STANFORD HEALTH CARE TRI-VALLEY: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- STANFORD HEALTH CARE TRI-VALLEY (EIN 94-1429628)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-17
- IRS object ID
- 201621389349300877
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-17T16:37:15-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941429628 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOSPITAL COMMITTEE FOR THE LIVERMORE- | BusinessNameLine1Txt |
| Business Name Line2 | PLEASANTON AREAS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % NICOLE PEDIGO | InCareOfNm |
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9253738000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BENJIE M LOANZON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9253738000 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GWEN SPENCER | PreparerPersonNm |
| PTIN | P00641463 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Preparation | 2016-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT GREGERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $270,792,521 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1661 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $414,846 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $158,418 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $484,344 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $261,052,516 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $258,998,902 | CYProgramServiceRevenueAmt |
| PY Investment Income | $114,675 | PYInvestmentIncomeAmt |
| CY Investment Income | $70,320 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,592,375 | PYOtherRevenueAmt |
| CY Other Revenue | $9,740,919 | CYOtherRevenueAmt |
| PY Total Revenue | $269,243,910 | PYTotalRevenueAmt |
| CY Total Revenue | $268,810,141 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $58,724,030 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $139,475,830 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $129,724,629 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $143,057,373 | PYOtherExpensesAmt |
| CY Other Expenses | $130,711,724 | CYOtherExpensesAmt |
| PY Total Expenses | $341,257,233 | PYTotalExpensesAmt |
| CY Total Expenses | $260,436,353 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$72,013,323 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,373,788 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $180,057,382 | TotalAssetsBOYAmt |
| Total Assets EOY | $232,001,582 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $144,038,714 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $133,560,415 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $36,018,668 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $98,441,167 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VALLEYCARE HEALTH SYSTEM'S MISSION IS TO ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $239,145,722 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $268,594,698 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $239,145,722 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 224 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1661 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE PEDIGO | PersonNm |
| Phone | 9253738006 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL MORISSETTE | ||||||||||
| BOARD CHAIR (AS OF 05/15) | 1.6 | 50.65 | Yes (X) | $0 | $1,463,680 | $60,177 | ||||
| JENNIFER VARGAS | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 50.65 | Yes (X) | $0 | $874,648 | $62,804 | ||||
| JOHN GOLDMAN | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 2.4 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES HEREFORD | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 50.4 | Yes (X) | $0 | $1,026,852 | $142,258 | ||||
| LLOYD B MINOR MD | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 55.4 | Yes (X) | $0 | $1,599,819 | $357,385 | ||||
| KAYE FOSTER-CHEEK | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 2.4 | Yes (X) | $0 | $0 | $0 | ||||
| ALCINA WEGRZYNOWSKI | ||||||||||
| DIRECTOR | 2.0 | 2.2 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN SENSIBA | ||||||||||
| DIRECTOR | 2.0 | 2.2 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN BOOTH | ||||||||||
| DIRECTOR (AS OF 05/15) | 2.0 | 2.2 | Yes (X) | $0 | $0 | $0 | ||||
| RAJNEESH BAHAL | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 50.4 | Yes (X) | $0 | $421,156 | $15,388 | ||||
| AMIR DAN RUBIN | ||||||||||
| DIRECTOR (AS OF 05/15) | 1.6 | 53.65 | Yes (X) | $0 | $3,047,978 | $359,230 | ||||
| JANET CRISTIANO | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $11,584 | ||||
| MARTY INDERBITZEN | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $16,752 | ||||
| JOHN LOUIE MD | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $0 | ||||
| JIM SUMMERS | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $0 | ||||
| TOM VARGAS | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 2.2 | Yes (X) | $0 | $0 | $11,584 | ||||
| DALE KAYE | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $0 | ||||
| TIM WEAVER | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $11,584 | ||||
| JOSEPH GRANT | ||||||||||
| DIRECTOR (THROUGH 04/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $16,752 | ||||
| DAVID MERTES | ||||||||||
| DIRECTOR (THROUGH 10/14) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $9,654 | ||||
| BARBARA MERTES | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $1,057 | ||||
| DEBORAH MCKEEHAN | ||||||||||
| DIRECTOR (THROUGH 07/14) | 2.0 | 0.2 | Yes (X) | $0 | $0 | $16,752 | ||||
| JOHN YEE | ||||||||||
| DIRECTOR (THROUGH 05/15) | 2.0 | 2.2 | Yes (X) | $332,449 | $0 | $0 | ||||
| SCOTT GREGERSON | ||||||||||
| PRESIDENT | 47.8 | 2.2 | $335,902 | $0 | $24,609 | Yes (X) | ||||
| ROBERT KOWAL | ||||||||||
| COO (THROUGH 10/14) | 50.0 | 0.0 | $306,182 | $0 | $2,948 | Yes (X) | ||||
| DOUGLAS GUNDERSON | ||||||||||
| COO (AS OF 05/15) | 25.0 | 25.0 | $0 | $447,192 | $79,111 | Yes (X) | ||||
| BENJIE M LOANZON | ||||||||||
| CFO (AS OF 05/15) | 20.0 | 30.4 | $0 | $563,050 | $49,162 | Yes (X) | ||||
| GINA TEEPLES | ||||||||||
| CNO | 50.0 | 0.0 | $204,403 | $0 | $10,553 | Yes (X) | ||||
| DOMINADOR BRIONES | ||||||||||
| VP OF FINANCE | 50.0 | 0.0 | $223,083 | $0 | $23,586 | Yes (X) | ||||
| LAVERN BROWN | ||||||||||
| VP GENERAL SERVICES | 49.8 | 0.2 | $307,621 | $0 | $41,134 | Yes (X) | ||||
| DOREEN MAPLES | ||||||||||
| VP COMPLIANCE | 50.0 | 0.0 | $215,079 | $0 | $18,821 | Yes (X) | ||||
| PAUL MUSER | ||||||||||
| LEAD MULTI-MODALITY TECH | 50.0 | 0.0 | $265,331 | $0 | $24,691 | Yes (X) | ||||
| DENISE MAVROGIANIS | ||||||||||
| REGISTERED NURSE | 50.0 | 0.0 | $233,416 | $0 | $26,163 | Yes (X) | ||||
| KENNETH BARTLETT | ||||||||||
| CT TECHNICIAN | 50.0 | 0.0 | $235,519 | $0 | $10,256 | Yes (X) | ||||
| STEPHANIE CHEN | ||||||||||
| REGISTERED NURSE | 50.0 | 0.0 | $222,908 | $0 | $17,556 | Yes (X) | ||||
| MAREN EGBERT | ||||||||||
| REGISTERED NURSE | 50.0 | 0.0 | $223,144 | $0 | $14,362 | Yes (X) | ||||
| MARCELINA FEIT | ||||||||||
| FORMER CEO | 49.8 | 0.2 | $707,082 | $0 | $43,819 | Yes (X) | ||||
| KENNETH JENSEN | ||||||||||
| FORMER CFO | 49.8 | 3.7 | $339,290 | $0 | $21,843 | Yes (X) | ||||
| CYNTHIA NOONAN | ||||||||||
| FORMER COO | 50.0 | 0.0 | $366,438 | $0 | $32,251 | Yes (X) | ||||
| JESSICA JORDAN | ||||||||||
