STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

STANFORD HEALTH CARE TRI-VALLEY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
STANFORD HEALTH CARE TRI-VALLEY (EIN 94-1429628)
Tax period
2015-09-01 to 2016-08-31
Filed
2017-07-13
IRS object ID
201711949349301196
Schema version
2015v3.0
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-07-13T17:35:10-05:00ReturnTs
Tax Period End2016-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVDAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941429628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL COMMITTEE FOR THE LIVERMORE-BusinessNameLine1Txt
Business Name Line2PLEASANTON AREASBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% NICOLE PEDIGOInCareOfNm
Business Name ControlHOSPBusinessNameControlTxt
Phone9253738000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BOULEVARDAddressLine1Txt
CityLIVERMORECityNm
State AbbreviationCAStateAbbreviationCd
ZIP94550ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT GREGERSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9253738000PhoneNum
Signature2017-07-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1STANFORD HEALTH CARE - VALLEYCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSCOTT GREGERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BOULEVARDAddressLine1Txt
CityLIVERMORECityNm
State AbbreviationCAStateAbbreviationCd
ZIP94550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$275,553,059GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1649TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$423,304TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$147,543NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$63,336CYContributionsGrantsAmt
PY Program Service Revenue$45,204,589PYProgramServiceRevenueAmt
CY Program Service Revenue$266,181,742CYProgramServiceRevenueAmt
PY Investment Income$9,346PYInvestmentIncomeAmt
CY Investment Income$58,352CYInvestmentIncomeAmt
PY Other Revenue$2,332,411PYOtherRevenueAmt
CY Other Revenue$6,998,325CYOtherRevenueAmt
PY Total Revenue$47,546,346PYTotalRevenueAmt
CY Total Revenue$273,301,755CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,171,806PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$141,150,986CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,646,225PYOtherExpensesAmt
CY Other Expenses$121,856,717CYOtherExpensesAmt
PY Total Expenses$42,818,031PYTotalExpensesAmt
CY Total Expenses$263,007,703CYTotalExpensesAmt
PY Revenues Less Expenses$4,728,315PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,294,052CYRevenuesLessExpensesAmt
Total Assets BOY$234,035,374TotalAssetsBOYAmt
Total Assets EOY$249,322,259TotalAssetsEOYAmt
Total Liabilities BOY$131,248,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$132,589,137TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$102,786,484NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$116,733,122NetAssetsOrFundBalancesEOYAmt
MissionSTANFORD HEALTH CARE - VALLEYCARE'S MISSION IS TO (1) ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY AND (2) TO CARE, TO EDUCATE, AND TO DISCOVER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$239,369,255ExpenseAmt
Grant$0GrantAmt
Revenue$272,253,767RevenueAmt
DescOPERATION 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 MEDI-CAL, 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. EDUCATION AND SUPPORT PROGRAMS LIFESTYLERX IS A 70,000-SQUARE-FOOT WELLNESS CENTER PROVIDING COMPREHENSIVE, MEDICAL-BASED, HIGH-QUALITY EDUCATION AND FITNESS SERVICES. SHC-VC'S LIFESTYLERX SCHOLARSHIP PROGRAM PROVIDES LOW-INCOME MEMBERS OF THE COMMUNITY WITH THE OPPORTUNITY TO ACHIEVE THEIR MAXIMUM HEALTH, FITNESS AND WELL-BEING POTENTIAL. FOR LOW-INCOME SENIORS WHO LIVE ALONE AND CANNOT SHOP AND PREPARE MEALS FOR THEMSELVES, SHC-VC OFFERS THE MEALS ON WHEELS PROGRAM IN LIVERMORE, PLEASANTON, DUBLIN AND SUNOL. THROUGH ITS CANCER EDUCATION AND AWARENESS, CANCER PREVENTION, SMOKING CESSATION AND SKIN CANCER EDUCATIONAL PROGRAMS, SHC-VC IMPROVES AWARENESS OF THE SYMPTOMS OF CANCER FOR THOSE MOST VULNERABLE TO CANCER. SHC-VC ALSO PROVIDES AMERICAN CANCER SOCIETY (ACS) CANCER SCREENING FOR MEN AND WOMEN, AND PROVIDES LIBRARY RESOURCES FOR THE COMMUNITIES IT SERVES. IN ADDITION, THROUGH ITS CANCER SUPPORT GROUP AND BREAST CANCER SUPPORT GROUP, SHC-VC OFFERS DISCUSSION AND EDUCATION FOR THOSE WHO HAVE BEEN DIAGNOSED WITH CANCER. LIFESTYLERX'S CANCER SURVIVORSHIP WELLNESS PROGRAM IS A COMPONENT OF STANFORD HEALTH CARE - VALLEYCARE'S CANCER REHABILITATION STAR (SURVIVORSHIP TRAINING AND REHABILITATION) PROGRAM. THE PROGRAM IS DESIGNED TO HELP ALL THOSE WHO ARE SUFFERING FROM CANCER BECOME MORE INDEPENDENT, AND HELP THEM FIND WAYS TO MANAGE THE SIDE EFFECTS AND THEIR RECOVERY FROM CANCER TREATMENT. ACCESS TO INFORMATION AND SERVICES SHC-VC PROVIDES A WIDE VARIETY OF INFORMATION AND SERVICES TO THE BROADER COMMUNITY. THE SHC-VC MY HEART'S CONTENT PROGRAM PROVIDES LECTURES TO THE COMMUNITY ON CARDIOVASCULAR HEALTH. THE INFANT CPR PROGRAM PROVIDES CPR TRAINING TO THE COMMUNITY AT LARGE, AND IS ALSO OFFERED FREE TO LOW-INCOME PARENTS OF NEWBORNS. CHILDBIRTH PREPARATION CLASSES, WHICH PREPARE PARENTS FOR CHILDBIRTH, ARE OFFERED TO THE COMMUNITY AT LARGE, AND ALSO ARE FREE TO LOW-INCOME PARENTS. SHC-VC ALSO SPONSORS A SIBLINGS CLASS FOR FAMILIES WITH CHILDREN, HELPING SIBLINGS ADJUST TO A NEW BABY. THE SHC-VC E-HEALTH NEWSLETTER IS AN INNOVATIVE, FREE SERVICE TO THE COMMUNITY, PATIENTS, EMPLOYEES AND FRIENDS THAT ALLOWS THEM TO RECEIVE PERSONALIZED INFORMATION ON HEALTH ISSUES THAT MATTER MOST TO EACH ONE OF THEM. THE E-NEWSLETTER PROVIDES ONLINE ACCESS TO VALUABLE, INDIVIDUALIZED HEALTH INFORMATION. E-NEWSLETTERS AND REMINDERS ARE SENT MONTHLY TO THE SUBSCRIBED DATABASE VIA EMAIL ADDRESSES. THE SHC-VC AMERICAN HEART ASSOCIATION TRAINING CENTER CONDUCTS CLASSES THROUGHOUT THE YEAR, TEACHING COMMUNITY MEMBERS CPR AND PROVIDING THEM WITH AMERICAN HEART ASSOCIATION CARDS AS PROOF OF CLASS COMPLETION. THE VALLEYCARE HEALTH LIBRARY AND RYAN COMER CANCER RESOURCE CENTER, ESTABLISHED IN 1991 AND OPEN TO THE PUBLIC, OFFERS FREE ACCESS TO EASY-TO-UNDERSTAND, UP-TO-DATE HEALTH AND MEDICAL INFORMATION. LOCATED IN THE SAME BUILDING AS THE REGIONAL CANCER CENTER AT VALLEYCARE, THE VALLEYCARE HEALTH LIBRARY OFFERS EVERYONE IN THE VALLEYCARE SERVICE AREA SUPPORT AND EDUCATION IN A COMFORTABLE AND RELAXED ATMOSPHERE. THE CENTER HAS THE LARGEST COLLECTION OF CANCER-RELATED EDUCATION MATERIALS IN NORTHERN CALIFORNIA. THE LIBRARY IS STAFFED BY TRAINED VOLUNTEERS AND SUPPORT STAFF WHO GUIDE CANCER PATIENTS AND FAMILIES THROUGH THE TREATMENT PROCESS. IN ADDITION, CANCER PATIENTS RECEIVE A PERSONALIZED HANDBOOK TO HELP THEM KEEP TRACK OF INFORMATION, MEDICATIONS, TREATMENT RECORDS AND APPOINTMENTS. HEALTHY EATING AND PHYSICAL ACTIVITY AS OBESITY IS A MAJOR HEALTH ISSUE IN THE TRI-VALLEY AREA, OBESITY EDUCATION AND PREVENTION IS A TOP FOCUS