2024-11-14T16:55:07-06:00 2023-12-31 910189318 MOSS ADAMS LLP 21700 OXNARD ST STE 300 WOODLAND HILLS CA 91367 990 2023-01-01 951945832 VALLEY PRESBYTERIAN HOSPITAL VALL 8187826600 15107 VANOWEN STREET VAN NUYS CA 91405 LORI CARDLE EVP, COO AND CFO 8187826600 2024-11-14 1 0 MICHAEL LUMSDEN P01262236 8185771900 2024-11-14 2023 2024-10-15 13:58:12Z GUSTAVO VALDESPINO 15107 VANOWEN STREET VAN NUYS CA 91405 550349894 0 X WWW.VALLEYPRES.ORG X 1948 CA TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 15 10 2001 132 0 0 3489685 3762915 471600485 500149169 3534864 10142329 2987849 2974925 481612883 517029338 246220 190026 0 0 161008097 196697784 0 0 0 348731859 349160776 509986176 546048586 -28373293 -29019248 564957236 601138714 157857554 193749743 407099682 407388971 X TO IMPROVE THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY. 0 0 477745263 190026 500149169 SEE SCHEDULE O 477745263 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1304 0 1 2001 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LORI CARDLE 8189022902 15107 VANOWEN STREET VAN NUYS CA 91405 BOLATITO ABE MD DIRECTOR 1.00 0.00 X 20000 0 0 NORAMAY CADENA DIRECTOR THROUGH 2/2023 1.00 0.00 X 0 0 0 DANIEL CHANDLER DIRECTOR 1.00 0.00 X 0 0 0 DAVID W FLEMING DIRECTOR / CHAIR EMERITUS 1.00 0.00 X 0 0 0 LIVA YATES GRITTON MD DIRECTOR 1.00 0.00 X 61200 0 0 ALEX GUERRERO TREASURER 1.00 0.00 X X 0 0 0 LUCA JACOBELLIS SECRETARY 1.00 0.00 X X 0 0 0 GREG KAY MD CHAIR OF THE BOARD 1.00 0.00 X X 0 0 0 PETER KOETTERS MD DIRECTOR 1.00 0.00 X 74800 0 0 BRIAN OSTICK MD DIRETOR 1.00 0.00 X 10000 0 0 KALPESH PATEL MD DIRECTOR 1.00 0.00 X 50000 0 0 ELLEN RILEY DIRECTOR 1.00 0.00 X 0 0 0 KEVEN STEINBERG DIRECTOR 1.00 0.00 X 0 0 0 SANJAY VADGAMA MD DIRECTOR 1.00 0.00 X 55060 0 0 MARY BETH WALKER DIRECTOR 1.00 0.00 X 0 0 0 BETH ZACHARY VICE CHAIR 1.00 0.00 X X 0 0 0 GUSTAVO VALDESPINO PRESIDENT AND CEO 40.00 0.00 X 1046005 0 258546 LORI CARDLE EVP, CHIEF OPERATING & FINANCIAL OFFICER 40.00 0.00 X 894979 0 175993 HANNAH GROSSMAN MD SVP, CHIEF MEDICAL OFFICER 40.00 0.00 X 559996 0 114578 TAMALA CHOMA VP, GEN COUNSEL & CHIEF COMP & PRIV OFF 40.00 0.00 X 425830 0 79253 LORI BURNELL SVP, CNO THROUGH 6/2023 40.00 0.00 X 414960 0 83034 TANZANEKA BUCKOR INTERIM CNO START 6/2023 40.00 0.00 X 249341 0 27309 TONY EVANS VP, CHIEF INFORMATION OFFICER 40.00 0.00 X 359099 0 68599 TODD CONNELLY VP, HUMAN RESOURCES THROUGH 11/2023 40.00 0.00 X 244133 0 49679 JEREMY REDIN VP, FINANCE 40.00 0.00 X 194748 0 20890 LISA ALLEN INT VP, HUMAN RESOURCES START 11/2023 40.00 0.00 X 19200 0 0 DIANA MILAN-FINLEY ASSOCIATE ADMINISTRATOR 40.00 0.00 X 291460 0 54171 EDINANCE MUWONGE CLINICAL NURSE SUPERVISOR 40.00 0.00 X 344296 0 13736 MELISSA PARKER MANAGER OF CARDIAC CATH LAB 40.00 0.00 X 319259 0 32792 DALLAS RYAN DIRECTOR, MATERIALS