2014-05-05T16:10:18-07:00 2013-06-30 RK Taylor & Associates 2890 North Main St Suite 305 Walnut Creek CA 94597 990 2012-07-01 770528349 CONCERN EMPLOYEE ASSISTANCE PROGRAM CONC 6509407265 2500 GRANT RD MOUNTAIN VIEW CA 94040 MATT HARRIS 2014-05-05 true John M Kikuchi P00009948 9259447666 2012 2015-11-30 17:44:51Z CECILE CURRIER 2500 GRANT RD MOUNTAIN VIEW CA 94040 21349936 false false X N/A X 1999 CA To provide and promote affordable health care to residents of California. CONCERN is licensed by the California Department of Managed Health Care and offers limited mental health care on a prepaid basis to employees of small, medium, and large employer groups. 3 1 61 0 2529825 2610026 9832168 10298100 487136 513260 0 12849129 13421386 1093639 1555449 0 5010238 5410363 0 0 5383794 5631067 11487671 12596879 1361458 824507 13414452 13512432 2122903 1850325 11291549 11662107 To provide and promote affordable health care to residents of California. CONCERN is licensed by the California Department of Managed Health Care and offers limited mental health care on a prepaid basis to employees of small, medium, and large employer groups. false false 10422801 CONCERN'S exempt purpose is to provide and promote affordable health care to residents who live within California. In order to accomplish this purpose, CONCERN is licensed by the California Department of Managed Health Care and offers limited mental health care on a prepaid basis to employees of small, medium, and large employer groups.Currently, CONCERN contracts with over 600 providers who have offices throughout California and have agreed to provide short-term counseling to clients of small, medium, and large employer groups. CONCERN's intended focus is to provide mental health care services to employees in the Bay Area.Employers have told CONCERN they have selected the services provided by the organization for the following reasons: 1) to increase productivity, enhance performance, and promote the overall quality of life of employees and their families; 2) to provide support and consultation to corporate management in resolving complex employee relation problems; and 3) to decrease employer cost by reducing absenteeism and turnover. CONCERN believes that the health care coverage it provides strengthens the mental health care resources available to clients who desire such care. PROGRAM DESCRIPTIONSIn order to provide out-patient health care to low income families in the San Francisco Bay area, CONCERN has assumed the management and operation of seven programs formerly administered by El Camino Hospital, CONCERN'S sole member. These programs are: 1) Health Library and Resource Center2) Roadrunners Transportation Service3) RotaCare Free Clinic4) Immunization Program5) South Asian Heart Center6) Chinese Health Initiative1) Health Library and Resource CenterThe Health Library and Resource Center established in 1986 is dedicated to helping seniors, community members, patients and their families find the resources and information they need to make informed decisions about their health. The Center is available to the community 40 hours per week. It provides a wide range of free programs and services including eldercare consultation services, a Speaker's Bureau, health insurance counseling, support groups, assistance completing an Advance Health Care Directive, dietitian and pharmacy consultations, health screenings. Individuals served FY13: 15,864The library is dedicated to helping patients, families, physicians, employees and the community find the resources and information they need to make informed decisions about their health. Staffed by professional medical librarians, information requests can be conducted in person, on the phone or online.A free membership program is offered to anyone who wants to receive the Health e-tips newsletter and home access to medical and consumer health journals and medical textbooks online. 2009 2010 2011 2012 2013Visits 18,622 20,752 18,589 22,716 13,1402) Roadrunners Transportation ServiceThe Road Runners Senior Transportation Service, established in 1976, fills acritical gap in northern Santa Clara County's senior services by providingpersonalized, door-to-door transportation to medical and other essentialappointments. Rides provided FY13: 13,1953) RotaCare Free ClinicEvery human being has a right to the basic essentials of food, clothing, shelter and good health. In Santa Clara County, the heart of Silicon Valley, many individuals are without medical insurance or adequate access to health care services. The RotaCare Free clinic of Mountain View was created to address the needs of these individuals and their families. Since January 1996, the RotaCare Clinic has been a medical safety net for uninsured community members. The clinic provides basic non-urgent medical services, medications, social work consultations, preventive care services, patient education, children's physicals, short term