| FORMER VP OF PATIENT CARE | 50.0 | 0.0 | $214,546 | $0 | $27,361 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,732,393 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,444,375 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,561,187 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 415 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS | |||||
| DEPT LA 21536 | PASADENA | CA | 911851536 | IT SERVICES | $7,442,367 |
| CHMB | |||||
| 700 LA TERRAZA BLVD SUITE 200 | ESCONDIDO | CA | 92025 | BILLING SERVICES | $1,715,398 |
| HOOPER LUNDY BOOKMAN | |||||
| 1875 CENTURY PARK EAST SUITE 1600 | LOS ANGELES | CA | 900672799 | LEGAL SERVICES | $1,442,705 |
| KAUFMAN HALL ASSOCIATES | |||||
| 8610 SOLUTION CENTER | CHICAGO | IL | 606778006 | CONSULTING SERVICES | $1,226,960 |
| REGENTS OF UCSF | |||||
| 505 PARNASSUS AVE BOX 0110 | SAN FRANCISCO | CA | 941430110 | PHYSICIAN SERVICES | $1,203,766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 48 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | $258,584,056 | $258,584,056 | |
| LAB SERVICES | 621500 | $414,846 | $414,846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $258,998,902 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,383 | TotalRevenueColumnAmt |
| Exclusion | $73,383 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,909,290 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,979,317 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$70,027 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$70,027 | TotalRevenueColumnAmt |
| Exclusion | -$70,027 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,063 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,063 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,063 | TotalRevenueColumnAmt |
| Exclusion | -$3,063 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER REVENUES | 900099 | $6,494,999 | $6,494,999 | |
| MONTHLY DUES-LIFESTYLE | 624310 | $3,100,797 | $3,100,797 | |
| K-1 INCOME | 900099 | $215,150 | $215,150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,810,946 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $268,810,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $268,179,852 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $414,846 | UnrelatedBusinessRevenueAmt |
| Exclusion | $215,443 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,737 | TotalAmt |
| Management And General | $1,790,737 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,535,243 | TotalAmt |
| Program Services | $83,511,060 | ProgramServicesAmt |
| Management And General | $3,024,183 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,713,609 | TotalAmt |
| Program Services | $3,421,080 | ProgramServicesAmt |
| Management And General | $292,529 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,457,737 | TotalAmt |
| Program Services | $28,598,542 | ProgramServicesAmt |
| Management And General | $1,859,195 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,227,303 | TotalAmt |
| Program Services | $6,874,095 | ProgramServicesAmt |
| Management And General | $353,208 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,476,414 | TotalAmt |
| Program Services | $719,997 | ProgramServicesAmt |
| Management And General | $2,756,417 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,450 | TotalAmt |
| Management And General | $157,450 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,429,232 | TotalAmt |
| Program Services | $7,195,180 | ProgramServicesAmt |
| Management And General | $1,234,052 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,366,688 | TotalAmt |
| Program Services | $8,510,351 | ProgramServicesAmt |
| Management And General | $856,337 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,336,868 | TotalAmt |
| Program Services | $5,002,121 | ProgramServicesAmt |
| Management And General | $3,334,747 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,702,188 | TotalAmt |
| Program Services | $8,676,866 | ProgramServicesAmt |
| Management And General | $25,322 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,916 | TotalAmt |
| Program Services | $51,171 | ProgramServicesAmt |
| Management And General | $96,745 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,029 | TotalAmt |
| Program Services | $83,627 | ProgramServicesAmt |
| Management And General | $10,402 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,889,583 | TotalAmt |
| Program Services | $4,144,379 | ProgramServicesAmt |
| Management And General | $745,204 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,368,188 | TotalAmt |
| Program Services | $6,368,188 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,741,538 | TotalAmt |
| Program Services | $9,444,427 | ProgramServicesAmt |
| Management And General | $297,111 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,086,724 | TotalAmt |
| Program Services | $1,863,695 | ProgramServicesAmt |
| Management And General | $223,029 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $40,036,744 | $39,982,981 | $53,763 |
| PURCHASED SERVICES | $10,121,321 | $7,052,831 | $3,068,490 |
| DUES AND SUBSCRIPTIONS | $874,054 | $317,406 | $556,648 |
| LICENSE AND TAXES | $630,508 | $404,034 | $226,474 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,252,279 | TotalAmt |
| Program Services | $16,923,691 | ProgramServicesAmt |
| Management And General | $328,588 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,436,353 | TotalAmt |
| Program Services | $239,145,722 | ProgramServicesAmt |
| Management And General | $21,290,631 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,160,486 | BOYAmt |
| EOY | $18,423,413 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,801,800 | BOYAmt |
| EOY | $14,786,476 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,626,370 | BOYAmt |
| EOY | $36,697,871 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,100 | BOYAmt |
| EOY | $200,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,819,079 | BOYAmt |
| EOY | $4,724,788 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $955,871 | BOYAmt |
| EOY | $1,560,858 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $133,910,043 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,498,098 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,062,823 | BOYAmt |
| EOY | $132,411,945 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,258,712 | BOYAmt |
| EOY | $4,685,394 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,239,455 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,118,141 | BOYAmt |
| EOY | $17,271,382 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,057,382 | BOYAmt |
| EOY | $232,001,582 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,111,262 | BOYAmt |
| EOY | $38,361,930 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $736,020 | BOYAmt |
| EOY | $250,440 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,305,334 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,052,392 | BOYAmt |
| EOY | $6,298,112 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,833,706 | BOYAmt |
| EOY | $88,649,933 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,038,714 | BOYAmt |
| EOY | $133,560,415 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,933,239 | BOYAmt |
| EOY | $98,378,738 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,429 | BOYAmt |
| EOY | $62,429 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,018,668 | BOYAmt |
| EOY | $98,441,167 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,057,382 | BOYAmt |