MANAGEMENT 40.00 0.00 X 273884 0 23473 HAJUNG LEE ICU NURSE 40.00 0.00 X 263548 0 16482 NIGHAT KHAN ICU NURSE 40.00 0.00 X 258754 0 21377 6430552 0 1039912 606 0 1 0 CARDINAL HEALTH PHARMACY SERVICES LLC 21377 NETWORK PLACE CHICAGO IL 60673 HEALTHCARE MANAGEMENT 8919258 CAREREV 2108 N STREET SUITE 4037 SACRAMENTO CA 95816 AGENCY/STAFFING 7754228 AMN HEALTHCARE LOCKBOX 2735 2735 COLLECTIONS CENT CHICAGO IL 60693 AGENCY/STAFFING 7211222 MEDPOINT MANAGEMENT 15301 VENTURA BLVD BLDG D SUITE 20 SHERMAN OAKS CA 91403 CAPITATION MANAGEMENT 6094088 VP ANESTHESIA PARTNERS INC 898 N PACIFIC COAST HWY 600 EL SEGUNDO CA 91245 ANESTHESIA SERVICE 3225000 115 297775 1948398 1516742 3762915 NET PATIENT SERVICE REVENUE 622110 255866747 255866747 CAPITATION PREMIUM REVENUE 622110 237992582 237992582 OTHER OPERATING REVENUE 622110 6289840 6289840 500149169 7548011 7548011 2200625 1814731 385894 385894 385894 34017525 31423207 2594318 2594318 2594318 38575 297775 82618 -44043 -44043 PARKING REVENUE 812930 1331977 1331977 CAFETERIA REVENUE 722514 1145667 1145667 GIFT SHOP REVENUE 459900 49089 49089 106341 106341 2633074 517029338 500149169 0 13117254 X 190026 190026 5902868 1720279 4182589 146799507 129738067 17061440 4106723 3933891 172832 29688034 24859376 4828658 10200652 8925471 1275181 480303 480303 190100 190100 238706 238706 227435129 207310532 20124597 361195 361195 9781408 8299130 1482278 7748835 7748835 3934813 791962 3142851 151106 27983 123123 18915 10399 8516 102 102 12823607 12823607 3872376 3872376 HOSPITAL FEE PROG EXP 36866080 36866080 MEDICAL SUPPLIES 35529534 35529534 REPAIRS & MAINTENANCE 2382820 752673 1630147 TAXES 2093877 2093877 5251870 5251870 546048586 477745263 68303323 0 22413898 13895391 172546 6575409 904380 904380 32202441 31523054 6765620 7055978 5366489 3478259 406097331 263639385 144191699 142457946 240556762 279297911 112383401 115950386 564957236 601138714 55509844 59038991 106631 0 102241079 134710752 157857554 193749743 X 404908877 404976685 2190805 2412286 407099682 407388971 564957236 601138714 X -29019248 29313720 -5183 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 114255 114255 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), AND PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS, INC. (PEACH). A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES BY CHA, HASC, AND PEACH ON BEHALF OF THEIR MEMBERS. 6532222 6532222 235235658 128082822 107152836 2229451 2046943 182508 148435918 133509620 14926298 13664082 13664082 142457946 OTHER RECEIVABLES 1649929 WORKERS COMP RESERVE 204143 DEPOSITS 767238 HOSPITAL FEE PROGRAM RECEIVABLE 109525390 DUE FROM THIRD-PARTY PAYORS 3803686 115950386 SELF INSURANCE RESERVES 12865227 ASSET RETIREMENT OBLIGATION 5024636 MEDICAL CLAIMS PAYABLE 40579677 SPLIT-INTEREST PAYABLES 55808 HOSPITAL FEE PROGRAM PAYABLE 46531036 SHARED RISK LIABILITY PAYABLE 28941128 DUE TO THIRD-PARTY PAYORS 713240 134710752 546181787 29313720 -5183 29308537 516873250 238706 -82618 156088 517029338 545892498 82618 82618 545809880 238706 238706 546048586 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS -5,183. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -82,618. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 82,618. GOLF CLASSIC 336350 297775 38575 900 1000 19877 15940 858 44043 336350 297775 38575 900 1000 19877 15940 858 44043 82618 -44043 1 1 X 1 X 400.000000000000 1 X 650.000000000000 1 1 1 0 1 1 3908738 3908738 0.00720 113913325 96855216 17058109 0.03120 117822063 96855216 20966847 0.03840 1006082 1006082 0.00180 7064986 7064986 0.01290 366967 366967 0.00070 8438035 8438035 0.01540 126260098 96855216 29404882 0.05380 2400 2400 0.00000 635 635 0.00000 25777 25777 0.00000 1800 1800 0.00000 30612 30612 0.00000 1 6392491 0 74771434 91635876 -16864442 X 1 1 1 1 VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN STREET VAN NUYS CA 91405 WWW.VALLEYPRES.ORG 930000170 X X X X VALLEY PRESBYTERIAN HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT/ X 1 22 1 HTTPS://WWW.VALLEYPRES.ORG/COMMUNITY/COMMUNITY-BENEFIT/ 0 1 X 400.000000000000 650.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 5: VPH CONDUCTED INTERVIEWS AND SURVEYS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS.INTERVIEWS:SIXTEEN (16) INTERVIEWS WERE COMPLETED IN JUNE AND JULY 2021. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT INTERVIEWS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY". THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN THE PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. PLEASE REFERENCE ATTACHMENT 2 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT POSTED ON THE ORGANIZATION'S WEBSITE FOR A LIST OF INDIVIDUALS INTERVIEWED.SURVEY: VALLEY PRESBYTERIAN HOSPITAL CONDUCTED A COMMUNITY SURVEY. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK, AND IN A PAPER COPY FORMAT. THE SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM JUNE 14 THROUGH AUGUST 30, 2021 AND DURING THIS TIME, 73 SURVEYS WERE COLLECTED (19 IN SPANISH AND 54 IN ENGLISH). VALLEY PRESBYTERIAN HOSPITAL DISTRIBUTED THE SURVEYS AT COMMUNITY MEETINGS AND THROUGH SOCIAL MEDIA. A WRITTEN INTRODUCTION EXPLAINED THE PURPOSE OF THE SURVEY AND ASSURED PARTICIPANTS THE SURVEY WAS VOLUNTARY, AND THEIR RESPONSES WOULD REMAIN ANONYMOUS. THE SURVEY ASKED FOR DEMOGRAPHIC INFORMATION ON THE SURVEY RESPONDENTS. THE SURVEY ASKED ABOUT COMMUNITY NEEDS AND BARRIERS, VULNERABLE POPULATIONS WHO ARE MOST IMPACTED BY THE COMMUNITY NEEDS AND ACCESSING HEALTH CARE SERVICES. FINALLY, THE SURVEY RESPONDENTS WERE ASKED TO PRIORITIZE THE MOST IMPORTANT COMMUNITY