2017-05-15T13:03:48-05:00 2016-06-30 463781405 DB OLSEN & COMPANY LLP 500 YGNACIO VALLEY RD SUITE 328 WALNUT CREEK CA 94596 990 2015-07-01 770528349 CONCERN EMPLOYEE ASSISTANCE PROGRAM CONC 6509407265 2500 GRANT RD MOUNTAIN VIEW CA 940404032 MATT HARRIS CFO 6509407265 2017-05-13 1 DON OLSEN P00367469 9259338900 2015 2021-01-29 14:40:06Z MATT HARRIS 2500 GRANT RD MOUNTAIN VIEW CA 940404032 42327152 0 X N/A X 1999 CA TO PROVIDE AND PROMOTE AFFORDABLE HEALTH CARE TO RESIDENTS OF CALIFORNIA. CONCERN IS LICENSED BY THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE AND OFFERS LIMITED MENTAL HEALTH CARE ON A PREPAID BASIS TO EMPLOYEES OF SMALL, MEDIUM, AND LARGE EMPLOYER GROUPS. 3 1 0 0 0 0 2695472 2572709 10994196 13182719 371815 206473 0 0 14061483 15961901 3280159 3246178 0 0 5463305 5754051 0 0 0 3991097 5525478 12734561 14525707 1326922 1436194 13925465 15012123 2324737 2974408 11600728 12037715 X TO PROVIDE AND PROMOTE AFFORDABLE HEALTH CARE TO RESIDENTS OF CALIFORNIA. CONCERN IS LICENSED BY THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE AND OFFERS LIMITED MENTAL HEALTH CARE ON A PREPAID BASIS TO EMPLOYEES OF SMALL, MEDIUM, AND LARGE EMPLOYER GROUPS. 0 0 11759444 3246178 0 CONCERN'S EXEMPT PURPOSE IS TO PROVIDE AND PROMOTE AFFORDABLE HEALTH CARE TO RESIDENTS WHO LIVE WITHIN CALIFORNIA. IN ORDER TO ACCOMPLISH THIS PURPOSE, CONCERN IS LICENSED BY THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE AND OFFERS LIMITED MENTAL HEALTH CARE ON A PREPAID BASIS TO EMPLOYEES OF SMALL, MEDIUM, AND LARGE EMPLOYER GROUPS.CURRENTLY, CONCERN CONTRACTS WITH OVER 600 PROVIDERS WHO HAVE OFFICES THROUGHOUT CALIFORNIA AND HAVE AGREED TO PROVIDE SHORT-TERM COUNSELING TO CLIENTS OF SMALL, MEDIUM, AND LARGE EMPLOYER GROUPS. CONCERN'S INTENDED FOCUS IS TO PROVIDE MENTAL HEALTH CARE SERVICES TO EMPLOYEES IN THE BAY AREA.EMPLOYERS HAVE TOLD CONCERN THEY HAVE SELECTED THE SERVICES PROVIDED BY THE ORGANIZATION FOR THE FOLLOWING REASONS: 1) TO INCREASE PRODUCTIVITY, ENHANCE PERFORMANCE, AND PROMOTE THE OVERALL QUALITY OF LIFE OF EMPLOYEES AND THEIR FAMILIES; 2) TO PROVIDE SUPPORT AND CONSULTATION TO CORPORATE MANAGEMENT IN RESOLVING COMPLEX EMPLOYEE RELATION PROBLEMS; 3) TO DECREASE EMPLOYER COST BY REDUCING ABSENTEEISM AND TURNOVER. CONCERN BELIEVES THAT THE HEALTH CARE COVERAGE IT PROVIDES STRENGHTENS THE MENTAL HEALTH CARE RESOURCES AVAILABLE TO CLIENTS WHO DESIRE SUCH CARE. 0 0 0 PROGRAM DESCRIPTIONS:IN ORDER TO PROVIDE OUT-PATIENT HEALTH CARE TO LOW INCOME FAMILIES IN THE SAN FRANCISCO BAY AREA, CONCERN HAS ASSUMED THE MANAGEMENT AND OPERATION OF SIX PROGRAMS FORMERLY ADMINISTERED BY EL CAMINO HOSPITAL, CONCERN'S SOLE MEMBER. THESE PROGRAMS ARE:1) HEALTH LIBRARY AND RESOURCE CENTER2) ROADRUNNERS TRANSPORTATION SERVICE 3) ROTACARE FREE CLINIC4) IMMUNIZATION PROGRAM5) SOUTH ASIAN HEART CENTER6) CHINESE HEALTH INITIATIVE1) HEALTH LIBRARY AND RESOURCE CENTER:THE HEALTH LIBRARY AND RESOURCE CENTER ESTABLISHED IN 1986 IS DEDICATED TO