counseling, chronic illness management, nutrition counseling and referrals to community resources. Over 265 dedicated community doctors, nurses, physician assistants, nurse practitioners, pharmacists, pharmacy technicians, medical assistants, and lay individuals volunteer their time and expertise to the clinic. Specialty services currently include optometry, ophthalmology, ENT, cardiology, podiatry, physical therapy, nephrology, dermatology, gynecology, orthopedics, pulmonology, endocrinology and rheumatology. FY13: 2,857 (unduplicated) people served RotaCare Clinic Fills a Need 2009 2010 2011 2012 2013Patients/unique 2,266 2,400 2,667 2,700 2,857Patient visits 8,832 10,980 16,461 16,031 15,655 [Continuation of item 4b]4) Immunization ProgramThe El Camino Hospital Immunization Program was created in 1996 to address a growing need for immunization services for the underserved population in northern Santa Clara County. Walk-in clinics are provided twice per week. Vaccines are free for children and for most adult services. Immunization Program Fills a need. FY13: 2,786 2009 2010 2011 2012 2013Patient 4,694 3,540 3,600 3,244 2,786Services 10,194 10,217 11,090 9,666 8,2465) South Asian Heart CenterThe South Asian Heart Center, established in June 2006, is a response to theepidemic of heart disease in the South Asian Community. South Asians, or people who originate from the Indian sub-continent, and countries such as Bangladesh, India, Nepal, Pakistan and Sri-Lanka, face a four-fold increased risk of coronary artery disease, despite of being vegetarian, non-smokers, and non-obese. 55% of heart attacks in this community occur before the age of 55. The Center screens individual participants for their risk-factors, educates and counsels them on the impact of those risk factors, and customizes a plan to help mitigate these risks. The Centerprovides lifestyle management including nutrition counseling, and on-going heart health coaching. The South Asian Heart Center addresses an unmet need to more comprehensively and aggressively screen South Asians for this increased risk of CAD and help prevent heart attacks in a younger population.South Asian Heart Center. FY13: 1,420 people served 2009 2010 2011 2012 2013People Served 712 923 1,051 1,887 1,4206) Chinese Health InitiativeThe Chinese Health Initiative (CHI), established at El Camino Hospital in March,2010, provides screenings and community education to address the health needs of the Chinese community, and seeks to provide a culturally appropriate experience for Chinese patients and their family/caregivers.We serve Chinese people at the Stroke screening and Hepatitis B screeningsChinese Health Initiative (CHI). We have served 290 Chinese people at the Stroke screening and Hepatitis B screening. FY13: 1,183 people served 2010 2011 2012 2013People Served 290 725 1,201 1,183 10422801 false true false false false false false false false false true false false false false true true true false false false false false false false false false true false true false false false false false false false false false false false false false false false true true false false false false true 774 0 true 61 true false false false false false false false false false false false false X 3 1 false false false false true true true true true false false true true true true true true true true false CA X MATT HARRIS 6509407265 2500 GRANT RD MT VIEW CA 94040 CECILE CURRIER 2.00 0.00 X 0 0 0 KATHLEEN MCENROE 2.00 0.00 X 0 0 0 SCOTT FARR 2.00 40.00 X 0 337274 46011 MATT HARRIS 3.00 40.00 X 10916 206795 45124 CECILE CURRIER 20.00 20.00 X 116807 142805 56011 127723 686874 147146 1 false true false WORKPLACE OPTIONS INC 3200 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING 971443 CLC INCORPORATED 4170 DOUGLAS BLVD GRANITE CA 95746 REFERRAL & TRAINING 145350 2 2610026 2610026 COUNSELING SERVICES 624310 10298100 10298100 10298100 240174 240174 0 0 0 8201636 7928550 273086 273086 273086 0 0 0 0 13421386 10571186 240174 1555449 1555449 0 0 0 127723 127723 0 3375053 2834324 540729 132840 106272 26568 1460946 1168757 292189 313801 251041 62760 97621 78097 19524 4064 3251 813 42000 33600 8400 0 0 0 364190 291352 72838 31900 25520 6380 0 0 0 0 22815 18252 4563 0 122659 98127 24532 0 0 74133 59306 14827 11673 9338 2335 Printing and Publications 28275 22620 5655 MEDICAL SUPPLIES & EXPENSES 99184 79347 19837 OTHER 479470 385682 93788 PURCHASED SERVICES 4237623 3390098 847525 15460 12368 3092 12596879 10422801 2174078 0 926801 476326 412292 623749 0 271263 343629 0 0 118392 180697 0 13000 24765 1409565 1235978 247720 173587 11424984 11689679 0 0 0 0 13414452 13512432 1866993 1726638 255910 123687 2122903 1850325 X 11241549 11612107 50000 50000 11291549 11662107 13414452 13512432 824507 -453949 X false true X true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1409565 1235978 173587 173587 X 12967437 -453949 -453949 13421386 13421386 12596879 12596879 12596879 Part X