STANFORD HEALTH CARE TRI-VALLEY: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- STANFORD HEALTH CARE TRI-VALLEY (EIN 94-1429628)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201501349349306590
- Schema version
- 2013v4.0
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T15:11:07-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941429628 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COMMITTEE FOR THE LIVERMORE | BusinessNameLine1 |
| Business Name Line2 | PLEASANTON AREA | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9253738000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1 |
| City | LIVERMORE | City |
| State | CA | State |
| ZIP Code | 94550 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT GREGERSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9253738000 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD CROGHAN | PreparerPersonNm |
| PTIN | P00089862 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | AddressLine1 |
| City | LIVERMORE | City |
| State | CA | State |
| ZIP Code | 94550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $270,234,285 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS, DBA VALLEYCARE HEALTH SYSTEM IS A CALIFORNIA NON-FOR-PROFIT CORPORATION THAT PROVIDES BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1664 | TotalEmployeeCnt |
| Total Volunteers | 350 | TotalVolunteersCnt |
| Total Gross UBI | $420,046 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $143,069 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $612,786 | PYContributionsGrantsAmt |
| CY Contributions Grants | $484,344 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $271,932,913 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $261,052,516 | CYProgramServiceRevenueAmt |
| PY Investment Income | $91,962 | PYInvestmentIncomeAmt |
| CY Investment Income | $114,675 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,292,415 | PYOtherRevenueAmt |
| CY Other Revenue | $7,592,375 | CYOtherRevenueAmt |
| PY Total Revenue | $283,930,076 | PYTotalRevenueAmt |
| CY Total Revenue | $269,243,910 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $58,724,030 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $133,416,003 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $139,475,830 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $145,815,314 | PYOtherExpensesAmt |
| CY Other Expenses | $143,057,373 | CYOtherExpensesAmt |
| PY Total Expenses | $279,231,317 | PYTotalExpensesAmt |
| CY Total Expenses | $341,257,233 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,698,759 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$72,013,323 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $251,063,882 | TotalAssetsBOYAmt |
| Total Assets EOY | $180,057,382 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $143,031,891 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $144,038,714 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $108,031,991 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,018,668 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $271,563,172 | ExpenseAmt |
| Grant | $58,724,030 | GrantAmt |
| Revenue | $266,336,240 | RevenueAmt |
| Desc | 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. WE ALSO SERVE THE COMMUNITY WITH OUTREACH PROGRAMS INCLUDING THE MOBILE HEALTH UNIT AND NURSES TRAINING.MEDICAL AND SURGICAL SERVICES. THE CORPORATION'S SERVICES INCLUDE ACUTE INPATIENT MEDICAL AND SURGICAL CARE, ADVANCED DIAGNOSTIC SERVICES, EMERGENCY AND URGENT CARE, CRITICAL CARE, OBSTETRICS, PEDIATRICS, SKILLED NURSING, GERIATRIC PSYCHIATRIC CARE, INPATIENT AND OUTPATIENT REHABILITATION, AND AN INTEGRATED MEDICAL FITNESS CENTER. THE PLEASANTON CAMPUS HAS BEEN DESIGNATED BY ALAMEDA COUNTY AS A CARDIAC RECEIVING CENTER. OTHER PROGRAMS OF THE CORPORATION INCLUDE ONCOLOGY SERVICES, A BARIATRICS PROGRAM, A COUMADIN CLINIC, CARDIO-VASCULAR SERVICES, A PEDIATRIC HOSPITALIST PROGRAM WITH A LOCAL TERTIARY HOSPITAL, AND AN ONCOLOGY RESEARCH PROGRAM WITH THE UNIVERSITY OF CALIFORNIA AT DAVIS.NURSE EDUCATION. THE CORPORATION OPENED THE MERTES-FEIT EDUCATION CENTER (THE "EDUCATION CENTER") ON THE LIVERMORE CAMPUS IN 2003. PARTNERING WITH THE LOCAL COMMUNITY COLLEGE SYSTEM, THE CORPORATION OPENED THE CHABOT COLLEGE NURSING PROGRAM, EXTENDED CAMPUS AT VALLEYCARE, WITH THE FIRST 10 STUDENTS ENROLLED IN SEPTEMBER 2003 AND GRADUATED IN MAY 2005. CURRENTLY, THE PROGRAM HAS 40 NURSING STUDENTS. THE NURSING PROGRAM IS INTENDED TO PROVIDE A CONTINUOUS STREAM OF REGISTERED NURSES TO MEET THE IMMEDIATE AND FUTURE STAFFING NEEDS OF THE CORPORATION. THE EDUCATION CENTER, WHICH HOUSES THE NURSING PROGRAM, ALSO HAS THE FIRST FULLY FUNCTIONAL SIMULATION LABORATORY IN THE EAST BAY AREA AND IS USED AS A TRAINING SITE FOR A NUMBER OF HEALTHCARE DISCIPLINES.COMMUNITY EDUCATION. THE VALLEYCARE MEDICAL PLAZA (THE "MEDICAL PLAZA"), LOCATED AT W. LAS POSITAS AND STONERIDGE, HOUSES THE CORPORATION'S HEALTH LIBRARY AND RYAN COMER CANCER RESOURCE CENTER, WHICH OPENED IN 