2020-07-10T18:01:19-05:00 2019-08-31 PricewaterhouseCoopers LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2018-09-01 941429628 THE HOSPITAL COMMITTEE FOR THE LIVERMORE- PLEASANTON AREAS % NICOLE PEDIGO HOSP 9253738000 1111 E STANLEY BOULEVARD LIVERMORE CA 94550 KYLE WICHELMANN CFO 9253738000 2020-07-03 true GWEN SPENCER P00641463 6175305000 155.201.35.117 04363820201925000082 2020-07-10 P AA0A6C04CDAB1A066FD7E5F646BC57F63DD96309 B15AFFE00AA92DD1C7B3142019CFD5496048555B 2018 2021-01-29 14:40:06Z STANFORD HEALTH CARE - VALLEYCARE RICHARD SHUMWAY 1111 E STANLEY BOULEVARD LIVERMORE CA 94550 307230890 false X WWW.VALLEYCARE.COM X 1958 CA SEE SCHEDULE O 10 4 1612 242 369480 133203 190741 857543 265381005 296871359 11699 180426 7192093 6336494 272775538 304245822 0 0 0 0 154103730 153638401 0 0 0 158986729 143480555 313090459 297118956 -40314921 7126866 271205496 269498205 126741279 111525969 144464217 157972236 X STANFORD HEALTH CARE - VALLEYCARE'S MISSION IS TO (1) ASSUME THE LEADERSHIP ROLE FOR 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DURING FY19, SHC-VC PAID DUES OF APPROXIMATELY $126,336 TO THESE ORGANIZATIONS AND THE APPROXIMATE AMOUNT OF DUES SPENT ON LOBBYING PURPOSES WAS $17,510. 35524005 35524005 73671363 14152597 59518766 8849550 5507595 3341955 97498223 29777925 67720298 11369579 2246543 9123036 175228060 INTERCOMPANY RECEIVABLE 39728875 EQUITY INVESTMENT (PPA-II) 7097115 EQUITY INVESTMENT (PPA-I) 1668359 DEPOSITS 769891 HOSP QUAL ASSURANCE RECEIVABLE 651168 NON PATIENT RECEIVABLES 119319 50034727 0 INTERCOMPANY NOTE 61061073 ASSET RETIREMENT OBLIGATION 3743350 HOSPITAL QUALITY ASSURANCE PAY 3567728 SELF INSURANCE RESERVES 3414000 DEFERRED RENT 1176065 INTERCOMPANY PAYABLE 877511 REFUNDABLE DEPOSITS 13140 73852867 X PART X, LINE 2 FIN 48 SHC AND ITS SUBSIDIARIES HAVE NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME. true true X true X 400. true X true true false true true 2990118 2990118 0.01010 18387986 12879063 5508923 0.01850 26455918 9775991 16679927 0.05610 47834022 22655054 25178968 0.08470 34 15491 1200518 224729 975789 0.00330 8 159 717512 717512 0.00240 9 4274 1252731 260552 992179 0.00330 51 19924 3170761 485281 2685480 0.00900 51 19924 51004783 23140335 27864448 0.09370 3 3939 88042 88042 0.00030 3 3939 88042 88042 0.00030 true 5615115 81307267 130737549 -49430282 X true true 1 1 HOSPITAL COMMITTEE FOR THE L-P AREAS 1111 E STANLEY BLVD LIVERMORE CA 94550 WWW.VALLEYCARE.COM 140000114 X X X LIFESTYLERX MEDICAL FITNESS FACILITY HOSPITAL COMMITTEE FOR THE L-P AREAS false false true X X X X X X X X X 18 true true false true X WWW.VALLEYCARE.COM X true 16 true WWW.VALLEYCARE.COM false false true X 400. 400. X true true X X X X true X WWW.VALLEYCARE.COM X SAME AS ABOVE X SAME AS ABOVE X X X X X X true X false X X X true X false false PART V, SECTION B TWO FACILITIES OPERATE UNDER THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS' LICENSE. VALLEY MEMORIAL HOSPITAL 1111 E STANLEY BLVD LIVERMORE, CA 94550 VALLEYCARE MEDICAL CENTER 5555 W LAS POSITAS BLVD PLEASANTON, CA 94588 PART V, SECTION B, LINE 5 THE HOSPITAL COMMISSIONED THE RESEARCH FIRM ACTIONABLE INSIGHTS, LLC (AI), TO ASSIST WITH THE VARIOUS ASSESSMENTS FOR THE 2019 CHNA. STANFORD HEALTH CARE - VALLEYCARE (SHC-VC) AND 13 OTHER HOSPITALS IN ALAMEDA AND CONTRA COSTA COUNTIES (SUBSEQUENTLY REFERRED TO AS "THE HOSPITALS") COLLABORATED FOR THE PURPOSE OF IDENTIFYING CRITICAL HEALTH NEEDS OF THE COMMUNITY. WORKING TOGETHER, THE HOSPITALS CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE 2019 CHNA BUILT UPON EARLIER ASSESSMENTS CONDUCTED BY THE HOSPITALS. AI CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA FOR A FINAL HEALTH NEEDS LIST, ASSISTED WITH THE HOSPITALS' PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AND DOCUMENTED THE PROCESS AND FINDINGS IN A REPORT. DURING THE 2019 CHNA PROCESS, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING FROM THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH THROUGH INTERVIEWS OF PUBLIC AND COMMUNITY HEALTH LEADERS, ADVOCATES AND EXPERTS. INPUT WAS ALSO GATHERED FROM RESIDENT AND PROFESSIONAL FOCUS GROUPS WHICH REPRESENTED THE FOLLOWING POPULATIONS MEDICALLY UNDERSERVED, LOW-INCOME INDIVIDUALS AND MINORITY POPULATIONS. FINDINGS REGARDING COMMUNITY HEALTH CONCERNS THAT HAD BEEN IDENTIFIED FROM AN ANALYSIS OF SECONDARY DATA WERE DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. THE LIST OF COMMUNITY HEALTH NEEDS ALSO WAS SHARED AND DISCUSSED WITH A MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS. FOCUS GROUP/KEY INFORMANT INTERVIEWS ACTIONABLE INSIGHTS (AI) CONDUCTED THE PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND FOCUS GROUPS WITH RESIDENTS. AI SOLICITED INPUT FROM NEARLY 20 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS THAT FOCUS ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. AI CONDUCTED PRIMARY RESEARCH VIA INTERVIEWS WITH EIGHT LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE KEY INFORMANTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE. A FOCUS GROUP WAS CONDUCTED IN AUGUST 2018 AT AXIS COMMUNITY HEALTH WITH FIVE PROFESSIONALS WHO SERVE LATINX AND/OR LOW-INCOME INDIVIDUALS. INPUT FROM RESIDENTS AI CONDUCTED TWO RESIDENT FOCUS GROUPS WITH A TOTAL OF 18 RESIDENTS. NONPROFIT HOSTS RECRUITED PARTICIPANTS FOR THE FOCUS GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS OF THE TRI-VALLEY AREA WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. DEPUTY DIRECTOR, PUBLIC HEALTH, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT - PUBLIC HEALTH DIRECTOR OF HEALTH & WELLNESS ALAMEDA COUNTY, ABODE SERVICES - NEEDS OF INDIVIDUALS EXPERIENCING HOMELESSNESS EXECUTIVE DIRECTOR, ABODE SERVICES - NEEDS OF INDIVIDUALS EXPERIENCING HOMELESSNESS HUMAN