HELPING SENIORS, COMMUNITY MEMBERS, PATIENTS AND THEIR FAMILIES FIND THE RESOURCES AND INFORMATION THEY NEED TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH. THE CENTER IS AVAILABLE TO THE COMMUNITY 45 HOURS PER WEEK. IT PROVIDES A WIDE RANGE OF FREE PROGRAMS AND SERVICES INCLUDING ELDERCARE CONSULTATION SERVICES, MEDICARE COUNSELING, SUPPORT GROUPS, ASSISTANCE COMPLETING AN ADVANCE HEALTH CARE DIRECTIVE, DIETITIAN AND PHARMACY CONSULTATIONS, AND HEALTH SCREENINGS. INDIVIDUALS SERVED FY 15: 18,425 FY 16: 15,843.THE LIBRARY IS DEDICATED TO HELPING PATIENTS, FAMILIES, PHYSICIANS, EMPLOYEES AND THE COMMUNITY TO FIND THE RESOURCES AND INFORMATION THEY NEED TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH. STAFFED BY PROFESSIONAL MEDICAL LIBRARIANS, INFORMATION REQUESTS CAN BE CONDUCTED IN PERSON, ON THE PHONE, OR ONLINE. A FREE MEMBERSHIP PROGRAM IS OFFERED TO ANYONE WHO WANTS TO RECEIVE HOME ACCESS TO MEDICAL AND CONSUMER HEALTH JOURNALS AND MEDICAL TEXTBOOKS ONLINE, FREE ARTICLES, AND LIBRARY CHECKOUT PRIVILEGES. 2011 2012 2013 2014 2015 2016VISITS 18,589 22,716 13,140 12,958 13,266 12,0582) ROADRUNNERS TRANSPORTATION SERVICE:THE ROADRUNNERS SENIOR TRANSPORTATION SERVICE, ESTABLISHED IN 1976, FILLS A CRITICAL GAP IN NORTHERN SANTA CLARA COUNTY'S SENIOR SERVICES BY PROVIDING PERSONALIZED, DOOR-TO-DOOR TRANSPORTATION TO MEDICAL AND OTHER ESSENTIAL APPOINTMENTS. RIDES PROVIDED FY15: 9,060 FY16: 9,534.3) ROTACARE FREE CLINIC:EVERY HUMAN BEING HAS A RIGHT TO THE BASICE ESSENTIALS OF FOOD, CLOTHING, SHELTER, AND GOOD HEALTH. IN SANTA CLARA COUNTY, THE HEART OF THE SILICON VALLEY, MANY INDIVIDUALS ARE WITHOUT MEDICAL INSURANCE OR ADEQUATE ACCESS TO HEALTH CARE SERVICES. THE ROTACARE FREE CLINIC OF MOUNTAIN VIEW WAS CREATED TO ADDRESS THE NEEDS OF THESE INDIVIDUALS AND THEIR FAMILIES. SINCE JANUARY 1996, THE ROTACARE CLINIC HAS BEEN A MEDICAL SAFETY NET FOR UNINSURED COMMUNITY MEMBERS. THE CLINIC PROVIDES BASIC NON-URGENT MEDICAL SERVICES, SOCIAL WORK CONSULTATIONS, PREVENTIVE CARE SERVICES, PATIENT EDUCATION, CHILDREN'S PHYSICALS, SHORT-TERM COUNSELING, CHRONIC ILLNESS CARE, NUTRITION COUNSELING, AND REFERRALS TO COMMUNITY RESOURCES. OVER 180 DEDICATED COMMUNITY DOCTORS, NURSES, PHYSICIAN ASSISTANTS, AND LAY INDIVIDUALS VOLUNTEER THEIR TIME AND EXPERTISE TO THE CLINIC. SPECIALTY SERVICES CURRENTLY INCLUDE OPTOMETRY, OPHTALMOLOGY, ENT, CARDIOLOGY, PODIATRY, NEPHROLOGY, DERMATOLOGY, GYNECOLOGY, ORTHOPEDICS, ENDOCRINOLOGY, AND RHEUMATOLOGY. FY 15: 2,220 (UNDUPLICATED) PEOPLE SERVED; FY 16: 776.ROTACARE CLINIC FILLS A NEED 2011 2012 2013 2014 2015 2016PATIENTS/UNIQUE 2,667 2,700 2,857 2,707 2,220 776PATIENT ENCOUNTERS 16,461 16,031 15,655 15,498 8,422 4,522ROTACARE CLINIC CLOSED MAY 2016.4) IMMUNIZATION PROGRAM:THE EL CAMINO HOSPITAL IMMUNIZATION PROGRAM WAS CREATED IN 1996 TO ADDRESS A GROWING NEED FOR IMMUNIZATION SERVICES FOR THE UNDERSERVED POPULATION IN THE NORTHERN SANTA CLARA COUNTY. WALK-IN CLINICS ARE PROVIDED ON FRIDAYS. VACCINES ARE FREE FOR CHILDREN AND A SMALL FEE IS CHARGED FOR ADULT SERVICES. IMMUNIZATION PROGRAM FILLS A NEED. FY15: 2,571 FY16: 1,080. 