1991. ITS MISSION IS TO PROVIDE ACCESS TO CURRENT, EASILY UNDERSTOOD HEALTH AND MEDICAL INFORMATION IN A RELAXED AND SUPPORTIVE ENVIRONMENT.COMMUNITY OUTREACH. IN ADDITION TO THE SERVICES PROVIDED AT THE PLEASANTON CAMPUS, THE LIVERMORE CAMPUS, AND THE MEDICAL PLAZA, THE CORPORATION PROVIDES A VARIETY OF PROGRAMS WITHIN THE COMMUNITY, INCLUDING A "MEALS ON WHEELS" PROGRAM, WHICH IS BASED AT THE LIVERMORE CAMPUS KITCHEN, FOR HOMEBOUND SENIORS. THE CORPORATION WAS FIRST AWARDED THE CONTRACT TO PROVIDE THIS PROGRAM IN 1997.ANOTHER COMMUNITY SERVICE IS THE CORPORATION'S NUTRITION PROGRAM, WHICH HAS SERVED LOCAL HEAD START CENTERS SINCE 1998. THIS PROGRAM ADDRESSES THE UNIQUE NEEDS OF CHILDREN IN THE LOCAL COMMUNITY AND SUPPORTS LOCAL AGENCIES IN ADDRESSING SOCIAL NEEDS THAT AFFECT HEALTH BY DELIVERING HOT MEALS ON SCHOOL DAYS FOR LOW-INCOME CHILDREN AT HEAD START CENTERS. IN ADDITION TO THE HEAD START MEALS, THE CORPORATION ALSO PROVIDES HOT MEALS TO CHILDREN IN THE LIVERMORE PLAY SCHOOL PER REQUESTS FROM PARENTS AND STAFF. EACH SUMMER THE CORPORATION ALSO PARTICIPATES IN A JOINT PROGRAM WITH THE LIVERMORE HOUSING AUTHORITY AND CAPE, INC. PRESCHOOLS TO PROVIDE SUMMER RECREATION AND FREE MEALS TO LOW-INCOME CHILDREN.AT THE LAS POSITAS COLLEGE STUDENT HEALTH CENTER, A CHABOT COMMUNITY COLLEGE (AT LAS POSITAS COMMUNITY COLLEGE), THE CORPORATION PROVIDES A PROGRAM THAT GIVES STUDENTS ACCESS TO PRIMARY DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS OFFERING CRITICAL ACCESS TO INFORMATION TO HELP STUDENTS IMPROVE AND MAINTAIN THEIR HEALTH. THE CORPORATION'S PUBLIC HEALTH NURSE WORKS CLOSELY WITH THE COMMUNITY ON A VARIETY OF PROJECTS INCLUDING THE BAY AREA REGIONAL IMMUNIZATION REGISTRY, SENIOR INJURY PREVENTION, PASTORAL CARE, AND THE PROCUREMENT OF A MOBILE MEDICAL VAN TO BRING MEDICAL SERVICES AND CONTINUITY OF CARE TO THE REGION'S UNDERSERVED POPULATION, INCLUDING CHILDREN AND SENIORS. THE CORPORATION ALSO FINANCIALLY SUPPORTS TWO NURSES IN THE PLEASANTON UNIFIED SCHOOL DISTRICT. | Desc |
| Total Program Service Expenses | $271,563,172 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 250 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1664 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 BLVD | AddressLine1 |
| City | LIVERMORE | City |
| State | CA | State |
| ZIP Code | 94550 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARCELINA FEIT | |||||||||
| CEO (THROUGH 03/14) | 36.10 | 3.90 | Yes (X) | Yes (X) | $983,004 | $0 | $30,342 | ||
| SCOTT GREGERSON | |||||||||
| CEO | 37.60 | 2.40 | Yes (X) | Yes (X) | $393,057 | $0 | $24,609 | ||
| JANET CRISTIANO | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $11,584 | |||
| MARTY INDERBITZEN | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $16,752 | |||
| JOHN LOUIE MD | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH MCKEEHAN | |||||||||
| BOARD MEMBER | 2.00 | 2.20 | Yes (X) | $0 | $0 | $16,752 | |||
| BARBARA MERTES | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| DAVID MERTES | |||||||||
| BOARD MEMBER | 2.00 | 2.20 | Yes (X) | $0 | $0 | $9,654 | |||
| JOHN SENSIBA | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| TOM VARGAS | |||||||||
| BOARD MEMBER | 2.00 | 2.20 | Yes (X) | $0 | $0 | $11,584 | |||
| TIM WEAVER | |||||||||
| BOARD MEMBER | 2.00 | 2.20 | Yes (X) | $0 | $0 | $11,584 | |||
| ALCINA WEGRZYNOWSKI | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| JOHN YEE | |||||||||
| BOARD MEMBER | 2.00 | 2.20 | Yes (X) | $0 | $254,700 | $0 | |||
| JOSEPH GRANT | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $16,752 | |||
| JIM SUMMERS | |||||||||
| BOARD MEMBER | 2.00 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH JENSEN | |||||||||
| CFO/VP (THROUGH 04/14) | 36.10 | 3.90 | Yes (X) | $621,019 | $0 | $15,223 | |||
| CYNTHIA NOONAN | |||||||||
| COO (THROUGH 05/14) | 40.00 | 0.00 | Yes (X) | $549,178 | $0 | $31,125 | |||
| DOMINADOR BRIONES | |||||||||
| VP FINANCE | 40.00 | 0.00 | $235,236 | $0 | $23,586 | Yes (X) | |||
| LAVERN BROWN | |||||||||
| VP GENERAL SERVICES | 39.80 | 0.20 | $382,213 | $0 | $38,808 | Yes (X) | |||
| JESSICA JORDAN | |||||||||
| VP OF PATIENT CARE (THROUGH 03/14) | 40.00 | 0.00 | $314,080 | $0 | $25,527 | Yes (X) | |||
| DOREEN MAPLES | |||||||||
| VP OF QUALITY/REGULATORY AFFAIRS | 40.00 | 0.00 | $235,237 | $0 | $18,821 | Yes (X) | |||
| GINA TEEPLES | |||||||||
| EXECUTIVE DIRECTOR OF NURSING | 40.00 | 0.00 | $182,503 | $0 | $10,553 | Yes (X) | |||
| ALAN ROSENSTEIN | |||||||||
| MD CLINIC EFFICIENCY (THROUGH 11/13) | 20.00 | 0.00 | $248,208 | $0 | $0 | Yes (X) | |||
| PAUL MUSER | |||||||||
| LEAD MULTI-MODALITY TECH | 40.00 | 0.00 | $237,235 | $0 | $23,544 | Yes (X) | |||
| DENISE MAVROGIANIS | |||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $226,470 | $0 | $24,902 | Yes (X) | |||
| MAREN EGBERT | |||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $222,556 | $0 | $13,101 | Yes (X) | |||
| CHRISTINE RAWLS | |||||||||