SERVICES PROGRAMS MANAGER, LIVERMORE HOUSING & HUMAN SERVICES - GOVERNMENT, HEALTH/HUMAN SERVICES CHIEF EXECUTIVE OFFICER, AXIS COMMUNITY HEALTH - NEEDS OF LOW-INCOME POPULATION EXECUTIVE DIRECTOR, SENIOR SUPPORT SERVICES OF TRI-VALLEY - OLDER ADULT NEEDS SCHOOL NURSE, LIVERMORE VALLEY JOINT UNIFIED SCHOOL DISTRICT - K-12 STUDENT HEALTH DISTRICT COMMUNITY LIAISON, DUBLIN UNIFIED SCHOOL DISTRICT - K-12 STUDENT HEALTH AND EDUCATION DIRECTOR OF STUDENT SERVICES, LIVERMORE VALLEY JOINT UNIFIED SCHOOL DISTRICT - K-12 STUDENT HEALTH DISTRICT NURSE, DUBLIN UNIFIED SCHOOL DISTRICT - K-12 STUDENT HEALTH ASSISTANT SUPERINTENDENT OF STUDENT SUPPORT SERVICES, PLEASANTON UNIFIED SCHOOL DISTRICT - K-12 STUDENT HEALTH AND EDUCATION DISTRICT NURSE, PLEASANTON UNIFIED SCHOOL DISTRICT - K-12 STUDENT HEALTH FOCUS GROUPS HOST: AXIS COMMUNITY HEALTH ATTENDEES BELOW - NEEDS OF LATINX LOW-INCOME INDIVIDUALS ENROLLMENT, AXIS COMMUNITY HEALTH - NEEDS OF LATINX LOW-INCOME INDIVIDUALS BHCC, AXIS COMMUNITY HEALTH - NEEDS OF LATINX LOW-INCOME INDIVIDUALS CDCC, AXIS COMMUNITY HEALTH - NEEDS OF LATINX LOW-INCOME INDIVIDUALS CLINIC MANAGER, AXIS COMMUNITY HEALTH - NEEDS OF LATINX LOW-INCOME INDIVIDUALS COMMUNITY HEALTH WORKER, AXIS COMMUNITY HEALTH - NEEDS OF LATINX LOW-INCOME INDIVIDUALS HOST: OPEN HEART KITCHEN - INDIVIDUALS EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY HOST: MARYLIN ELEMENTARY SCHOOL - FAMILIES WITH ELEMENTARY-SCHOOL-AGE CHILDREN PART V, SECTION B, LINE 6A COMMUNITY BENEFIT MANAGERS FROM 14 LOCAL HOSPITALS IN ALAMEDA AND CONTRA COSTA COUNTIES ("THE HOSPITALS") CONTRACTED WITH ACTIONABLE INSIGHTS TO CONDUCT THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITALS THAT PARTNERED WITH STANFORD HEALTH CARE - VALLEYCARE WERE: - JOHN MUIR HEALTH AND ITS JOINT VENTURE PARTNER, SAN RAMON REGIONAL MEDICAL CENTER - KAISER PERMANENTEDIABLO AREA (ANTIOCH AND WALNUT CREEK KAISER FOUNDATION HOSPITALS) - KAISER PERMANENTEEAST BAY AREA (OAKLAND AND RICHMOND KAISER FOUNDATION HOSPITALS) - KAISER PERMANENTEGREATER SOUTHERN ALAMEDA AREA (FREMONT AND SAN LEANDRO KAISER FOUNDATION HOSPITALS) - ST. ROSE HOSPITAL - SUTTER HEALTH BAY AREA (ALTA BATES SUMMIT MEDICAL CENTER AND HERRICK CAMPUS, DELTA MEDICAL CENTER, AND EDEN MEDICAL CENTER) - UCSF BENIOFF CHILDRENS HOSPITAL OAKLAND - WASHINGTON HOSPITAL HEALTHCARE SYSTEM PART V, SECTION B, LINES 7A/10A URL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX. PART V, SECTION B, LINE 11 SHC - VC'S COMMUNITY BENEFIT ADVISORY GROUP (CBAG) MET TO REVIEW THE HEALTH NEEDS IDENTIFIED DURING THE CHNA AND TO PARTICIPATE IN THE PRIORITIZATION PROCESS. THE CBAG USED THESE CRITERIA TO PRIORITIZE THE LIST OF HEALTH NEEDS: - COMMUNITY PRIORITY. THE FREQUENCY WITH WHICH THE COMMUNITY EXPRESSED CONCERN OVER THE HEALTH NEED (COMPARED WITH OTHERS) DURING THE CHNA PRIMARY DATA COLLECTION PROCESS. - CLEAR DISPARITIES OR INEQUITIES. THE DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUP. SUBGROUPS MAY BE BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHER FACTORS. - MULTIPLIER EFFECT. THE POTENTIAL A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS TO SOLVE ADDITIONAL PROBLEMS. (FOR EXAMPLE, IF OBESITY RATES DROP, HEART ATTACK RATES MAY DO SO AS WELL.) - MAGNITUDE. THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED. BASED ON THOSE CRITERIA, THE CBAG MEMBERS REACHED CONSENSUS IN RANKING THE 11 COMMUNITY HEALTH NEEDS AS FOLLOWS. 1. BEHAVIORAL HEALTH 2. HEALTH CARE ACCESS AND DELIVERY 3. HOUSING AND HOMELESSNESS 4. HEALTHY EATING/ACTIVE LIVING, DIABETES, AND OBESITY 5. HEART DISEASE AND STROKE 6. ECONOMIC STABILITY 7. COMMUNITY AND FAMILY SAFETY 8. ORAL/DENTAL HEALTH 9. CANCER 10. CLIMATE AND NATURAL ENVIRONMENT 11. TRANSPORTATION AND TRAFFIC THIS INFORMATION BELOW IS BASED ON THE 2017-19 IMPLEMENTATION STRATEGY AND DOES NOT FALL UNDER THE CHNA ABOVE. THE VALLEYCARE GROUP PRIORITIZED THE HEALTH NEEDS LIST BY APPLYING CRITERIA TO THE LIST OF 14 HEALTH NEEDS. OF THE 14 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, STANFORD HEALTH CARE VALLEYCARE SELECTED THREE TO ADDRESS; (1) HEALTH CARE ACCESS AND DELIVERY, (2) BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE ABUSE/TOBACCO USE), (3) OBESITY, DIABETES, HEALTHY EATING, ACTIVE LIVING. VALLEYCARE HAS UNIQUE RESOURCES AND CAPACITY TO DEDICATE TO THE CHOSEN HEALTH NEEDS, AND ALSO, THE COMMUNITY HAD DESIGNATED THOSE THREE AS TOP PRIORITIES. FOR A DETAILED DESCRIPTION OF SHC-VC'S VALLEYCARE'S COMMUNITY PARTNERS AND RESOURCES PROVIDED SEE THE IMPLEMENTATION STRATEGY AT HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX HEALTH NEEDS SHC-VC DOES NOT INTEND TO ADDRESS THE FOLLOWING HEALTH NEEDS DID NOT MEET THE CRITERIA TO THE SAME EXTENT AS THE CHOSEN NEEDS DID AND SHC-VC DOES NOT PLAN TO ADDRESS THEM AT THIS TIME. -ASTHMA: MANY OTHER COMMUNITY-BASED ORGANIZATIONS ADDRESS THIS NEED (E.G., ASTHMA COALITION, ASTHMA START). VALLEYCARE IS BETTER POSITIONED TO ADDRESS EDUCATION ABOUT THIS NEED VIA HEALTH CARE ACCESS AND DELIVERY STRATEGIES. ADDITIONALLY, ASTHMA WAS NOT A HIGH PRIORITY OF THE COMMUNITY (I.E., THE PRIORITIZATION SCORE WAS LOWER) COMPARED TO OTHER NEEDS. -CANCER: VALLEYCARE IS BETTER POSITIONED TO ADDRESS DRIVERS OF THIS NEED VIA STRATEGIES RELATED TO OBESITY, DIABETES, HEALTHY EATING, AND ACTIVE LIVING, AND EDUCATION ABOUT THIS NEED VIA HEALTH CARE ACCESS AND DELIVERY STRATEGIES. -CARDIOVASCULAR DISEASE & STROKE: VALLEYCARE IS BETTER POSITIONED TO ADDRESS DRIVERS OF THIS NEED VIA STRATEGIES RELATED TO EDUCATION ABOUT OBESITY, DIABETES, HEALTHY EATING, ACTIVE LIVING, AND HEALTH CARE ACCESS AND DELIVERY. -CLIMATE & HEALTH: THIS TOPIC IS OUTSIDE OF VALLEYCARE'S CORE COMPETENCIES (I.E., VALLEYCARE HAS LITTLE EXPERTISE IN THIS AREA) AND THE FACILITY FEELS IT CANNOT MAKE A