| EOY | $232,001,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,373,788 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $54,048,711 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $155,975 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $155,975 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,524,005 | OtherCostOrOtherBasisAmt |
| Book Value | $35,524,005 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,736,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $539,359 | DepreciationAmt |
| Book Value | $72,197,208 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,332,600 | OtherCostOrOtherBasisAmt |
| Depreciation | $252,844 | DepreciationAmt |
| Book Value | $6,079,756 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,543,526 | OtherCostOrOtherBasisAmt |
| Depreciation | $631,775 | DepreciationAmt |
| Book Value | $14,911,751 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,773,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,120 | DepreciationAmt |
| Book Value | $3,699,225 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $132,411,945 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $1,099,888 |
| EQUITY INVESTMENT (PPA-I) | $1,659,959 |
| EQUITY INVESTMENT (PPA-II) | $7,033,690 |
| HOSP QUAL ASSURANCE RECEIVABLE | $3,700,680 |
| NON PATIENT RECEIVABLES | $530,697 |
| INTERCOMPANY RECEIVABLES | $507,954 |
| SELF-INSURANCE RECEIVABLES | $2,738,514 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,271,382 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $5,615,205 |
| SELF INSURANCE RESERVES | $8,208,996 |
| INTERCOMPANY PAYABLE | $69,375,684 |
| REFUNDABLE DEPOSITS | $19,718 |
| DEFERRED RENT | $676,435 |
| ESTIMATED 3RD PARTY PAYOR STTLMENTS | $587,014 |
| HOSPITAL QUALITY ASSURANCE PAYABLE | $4,166,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $88,649,933 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,539,401 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,539,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,135,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,146,199 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,988,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,949,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,848,371 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,101,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,624,054 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,994,570 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,629,484 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07540 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $800,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $589,619 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $210,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,368,707 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,368,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,640 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,248,913 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $589,619 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,657,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,872,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,584,189 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,286,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $84,364 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $84,364 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $84,364 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $84,364 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,243,948 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $74,444,627 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $107,364,859 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$32,920,232 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COMMITTEE FOR THE L-P AREAS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BLVD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.VALLEYCARE.COM | WebsiteAddressTxt |
| State License | 140000114 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | LIFESTYLE RX MEDICAL FITNESS FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COMMITTEE FOR THE L-P AREAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.VALLEYCARE.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.VALLEYCARE.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | TWO FACILITIES OPERATE UNDER THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS' LICENSE. VALLEY MEMORIAL HOSPITAL 1111 E STANLEY BLVD LIVERMORE, CA 94550 VALLEYCARE MEDICAL CENTER 5555 W LAS POSITAS BLVD PLEASANTON, CA 94588 |
| PART V, SECTION B, LINE 2 | ON SEPTEMBER 23, 2014, SHC ENTERED INTO AN AFFILIATION AGREEMENT WITH VCHS, 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 VCHS WITH THE ASSOCIATED CONTROL OF VCHS, 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 VCHS AND SHC WAS CONSUMMATED AND BECAME EFFECTIVE. VCHS, WHICH OWNS VMH AND VCMC, AND WHICH IS THE MEMBER OF VCMF AND VCSH, BECAME A SUBSIDIARY OF SHC. |
| PART V, SECTION B, LINE 5 | VCHS COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK IN THE 2013 CHNA PROCESS. THE PROCESS INCLUDED COMPREHENSIVE REVIEW OF SECONDARY DATA ON HEALTH OUTCOMES, DRIVERS, CONDITIONS AND BEHAVIORS AS WELL AS COLLECTION AND ANALYSIS OF PRIMARY DATA THROUGH COMMUNITY CONVERSATIONS WITH MEMBERS OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. INPUT ON THE IDENTIFIED COMMUNITY HEALTH NEEDS, AND THE RELATIVE PRIORITY AMONG THEM, WAS GATHERED THROUGH A CONVENING OF PUBLIC AND COMMUNITY HEALTH LEADERS, ADVOCATES AND EXPERTS. THE RESULTING PRIORITIZED LIST REPRESENTS A COMMUNITY UNDERSTANDING THAT IS INFORMED BY BOTH DATA AND EXPERIENCE. VALLEYCARE HEALTH SYSTEM, ALONG WITH KAISER PERMANENTE WALNUT CREEK CONTRACTED WITH CAROLINE MCCALL DBA ARETE CONSULTING TO COMPLETE THE DATA ANALYSIS REQUIRED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. MS. MCCALL ALSO DESIGNED AND FACILITATED PRIMARY DATA COLLECTION AND SUPPORTED A PRIORITIZATION SESSION THAT ENGAGED PUBLIC AND COMMUNITY HEALTH EXPERTS FROM THE TRI-VALLEY. MS. MCCALL SUBCONTRACTED WITH NANCY SHEMICK TO CONDUCT PRIMARY DATA COLLECTION IN SPANISH. THE MAJORITY OF THE SECONDARY DATA USED IN THIS CHNA WERE MADE AVAILABLE THROUGH THE KAISER PERMANENTE (KP) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DATA PLATFORM, POWERED BY THE CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES), AND THE INSTITUTE FOR PEOPLE, PLACES, AND POSSIBILITY (IP3). THESE DATA WERE ORGANIZED INTO SIX DISTINCT CATEGORIES: DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, HEALTH BEHAVIORS, HEALTH OUTCOMES. THE STATISTICIANS AT THE CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES) USED DATA FROM THE SOURCES LISTED ABOVE TO CREATE THE KAISER PERMANENTE CHNA DATA PLATFORM. THE PLATFORM ANALYSIS OF DATA BY GEOGRAPHIC AREAS IS LIMITED BY THE GEOGRAPHY FOR WHICH THE DATA WERE ORIGINALLY COLLECTED. HEALTH OUTCOMES DATA FROM THE PLATFORM WERE DOWNLOADED FOR ALAMEDA COUNTY, AND WHENEVER POSSIBLE, FOR THE COMMUNITIES IN THE TRI-VALLEY AREA. THESE DATA WERE COMPARED TO BENCHMARKS DEFINED EITHER BY HEALTHY PEOPLE 2020 OR STATE-LEVEL RATES. AFTER IDENTIFYING THOSE HEALTH OUTCOMES INDICATORS FOR WHICH THE POPULATION IN THE VCHS SERVICE AREA WERE SEEN TO COMPARE POORLY TO BENCHMARKS, ASSOCIATED INDICATORS OF HEALTH (HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT AND SOCIAL AND ECONOMIC FACTORS) WERE REVIEWED AND ANALYZED TO SEE WHERE THESE INDICATORS ALSO SHOWED POOR PERFORMANCE RELATIVE TO BENCHMARKS. BASED ON THE COMBINED ANALYSIS