2011 2012 2013 2014 2015 2016PATIENTS 3,600 3,244 2,786 2,874 2,571 1,080SERVICES 11,090 9,666 8,246 8,624 7,949 3,010IMMUNIZATION PROGRAM CLOSED DECEMBER 2015.5) SOUTH ASIAN HEART CENTER:THE SOUTH ASIAN HEART CENTER, ESTABLISHED IN JUNE 2006, IS A RESPONSE TO THE EPIDEMIC OF HEART DISEASE IN THE SOUTH ASIAN COMMUNITY. SOUTH ASIANS, OR PEOPLE WHO ORIGINATE FROM THE INDIAN SUB-CONTINENT, FROM COUNTRIES SUCH AS BANGLADESH, INDIA, NEPAL, PAKISTAN AND SRI-LANKA, FACE A FOUR-FOLD INCREASED RISK OF CORONARY ARTERY DISEASE (CAD), DESPITE BEING VEGETARIAN, NON-SMOKERS, AND NON-OBESE. 55% OF HEART ATTACKS IN THIS COMMUNITY OCCUR BEFORE THE AGE OF 55. THE CENTER SCREENS INDIVIDUAL PARTICIPANTS FOR THEIR RISK FACTORS, EDUCATES AND COUNSELS THEM ON THE IMPACT OF THOSE RISKS, AND CUSTOMIZES A PLAN TO HELP MITIGATE THESE RISKS. THE CENTER PROVIDES LIFESTYLE MANAGEMENT INCLUDING NUTRITION COUNSELING, AND ON-GOING HEART HEALTH COACHING. THE SOUTH ASIAN HEART CENTER ADDRESSES AN UNMET NEED TO MORE COMPREHENSIVELY AND AGGRESIVELY SCREENED SOUTH ASIANS FOR THIS INCREASED RISK OF CAD AND HELP PREVENT HEART ATTACKS IN A YOUNGER POPULATION. FY15: 2,557 PEOPLE SERVED. FY16: 3,109. 2011 2012 2013 2014 2015 2016PEOPLE SERVED 1,051 1,887 1,420 2,164 2,557 3,1096) CHINESE HEALTH INITIATIVE:THE CHINESE HEALTH INITIATIVE (CHI), ESTABLISHED AT EL CAMINO HOSPITAL IN MARCH 2010, PROVIDES SCREENING AND COMMUNITY EDUCATION TO ADDRESS THE HEALTH NEEDS OF THE CHINESE COMMUNITY, AND SEEKS TO PROVIDE A CULTURALLY APPROPRIATE EXPERIENCE FOR CHINESE PATIENTS AND THEIR FAMILY/CAREGIVERS. THE CHINESE HEALTH INITIATIVE ALSO WORKS WITH CHINESE PHYSICIANS AND THE CHINESE MEDIA TO PROMOTE HEALTH LITERACY IN THE CHINESE COMMUNITY. FY15: 890 PEOPLE SERVED; 2,014 SERVICES. FY16: 1,080 PEOPLE SERVED; 1,813 SERVICES. 2011 2012 2013 2014 2015 2016PATIENTS SERVED 725 1,201 1,183 881 890 1,080 11759444 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 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 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MATT HARRIS 6509407265 2500 GRANT RD MOUNTAIN VIEW CA 94040 CECILE CURRIER DIRECTOR 20.00 20.00 X X 118687 177565 80070 MATT HARRIS CFO 3.00 40.00 X X 10972 206285 46074 KATHRYN FISK DIRECTOR 2.00 40.00 X 0 379390 62510 RICHARD S KATZMAN DIRECTOR 2.00 40.00 X 0 399019 64702 129659 1162259 253356 1 0 1 0 WORKPLACE OPTIONS INC 3200 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING 1927091 MVG CAPITAL LLC 1065 ASBURY ST SAN JOSE CA 95126 CONSULTING 359310 CLC INCORPORATED 4170 DOUGLAS BLVD GRANITE CA 95746 REFERRAL & TRAINING 322620 RIGHTSOURCING INC 570 LEXINGTON AVE NEW YORK NY 10022 CONSULTING 211108 PROTOCALL SERVICES 621 SW ALDER SUITE 400 PORTLAND OR 97205 COUNSELING 205484 5 2572709 2572709 COUNSELING SERVICES 624310 13182719 13182719 13182719 144914 144914 26426810 26365251 