| LEAD ULTRASOUND TECH | 40.00 | 0.00 | $219,895 | $0 | $9,991 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,049,891 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $254,700 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $384,794 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 439 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS | |||||
| DEPT LA 21536 | PASADENA | CA | 911851536 | IT SERVICES | $9,146,414 |
| CALIFORNIA SERVICE BUREAU | |||||
| 3050 FITE CIRCLE SUITE 107 | SACRAMENTO | CA | 95827 | PROFESSIONAL ACCOUNTS RECEIVABLE SERVICE | $1,068,795 |
| MEDICAL ANESTHESIA CONSULTANTS | |||||
| PO BOX 512107 | LOS ANGELES | CA | 900510107 | PROFESSIONAL MEDICAL SERVICES | $1,024,292 |
| KAUFMAN HALL & ASSOCIATES | |||||
| 8610 SOLUTION CENTER | CHICAGO | IL | 606778006 | CONSULTING SERVICES | $955,265 |
| REGENTS OF UCSF | |||||
| 505 PARNASSUS AVE BOX 0110 | SAN FRANCISCO | CA | 941430110 | PHYSICIAN SERVICES | $845,935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $484,344 | RelatedOrganizationsAmt |
| Total Contributions | $484,344 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | $259,894,260 | $259,894,260 | |
| RENTAL INCOME FROM AFF | 532000 | $738,210 | $738,210 | |
| LAB SERVICES | 621500 | $420,046 | $420,046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $261,052,516 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,676 | TotalRevenueColumnAmt |
| Exclusion | $67,676 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $915,812 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $989,374 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$73,562 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$73,562 | TotalRevenueColumnAmt |
| Exclusion | -$73,562 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $48,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,001 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $46,999 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,999 | TotalRevenueColumnAmt |
| Exclusion | $46,999 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER REVENUES | 900099 | $4,390,808 | $2,315,706 | $2,075,102 |
| MONTHLY DUES-LIFESTYLE | 624310 | $3,388,064 | $3,388,064 | |
| K-1 LOSSES | 900099 | -$158,066 | -$158,066 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,131 | TotalRevenueColumnAmt |
| Exclusion | $45,131 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,665,937 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269,243,910 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $266,336,240 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $420,046 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,003,280 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,724,030 | TotalAmt |
| Program Services | $58,724,030 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,609,098 | TotalAmt |
| Management And General | $4,609,098 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,965,669 | TotalAmt |
| Program Services | $66,503,388 | ProgramServicesAmt |
| Management And General | $22,462,281 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,898,924 | TotalAmt |
| Program Services | $2,794,903 | ProgramServicesAmt |
| Management And General | $1,104,021 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,422,240 | TotalAmt |
| Program Services | $24,820,181 | ProgramServicesAmt |
| Management And General | $9,602,059 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,579,899 | TotalAmt |
| Program Services | $5,445,858 | ProgramServicesAmt |
| Management And General | $2,134,041 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,695,635 | TotalAmt |
| Management And General | $1,695,635 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,000 | TotalAmt |
| Management And General | $137,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,204,445 | TotalAmt |
| Program Services | $30,524,792 | ProgramServicesAmt |
| Management And General | $3,679,653 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,746,422 | TotalAmt |
| Program Services | $1,379,081 | ProgramServicesAmt |
| Management And General | $16,367,341 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,166,616 | TotalAmt |
| Program Services | $6,268,134 | ProgramServicesAmt |
| Management And General | $2,898,482 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,430 | TotalAmt |
| Program Services | $16,817 | ProgramServicesAmt |
| Management And General | $132,613 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,310 | TotalAmt |
| Program Services | $60,072 | ProgramServicesAmt |
| Management And General | $55,238 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,305,511 | TotalAmt |
| Program Services | $3,538,941 | ProgramServicesAmt |
| Management And General | $1,766,570 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,711,945 | TotalAmt |
| Program Services | $7,742,292 | ProgramServicesAmt |
| Management And General | $1,969,653 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,169,257 | TotalAmt |
| Program Services | $2,114,235 | ProgramServicesAmt |
