2020-05-27T14:56:43-05:00 2019-09-30 814234542 BPM LLP 4200 BOHANNON DRIVE SUITE 250 MENLO PARK CA 940251021 990 2018-10-01 770207331 PALO ALTO VETERANS INSTITUTE FOR RESEARCH PALO 6508583970 3801 MIRANDA AVENUE PALO ALTO CA 94304 MICHAEL HINDERY CEO 6508583970 2020-05-15 1 CAROLYN R AMSTER P00189994 6508556800 2020-05-14 208.184.139.130 2020-05-15 00:43:49 PD P 107932F08334A6922D637DE65D3F96930A58A04C 4D2769DA4F8D6AFA6D89B6DEA2BA8D3582A847AF 2018 2021-01-29 14:40:06Z PAVIR MICHAEL HINDERY 3801 MIRANDA AVENUE PALO ALTO CA 94304 31069073 0 X WWW.PAVIR.ORG X 1988 CA ADVANCE VETERANS AND PUBLIC HEALTH THROUGH INNOVATIVE RESEARCH 12 2 299 11 0 0 23485362 24186247 4589866 6782472 53865 50575 27951 40335 28157044 31059629 0 0 0 0 17110839 16171484 0 0 0 11356014 14536842 28466853 30708326 -309809 351303 12338139 12525941 4355844 4192343 7982295 8333598 X SEE SCHEDULE OPAVIR'S MISSION IS ADVANCING VETERANS AND PUBLIC HEALTH THROUGH INNOVATIVE RESEARCH. PAVIR WORKS WITH MORE THAN 100 RESEARCHERS AND 215 STAFF TO SUPPORT BASIC SCIENCE AND CLINICAL RESEARCH TO REALIZE ITS MISSION. PAVIR'S RESEARCH SPANS THE INVESTIGATION OF DISEASES IN THE LABORATORY TO TESTING NEW DRUG TREATMENTS AND DEVELOPING IMPROVED MODELS OF HEALTH CARE DELIVERY. IN ADDITION TO A FOCUS ON BASIC SCIENCE AND CLINICAL RESEARCH, PAVIR'S RESEARCH ADDRESSES HEALTH CHALLENGES THAT HAVE BEEN FACED ESPECIALLY BY VETERANS, INCLUDING POST-TRAUMATIC STRESS DISORDER AND TRAUMATIC BRAIN INJURY, GERIATRIC MEDICINE, REHABILITATION, SLEEP AND OTHER VETERANS AND PUBLIC HEALTH DISEASES. PAVIR'S RESEARCHERS HAVE APPOINTMENTS AT THE VA PALO ALTO HEALTH CARE SYSTEM, AND MOST HOLD DUAL APPOINTMENTS AT THE STANFORD UNIVERSITY SCHOOL OF MEDICINE 0 0 1888553 1888553 TARGETED STRATEGIES TO ACCELERATE EVIDENCE BASED PSYCHOTHERAPY (EBP) IMPLEMENTATION IN MILITARY. PRINCIPAL INVESTIGATORS: CRAIG S. ROSEN, PH.D AND CARMEN P. MCLEAN, PH.D.THIS FOUR-YEAR STUDY, FUNDED BY THE DEPARTMENT OF DEFENSE, IS AIMED AT INCREASING USE OF EVIDENCE - BASED PSYCHOTHERAPIES (THERAPIES PROVEN EFFECTIVE IN RESEARCH) IN CLINICS ON MILITARY BASES. DESPITE EFFORTS TO TRAIN MILITARY PROVIDERS IN EFFECTIVE PSYCHOTHERAPIES FOR POSTTRAUMATIC STRESS DISORDER (PTSD), ONLY A MINORITY OF SERVICE MEMBERS RECEIVE THESE TREATMENTS. THIS TRIAL TESTS WHETHER A TAILORED PROCESS IMPROVEMENT APPROACH (USING A TOOLKIT FOR MATCHING SPECIFIC CHANGE STRATEGIES TO LOCAL BARRIERS) IS MORE EFFECTIVE THAN PROVIDER TRAINING ALONE IN EXPANDING THE PROPORTION OF PATIENTS WHO RECEIVE AN EBP. THE PROJECT, LED BY INVESTIGATORS AT THE NATIONAL CENTER FOR PTSD AND PALO ALTO VETERANS INSTITUTE FOR RESEARCH (PAVIR), INCLUDES COLLABORATORS FROM FIVE UNIVERSITIES AND EIGHT MILITARY TREATMENT FACILITIES. OBJECTIVES: TO TEST IN A STEPPED-WEDGE RANDOMIZED TRIAL WHETHER THE TARGETED ASSESSMENT AND CONTEXT-TAILORED