61559 61559 61559 15961901 13182719 0 206473 3246178 3246178 190136 190136 3548823 3091250 457573 276004 260150 15854 1411254 1129003 282251 327834 262267 65567 94629 75703 18926 118596 94877 23719 44000 35200 8800 336745 269396 67349 42421 33937 8484 60427 48342 12085 8891 7113 1778 376529 301223 75306 36663 29330 7333 124146 99317 24829 42449 33959 8490 23867 19094 4773 PURCHASED SERVICES 7022145 5617716 1404429 OTHER 356963 285019 71944 PRINTING & PUBLICATIONS 43448 34758 8690 MEDICAL SUPPLIES & EXPE 39737 31790 7947 -3246178 -3246178 14525707 11759444 2766263 0 1009370 1052848 316177 609585 199106 233021 1466876 1392170 117155 74706 12283657 13041963 13925465 15012123 2324737 2974408 2324737 2974408 X 11550728 11987715 50000 50000 11600728 12037715 13925465 15012123 X 1436194 386856 -1386063 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1466876 1392170 74706 74706 X 16348757 386856 386856 15961901 0 15961901 14525707 0 14525707 0 14525707 PART X, LINE 2: CONCERN IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND SECTION 23701F OF THE CALIFORNIA REVENUE AND TAXATION CODE AS A SOCIAL WELFARE ORGANIZATION AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, CONCERN IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. 1 PART I, LINE 2: EL CAMINO HOSPITAL REQUIRES DETAILED METRICS AND EXPENSE BUDGETS FOR ALL FUNDING PARTNERS AS PART OF THE PROPOSAL PROCESS. BOTH 6-MONTH AND ANNUAL TARGETS ARE REQUIRED FOR ALL METRICS. PARTNERS SUBMIT QUARTERLY VOLUME REPORTS AND DETAILED INTERIM AND FINAL REPORTS. THE INTERIM AND FINAL REPORTS SHOW PROGRESS ON METRICS AS WELL AS BUDGET INFORMATION ON HOW FUNDS HAVE BEEN USED. PARTNERS MUST REQUEST PERMISSION TO USE FUNDS IN ANY WAY THAT VARIES FROM THE APPROVED CONTRACT. SITE VISITS PROVIDE ADDITIONAL MONITORING OF FUND UTILIZATION. REPORTS ARE REVIEWED BY THE COMMUNITY BENEFIT DEPARTMENT STAFF. RESULTS ARE SHARED WITH THE COMMUNITY BENEFIT ADVISORY COUNCIL AND WITH THE BOARD THROUGH BI-ANNUAL PRESENTATIONS. X X X X X 0 0 0 0 0 0 0 0 0 CECILE CURRIER DIRECTOR 68454 177565 50233 0 0 0 14933 0 22324 42813 155944 220378 0 0 MATT HARRIS CFO 10972 190312 0 15973 0 0 12293 0 11657 22124 34922 228409 0 0 KATHRYN FISK DIRECTOR 0 312255 0 67135 0 0 10600 0 13250 38660 23850 418050 0 0 RICHARD S KATZMAN DIRECTOR 0 332085 0 66934 0 0 0 0 13250 51452 13250 450471 0 0 FORM 990, PART VI, SECTION A, LINE 6 EL CAMINO HOSPITAL, AN ORGANIZATION EXEMPT UNDER IRC SECTION 501(C)(3), IS THE SOLE MEMBER OF CONCERN AND HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF CONCERN. FORM 990, PART VI, SECTION A, LINE 7A EL CAMINO HOSPITAL, AN ORGANIZATION EXEMPT UNDER IRC SECTION 501(C)(3), IS THE SOLE MEMBER OF CONCERN AND HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF CONCERN. FORM 990, PART VI, SECTION A, LINE 7B EL CAMINO HOSPITAL, AN ORGANIZATION EXEMPT UNDER IRC SECTION 501(C)(3), IS THE SOLE MEMBER OF CONCERN AND HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF CONCERN. FORM 