2015-05-14T15:11:07-05:00 2014-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2013-07-01 941429628 HOSPITAL COMMITTEE FOR THE LIVERMORE PLEASANTON AREA HOSP 9253738000 1111 E STANLEY BOULEVARD LIVERMORE CA 94550 SCOTT GREGERSON CEO 9253738000 2015-05-12 1 RICHARD CROGHAN P00089862 4159561500 2013 2016-02-25 16:41:14Z SCOTT GREGERSON 1111 E STANLEY BOULEVARD LIVERMORE CA 94550 270234285 0 X WWW.VALLEYCARE.COM X 1958 CA 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. 15 12 1664 350 420046 143069 612786 484344 271932913 261052516 91962 114675 11292415 7592375 283930076 269243910 0 58724030 0 0 133416003 139475830 0 0 0 145815314 143057373 279231317 341257233 4698759 -72013323 251063882 180057382 143031891 144038714 108031991 36018668 X VALLEYCARE HEALTH SYSTEM'S MISSION IS TO ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY. 0 0 271563172 58724030 266336240 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. 271563172 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 250 0 1 1664 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X NICOLE PEDIGO 9253738006 1111 E STANLEY BLVD LIVERMORE CA 94550 MARCELINA FEIT CEO (THROUGH 03/14) 36.10 3.90 X X 983004 0 30342 SCOTT GREGERSON CEO 37.60 2.40 X X 393057 0 24609 JANET CRISTIANO BOARD MEMBER 2.00 0.20 X 0 0 11584 MARTY INDERBITZEN BOARD MEMBER 2.00 0.20 X 0 0 16752 JOHN LOUIE MD BOARD MEMBER 2.00 0.20 X 0 0 0 DEBORAH MCKEEHAN BOARD MEMBER 2.00 2.20 X 0 0 16752 BARBARA MERTES BOARD MEMBER 2.00 0.20 X 0 0 0 DAVID MERTES BOARD MEMBER 2.00 2.20 X 0 0 9654 JOHN SENSIBA BOARD MEMBER 2.00 0.20 X 0 0 0 TOM VARGAS BOARD MEMBER 2.00 2.20 X 0 0 11584 TIM WEAVER BOARD MEMBER 2.00 2.20 X 0 0 11584 ALCINA WEGRZYNOWSKI BOARD MEMBER 2.00 0.20 X 0 0 0 JOHN YEE BOARD MEMBER 2.00 2.20 X 0 254700 0 JOSEPH GRANT BOARD MEMBER 2.00 0.20 X 0 0 16752 JIM SUMMERS BOARD MEMBER 2.00 0.20 X 0 0 0 KENNETH JENSEN CFO/VP (THROUGH 04/14) 36.10 3.90 X 621019 0 15223 CYNTHIA NOONAN COO (THROUGH 05/14) 40.00 0.00 X 549178 0 31125 DOMINADOR BRIONES VP FINANCE 40.00 0.00 X 235236 0 23586 LAVERN BROWN VP GENERAL SERVICES 39.80 0.20 X 382213 0 38808 JESSICA JORDAN VP OF PATIENT CARE (THROUGH 03/14) 40.00 0.00 X 314080 0 25527 DOREEN MAPLES VP OF QUALITY/REGULATORY AFFAIRS 40.00 0.00 X 235237 0 18821 GINA TEEPLES EXECUTIVE DIRECTOR OF NURSING 40.00 0.00 X 182503 0 10553 ALAN ROSENSTEIN MD CLINIC EFFICIENCY (THROUGH 11/13) 20.00 0.00 X 248208 0 0 PAUL MUSER LEAD MULTI-MODALITY TECH 40.00 0.00 X 237235 0 23544 DENISE MAVROGIANIS REGISTERED NURSE 40.00 0.00 X 226470 0 24902 MAREN EGBERT REGISTERED NURSE 40.00 0.00 X 222556 0 13101 CHRISTINE RAWLS LEAD ULTRASOUND TECH 40.00 0.00 X 219895 0 9991 5049891 254700 384794 439 0 1 0 SIEMENS MEDICAL SOLUTIONS DEPT LA 21536 PASADENA CA 911851536 IT SERVICES 9146414 CALIFORNIA SERVICE BUREAU 3050 FITE CIRCLE SUITE 107 SACRAMENTO CA 95827 PROFESSIONAL ACCOUNTS RECEIVABLE SERVICE 1068795 MEDICAL ANESTHESIA CONSULTANTS PO BOX 512107 LOS ANGELES CA 900510107 PROFESSIONAL MEDICAL