IMPLEMENTATION OF CHANGE STRATEGIES (TACTICS) INCREASES USE OF EVIDENCE-BASED PSYCHOTHERAPY MORE THAN DOES PROVIDER TRAINING ALONE. SECONDARY OUTCOMES INCLUDE EFFECTS OF TACTICS ON AVERAGE IMPROVEMENT IN PTSD SYMPTOMS, AND SATISFACTION WITH THE TACTICS PROCESS. ACCOMPLISHMENTS: ALL STAFF HAVE BEEN HIRED, EIGHT MILITARY CLINICS REPRESENTING ALL SERVICE BRANCHES HAVE BEEN RECRUITED, MILITARY IRB APPROVAL HAS BEEN OBTAINED FROM OUR FIRST SITE (OTHERS ARE IN PROCESS), AND TRAINING PROVIDERS IN EVIDENCE-BASED TREATMENT HAS BEGUN. IMPLEMENTATION OF TACTICS WILL BEGIN WITHIN THE NEXT SIX MONTHS. POTENTIAL IMPACT: IF EFFECTIVE, TACTICS MAY REPRESENT A SCALABLE APPROACH TO ACCELERATING THE USE OF BEHAVIORAL HEALTH BEST PRACTICES IN MILITARY SETTINGS. 903949 904408 DEFENSE AND VETERANS BRAIN INJURY CENTER (DVBIC). PRINCIPAL INVESTIGATOR: ODETTE HARRIS, M.D., M.P.H. THE DEFENSE AND VETERANS BRAIN INJURY CENTER (DVBIC) AT THE PALO ALTO VETERANS INSTITUTE OF RESEARCH (PAVIR) OPERATES IN AN ENVIRONMENT THAT WORKS IN COLLABORATION WITH THE DEPARTMENT OF REHABILITATION AT THE VA PALO ALTO WHICH IS AN INTEGRATED SERVICE DELIVERY SYSTEM DEVELOPED BY THE VA TO ADEQUATELY PROVIDE FOR THE COMPREHENSIVE MEDICAL, SURGICAL, AND REHABILITATION CARE FOR RETURNING SERVICE MEMBERS AND VETERANS. WE PROVIDE STATE OF THE ART CARE FOR OUR VETERAN AND ACTIVE DUTY PERSONNEL THROUGH THIS INTEGRATION AND OFFER EDUCATION AND ASSISTANCE FOR THEM TO REINTEGRATE INTO SOCIETY. WE ACCESS LONGITUDINAL AND CONTINUOUS EPIDEMIOLOGIC DATA AS PRIMARY TOOLS TO FOCUS ON RELEVANT FUNCTIONAL OUTCOMES THAT HELP VETERANS, MILITARY PERSONNEL AND CIVILIANS REINTEGRATE INTO SOCIETY AFTER ACUTE INJURY. OUR CURRENT PROJECTS INCLUDE BEING A SITE FOR NATIONAL VA AND DOD LONGITUDINAL STUDIES SUCH AS TBI MODEL SYSTEMS AND CLINICAL TRACKING FORM STUDY. USING VARIOUS INNOVATIVE INTERVENTIONS SUCH AS NEUROMODULATION, COMPLIMENTARY ALTERNATIVE MEDICINE AND COGNITIVE REHABILITATION, DVBIC DEVELOPS TREATMENT STRATEGIES FOR HEALTH PROBLEMS FREQUENTLY REPORTED IN THE BRAIN INJURED POPULATIONS. THROUGH OUR LOCAL AND NATIONAL COLLABORATIONS WITHIN THE DVBIC NETWORK AS WELL AS WITH UNIVERSITIES AND HOSPITALS ACROSS THE NATION, WE ARE AMONG THE LEADERS IN ADVANCED NEUROIMAGING, BIOMARKER AND COMPUTERIZED COGNITIVE ASSESSMENTS FOR DIAGNOSIS AND MANAGEMENT OF BRAIN INJURIES AND THEIR RELATED SYMPTOMS. CURRENT PROJECTS IN SUCH POPULATIONS INCLUDE LARGE MULTISITE LONGITUDINAL ASSESSMENT AND NEUROIMAGING AND NEUROMODULATION STUDIES FUNDED BY DOD, VA AND NIH. OUR LEADERSHIP PROVIDES MENTORSHIP TO POSTDOCTORAL FELLOWS FROM THE VA OFFICE OF ACADEMIC AFFAIRS AND RESIDENTS IN PSYCHIATRY, NEUROLOGY AND PHYSICAL MEDICINE AND REHABILITATION DEPARTMENTS AT STANFORD. OUR REGIONAL EDUCATION COORDINATOR ALONG WITH OUR NATIONAL DVBIC EDUCATION DEPARTMENT PROVIDES LOCAL