| Management And General | $1,055,022 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $36,860,205 | $36,860,205 | |
| BAD DEBTS | $21,154,051 | $21,154,051 | |
| QUALITY ASSURANCE FEE | $3,607,674 | $3,607,674 | |
| RECRUITMENT | $33,872 | $8,518 | $25,354 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,257,233 | TotalAmt |
| Program Services | $271,563,172 | ProgramServicesAmt |
| Management And General | $69,694,061 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,254,154 | BOYAmt |
| EOY | $10,160,486 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,335,549 | BOYAmt |
| EOY | $14,801,800 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,284,562 | BOYAmt |
| EOY | $35,626,370 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,600 | BOYAmt |
| EOY | $254,100 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,271,055 | BOYAmt |
| EOY | $4,819,079 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,031 | BOYAmt |
| EOY | $955,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $223,114,636 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $135,051,813 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,283,602 | BOYAmt |
| EOY | $88,062,823 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,091,748 | BOYAmt |
| EOY | $16,258,712 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,662,581 | BOYAmt |
| EOY | $9,118,141 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,063,882 | BOYAmt |
| EOY | $180,057,382 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,868,737 | BOYAmt |
| EOY | $41,111,262 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,034,021 | BOYAmt |
| EOY | $736,020 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,413,916 | BOYAmt |
| EOY | $77,305,334 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,752,556 | BOYAmt |
| EOY | $9,052,392 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,962,661 | BOYAmt |
| EOY | $15,833,706 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,031,891 | BOYAmt |
| EOY | $144,038,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,913,522 | BOYAmt |
| EOY | $35,933,239 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,469 | BOYAmt |
| EOY | $85,429 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,031,991 | BOYAmt |
| EOY | $36,018,668 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,063,882 | BOYAmt |
| EOY | $180,057,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$72,013,323 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $15,620 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,620 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO CHA/HCNCC AND AHA. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,779,852 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $11,157,847 | OtherCostOrOtherBasisAmt |
| Book Value | $12,937,699 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,087,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,857,294 | DepreciationAmt |
| Book Value | $54,230,210 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,260,129 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,770,116 | DepreciationAmt |
| Book Value | $5,490,013 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,001,342 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,142,744 | DepreciationAmt |
| Book Value | $12,858,598 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,827,962 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,281,659 | DepreciationAmt |
| Book Value | $2,546,303 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $88,062,823 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS LIMITED AS TO USE | Desc |
| Book Value | $16,258,712 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $16,258,712 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED FINANCING COSTS | $1,268,301 |
| DEPOSITS | $911,801 |
| NON PATIENT RECEIVABLES | $3,598,492 |
| EQUITY INVESTMENT (PPA-II) | $1,670,163 |
| THIRD PARTY PAYOR RECEIVABLE | $567,062 |
| EQUITY INVESTMENT (PPA-I) | $1,102,322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,118,141 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $5,654,154 |
| LIABILITY FOR SELF INSURANCE RESERVES | $7,457,517 |
| BOND INTEREST PAYABLE | $1,950,445 |
| REFUNDABLE DEPOSITS | $19,918 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $328,744 |
| INTERCOMPANY PAYABLE | $422,928 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,833,706 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $190,078,000 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,075,678 | OtherRevenueAmt |
| Revenue Not Reported | $1,075,678 | RevenueNotReportedAmt |
| Revenue Subtotal | $189,002,322 | RevenueSubtotalAmt |
| Other Revenues Not Included | $80,241,588 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $80,241,588 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $269,243,910 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $262,369,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $989,848 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $989,848 | ExpensesNotReportedAmt |