FOR SHC-VC. MORE THAN 31 PERCENT OF LATINO CHILDREN IN THE DUBLIN SCHOOL DISTRICT AND MORE THAN 37 PERCENT OF BOTH AFRICAN AMERICAN AND LATINO CHILDREN IN THE LIVERMORE SCHOOL DISTRICT ARE OVERWEIGHT. SHC-VC CONDUCTED A WIDE VARIETY OF PROGRAMS ON HEALTHY EATING FOR THE BROADER COMMUNITY OVER THE PAST YEAR, BEGINNING WITH EDUCATION OF NEW MOTHERS ON THE BENEFITS AND IMPORTANCE OF BREASTFEEDING THEIR INFANTS. THE NEW MOMS SUPPORT GROUP SUPPORTS NEW MOTHERS WITH GUEST SPEAKERS WHO FOCUS ON BREASTFEEDING AS A HEALTHY START TO LIFE. SHC-VC ALSO PROVIDED TRAINING FOR YOUTHFUL ATHLETES AND TREATED ATHLETIC INJURIES AT YOUTH SPORTING EVENTS. THE PHYSICAL AND SPORTS MEDICINE PROGRAM PROVIDES EDUCATION ABOUT FITNESS, NUTRITION AND SAFETY, AND PROMOTES PHYSICAL FITNESS AND SAFE PLAY FOR THE INDIVIDUALS PARTICIPATING IN ORGANIZED SPORTS. SHC-VC ALSO PROVIDES MEDICAL SUPPLIES FOR FIRST AID TO LOCAL COMMUNITY EVENTS. IN ITS YOGA FOR CANCER PROGRAM, SHC-VC PROVIDES A COMMUNITY SUPPORT GROUP THAT TEACHES AND PRACTICES YOGA FOR THOSE SUFFERING FROM CANCER AND FOR THE FAMILIES OF CANCER SUFFERERS. THE ANNUAL DIABETES EDUCATION SEMINAR EDUCATES TRI-VALLEY COMMUNITY MEMBERS ON HEALTHY EATING HABITS AND PREVENTION OF PRE-DIABETES. FOR THOSE WHO LIVE WITH DIABETES, SHC-VC OFFERS A MONTHLY DIABETES SUPPORT GROUP REVIEWING VARIOUS CLINICAL TOPICS, WITH OCCASIONAL GUEST SPEAKERS. FOR THE NUTRITION NEEDS OF SENIOR MEMBERS OF THE COMMUNITY, SHC-VC MADE PRESENTATIONS IN LIVERMORE AND PLEASANTON ON SENIOR NUTRITION. THESE EDUCATIONAL PROGRAMS HELP SENIORS UNDERSTAND THE CONNECTION BETWEEN GOOD NUTRITION AND A LONG, HEALTHY LIFE. THE SHC-VC NEW MOM WELLNESS PROGRAM OFFERED BY LIFESTYLERX IS AN EFFECTIVE WAY FOR NEW MOTHERS IN THE COMMUNITY TO GET BACK IN SHAPE AND FEEL BETTER. THIS COMPREHENSIVE FOUR-WEEK PROGRAM TEACHES METHODS OF GAINING ENERGY, LIVING A HEALTHY LIFESTYLE AND BECOMING MOTIVATED TO TAKE CARE OF NEW FAMILIES. CHRONIC HEALTH CONDITIONS THE SHC-VC HEALING TOUCH PROGRAM ENSURES THAT EACH PERSON IN THE COMMUNITY RECEIVING CANCER TREATMENT IS OFFERED SUPPORTIVE CARE IMPLEMENTING HEALING TOUCH TECHNIQUES TO SUPPORT THE PERSON AS A WHOLE AND TO MANAGE SYMPTOMS OF PAIN, MALAISE, NAUSEA AND/OR STRESS. THE 2015 BREAST CANCER SYMPOSIUM HOSTED BY SHC-VC, "ADVANCES IN BREAST CANCER, FROM DNA TO DRUGS," ENSURED THAT COMMUNITY MEMBERS ARE UP-TO-DATE ON CURRENT SCREENING AND TREATMENT RECOMMENDATIONS. THE LOOK GOOD FEEL BETTER PROGRAM PROVIDES A SUPPORT GROUP FOR WOMEN DEALING WITH THE SIDE EFFECTS OF CANCER TREATMENT. SPECIALLY TRAINED VOLUNTEERS TEACH SELF-CARE, BEAUTY AND PSYCHOLOGICAL SUPPORT, PROVIDE WIGS AND SCARVES, AND CONDUCT DEMONSTRATIONS FOR COPING WITH HAIR LOSS. STANFORD HEALTH CARE - VALLEYCARE SUPPORTS HEALTH RESEARCH, EDUCATION, AND TRAINING IN A WIDE VARIETY OF PROGRAMS. SPECIALIZED HEALTH CARE WORKFORCE TRAINING IN THE DIETETICS INTERNSHIP PROGRAM, SHC-VC STAFF SUPERVISES NUTRITION AND DIETETIC GRADUATES AND/OR STUDENTS THROUGH CLINICAL NUTRITION AND/OR FOOD SERVICE ROTATIONS AS THEY LEARN AND PERFORM PROFESSIONAL AND TECHNICAL TASKS ACCORDING TO NATIONAL COMPETENCY STANDARDS. STUDENT INTERNS ROTATE THROUGH VARIOUS HOSPITAL UNITS WITH STAFF AND ADMINISTRATIVE/MANAGEMENT DIETITIANS SO THAT THEY CAN EXPERIENCE ALL DIMENSIONS OF THE DEPARTMENT OPERATION. EACH STAFF REGISTERED DIETITIAN WHO IS RESPONSIBLE FOR SERVING AS A PRECEPTOR FOR THE INTERN DEVOTES AN AVERAGE OF 25 PERCENT OF HIS/HER TIME TO THE INTERN'S SUPERVISION. SHC-VC PROVIDES PRECEPTORS FOR GRADUATE NURSING STUDENTS. STUDENTS RECEIVE EXPOSURE AND EXPERIENCE TO NURSE PRACTITIONER, NURSING ADMINISTRATION AND CLINICAL NURSE SPECIALIST POSITIONS. IN CONNECTION WITH CHABOT COLLEGE, SAMUEL MERRITT UNIVERSITY SCHOOL OF NURSING, CAL STATE UNIVERSITY EAST BAY, OHLONE AND CALIFORNIA STATE UNIVERSITY DOMINGUEZ HILLS, SHC-VC REGISTERED NURSES IN MULTIPLE NURSING UNITS, INCLUDING MEDICAL/SURGICAL AND INTENSIVE CARE UNITS, PROVIDE DIRECT SUPERVISION TO STUDENT NURSES IN A CLINICAL ENVIRONMENT. EACH STUDENT HAS A ROTATION OF 380 HOURS PER SEMESTER. SHC-VC ALSO PROVIDES MENTORING EDUCATION FOR THE UC SAN DIEGO LACTATION CERTIFICATION PROGRAM. FINALLY, SHC-VC PROVIDES SURGICAL TECHNOLOGY TRAINING FOR SURGICAL TECHNOLOGY STUDENTS IN THE OPERATING ROOM, SUPERVIDesc
Total Program Service Expenses$239,369,255TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document199IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1649EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICOLE PEDIGOPersonNm
Phone9253738006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BOULEVARDAddressLine1Txt
CityLIVERMORECityNm
State AbbreviationCAStateAbbreviationCd
ZIP94550ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAJNEESH BEHAL
DIRECTOR1.650.4Yes (X)$0$785,614$34,015
KEVIN BOOTH
DIRECTOR2.02.2Yes (X)$0$0$0
MARK CULLEN
DIRECTOR (AS OF 01/16)1.650.4Yes (X)$0$461,238$39,406
KAYE FOSTER-CHEEK
DIRECTOR1.62.4Yes (X)$0$0$0
JOHN GOLDMAN
DIRECTOR1.62.4Yes (X)$0$0$0
JAMES HEREFORD
DIRECTOR1.652.4Yes (X)$0$1,186,665$147,275
LLOYD B MINOR MD
DIRECTOR1.655.4Yes (X)$0$1,716,675$346,555
DANIEL MORISSETTE
BOARD CHAIR (THROUGH 01/16)1.652.65Yes (X)$0$1,375,246$63,481
RANDY POND
DIRECTOR (AS OF 01/16)2.02.2Yes (X)$0$0$0
AMIR DAN RUBIN
DIRECTOR (THROUGH 12/15)1.655.4Yes (X)$0$3,329,157$369,750
JOHN SENSIBA
DIRECTOR2.02.2Yes (X)$0$0$0
JENNIFER VARGAS
DIRECTOR1.651.65Yes (X)$0$806,089$63,647
ALCINA WEGRZYNOWSKI
DIRECTOR2.02.2Yes (X)$0$0$0
DAVID J CONNOR
INTERIM CFO (AS OF 08/16)1.650.65$0$515,137$44,205Yes (X)
SCOTT GREGERSON
PRESIDENT47.82.2$526,520$0$35,107Yes (X)
DOUGLAS GUNDERSON
COO (THROUGH 06/16)25.025.0$0$568,440$94,540Yes (X)
BENJIE M LOANZON
CFO (THROUGH 08/16)20.030.4$0$580,826$50,464Yes (X)
GINA TEEPLES
CNO50.00.0$208,151$0$11,410Yes (X)
DOMINADOR BRIONES
VP OF FINANCE50.00.0$226,171$0$26,022Yes (X)
DOREEN MAPLES
VP COMPLIANCE & QUALITY50.00.0$230,861$0$22,043Yes (X)
ROBIN AMERSON
REGISTERED NURSE50.00.0$243,330$0$15,002Yes (X)
STEPHANIE CHEN
REGISTERED NURSE50.00.0$242,430$0$28,351Yes (X)
MAREN EGBERT
REGISTERED NURSE50.00.0$236,897$0$20,166Yes (X)
PAUL MUSER
LEAD MULTI-MODALITY TECH50.00.0$283,018$0$34,783Yes (X)
DENISE MAVROGIANIS
REGISTERED NURSE50.00.0$217,019$0$21,960Yes (X)
LAVERN BROWN
VP GENERAL SERVICES0.00.0$288,313$0$34,515Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,702,710TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,325,087TotReportableCompRltdOrgAmt
Total Other Compensation$1,502,697TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K468IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SIEMENS MEDICAL SOLUTIONS
DEPT LA 21536PASADENACA911851536IT SERVICES$1,321,541
RENOVO SOLUTIONS LLC
1801 E PARKCOURT PLACE STE 206SANTA ANACA92701MEDICAL EQUIP SRVCS$1,299,964
CHMB
700 LA TERRAZA BLVD SUITE 200ESCONDIDOCA92025BILLING SERVICES$1,206,326
MEDICAL ANAESTHESIA CONSULTANTS
PO BOX 512107LOS ANGELESCA900510107PHYSICIAN SERVICES$1,033,893