AND REGIONAL TBI AWARENESS AND WE HOST AN ANNUAL TBI FORUM TO PROVIDE UPDATED CLINICAL AND RESEARCH INFORMATION TO PROVIDERS, RESEARCHERS, PATIENTS AND CAREGIVERS. WE UTILIZE OUR ACTIVE CLINICAL PRACTICE AT THE VA PALO ALTO AND STANFORD NEUROSURGERY DEPARTMENT AND OUR DVBIC EDUCATION NETWORK TO TRANSLATE OUR NEUROSCIENCE DRIVEN RESEARCH METHODOLOGIES INTO THESE CLINICAL SETTINGS FOR TARGETED AND ACCURATE MEDICAL CARE. 934278 748379 A PROSPECTIVE INVESTIGATION OF THE RISKS OF MISUSE, ABUSE, AND ADDICTION OF OPIOIDS AMONG PATIENTS TREATED WITH EXTENDED-RELEASE/LONG ACTING (ER/LA) OPIOIDS FOR THE TREATMENT OF CHRONIC PAIN: PRINCIPAL INVESTIGATOR: MUDUMBAI, SESHADRI, M.D. THIS STUDY EXAMINES THE MAGNITUDE OF MISUSE, ABUSE, AND ADDICTION AMONG PATIENTS WHO ARE TREATED WITH OPIOIDS FOR CHRONIC PAIN WHILE HAVING COMORBIDITY OF OPIOID USE DISORDER WITH OTHER SUBSTANCE USE AND PSYCHIATRIC DISORDERS AND ESTIMATES HOW THE RISK OF THESE OUTCOMES VARIES BY THE PRESENCE OF RISK FACTORS AMONG PATIENTS TREATED WITH OPIOIDS LONG-TERM. THE PUBLIC HEALTH CRISIS OF OPIOID MISUSE. ADDICTION AND OVERDOSE IS ONE OF THE MOST CHALLENGING ISSUES FACED BY AMERICAN SOCIETY. THE ISSUE CUTS ACROSS EVERY SOCIOECONOMIC LEVEL AND GEOGRAPHIC BOUNDARY. EVERY COMMUNITY IN AMERICA HAS BEEN TOUCHED BY FRIENDS, FAMILY MEMBERS OR COLLEAGUES SUFFERING FROM OPIOID ADDICTION, AND FAR TOO OFTEN, LOSING THEIR LIVES TO IT. OVER THE PAST FEW YEARS, FDA HAS TAKEN MANY ACTIONS TO HELP REDUCE THE NUMBER OF PEOPLE WHO BECOME ADDICTED, OR ULTIMATELY OVERDOSE FROM PRESCRIPTION OPIOIDS. TO COMBAT THIS EPIDEMIC, THE FDA MANDATED THAT PHARMACEUTICAL COMPANIES HOLDING NEW DRUG APPLICATIONS (NDA) OF EXTENDED-RELEASE/LONG LASTING (ER/LA) OPIOIDS CONDUCT ONE OR MORE STUDIES TO PROVIDE QUANTITATIVE ESTIMATES OF SERIOUS RISKS OF MISUSE, ABUSE, ADDICTION, OVERDOSE, AND DEATH ASSOCIATED WITH LONG-TERM USE OF OPIOIDS FOR MANAGEMENT OF CHRONIC PAIN, AMONG PATIENTS PRESCRIBED ER/LA OPIOID PRODUCTS. ALTHOUGH ABUSE AND MISUSE OF PRESCRIPTION OPIOIDS HAVE INCREASED OVER THE PAST DECADE, THERE IS DEBATE ABOUT THE MAGNITUDE OF MISUSE, ABUSE, AND ADDICTION AMONG PATIENTS WHO ARE TREATED WITH OPIOIDS FOR CHRONIC PAIN. FURTHER, ALTHOUGH THERE APPEARS TO BE COMORBIDITY OF OPIOID USE DISORDER WITH OTHER SUBSTANCE USE AND PSYCHIATRIC DISORDER, THERE IS INSUFFICIENT DATA TO ESTIMATE HOW THE RISK OF THESE OUTCOMES VARIES BY THE PRESENCE OF RISK FACTORS AMONG PATIENTS TREATED WITH OPIOIDS LONG-TERM. 23042204 3241132 PAVIR IS PRIVILEGED TO WORK WITH A LARGE COMMUNITY OF UNIQUELY TALENTED MEDICAL RESEARCHERS ACROSS A BROAD SPECTRUM OF RESEARCH AREAS AS WE FULFILL OUR MISSION OF ADVANCING VETERANS AND PUBLIC HEALTH THROUGH INNOVATIVE RESEARCH. THE RANGE OF RESEARCH ACTIVITIES IS BROAD AND INCLUDES SPECIAL EMPHASIS ON MAJOR DISEASE CATEGORIES, ALL OF WHICH ARE