| Expenses Subtotal | $261,379,152 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $79,878,081 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $79,878,081 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $341,257,233 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED NETTED WITH UNRESTRICTED REVENUES FOR TAX PURPOSES 86,090. RENTAL EXPENSES RECLASSIFIED TO REVENUES 989,374. AUDITED FINANCIAL STATEMENT ROUNDING 214. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFICATION OF CONTRIBUTIONS FROM OTHER CHANGES IN FUND BALANCE 363,507. GRANTS TO RELATED ORGANIZATIONS (CLEAR INTERCOMPANY ACCOUNTS) 58,724,030. RECLASSIFICATION OF BAD DEBT EXPENSES FROM REVENUE TO EXPENSE SECTION 21,154,051. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | AUDITED FINANCIAL STATEMENT ROUNDING 474. RENTAL EXPENSES RECLASSIFIED TO REVENUES 989,374. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GRANTS TO RELATED ORGANIZATIONS (CLEAR INTERCOMPANY ACCOUNTS) 58,724,030. RECLASSIFICATION OF BAD DEBT EXPENSES FROM REVENUE TO EXPENSE SECTION 21,154,051. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,847,768 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,535,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,311,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,014,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,320,223 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,694,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,421,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,267,683 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,154,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,284,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,123,754 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,160,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,294,125 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,267,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,026,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,535,116 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,535,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,243,308 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,243,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,072,549 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,267,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,804,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,357,021 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,391,642 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,965,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,436,004 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $58,070,552 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $88,221,480 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$30,150,928 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VALLEY MEMORIAL HOSPITAL | ||||||||||
| 1 | 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | WWW.VALLEYCARE.COM | Yes (X) | LIFESTYLE RX MEDICAL FITNESS FACILITY | A | ||
| VALLEYCARE MEDICAL CENTER | ||||||||||
| 2 | 5555 W LAS POSITAS BLVD | PLEASANTON | CA | 94558 | WWW.VALLEYCARE.COM | Yes (X) | A | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REPORTING GROUP A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (1) | 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: VALLEY MEMORIAL HOSPITAL, - FACILITY 2: VALLEYCARE MEDICAL CENTER |
| FACILITY 1 -- VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: | 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 12 SPANISH-SPEAKING FEMALE PARENTS AND THE SECOND CONVERSATION INCLUDED 16 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. THE COMMUNITY AGENCIES WITH WHOM VALLEYCARE AND KAISER PERMANENTE PARTNERED FOR THESE COMMUNITY CONVERSATIONS RECRUITED THE INDIVIDUALS AND PROVIDED SPACE, WHILE VALLEYCARE AND KAISER PERMANENTE SHARED THE COST OF FOOD AND THANK-YOU GIFTS FOR THE PARTICIPANTS. THE TABLE BELOW SHOWS THE SPECIFIC PARTNER AGENCIES, THE LANGUAGE IN WHICH THE CONVERSATION WAS HELD, THE NUMBER OF INDIVIDUALS PRESENT AND THE TARGET POPULATIONS FROM WHICH THEY WERE DRAWN (MINORITY, LOW-INCOME, CHRONIC CONDITIONS, ETC...) TABLE 2: COMMUNITY CONVERSATIONS IN EASTERN ALAMEDA COUNTYPARTNER AGENCY LANGUAGE NUMBER OF PARTICIPANTS AGE RANGE POPULATIONS REPRESENTEDMARILYN AVENUE SCHOOL(OCTOBER 16, 2012) SPANISH 12 30-47 LATINOLOW INCOMECHRONIC CONDITIONSHORIZON FAMILY COUNSELING(OCTOBER 25, 2012) ENGLISH AND SPANISH 16 18 - 63 LATINOLOW-INCOMECHRONIC CONDITIONSEXPERT STAKEHOLDERSTHE 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. PARTICIPANTS, THE AGENCY FOR WHICH THEY WORK, AND THEIR SPECIFIC AREA OF EXPERTISE ARE PROVIDED IN THE TABLE BELOW.TABLE 3: PUBLIC AND COMMUNITY HEALTH EXPERTS CONVENED ON NOVEMBER 27, 2012NAME AGENCY REPRESENTED AREA OF EXPERTISEAARON ORTIZ EAST BAY YOUTH & FAMILY INITIATIVES LOW-INCOME POPULATIONSLATINO POPULATIONSANN KING TRI-VALLEY HAVEN HOMELESS, LOW-INCOME, FAMILIESBERNADETTE REVAK VALLEYCARE