NEEDS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 11: IN CY23, VPH ENGAGED IN ACTIVITIES AND PROGRAMS THAT ADDRESSED THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2022-2024 IMPLEMENTATION STRATEGY/COMMUNITY BENEFIT PLAN. VPH CHOSE TO ADDRESS ACCESS TO HEALTH CARE, CHRONIC DISEASES (WITH AN EMPHASIS ON DIABETES), MENTAL HEALTH, HOMELESSNESS, AND OVERWEIGHT AND OBESITY THROUGH A COMMITMENT OF RESOURCES TO COMMUNITY PARTNERS THAT FOCUSED ON THE PRIORITY HEALTH NEEDS. VPH REMAINED COMMITTED TO ITS MISSION AND VALUES AS A VITAL ASSET TO THE COMMUNITY AND COMMUNITY-BASED ORGANIZATIONS.ACCESS TO HEALTH CARE RESPONSE TO NEED:VPH REMOVED BARRIERS AND INCREASED ACCESS TO HEALTH CARE BY OFFERING TRANSPORTATION TO 1,817 RIDERS WHO LACKED TRANSPORTATION. VPH'S CONTRACTED TRANSPORTATION SERVICE PROVIDES RIDES FREE OF CHARGE TO COMMUNITY RESIDENTS TO AND FROM THEIR HOMES TO THE HOSPITAL AND TO AND FROM THEIR HOMES TO A COMMUNITY CLINIC.WE ACTIVELY ASSISTED MORE THAN 7,669 PATIENTS TO ENROLL IN MEDI-CAL PROGRAMS AND OTHER LOW-COST PROGRAMS THROUGH COVERED CALIFORNIA.THE HOSPITAL PARTNERED WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE ACCESS TO CARE BY PROVIDING GRANTS TO ADDRESS HEALTHCARE GAPS. VPH SUPPORTED ORGANIZATIONS FOCUSED ON IMPROVING ACCESS TO CARE IN ACUTE NEED POPULATIONS SUCH AS FOSTER YOUTH, DOMESTIC VIOLENCE VICTIMS, AND CHILDREN WITH DEVELOPMENTAL DISABILITIES. COVID-19 VACCINES WERE OFFERED TO COMMUNITY MEMBERS DURING OUR ANNUAL HEALTH FAIR AND OTHER COMMUNITY EVENTS IN 2023. THE 2023 VPH ANNUAL COMMUNITY HEALTH AND WELLNESS FAIR REACHED OVER 500 COMMUNITY RESIDENTS. INDIVIDUALS PARTICIPATED IN AN OUTDOOR EVENT WHERE THEY RECEIVED MANY SCREENINGS INCLUDING BLOOD PRESSURE, VISION AND HEARING AND INFORMATION ON LOCAL COMMUNITY RESOURCES. FLU SHOTS WERE PROVIDED TO 226 PEOPLE. OVER 600 GRAB-N-GO LUNCHES WERE PROVIDED TO ATTENDEES. HOSPITAL CLINICAL LEADERS ALSO VOLUNTEERED DURING VARIOUS COMMUNITY HEALTH FAIRS TO PROVIDE BLOOD PRESSURE SCREENINGS.IN PARTNERSHIP WITH FIRST 5 LA, THE HOSPITAL CONTINUED THE WELCOME BABY PROGRAM. THIS FREE AND VOLUNTARY PROGRAM SUPPORTED PARENTS AND THEIR INFANTS. THE WELCOME BABY PROGRAM PLAYS A KEY ROLE IN ENSURING THAT PARENTS HAVE THE RESOURCES IN PLACE TO FOLLOW UP ON NEWBORN CARE SUCH AS HEALTH ASSESSMENTS AND VACCINATIONS. IN 2023 THE WELCOME BABY PROGRAM ENROLLED 810 MOTHERS. IN ADDITION, VPH PROVIDED MATERNITY FOCUSED CLASSES TO 132 COMMUNITY RESIDENTS.CHRONIC DISEASES WITH AN EMPHASIS ON DIABETES RESPONSE TO NEED:VPH DEVELOPED THE LIVE WELL WITH DIABETES CLASS AIMED AT COMMUNITY MEMBERS LIVING WITH DIABETES. IN ADDITION TO GENERAL DIABETES EDUCATION, THE BILINGUAL CLASS ALLOWS PARTICIPANTS TO INTERACT WITH A PHARMACIST, REGISTERED DIETICIAN, AND FITNESS INSTRUCTOR. IN CY23 128 COMMUNITY MEMBERS PARTICIPATED IN THE CLASS.PROPER