Part X : FIN48 Footnote CONCERN is exempt from taxation under Section 501(c)(4) of the Internal Revenue Code and Section 23701f of the California Revenue and Taxation Code as a social welfare organization and is generally not subject to federal or state income taxes. However, CONCERN is subject to income taxes on any net income that is derived from trade or business, regularly carried on, and not in furtherance of the purposes for which it was granted exemption. No income tax provision has been recorded as the net income, if any, from any unrelated trade or business, in the opinion of management, is not material to the financial statements taken as a whole. true WEST VALLEY COMMUNITY SERV 10104 Vista Drive Cupertino CA 95014 942211685 501(c)(30 135000 0 VALLEY MED CTR FDN 2400 Moorpark Ave San Jose CA 95128 770187850 501(c)(3) 50000 0 TOWER FOUNDATION One Washington Sq San Jose CA 95192 830403915 501(c)(3) 35000 0 SV LEADERSHIP GRP FDN 2001 Gateway Place 101E San Jose CA 95110 912140464 501(c)(3) 15000 0 SUPERIOR CT OF CA 191 N First St San Jose CA 95113 912084363 115 91185 0 SANTA CLARA USD 1889 Lawrence Rd Santa Clara CA 95052 770219105 115 120000 0 SANTA CLARA OFFICE OF ED 1290 Ridder Park Dr San Jose CA 95131 770272168 115 78000 0 SANTA CLARA FAMILY HLTH FDN 210 E Hacienda Ave Campbell CA 95008 770187890 501(c)(3) 125000 0 PLAYWORKS 380 Washington Street Oakland CA 94607 943251867 501(c)(3) 52000 0 PLANNED PARENTHOOD 1691 The Alameda San Jose CA 95126 941583439 501(c)(3) 10000 0 PEOPLE ACTING IN COMMUNITY 1100 Shasta Ave 210 San Jose CA 95126 740090129 501(c)(3) 20000 0 PENINSULA HEALTHCARE CONN 33 Encina Ave 103 Palo Alto CA 94301 202886131 501(c)(3) 33000 0 MOMENTUM 2001 The Alameda San Jose CA 95126 941496052 501(c)(3) 26000 0 HEALTHTEACHER 5500 Maryland Wy 200 Brentwood TN 37027 203456491 501(c)(3) 44704 0 FOUNDATION FOR MENTAL HEALTH 438 N White Rd San Jose CA 95127 770224382 501(c)(3) 40000 0 EMQ Families First 251 Liewellyn Ave Campbell CA 95008 942295953 501(c)(3) 150000 0 CUPERTINO UNION SCHOOL 10301 Vista Drive Cupertino CA 95014 770025265 115 92870 0 CAMPBELL USD 155 N Third Street Campbell CA 95008 770226428 115 197687 0 CALIFORNIA DENTAL ASSN 1201 K St 1511 Sacramento CA 95814 680411536 501(c)(3) 20000 0 BAY AREA WOMENS SPORT 1922 The Alameda 100 San Jose CA 95126 550897084 501(c)(3) 18000 0 ASIAN AMERICANS FOR COMM INV 2400 Moorpark Ave San Jose CA 95128 942292491 501(c)(3) 85000 0 AMERICAN RED CROSS 2731 North First Street San Jose CA 95134 530196605 501(c)(3) 22500 0 42 0 Grantmaker's Description of How Grants are Used El Camino Hospital requires detailed metrics and expense budgets for all funding partners as part of the proposal process. Both 6 month and annual targets are required for all metrics. Partners submit quarterly volume reports and detailed interim and final reports. The interim and final reports show progress on metrics as well as budget information on how funds have been used. Partners must request permission to use funds in any way that varies from the approved contract. Site visits provide additional monitoring of fund utilization. Reports are reviewed by the Community Benefit department staff. Results are shared with the Community Benefit Advisory Council and with the Board through bi-annual presentations. X X X X X false false false false false false false false false false SCOTT FARR 267446 69828 46011 383285 MATT HARRIS 10916 178241 17525 11029 1539 43585 12455 250380 CECILE CURRIER 86226 116004 26801 26801 3780 24893 31118 141700 173923 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization makes available the Form 990 , governing documents,conflict of interest,and audited financial statements upoin request by having them availableduring normal business hours for review, or if requested will be mailed to the requestor. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees El Camino Hospital (the "Hospital" - an IRS 501(c) (3) organization) is the sole member of CONCERN. As the Hospital is the "parent" of CONCERN, CONCERN adopts and follows a number of policies and processes of the Hospital. As such, the processes for determining compensation of CONCERN's CEO and Other Key Employees, is overseen by the Compensation Committee of the Hospital. That process is described below:The Compensation Committee (the "Committee") is the Board of Directors of the Hospital and is made up of the Board of Directors, and one outside, independent member selected by the Board. The outside member selected by the Board is involved in the reviewing and recommending of compensation, but does not have a vote in the decisions/actions by the Board. All members of the committee are independent directors with no conflict of interest regarding compensation and benefits for the Executives whose compensation is reviewed, recommended, and approved by the Board. The CEO is not a member of the Committee, but may serve as staff for the Committee as long as the CEO is excused when the Committee is reviewing the CEO's compensationThe Committee has the following responsibilities:--Develop and maintain a policy on executive compensation--Develop and maintain an executive compensation and benefit program consistent with the policy approved by the Board--Determine compensation, benefits, perquisites, and contract terms for the CEO. --Determine any salary increase and any performance compensation incentive based on the Committee's evaluation of the CEO's performance--Review, change, and approve the CEO's salary and performance incentive recommendations for the executive staff whose compensation is subject to review by the Committee.