INFECTIOUS DISEASEBRIAN EDWARDS VALLEYCARE EMERGENCY AND SPECIALTY CAREJEAN PRASHER CITY OF LIVERMORE LOW INCOME POPULATIONSJESUS VERDUZCO ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY PUBLIC HEALTHJULIANA SCHIRMER TRI-CITY HEALTH CENTER LOW-INCOME POPULATIONSLATINO POPULATIONSLINDA MCKEEVER OPEN HEART KITCHEN LOW-INCOME POPULATIONSLATINO POPULATIONSCHRONIC CONDITIONSLYNN GARDNER HORIZONS FAMILY COUNSELING LOW-INCOME POPULATIONSLATINO POPULATIONSMARLENE PETERSEN SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY CHRONIC CONDITIONSLOW-INCOME POPULATIONSSHARON GRANT LIVERMORE AREA RECREATION AND PARK DISTRICT LOW-INCOME POPULATIONSVALERIE JONAS AXIS COMMUNITY HEALTH COMMUNITY HEALTH CENTERLOW-INCOME POPULATIONSLATINO POPULATIONSCHRONIC CONDITIONSTHE BIGGEST CHALLENGE TO THE CLEAR ANALYSIS AND INTERPRETATION OF DATA WAS THE VARIATION IN GRANULARITY ACROSS THE RELEVANT INDICATORS OF HEALTH STATUS AND HEALTH OUTCOMES. IN MANY CASES DATA ARE ONLY AVAILABLE AT THE COUNTY LEVEL, WHICH MAKES CAREFUL ANALYSIS FOR SPECIFIC TARGET COMMUNITIES VERY DIFFICULT. BASED ON THE EXPERIENCE OF THE EXPERT STAKEHOLDERS, AS WELL AS THE DIRECT INFORMATION WE RECEIVED FROM MEMBERS OF UNDER-SERVED OR AT-RISK POPULATIONS, WE ARE CONFIDENT THAT THE COMMUNITY HEALTH NEEDS WE IDENTIFIED HAVE A SIGNIFICANT IMPACT ON VULNERABLE POPULATIONS. |
| FACILITY 1 -- VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: | VHS COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK IN THE 2013 CHNA PROCESS. |
| FACILITY 1 -- VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: | 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:1. ECONOMIC SECURITY2. AFFORDABLE, LOCAL MENTAL HEALTH SERVICES3. AFFORDABLE, LOCAL SUBSTANCE ABUSE SERVICES4. SPECIALTY CARE5. PARENTING SKILLS AND SUPPORT |
| FACILITY 1 -- VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: | WE BILL FULL CHARGES, DISCOUNTS ARE GIVEN DEPENDING ON CIRCUMSTANCES |
| FACILITY 1 -- VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 22: | ALL BILLS ARE AT GROSS CHARGES. |
| FACILITY 2 -- VALLEYCARE MEDICAL CENTER PART V, SECTION B, LINE 3: | 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 12 SPANISH-SPEAKING FEMALE PARENTS AND THE SECOND CONVERSATION INCLUDED 16 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. THE COMMUNITY AGENCIES WITH WHOM VALLEYCARE AND KAISER PERMANENTE PARTNERED FOR THESE COMMUNITY CONVERSATIONS RECRUITED THE INDIVIDUALS AND PROVIDED SPACE, WHILE VALLEYCARE AND KAISER PERMANENTE SHARED THE COST OF FOOD AND THANK-YOU GIFTS FOR THE PARTICIPANTS. THE TABLE BELOW SHOWS THE SPECIFIC PARTNER AGENCIES, THE LANGUAGE IN WHICH THE CONVERSATION WAS HELD, THE NUMBER OF INDIVIDUALS PRESENT AND THE TARGET POPULATIONS FROM WHICH THEY WERE DRAWN (MINORITY, LOW-INCOME, CHRONIC CONDITIONS, ETC...) TABLE 2: COMMUNITY CONVERSATIONS IN EASTERN ALAMEDA COUNTYPARTNER AGENCY LANGUAGE NUMBER OF PARTICIPANTS AGE RANGE POPULATIONS REPRESENTEDMARILYN AVENUE SCHOOL(OCTOBER 16, 2012) SPANISH 12 30-47 LATINOLOW INCOMECHRONIC CONDITIONSHORIZON FAMILY COUNSELING(OCTOBER 25, 2012) ENGLISH AND SPANISH 16 18 - 63 LATINOLOW-INCOMECHRONIC CONDITIONSEXPERT STAKEHOLDERSTHE 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. PARTICIPANTS, THE AGENCY FOR WHICH THEY WORK, AND THEIR SPECIFIC AREA OF EXPERTISE ARE PROVIDED IN THE TABLE BELOW.TABLE 3: PUBLIC AND COMMUNITY HEALTH EXPERTS CONVENED ON NOVEMBER 27, 2012NAME AGENCY REPRESENTED AREA OF EXPERTISEAARON ORTIZ EAST BAY YOUTH & FAMILY INITIATIVES LOW-INCOME POPULATIONSLATINO POPULATIONSANN KING TRI-VALLEY HAVEN HOMELESS, LOW-INCOME, FAMILIESBERNADETTE REVAK VALLEYCARE INFECTIOUS DISEASEBRIAN EDWARDS VALLEYCARE EMERGENCY AND SPECIALTY CAREJEAN PRASHER CITY OF LIVERMORE LOW INCOME POPULATIONSJESUS VERDUZCO ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY PUBLIC HEALTHJULIANA SCHIRMER TRI-CITY HEALTH CENTER LOW-INCOME POPULATIONSLATINO POPULATIONSLINDA MCKEEVER OPEN HEART KITCHEN LOW-INCOME POPULATIONSLATINO POPULATIONSCHRONIC CONDITIONSLYNN GARDNER HORIZONS FAMILY COUNSELING LOW-INCOME POPULATIONSLATINO POPULATIONSMARLENE PETERSEN SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY CHRONIC CONDITIONSLOW-INCOME POPULATIONSSHARON GRANT LIVERMORE AREA RECREATION AND PARK DISTRICT LOW-INCOME POPULATIONSVALERIE JONAS AXIS COMMUNITY HEALTH COMMUNITY HEALTH CENTERLOW-INCOME POPULATIONSLATINO POPULATIONSCHRONIC CONDITIONSTHE BIGGEST CHALLENGE TO THE CLEAR ANALYSIS AND INTERPRETATION OF DATA WAS THE VARIATION IN GRANULARITY ACROSS THE RELEVANT INDICATORS OF HEALTH STATUS AND HEALTH OUTCOMES. IN MANY CASES DATA ARE ONLY AVAILABLE AT THE COUNTY LEVEL, WHICH MAKES CAREFUL ANALYSIS FOR SPECIFIC TARGET COMMUNITIES VERY DIFFICULT. BASED ON THE EXPERIENCE OF THE EXPERT STAKEHOLDERS, AS WELL AS THE DIRECT INFORMATION WE RECEIVED FROM MEMBERS OF UNDER-SERVED OR AT-RISK POPULATIONS, WE ARE CONFIDENT THAT THE COMMUNITY HEALTH NEEDS WE IDENTIFIED HAVE A SIGNIFICANT IMPACT ON VULNERABLE POPULATIONS. |
