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STANFORD HEALTH CARE TRI-VALLEY: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
STANFORD HEALTH CARE TRI-VALLEY (EIN 94-1429628)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-03
IRS object ID
201141239349300319
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-03T11:53:44-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE CALIFORNIA STREET 4TH FLOORAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941429628EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL COMMITTEE FOR THE LIVERMOREBusinessNameLine1
Business Name Line2PLEASANTON AREABusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone9253738000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BOULEVARDAddressLine1
CityLIVERMORECity
StateCAState
ZIP Code94550ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namekenneth a jensenName
TitleCFOTitle
Phone9253738000Phone
Date Signed2011-04-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4159561500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Personmarcelina feitNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BOULEVARDAddressLine1
CityLIVERMORECity
StateCAState
ZIP Code94550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts248001304GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.VALLEYCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1616TotalNbrEmployees
Total Nbr Volunteers425TotalNbrVolunteers
Total Gross UBI447156TotalGrossUBI
Net Unrelated Business Txbl Income124757NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2921404ContributionsGrantsPriorYear
Contributions Grants Current Year1319590ContributionsGrantsCurrentYear
Program Service Revenue Prior Year234877154ProgramServiceRevenuePriorYear
Program Service Revenue CY236084314ProgramServiceRevenueCY
Investment Income Prior Year765140InvestmentIncomePriorYear
Investment Income Current Year534106InvestmentIncomeCurrentYear
Other Revenue Prior Year7972668OtherRevenuePriorYear
Other Revenue Current Year8300712OtherRevenueCurrentYear
Total Revenue Prior Year246536366TotalRevenuePriorYear
Total Revenue Current Year246238722TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year419569GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY426697GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year115024303SalariesEtcPriorYear
Salaries Etc Current Year118009388SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year122051529OtherExpensePriorYear
Other Expenses Current Year123168825OtherExpensesCurrentYear
Total Expenses Prior Year237495401TotalExpensesPriorYear
Total Expenses Current Year241604910TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9040965RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4633812RevenuesLessExpensesCY
Total Assets BOY212633196TotalAssetsBOY
Total Assets EOY226527370TotalAssetsEOY
Total Liabilities BOY126858477TotalLiabilitiesBOY
Total Liabilities EOY136012341TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY85774719NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY90515029NetAssetsOrFundBalancesEOY
Mission DescriptionVALLEYCARE HEALTH SYSTEM'S MISSION IS TO ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense181579468Expense
Revenue236533267Revenue
DescriptionOPERATION 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.Description
Total Program Service Expense181579468TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096184NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1616NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DIANE BRACKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9253734032TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11111 E STANLEY BLVDAddressLine1
CitylivermoreCity
StateCAState
ZIP Code94550ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Deborah McKeehan
Chair, Brd. Of Dir.2.00X000
Marty Inderbitzen
Vice Chair, Brd. Of Dir.2.00X000
Ralph Camacho MD
Secretary, Brd. Of Dir.2.00X000
Valerie Chirurgi MD
Board Member2.00X000
Richard Fischer
Board Member2.00X000
Jim Mayer
Board Member2.00X000
Barbara Mertes
Board Member2.00X000
David Mertes
Board Member2.00X000
John Louie MD
Board Member2.00X000
Tom Rose
Board Member2.00X000
John Sensiba
Board Member2.00X000
Jim Summers
Board Member2.00X000
Dat Nguyen MD
Exoffico-Chief of Staff2.00X000
Marcelina Feit
President/CEO36.108127940399740X
Kenneth Jensen
Chief Financial Officer36.10521619076704X
Cynthia Noonan
Chief Operating Officer40.00450244076901X
Lavern Brown
VP GENERAL SVCS & HR39.80372020080354X
Jessica Jordan
VP PATIENT CARE40.00276083017163X
Neil Sol
VP OUTPATIENT SVCS40.00248817016803X
Claire Shoen
Exec VP BUS DEV/Phys Rltns30.00296100014470X
Kenneth Mercer
VP CHaritable Fndn40.0026883305362X
Kenneth Bartlett
Multi-Modality Tech40.0020680506464X
Janine Pinks
Cardio Physician AssT.40.00195736018506X
Karen Dynek
Registered Nurse40.00215003019868X
Christine Rawls
Lead Ultrasound Tech40.00201981010871X
Paul Muser
Multi-Modality Tech40.00247403024842X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4313438TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation768048TotalOtherCompensation