REGENTS OF UCSF
505 16TH STREET BOX 0110SAN FRANCISCOCA94143PHYSICIAN SERVICES$968,545
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
All Other Contributions$63,336AllOtherContributionsAmt
Total Contributions$63,336TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621990$264,212,954$263,789,650$423,304
REIMBURSED/SHARED EXPENSES900099$1,968,788$1,968,788
FieldValueIRS element (for citing)
Total Program Service Revenue$266,181,742TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,223TotalRevenueColumnAmt
Exclusion$75,223ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,901,094RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,234,433RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$666,661RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$666,661TotalRevenueColumnAmt
Exclusion$666,661ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$16,871OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$16,871OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$16,871TotalRevenueColumnAmt
Exclusion-$16,871ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
DIETARY SERVICES900099$1,142,011$1,142,011
MONTHLY DUES-LIFESTYLE624310$2,898,250$2,898,250
K-1 INCOME900099$259,639$259,639

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,031,764TotalRevenueColumnAmt
Related Or Exempt Func Income$2,031,764RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,331,664OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$273,301,755TotalRevenueColumnAmt
Related Or Exempt Func Income$271,830,463RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$423,304UnrelatedBusinessRevenueAmt
Exclusion$984,652ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,089,171TotalAmt
Management And General$1,089,171ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$97,872,179TotalAmt
Program Services$93,598,440ProgramServicesAmt
Management And General$4,273,739ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,807,361TotalAmt
Program Services$3,576,635ProgramServicesAmt
Management And General$230,726ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,388,102TotalAmt
Program Services$28,737,079ProgramServicesAmt
Management And General$1,651,023ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,994,173TotalAmt
Program Services$7,596,734ProgramServicesAmt
Management And General$397,439ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,392,813TotalAmt
Management And General$2,392,813ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$344,551TotalAmt
Management And General$344,551ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,014,652TotalAmt
Program Services$10,419,374ProgramServicesAmt
Management And General$1,595,278ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,887,879TotalAmt
Program Services$8,777,353ProgramServicesAmt
Management And General$1,110,526ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,957,212TotalAmt
Program Services$4,774,327ProgramServicesAmt
Management And General$3,182,885ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,352,708TotalAmt
Program Services$10,206,021ProgramServicesAmt
Management And General$146,687ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136,455TotalAmt
Program Services$78,824ProgramServicesAmt
Management And General$57,631ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$103,423TotalAmt
Program Services$72,012ProgramServicesAmt
Management And General$31,411ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,332,039TotalAmt
Program Services$2,469,433ProgramServicesAmt
Management And General-$137,394ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,339,382TotalAmt
Program Services$8,957,791ProgramServicesAmt
Management And General$381,591ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,752,224TotalAmt
Program Services$1,319,775ProgramServicesAmt
Management And General$432,449ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$39,069,729$39,003,395$66,334
PURCHASED SERVICES$14,108,399$8,517,861$5,590,538
HOSPITAL QUALITY ASSUR FEE$10,352,392$10,352,392
DUES AND SUBSCRIPTIONS$665,161$273,282$391,879

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,047,698TotalAmt
Program Services$638,527ProgramServicesAmt
Management And General$409,171ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$263,007,703TotalAmt
Program Services$239,369,255ProgramServicesAmt
Management And General$23,638,448ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,070,058BOYAmt
EOY$32,824,751EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,823,205BOYAmt
EOY$29,872,976EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,271,209BOYAmt
EOY$34,207,964EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$200,000BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,736,649BOYAmt
EOY$5,341,850EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,256,038BOYAmt
EOY$930,027EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$138,981,993LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,693,286LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$132,760,511BOYAmt
EOY$126,288,707EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,658,174BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,216,446BOYAmt
EOY$1,117,979EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,043,084BOYAmt
EOY$18,738,005EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$234,035,374BOYAmt
EOY$249,322,259EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,401,862BOYAmt
EOY$48,099,298EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$148,540BOYAmt
EOY$122,090EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,947,462BOYAmt
EOY$4,869,755EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,751,026BOYAmt
EOY$79,497,994EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$131,248,890BOYAmt
EOY$132,589,137EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$102,766,374BOYAmt
EOY$116,156,056EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,110BOYAmt
EOY$577,066EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$102,786,484BOYAmt
EOY$116,733,122EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$234,035,374BOYAmt
EOY$249,322,259EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,294,052ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,652,586OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$12,307OtherActivitiesAmt
Total Lobbying Expenditures$12,307TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: SHC-VC BELONGS TO THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATION MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY16, SHC-VC PAID DUES OF APPROXIMATELY $104,655 TO THESE ORGANIZATIONS AND THE APPROXIMATE AMOUNT OF DUES SPENT ON LOBBYING PURPOSES WAS $12,307.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,524,005OtherCostOrOtherBasisAmt
Book Value$35,524,005BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,744,655OtherCostOrOtherBasisAmt
Depreciation$4,314,941DepreciationAmt
