2013-05-06T07:58:52-07:00 2012-06-30 RK Taylor & Associates 2890 North Main St Suite 305 Walnut Creek CA 94597 990 2011-07-01 770528349 CONCERN EMPLOYEE ASSISTANCE PROGRAM CONC 6509407265 2500 GRANT RD MOUNTAIN VIEW CA 94040 MATT HARRIS 2013-05-04 true John M Kikuchi 9259447666 2011 2016-03-07 17:11:31Z CECILE CURRIER 2500 GRANT RD MOUNTAIN VIEW CA 94040 20391886 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 2 56 0 2435888 2529825 8210990 9832168 338310 487136 0 10985188 12849129 780763 1093639 0 4651220 5010238 0 0 4446021 5383794 9878004 11487671 1107184 1361458 12045977 13414452 2226911 2122903 9819066 11291549 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 9408865 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 Resource Center2) Roadrunners Transportation Service3) RotaCare Free Clinic4) Immunization Program5) Medical Library6) South Asian Heart Center7) Chinese Health Initiative1) Health Resource CenterThe Health 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 and a Community Wellness Lecture series. Individuals served FY12 16,2012) 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 FY12 13,0543) 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, immunizations, preventive care services, patient education, children's physicals, short term counseling, chronic illness management, nutrition counseling and referrals to community resources. Over 300dedicated 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. FY12 16,031 people served RotaCare Clinic Fills a Need 2009 2010 2011 2012Patients/unique 2,266 2,400 2,667 2,700Patient visits 8,832 10,980 16,461 16,031 [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. FY12 3,244 2009 2010 2011 2012Patient 4,694 3,540 3,600 3,244Services 10,194 10,217 11,090 9,6665) Medical LibraryThe El Camino Hospital Health Library, A PlaneTree Affiliate, offers a comprehensive range of health information in its combined consumer and medical library. The library, which is free and open to the public, 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 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 2012Visits 18,622 20,752 18,589 22,7166) 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. FY12 1,887 people served 2009 2010 2011 2012People Served 712 923 1,051 1,8877) 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. FY12 1,201 people served 2010 2011 2012People Served 290 725 1,201 9408865 false true false false false false false false false false true false false false false false 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 670 0 true 56 true false false false false false false false false false false false false false false false X 3 2 false false false false true true true true true false false false true true true true true true true true false false X MATT HARRIS 6509407265 2500 GRANT RD MT VIEW CA 94040 CECILE CURRIER 2.00 X 0 0 0 KATHLEEN MCENROE 2.00 X 0 0 0 SCOTT FARR 2.00 X 0 333760 43340 MATT HARRIS 3.00 X 11422 202393 43735 CECILE CURRIER 20.00 X 135757 122371 64248 147179 658524 151323 1 false true false WORKPLACE OPTIONS INC 3200 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING 529163 CLC INCORPORATED 4170 DOUGLAS BLVD GRANITE CA 95746 REFERRAL & TRAINING 140794 2 2529825 2529825 COUNSELING SERVICES 624310 9832168 9832168 9832168 333354 333354 0 0 0 7696539 7542757 153782 153782 153782 0 0 0 0 12849129 9832168 487136 1093639 1093639 0 0 0 147179 147179 3305200 2761903 543297 0 0 1253513 1002810 250703 304346 243477 60869 95064 76051 