Number Individuals GT100 K335NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Siemens Medical Solutions
Dept LA 21536PASADENACA911851536IT Services6123131
Meade Construction Group Inc
645 River Oaks ParkwaySAN JOSECA95134Construction1551982
Medical Anesthesia Consultants
PO Box 512107LOS ANGELESCA900510107Physician Services1046422
Kares Construction Inc
96 Rickenbacker CircleLIVERMORECA94550construction778485
XL Construction Corporation
851 Buckeye CourtMILPITASCA95035construction697256
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Related Organizations502430RelatedOrganizations
All Other Contributions817160AllOtherContributions
Total Contributions1319590TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
ANCILLARY PTNT SRVCS621990411247139411247139
OUTPATIENT SRVCS621990351218643351218643
INPATIENT SRVCS621990207981461207981461
LAB SERvices621500447156447156
CONTRACTUAL ALLOWANCE621990-734810085-734810085
FieldValueIRS element (for citing)
Total Program Service Revenue236084314TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column400451TotalRevenueColumn
Exclusion$400,451ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2182591Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1762582Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real420009Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column420009TotalRevenueColumn
Exclusion$420,009ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other133655Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other133655Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column133655TotalRevenueColumn
Exclusion$133,655ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY DUES-LIFESTYLE6243104803804$4,803,804
OTHER REVENUES9000992853918$1,957,809896109
K-1 INCOME900099222981$222,981
FieldValueIRS element (for citing)
Total Other Revenue7880703TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column246238722TotalRevenueColumn
Related Or Exempt Function Income236533267RelatedOrExemptFunctionIncome
Unrelated Business Revenue447156UnrelatedBusinessRevenue
Exclusion$7,938,709ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total426697Total
Program Services426697ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3690482Total
Management And General3690482ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total94125179Total
Program Services69263311ProgramServices
Management And General24861868ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1382095Total
Program Services980677ProgramServices
Management And General401418ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12036809Total
Program Services8534923ProgramServices
Management And General3501886ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6774823Total
Program Services4905293ProgramServices
Management And General1869530ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1526694Total
Program Services18928ProgramServices
Management And General1507766ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total148645Total
Management And General148645ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18270182Total
Program Services9954755ProgramServices
Management And General8315427ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42225215Total
Program Services35296585ProgramServices
Management And General6928630ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8657340Total
Program Services6242026ProgramServices
Management And General2415314ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8493876Total
Program Services6547366ProgramServices
Management And General1946510ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total252156Total
Management And General252156ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total156789Total
Program Services53459ProgramServices
Management And General103330ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5477009Total
Program Services3896850ProgramServices
Management And General1580159ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7820096Total
Program Services5874073ProgramServices
Management And General1946023ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1522198Total
Program Services1097519ProgramServices
Management And General424679ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
bad debt2843540228435402
Other expenses18322351604131619

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total241604910Total
Program Services181579468ProgramServices
Management And General60025442ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY144151BOY
EOY11597844EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37569981BOY
EOY25059959EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39281496BOY
EOY38271360EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY714400BOY
EOY835599EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4074353BOY
EOY4591915EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1393813BOY