Book Value$68,429,714BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,332,600OtherCostOrOtherBasisAmt
Depreciation$2,017,690DepreciationAmt
Book Value$4,314,910BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,056,113OtherCostOrOtherBasisAmt
Depreciation$5,746,561DepreciationAmt
Book Value$14,309,552BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,324,620OtherCostOrOtherBasisAmt
Depreciation$614,094DepreciationAmt
Book Value$3,710,526BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$126,288,707TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DEPOSITS$848,969
EQUITY INVESTMENT (PPA-I)$1,684,959
EQUITY INVESTMENT (PPA-II)$7,184,180
HOSP QUAL ASSURANCE RECEIVABLE$2,790,867
NON PATIENT RECEIVABLES$3,536,969
INTERCOMPANY RECEIVABLES$2,692,061
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,738,005TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
MINIMUM PENSION LIABILITY$2,644,594
SELF INSURANCE RESERVES$6,004,119
INTERCOMPANY NOTE$67,279,073
REFUNDABLE DEPOSITS$12,396
DEFERRED RENT$595,202
ESTIMATED 3RD PARTY PAYOR STTL-$76,047
HOSPITAL QUALITY ASSURANCE PAY$2,739,198
INTERCOMPANY PAYABLE$299,459
FieldValueIRS element (for citing)
Total Liability$79,497,994TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationFIN 48 SHC AND ITS SUBSIDIARIES HAVE NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$994,910TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$994,910NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,113,487TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,870,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,242,738NetCommunityBenefitExpnsAmt
Total Expense0.02370TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,107,117TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,228,432DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,878,685NetCommunityBenefitExpnsAmt
Total Expense0.05660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,215,514TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,099,181DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,116,333NetCommunityBenefitExpnsAmt
Total Expense0.08410TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served15307PersonsServedCnt
Total Community Benefit Expns$1,006,448TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$125,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$880,540NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served169PersonsServedCnt
Total Community Benefit Expns$1,504,919TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,504,919NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$24,977TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,977NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served60PersonsServedCnt
Total Community Benefit Expns$15,107TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,107NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Persons Served15736PersonsServedCnt
Total Community Benefit Expns$2,551,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$125,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,425,543NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Persons Served15736PersonsServedCnt
Total Community Benefit Expns$38,766,965TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,225,089DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,541,876NetCommunityBenefitExpnsAmt
Total Expense0.09330TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served155PersonsServedCnt
Total Community Benefit Expns$238,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$238,473NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served155PersonsServedCnt
Total Community Benefit Expns$238,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$238,473NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$12,416,239BadDebtExpenseAmt
Reimbursed By Medicare$76,919,690ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$110,014,185CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$33,094,495MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL COMMITTEE FOR THE L-P AREASBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BLVDAddressLine1Txt
CityLIVERMORECityNm
State AbbreviationCAStateAbbreviationCd
ZIP94550ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.VALLEYCARE.COMWebsiteAddressTxt
State License140000114StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherLIFESTYLERX MEDICAL FITNESS FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL COMMITTEE FOR THE L-P AREASBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.VALLEYCARE.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.VALLEYCARE.COMStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BTWO 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 2ON SEPTEMBER 23, 2014, SHC ENTERED INTO AN AFFILIATION AGREEMENT WITH THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (DBA STANFORD HEALTH CARE - VALLEYCARE "SHC-VC"), WHICH WILL ADVANCE LEADING EDGE AND HIGHLY COORDINATED CARE IN THE BAY AREA. UNDER THIS AGREEMENT, SHC WAS SUBSTITUTED AS THE SOLE CORPORATE MEMBER OF SHC-VC WITH THE ASSOCIATED CONTROL OF SHC-VC, INCLUDING VALLEY MEMORIAL HOSPITAL ("VMH"), VALLEYCARE MEDICAL CENTER ("VCMC"), VALLEYCARE MEDICAL FOUNDATION ("VCMF"), AND VALLEYCARE SENIOR HOUSING, INC. ("VCSH"). ON MAY 18, 2015, WITH ALL CONDITIONS OF THE AFFILIATION AGREEMENT SATISFIED AND ALL REGULATORY APPROVALS OBTAINED, THE AFFILIATION BETWEEN SHC-VC AND SHC WAS CONSUMMATED AND BECAME EFFECTIVE. SHC-VC, WHICH OWNS VMH AND VCMC, AND WHICH IS THE MEMBER OF VCMF AND VCSH, BECAME A SUBSIDIARY OF SHC.
PART V, SECTION B, LINE 5THE HOSPITAL COMMISSIONED APPLIED SURVEY RESEARCH (ASR), A NONPROFIT SOCIAL RESEARCH FIRM, TO ASSIST WITH THE VARIOUS ASSESSMENTS FOR THE 2016 CHNA. ASR 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 2016 CHNA PROCESS, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTRESTS 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 RESPRESENTED THE FOLLOWING POPULATIONS MEDICALLY UNDERSERVED, LOW-INCOME INDIVUALS 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 GROUPS FOCUS GROUP DISCUSSIONS INCLUDED TEN PEOPLE ON AVERAGE AND LASTED ONE HOUR. RESIDENTS WERE RECRUITED BY THE NONPROFIT HOST, OPEN HEART KITCHEN, IN THE TRI-VALLEY AREA (WHICH SERVES LOW-INCOME RESIDENTS). THE HOSPITALS ALSO CONVENED A GROUP OF LEADERS OF SAFETY NET CLINICS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS IN ALAMEDA AND CONTRA COSTA COUNTIES TO DRAW ON THEIR KNOWLEDGE OF THE COMMUNITY. TWO FOCUS GROUPS WERE HELD ON BEHALF OF THE TRI-VALLEY AREA BETWEEN JUNE AND OCTOBER 2015. ONE GROUP WAS HELD WITH PROFESSIONALS FROM ORGANIZATIONS THAT SERVE THE FOCUS POPULATION, AND ONE WAS HELD WITH RESIDENTS THEMSELVES. NINE PROFESSIONALS AND 12 NON-PROFESSIONAL RESIDENTS PARTICIPATED IN FOCUS GROUPS. KEY INFORMANT INTERVIEWS ASR INTERVIEWED VARIOUS PROFESSIONALS WHO EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED, HIGH-NEED