SIGNIFICANT IMPACT ON THIS NEED THROUGH COMMUNITY BENEFIT INVESTMENT. -COMMUNICABLE DISEASES: THIS NEED IS BEING ADDRESSED BY OTHER COMMUNITY-BASED ORGANIZATIONS AND COUNTY PUBLIC HEALTH DEPARTMENTS. BY INCREASING ACCESS TO HEALTH CARE AS A STRATEGY RELATED TO HEALTH CARE ACCESS AND DELIVERY, CERTAIN KEY ACTIVITIES RELATED TO COMMUNICABLE DISEASES, SUCH AS SCREENINGS AND VACCINATIONS, MAY BE ADDRESSED INDIRECTLY. -ECONOMIC SECURITY: VALLEYCARE LACKS SUFFICIENT EXPERTISE TO ADDRESS THIS NEED. MANY OTHER LOCAL COMMUNITY-BASED ORGANIZATIONS SUPPORT VULNERABLE POPULATIONS WHO LACK ECONOMIC SECURITY. ALSO, VALLEYCARE SERVES THE LOW-INCOME COMMUNITY THROUGH CHARITY CARE AND OTHER HEALTH CARE ACCESS AND DELIVERY STRATEGIES. BY INCREASING NUTRITIOUS FOOD ACCESS AS A STRATEGY RELATED TO OBESITY, DIABETES, HEALTHY EATING, AND ACTIVE LIVING, ONE OF THE KEY INDICATORS OF ECONOMIC INSECURITY IN THE TRI-VALLEY AREA, FOOD INSECURITY, MAY BE ADDRESSED INDIRECTLY. -MATERNAL & CHILD HEALTH: VALLEYCARE IS BETTER POSITIONED TO ADDRESS THIS NEED THROUGH HEALTH CARE ACCESS AND DELIVERY STRATEGIES. -VIOLENCE & INJURY PREVENTION: WHILE VALLEYCARE LACKS EXPERTISE TO ADDRESS THIS HEALTH NEED, BEHAVIORAL HEALTH ISSUES SUCH AS SUBSTANCE ABUSE, STRESS, AND ANXIETY HAVE BEEN SHOWN TO BE DRIVERS OF VIOLENCE AND INTENTIONAL INJURY. VALLEYCARE BELIEVES THAT STRATEGIES INTENDED TO ADDRESS THE COMMUNITY'S BEHAVIORAL HEALTH NEED HAVE THE POTENTIAL TO DECREASE VIOLENCE AND INTENTIONAL INJURY IN THE COMMUNITY AS WELL. -UNINTENTIONAL INJURIES: WHILE VALLEYCARE LACKS EXPERTISE TO ADDRESS THIS HEALTH NEED, BEHAVIORAL HEALTH ISSUES SUCH AS SUBSTANCE ABUSE HAVE BEEN SHOWN TO BE DRIVERS OF UNINTENTIONAL INJURY (E.G., MOTOR VEHICLE ACCIDENTS DUE TO DRUNK DRIVING). VALLEYCARE BELIEVES THAT STRATEGIES INTENDED TO ADDRESS THE COMMUNITY'S BEHAVIORAL HEALTH NEED HAVE THE POTENTIAL TO DECREASE CERTAIN TYPES OF UNINTENTIONAL INJURIES IN THE COMMUNITY AS WELL. PART V, SECTION B, LINE 16A-C URL AT WHICH THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE: HTTP://WWW.VALLEYCARE.COM/PATIENTS-BILLING.ASPX PART V, SECTION B, LINE 20A SHC-VC WILL PURSUE PAYMENT FOR DEBTS OWED FOR HEALTH CARE SERVICES PROVIDED BY SHC-VC. ALL PATIENT ACCOUNT BALANCES THAT MEET SHC-VC CRITERIA FOR ASSIGNMENT TO BAD DEBT ACCORDING TO THE DEBT COLLECTION POLICY ARE ELIGIBLE FOR PLACEMENT WITH A COLLECTION AGENCY. HOWEVER, SHC-VC DOES NOT CURRENTLY ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITY (ECA). PER SHC-VC POLICY, ECA IS DEFINED TO INCLUDE PLACING LIENS ON INDIVIDUAL PROPERTY, FORECLOSING ON REAL PROPERTY, ATTACHING OR SEIZING AN INDIVIDUALS BANK ACCOUNT OR OTHER PERSONAL PROPERTY, COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL, CAUSING AN INDIVIDUALS ARREST, GARNISHING WAGES, REPORTING ADVERSE INFORMATION TO A CREDIT AGENCY, DEFERRING OR DENYING MEDICALLY NECESSARY CARE, REQUIRING PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF OUTSTANDING BILLS, AND SALE OF DEBT TO A THIRD PARTY. 3 LIFESTYLERX 1119 E STANLEY BLVD LIVERMORE CA 94550 MEDICAL FITNESS FACILITY SHC-VC - URGENT CARE CENTER 1133 E STANLEY BLVD LIVERMORE CA 94550 URGENT CARE CENTER SHC-VC - URGENT CARE CENTER 4000 DUBLIN BLVD STE 150 DUBLIN CA 94568 URGENT CARE CENTER PART I, LINE 6A: UNDER STATE LAW SB 697, THE STATE OF CALIFORNIA REQUIRES ALL NON-PROFIT HOSPITALS IN CALIFORNIA TO COMPLETE AND SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT. ALTHOUGH HOSPITALS BRING NUMEROUS BENEFITS TO THEIR LOCAL ECONOMIES, THESE REPORTS ARE INTENDED TO DOCUMENT THE WAYS IN WHICH EACH HOSPITAL GOES ABOVE AND BEYOND THE CORE FUNCTIONS OF A HOSPITAL TO SUPPORT THE HEALTH NEEDS OF ITS COMMUNITY. PART I, LINE 7: RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE AT SCHEDULE H, PART I, LINES 7A AND 7B. AMOUNTS INCLUDED IN OTHER LINES WERE BASED ON VALLEYCARE'S COST ACCOUNTING INFORMATION, INCLUDING AVERAGE HOURLY WAGES FOR STAFF TIME DEVOTED TO SPECIFIC PROGRAMS, AVERAGE COST OF SPACE USED BY COMMUNITY HEALTH PROGRAMS, INDIRECT COST FACTORS, AND RELATED INFORMATION. PART II, LINE 8: THE FOLLOWING PROGRAMS ADDRESS COMMUNITY WIDE WORKFORCE ISSUES. THESE PROGRAMS STRENGTHEN THE COMMUNITIES CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENCES BY OFFERING THE EXPERTISE AND RESOURCES OF SHC-VC. SPECIALIZED HEALTH CARE WORKFORCE TRAINING IN THE HEALTH CARE ADMINISTRATION INTERNSHIP PROGRAM, SHC-VC STAFF SUPERVISED 2 STUDENTS AS THEY LEARNED AND PERFORMED PROFESSIONAL AND TECHNICAL TASKS IN ALL AREAS OF THE HOSPITAL. STUDENT INTERNS ROTATED THROUGH VARIOUS HOSPITAL UNITS WITH STAFF AND ADMINISTRATION/ MANAGEMENT SO THAT THEY COULD EXPERIENCE ALL DIMENSIONS OF THE HOSPITAL OPERATION. SHC-VC PROVIDED CLINICAL EXPERIENCE AND PRECEPTORS FOR GRADUATE NURSING STUDENTS. STUDENTS RECEIVED EXPOSURE TO AND EXPERIENCE IN THE POSITIONS OF NURSE PRACTITIONER, NURSING ADMINISTRATION, AND CLINICAL NURSE SPECIALIST. SHC-VC REGISTERED NURSES IN MULTIPLE NURSING UNITS, INCLUDING MEDICAL/SURGICAL AND INTENSIVE CARE UNITS, AND PROVIDED DIRECT SUPERVISION IN A CLINICAL ENVIRONMENT TO STUDENT NURSES CONNECTED WITH CHABOT COLLEGE AND OHLONE COLLEGE. APPROXIMATELY 52 STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC PROVIDED CLINICAL EXPERIENCE FOR EMERGENCY MEDICAL TECHNICIAN (EMT) STUDENTS FROM LAS POSITAS COLLEGE, SUPERVISED BY APPROPRIATE CLINICAL PERSONNEL. 31 STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC PROVIDED SURGICAL TECHNOLOGY (ST) TRAINING FOR ST STUDENTS IN THE OPERATING ROOM, SUPERVISED BY A SURGICAL TECHNOLOGIST AND REGISTERED NURSES. 