DESCRIBED ABOVE, A SET OF COMMUNITY HEALTH CONCERNS WERE IDENTIFIED AND SERVED AS THE BASIS FOR A SERIES OF FACILITATED COMMUNITY CONVERSATIONS AS DESCRIBED BELOW. COMMUNITY INPUT VCHS, IN COLLABORATION WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK, COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS THAT HAD BEEN CULLED FROM THE SECONDARY DATA (AS DESCRIBED ABOVE) WERE DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS 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 USING ESTABLISHED CRITERIA. THE SECOND MEANS OF GATHERING COMMUNITY INPUT WAS THROUGH A GROUP OF PUBLIC HEALTH AND SOCIAL SERVICE PROFESSIONALS WHO WERE GATHERED TO DISCUSS AND PRIORITIZE AMONG THE COMMUNITY HEALTH NEEDS THAT EMERGED FROM THE SYNTHESIS OF THE SECONDARY DATA AND COMMUNITY CONVERSATIONS. THE STAKEHOLDER MEETING WAS HELD ON NOVEMBER 27, 2012. THE MEETING FORMAT INCLUDED AN OPENING PRESENTATION FOLLOWED BY SMALL GROUP AND LARGE GROUP DISCUSSIONS. PARTICIPANTS WERE PROVIDED WITH DEMOGRAPHIC DATA FOR EASTERN ALAMEDA COUNTY AS WELL AS HEALTH OUTCOMES DATA AND OTHER RELATED HEALTH INDICATORS FOR ALL OF THE HEALTH CONCERNS THAT EMERGED FROM ANALYSIS OF THE PRIMARY AND SECONDARY DATA. AS A RESULT OF THE SMALL AND LARGE GROUP CONVERSATIONS, THE STAKEHOLDERS OFFERED RECOMMENDATIONS REGARDING THE RELATIVE PRIORITY OF EACH DEFINED COMMUNITY HEALTH NEED. AGENCY PARTICIPANTS LISTED BELOW: EAST BAY YOUTH & FAMILY INITIATIVES, TRI-VALLEY HAVEN, CITY OF LIVERMORE, ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY, TRI-CITY HEALTH CENTER, OPEN HEART KITCHEN, HORIZONS FAMILY COUNSELING, SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY, LIVERMORE AREA RECREATION AND PARK DISTRICT AND AXIS COMMUNITY HEALTH. COMMUNITY CONVERSATIONS TWO GROUPS OF COMMUNITY MEMBERS WERE RECRUITED BY COMMUNITY AGENCIES SERVING THE RELEVANT POPULATIONS. ONE OF THE COMMUNITY CONVERSATIONS WAS HELD AT AN ELEMENTARY SCHOOL AND ENGAGED SPANISH-SPEAKING FEMALE PARENTS AND THE SECOND CONVERSATION INCLUDED LOW-INCOME COMMUNITY MEMBERS WHO WERE RECRUITED THROUGH A COMMUNITY-BASED COUNSELING CENTER. PARTICIPANTS WERE RECRUITED FROM POPULATIONS WITH HIGH RATES OF POVERTY, LOW RATES OF HIGH SCHOOL GRADUATION AND RELATIVELY LOW RATES OF INSURANCE COVERAGE. |
| PART V, SECTION B, LINE 6A | 2013 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH COLLABORATION BETWEEN VALLEYCARE HEALTH SYSTEM AND KAISER PERMANENTE WALNUT CREEK, BOTH OF WHICH SERVE THE TRI-VALLEY COMMUNITIES OF LIVERMORE, PLEASANTON AND DUBLIN (IN ALAMEDA COUNTY, CALIFORNIA). |
| PART V, SECTION B, LINES 7A/10A | URL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX. |
| PART V, SECTION B, LINE 11 | OF THE 8 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, VALLEYCARE HEALTH SYSTEM SELECTED THREE TO ADDRESS; PRIMARY CARE SERVICES AND INFORMATION (HEALTH LITERACY), INCLUDING ADEQUATE SPANISH CAPACITY, ASTHMA PREVENTION AND HEALTHY EATING. VALLEYCARE ADDRESSES THESE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS BY PARTNERING WITH COMMUNITY BASED ORGANIZATIONS. FOR A DETAILED DESCRIPTION OF VALLEYCARE'S COMMUNITY PARTNERS AND RESOURCES PROVIDED SEE THE IMPLEMENTATION STRATEGY AT HTTP://WWW.VALLEYCARE.COM/PDFS/CHNA-IMPLEMENTATIONSTRATEGY.PDF HEALTH NEEDS VALLEYCARE HEALTH SYSTEM DOES NOT INTEND TO ADDRESS THE REMAINING PRIORITIZED HEALTH NEEDS FOR THIS SERVICE AREA WILL NOT BE ADDRESSED BY VALLEYCARE HEALTH SYSTEM BECAUSE USING THE CRITERIA DESCRIBED PREVIOUSLY, THEY WERE NOT RANKED AS HIGH AS ACCESS TO BEHAVIORAL HEALTH CARE AND SERVICES, ACCESS TO AFFORDABLE, HEALTHY FOOD, ENSURING SAFE AND HEALTHY ENVIRONMENTS AND ACCESS TO PREVENTIVE HEALTH CARE SERVICES. VALLEYCARE HEALTH SYSTEM HAS UNIQUE RESOURCES AND CAPACITY TO DEDICATE TO THE CHOSEN HEALTH NEEDS. THE GROUP RECOGNIZED THAT THE NEEDS NOT SELECTED WOULD BE ADDRESSED IN SOME OF THE STRATEGIES DEVELOPED, AS A NUMBER OF THEM HAVE MULTIPLE OUTCOMES. IN ADDITION, THERE ARE A NUMBER OF EXISTING ORGANIZATIONS SPEARHEADING COMMUNITY-BASED INITIATIVES THAT ARE CURRENTLY ADDRESSING THE NEEDS BELOW. THE NEEDS THAT WILL NOT BE ADDRESSED ARE: ECONOMIC SECURITY, AFFORDABLE, LOCAL MENTAL HEALTH SERVICES, AFFORDABLE, LOCAL SUBSTANCE ABUSE SERVICES, SPECIALTY CARE AND PARENTING SKILLS AND SUPPORT. |
| PART V, SECTION B, LINE 22D | PATIENTS WITH PROVEN FAMILY INCOME AT OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE FULL FINANCIAL ASSISTANCE. IN COMPLIANCE WITH 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. LINES 22A-C DO NOT APPLY AS WE CHARGE MUCH LESS THAN OUR NEGOTIATED RATES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LIFESTYLE RX | ||||
| 1119 E STANLEY BLVD | LIVERMORE | CA | 94550 | MEDICAL FITNESS FACILITY |
| VCHS - URGENT CARE CENTER | ||||
| 1133 E STANLEY BLVD | LIVERMORE | CA | 94550 | URGENT CARE CENTER |
| VCHS - URGENT CARE CENTER | ||||
| 4000 DUBLIN BLVD STE 150 | DUBLIN | CA | 94568 | URGENT CARE CENTER |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6: | VALLEYCARE HEALTH SYSTEM (VCHS) 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. A 11-MEMBER BOARD OF DIRECTORS, WHICH IS ELECTED BY ITS CORPORATE MEMBERS, GOVERNS THE VALLEYCARE CORPORATION. CORPORATE MEMBERS EXERCISE CERTAIN RESERVED RIGHTS WITH RESPECT TO GOVERNANCE DECISIONS. 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. 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. IN ADDITION TO THE STATE MANDATE, THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT, ENACTED MARCH 23, 2010, REQUIRES TAX-EXEMPT HOSPITALS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND TO ADOPT IMPLEMENTATION STRATEGIES TO MEET THE HEALTH NEEDS IDENTIFIED THROUGH THE ASSESSMENTS. THE COMMUNITY BENEFITS REPORT CAN BE FOUND ON OUR WEBSITE AT HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX. |
| 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, LINE 7. |
| PART III, LINE 2: | BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2015 WAS $19,243,948, WHICH IS AT CHARGES. BAD DEBT IS BASED ON REMAINING ACCOUNT BALANCE AFTER ANY DISCOUNTS OR PAYMENTS HAVE BEEN APPLIED. VCHS 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: VCHS 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: | DUE TO THE AFFILIATION OF THE HOSPITAL COMMITTEE OF THE LIVERMORE-PLEASANTON AREAS AND SHC, THE FOOTNOTE TO THE FINANCIAL STATEMENTS BELOW APPEARS IN THE HOSPITAL COMMITTEE OF THE LIVERMORE-PLEASANTON AREAS 5/17/2015 AUDITED FINANCIAL STATEMENTS. PER THE AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS OF APPROXIMATELY $16,071,000 AND $21,931,000 FOR THE PERIODS ENDED MAY 17, 2015 AND JUNE 30, 2014, RESPECTIVELY, 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, VCHS 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, VCHS 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, VCHS 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. VCHS'S SELF-PAY WRITE-OFFS BASED ON GROSS CHARGES WERE $10,947,000 AND $24,035,000 FOR THE PERIODS ENDED MAY 17, 2015 AND JUNE 30, 2014, RESPECTIVELY. VCHS HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE PERIODS ENDED MAY 17, 2015 AND JUNE 30, 2014. VCHS DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD PARTY PAYORS. |
| PART III, LINE 8: | THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL OF $32,920,232 REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: 1. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE 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 CHARITY CARE OR OTHER COMMUNITY BENEFIT NEEDS. |