POPULATIONS AND ALSO COMMUNITY LEADERS OR REPRESENTATIVES. EXPERTS WERE INTERVIEWED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. INFORMANTS WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES AND TO GIVE THEIR PERCEPTIONS ABOUT HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT. ASR CONDUCTED 14 KEY INFORMANT INTERVIEWS WITH 20 PROFESSIONALS. IN ADDITION TO THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS DESCRIBED ABOVE, INFORMANTS WERE ASKED TO EXPLAIN WHAT BARRIERS TO HAVING GOOD HEALTH OR ADDRESSING HEALTH NEEDS EXIST, AND TO SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH (INCLUDING EXISTING RESOURCES AND POLICY CHANGES). THE FOLLOWING LEADERS WERE CONSULTED FOR THEIR EXPERTISE IN THE COMMUNITY. THEY WERE IDENTIFIED BASED ON THEIR PROFESSIONAL EXPERTISE AND KNOWLEDGE OF TARGET GROUPS INCLUDING CHILDREN, YOUTH, OLDER ADULTS, LOW-INCOME POPULATIONS, MINORITIES, AND THE MEDICALLY UNDERSERVED. THE COALITION INCLUDED LEADERS FROM HEALTH SYSTEMS INCLUDING THE ALAMEDA AND CONTRA COSTA COUNTIES PUBLIC HEALTH DEPARTMENTS, LOCAL HOSPITAL AND HEALTH CARE AGENCY LEADERS AND REPRESENTATIVES, LOCAL GOVERNMENT EMPLOYEES, APPOINTED COUNTY GOVERNMENT LEADERS, SCHOOL DISTRICTS, AND NONPROFIT ORGANIZATIONS. CONTRA COSTA COUNTY PUBLIC HEALTH - EPIDEMIOLOGIST TRI-VALLEY HAVEN - EXECUTIVE DIRECTOR LIVERMORE UNIFIED SCHOOL DISTRICT - NURSE, DIRECTOR BEHAVIORAL HEALTH SERVICES, CONTRA COSTA COUNTY - DIRECTOR ALAMEDA COUNTY PUBLIC HEALTH - EPIDEMIOLOGIST ALAMEDA COUNTY PUBLIC HEALTH/HEALTH CARE SERVICES - MEDICAL DIRECTOR ALAMEDA COUNTY PUBLIC HEALTH/HEALTH CARE SERVICES - DIRECTOR, PUBLIC HEALTH OFFICER MEALS-ON-WHEELS SENIOR OUTREACH - EXECUTIVE DIRECTOR SUPERVISOR HAGGERTY'S OFFICE - DEPUTY CHIEF OF STAFF PLEASANTON UNIFIED SCHOOL DISTRICT - DIRECTOR ALAMEDA COUNTY PUBLIC HEALTH - DEPUTY DIRECTOR PUBLIC HEALTH BEHAVIORAL HEALTH SERVICES, ALAMEDA COUNTY - DIRECTOR AXIS COMMUNITY HEALTH - CHIEF EXECUTIVE OFFICER PLEASANTON UNIFIED SCHOOL DISTRICT - NURSE DUBLIN UNIFIED SCHOOL DISTRICT - DIRECTOR, DISTRICT NURSE CONTRA COSTA HEALTH SERVICES - ASSISTANT DIRECTOR COMMUNITY CLINIC CONSORTIUM - CONTRA COSTA PROJECT COORDINATOR ALAMEDA HEALTH SYSTEM - CHIEF STRATEGY OFFICER CALIFORNIA CHILDRENS SERVICES, ALAMEDA COUNTY - MEDICAL DIRECTOR OPERATION ACCESS - PRESIDENT & CHIEF EXECUTIVE OFFICER ASIAN HEALTH SERVICES - DIRECTOR OF PROGRAM PLANNING & DEVELOPMENT ALAMEDA HEALTH CONSORTIUM - DIRECTOR OF POLICY & PLANNING LIFELONG MEDICAL CARE - DEPUTY DIRECTOR LOW-INCOME, ACCESS TO CARE, UNDERSERVED ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, NURSE FAMILY PARTNERSHIP - NURSE MANAGER LA CLINICA DE LA RAZA - DIRECTOR OF MEDICAL OPERATIONS
PART V, SECTION B, LINE 6A2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH COLLABORATION BETWEEN SHC-VC, JOHN MUIR HEALTH, KAISER PERMANENTE, ST. ROSE HOSPITAL, SAN RAMON REGIONAL HOSPITAL, UCSF BENIOFF CHILDRENS HOSPITAL OAKLAND, AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM, REPRESENTING TWELVE HOSPITAL FACILITIES.
PART V, SECTION B, LINES 7A/10AURL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX.
PART V, SECTION B, LINE 11STANFORD HEALTH CARE VALLEYCARE CONVENED A GROUP OF COMMUNITY AND HOSPITAL REPRESENTATIVES THAT MET TO REVIEW RESULTS OF THE CHNA DATA COLLECTION AND DATA SYNTHESIS AND TO PRIORITIZE THE HEALTH NEEDS IN FULFILLMENT OF IRS REGULATIONS. 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-VCS 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 VALLEYCARES 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 COMMUNITYS 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 COMMUNITYS BEHAVIORAL HEALTH NEED HAVE THE POTENTIAL TO DECREASE CERTAIN TYPES OF UNINTENTIONAL INJURIES IN THE COMMUNITY AS WELL.
PART V, SECTION B, LINE 22DPURSUANT TO SHC-VCS FINANCIAL ASSISTANCE POLICY IN EFFECT DURING THE TAX YEAR, PATIENTS WITH PROVEN FAMILY INCOME AT OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE FULL FINANCIAL ASSISTANCE. IN COMPLIANCE WITH CALIFORNIA AB 774, PATIENTS WITH A PROVEN FAMILY INCOME OF MORE THAN 200%, UP TO 350% OF THE FEDERAL POVERTY LEVEL, WILL RECEIVE FINANCIAL ASSISTANCE DISCOUNT EQUAL TO THE MEDI-CAL CONTRACTUAL ALLOWANCE APPLICABLE TO THE SERVICE PERIOD.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
LIFESTYLERX
1119 E STANLEY BLVDLIVERMORECA94550MEDICAL FITNESS FACILITY
SHC-VC - URGENT CARE CENTER
1133 E STANLEY BLVDLIVERMORECA94550URGENT CARE CENTER
SHC-VC - URGENT CARE CENTER
4000 DUBLIN BLVD STE 150DUBLINCA94568URGENT CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 HEALTH SYSTEMS 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 SHCVC. SPECIALIZED HEALTH CARE WORKFORCE TRAINING IN THE DIETETICS INTERNSHIP PROGRAM, SHC-VC STAFF SUPERVISED NUTRITION AND DIETETIC GRADUATES AND/OR STUDENTS THROUGH CLINICAL NUTRITION AND/OR FOOD SERVICE ROTATIONS AS THEY LEARNED AND PERFORMED PROFESSIONAL AND TECHNICAL TASKS ACCORDING TO NATIONAL COMPETENCY STANDARDS. STUDENT INTERNS ROTATED THROUGH VARIOUS HOSPITAL UNITS WITH STAFF AND ADMINISTRATIVE/ MANAGEMENT DIETITIANS SO THAT THEY COULD EXPERIENCE ALL DIMENSIONS OF THE DEPARTMENT OPERATION. SHC-VC PROVIDED PRECEPTORS FOR GRADUATE NURSING STUDENTS. STUDENTS RECEIVED EXPOSURE TO AND EXPERIENCE IN NURSE PRACTITIONER, NURSING ADMINISTRATION, AND CLINICAL NURSE SPECIALIST POSITIONS. SHC-VC REGISTERED NURSES IN MULTIPLE NURSING UNITS, INCLUDING MEDICAL/SURGICAL AND INTENSIVE CARE UNITS, PROVIDED DIRECT SUPERVISION IN A CLINICAL ENVIRONMENT TO STUDENT NURSES CONNECTED WITH CHABOT COLLEGE, SAMUEL MERRITT UNIVERSITY SCHOOL OF NURSING, CALIFORNIA STATE UNIVERSITY EAST BAY, OHLONE COLLEGE, AND CALIFORNIA STATE UNIVERSITY DOMINGUEZ HILLS. EACH STUDENT HAD A ROTATION OF 380 HOURS PER SEMESTER. APPROXIMATELY 40 STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC ALSO PROVIDED MENTORING EDUCATION FOR THE UC SAN DIEGO LACTATION CERTIFICATION PROGRAM. SHC-VC PROVIDED SURGICAL TECHNOLOGY (ST) TRAINING FOR ST STUDENTS IN THE OPERATING ROOM, SUPERVISED BY A SURGICAL TECHNOLOGIST AND REGISTERED NURSES. THROUGHOUT THE YEAR, SHC-VC HOSTED COLLEGE STUDENT INTERNS IN PHYSICAL AND SPORTS MEDICINE IN VARYING AFFILIATION PERIODS, RANGING FROM SIX MONTHS OF FULL-TIME INTERNSHIP TO ONE DAY A WEEK. 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. APPROXIMATELY 17 HIGH SCHOOL ROP STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. IN ITS SCHOOL OUTREACH PROGRAM, SHC-VC REGISTERED NURSES CONDUCTED A SEMINAR FOR HIGH SCHOOL STUDENTS IN THE TRI-VALLEY REGION. TOPICS INCLUDED GENERAL SURGERY INFORMATION, A DEMONSTRATION OF LAPAROSCOPIC INSTRUMENTS, AND OPERATING ROOM LAYOUT. THE MEDICAL EXPLORERS PROGRAM OFFERED STUDENTS IN MIDDLE SCHOOL, HIGH SCHOOL, AND JUNIOR COLLEGE AN OPPORTUNITY TO LEARN MORE ABOUT THE FIELD OF MEDICINE. TOPICS AND SPEAKERS ROTATED MONTHLY. DURING THE REPORTING PERIOD, APPROXIMATELY 55 STUDENTS WERE SERVED.