EOY1516666EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis199919470LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec100354241LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY97854039BOY
EOY99565229EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY17627157BOY
EOY21486064EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13973806BOY
EOY23602734EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY212633196BOY
EOY226527370EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30343563BOY
EOY31070831EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1614701BOY
EOY1500821EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY80475000BOY
EOY88686628EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8190702BOY
EOY7381260EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6234511BOY
EOY7372801EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY126858477BOY
EOY136012341EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY85719112BOY
EOY90506320EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY55607BOY
EOY8709EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY85774719BOY
EOY90515029EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY212633196BOY
EOY226527370EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$21,185OtherActivitiesAmount
Total Lobbying Expenditures IIB21185TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationThe organization pays dues to CHA/HCNCC and AHA. A portion of the dues paid are used for lobbying purposes.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1779852InvestmentCostOrOtherBasis
Other Cost Or Other Basis11157847OtherCostOrOtherBasis
Book Value12937699BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis113217824OtherCostOrOtherBasis
Depreciation50283194Depreciation
Book Value62934630BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11551478OtherCostOrOtherBasis
Depreciation6494082Depreciation
Book Value5057396BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis49440277OtherCostOrOtherBasis
Depreciation37150352Depreciation
Book Value12289925BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12772192OtherCostOrOtherBasis
Depreciation6426613Depreciation
Book Value6345579BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings99565229TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
Descriptionassets limited as to useDescription
Book Value21486064BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities21486064TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS1779601
DEPOSITS1165251
NON PATIENT RECEIVABLES271537
EQUITY INVESTMENT (PPA-II)1236318
third party payor receivable1009987
OTHER non-patient receivable34496
Intercompany Receivable18105544
FieldValueIRS element (for citing)
Total Book Value Other Assets23602734TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Minimum pension liability$3,051,368
LIABILITY FOR SELF INSURANCE RESERVES$1,651,778
BOND INTEREST PAYABLE$2,166,014
REFUNDABLE DEPOSITS$19,918
estimated third-party payor settlements$483,723
FieldValueIRS element (for citing)
Total Of Amounts7372801TotalOfAmounts
Total Revenue246238722TotalRevenue
Total Expenses241604910TotalExpenses
Excess Or Deficit For Year4633812ExcessOrDeficitForYear
Other$106,498OtherAmount
Total Adjustments106498TotalAdjustments
Excess Or Deficit Per FS4740310ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt247243000TotRevenueEtcAuditedFinclStmt
Other Revenues1762188OtherRevenues
Revenue Not Rptd F9901762188RevenueNotRptdF990
Revenue Subtotal245480812RevenueSubtotal
Other Revenues Not Included757910OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt757910RevenueNotRptdOnFinStmt
Total Revenue Per Form990246238722TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt242828000TotExpensesEtcAuditedFinclStmt
Other Expenses Included1761351OtherExpensesIncluded
Expenses Not Rptd F9901761351ExpensesNotRptdF990
Expenses Subtotal241066649ExpensesSubtotal
Other Expenses Not Included538261OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt538261ExpensesNotRptdOnFinStmt
Total Expenses Per Form990241604910TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:VHS adopted the provisions of ASC Topic 740-10, Income Taxes, relating to accounting for uncertain tax positions. VHS had no unrecognized tax benefits which would require an adjustment to the July 1, 2009 beginning balance of net assets and had no unrecognized tax benefits at June 30, 2010. VHS files federal and California exempt organization returns.
Part XI, Line 8 - Other Adjustments:book-tax difference on ppa ii income: 106498.
Part XII, Line 2d - Other Adjustments:Rounding: -394. Reclassification of rental income from expense section: 1762582.
Part XII, Line 4b - Other Adjustments:Book-Tax difference on PPA II Income: -106498. RECLASSIFICATION OF CONTRIBUTIONS FROM OTHER CHANGES IN FUND BALANCE: 730753. Reclassification of gain on sale of fixed assets from expense section: 133655.
Part XIII, Line 2d - Other Adjustments:Rounding: -1231. Reclassification of Rental Expenses to Revenue Section: 1762582.