SERVICES 1024292 KAUFMAN HALL & ASSOCIATES 8610 SOLUTION CENTER CHICAGO IL 606778006 CONSULTING SERVICES 955265 REGENTS OF UCSF 505 PARNASSUS AVE BOX 0110 SAN FRANCISCO CA 941430110 PHYSICIAN SERVICES 845935 42 484344 484344 PATIENT SERVICES 621990 259894260 259894260 RENTAL INCOME FROM AFF 532000 738210 738210 LAB SERVICES 621500 420046 420046 261052516 67676 67676 915812 989374 -73562 -73562 -73562 48000 1001 46999 46999 46999 OTHER REVENUES 900099 4390808 2315706 2075102 MONTHLY DUES-LIFESTYLE 624310 3388064 3388064 K-1 LOSSES 900099 -158066 -158066 45131 45131 7665937 269243910 266336240 420046 2003280 X 58724030 58724030 4609098 4609098 88965669 66503388 22462281 3898924 2794903 1104021 34422240 24820181 9602059 7579899 5445858 2134041 1695635 1695635 137000 137000 34204445 30524792 3679653 17746422 1379081 16367341 9166616 6268134 2898482 149430 16817 132613 115310 60072 55238 5305511 3538941 1766570 9711945 7742292 1969653 3169257 2114235 1055022 MEDICAL SUPPLIES 36860205 36860205 BAD DEBTS 21154051 21154051 QUALITY ASSURANCE FEE 3607674 3607674 RECRUITMENT 33872 8518 25354 341257233 271563172 69694061 0 11254154 10160486 18335549 14801800 39284562 35626370 553600 254100 5271055 4819079 1327031 955871 223114636 135051813 98283602 88062823 16091748 16258712 60662581 9118141 251063882 180057382 40868737 41111262 1034021 736020 80413916 77305334 9752556 9052392 10962661 15833706 143031891 144038714 X 107913522 35933239 118469 85429 108031991 36018668 251063882 180057382 -72013323 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15620 15620 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO CHA/HCNCC AND AHA. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES. 1779852 11157847 12937699 121087504 66857294 54230210 14260129 8770116 5490013 64001342 51142744 12858598 10827962 8281659 2546303 88062823 ASSETS LIMITED AS TO USE 16258712 F 16258712 DEFERRED FINANCING COSTS 1268301 DEPOSITS 911801 NON PATIENT RECEIVABLES 3598492 EQUITY INVESTMENT (PPA-II) 1670163 THIRD PARTY PAYOR RECEIVABLE 567062 EQUITY INVESTMENT (PPA-I) 1102322 9118141 MINIMUM PENSION LIABILITY 5654154 LIABILITY FOR SELF INSURANCE RESERVES 7457517 BOND INTEREST PAYABLE 1950445 REFUNDABLE DEPOSITS 19918 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 328744 INTERCOMPANY PAYABLE 422928 15833706 190078000 1075678 1075678 189002322 80241588 80241588 269243910 262369000 989848 989848 261379152 79878081 79878081 341257233 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. 1 1 X 1 X 1 X 1 1 0 1 1 3847768 1535848 2311920 0.00720 12014813 10320223 1694590 0.00530 14421891 6267683 8154208 0.02550 30284472 18123754 12160718 0.03800 3294125 1267888 2026237 0.00630 1535116 1535116 0.00480 1243308 1243308 0.00390 6072549 1267888 4804661 0.01500 36357021 19391642 16965379 0.05300 1 4436004 58070552 88221480 -30150928 X 1 1 2 1 VALLEY MEMORIAL HOSPITAL 1111 E STANLEY BLVD LIVERMORE CA 94550 WWW.VALLEYCARE.COM X LIFESTYLE RX MEDICAL FITNESS FACILITY A 2 VALLEYCARE MEDICAL CENTER 5555 W LAS POSITAS BLVD PLEASANTON CA 94558 WWW.VALLEYCARE.COM X X X A REPORTING GROUP A 1 X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 1 350.000000000000 1 X X X 1 1 X X X X X X 1 0 1 0 1 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. 