| FACILITY 2 -- VALLEYCARE MEDICAL CENTER PART V, SECTION B, LINE 4: | VHS COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK IN THE 2013 CHNA PROCESS. |
| FACILITY 2 -- VALLEYCARE MEDICAL CENTER PART V, SECTION B, LINE 7: | 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:1. ECONOMIC SECURITY2. AFFORDABLE, LOCAL MENTAL HEALTH SERVICES3. AFFORDABLE, LOCAL SUBSTANCE ABUSE SERVICES4. SPECIALTY CARE5. PARENTING SKILLS AND SUPPORT |
| FACILITY 2 -- VALLEYCARE MEDICAL CENTER PART V, SECTION B, LINE 20D: | WE BILL FULL CHARGES, DISCOUNTS ARE GIVEN DEPENDING ON CIRCUMSTANCES |
| FACILITY 2 -- VALLEYCARE MEDICAL CENTER PART V, SECTION B, LINE 22: | ALL BILLS ARE AT GROSS CHARGES. |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 21,154,051. |
| PART III, LINE 2: | BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2014 WAS $27,105,000, 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 4: | PER THE AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS OF APPROXIMATELY $21,931,000 AND $27,797,000 FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, RESPECTIVELY, REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR SERVICES PROVIDED PRIMARILY TO SELFPAY AND PRIVATE HEALTH INSURANCE PATIENTS.PATIENT ACCOUNTS RECEIVABLE, AMOUNTS PAYABLE TO THIRDPARTY PAYORS AND NET PATIENT SERVICE REVENUE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, VHS 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, VHS 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 THIRDPARTY 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 SELFPAY PATIENTS (THOSE WITHOUT THIRDPARTY INSURANCE COVERAGE), AND RECEIVABLES REPRESENTING DEDUCTIBLES AND COPAYMENTS REQUIRED FROM PATIENTS BY THEIR INSURANCE PLANS, VHS 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.VHS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS WAS 77% OF SELFPAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014 AND 2013. VHSS SELFPAY WRITEOFFS BASED ON GROSS CHARGES WERE $67,770,010 AND $65,855,528 FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, RESPECTIVELY. VHS HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE YEARS ENDED JUNE 30, 2014 AND 2013. VHS DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRDPARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITEOFFS 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 $30,150,928 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, AND4. 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 ARE NOT COLLECTED AND WRITTEN OFF TO CHARITY. IF A REDUCED RATE IS GIVEN, THE AMOUNT DETERMINED AS PATIENT BALANCE IS COLLECTED ON IN THE SAME MANNER AS ALL OTHER PATIENTS. |
| PART VI, LINE 2: | VCHS IS A PARTICIPANT IN THE COMMUNITY NEEDS ASSESSMENT, PLANNING, AND EDUCATION UNIT COLLABORATIVE, WHICH COMPILES INFORMATION FOR ALL PARTICIPATING HOSPITALS TO PRODUCE A REPORT EVERY 3 YEARS FOR THE HOSPITAL COUNCIL OF NO. CALIFORNIA. THE 9/10 REPORT IDENTIFIES THE UNINSURED POPULATION, WHICH MOST ARE ELIGIBLE FOR MEDI-CAL. THE REPORT WAS STUDIED IN THE COUNTY FOR RECOMMENDATIONS REGARDING CARE AND ACCESS ISSUES. |
| PART VI, LINE 3: | VALLEYCARE HEALTH SYSTEM WILL INTERVIEW EACH PATIENT/GUARANTOR AND DETERMINE THE CAPABILITY TO MEET HIS/HER FINANCIAL OBLICATIONS 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 INTERVIEWD 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 TRACY (A CITY WITHIN ITS SECONDARY SERVICE AREA). THE TRI-VALLEY ACCOUNTS FOR OVER 80% OF VALLEYCARE'S INPATIENT DISCHARGES. THE CURRENT POPULATION OF THE TRI-VALLEY IS ESTIMATED AT MORE THAN 268,000 PEOPLE. THE OVERALL POPULATION IS PROJECTED TO GROW AT 1.4 PERCENT PER YEAR FOR THE NEXT SEVERAL YEARS. THE LOCAL SENIOR POPULATION IS GROWING AT AN AGGRESSIVE 6.9 PERCENT PER YEAR, COMPARED TO A RATE OF TWO PERCENT PER YEAR FOR ALAMEDA AND CONTRA COSTA COUNTIES. THE TRI-VALLEY POPULATION HAS A RACIAL BLEND OF 71.8 PERCENT WHITE, 15.5 PERCENT ASIAN, AND 12.7 PERCENT "OTHER". THE HISPANIC ETHNIC BLEND IS 12.5% HISPANIC; 87.5% NON-HISPANIC |
| 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/SURGICAL 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 THE LICENSED AND STAFFED BEDS FOR 2010 AT VALLEYCARE MEDICAL CENTER WERE 167, WHILE AT THE VALLEY MEMORIAL HOSPITAL THE NUMBER OF LICENSED BEDS IS 75, WITH STAFFED BEDS AT 40. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| VALLEYCARE MEDICAL FOUNDATION INC | |||||||
| 5725 W LAS POSITAS BLVD NO 260 | PLEASANTON | CA | 94588 | 262593526 | 501(C)(3) | $58,713,452 | TO CLEAR INTERCOMPANY RECEIVABLE/PAYABLES |
| VALLEYCARE SENIOR HOUSING INC | |||||||
| 1111 E STANLEY BOULEVARD | LIVERMORE | CA | 94550 | 943382224 | 501(C)(3) | $10,578 | TO CLEAR INTERCOMPANY RECEIVABLE/PAYABLES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARCELINA FEIT | ||||||||||||||
| CEO (THROUGH 03/14) | $640,586 | $0 | $200,000 | $0 | $142,418 | $0 | $25,000 | $0 | $5,342 | $0 | $1,013,346 | $0 | $0 | $0 |
| SCOTT GREGERSON | ||||||||||||||
| CEO | $317,307 | $0 | $75,000 | $0 | $750 | $0 | $7,650 | $0 | $16,959 | $0 | $417,666 | $0 | $0 | $0 |
| JOHN YEE | ||||||||||||||