NUTRITION IS ESSENTIAL FOR INDIVIDUALS WITH DIABETES. DUE TO INFLATION, FOOD INSECURITY REMAINED HIGH POST PANDEMIC. VPH SUPPORTED MANY FOOD PROGRAMS, INCLUDING THOSE THAT DIRECTLY IMPACTED INDIVIDUALS WITH DIABETES, INCLUDING: (I) RENEWED SUPPORT FOR THE LOCAL YMCA FRESH PRODUCE DISTRIBUTION PROGRAM; (II) PROVIDED A GRANT FOR THE ONEGENERATION SENIOR CENTER WHICH DELIVERS IN-HOME MEAL DELIVERY, FOOD DISTRIBUTIONS, AND ALSO SERVES AS A CONGREGATE MEAL SITE; AND (III) COLLECTED 4,000 POUNDS OF FOOD, WHICH WERE DISTRIBUTED FROM OUR ANNUAL HOSPITAL WIDE FOOD DRIVE. NORTHEAST VALLEY HEALTH CENTER RECEIVED A VPH COMMUNITY GRANT THAT INCREASED BEHAVIORAL HEALTH SCREENING FOR INDIVIDUALS LIVING WITH DIABETES WITH 517 PARTICIPANTS BENEFITING FROM THE PROGRAM.WORLD DIABETES DAY EVENTS INCLUDED A LUNCH TIME TABLING EVENT WITH HEALTHY SNACK OPTIONS, EXERCISE DEMONSTRATIONS AND THE AMERICAN DIABETES ASSOCIATION, ARE YOU AT RISK FOR TYPE-2 DIABETES, ASSESSMENT ACTIVITY. EXERCISE IN AN ESSENTIAL ACTIVITY TO REDUCE THE RISK OF DIABETES. THE HEALTHY MATURITY SENIOR EXERCISE CLASS WAS HELD WEEKLY ON THE VPH CAMPUS. DURING THE PAST YEAR, THERE WERE 272 PARTICIPANTS IN THE FREE SENIOR EXERCISE CLASSES. BREASTFED BABIES ARE KNOWN TO BE LESS OVERWEIGHT AS THEY GROW OLDER THAN BOTTLE FED BABIES. VPH OFFERED BREASTFEEDING CLASSES IN ENGLISH AND SPANISH, A BREASTFEEDING SUPPORT GROUP, AND HELD ITS ANNUAL BREASTFEEDING AWARENESS MONTH EVENT IN AUGUST. APPROXIMATELY 150 PEOPLE PARTICIPATED IN THESE PROGRAMS.OVERWEIGHT AND OBESITY RESPONSE TO NEED:VPH COLLABORATED WITH THE LOCAL YMCA IN THEIR EFFORTS TO ADDRESS FOOD INSECURITY AND TO INCREASE PHYSICAL ACTIVITY AMONG THE YOUTH. IN CY23, MEALS IN MOTION RECEIVED A VPH COMMUNITY GRANT AIMED AT ENGAGING CHILDREN AND THEIR FAMILIES IN COOKING HEALTHY MEALS, AND THE PARTICIPANTS RECEIVED A FREE FOOD BOX. VPH ALSO RENEWED SUPPORT FOR VARIOUS FRESH PRODUCE DISTRIBUTION SITES INCLUDING: MID VALLEY YMCA; NORTH VALLEY CARING SERVICES; LA FOOD BANK; AND MEND.HOMELESSNESS RESPONSE TO NEED:VPH PARTICIPATED IN THE SAN FERNANDO AND SANTA CLARITA VALLEY SPA 2 HOMELESS COALITION, WHICH FOCUSES ON HOMELESSNESS RESOURCES AND COMMUNITY PLANNING. IN CY23 VPH ALSO PROVIDED SUPPORT VIA SPONSORSHIPS AND GRANTS TO SEVERAL ORGANIZATIONS PROVIDING HOMELESS SERVICES, INCLUDING: VPH SUPPORTED THE SAN FERNANDO VALLEY RESCUE MISSION WITH A FAMILY DINNER SPONSORSHIP; HOPE OF THE VALLEY WAS THE RECIPIENT OF TWO SPONSORSHIPS FOR HOLIDAY TOY DISTRIBUTION AND A HOLIDAY MEAL CAMPAIGN; GLOBAL ORPHAN PROJECT RECEIVED A GRANT TO ADDRESS IMMINENT NEEDS PRESENTED BY VARIOUS FOSTER YOUTH AGING OUT OF THE FOSTER CARE SYSTEM; BUNDLES OF KINDNESS RECEIVED A DONATION FOR RAIN PONCHOS TO BE INCLUDED IN HOMELESS KITS; AND VIDA MOBILE RECEIVED A COMMUNITY GRANT TO HELP SUPPORT