2 STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC PROVIDED EDUCATION FOR 11 STUDENTS FROM LAS POSITAS COLLEGE, CALIFORNIA STATE UNIVERSITY SACRAMENTO, AND NORTHERN CALIFORNIA TRAINING INSTITUTE (NCTI) WHO WERE TRAINING TO BECOME PARAMEDICS. THROUGHOUT THE YEAR, SHC-VC HOSTED 17 COLLEGE STUDENT INTERNS IN PHYSICAL AND OCCUPATIONAL THERAPY IN VARYING AFFILIATION PERIODS. STUDENTS RECEIVED ON-THE-JOB INSTRUCTION AND HANDS-ON TREATMENT SKILLS IN THE INPATIENT AND/OR OUTPATIENT SETTING IN ORDER TO MEET THE REQUIREMENTS FOR THEIR DEGREES AND LICENSURE. SHC-VC PROVIDED HIGH SCHOOL REGIONAL OCCUPATION PROGRAM (ROP) STUDENTS WITH VALUABLE TRAINING, HELPING THEM TO DEVELOP PRACTICAL PATIENT ASSESSMENT AND ASSISTANCE SKILLS. STUDENTS WERE PERMITTED TO OBSERVE AND SHADOW HEALTH CARE STAFF IN VARIOUS AREAS OF THE HOSPITAL DURING A TYPICAL WORK DAY AND, WHEN APPROPRIATE, ASSIST WITH SIMPLE PROJECTS FOR A HANDS-ON EXPERIENCE. A TOTAL OF 39 HIGH SCHOOL ROP STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC'S MEDICAL EXPLORERS PROGRAM INVITED STUDENTS FROM MIDDLE SCHOOL, HIGH SCHOOL, AND JUNIOR COLLEGE TO LEARN MORE ABOUT THE FIELD OF MEDICINE. A DIFFERENT SPEAKER EACH MONTH TALKED TO THE STUDENTS ABOUT THEIR SPECIFIC FIELD, ABOUT EDUCATION NEEDED, GAVE ADVICE, ANSWERED QUESTIONS, AND SHARED WHAT THEY KNOW ABOUT THE PROFESSION. DURING THE REPORTING PERIOD, THE PROGRAM SERVED APPROXIMATELY 350 STUDENTS. PART III, LINE 2: PROVISION FOR DOUBTFUL ACCOUNTS OR BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2019 WAS $5,615,115, WHICH IS AT CHARGES. BAD DEBT IS BASED ON REMAINING ACCOUNT BALANCE AFTER ANY DISCOUNTS OR PAYMENTS HAVE BEEN APPLIED. SHC-VC DOES NOT RECLASSIFY ANY BAD DEBT TO CHARITY UNLESS THE PATIENT QUALIFIES UNDER THE CHARITY CARE POLICY. A COST TO CHARGE RATIO WAS USED TO DETERMINE COST. PART III, LINE 3: SHC-VC DOES NOT CALCULATE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, LINE 8: THE MEDICARE SHORTFALL OF $49,430,282 REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. SHC-VC BELIEVES THIS MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE: 1. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER MEANS-BASED GOVERNMENT PROGRAMS, 2. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS, 3. THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION ON REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS, AND 4. THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE OR OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: IT IS THE POLICY OF SHC-VC TO FOLLOW THE STANDARDS AND PRACTICES FOR COLLECTION OF PATIENT DEBT IN ACCORDANCE WITH THE REQUIREMENTS OF CALIFORNIA ASSEMBLY BILL 774. SHC-VC HAS A VARIETY OF OPTIONS FOR PATIENTS FACING FINANCIAL HARDSHIP, INCLUDING UNINSURED DISCOUNTING, NO INTEREST PAYMENT ARRANGEMENTS, AND A CHARITY CARE PROGRAM. PATIENTS WHO APPLY FOR CHARITY CARE AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC-VC WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING DOCUMENTATION, IS RECEIVED. SHC-VC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES. PART VI, LINE 2: IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, SHC-VC ASSESSES COMMUNITY HEALTH NEEDS BY ANALYZING UTILIZATION AND OTHER ADMINISTRATIVE DATA AND BY RECEIVING REGULAR INPUT FROM ITS INDEPENDENT BOARD OF DIRECTORS AND ITS MEDICAL STAFF REGARDING HEALTH ISSUES IN THE COMMUNITY. PART VI, LINE 3: SHC-VC INTERVIEWS EACH PATIENT/GUARANTOR AND DETERMINE THE CAPABILITY TO MEET HIS/HER FINANCIAL OBLIGATIONS FOR MEDICAL CARE SERVICES PROVIDED BY SHC-VC. THOSE WHO DETERMINED TO BE UNABLE TO MEET THE FINANCIAL OBLIGATION ARE SCREENED FOR POSSIBLE ELIGIBILITY UNDER STATE OR FEDERAL HEALTHCARE PROGRAMS. INDIVIDUALS INELIGIBLE FOR THESE PROGRAMS ARE INTERVIEWED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, AS DEFINED IN THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY. PART VI, LINE 4: THE TRI-VALLEY REGION IS BASED AROUND THE FOUR SUBURBAN CITIES OF LIVERMORE, PLEASANTON, DUBLIN AND SAN RAMON IN THE THREE VALLEYS FROM WHICH IT TAKES ITS NAME: AMADOR VALLEY, LIVERMORE VALLEY AND SAN RAMON VALLEY. LIVERMORE, PLEASANTON AND DUBLIN ARE IN ALAMEDA COUNTY, WHILE SAN RAMON IS IN CONTRA COSTA COUNTY. VALLEYCARE'S PRIMARY SERVICE AREA IS THE TRI-VALLEY. VALLEYCARE HAS FACILITIES IN PLEASANTON, LIVERMORE, AND DUBLIN. THE TRI-VALLEY ACCOUNTS FOR THE MAJORITY OF VALLEYCARE'S INPATIENT DISCHARGES. THE U.S. CENSUS ESTIMATES A POPULATION OF ABOUT 750,000 IN THE TRI-VALLEY/CENTRAL CONTRA COSTA COUNTY (TV/C-CCC). THE AREA IS HIGHLY DIVERSE: THE TWO LARGEST ETHNIC SUBPOPULATIONS ARE WHITE AND ASIAN (60% AND 18%, RESPECTIVELY). FOREIGN-BORN RESIDENTS ACCOUNT FOR 25% OF THE POPULATION IN CONTRA COSTA COUNTY AND 32% OF THE POPULATION IN ALAMEDA COUNTY. PART VI, LINE 5: STANFORD HEALTH CARE - VALLEYCARE (SHC-VC) HAS PROVIDED HIGH-QUALITY, NOT-FOR-PROFIT HEALTH CARE TO THE TRIVALLEY AND SURROUNDING COMMUNITIES SINCE 1961. THROUGH HIGHLY SKILLED PHYSICIANS, NURSES AND STAFF AND STATE-OF-THE ART TECHNOLOGY, VALLEYCARE OFFERS A WIDE RANGE OF HEALTH CARE SERVICES AT ITS LIVERMORE, PLEASANTON AND DUBLIN MEDICAL FACILITIES. VALLEYCARE IS NOT PUBLICLY OWNED OR OPERATED, NOR IS IT SUPPORTED BY TAXES. VALLEYCARE REINVESTS ANY PROFITS IT MAKES INTO NEW SERVICES, EQUIPMENT AND FACILITIES. SHC-VC HAS AN 11-MEMBER BOARD OF DIRECTORS. EVERY THREE YEARS, NON-PROFIT HOSPITALS IN CALIFORNIA MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE GREATEST HEALTH NEEDS AFFECTING THEIR RESPECTIVE COMMUNITIES. THE COMMUNITY BENEFITS REPORT CAN BE FOUND ON OUR WEBSITE AT HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX. THE FOLLOWING PROGRAMS AND SERVICES FURTHER THE ORGANIZATION'S EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY: PLEASANTON CAMPUS: VALLEYCARE MEDICAL CENTER, WHICH OPENED IN DECEMBER 1991, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 114,000 SQUARE FEET OF SPACE THAT PROVIDES A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL INPATIENT AND OUTPATIENT ACUTE SERVICES, INCLUDING AN OUTPATIENT SURGICAL CENTER, A DIAGNOSTIC IMAGING CENTER INCLUDING COMPUTERIZED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING AND A WOMEN'S CENTER (MAMMOGRAPHY), CARDIAC CARE, EMERGENCY ROOM, INTENSIVE CARE, OBSTETRICS, PEDIATRICS AND OPERATING AND RECOVERY ROOMS. THE CURRENT LICENSED BED CAPACITY OF VALLEYCARE MEDICAL CENTER IS 167 ACUTE CARE BEDS (ALL OF WHICH ARE STAFFED), INCLUDING 116 MEDICAL/SURFICAL ACUTE CARE, 15 PERINATAL, 22 CRITICAL CARE, 4 PEDIATRIC, AND 10 INTENSIVE CARE NURSERY BEDS. LIVERMORE CAMPUS: VALLEY MEMORIAL HOSPITAL, ON THE LIVERMORE CAMPUS, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 125,000 SQUARE FEET OF SPACE THAT INCLUDES 26 SKILLED NURSING, AND 14 GERIATRIC PSYCHIATRIC BEDS. ADDITIONAL SERVICES AT VALLEY MEMORIAL HOSPITAL INCLUDE URGENT CARE, LABORATORY, DIAGNOSTIC IMAGING (ULTRASOUND, MAMMOGRAPHY, BONE DENSITOMETRY) AND RADIOLOGY. THE AMBULATORY SURGERY CENTER ON THE LIVERMORE CAMPUS, OPENED IN JULY 2003, HAS FOUR OPERATING ROOMS, THREE GASTRO-INTESTINAL (GI) SUITES, AND A 21-BED-PRE-OP AND POST ANESTHESIA CARE UNIT. THE URGENT CARE UNIT ON THE LIVERMORE CAMPUS, ALSO OPENED IN JULY 2003, HAS NINE EXAMINATION ROOMS WHERE PATIENTS RECEIVE CARE FOR CONDITIONS OF AN URGENT NATURE. THE LIVERMORE CAMPUS IS ALSO THE LOCATION OF LIFESTYLERX, AN INTEGRATED MEDICAL FITNESS CENTER OWNED AND OPERATED BY THE CORPORATION. IT IS DESIGNED TO PROMOTE COMMUNITY WELLNESS THROUGH SERVICES SUCH AS MEDICALLY BASED FITNESS, CARDIAC AND PULMONARY REHABILITATION, STRENGTH AND CARDIAC TRAINING, PHYSICAL AND SPORTS MEDICINE, AND WATER THERAPIES. LICENSED AND STAFFED BEDS FOR 2016 AT VALLEYCARE MEDICAL CENTER WERE 167, WHILE AT THE VALLEY MEMORIAL HOSPITAL THE NUMBER OF LICENSED BEDS IS 75, WITH STAFFED BEDS AT 40. PART VI, LINE 6: IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (DBA STANFORD HEALTH CARE - VALLEYCARE "SHC-VC") BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). SHC-VC PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. SHC-VC'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. SHC-VC ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. SHC-VC WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE SHC-VC COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY. PART VI, LINE 7: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: CA X X X X X true true false false false false false true false MARK CULLEN MD DIRECTOR (THROUGH 12/18) 0 281794 0 183447 0 13533 0 27500 0 14488 0 520762 0 0 RON DALMAN DIRECTOR (AS OF 01/19) 0 407572 0 321972 0 0 0 27500 0 83154 0 840198 0 0 DAVID ENTWISTLE DIRECTOR 0 1695749 0 967607 0 182271 0 321425 0 51872 0 3218924 0 124053 LINDA HOFF DIRECTOR 0 786299 0 337504 0 42061 0 123532 0 30263 0 1319659 0 0 QUINN MCKENNA DIRECTOR 0 1043026 0 405564 0 54400 0 154400 0 37615 0 1695005 0 0 TOPHER SHARP DIRECTOR 0 314334 0 89773 0 75780 0 28164 0 29922 0 537973 0 0 TRACEY LEWIS TAYLOR COO 325998 0 19969 0 799 0 38694 0 17878 0 403338 0 0 0 DAVID SVEC MD CMO 0 192389 0 102116 0 100946 0 20514 0 35182 0 451147 0 0 ANITA GIRARD INTERIM CNO (AS OF 07/19) 0 210788 0 12075 0 18500 0 27976 0 34568 0 303907 0 0 SCOTT GREGERSON PRESIDENT (THROUGH 01/19) 497908 0 72450 0 93771 0 124424 0 18036 0 806589 0 0 0 DOUG SMITH CFO (THROUGH 12/18) 0 241202 0 51064 0 93126 0 0 0 24459 0 409851 0 0 MANOJ SASTRY VP SUPPORT SRVCS (AS OF 08/19) 53789 159061 0 33255 104 48719 0 21235 6307 36928 60200 299198 0 0 GINA TEEPLES CNO (THROUGH 08/19) 252847 0 78125 0 7443 0 37093 0 10303 0 385811 0 0 0 RYAN DEGRAFF VP OPERATIONS (AS OF 08/19) 214753 0 25500 0 465 0 169 0 25227 0 266114 0 0 0 DOREEN MAPLES VP COMPLIANCE & QUALITY 225442 0 5766 0 5734 0 29015 0 10088 0 276045 0 0 0 JOHN YEE MD VP CLINICAL INITIATIVES 242640 0 0 0 7517 0 7500 0 18390 0 276047 0 0 0 EVERT HENDRIX VP HR (THROUGH 08/19) 157033 0 17875 0 7904 0 0 0 17418 0 200230 0 0 0 PAUL MUSER LEAD MULTI-MODALITY TECH 132951 0 0 0 148140 0 15200 0 23379 0 319670 0 0 0 ROBIN AMERSON REGISTERED NURSE 121685 0 0 0 161037 0 8074 0 8151 0 298947 0 0 0 JANINE PINKS CARDIO PHYSICIAN ASSISTANT 278590 0 0 0 30126 0 16905 0 18717 0 344338 0 0 0 RONNIE RAYMUNDO REGISTERED NURSE 144421 0 0 0 148323 0 8743 0 8151 0 309638 0 0 0 GLENN CHING REGISTERED NURSE 132743 0 400 0 123621 0 7495 0 13496 0 277755 0 0 0 DAVID J CONNOR FORMER CFO 0 53038 0 0 0 483074 0 20391 0 3651 0 560154 0 0 SCHEDULE J, PART I, LINE 4A IN 2018 IN CONNECTION WITH HIS DEPARTURE, A FORMER OFFICER RECEIVED A SEVERANCE PAYMENT OF $387,962 WHICH IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 4B STANFORD HEALTH CARE ("SHC"), A RELATED ORGANIZATION, PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (A) THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; THE PARTICIPANT BECOMES FULLY VESTED WHEN (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (D) THE PARTICIPANT COMPLETES SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH OF THE PARTICIPANT. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUAL IN CALENDAR YEAR 2018: DAVID ENTWISTLE $ 132,801 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED AND WERE PAID IN CALENDAR 2018 ARE REPORTED IN COLUMN (F). SHC-VC'S PRESIDENT PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT HIS RETIREMENT BENEFITS. UNDER THE PLAN, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR THE PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. THE PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNT BECAME VESTED AND WAS PAID TO SCOTT GREGERSON IN CALENDER YEAR 2018: $52,904 AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). SCHEDULE J, PART I, LINE 7 SIX EXECUTIVES RECEIVED A BONUS THAT WAS APPROVED BY SENIOR MANAGEMENT. SCHEDULE J, PART II, COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III) INCLUDES ACCRUED VACATION AND SICK LEAVE PAY OUT. SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF SHC-VC. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II. FORM 990, PART I, LINE 1 STANFORD HEALTH CARE - VALLEYCARE'S MISSION STATEMENT: FOR THE BENEFIT OF OUR PATIENTS AND THE COMMUNITY WE SERVE, OUR MISSION IS TO CARE, TO EDUCATE, AND TO DISCOVER. VISION STATEMENT: HEALING HUMANITY THROUGH SCIENCE AND COMPASSION, ONE PATIENT AT A TIME. FORM 990, PART III, LINE 4A OPERATION OF TWO ACUTE CARE HOSPITALS WITH A TOTAL OF 167 ACUTE, 26 SKILLED NURSING AND 14 ACUTE PSYCHIATRIC BEDS: SERVICES INCLUDE ICU/CCU, MEDICAL, SURGICAL, OBSTETRIC, NURSERY INPATIENT SERVICE, AND EMERGENCY ROOM, URGENT CARE AND OUTPATIENT SERVICES. ALSO CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY-CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ANY PROFITS MADE FROM OPERATIONS ARE INVESTED INTO NEW FACILITIES, EQUIPMENT AND SERVICES. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDICAL, SHC-VC CONTRIBUTES TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR THE VULNERABLE POPULATIONS, THE BROADER COMMUNITY AND HEALTH RESEARCH, TRAINING AND EDUCATION. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. AS PART OF SHC'S SUPPORT FOR ITS COMMUNITY PARTNERS AND OTHER COMMUNITY-BASED AGENCIES, SHC-VC CONDUCTED A VARIETY OF ACTIVITIES FOR COMMUNITY MEMBERS, RANGING FROM EDUCATION AND SUPPORT TO PERSONS WITH CHRONIC CONDITIONS, MEALS TO THE DISABLED AND SENIORS AND REDUCED-COST WELLNESS PROGRAMS FOR ECONOMICALLY DISADVANTAGED MEMBERS OF THE COMMUNITY. ACTIVITIES FOR VULNERABLE POPULATIONS SHC-VC ACTIVELY PARTICIPATED IN THE TRI-VALLEY HEALTH INITIATIVE. THIS INITIATIVE SERVES AS A GATEWAY TO MAKE CONTACT AND ENGAGE WITH UNDER-SERVED COMMUNITIES, AS WELL AS TO PROVIDE HEALTH SCREENINGS, LINKAGES, AND HEALTH CARE ENROLLMENT OPPORTUNITIES TO YOUTH AND FAMILIES IN THE TRI-VALLEY. THE INITIATIVE AIMS TO INCREASE ACCESS TO HEALTH CARE FOR YOUTH AND FAMILIES, INCLUDING CULTURALLY-RELEVANT PREVENTION SERVICES, AND STRENGTHENS THE CONTINUUM OF SCHOOL-LINKED HEALTH SUPPORTS THROUGHOUT THE TRI-VALLEY. ALSO, THE INITIATIVE PROVIDES FURTHER OPPORTUNITY TO COLLABORATE WITH SCHOOL HEALTH OFFICIALS IN THE LOCAL SCHOOL DISTRICTS REGARDING ONGOING HEALTH CONCERNS SUCH AS ASTHMA AND BEHAVIORAL HEALTH. IN FY19, SHC-VC WAS ALSO ACTIVE IN THE TRI-VALLEY ANTI-POVERTY COLLABORATIVE. THIS COLLECTIVE IMPACT INITIATIVE TO END POVERTY IN THE TRI-VALLEY AREA INVOLVES PARTNERS FROM GOVERNMENT, NONPROFITS, FAITH-BASED ORGANIZATIONS, SCHOOLS, PHILANTHROPIC ORGANIZATIONS, BUSINESSES, AND INDIVIDUAL COMMUNITY RESIDENTS. THE TRI-VALLEY ANTI-POVERTY COLLABORATIVE SUPPORTS A PROGRAM IN WHICH STRUGGLING RESIDENTS ACROSS THE REGION CAN ACHIEVE A BASIC STANDARD OF LIVING IN HOUSING, HEALTH CARE, NOURISHMENT, EDUCATION, AND SUSTAINABLE FINANCIAL RESOURCES. DURING FY19, SHC-VC'S FUNDING ALLOWED THE SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY (SSPTV) TO PROVIDE FREE, PREVENTIVE HEALTH SCREENINGS AND EXAMS TO 900 LOW-INCOME SENIORS. THESE SCREENINGS GENERALLY INCLUDED BLOOD PRESSURE AND DIABETES CHECKS, COMPLETE FOOT CARE, EDUCATION ABOUT MEDICATION MANAGEMENT, ALCOHOL AND DRUG EDUCATION, AS WELL AS REFERRALS, WHEN APPROPRIATE. SOME SENIORS ALSO CHOSE TO RECEIVE COLORECTAL CANCER SCREENINGS AND/OR URINE TESTS FOR INFECTIONS AND OTHER TOXICITIES. THROUGHOUT FY19, SHC-VC PROVIDED OPEN HEART KITCHEN SPACE ON ITS LIVERMORE CAMPUS FREE OF CHARGE. THIS LOCAL NONPROFIT ORGANIZATION, WHICH SERVES FREE MEALS TO THE HUNGRY, STORED FOOD AND ASSEMBLED BOX LUNCHES IN THE SPACE ON CAMPUS. FOR INCOMING RESIDENTS OF THE TRI-VALLEY HAVEN SHELTER, SHC-VC OFFERED TB SCREENING TESTS AND PROVIDED INITIAL PATIENT EVALUATION AND FOLLOW-UP DIAGNOSTIC TESTING FOR ANY POSITIVE TB TESTS AT NO CHARGE. SHC-VC PROVIDED 83 TB TESTS DURING THE REPORTING PERIOD. IN ADDITION, SHC-VC DONATED 192 TURKEYS TO THE SHELTER OVER THE THANKSGIVING HOLIDAY. SHC-VC PROVIDED FUNDING TO CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY'S HEALING HEARTS 5K WALK/RUN FOR SUICIDE PREVENTION. THE EVENT, ATTENDED BY 83 PEOPLE, FOCUSED ON RAISING AWARENESS OF THE TRAGEDY OF SUICIDE, REDUCING THE STIGMA ASSOCIATED WITH DEPRESSION AND MENTAL ILLNESS, EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, SUPPORTING LOCAL SUICIDE PREVENTION PROGRAMS, AND PROVIDING A SAFE PLACE TO HEAL FOR THOSE WHO HAVE LOST LOVED ONES TO SUICIDE. LIFESTYLERX IS SHC-VC'S 70,000-SQUARE-FOOT WELLNESS CENTER, WHICH PROVIDES COMPREHENSIVE, MEDICAL-BASED, HIGH-QUALITY EDUCATION AND FITNESS SERVICES TO ALL COMMUNITY MEMBERS. THE LIFESTYLERX SCHOLARSHIP PROGRAM PROVIDES LOW-INCOME MEMBERS OF THE COMMUNITY THE OPPORTUNITY TO ACHIEVE THEIR MAXIMUM HEALTH, FITNESS, AND WELL-BEING POTENTIAL BY PROVIDING SCHOLARSHIPS FOR MEMBERSHIP. DURING THE REPORTING PERIOD, THE SCHOLARSHIP PROGRAM PROVIDED 12 LIFESTYLERX MEMBERSHIPS TO LOW-INCOME MEMBERS OF THE COMMUNITY. MARYLIN AVENUE ELEMENTARY SCHOOL IN LIVERMORE HAD LIMITED FUNDING TO SUPPORT A PHYSICAL EDUCATION (PE) PROGRAM. SHC-VC FUNDS AN INSTRUCTOR TO CONDUCT PE CLASSES FOR MARYLIN AVENUE STUDENTS DURING THE SCHOOL WEEK. THIS PROJECT FOCUSED ON IMPROVING SCORES FOR STATE TESTING, IMPROVING STUDENT PHYSICAL HEALTH, EDUCATING THE STUDENTS ON HEALTHY LIVING, AND ILLUSTRATING HOW TO USE EXERCISE AS A TOOL TO HELP WITH FOCUS IN THE CLASSROOM. TWICE A WEEK THROUGHOUT THE SCHOOL YEAR, 119 STUDENTS IN FOURTH AND FIFTH GRADES RECEIVED 75 MINUTES OF PHYSICAL EDUCATION. 4TH GRADE AVERAGE RESULTS (49 STUDENTS): - MILE AVERAGE TIME 12:17 (NO BASELINE). - SIT-UPS IMPROVED FROM 16 TO 19. - PUSH-UPS REDUCED FROM 13 TO 9. 