PART III, LINE 2:BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2016 WAS $12,416,239, 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:INCLUDED THE AUDITED SHC CONSOLIDATED FINANCIAL STATEMENTS: SHC-VCs PROVISION FOR BAD DEBTS OF APPROXIMATELY $13,710,550 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR SERVICES PROVIDED PRIMARILY TO SELF-PAY AND THE CO-PAYMENT PORTION OF PRIVATE HEALTH INSURANCE PATIENTS. PATIENT ACCOUNTS RECEIVABLE, AMOUNTS PAYABLE TO THIRD-PARTY PAYORS AND NET PATIENT SERVICE REVENUE - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, SHC-VC 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 ON A CONSOLIDATED BASIS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD PARTY INSURANCE COVERAGE, SHC-VC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTABLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (THOSE WITHOUT THIRD-PARTY INSURANCE COVERAGE), AND RECEIVABLES REPRESENTING DEDUCTIBLES AND COPAYMENTS REQUIRED FROM PATIENTS BY THEIR INSURANCE PLANS, SHC-VC RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS HISTORICALLY COLLECTED AFTER ALL REASONABLE COLLECTIONS HAVE BEEN EXHAUSTED IS THE ESTIMATED UNCOLLECTABLE RATE. THIS RATE IS APPLIED TO EXISTING ACCOUNTS TO RECORD AN ESTIMATE FOR UNCOLLECTABLE ACCOUNTS.
PART III, LINE 8:THE MEDICARE SHORTFALL OF $33,094,496 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 INDIVIDUAL, 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:THE AMOUNT DETERMINED AS CHARITY CARE IS NOT COLLECTED AND WRITTEN OFF TO CHARITY (FINANCIAL ASSISTANCE). IF A REDUCED RATE IS GIVEN, THE AMOUNT DETERMINED AS PATIENT BALANCE IS COLLECTED IN THE SAME MANNER AS ALL OTHER PATIENTS.
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. BETWEEN 2000 AND 2010, THE POPULATION OF VALLEYCARES SERVICE AREA (THE VCSA) INCREASED BY 24%. THE POPULATION OF THE VCSA IS 285,331. ADULTS AGED 25-64 MAKE UP 57% OF THE POPULATION, AND ONE IN TEN RESIDENTS ARE ADULTS AGED 65 AND OVER. CHILDREN UNDER 18 MAKE UP ABOUT A QUARTER (26%) OF THE POPULATION, AND YOUTH AGED 18-24 COMPRISE 7%. REGARDING RACE/ETHNICITY, ABOUT TWO THIRDS (64%) IN THE VCSA ARE WHITE, AND ABOUT ONE QUARTER (26%) ARE ASIAN. BLACKS MAKE UP LESS THAN 3% OF THE POPULATION, AND 13% OF RESIDENTS ARE OF HISPANIC/LATINO ETHNICITY (OF ANY RACE). ONE IN TEN RESIDENTS HAS LIMITED ENGLISH PROFICIENCY, AND 5% LIVE IN LINGUISTICALLY ISOLATED HOUSEHOLDS.
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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAJNEESH BEHAL
DIRECTOR$0$297,614$0$208,000$0$280,000$0$10,890$0$23,125$0$819,629$0$0
MARK CULLEN
DIRECTOR (AS OF 01/16)$0$264,267$0$179,361$0$17,610$0$26,500$0$12,906$0$500,644$0$0
JAMES HEREFORD
DIRECTOR$0$721,882$0$330,951$0$133,832$0$114,691$0$32,584$0$1,333,940$0$76,114
LLOYD B MINOR MD
DIRECTOR$0$1,385,420$0$200,000$0$131,255$0$308,873$0$37,682$0$2,063,230$0$0
DANIEL MORISSETTE
BOARD CHAIR (THROUGH 01/16)$0$781,622$0$469,308$0$124,316$0$23,850$0$39,631$0$1,438,727$0$0
AMIR DAN RUBIN
DIRECTOR (THROUGH 12/15)$0$1,830,198$0$1,162,531$0$336,428$0$329,395$0$40,355$0$3,698,907$0$283,726
JENNIFER VARGAS
DIRECTOR$0$541,186$0$166,864$0$98,039$0$23,850$0$39,797$0$869,736$0$0
DAVID J CONNOR
INTERIM CFO (AS OF 08/16)$0$337,506$0$102,054$0$75,577$0$24,622$0$19,583$0$559,342$0$0
SCOTT GREGERSON
PRESIDENT$423,015$0$99,000$0$4,505$0$7,950$0$27,157$0$561,627$0$0$0
DOUGLAS GUNDERSON
COO (THROUGH 06/16)$0$411,405$0$114,126$0$42,909$0$64,769$0$29,771$0$662,980$0$33,017
BENJIE M LOANZON
CFO (THROUGH 08/16)$0$335,737$0$175,557$0$69,532$0$23,905$0$26,559$0$631,290$0$0
GINA TEEPLES
CNO$207,684$0$0$0$467$0$10,384$0$1,026$0$219,561$0$0$0
DOMINADOR BRIONES
VP OF FINANCE$183,302$0$20,000$0$22,869$0$0$0$26,022$0$252,193$0$0$0
DOREEN MAPLES
VP COMPLIANCE & QUALITY$224,008$0$0$0$6,853$0$11,219$0$10,824$0$252,904$0$0$0
ROBIN AMERSON
REGISTERED NURSE$135,334$0$0$0$107,996$0$5,240$0$9,762$0$258,332$0$0$0
STEPHANIE CHEN
REGISTERED NURSE$108,488$0$0$0$133,942$0$3,250$0$25,101$0$270,781$0$0$0
MAREN EGBERT
REGISTERED NURSE$125,169$0$110$0$111,618$0$10,014$0$10,152$0$257,063$0$0$0
PAUL MUSER
LEAD MULTI-MODALITY TECH$126,092$0$0$0$156,926$0$9,682$0$25,101$0$317,801$0$0$0
DENISE MAVROGIANIS
REGISTERED NURSE$90,344$0$0$0$126,675$0$8,887$0$13,073$0$238,979$0$0$0
LAVERN BROWN
VP GENERAL SERVICES$197,001$0$0$0$91,312$0$26,500$0$8,015$0$322,828$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4BSTANFORD 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 INDIVIDUALS IN CALENDAR YEAR 2015: AMIR DAN RUBIN $ 300,132 DANIEL MORISSETTE $ 98,174 JENNIFER VARGAS $ 68,672 JAMES HEREFORD $ 80,515 BENJIE M LOANZON $ 35,843 DAVID CONNOR $ 35,593 DOUGLAS GUNDERSON $ 34,926 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 2015 ARE REPORTED IN COLUMN (F). LLOYD B. MINOR PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN C. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET.