990, PART VI, SECTION B, LINE 11 UPON COMPLETION OF FORM 990, THE FORM IS PRESENTED TO THE BOARD AT ITS BOAR MEETING BY THE CFO FOR REVIEW AND DISCUSSION BEFORE IT IS FILED TO THE IRS AND MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE DEPARTMENT DISTRIBUTES CONFLICTS OF INTEREST FORMS ON AN ANNUAL BASIS TO MANAGERS, EXECUTIVES, AND THE BOARD ALONG WITH MEDICAL DIRECTORS, KEY CONSULTANTS, AND CONTRACTORS WHO OPERATE OUTSOURCED DEPARTMENTS. THE COMPLIANCE DIRECTOR REGULARLY MONITORS THE WRITTEN DISCLOSURES AND VERBAL REPORTING AS A REFERENCE AND ASSESSES IF AN INTEREST IN A TRANSACTION COULD BE DEEMED AS A CONFLICT TO THE ORGANIZATION. AS INDICATED IN THE POLICY, THE PROCEDURE TO DEAL WITH THE REPORTED CONFLICT IS REVIEWED BASED ON INDIVIDUAL REPORTING. IF THE INDIVIDUAL IS NOT A BOARD MEMBER, THE PROPOSED TRANSACTION IS REVIEWED WITH KEY MANAGERS IN CHARGE OF THE TRANSACTION ALONG WITH THE CEO AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT OF INTEREST EXISTS, APPROPRIATE STEPS TO MITIGATE OR ELIMINATE THE EFFECT OF THE POTENTIAL CONFLICT OF INTEREST WILL BE TAKEN. IF THE INDIVIDUAL IS A BOARD MEMBER, THE MATTER IS REPORTED TO THE CEO AND REFERRED AUTOMATICALLY TO THE HOSPITAL'S AD HOC INTEREST COMMITTEE FOR DETERMINATION AS TO WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS. A BOARD MEMBER MAY RECUSE THEMSELVES FROM THE MATTER WITHOUT FURTHER ACTION AND THE BOARD SHALL TAKE SUCH ACTION THAT SHALL BE NECESSARY TO MITIGATE ANY POTENTIAL CONFLICT OF INTEREST AS DESCRIBED. AT ALL TIMES, THE COMPLIANCE DEPARTMENT WILL ALSO UTILIZE LEGAL COUNSEL TO HELP EVALUATE POTENTIAL CONFLICTS AND PROVIDE AS ASSESSMENT TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 EL CAMINO HOSPITAL (THE "HOSPITAL" - AN IRS 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF CONCERN. AS THE HOSPITAL IS THE "PARENT" OF CONCERN, CONCERN ADOPTS AND FOLLOWS A NUMBER OF POLICIES AND PROCESSES OF THE HOSPITAL. AS SUCH, THE PROCESSES FOR DETERMINING COMPENSATION OF CONCERN'S CEO AND OTHER KEY EMPLOYEES, IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE HOSPITAL. THAT PROCESS IS DESCRIBED BELOW: THE COMPENSATION COMMITTEE (THE "COMMITTEE") IS THE BOARD OF DIRECTORS OF THE HOSPITAL AND IS MADE UP OF THE BOARD OF DIRECTORS, AND ONE OUTSIDE, INDEPENDENT MEMBER SELECTED BY THE BOARD. THE OUTSIDE MEMBER SELECTED BY THE BOARD IS INVOLVED IN THE REVIEWING AND RECOMMENDING OF COMPENSATION, BUT DOES NOT HAVE A VOTE IN THE DECISIONS/ACTIONS BY THE BOARD. ALL MEMBERS OF THE COMMITTEE ARE INDEPENDENT DIRECTORS WITH NO CONFLICT OF INTEREST REGARDING COMPENSATION AND BENEFITS FOR THE EXECUTIVES WHOSE COMPENSATION IS REVIEWED, RECOMMENDED, AND APPROVED BY THE BOARD. THE CEO IS NOT A MEMBER OF THE COMMITTEE, BUT MAY SERVE AS STAFF FOR THE COMMITTEE AS LONG AS THE CEO IS EXCUSED WHEN THE COMMITTEE IS REVIEWING THE CEO'S COMPENSATION. THE COMMITTEE HAS THE FOLLOWING RESPONSIBILITIES: - DEVELOP AND MAINTAIN A POLICY ON EXECUTIVE COMPENSATION. - DEVELOP