Part XIII, Line 4b - Other Adjustments:RECLASSification of Other Expenses FROM OTHER CHANGES IN FUND BALANCE: 3785. REclassification of Additional Salaries FROM OTHER CHANGES IN FUND BALANCE: 400821. Reclassification of gain on sale of fixed assets to Revenues section: 133655.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served894PersonsServed
Total Community Benefit Expense1313480TotalCommunityBenefitExpense
Net Community Benefit Expense1313480NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served9259PersonsServed
Total Community Benefit Expense17330178TotalCommunityBenefitExpense
Direct Offsetting Revenue13263106DirectOffsettingRevenue
Net Community Benefit Expense4067072NetCommunityBenefitExpense
Percent Of Total Expense0.01910PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense505974TotalCommunityBenefitExpense
Direct Offsetting Revenue170041DirectOffsettingRevenue
Net Community Benefit Expense335933NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served10153PersonsServed
Total Community Benefit Expense19149632TotalCommunityBenefitExpense
Direct Offsetting Revenue13433147DirectOffsettingRevenue
Net Community Benefit Expense5716485NetCommunityBenefitExpense
Percent Of Total Expense0.02690PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs63NumberOfActivitiesOrPrograms
Persons Served242040PersonsServed
Total Community Benefit Expense3235563TotalCommunityBenefitExpense
Direct Offsetting Revenue1415470DirectOffsettingRevenue
Net Community Benefit Expense1820093NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1325641TotalCommunityBenefitExpense
Net Community Benefit Expense1325641NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1948395TotalCommunityBenefitExpense
Net Community Benefit Expense1948395NetCommunityBenefitExpense
Percent Of Total Expense0.00910PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs63NumberOfActivitiesOrPrograms
Persons Served242040PersonsServed
Total Community Benefit Expense6509599TotalCommunityBenefitExpense
Direct Offsetting Revenue1415470DirectOffsettingRevenue
Net Community Benefit Expense5094129NetCommunityBenefitExpense
Percent Of Total Expense0.02380PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs69NumberOfActivitiesOrPrograms
Persons Served252193PersonsServed
Total Community Benefit Expense25659231TotalCommunityBenefitExpense
Direct Offsetting Revenue14848617DirectOffsettingRevenue
Net Community Benefit Expense10810614NetCommunityBenefitExpense
Percent Of Total Expense0.05070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$6,331,221BadDebtExpenseAmount
Amount Reimbursed By Medicare51362862AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare73790183CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22427321MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOtherGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
Valley Memorial Hospital
1111 E Stanley BlvdlivermoreCA94550XLifestyle Rx Medical Fitness Facility
ValleyCare Medical Center
5555 W Las Positas BlvdpleasantonCA94558XXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart 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 AMOUNT OF BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25 THAT WAS SUBTRACTED FOR THE PURPOSES OF CALCULATING THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F) IS $28,435,402.CostingMethodUsed
Bad Debt FootnotePart III, Line 4: Bad Debt expense on the income statement for fiscal year 2010 was $28,687,000, 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. Per the audited financial statements: The provision for bad debts of approximately $28,687,000 and $26,985,000 for the years ended June 30, 2010 and 2009, respectively, represents estimated uncollectible charges for services provided primarily to self-pay and private health insurance patients.Patient accounts receivable consist of amounts owed by various government agencies, insurance companies and private patients. VHS grants credit without collateral to its patients, most of whom are insured under third-party payor agreements. VHS manages its collection risk by regularly reviewing its accounts and contracts and by providing appropriate allowances. The significant concentration of receivables from patients and third-party payors is as follows at June 30:Medicare 21%, Medi-Cal 15%, Self payors 13% and Contracted third-party payors 51%.BadDebtFootnote
Shortfall As Community BenefitPart 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 $22,427,321 reflected on Schedule H, Part III, Section B was determined using information from the organization's Medicare Cost Report. However, using a financial statement cost-to-charge ratio methodology actually results in a much larger Medicare shortfall of $28,301,608. The most common reasons for a difference between the Medicare shortfall reported on Schedule H and the Medicare shortfall reported on the core form, Part III included Medicare Managed Care. 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: VcHS is a participant in the Community 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. Next report will be completed by July 2013.NeedsAssessment