| PART III, LINE 9B: | THE AMOUNT DETERMINED AS CHARITY CARE IS NOT COLLECTED AND WRITTEN OFF TO CHARITY. 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: | VCHS COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK IN THE 2013 CHNA PROCESS. THIS PROCESS BEGAN IN 2012 (NEXT CHNA WILL BE COMPLETED IN 2016 IN ALIGNMENT WITH IRS FINAL RULES). THE PROCESS INCLUDED COMPREHENSIVE REVIEW OF SECONDARY DATA ON HEALTH OUTCOMES, DRIVERS, CONDITIONS AND BEHAVIORS AS WELL AS COLLECTION AND ANALYSIS OF PRIMARY DATA THROUGH COMMUNITY CONVERSATIONS WITH MEMBERS OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. INPUT ON THE IDENTIFIED COMMUNITY HEALTH NEEDS, AND THE RELATIVE PRIORITY AMONG THEM, WAS GATHERED THROUGH A CONVENING OF PUBLIC AND COMMUNITY HEALTH LEADERS, ADVOCATES AND EXPERTS. THE RESULTING PRIORITIZED LIST REPRESENTS A COMMUNITY UNDERSTANDING THAT IS INFORMED BY BOTH DATA AND EXPERIENCE. THE GOAL WAS TO COLLECTIVELY GATHER COMMUNITY FEEDBACK, UNDERSTAND EXISTING DATA ABOUT HEALTH STATUS AND PRIORITIZE LOCAL HEALTH NEEDS IN THE COMMUNITY. |
| PART VI, LINE 3: | VALLEYCARE HEALTH SYSTEM WILL INTERVIEW EACH PATIENT/GUARANTOR AND DETERMINE THE CAPABILITY TO MEET HIS/HER FINANCIAL OBLIGATIONS FOR MEDICAL CARE. THOSE WHO ARE UNABLE TO MEET THE FINANCIAL OBLIGATION WILL FIRST BE SCREENED FOR POSSIBLE ELIGIBILITY UNDER STATE OR FEDERAL HEALTHCARE PROGRAMS. IF THEY DO NOT MEET STATE OR FEDERAL CRITERIA FOR HEALTHCARE BENEFITS, THEY WILL BE INTERVIEWED TO DETERMINE WHETHER THEY MEET THE CRITERIA 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 OVER 80% OF VALLEYCARE'S INPATIENT DISCHARGES. THE CURRENT POPULATION OF THE TRI-VALLEY IS ESTIMATED AS FOLLOWS: DUBLIN TOTAL POPULATION: 46,036 UNDER 18 YEARS OLD: 22% AGES 18-34: 28% AGES 35-64: 43% AGE 65+: 7% WHITE: 51% BLACK: 9% ASIAN: 27% HISPANIC: 14% PERCENT BELOW POVERTY: 3.5% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 92.5% LIVERMORE TOTAL POPULATION: 80,968 UNDER 18 YEARS OLD: 25% AGES 18-34: 21% AGES 35-64: 44% AGE 65+: 10% WHITE: 75% BLACK: 2% ASIAN: 8% HISPANIC: 21% PERCENT BELOW POVERTY: 6% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 92% PLEASANTON TOTAL POPULATION: 70,285 UNDER 18 YEARS OLD: 27% AGES 18-34: 15% AGES 35-64: 47% AGE 65+: 11% WHITE: 67% BLACK: 2% ASIAN: 23% HISPANIC: 10% PERCENT BELOW POVERTY: 4.2% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 94.9% SAN RAMON TOTAL POPULATION: 69,241 UNDER 18 YEARS OLD: 22% AGES 18-34: 18% AGES 35-64: 46% AGE 65+: 7% WHITE: 53% BLACK: 2% ASIAN: 36% HISPANIC: 10% PERCENT BELOW POVERTY: 3.6% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 97.2% |
| PART VI, LINE 5: | 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, OCCUPATIONAL HEALTH, 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 LIFESTYLE RX, 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 2015 AT VALLEYCARE MEIDCAL 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 (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL MORISSETTE | ||||||||||||||
| BOARD CHAIR (AS OF 05/15) | $0 | $714,551 | $0 | $427,909 | $0 | $321,220 | $0 | $23,400 | $0 | $36,777 | $0 | $1,523,857 | $0 | $168,506 |
| JENNIFER VARGAS | ||||||||||||||
| DIRECTOR (AS OF 05/15) | $0 | $505,308 | $0 | $154,502 | $0 | $214,838 | $0 | $23,400 | $0 | $39,404 | $0 | $937,452 | $0 | $119,197 |
| JAMES HEREFORD | ||||||||||||||
| DIRECTOR (AS OF 05/15) | $0 | $688,503 | $0 | $304,682 | $0 | $33,667 | $0 | $110,172 | $0 | $32,086 | $0 | $1,169,110 | $0 | $0 |
| LLOYD B MINOR MD | ||||||||||||||
| DIRECTOR (AS OF 05/15) | $0 | $1,340,166 | $0 | $200,000 | $0 | $59,653 | $0 | $300,000 | $0 | $57,385 | $0 | $1,957,204 | $0 | $0 |
| RAJNEESH BAHAL | ||||||||||||||
| DIRECTOR (AS OF 05/15) | $0 | $171,269 | $0 | $110,417 | $0 | $139,470 | $0 | $0 | $0 | $15,388 | $0 | $436,544 | $0 | $0 |
| AMIR DAN RUBIN | ||||||||||||||
| DIRECTOR (AS OF 05/15) | $0 | $1,704,324 | $0 | $1,022,000 | $0 | $321,654 | $0 | $321,942 | $0 | $37,288 | $0 | $3,407,208 | $0 | $270,987 |
| JOHN YEE | ||||||||||||||
| DIRECTOR (THROUGH 05/15) | $332,449 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $332,449 | $0 | $0 | $0 |
| SCOTT GREGERSON | ||||||||||||||
| PRESIDENT | $333,722 | $0 | $0 | $0 | $2,180 | $0 | $7,650 | $0 | $16,959 | $0 | $360,511 | $0 | $0 | $0 |
| ROBERT KOWAL | ||||||||||||||
| COO (THROUGH 10/14) | $130,800 | $0 | $0 | $0 | $175,382 | $0 | $0 | $0 | $2,948 | $0 | $309,130 | $0 | $0 | $0 |
| DOUGLAS GUNDERSON | ||||||||||||||
| COO (AS OF 05/15) | $0 | $342,341 | $0 | $96,875 | $0 | $7,976 | $0 | $48,301 | $0 | $30,810 | $0 | $526,303 | $0 | $0 |
| BENJIE M LOANZON | ||||||||||||||
| CFO (AS OF 05/15) | $0 | $298,188 | $0 | $131,241 | $0 | $133,621 | $0 | $23,885 | $0 | $25,277 | $0 | $612,212 | $0 | $0 |
| GINA TEEPLES | ||||||||||||||
| CNO | $191,975 | $0 | $12,000 | $0 | $428 | $0 | $8,656 | $0 | $1,897 | $0 | $214,956 | $0 | $0 | $0 |
| DOMINADOR BRIONES | ||||||||||||||
| VP OF FINANCE | $221,205 | $0 | $0 | $0 | $1,878 | $0 | $6,564 | $0 | $17,022 | $0 | $246,669 | $0 | $0 | $0 |
| LAVERN BROWN | ||||||||||||||
| VP GENERAL SERVICES | $274,154 | $0 | $0 | $0 | $33,467 | $0 | $25,500 | $0 | $15,634 | $0 | $348,755 | $0 | $0 | $0 |
| DOREEN MAPLES | ||||||||||||||
| VP COMPLIANCE | $210,080 | $0 | $0 | $0 | $4,999 | $0 | $10,506 | $0 | $8,315 | $0 | $233,900 | $0 | $0 | $0 |
| PAUL MUSER | ||||||||||||||
| LEAD MULTI-MODALITY TECH | $120,295 | $0 | $0 | $0 | $145,036 | $0 | $8,769 | $0 | $15,922 | $0 | $290,022 | $0 | $0 | $0 |
| DENISE MAVROGIANIS | ||||||||||||||
| REGISTERED NURSE | $120,602 | $0 | $0 | $0 | $112,814 | $0 | $10,127 | $0 | $16,036 | $0 | $259,579 | $0 | $0 | $0 |
| KENNETH BARTLETT | ||||||||||||||
| CT TECHNICIAN | $117,099 | $0 | $0 | $0 | $118,420 | $0 | $9,088 | $0 | $1,168 | $0 | $245,775 | $0 | $0 | $0 |
| STEPHANIE CHEN | ||||||||||||||
| REGISTERED NURSE | $100,382 | $0 | $0 | $0 | $122,526 | $0 | $1,375 | $0 | $16,181 | $0 | $240,464 | $0 | $0 | $0 |
| MAREN EGBERT | ||||||||||||||
| REGISTERED NURSE | $117,708 | $0 | $0 | $0 | $105,436 | $0 | $5,995 | $0 | $8,367 | $0 | $237,506 | $0 | $0 | $0 |
| MARCELINA FEIT | ||||||||||||||
| FORMER CEO | $190,882 | $0 | $0 | $0 | $516,200 | $0 | $24,500 | $0 | $19,319 | $0 | $750,901 | $0 | $0 | $0 |
| KENNETH JENSEN | ||||||||||||||
| FORMER CFO | $136,627 | $0 | $0 | $0 | $202,663 | $0 | $9,800 | $0 | $12,043 | $0 | $361,133 | $0 | $0 | $0 |
| CYNTHIA NOONAN | ||||||||||||||
| FORMER COO | $157,734 | $0 | $0 | $0 | $208,704 | $0 | $24,500 | $0 | $7,751 | $0 | $398,689 | $0 | $0 | $0 |
| JESSICA JORDAN | ||||||||||||||
| FORMER VP OF PATIENT CARE | $74,930 | $0 | $0 | $0 | $139,616 | $0 | $24,916 | $0 | $2,445 | $0 | $241,907 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINES 1A, 1B, AND 2 | HOUSING ALLOWANCE ROBERT KOWAL, COO, WAS RECRUITED FROM OUT OF THE AREA. PURSUANT TO HIS EMPLOYMENT CONTRACT HE RECEIVED A MONTHLY HOUSING ALLOWANCE THAT WAS NEGOTIATED UPON HIRE. THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III). |
| SCHEDULE J, PART I, LINE 4A | SEVERANCE IS PAID FOR POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS UPON THE TERMINATION OF EMPLOYMENT. MARCELINA FEIT - $481,250 KENNETH JENSEN - $150,000 ROBERT KOWAL - $155,997 |