AND MAINTAIN AN EXECUTIVE COMPENSATION AND BENEFIT PROGRAM CONSISTENT WITH THE POLICY APPROVED BY THE BOARD. - DETERMINE COMPENSATION, BENEFITS, PREREQUISITES, AND CONTRACT TERMS FOR THE CEO. - DETERMINE ANY SALARY INCREASE AND ANY PERFORMANCE COMPENSATION INCENTIVE BASED ON THE COMMITTEE'S EVALUATION OF THE CEO'S PERFORMANCE. - REVIEW, CHANGE, AND APPROVE THE CEO'S SALARY AND PERFORMANCE INCENTIVE RECOMMENDATIONS FOR THE EXECUTIVE STAFF WHOSE COMPENSATION IS SUBJECT TO REVIEW BY THE COMMITTEE. - OVERSEE AND MAINTAIN ADMINISTRATIVE CONTROL OF THE EXECUTIVE PERFORMANCE PLAN(S) BY SETTING GOALS FOR THE CEO, AND APPROVING THE GOALS RECOMMENDED BY THE CEO FOR THE EXECUTIVE STAFF. - CONDUCT ANNUAL APPRAISAL OF THE CEO'S PERFORMANCE. - PERIODICALLY EVALUATE THE EXECUTIVE COMPENSATION PROGRAM, INCLUDING CHARTER, POLICIES, AND PHILOSOPHY ON WHICH IT IS BASED, TO ASSESS ITS EFFECTIVENESS IN MEETING THE NEEDS FOR RECRUITING, RETAINING, AND MOTIVATING QUALIFIED LEADERS. - PERIODICALLY REVIEW THE TOTAL VALUE, COST, AND REASONABLENESS OF SEVERANCE AND RETIREMENT BENEFITS FOR CEO AND EXECUTIVE STAFF. - REVIEWS AND APPROVES ALL BUSINESS TRAVEL AND ENTERTAINMENT EXPENSES OF THE CEO. PROCESS: THE COMMITTEE FOLLOWS A PROCESS THAT MEETS ALL APPLICABLE LEGAL REQUIREMENTS AND WHICH PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE EXECUTIVE COMPENSATION POLICY: - PREPARE MINUTES FOR EACH MEETING TO RECORD THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS AND MAINTAIN RECORDS THAT ADDRESS CONFLICT OF INTEREST AND APPROPRIATE COMPARABILITY DATA. - SELECT, ENGAGE, AND SUPERVISE ANY CONSULTANT HIRED BY THE HOSPITAL TO ADVISE THE COMMITTEE ON EXECUTIVE COMPENSATION ISSUES. - PERIODICALLY EVALUATE THE APPROPRIATENESS OF THE COMPENSATION COMMITTEE CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE COMPENSATION AND REPORT THIS EVALUATION TO THE BOARD OF DIRECTORS. - PROVIDE THE BOARD OF DIRECTORS WITH REGULAR REPORTS OF THE COMMITTEE'S ACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES AVAILABLE THE FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND AUDITED FINANCIAL STATEMENTS UPON REQUEST BY HAVING THEM AVAILABLE DURING NORMAL BUSINESS HOURS FOR REVIEW, OR IF REQUESTED WILL BE MAILED TO THE REQUESTOR. FORM 990, PART XI, LINE 9: TRANSFER OF INVESTMENT ASSETS TO RELATED PARTY -1,386,063. SILICON VALLEY MEDICAL DEVELOPMENT LLC 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 263021328 SUPPORT OF HOSPITAL INITIATIVES CA EL CAMINO HOSPITAL EL CAMINO HOSPITAL 2500 GRANT RD MOUNTAIN VIEW CA 94040 943167314 HOSPITAL CA 501(C)(3) 509(A)(1) N/A 0 EL CAMINO HOSPITAL FOUNDATION 2500 GRANT RD MOUNTAIN VIEW CA 94040 942823235 CHARITABLE CA 501(C)(3) 509(A)(1) EL CAMINO HOSPITAL 0 EL CAMINO SURGERY CENTER 2480 GRANT ROAD MOUNTAIN VIEW CA 94040 770163409 MEDICAL SERVICE CA N/A 0 0 EL CAMINO LABNET INC 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 770537825 MED SERVICE CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0