SCHEDULE J, PART I, LINE 7ONE EXECUTIVE 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 IIDIRECTORS 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1DESCRIPTION OF ORGANIZATION MISSION: THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS, DBA STANFORD HEALTH CARE - VALLEYCARE ("SHC-VC") IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION THAT PROVIDES BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES.
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD HEALTH CARE: DANIEL MORISSETTE JENNIFER VARGAS JAMES HEREFORD AMIR DAN RUBIN DOUGLAS GUNDERSON BENJIE M LOANZON DAVID CONNOR THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: RAJNEESH BEHAL MARK CULLEN LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD HEALTH CARE: JOHN GOLDMAN LLOYD B. MINOR MD KAYE FOSTER-CHEEK THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD PET-CT LLC: AMIR DAN RUBIN JAMES HEREFORD LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: AMIR DAN RUBIN DANIEL MORISSETTE THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: AMIR DAN RUBIN DANIEL MORISSETTE THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: AMIR DAN RUBIN DANIEL MORISSETTE
FORM 990, PART VI, SECTION A, LINE 6STANFORD HEALTH CARE IS THE SOLE MEMBER OF SHC-VC.
FORM 990, PART VI, SECTION A, LINE 7ASTANFORD HEALTH CARE, AS THE SOLE MEMBER OF SHC-VC, APPOINTS ALL CLASS "B" DIRECTORS, AND APPROVES THE SHC-VC BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER, STANFORD HEALTH CARE, APPROVES THE APPOINTMENT OF CLASS "A" DIRECTORS TO THE SHC-VC BOARD OF DIRECTORS. THE MEMBER SHALL HAVE ALL POWER AND AUTHORITY CONFERRED UPON IT BY THE ARTICLES OF INCORPORATION OF THE CORPORATION AND THESE BYLAWS AND UPON MEMBERS BY LAW. THE FOLLOWING POWERS SHALL BE RESERVED TO THE MEMBER: (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 11BTHE 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 CFO 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 12COFFICERS, 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, LINE 15A & BSHC-VC UTILIZES THE SERVICES OF TOWER 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 2016.
FORM 990, PART VI, SECTION C, LINE 19THE 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: EQUITY TRANSFER - $3,088,731 ADDITIONAL TEMPORARY RESTRICTED NET ASSETS - $556,956 NET ASSET FUNDING ADJUSTMENT - $6,899 TOTAL - $3,652,586

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCd
THE BRD OF TRUST LELAND STANF JR UNIV
3145 PORTER DRIVEPALO ALTOCA94304941156365EDUCATIONCA501(C)(3)2NAfalse
STANFORD HEALTH CARE
300 PASTEUR DRIVE MC 5555STANFORDCA94305946174066HEALTHCARECA501(C)(3)3STANFORDYes (true)
LUCILE SALTER PACKARD CHILDRENS HOSPITAL
725 WELCH ROAD MC 5553PALO ALTOCA94304770003859HEALTHCARECA501(C)(3)3STANFORDYes (true)
VALLEYCARE MEDICAL FOUNDATION INC
5655 W LAS POSITAS BLVD 220PLEASANTONCA94588262593526SUPPRT SHC-VCCA501(C)(3)9HOSP CMTE LPYes (true)
VALLEYCARE SENIOR HOUSING
1111 E STANLEY BLVDLIVERMORECA94550943382224SR. FACILITYCA501(C)(3)11C, III-FIHOSP CMTE LPYes (true)
THE FREIDENRICH SUPPORT FOUNDATION
3145 PORTER DRIVEPALO ALTOCA94304300519583SUPPORTCA501(C)(3)11A, ISTANFORDYes (true)
SHR HOLDINGS INC
3145 PORTER DRIVEPALO ALTOCA94304943187167REAL ESTATECA501(C)(25)N/ASTANFORDYes (true)
SU EMP BEN TRUST POST RETEMPYNT BEN
3145 PORTER DRIVEPALO ALTOCA94304943246199BENEFITSCA501(C)(9)N/ASTANFORDYes (true)
UNIVERSITY HEALTHCARE ALLIANCE
7999 GATEWAY BLVD STE 300NEWARKCA94560943192446HEALTHCARECA501(C)(3)3SHCYes (true)
THE DUDLEY E CHAMBERS FOUNDATION
JP MORGAN CHASE PO BOX 3038MILWAUKEEWI53201386841793SUPPORTNY501(C)(3)11D, III-OSTANFORDYes (true)
STANFORD UNIVERSITY BOOKSTORE
BLDG 60 MAIN QUAD NO 105STANFORDCA94305940894150SUPPORTCA501(C)(3)11A, ISTANFORDYes (true)
PACKARD CHILDREN'S HEALTH ALLIANCE
725 WELCH ROAD MC5551PALO ALTOCA94304320359189HEALTHCARECA501(C)(3)3LPCHYes (true)
STANFORD HABITAT CONSERVATION BOARD
3160 PORTER DR STE 200PALO ALTOCA94304461882243CONSERVATIONCA501(C)(3)7STANFORDYes (true)
STANFORD FACULTY CLUB
PO BOX 7229STANFORDCA94309941187089FAC INTERACT.CA501(C)(7)N/ASTANFORDYes (true)
THE HONG KONGSU CHARITABLE TRUST
986078093SUPPORT501(C)(3)STANFORDYes (true)1401 CAROLINE CENTER28 PING ROADCAUSEWAYHKHK
THE STANFORD TRUST
SUPPORT501(C)(3)STANFORDYes (true)65 HIGH STREETOXFORDUKUKOX1 46L
STANFORD PROGRAMME (CAPE TOWN) NPC
EDUCATION501(C)(3)STANFORDYes (true)WAVERLY BUSINESS PARK BUILDING 11CAPE TOWNSFSF
STANFORD FEDERAL CREDIT UNION
1860 EMBARCADERO RDPALO ALTOCA94303941492212CREDIT UNIONCA501(C)(1)N/ASTANFORDYes (true)
STANFORD HEALTH CARE ADVANTAGE
1221 BROADWAY 3RD FLOOROAKLANDCA94612464071746HEALTHCARECA501(c)(3)11A, ISHCYes (true)
STANFORD SCHOOLS CORPORATION
475 POPE STREETMENLO PARKCA94025202699147EDUCATIONALCA501(C)(3)2STANFORDYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEINEINAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ADOM PARTNERS LP
500 MADISON AVENUENEW YORKNY10022INVESTMENTSDENA
ALBUS SELECT FUND LP
750 MENLO AVENUEMENLO PARKCA94025INVESTMENTSDENA
ARCOLA RESIDENTIAL VENTURE LLC
635 KNIGHT WAYSTANFORDCA943057297REAL ESTATEDENA900818278
ARCOLA VENTURE LLC
635 KNIGHT WAYSTANFORDCA943057297RE DEVELOPMENTDENA371689632
ATWATER 12 LP
2100 ROSS AVE STE 1600DALLASTX75201INVESTMENTSDENA752944481
AVALANCHE ROYALTY PARTNERS LLC
410 17TH ST STE 1150DENVERCO80202INVESTMENTSDENA841539807
CEE EQUITY HOLDINGS LP