Patient Education AssistancePart VI, Line 3: In keeping with a commitment to meet the needs of our community, ValleyCare Health System will extend financial assistance in the form of a Patients/Guarantor Financial Assistance Program to those patients/guarantors who have demonstrated an inability to pay for needed medical and supportive services. ValleyCare Health System will interview each patient/guarantor and determine the capability to meet his/her financial obligations for medical care. Patients/guarantors 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, the patient/guarantor will be interviewed to determine whether they meet the criteria for patient/guarantor financial assistance, as defined in the Financial assistance/charity care policy.PatientEducationAssistance
Community InformationPart 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.Medicaid 13,620 Medicare 22,130 Managed Care 136,322 Commercial 76,194 Uninsured 15,173 TOTAL 263,440CommunityInformation
Other InformationPart VI, Line 6: 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.OtherInformation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1VALLEYCARE CHARITABLE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11111 e stanley blvdAddressLine1
CitylivermoreCity
StateCAState
ZIP Code94550ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient942941652EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant426697AmountOfCashGrant
Purpose Of GrantALLOCATED EXPENSESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THERE IS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS TO VALLEYCARE CHARITABLE FOUNDATION. AS PART OF THE OVERALL OPERATION OF THESE RELATED ORGANIZATIONS, VALLEYCARE CHARITABLE FOUNDATION KEEPS CAREFUL TRACK OF THE USE OF FUNDS WHICH THE GRANTS FROM HOSPITAL COMMITTEE FOR THE LIVERMORE/PLEASANTON AREA ARE A PART OF.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Marcelina Feit
5639100150000098884034852505121501212534000
Kenneth Jensen
38400801000000376110562000205040598323000
Cynthia Noonan
3515360800000187080441470327540527145000
Lavern Brown
2867780480000372420427000376540452374000
Jessica Jordan
223064040000013019000171630293246000
Neil Sol
192512010000046305000168030265620000
Claire Shoen
23191506000004185000144700310570000
Kenneth Mercer
18242005077003564300053620274195000
Kenneth Bartlett
206805000006464000213269000
Janine Pinks
1957360000053520131540214242000
Karen Dynek
2150030000012355075130234871000
Christine Rawls
201981000003358075130212852000
Paul Muser
2474030000065110183310272245000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationSeverance Payment in the amount of 70,996.68 paid to Neil SolExplanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
California Enterprise Development Authority
3522736012009-07-1510500000Building and equipment00
California Statewide Communities Development Authority
6801646102007-05-3154310000Refunding of prior issue00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount DefeasedAmountDefeasedAmount UnspentAmountUnspent
104060751040607573850001040607520120000
532240975222758111148000349990

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2David Mertes and Barbara Mertes are husband and wife and both serve as board members.
Form 990, Part VI, Section B, line 11The 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 12cVCHS 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 15VCHS 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.
Form 990, Part VI, Section C, line 19THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
990, PART VII, SECTION A, COLUMN BJIM MAYER'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS BARBARA MERTES' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS TOM ROSE'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS JIM SUMMERS' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS MARCELINA FEIT'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 36.10 HRS VALLEYCARE CHARITABLE FOUNDATION .20 HRS VALLEYCARE MEDICAL FOUNDATION INC. 3.50 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS KENNETH JENSEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 36.10 HRS VALLEYCARE CHARITABLE FOUNDATION .20 HRS VALLEYCARE MEDICAL FOUNDATION INC. 3.50 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS LAVERN BROWN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 39.80 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS RICHARD FISCHER'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 2.00 HRS DEBORAH MCKEEHAN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 2.00 HRS CLAIRE SHOEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 30.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 10.00 HRSHOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART XI, LINE 2CTHERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.AUDIT COMMITTEE AND OVERSIGHT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
ValleyCare Charitable Foundation
1111 e stanley blvdlivermoreCA94550942941652FUNDRAISINGCA501(C)(3)9N/A
ValleyCare Senior Housing
1111 e stanley blvdlivermoreCA94550943382224INDEPENDENT AND ASSISTED LIVING FOR SENIORSCA501(C)(3)11C - fiN/A
ValleyCare Medical Foundation Inc
5655 w las positas blvd 220pleasantonCA94588262593526SUPPORT CHARITABLE ACTIVITIES OF THE HOSPITALCA501(C)(3)9N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Valleycare Charitable Foundation
C502430
Valleycare Charitable Foundation
O332794
valleycare Charitable Foundation
B426697
valleycare Charitable Foundation
P426697
valleycare Medical Foundation Inc
D17403173