VESTING IN THE PLAN. IN DETERMINING EACH INDIVIDUAL'S COMPENSATION, THE COMMITTEE RELIES ON COMPARABILITY DATA PROVIDED BY OUR INDEPENDENT CONSULTANT AND OBTAINED FROM SEVERAL DATA SOURCES INCLUDING: FORMS 990 OF SELECT COMPARATOR ORGANIZATIONS (28 CALIFORNIA-BASED, SIMILARLY-SIZED NONPROFIT HOSPITALS) AND A NUMBER OF WELL-REGARDED NATIONAL HEALTHCARE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE HOSPITAL LOCATION. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 27,493,139. MANAGEMENT AND GENERAL EXPENSES 6,394,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,888,106. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 12,040,219. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,040,219. CONSULTING FEES: PROGRAM SERVICE EXPENSES 12,698,602. MANAGEMENT AND GENERAL EXPENSES 2,096,957. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,795,559. CHARITABLE REMAINDER TRUSTS (4) CHARITABLE GIVING CA VPH 1 VALLEY PRESBYTERIAN SERVICES CORPORATION 15107 VANOWEN STREET VAN NUYS CA 91405 823927685 MANAGEMENT SERVICE ORGANIZATION CA VPH C 1656089 1345656 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 VALLEY PRESBYTERIAN SERVICES CORPORATION D 3373833 BOOK VALUE