5TH GRADE AVERAGE RESULTS (70 STUDENTS): - MILE IMPROVED FROM 13:28 TO 11:16 MINUTES. - PACER IMPROVED FROM 18 TO 26. - PUSH-UPS IMPROVED FROM 11 TO 16. - CURL-UPS IMPROVED FROM 28 TO 51. OVERALL, THE STUDENTS HAD BETTER FOCUS IN CLASS AFTER PE. MOST OF THE KIDS HAD AN ENJOYABLE EXPERIENCE WITH PE. MANY STUDENTS WHO WERE NOT PHYSICALLY ACTIVE BEFORE SHOWED A LARGE AMOUNT OF IMPROVEMENT. MANY STUDENTS WERE ABLE TO BRING BETTER PROBLEM-SOLVING SOLUTIONS AND TEAMWORK THEY LEARNED FROM PHYSICAL EDUCATION TO THE CLASSROOM. FOR MEALS ON WHEELS, SHC-VC PREPARED MORE THAN 34,420 MEALS (MORE THAN 90 MEALS PER DAY, 5 DAYS PER WEEK) 800 PEOPLE ARE SERVED, FOR HOMEBOUND SENIORS IN THE FOLLOWING ALAMEDA COUNTY CITIES, PLEASANTON, LIVERMORE, DUBLIN AND SUNOL. THESE HOT MEAL PROGRAMS PROVIDE LOCAL SENIORS WITH THE NUTRITION CRITICAL TO THEIR HEALTH AND WELL-BEING. SHC-VC ALSO PROVIDED OFFICE SPACE TO SPECTRUM, THE NONPROFIT ORGANIZATION IN CHARGE OF ORGANIZING THE MEALS ON WHEELS PROGRAM IN THE TRI-VALLEY AREA. SHC-VC SUPPORTED CAPE'S PROVISION OF MEALS FOR PRESCHOOL-AGED CHILDREN BY PREPARING ALL THE MEALS. CAPE, INC.'S PRIMARY FOCUS IS PROVIDING THE HIGHEST QUALITY EARLY CHILDHOOD DEVELOPMENT SERVICES THAT MEET THE NEEDS OF LOW-INCOME CHILDREN AND THEIR FAMILIES INCLUDING HEALTH AND NUTRITION. SERVED OVER 150 PRESCHOOLERS. SUPPORTED "DAY OF HOPE," SERVED 700 LOW-INCOME INDIVIDUALS. SHC-VC PROVIDED ENOUGH GROCERIES TO THOSE IN ATTENDANCE TO FEED A FAMILY OF FIVE FOR A THANKSGIVING MEAL. EACH LOW-INCOME FAMILY RECEIVED ONE BOX OF GROCERIES THAT INCLUDED STAPLES AND NONPERISHABLE ITEMS. IN ADDITION, SHC-VC STAFF PROVIDED REUSABLE GROCERY BAGS, FIRST AID KITS, AND NUTRITION INFORMATION TO EVENT ATTENDEES; THE NUTRITION INFORMATION INCLUDED HEALTHY RECIPES, HANDOUTS ON HEALTHY EATING, AND HEALTHY EATING COLORING BOOKS FOR CHILDREN. PROVIDED EXPERTS TO ASSIST UNINSURED, LOW-INCOME PATIENTS RESEARCH THEIR HEALTH CARE OPTIONS. SERVICES PROVIDED AT NO COST BY MEDDATA INVOLVE HELPING INDIVIDUALS RESEARCH ELIGIBILITY REQUIREMENTS, IDENTIFY APPROPRIATE HEALTH INSURANCE PROGRAMS, COMPLETE APPLICATIONS, COMPILE REQUIRED DOCUMENTATION, AND FOLLOW UP WITH COUNTY CASE MANAGERS. THIS SERVICE ASSISTS ELIGIBLE PATIENTS IN OBTAINING COVERAGE FOR MEDICAL NECESSITIES, SUCH AS HOSPITAL CARE, PRESCRIPTION DRUGS, AND HOME HEALTH CARE. FORM 990, PART III, LINE 4A (CONT.) PROVIDED FUNDS FOR A LICENSED MARRIAGE AND FAMILY THERAPIST (MFT) FOR AXIS COMMUNITY HEALTH. THIS THERAPIST, HIRED IN DECEMBER 2017, INCREASED CAPACITY TO SERVE TRI-VALLEY RESIDENTS AT AXIS' CLINICAL SITE. THE ADDITIONAL COUNSELOR HAS HELPED TO ALLEVIATE THE DIRE NEED FOR MORE MENTAL HEALTH SERVICES IN THE COMMUNITY. IN ADDITION, WAIT TIMES FOR MENTAL HEALTH SERVICES APPOINTMENTS AT THE CLINIC HAVE BEEN REDUCED. A TOTAL OF 1033 MENTAL HEALTH VISITS WERE PROVIDED TO 107 UNIQUE PATIENTS, ALL OF WHOM WERE UNINSURED. SHC VC FUNDED A GRANT TO THE ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES - SANTA RITA MENTAL HEALTH ASSESSMENT, REFERRAL AND DROP-IN CENTER. THIS GRANT SUPPORTED THE DEVELOPMENT OF A NEW HOMELESS MENTALLY ILL OUTREACH AND TREATMENT PROGRAM OPENING IN EARLY 2020. THE DROP-IN CENTER WILL BE PROVIDED ON THE GROUNDS OF SANTA RITA JAIL FOR PEOPLE WITH MENTAL ILLNESS, CO-OCCURRING CONDITIONS, AND SUBSTANCE USE DISORDERS, ASSISTING THEM WITH IMMEDIATE NEEDS AS THEY ARE RELEASED FROM JAIL. THE DROP-IN CENTER WILL PROVIDE A SAFE, COMFORTABLE, NON-THREATENING, TEMPORARY STOP-OVER AS NEXT OPTIONS ARE CONSIDERED, AND WILL PROVIDE ASSISTANCE/CONNECTION WITH: LOCATING BOTH IMMEDIATE AND LONG-TERM HOUSING, MEDICATION, BRIEF COUNSELING AND CRISIS COUNSELING, REFERRALS TO FURTHER MENTAL HEALTH AND/OR SUBSTANCE USE SERVICES, CONNECTION TO TRANSPORTATION (BART, BUS, CAB), REFRESHMENTS AND CHANGE OF CLOTHES. TELEPHONE AND/OR INTERNET TO LINE UP TRANSPORTATION AND OTHER POST RELEASE NECESSITIES. SHC VC PROVIDED A DOCUMENTARY SCREENING AND DISCUSSION PANEL TO RAISE AWARENESS FOR SUICIDE PREVENTION. MEMBERS FROM THE COMMUNITY WERE EDUCATED ON SIGNS AND SYMPTOMS TO LOOK FOR IN INDIVIDUALS IN THEIR COMMUNITY AND FAMILIES AROUND SUICIDAL IDEATION, AND HOW TO BEST APPROACH CONVERSATIONS AROUND MENTAL HEALTH. SHC-VC PROVIDED A WIDE VARIETY OF RESOURCES AND SERVICES TO THE BROADER COMMUNITY REGARDING CARDIAC INFORMATION AND EDUCATION. SHC-VC PROVIDES FREE, NON-MEDICAL SUPPORT SERVICES TO CANCER PATIENTS, FAMILY MEMBERS, AND CAREGIVERS REGARDLESS OF WHERE PATIENTS RECEIVE TREATMENT. SERVICES PROVIDED INCLUDE SUPPORT GROUPS, HEALTH EDUCATION CLASSES, SEMINARS, AND SYMPOSIA, EXERCISE AND YOGA CLASSES, AND HEALING TOUCH SUPPORTIVE CARE. PERSONS SERVED: 2,564 SHC-VC PROVIDED FUNDING TO THE FOLLOWING ORGANIZATIONS FIGHTING CANCER: - THE SANDRA J. WING HEALING THERAPIES FOUNDATION, WHICH PROVIDES CANCER PATIENTS WITH FINANCIAL ASSISTANCE DURING THEIR TREATMENT PERIOD FOR COMPLEMENTARY HEALING SERVICES, SUCH AS ACUPUNCTURE, ACUPRESSURE, THERAPEUTIC MASSAGE, GUIDED/VISUAL IMAGERY, AND DEEP BREATHING MEDITATION. - THE HERS BREAST CANCER FOUNDATION, WHICH HELPS SUPPORT WOMEN HEALING FROM BREAST CANCER BY PROVIDING POST-SURGICAL PRODUCTS AND SERVICES, REGARDLESS OF FINANCIAL STATUS. THE SHC-VC MY HEART'S CONTENT PROGRAM PROVIDED LECTURES TO THE COMMUNITY ON CARDIOVASCULAR HEALTH. THE INFANT CPR PROGRAM PROVIDED CPR TRAINING TO THE COMMUNITY AT LARGE, AND WAS ALSO OFFERED FREE TO LOW-INCOME PARENTS OF NEWBORNS. SHC-VC HELD MATERNAL AND CHILD EDUCATION CLASSES TO PREPARE PARENTS FOR CHILDBIRTH. THESE CLASSES WERE OFFERED TO THE COMMUNITY AT LARGE AND WERE FREE TO LOW-INCOME PARENTS. SHC-VC ALSO SPONSORED A CLASS TO HELP SIBLINGS ADJUST TO A NEW BABY. IN ADDITION, SHC-VC PROVIDED EDUCATION FOR NEW MOTHERS ON THE BENEFITS AND IMPORTANCE OF BREASTFEEDING THEIR INFANTS. THE NEW MOMS SUPPORT GROUP SUPPORTED NEW MOTHERS WITH GUEST SPEAKERS WHO FOCUSED ON BREASTFEEDING