| BOARD MEMBER | $0 | $254,700 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $254,700 | $0 | $0 |
| KENNETH JENSEN | ||||||||||||||
| CFO/VP (THROUGH 04/14) | $456,412 | $0 | $125,000 | $0 | $39,607 | $0 | $10,200 | $0 | $5,023 | $0 | $636,242 | $0 | $0 | $0 |
| CYNTHIA NOONAN | ||||||||||||||
| COO (THROUGH 05/14) | $404,159 | $0 | $100,000 | $0 | $45,019 | $0 | $25,000 | $0 | $6,125 | $0 | $580,303 | $0 | $0 | $0 |
| DOMINADOR BRIONES | ||||||||||||||
| VP FINANCE | $218,811 | $0 | $15,000 | $0 | $1,425 | $0 | $6,564 | $0 | $17,022 | $0 | $258,822 | $0 | $0 | $0 |
| LAVERN BROWN | ||||||||||||||
| VP GENERAL SERVICES | $309,829 | $0 | $60,000 | $0 | $12,384 | $0 | $25,000 | $0 | $13,808 | $0 | $421,021 | $0 | $0 | $0 |
| JESSICA JORDAN | ||||||||||||||
| VP OF PATIENT CARE (THROUGH 03/14) | $254,896 | $0 | $50,000 | $0 | $9,184 | $0 | $24,916 | $0 | $611 | $0 | $339,607 | $0 | $0 | $0 |
| DOREEN MAPLES | ||||||||||||||
| VP OF QUALITY/REGULATORY AFFAIRS | $210,117 | $0 | $20,000 | $0 | $5,120 | $0 | $10,506 | $0 | $8,315 | $0 | $254,058 | $0 | $0 | $0 |
| GINA TEEPLES | ||||||||||||||
| EXECUTIVE DIRECTOR OF NURSING | $173,118 | $0 | $9,000 | $0 | $385 | $0 | $8,656 | $0 | $1,897 | $0 | $193,056 | $0 | $0 | $0 |
| ALAN ROSENSTEIN | ||||||||||||||
| MD CLINIC EFFICIENCY (THROUGH 11/13) | $198,383 | $0 | $0 | $0 | $49,825 | $0 | $0 | $0 | $0 | $0 | $248,208 | $0 | $0 | $0 |
| PAUL MUSER | ||||||||||||||
| LEAD MULTI-MODALITY TECH | $115,183 | $0 | $0 | $0 | $122,052 | $0 | $8,769 | $0 | $14,775 | $0 | $260,779 | $0 | $0 | $0 |
| DENISE MAVROGIANIS | ||||||||||||||
| REGISTERED NURSE | $126,634 | $0 | $0 | $0 | $99,836 | $0 | $10,127 | $0 | $14,775 | $0 | $251,372 | $0 | $0 | $0 |
| MAREN EGBERT | ||||||||||||||
| REGISTERED NURSE | $120,148 | $0 | $0 | $0 | $102,408 | $0 | $5,995 | $0 | $7,106 | $0 | $235,657 | $0 | $0 | $0 |
| CHRISTINE RAWLS | ||||||||||||||
| LEAD ULTRASOUND TECH | $122,049 | $0 | $0 | $0 | $97,846 | $0 | $3,575 | $0 | $6,416 | $0 | $229,886 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY | |||||||
| A | 352273601 | 2009-07-15 | $10,500,000 | BUILDING AND EQUIPMENT | 0 | 0 | 0 |
| CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | |||||||
| B | 680164610 | 2007-05-31 | $54,310,000 | REFUNDING OF PY ISSUE | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $10,406,075 | $10,406,075 | 2011 | 0 | 0 | Yes (1) | Yes (1) | ||||
| B | $53,224,097 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $5,222,973 | $48,000,349 | $1,085,903 | $990 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/10/2011 ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/25/2014 |
| SCHEDULE K, PART I, LINE B | BONDS REFUNDED BY 5/31/07 ISSUE 4/1/92 (1992A), 6/1/93 (1993A), 6/15/97 (1997), AND 6/1/02 (2002A) |
| SCHEDULE K, PART I, LINE A | EXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I: ORIGINAL ISSUE DISCOUNT |
| SCHEDULE K, PART I, LINE B | EXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I: TRANSACTION/ISSUANCE COSTS |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID MERTES AND BARBARA MERTES ARE HUSBAND AND WIFE AND BOTH SERVE AS BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS AND INVITED QUESTIONS. ONCE THESE STEPS ARE COMPLETE, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | VCHS USES AN RFP PROCESS FOR THESE ACTIVITIES AND DOCUMENT THE DECISION-MAKING PROCESS TO DEMONSTRATE WHY WE CHOSE A SPECIFIC CONTRACTOR, VENDOR, OR PRODUCT. THUS EVEN IF SOMEONE HAS AN INTEREST IN ONE OF THESE, WE CAN DEMONSTRATE THAT THE DECISION WAS MADE FOR 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 AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 30,524,792. MANAGEMENT AND GENERAL EXPENSES 1,852,631. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,377,423. COLLECTION AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,827,022. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,827,022. |
| FORM 990, PART XII, LINE 2C | AUDIT COMMITTEE AND OVERSIGHT THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VALLEYCARE CHARITABLE FOUNDATION | ||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 942941652 | FUNDRAISING | CA | 501(C)(3) | 9 | HOSPITAL COMMITTEE FOR THE L-P AREA | Yes (1) |
| VALLEYCARE SENIOR HOUSING | ||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 943382224 | INDEPENDENT AND ASSISTED LIVING FOR SENIORS | CA | 501(C)(3) | 11-III-FI | HOSPITAL COMMITTEE FOR THE L-P AREA | Yes (1) |
| VALLEYCARE MEDICAL FOUNDATION INC | ||||||||||
| 5655 W LAS POSITAS BLVD 220 | PLEASANTON | CA | 94588 | 262593526 | TO SUPPORT THE MISSION OF THE VCHS | CA | 501(C)(3) | 9 | HOSPITAL COMMITTEE FOR THE L-P AREA | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| VALLEYCARE CHARITABLE FOUNDATION | ||
| C | $484,344 | BOOK/ACTUAL VALUE |
| VALLEYCARE MEDICAL FOUNDATION INC | ||
| Q | $157,161 | BOOK/ACTUAL VALUE |
| VALLEYCARE CHARITABLE FOUNDATION | ||
| E | $422,928 | BOOK/ACTUAL VALUE |
| VALLEYCARE MEDICAL FOUNDATION INC | ||
| B | $58,713,452 | BOOK/ACTUAL VALUE |