--Oversee and maintain administrative control of the executive performance plan(s) by setting goals for the CEO, and approving the goals recommended by the CEO for the executive staff.--Conduct annual appraisal of the CEO's performance--Periodically evaluate the executive compensation program, including the charter, policies, and philosophy on which it is based, to assess its effectiveness in meeting the needs for recruiting, retaining, and motivating qualified leaders.--Periodically review the total value, cost, and reasonableness of severance and retirement benefits for CEO and executive staff--Reviews and approves all business travel and entertain expenses of the CEO.Process:The Committee follows a process that meets all applicable legal requirements and which promotes effective governance of executive compensation, consist with the executive compensation policy:--Prepare minutes for each meeting to record the Committee's decisions and the process followed in reaching those decisions and maintain records that address conflicts of interest and appropriate comparability data.--Select, engage, and supervise any consultant hired by the Hospital to advise the Committee on executive compensation issues.--Periodically evaluate the appropriateness of the Compensation Committee Charter and the effectiveness of the process the Committee uses in governing executive compensation and report this evaluation to the Board of Directors.--Provide the Board of Directors with regular reports of the Committee's actions. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Compliance Dept. distributes Conflicts of interest forms on an annual basis to managers, executives, and the Board along with Medical Directors, key consultants, and contractors who operate outsourced depts. The Compliance Officer regularly monitors the written disclosures and verbal reporting as a reference and assesses if an interest in a transaction could be deemed as a conflict to the organization. As indicated in the policy the procedure to deal with the reported conflict is reviewed based on the individual reporting. If the individual is not a Board member the proposed transaction is reviewed with key managers in charge of the transaction along with the CEO and Compliance officer. If a potential conflict of interest exists appropriate steps to mitigate or eliminate the effect of the potential conflict of interest will be taken. If the individual is a Board Member the matter is reported to the CEO and referred automatically to the Hospital's AdHoc Interest Committee for determination as to whether a potential conflict of interest exists. A Board member may recuse themselves from the matter without further action and the Board shall take such action that shall be necessary to mitigate any potential conflict of interest as described. At all times the Compliance dept.will also utilize legal counsel to help evaluate potential conflicts and provide as assessment to the organization. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process Upon completion of Form 990, the form is presented to the board at its board meeting by the CFO for review and discussion before it is filed by the IRS and made available to the public. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder El Camino Hospital, an organization exempt under IRC section 501(c)(3), is the sole member of Concern and has the authority to elect the Board of Directors of Concern. Silicon Valley Medical Development LLC 2500 Grant Road Mountain View CA 94040 263021328 Support of Hospital Initiatives CA El Camino Hospital EL CAMINO HOSPITAL FOUNDATION 2500 GRANT RD MOUNTAIN VIEW CA 94040 942823235 CHARITABLE CA 501(c)(3) 509(a)(1) EL CAMINO HOSPITAL false EL CAMINO HOSPITAL 2500 GRANT RD MOUNTAIN VIEW CA 94040 943167314 HOSPITAL CA 501(c)(3) 509(a)(1) N/A false El Camino Surgery Center 2480 Grant Road Mountain View CA 94040 770163409 Medical Service CA N/A false false El Camino Labnet Inc 2500 Grant Road Mountain View CA 94040 770537825 Med Service CA El Camino Hospital C Corp 1.00000 false false false true false false false false false false false false false true false false false false false false EL CAMINO HOSPITAL FOUNDATION c 517013 EL CAMINO HOSPITAL m 97621 EL CAMINO HOSPITAL c 2093013