| SCHEDULE J, PART I, LINE 4B | STANFORD HEALTH CARE ("SHC"), A RELATED ORGANIZATION, PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (A) THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; THE PARTICIPANT BECOMES FULLY VESTED WHEN (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (D) THE PARTICIPANT COMPLETES SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH OF THE PARTICIPANT. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2014: AMIR DAN RUBIN $ 284,718 DANIEL MORISSETTE $ 269,311 JENNIFER VARGAS $ 186,665 BENJIE M LOANZON $ 98,053 DOUGLAS GUNDERSON $ 1,376 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 2014 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 II, COLUMN B(III) | OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B-III INCLUDES ACCRUED VACATION AND SICK LEAVE PAY OUT. |
| SCHEDULE J, PART II | DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF VCHS. 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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | DESCRIPTION OF ORGANIZATION MISSION: THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS, DBA VALLEYCARE HEALTH SYSTEM ("VCHS") IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION THAT PROVIDES BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. |
| FORM 990, PART III, LINE 4A | OPERATION OF TWO ACUTE CARE HOSPITALS WITH A TOTAL OF 167 ACUTE, 26 SKILLED NURSING AND 14 ACUTE PSYCHIATRIC BEDS: SERVICES INCLUDE ICU/CCU, MEDICAL, SURGICAL, OBSTETRIC, NURSERY INPATIENT SERVICE, AND EMERGENCY ROOM, URGENT CARE AND OUTPATIENT SERVICES. ALSO CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY-CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ANY PROFITS MADE FROM OPERATIONS ARE INVESTED INTO NEW FACILITIES, EQUIPMENT AND SERVICES. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, VALLEYCARE HEALTH SYSTEM 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 VALLEYCARE HEALTH SYSTEM'S SUPPORT FOR ITS COMMUNITY PARTNERS AND OTHER COMMUNITY-BASED AGENCIES, VCHS 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. VALLEYCARE HEALTH SYSTEMS' 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, VCHS 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, VCHS IMPROVES AWARENESS OF THE SYMPTOMS OF CANCER FOR THOSE MOST VULNERABLE TO CANCER. VCHS 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, VCHS OFFERS DISCUSSION AND EDUCATION FOR THOSE WHO HAVE BEEN DIAGNOSED WITH CANCER. LIFESTYLERX'S CANCER SURVIVORSHIP WELLNESS PROGRAM IS A COMPONENT OF 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 VCHS PROVIDES A WIDE VARIETY OF INFORMATION AND SERVICES TO THE BROADER COMMUNITY. THE VCHS 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. VCHS ALSO SPONSORS A SIBLINGS CLASS FOR FAMILIES WITH CHILDREN, HELPING SIBLINGS ADJUST TO A NEW BABY. THE VCHS 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 VCHS 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 VCHS. 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. VCHS 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. VCHS 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. VCHS ALSO PROVIDES MEDICAL SUPPLIES FOR FIRST AID TO LOCAL COMMUNITY EVENTS. IN ITS YOGA FOR CANCER PROGRAM, VCHS 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, VCHS OFFERS A MONTHLY DIABETES SUPPORT GROUP REVIEWING VARIOUS CLINICAL TOPICS, WITH OCCASIONAL GUEST SPEAKERS. FOR THE NUTRITION NEEDS OF SENIOR MEMBERS OF THE COMMUNITY, VCHS 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 VCHS 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. |
| FORM 990, PART III, LINE 4A CONTINUED | CHRONIC HEALTH CONDITIONS THE VCHS 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 VCHS, "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. VALLEYCARE HEALTH SYSTEM SUPPORTS HEALTH RESEARCH, EDUCATION, AND TRAINING IN A WIDE VARIETY OF PROGRAMS. SPECIALIZED HEALTH CARE WORKFORCE TRAINING IN THE DIETETICS INTERNSHIP PROGRAM, VCHS 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. VCHS 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, VCHS 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. VCHS ALSO PROVIDES MENTORING EDUCATION FOR THE UC SAN DIEGO LACTATION CERTIFICATION PROGRAM. FINALLY, VCHS PROVIDES SURGICAL TECHNOLOGY TRAINING FOR SURGICAL TECHNOLOGY STUDENTS IN THE OPERATING ROOM, SUPERVISED BY A SURGICAL TECHNOLOGIST AND REGISTERED NURSES. THROUGHOUT THE YEAR, VCHS HOSTS COLLEGE STUDENT INTERNS IN PHYSICAL AND SPORTS MEDICINE IN VARYING AFFILIATION DATES, RANGING FROM SIX MONTHS OF FULL-TIME INTERNSHIP TO ONE DAY A WEEK. THE VCHS HIGH SCHOOL STUDENTS PRECEPTORSHIP PROVIDES VALUABLE NURSING TRAINING TO SENIOR HIGH SCHOOL STUDENTS, HELPING THEM TO DEVELOP VALUABLE PATIENT ASSESSMENT AND ASSISTANCE SKILLS. STUDENTS ARE 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. IN ITS SCHOOL OUTREACH PROGRAM, VCHS REGISTERED NURSES CONDUCT A SEMINAR FOR HIGH SCHOOL STUDENTS IN THE TRI-VALLEY REGION. TOPICS INCLUDE GENERAL SURGERY INFORMATION, A DEMONSTRATION OF LAPAROSCOPIC INSTRUMENTS AND OPERATING ROOM LAYOUT. IN ADDITION, THE VCHS MENTORING PROGRAM ALLOWS HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL AND NURSING CAREERS TO SHADOW HEALTH CARE PROFESSIONALS ON MULTIPLE UNITS AT VALLEYCARE. VCHS ALSO INVITES ADVANCED PLACEMENT STUDENTS IN TRI-VALLEY SCHOOLS TO COME INTO VCHS FACILITIES AND WATCH A BARIATRIC SURGERY VIDEO, AFTER WHICH THEY GO INTO A MOCK OPERATING ROOM FOR A SIMULATION. RESEARCH/CLINICAL TRIALS THE REGIONAL CANCER CENTER AT VALLEYCARE IS AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF). VALLEYCARE'S UCSF AFFILIATION BRINGS NATIONAL INSTITUTES FOR HEALTH AND NATIONAL CANCER INSTITUTE CLINICAL TRIALS TO VALLEYCARE. TRI-VALLEY CANCER PATIENTS CAN ACCESS UCSF ACADEMIC RESOURCES-WITHOUT THE NECESSITY TO TRAVEL-TO DISCUSS THE BEST COURSE OF TREATMENT, AS WELL AS PROVIDE CARE THROUGH CLINICAL TRIALS WHICH INCLUDE INFUSION AND RADIATION THERAPY. THESE STUDIES ARE DESIGNED TO ANSWER SCIENTIFIC QUESTIONS AND ARE PERFORMED IN ORDER TO EVALUATE NEW TREATMENTS AND FIND NEW AND BETTER WAYS TO HELP PEOPLE WITH CANCER. |
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID MERTES AND BARBARA MERTES HAVE A FAMILY RELATIONSHIP. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD HEALTH CARE: DANIEL MORISSETTE JENNIFER VARGAS JAMES HEREFORD RAJNEESH BAHAL AMIR DAN RUBIN BENJIE M LOANZON 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 4 STANFORD HEALTH CARE (SHC) BECAME THE SOLE MEMBER OF THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) EFFECTIVE AS OF MAY 18, 2015. VCHS'S ARTICLES OF INCORPORATION WERE AMENDED (I) TO EXPAND THE CHARITABLE PURPOSES OF THE CORPORATION TO INCLUDE SUPPORT FOR THE DEVELOPMENT AND OPERATION OF A BROAD GEOGRAPHIC NETWORK OF HEALTH CARE PROVIDERS PROVIDERS AND FACILITIES IN COLLABORATION WITH SHC AND STANFORD UNIVERSITY (THE UNIVERSITY) AND ITS SCHOOL OF MEDICINE, TO FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE UNIVERSITY, AND TO DEVELOP, SPONSOR AND ADVANCE SERVICES AND PROGRAMS THAT ADDRESS THE PHYSICAL AND MENTAL NEEDS OF THE COMMUNITY AT LARGE AND (II) TO ESTABLISH SHC AS THE SOLE CORPORATE MEMBER OF VCHS AND DISSOLVE THE THEN-EXISTING COMMUNITY INDIVIDUAL MEMBERS OF THE CORPORATION. VCHS'S BYLAWS WERE AMENDED TO (I) ELIMINATE THE THEN-EXISTING INDIVIDUAL MEMBERS OF VCHS AND ESTABLISH SHC AS THE SOLE MEMBER OF VCHS AND (II) TO ESTABLISH THAT AN ELEVEN-MEMBER BOARD OF DIRECTORS, CONSISTING OF THREE CLASS A DIRECTORS AND EIGHT CLASS B DIRECTORS. THE INITIAL CLASS A DIRECTORS WERE SELECTED BY THE EXISTING BOARD OF VCHS FROM AMONG ITS CURRENT MEMBERS. AS VACANCIES OCCUR, THE CLASS A DIRECTORS WILL SELECT REPLACEMENT DIRECTORS, WHOSE APPOINTMENT WILL BE SUBJECT TO APPROVAL BY SHC. THE CLASS B DIRECTORS WERE SELECTED BY SHC FROM A SLATE OF CANDIDATES SUBMITTED BY A NOMINATING COMMITTEE APPOINTED BY SHC. |