INVESTMENTSNAELIZABETH HOUSE 9 CASTLE STST. HELIER,JERSEYJEJE4 2QPJE
CLAIRVUE CAPITAL PARTNERS II-TE 1 LP
150 CALIFORNIA STREET STE 850SAN FRANCISCOCA94111INVESTMENTSDENA800909516
CLAIRVUE CAPITAL PARTNERS II-TE 2 LP
150 CALIFORNIA STREET STE 850SAN FRANCISCOCA94111INVESTMENTSDENA800909556
CANARY SC FUND LP
399 PARK AVENUENEW YORKNY10022INVESTMENTSDENA
ENERGY CAPITAL PARTNERS III (SENDERO CO-
51 JOHN F KENNEDY PARKWAY SUITE 2SHORT HILLSNJ07078INVESTMENTSDENA471702425
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS 45TH FLNEW YORKNY10105INVESTMENTSNA980509639CJ
KEB INVESTORS II LP
INVESTMENTSNAWASHINGTON MALL STE 304 7 REID STHAMILTON,HM 11BDBD
LSF V DHB HOLDINGS LP
2711 N HASKELL AVE STE 1700DALLASTX75204INVESTMENTSDENA272858604
OUTLAWS CASINO LTD
3160 PORTER DRPALO ALTOCA94304HOLDING COMPANYCONA841457498
PALO ALTO LP
INVESTMENTSNA98112662213 CASTLE STREETST. HELIER, JERSEYJEJE
PROJECT EDISON PARTNERS FUND LP
55 E 52ND STNEW YORKNY10055INVESTMENTSDENA473184706
RESERVOIR RESOURCE PTRS TE LP
767 FIFTH AVE 16TH FLOORNEW YORKNY10153INVESTMENTSDENA462286221
RMS FOREST GROWTH II LP
30 INVERNESS CENTER PARKWAY STE 36BIRMINGHAMAL35242INVESTMENTSCANA200841908
SANDPIPER FUND LP
2000 MCKINNEY AVE STE 2125DALLASTX75201INVESTMENTTXNA260341626
SAROFIM MULTIFAMILY PARTNERS LP
8115 PRESTON RD ST400DALLASTX75225RE DEVELOPMENTTXNA201929002
SCP REAL ASSETS FUND (A) LP
2498 SAND HILL RDMENLO PARKCA94025INVESTMENTSDENA203949682
SEQUOIA MFM OPERATING COMPANY LLC
770 WELCH ROAD LPCH- ADMIN MC5551PALO ALTOCA94304MFM PROGRAMCANA475060529
SIC SNOWCREEK VIII LLC
635 KNIGHT WAYSTANFORDCA94305RE DEVELOPMENTCANA275431605
SP SMC PARTNERS LLC
2711 CENTERVILLE RD STE 400WILMINGTONDE19808INVESTMENTSDENA473103791
STANFORD EMANUEL RAD ONCOLOGY CENTER
825 DELBON AVTURLOCKCA95382RADIOLOGYCANA208885091
STANFORD PET-CT LLC
300 PASTEUR DR MC 5555STANFORDCA94305MED. DIAGNOSTCANA611423414
STANFORD-STARTX FUND LLC
3145 PORTER DRPALO ALTOCA94304INVESTMENTSDENA464297719
SUMIT HOLDING INTERNATIONAL LLC
1400 PAGE MILL ROAD MC5713PALO ALTOCA94304HOLDING COMPANYDENA263934706
VEDA INVESTORS FUND LP
ONE FAWCETT PLGREENWICHCT06830INVESTMENTSDENA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (28 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtProvince Or StateForeignAddress/ProvinceOrStateNmAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdForeign PostalForeignAddress/ForeignPostalCd
STANFORD SGGS EUROPE INC
UGLAND HOUSE S CHURCH STPO BOX 309GT, GEORGE TOWNCJ131684331INVESTMENTSCJNAC CORP
EAST SAIL
C/O INTL FS INC IFS COURTTWENTYEIGHT, CYBERCITY, EBENEMPINVESTMENTSMPNAC CORP
GAVEA INVESTMENT FUND II-C LP
PO BOX 896GT HARBOUR CENTREGEORGE TOWNCJ980537952INVESTMENTSCJNAC CORPCAYMAN ISLANDS
LS ALBERTA III LP
980493425INVESTMENTSCANAC CORPC/O JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
CLAT (16)
CHARITABLE TRNATRUSTCA
CRT (555)
CHARITABLE TRNATRUSTCA
OTHER (7)
CHARITABLE TRNATRUSTCA
PIF (2)
CHARITABLE TRNATRUSTCA
ALPINE CHALET INC
941556099SKI LODGENAC CORPPO BOX 9988SOUTH LAKE TAHOECA96158CA
STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)
5275TH FLBLDG CACADEMY SOUTH RDHAIDAN DISTRICTCHEDUCATIONCHNAC CORPBEIJING
STANFORD UNIV MED NETWORK RISK AUTHORITY
461132002RISK MGMT CONNAC CORP1400 PAGE MILL RD MSC 5713PALO ALTOCA94304CA
PROFESSIONAL EXCHANGE ASSURANCE COMPANY
900897686INSURANCENAC CORP201 MERCHANT STREET SUITE 2400HONOLULUHI96813HI
ARCOLA RES DEVELOPMENT CORP
800804754INVESTMENTSNAC CORPC/O SMC 635 KNIGHT WAYSTANFORDCA943057297DE
BREP VII ALBERTA FEEDER(OFFSHORE)TE7 LP
981066351INVESTMENTSCANAC CORPC/O THE BLACKSTONE GROUP 345 PARKNEW YORKNY10154
BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP
981066355INVESTMENTSCANAC CORPC/O THE BLACKSTONE GROUP 345 PARKNEW YORKNY10154
WEST FACE ALTERNATIVE CREDIT CAYMAN LP
PO BOX 10008 WILLOW HOUSEGRAND CAYMANCJ981140761INVESTMENTSCJNAC CORPCAYMAN ISLANDSKY1-1001
MIDPOINT TECHNOLOGY PARK OWNERS ASSOC
943287254REAL ESTATENAC CORP3145 PORTER DRIVEPALO ALTOCA94304CA
BIENVILLE ARGENTINA OPPS OFFSHORE FUND
INVESTMENTSCJNAC CORP405 LEXINGTON AVE 34TH FLOORNEW YORKNY10174
KAIZEN FUND
1 NORTH BRIDGE RD 6-8SINGAPORESNINVESTMENTSCJNAC CORPSINGAPORE179094
AFFINITY MEDICAL SOLUTIONS INC
203134011HEALTHCARENAC CORP1221 BROADWAY 3RD FLOOROAKLANDCA94612DE
BISHOP ROCK OPPORTUNITY OFFSHORE FUND
INVESTMENTSCJNAC CORPC/O SMC 635 KNIGHT WAYSTANFORDCA94305
SBFF LTD
PO BOX 1344GEORGE TOWNCJINVESTMENTSCJNAC CORP
CANARY SC FUND LTD
INVESTMENTSCJNAC CORP399 PARK AVENEW YORKNY10022
THE RUBRUM FUND
PO BOX 309 UGLAND HOUSEGRAND CAYMANCJINVESTMENTSCJNAC CORPCAYMAN ISLANDS
SEA SMOKE FUND LLC
190 ELGIN AVENUEGEORGE TOWNCJINVESTMENTSCJNAC CORPGRAND CAYMANKY 9005
STANFORD MEDICINE INTL (HONG KONG) CO LT
833 CHEUNG SHA WAN ROADKOWLOONHKPATIENT SRVCHKNAC CORPHONG KONG
STANFORD INTL MEDICAL SERVICES RAK FZE
PO BOX 56500AEPATIENT SRVCAENAC CORP
STANFORD IN JAPAN GODO KAISHA
DOSHISHA UNIVERSITY MEITOKUKAN-NAIKAMIGYO-KUJAEDUCATIONJANAC CORPKYOTO-SHI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE R, PART III, COLUMNS (E), (F), (G), (H), (I), (J), AND (K)RESPONSE IS "N/A" FOR ALL ORGANIZATIONS.
SCHEDULE R, PART IV, LINE (5)CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (6)CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (7)OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (1)POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, COLUMNS (F), (G), AND (H)RESPONSE IS "N/A" FOR ALL ORGANIZATIONS.