3 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 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 0 VALLEYCARE MEDICAL FOUNDATION INC 5725 W LAS POSITAS BLVD NO 260 PLEASANTON CA 94588 262593526 501(C)(3) 58713452 TO CLEAR INTERCOMPANY RECEIVABLE/PAYABLES VALLEYCARE SENIOR HOUSING INC 1111 E STANLEY BOULEVARD LIVERMORE CA 94550 943382224 501(C)(3) 10578 TO CLEAR INTERCOMPANY RECEIVABLE/PAYABLES 2 X X X X X X 0 0 0 0 0 0 0 0 0 MARCELINA FEIT CEO (THROUGH 03/14) 640586 0 200000 0 142418 0 25000 0 5342 0 1013346 0 0 0 SCOTT GREGERSON CEO 317307 0 75000 0 750 0 7650 0 16959 0 417666 0 0 0 JOHN YEE BOARD MEMBER 0 254700 0 0 0 0 0 0 0 0 0 254700 0 0 KENNETH JENSEN CFO/VP (THROUGH 04/14) 456412 0 125000 0 39607 0 10200 0 5023 0 636242 0 0 0 CYNTHIA NOONAN COO (THROUGH 05/14) 404159 0 100000 0 45019 0 25000 0 6125 0 580303 0 0 0 DOMINADOR BRIONES VP FINANCE 218811 0 15000 0 1425 0 6564 0 17022 0 258822 0 0 0 LAVERN BROWN VP GENERAL SERVICES 309829 0 60000 0 12384 0 25000 0 13808 0 421021 0 0 0 JESSICA JORDAN VP OF PATIENT CARE (THROUGH 03/14) 254896 0 50000 0 9184 0 24916 0 611 0 339607 0 0 0 DOREEN MAPLES VP OF QUALITY/REGULATORY AFFAIRS 210117 0 20000 0 5120 0 10506 0 8315 0 254058 0 0 0 GINA TEEPLES EXECUTIVE DIRECTOR OF NURSING 173118 0 9000 0 385 0 8656 0 1897 0 193056 0 0 0 ALAN ROSENSTEIN MD CLINIC EFFICIENCY (THROUGH 11/13) 198383 0 0 0 49825 0 0 0 0 0 248208 0 0 0 PAUL MUSER LEAD MULTI-MODALITY TECH 115183 0 0 0 122052 0 8769 0 14775 0 260779 0 0 0 DENISE MAVROGIANIS REGISTERED NURSE 126634 0 0 0 99836 0 10127 0 14775 0 251372 0 0 0 MAREN EGBERT REGISTERED NURSE 120148 0 0 0 102408 0 5995 0 7106 0 235657 0 0 0 CHRISTINE RAWLS LEAD ULTRASOUND TECH 122049 0 0 0 97846 0 3575 0 6416 0 229886 0 0 0 A CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-07-15 10500000 BUILDING AND EQUIPMENT 0 0 0 B CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 2007-05-31 54310000 REFUNDING OF PY ISSUE 0 0 0 A 10406075 10406075 2011 0 0 1 1 B 53224097 5222973 48000349 1085903 990 1 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 A 1 B 1 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 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. VALLEYCARE CHARITABLE FOUNDATION 1111 E STANLEY BLVD LIVERMORE CA 94550 942941652 FUNDRAISING CA 501(C)(3) 9 HOSPITAL COMMITTEE FOR THE L-P AREA 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 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 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 VALLEYCARE CHARITABLE FOUNDATION C 484344 BOOK/ACTUAL VALUE VALLEYCARE MEDICAL FOUNDATION INC Q 157161 BOOK/ACTUAL VALUE VALLEYCARE CHARITABLE FOUNDATION E 422928 BOOK/ACTUAL VALUE VALLEYCARE MEDICAL FOUNDATION INC B 58713452 BOOK/ACTUAL VALUE