| FORM 990, PART VI, SECTION B, LINE 6 | STANFORD HEALTH CARE IS THE SOLE MEMBER OF VCHS. |
| FORM 990, PART VI, SECTION B, LINE 7A | STANFORD HEALTH CARE, AS THE SOLE MEMBER OF VCHS, APPOINTS ALL CLASS "B" DIRECTORS, AND APPROVES THE VCHS BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 7B THE SOLE MEMBER, STANFORD HEALTH CARE, APPROVES THE APPOINTMENT OF CLASS "A" DIRECTORS TO THE VCHS BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE DEPARTMENT REVIEWS THE FORM 990 FOR ACCURACY. 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 BOARD OF DIRECTORS AND INVITES QUESTIONS. FOLLOWING THIS REVIEW, A FULL COPY OF THE FINAL RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. ONCE THESE STEPS ARE COMPLETE, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | VCHS USES A RFP PROCESS FOR THESE ACTIVITIES AND DOCUMENTS THE DECISION-MAKING PROCESS TO DEMONSTRATE WHY WE CHOSE A SPECIFIC CONTRACTOR, VENDOR, OR PRODUCT SO EVEN IF SOMEONE HAS AN INTEREST IN ONE OF THESE, WE CAN DEMONSTRATE THE DECISION WAS MADE FOR OTHER REASONS SUCH AS QUALITY, COST, AVAILABILITY ETC. |
| FORM 990, PART VI, SECTION B, LINE 15 | VCHS UTILIZES THE SERVICES OF RODEGHERO CONSULTING GROUP 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 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING/ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: BOND EXTINGUISHMENT - $63,030,636 INTERCOMPANY NOTE - ($69,111,073) SET UP INTANGIBLES - $1,262,465 FAIR VALUE ADJUSTMENT OF FIXED ASSETS - $53,035,061 FAIR VALUE ADJUSTMENT OF PPAI & II PARTNERSHIP - $5,854,619 RELEASED TEMPORARY RESTRICTED NET ASSETS - ($22,997) TOTAL - $54,048,711 AS A RESULT OF THE AFFILIATION ON MAY 18, 2015, THE ASSETS AND DEBT OF THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS WERE REVIEWED AND REVALUED. ACCORDINGLY, THERE IS AN ADJUSTMENT BASED ON MARKET FLUCTUATION, TO THE FAIR VALUE OF THE ASSETS AND DEBT. |
| AUDITED FINANCIAL STATEMENTS ATTACHED TO THE FORM 990 INCLUDE: | - THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS CONSOLIDATED FINANCIAL STATEMENTS AS OF 5/17/15 AND FOR THE PERIOD 7/01/2014 THROUGH 5/17/2015 (CUTOFF BEFORE THE AFFILIATION BETWEEN STANFORD HEATH CARE AND THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS ON 5/18/2015). - STANFORD HEALTH CARE CONSOLIDATED FINANCIAL STATEMENTS AS OF 8/31/2015 AND FOR THE PERIOD 9/01/2014 THROUGH 8/31/2015. THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS BALANCE SHEET AS OF 8/31/2015 AND RESULTS OF OPERATIONS FOR THE PERIOD FROM AFFILIATION, 5/18/2015 THROUGH 8/31/2015 ARE INCLUDED IN THE STANFORD HEALTH CARE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE BRD OF TRUST LELAND STANF JR UNIV | ||||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 941156365 | EDUCATION | CA | 501(C)(3) | 2 | NA | false | ||||||
| STANFORD HEALTH CARE | ||||||||||||||||
| 300 PASTEUR DRIVE MC 5555 | STANFORD | CA | 94305 | 946174066 | HEALTHCARE | CA | 501(C)(3) | 3 | STANFORD | Yes (true) | ||||||
| LUCILE SALTER PACKARD CHILDRENS HOSPITAL | ||||||||||||||||
| 725 WELCH ROAD MC 5553 | PALO ALTO | CA | 94304 | 770003859 | HEALTHCARE | CA | 501(C)(3) | 3 | STANFORD | Yes (true) | ||||||
| VALLEYCARE CHARITABLE FOUNDATION | ||||||||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 942941652 | FUNDRAISING | CA | 501(C)(3) | 9 | HOSP CMTE LP | Yes (true) | ||||||
| VALLEYCARE MEDICAL FOUNDATION INC | ||||||||||||||||
| 5655 W LAS POSITAS BLVD 220 | PLEASANTON | CA | 94588 | 262593526 | SUPPORT VCHS | CA | 501(C)(3) | 9 | HOSP CMTE LP | Yes (true) | ||||||
| VALLEYCARE SENIOR HOUSING | ||||||||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 943382224 | SR. FACILITY | CA | 501(C)(3) | 11C, III-FI | HOSP CMTE LP | Yes (true) | ||||||
| THE FREIDENRICH SUPPORT FOUNDATION | ||||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 300519583 | SUPPORT | CA | 501(C)(3) | 11A, I | STANFORD | Yes (true) | ||||||
| SHR HOLDINGS INC | ||||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 943187167 | REAL ESTATE | CA | 501(C)(25) | N/A | STANFORD | Yes (true) | ||||||
| SU EMP BEN TRUST POST RETEMPYNT BEN | ||||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 943246199 | BENEFITS | CA | 501(C)(9) | N/A | STANFORD | Yes (true) | ||||||
| UNIVERSITY HEALTHCARE ALLIANCE | ||||||||||||||||
| 855 OAK GROVE AVE SUITE 100 | MENLO PARK | CA | 94205 | 943192446 | HEALTHCARE | CA | 501(C)(3) | 3 | SHC | Yes (true) | ||||||
| THE DUDLEY E CHAMBERS FOUNDATION | ||||||||||||||||
| JP MORGAN CHASE PO BOX 3038 | MILWAUKEE | WI | 53201 | 386841793 | SUPPORT | NY | 501(C)(3) | 11D, III-O | STANFORD | Yes (true) | ||||||
| STANFORD UNIVERSITY BOOKSTORE | ||||||||||||||||
| BLDG 60 MAIN QUAD NO 105 | STANFORD | CA | 94305 | 940894150 | SUPPORT | CA | 501(C)(3) | 11A, I | STANFORD | Yes (true) | ||||||
| PACKARD CHILDREN'S HEALTH ALLIANCE | ||||||||||||||||
| 725 WELCH ROAD MC5551 | PALO ALTO | CA | 94304 | 320359189 | HEALTHCARE | CA | 501(C)(3) | 3 | LPCH | Yes (true) | ||||||
| STANFORD HABITAT CONSERVATION BOARD | ||||||||||||||||
| 3160 PORTER DR STE 200 | PALO ALTO | CA | 94304 | 461882243 | CONSERVATION | CA | 501(C)(3) | 7 | STANFORD | Yes (true) | ||||||
| STANFORD FACULTY CLUB | ||||||||||||||||
| PO BOX 7229 | STANFORD | CA | 94309 | 941187089 | FAC INTERACT. | CA | 501(C)(7) | N/A | STANFORD | Yes (true) | ||||||
| THE HONG KONGSU CHARITABLE TRUST | ||||||||||||||||
| 986078093 | SUPPORT | 501(C)(3) | STANFORD | Yes (true) | 1401 CAROLINE CENTER | 28 PING ROAD | CAUSEWAY | HK | HK | |||||||
| THE STANFORD TRUST | ||||||||||||||||
| SUPPORT | 501(C)(3) | STANFORD | Yes (true) | 65 HIGH STREET | OXFORD | UK | UK | OX1 46L | ||||||||
| STANFORD PROGRAMME (CAPE TOWN) NPC | ||||||||||||||||
| EDUCATION | 501(C)(3) | STANFORD | Yes (true) | WAVERLY BUSINESS PARK BUILDING 11 | CAPE TOWN | SF | SF | |||||||||
| STANFORD FEDERAL CREDIT UNION | ||||||||||||||||
| 1860 EMBARCADERO RD | PALO ALTO | CA | 94303 | 941492212 | CREDIT UNION | CA | 501(C)(1) | N/A | STANFORD | Yes (true) | ||||||
| STANFORD HEALTH CARE ADVANTAGE | ||||||||||||||||
| 3220 BLUME DR STE 260 | RICHMOND | CA | 948065741 | 464071746 | HEALTHCARE | CA | 501(c)(3) | 11A, I | SHC | Yes (true) | ||||||
| STANFORD SCHOOLS CORPORATION | ||||||||||||||||
| 475 POPE STREET | MENLO PARK | CA | 94025 | 202699147 | EDUCATIONAL | CA | 501(C)(3) | 2 | STANFORD | Yes (true) | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Province Or StateForeignAddress/ProvinceOrStateNm |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATWATER 12 LP | |||||||||||||
| 2100 ROSS AVE STE 1600 | DALLAS | TX | 75201 | 752944481 | INVESTMENTS | DE | NA | ||||||
| AVENUE ASIA CAPITAL PARTNERS LP | |||||||||||||
| 399 PARK AVE 6TH FL | NEW YORK | NY | 10022 | 010553224 | INVESTMENTS | DE | NA | ||||||
| JER R E QUALIFIED PARTNERS EUROPE LP | |||||||||||||
| 7950 JONES BRANCH DR STE 220 | MCLEAN | VA | 22107 | 542029560 | INVESTMENTS | DE | NA | ||||||
| PALO ALTO LP | |||||||||||||
| INVESTMENTS | NA | 13 CASTLE STREET | ST. HELIER | JE | XC JE4 9WG | JE | |||||||
| SANDPIPER FUND LP | |||||||||||||
| 2000 MCKINNEY AVE STE 2125 | DALLAS | TX | 75201 | 260341626 | INVESTMENTS | TX | NA | ||||||
| SAROFIM MULTIFAMILY PARTNERS LP | |||||||||||||
| 8115 PRESTON RD STE 400 | DALLAS | TX | 75225 | 201929002 | RE DEVELOPMENT | DE | NA | ||||||
| SCP REAL ASSETS FUND (A) LP | |||||||||||||
| 450 PARK AVE 23RD FL | NEW YORK | NY | 10022 | 203949682 | INVESTMENTS | DE | NA | ||||||