PREVALENT IN THE VA'S PATIENT POPULATION. THESE INCLUDE CARDIOVASCULAR MEDICINE, MENTAL HEALTH, CHRONIC INFLAMMATORY DISEASE, STEM CELL/REGENERATIVE MEDICINE, PAIN, SLEEP DISORDERS, AND MANY OTHERS. IN ADDITION TO DISEASE SPECIFIC RESEARCH, PAVIR IS ENGAGED IN SUPPORTING RESEARCH AIMED AT ENHANCING HEALTH CARE. PAVIR'S RESEARCH PORTFOLIO INCLUDES COMPARATIVE STUDIES IN WHICH RESEARCH TEAMS ARE LEARNING WHICH TREATMENTS ARE SUPERIOR TO OTHERS, HOW TO AUGMENT OR IMPROVE STANDARD OF CARE, AS WELL AS HOW TO ENHANCE THE OPERATION OF HEALTH CARE. FURTHERMORE, PAVIR IS SUPPORTING EDUCATIONAL ACTIVITIES, ESPECIALLY IN AREAS OF ADVANCING CLINICAL CARE FOR VETERANS AND FOSTERING THE PROFESSIONAL DEVELOPMENT OF OUR EXPERT STAFF. 23042204 3241132 26768984 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 61 0 1 299 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 2 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LILY IBRAGIMOV 6508583970 3801 MIRANDA AVENUE PALO ALTO CA 94304 X MARK NICOLLS DIRECTOR, BOARD CHAIR 1.00 40.00 X X 0 0 0 LAWRENCE LEUNG STATUTORY VA DIRECTOR, SECR/TREAS 1.00 40.00 X X 0 0 0 DAVID J CLARK DIRECTOR 0.50 40.00 X 0 0 0 CHARLIE CONZ DIRECTOR 0.50 0.00 X 0 0 0 THOMAS J FITZGERALD III STATUTORY VA DIRECTOR 0.50 40.00 X 0 0 0 MARY K GOLDSTEIN DIRECTOR 0.50 40.00 X 0 0 0 ODETTE HARRIS DIRECTOR 0.50 40.00 X 0 0 0 FERID MURAD DIRECTOR 10.00 0.00 X 47500 0 3919 JOHN POLLARD STATUTORY VA DIR/AUD COMM MEMB 0.50 40.00 X 0 0 0 ROBERT SLOSS DIRECTOR 0.50 0.00 X 0 0 0 PHILIP TSAO STATUTORY VA DIR/AUDIT COMMITTE CHAIR 1.00 40.00 X 0 0 0 JENNIFER LEE DIRECTOR 0.50 40.00 X 0 0 0 MICHAEL ANTHONY HINDERY CEO 40.00 0.00 X 216452 0 11131 BONNIE OIKING LIANG CFO/COO 40.00 0.00 X 207567 0 40290 MARY L THORNTON DIRECTOR OF DATA INTEGRITY 40.00 0.00 X 137063 0 22513 ELAINE STAATS DIRECTOR OF SPONSORED RESEARCH 40.00 0.00 X 135660 0 33219 LILY IBRAGIMOV DIRECTOR OF FINANCE AND ACCOUNTING 40.00 0.00 X 135241 0 22095 WEN AMY TIAN RESEARCH SCIENTIST II 40.00 0.00 X 130507 0 19930 MAHEEN ADAMSON RESEARCH SCIENTIST II 40.00 0.00 X 125307 0 30347 1135297 0 183444 29 0 1 0 PUNCTUM DESIGN LLC 17775 KIOWA TRAIL LOS GATOS CA 95033 WEB DESIGN 112440 MOSS ADAMS LLP PO BOX 101822 PASADENA CA 91189 CPA SERVICES 102440 2 23542202 644045 2384 24186247 MEDICAL RESEARCH 541700 3633941 3633941 GOVERNMENT FEES & CONTRACTS 541700 3148531 3148531 6782472 60019 60019 9444 -9444 -9444 -9444 MISCELLANEOUS REVENUE 541700 40335 40335 40335 31059629 6782472 0 90910 588822 51443 537379 12511212 10241720 2269492 759769 592110 167659 1271214 1103343 167871 1040467 810601 229866 38423 8138 30285 96540 96540 1808374 1718888 89486 35520 28674 6846 576527 427522 149005 163116 147407 15709 280122 280122 258445 212873 45572 259068 234750 24318 49704 49704 SUBRECIPIENTS 3927490 3927490 RESEARCH MATERIAL COST 3598470 3598434 