19013 12562 10050 2512 42000 33600 8400 0 0 0 318300 254640 63660 19317 15454 3863 0 0 0 0 43558 34846 8712 0 81180 64944 16236 0 0 93609 74887 18722 13375 10700 2675 Printing and Publications 37382 29906 7476 MEDICAL SUPPLIES & EXPENSES 101081 80865 20216 OTHER 468531 374825 93706 PURCHASED SERVICES 4043883 3235106 808777 13952 11162 2790 11487671 9408865 2078806 0 1273260 1339093 0 0 421811 271263 0 0 171926 118392 0 16807 13000 1413861 1166141 286210 247720 9875963 11424984 0 0 0 0 12045977 13414452 2026454 1866993 200457 255910 2226911 2122903 X 9769066 11241549 50000 50000 9819066 11291549 12045977 13414452 X 1361458 111025 X false true true X false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1413861 1166141 247720 247720 12849129 11487671 1361458 111025 111025 1472483 12960154 111025 111025 12849129 12849129 11487671 11487671 11487671 true WEST VALLEY COMMUNITY SERV 10104 Vista Drive Cupertino CA 95014 942211685 501(C)(3) 9000 0 VALLEY MED CTR FDN 2400 Moorpark Ave San Jose CA 95128 770187850 501(c)(3) 8000 0 THE HEALTH TRUST 2085 Hamilton Ave 150 San Jose CA 95125 946050231 501(c)(3) 10000 0 SV LEADERSHIP GRP FDN 2001 Gateway Place 101E San Jose CA 95110 912140464 501(c)(3) 15000 0 SUPERIOR COURT OF CA 191 N First St San Jose CA 95113 912084363 115 62500 0 SANTA CLARA USD 1889 Lawrence Rd Santa Clara CA 95052 770219105 115 115000 0 SANTA CLARA CTY OFF OF ED 1290 Ridder Park Drive San Jose CA 95131 770272168 115 77499 0 PLAYWORKS 380 Washington Street Oakland CA 94607 943251867 501(c)(3) 30000 0 PLANNED PARENTHOOD 1605 The Alameda San Jose CA 95126 941583439 501(c)(3) 10000 0 PEOPLE ACTING IN COMMUNITY 1100 Shasta Ave B210 San Jose CA 95123 740090129 501(c)(3) 10000 0 PENINSULA HEALTHCARE CONN 33 Enicina Ave 103 Palo Alto CA 94301 202886131 501(c)(3) 50000 0 MOMENTUM 438 North White Rd San Jose CA 95127 941496052 501(c)(3) 51706 0 HEALTH TEACHER 5200 Maryland Way Suite 100 Brentwood TN 37027 203456491 501(c)(3) 60171 0 HAITI EARTHQUAKE RELIEF 1714 W Royale Drive Muncie IN 47304 616043037 501(c)(3) 11550 0 FONKOZE HAITI RELIEF 1714 W Royale Drive Muncie IN 47304 616043037 501(c))(3) 8300 0 EMQ Families First 251 Llewellyn Ave Campbell CA 95008 942295953 501(c)(3) 115000 0 ECH-LOS GATOS HEALTH LIB 815 Pollard Rd Los Gatos CA 95032 770199960 501(c)(3) 64061 0 CUPERTINO UNION SCHOOL 10301 Vista Drive Cupertino CA 95014 770025265 115 29000 0 CSI MINISTRIES 1714 W Royale Drive Muncie IN 47304 616043037 501(c)(3) 24000 0 CAMPBELL USD 155 N Third Street Campbell CA 95008 770226428 115 189000 0 ASIAN AMERICANS FOR COMM INV 2400 Moorpark Ave San Jose CA 95128 942292491 501(c)(3) 70000 0 AMERICAN RED CROSS 2731 North First Street San Jose CA 95134 941156472 501(c)(3) 35000 0 22 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 258851 74909 43340 377100 MATT HARRIS 11422 173493 18087 10813 2068 41667 13490 244060 CECILE CURRIER 102647 89261 26961 26961 6149 6149 32124 32124 167881 154495 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 11 Form 990, Part VI, Line 11: 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 Labnet Inc 2500 Grant Road Mountain View CA 94040 770537825 Med Service CA El Camino Hospital C Corp 1.00000 El Camino Surgery Center 2480 Grant Road Mountain View CA 94040 770163409 Medical Services CA El Camino Hospital LLC false false true false false false false false false false false true false false false false false false EL CAMINO HOSPITAL FOUNDATION c 558834 EL CAMINO HOSPITAL l 95064 EL CAMINO HOSPITAL c 1970991