| DEK PORTFOLIO LLC | |||||||||||||
| C/O SPAULDING SLYE INV 1 PO S | BOSTON | MA | 02109 | 043446765 | INVESTMENTS | DE | NA | ||||||
| FORTRESS IW COINVESTMENT (FUND B) LP | |||||||||||||
| 1345 AVE OF THE AMERICAS 23RD FL | NEW YORK | NY | 10105 | 980509639 | INVESTMENTS | NA | CJ | ||||||
| JER REAL ESTATE PARTNERS EUROPE II LP | |||||||||||||
| INVESTMENTS | NA | CLARGES HOUSE 6-12 CLARGES ST | LONDON | UK | W1J 8AD | UK | EN | ||||||
| STANFORD PET-CT LLC | |||||||||||||
| 300 PASTEUR DRIVE M/C 5555 | STANFORD | CA | 94305 | 611423414 | MED. DIAGNOST | CA | NA | ||||||
| CEE EQUITY HOLDINGS LP | |||||||||||||
| INVESTMENTS | NA | ELIZABETH HOUSE 9 CASTLE ST | ST. HELIER, | JE | JE4 2QP | JE | JE | ||||||
| LSF V DHB HOLDINGS LP | |||||||||||||
| 2711 N HASKELL AVE STE 1700 | DALLAS | TX | 75204 | 272858604 | INVESTMENTS | DE | NA | ||||||
| SIC SNOWCREEK VIII LLC | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | 275431605 | RE DEVELOPMENT | CA | NA | ||||||
| SUMIT HOLDING INTERNATIONAL LLC | |||||||||||||
| 1400 PAGE MILL ROAD MC5713 | PALO ALTO | CA | 94304 | 263934706 | HOLDING COMPANY | DE | NA | ||||||
| ARCOLA VENTURE LLC | |||||||||||||
| C/O STANFORD MGMT CO 635 KNIGHT W | STANFORD | CA | 943057297 | 371689632 | RE DEVELOPMENT | DE | NA | ||||||
| BLACKSTONE REP VII TE 7-NQ LP | |||||||||||||
| C/O THE BLACKSTONE GROUP 345 PARK | NEW YORK | NY | 10154 | 900878802 | INVESTMENTS | DE | NA | ||||||
| OUTLAWS CASINO LTD | |||||||||||||
| 3160 PORTER DR | PALO ALTO | CA | 94304 | 841457498 | HOLDING COMPANY | CO | NA | ||||||
| STANFORD EMANUEL RAD ONCOLOGY CENTER | |||||||||||||
| 825 DELBON AVE | TURLOCK | CA | 95382 | 208885091 | RADIOLOGY | CA | NA | ||||||
| ARCOLA RESIDENTIAL VENTURE LLC | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | 900818278 | REAL ESTATE | CA | NA | ||||||
| STANFORD-STARTX FUND LLC | |||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 464297719 | INVESTMENTS | DE | NA | ||||||
| CLAIRVUE CAPITAL PARTNERS II-TE 1 LP | |||||||||||||
| 150 CALIFORNIA STREET STE 850 | SAN FRANCISCO | CA | 94111 | 800909516 | INVESTMENTS | DE | NA | ||||||
| CLAIRVUE CAPITAL PARTNERS II-TE 2 LP | |||||||||||||
| 150 CALIFORNIA STREET STE 850 | SAN FRANCISCO | CA | 94111 | 800909556 | INVESTMENTS | DE | NA | ||||||
| KEB INVESTORS II LP | |||||||||||||
| 941156365 | INVESTMENTS | NA | WASHINGTON MALL STE 304 7 REID ST | HAMILTON | BD | HM 11 | BD | ||||||
| SEQUOIA MFM OPERATING COMPANY LLC | |||||||||||||
| 770 WELCH ROAD LPCH- ADMIN MC5551 | PALO ALTO | CA | 94304 | 475060529 | MFM PROGRAM | CA | NA | ||||||
| SP SMC PARTNERS LLC | |||||||||||||
| 2711 CENTERVILLE RD STE 400 | WILMINGTON | DE | 19808 | INVESTMENTS | DE | NA | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | EINEIN | Province Or StateForeignAddress/ProvinceOrStateNm | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARINER VOYAGER INTERNATIONAL LTD | ||||||||||||||
| C/O STUARTS CORP SVCS PO BOX 2510 | GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | ||||||||
| STANFORD SGGS EUROPE INC | ||||||||||||||
| UGLAND HOUSE S CHURCH ST | PO BOX 309GT, GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | 131684331 | |||||||
| BLACK RIVER EMEA INVESTORS FUND LTD | ||||||||||||||
| UGLAND HOUSE S CHURCH ST | GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | 980428006 | |||||||
| EAST SAIL | ||||||||||||||
| C/O INTL FS INC IFS COURT | TWENTYEIGHT, CYBERCITY, EBENE | MP | INVESTMENTS | MP | NA | C CORP | ||||||||
| GAVEA INVESTMENT FUND II-C LP | ||||||||||||||
| PO BOX 896GT HARBOUR CENTRE | GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | 980537952 | CAYMAN ISLANDS | ||||||
| LS ALBERTA III LP | ||||||||||||||
| INVESTMENTS | CA | NA | C CORP | 980493425 | C/O JE ROBERT COS 1650 TYSON BLVD | MCLEAN | VA | 22102 | ||||||
| CLAT (15) | ||||||||||||||
| CHARITABLE TR | NA | TRUST | CA | |||||||||||
| CRT (536) | ||||||||||||||
| CHARITABLE TR | NA | TRUST | CA | |||||||||||
| OTHER (7) | ||||||||||||||
| CHARITABLE TR | NA | TRUST | CA | |||||||||||
| PIF (77) | ||||||||||||||
| CHARITABLE TR | NA | TRUST | CA | |||||||||||
| ALPINE CHALET INC | ||||||||||||||
| SKI LODGE | NA | C CORP | 941556099 | PO BOX 9988 | SOUTH LAKE TAHOE | CA | 96158 | CA | ||||||
| STANFORD (BEIJING) CNSLTNG CO LTD (WFOE) | ||||||||||||||
| 5275TH FLBLDG CACADEMY SOUTH RD | HAIDAN DISTRICT | CH | EDUCATION | CH | NA | C CORP | BEIJING | |||||||
| STANFORD UNIV MED NETWORK RISK AUTHORITY | ||||||||||||||
| RISK MGMT CON | NA | C CORP | 461132002 | 1400 PAGE MILL RD MSC 5713 | PALO ALTO | CA | 94304 | CA | ||||||
| PROFESSIONAL EXCHANGE ASSURANCE COMPANY | ||||||||||||||
| INSURANCE | NA | C CORP | 900897686 | 201 MERCHANT STREET SUITE 2400 | HONOLULU | HI | 96813 | HI | ||||||
| ARCOLA RES DEVELOPMENT CORP | ||||||||||||||
| INVESTMENT | NA | C CORP | 800804754 | C/O SMC 635 KNIGHT WAY | STANFORD | CA | 943057297 | DE | ||||||
| BREP VII ALBERTA FEEDER(OFFSHORE)TE7 LP | ||||||||||||||
| INVESTMENTS | CA | NA | C CORP | 981066351 | C/O THE BLACKSTONE GROUP 345 PARK | NEW YORK | NY | 10154 | ||||||
| BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP | ||||||||||||||
| INVESTMENTS | CA | NA | C CORP | 981066355 | C/O THE BLACKSTONE GROUP 345 PARK | NEW YORK | NY | 10154 | ||||||
| WOODBOURNE CANADA PARTNERS II -CAYMAN LP | ||||||||||||||
| C/O INTRTRST CORP SERV190 ELGIN AV | GRAND CAYMAN | CJ | INVESTMENTS | CJ | NA | C CORP | 980705321 | CAYMAN ISLANDS | KY1-9005 | |||||
| WEST FACE ALTERNATIVE CREDIT CAYMAN LP | ||||||||||||||
| PO BOX 10008 WILLOW HOUSE | GRAND CAYMAN | CJ | INVESTMENTS | CJ | NA | C CORP | 981140761 | CAYMAN ISLANDS | KY1-1001 | |||||
| MIDPOINT TECHNOLOGY PARK OWNERS ASSOC | ||||||||||||||
| REAL ESTATE | NA | C CORP | 943287254 | 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | CA | ||||||
| BIENVILLE ARGENTINA OPPS OFFSHORE FUND | ||||||||||||||
| INVESTMENTS | CJ | NA | C CORP | 405 LEXINGTON AVE 34TH FLOOR | NEW YORK | NY | 10174 | |||||||
| ICHIGO JAPAN FUND K | ||||||||||||||
| 1 NORTH BRIDGE RD 6-8 | SINGAPORE | SN | INVESTMENTS | CJ | NA | C CORP | SINGAPORE | 179094 | ||||||
| AFFINITY MEDICAL SOLUTIONS INC | ||||||||||||||
| HEALTHCARE | NA | C CORP | 203134011 | 1221 BROADWAY 3RD FLOOR | OAKLAND | CA | 94612 | DE | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEYCARE MEDICAL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $6,368,188 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R | ON SEPTEMBER 23, 2014, SHC ENTERED INTO AN AFFILIATION AGREEMENT WITH VCHS, 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 VCHS WITH THE ASSOCIATED CONTROL OF VCHS, 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 VCHS AND SHC WAS CONSUMMATED AND BECAME EFFECTIVE. VCHS, WHICH OWNS VMH AND VCMC, AND WHICH IS THE MEMBER OF VCMF AND VCSH, BECAME A SUBSIDIARY OF SHC. AS A RESULT, EFFECTIVE MAY 18, 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS IS RELATED TO SHC AND ITS OTHER AFFILIATES. ADDITIONALLY, AS OF THIS DATE, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS IS NO LONGER AFFILIATED WITH VALLEYCARE CHARITABLE FOUNDATION. |
| 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 (2) CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (3) CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (4) OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (5) POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, COLUMNS (F), (G), AND (H) RESPONSE IS "N/A" FOR ALL ORGANIZATIONS. |