36 OTHER PERSONNEL COST 2797295 2790196 7099 EQUIPMENT MAINTENANCE 411754 408873 2881 235994 186400 49594 30708326 26768984 3939342 0 812893 206711 5827446 5790934 4362747 5112136 353508 378361 3732301 2694502 981545 1037799 0 12338139 12525941 3094968 2844485 1260876 1347858 4355844 4192343 X 6450380 6271716 1531915 2061882 7982295 8333598 12338139 12525941 351303 0 X 0 1 X 1 1 1 X VA PALO ALTO HEALTH CARE SYSTEM PALO ALTO CA RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 321 0 0 0 321 0 PART II-B, LINE 1: OUR ORGANIZATION PAID MEMBERSHIP DUES TO THE NATIONAL ASSOCIATION OF VETERANS' RESEARCH AND EDUCATION FOUNDATIONS (NAVREF). THE REPORTED FIGURE IS THE PORTION OF THOSE DUES WHICH NAVREF ESTIMATES CONTRIBUTED TO ITS LOBBYING ACTIVITIES. 3732301 2694502 1037799 1037799 X 31059629 0 31059629 0 31059629 30708326 0 30708326 0 30708326 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND STATE INCOME TAX UNDER CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTION 170(B)(1)(A)(III) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). AS OF SEPTEMBER 30, 2019, THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 1 0 MICHAEL ANTHONY HINDERY CEO 216452 0 0 0 0 0 0 0 11131 0 227583 0 0 0 BONNIE OIKING LIANG CFO/COO 207567 0 0 0 0 0 19461 0 20829 0 247857 0 0 0 MARY L THORNTON DIRECTOR OF DATA INTEGRITY 137063 0 0 0 0 0 12641 0 9872 0 159576 0 0 0 ELAINE STAATS DIRECTOR OF SPONSORED RESEARCH 135660 0 0 0 0 0 13495 0 19724 0 168879 0 0 0 LILY IBRAGIMOV DIRECTOR OF FINANCE AND ACCOUNTING 132241 0 3000 0 0 0 12568 0 9527 0 157336 0 0 0 WEN AMY TIAN RESEARCH SCIENTIST II 130507 0 0 0 0 0 11250 0 8680 0 150437 0 0 0 MAHEEN ADAMSON RESEARCH SCIENTIST II 125307 0 0 0 0 0 10660 0 19687 0 155654 0 0 0 PART I, LINE 7 LILY IBRAGIMOV, DIRECTOR OF ACCOUNTING, RECEIVED $3,000 ONE TIME PERFORMANCE BONUS, APPROVED BY THE ACTING CEO. FORM 990, PART VI, SECTION A, LINE 7A PAVIR'S BOARD OF DIRECTORS SHALL HAVE UP TO THIRTEEN DIRECTORS. FOUR STATUTORY VA DIRECTORS SHALL BE THOSE PERSONS HOLDING THE VETERANS AFFAIRS PALO ALTO HEALTH CARE SYSTEM (VAPAHCS) POSITIONS OF DIRECTOR, CHIEF OF STAFF, ASSOCIATE CHIEF OF STAFF FOR RESEARCH AND DEVELOPMENT, AND ASSOCIATE CHIEF OF STAFF FOR EDUCATION. THE REMAINING STATUTORY NON-FEDERAL AND NON-STATUTORY DIRECTORS ARE NOMINATED BY A NOMINATING COMMITTEE, COMPRISED OF THE CHAIR OF THE BOARD OF DIRECTORS, SECRETARY/TREASURER, AND PAVIR'S CEO, AND ULTIMATELY APPOINTED BY THE VAPAHCS DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B THE SECRETARY OF VETERANS AFFAIRS HAS AUTHORIZED THE VAPAHCS DIRECTOR TO ORDER THE DISSOLUTION OF THE ORGANIZATION IN THE EVENT OF A DETERMINATION THAT THE ORGANIZATION IS NO LONGER SERVING THE INTEREST OF THE VETERANS HEALTH ADMINISTRATION FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 HAS BEEN PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO THE FILING OF RELATED TAX FORMS. MANAGEMENT PROVIDED EACH BOARD MEMBER WITH A COPY OF THE FORM 990 AND IT WAS DISCUSSED AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, PAVIR'S DIRECTORS, OFFICERS, AND KEY EMPLOYEES MUST REVIEW PAVIR'S CONFLICT OF INTEREST POLICY AND COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE, DISCLOSING ANY POTENTIAL AREAS OF CONFLICT OF INTEREST OCCURRING DURING THE PRECEDING 12 MONTHS. IN ADDITION, DIRECTORS AND OFFICERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST POLICY TRAINING. IF A POTENTIAL CONFLICT OF INTEREST ARISES SUBSEQUENT TO SUBMITTING A DISCLOSURE QUESTIONNAIRE OR BETWEEN SUBMISSIONS, A DIRECTOR, OFFICER, OR EMPLOYEE SHALL PROMPTLY BRING THE SITUATION TO THE ATTENTION OF THE CHAIR OF THE BOARD (APPLICABLE FOR MEMBERS OF THE BOARD, OFFICERS, AND THE CEO) OR THE CEO (FOR PAVIR ADMINISTRATIVE EMPLOYEES AND EMPLOYEES DIRECTLY OR INDIRECTLY ENGAGED IN VA RESEARCH OR EDUCATION). WHENEVER THERE IS REASON TO BELIEVE THAT A POTENTIAL CONFLICT OF INTEREST EXISTS BETWEEN PAVIR AND ANY BOARD MEMBER, OFFICER, OR EMPLOYEE, THE BOARD WILL PROMPTLY CONVENE A MEETING TO DETERMINE WHETHER A CONFLICT EXISTS AND THE APPROPRIATE RESPONSE. A DIRECTOR, OFFICER, OR EMPLOYEE WHO HAS A POTENTIAL CONFLICT OF THE INTEREST WITH RESPECT TO A PROPOSED PAVIR DECISION, POLICY, TRANSACTION, OR ARRANGEMENT WILL NOT PARTICIPATE IN ANY WAY IN, OR BE PRESENT DURING, THE DELIBERATIONS AND DECISION-MAKING VOTE OF PAVIR WITH RESPECT TO SUCH MATTER THE PROCESS AND RESULT OF THE DELIBERATION IS RECORDED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 PAVIR CONDUCTED A COMPENSATION STUDY FOR EXECUTIVE POSITIONS, UTILIZING DATA FROM COMPARABLE ORGANIZATIONS BASED ON GEOGRAPHY, INDUSTRY AND REVENUE. THE STUDY WAS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE BOARD CONVENED AN EXECUTIVE SESSION, DURING WHICH THE COMPENSATION DATA WAS USED TO MAKE EXECUTIVE COMPENSATION DECISIONS. THE BOARD DECISIONS REGARDING EXECUTIVE COMPENSATION WAS DOCUMENTED IN FILE. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, ORGANIZING/GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VII AND SCHEDULE J, PART II: ON 3/16/20, THE CEO WROTE TO EACH OF THE 9 BOARD MEMBERS WHO ARE COMPENSATED BY THE VA PALO ALTO HEALTH CARE SYSTEM REQUESTING PERMISSION TO OBTAIN HIS/HER COMPENSATION INFORMATION FOR THE TAX YEAR ENDING 12/31/18. IN RESPONSE, ALL BOARD MEMBERS DECLINED IN WRITING TO PROVIDE THEIR COMPENSATION INFORMATION. NONE OF THE BOARD MEMBERS RECEIVE COMPENSATION IN RELATION TO THEIR DUTIES AS BOARD MEMBERS OF PAVIR. VA PALO ALTO HEALTH CARE SYSTEM 3801 MIRANDA AVENUE PALO ALTO CA 94304 941179505 TEACHING HOSPITAL, PROVIDING A FULL RANGE OF PATEINT CARE SERVICES CA 501(C)(1) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0