AS A HEALTHY START TO LIFE. THE SHC-VC NEW MOM WELLNESS PROGRAM OFFERED BY LIFESTYLERX WAS AN EFFECTIVE WAY FOR NEW MOTHERS IN THE COMMUNITY TO INCREASE THEIR FITNESS AND FEEL BETTER WHILE COPING WITH A NEW BABY. THIS COMPREHENSIVE FOUR-WEEK PROGRAM TAUGHT METHODS OF GAINING ENERGY, LIVING A HEALTHY LIFESTYLE, AND BECOMING MOTIVATED TO TAKE CARE OF NEWLY-EXPANDED FAMILIES. IN FY19, THE SHC-VC HEALTH LIBRARY PROVIDED SCIENTIFICALLY BASED HEALTH INFORMATION TO ASSIST COMMUNITY MEMBERS IN MAKING MORE INFORMED DECISIONS ABOUT THEIR HEALTH AND HEALTH CARE. THE HEALTH LIBRARY IS OPEN TO THE COMMUNITY AND REACHES OUT TO THE LOCAL POPULATION, AS WELL AS TO ANYONE WHO USES THE INTERNET. THE LIBRARY HAS AN EXTENSIVE COLLECTION OF ONLINE HEALTH AND WELLNESS RESOURCES, INCLUDING MEDICAL WEBSITES AND FULL-TEXT ARTICLES. IT ALSO INCLUDES CONVENTIONAL HEALTH AND WELLNESS RESOURCES SUCH AS BOOKS, MEDICAL JOURNALS, PERIODICALS, AND VIDEOS. ALL INFORMATIONAL AND EDUCATIONAL MATERIALS ARE AVAILABLE IN ENGLISH AND SPANISH. SHC-VC PROVIDED FUNDING TO MARYLIN AVENUE ELEMENTARY SCHOOL IN LIVERMORE AND LYDIKSEN ELEMENTARY SCHOOL IN PLEASANTON TO FUND NEEDED EQUIPMENT FOR PHYSICAL EDUCATION. SHC-VC PROVIDED MEDICAL SUPPLIES AND FIRST AID TO A WIDE VARIETY OF LOCAL COMMUNITY EVENTS, SUCH AS RACES, PARADES, FESTIVALS, AND ATHLETIC EVENTS. FOR THOSE WITH DIABETES, SHC-VC OFFERED A MONTHLY DIABETES SUPPORT GROUP WITH OCCASIONAL GUEST SPEAKERS. ADDITIONALLY, SHC-VC HELD THE ANNUAL DIABETES EDUCATION SEMINAR TO EDUCATE TRI-VALLEY COMMUNITY MEMBERS ABOUT HEALTHY EATING HABITS AND PREVENTION OF PRE-DIABETES. SHC-VC STAFF CONDUCTED FREE BALANCE TESTING, EXPLAINED RESULTS, AND GAVE A PRESENTATION ABOUT FALL RISK FACTORS AND PREVENTION FOR PLEASANTON SENIOR SUPPORT SERVICES, OPEN TO THE COMMUNITY. A TOTAL OF 30 SENIORS ATTENDED. SPECIALIZED HEALTH CARE WORKFORCE TRAINING - SEE SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION RELATED TO PART II, LINE 8. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD HEALTH CARE: DAVID ENTWISTLE LINDA HOFF QUINN MCKENNA THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: MARK CULLEN MD TOPHER SHARP MD DAVID SVEC MD RON DALMAN MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD HEALTH CARE: DAVID ENTWISTLE JOHN GOLDMAN KAYE FOSTER-CHEEK THE FOLLOWING INDIVIDUALS ARE VOTING BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC DAVID ENTWISTLE LINDA HOFF THE FOLLOWING INDIVIDUALS ARE VOTING BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: DAVID ENTWISTLE LINDA HOFF THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: DAVID ENTWISTLE LINDA HOFF FORM 990, PART VI, SECTION A, LINE 6 STANFORD HEALTH CARE IS THE SOLE MEMBER OF SHC-VC. FORM 990, PART VI, SECTION A, LINE 7A STANFORD HEALTH CARE, AS THE SOLE MEMBER OF SHC-VC, APPOINTS ALL CLASS "B" DIRECTORS, AND APPROVES APPOINTMENT OF CLASS "A" DIRECTORS TO THE SHC-VC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS ARE RESERVED TO STANFORD HEALTH CARE, AS THE SOLE MEMBER OF SHC-VC: (A) APPOINTMENT AND REMOVAL OF ALL SENIOR LEADERSHIP AND ENGAGEMENT OF STANFORD UNIVERSITY TO PROVIDE LEGAL AND INTERNAL AUDIT SERVICES TO THE CORPORATION; (B) SELECTION OF THE AUDITORS OF THE CORPORATION; (C) AMENDMENT OF THESE BYLAWS, EXCEPT AS PROVIDED IN ARTICLE X; (D) APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OTHER THAN DEBT PROVIDED FOR IN AN APPROVED CAPITAL BUDGET APPROVED BY THE MEMBER; (E) APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; AND (F) APPROVAL OF STRATEGIC PLANS THAT HAVE BEEN DEVELOPED BY MANAGEMENT AND SUBMITTED FOR APPROVAL TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DEPARTMENT REVIEWS THE FORM 990 FOR ACCURACY, WITH INPUT FROM COMMUNITY BENEFITS DEPARTMENT PRIMARILY FOR SCHEDULE H. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FORM 990 IS SENT ELECTRONICALLY TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 WITH THE AUDIT COMMITTEE AND INVITES QUESTIONS. FOLLOWING THIS REVIEW, A FULL COPY OF THE FINAL RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. ONCE THESE STEPS ARE COMPLETE, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT SHC-VC. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHERMORE, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR KEY EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL DETERMINE THE APPROPRIATE COURSE OF ACTION. FORM 990, PART VI, SECTION B, LINES 15A & 15B SHC-VC UTILIZES THE SERVICES OF WILLIS TOWERS WATSON FOR COMPENSATION BENCHMARKING, ANALYSIS, AND REPORTING. THE BOARD OF DIRECTORS HAS A COMPENSATION SUB-COMMITTEE WHO REVIEW THE RESULTS OF THE COMPENSATION REVIEW AND IS ASSURED THAT TOTAL COMPENSATION IS CONSISTENT WITH THE MARKET. THIS PROCESS WAS LAST PERFORMED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING/ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: EQUITY TRANSFER - $6,381,153 THE BRD OF TRUST LELAND STANF JR UNIV 485 BROADWAY MAIL CODE 8838 REDWOOD CITY CA 94063 941156365 EDUCATION CA 501(C)(3) 2 NA false LUCILE PACKARD FOUNDATION FOR CHILDREN'S 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 770440090 HEALTHCARE CA 501(C)(3) 7 LPCH true LUCILE SALTER PACKARD CHILDRENS HOSPITAL 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true SHR HOLDINGS INC 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. 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SCHEDULE R, PART IV, LINE (4) CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (5) CHARITABLE LEAD UNITRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (6) CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (5) OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (6) POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, COLUMNS (F), (G), AND (H) RESPONSE IS "N/A" FOR ALL ORGANIZATIONS.