THEIR HOMELESS OUTREACH AND MOBILE CLINIC WITH THE GOAL OF IMPROVING THEIR ACCESS TO CARE. MENTAL HEALTH AND SUBSTANCE USE AND MISUSE RESPONSE TO NEED:VPH INCREASED ACCESS TO MENTAL HEALTH SERVICES THROUGH THE OFFERING OF TELE-PSYCH SERVICES. VPH PROVIDED 471 CONSULTATIONS FOR 446 PATIENTS IN CY23. OFFERING THIS SERVICE DECREASED THE AMOUNT OF TIME NEEDED TO EVALUATE A PATIENT WITH POSSIBLE MENTAL HEALTH SYMPTOMS. ADDITIONALLY, TO INCREASE ACCESS TO MENTAL HEALTH SERVICES, VPH EMPLOYS A PSYCHIATRIC NURSE PRACTITIONER THAT ASSISTS WITH PATIENT PLACEMENT POST-ACUTE STABILIZATION.COMMUNITY GRANTS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS FOCUSED ON MENTAL HEALTH SERVICES: TARZANA TREATMENT CENTER CONDUCTED WELLNESS ACTIVITIES FOR THEIR CLIENTS RECEIVING MENTAL HEALTH SERVICES; SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER USED THE FUNDS TO SUPPORT THEIR PARENT AND FAMILY CENTER; EL CENTRO DE AMISTAD RECEIVED A COMMUNITY GRANT TO HELP SUPPORT THEIR TRANSPORTATION SERVICES FOR INDIVIDUALS RECEIVING TALK THERAPY SERVICES; NAMI FACILITATES A WEEKLY ART WORKSHOP THROUGH THE DONATED SPACE PROGRAM AT VPH; THE CHILD DEVELOPMENT INSTITUTE RECEIVED A GRANT TO FACILITATE AN INFANT MASSAGE CLASS WITH FAMILIES AND THEIR NEWBORN AT THEIR CENTER. THIS THERAPEUTIC TECHNIQUE HAS BEEN SHOWN TO DIRECTLY IMPACT THE MENTAL HEALTH OF THE MOTHER AND INFANT. VPH PROVIDED ACCESS TO NEEDED PSYCHIATRIC CARE HOSPITALIZATION FOR LOW-INCOME PATIENTS. WHILE VPH DOES NOT HAVE DEDICATED INPATIENT MENTAL HEALTH CARE BEDS, IT FINANCIALLY SUPPORTS INPATIENT MENTAL HEALTH CARE FOR VULNERABLE PATIENTS NEEDING MENTAL HEALTH HOSPITALIZATION. PSYCHIATRIC CARE WAS PROVIDED TO 90 LOW-INCOME, VULNERABLE PATIENTS WHO WERE TREATED IN THE ED AND THEN TRANSPORTED TO A MEDICALLY NECESSARY INPATIENT MENTAL HEALTH CARE BED. VPH PARTNERED WITH DRUM TO LEARN AND THE BOYS & GIRLS CLUB FOR STORY TIME AND TO TEACH DRUMMING AS A COPING TOOL FOR EMOTIONAL REGULATION FOR CHILDREN.COVID-19 RESPONSE TO NEED:EFFORTS INCLUDED AWARDING VARIOUS GRANTS TO ORGANIZATIONS ALREADY PROVIDING SUPPORT AROUND MENTAL HEALTH, VACCINATION, AND ACCESS TO CARE. SOME OF THE IMMEDIATE ACTIONS TAKEN INCLUDED THE FOLLOWING: EFFORTS WERE MADE TO KEEP THE PUBLIC INFORMED BY REGULARLY UPDATING THE MAIN HOSPITAL WEBSITE TO INCLUDE THE LATEST INFORMATION AROUND COVID-19; AND VPH COLLABORATED WITH U.S HEALTH FAIRS TO PROVIDE COVID-19 VACCINATIONS.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, VPH WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: ALZHEIMER'S DISEASE; BIRTH INDICATORS; DENTAL CARE; ECONOMIC INSECURITY; AND SUBSTANCE USE. SINCE VPH CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT IT CAN MOST EFFECTIVELY ADDRESS GIVEN AREAS OF FOCUS AND EXPERTISE. THESE OTHER HEALTH NEEDS WILL BE ADDRESSED THROUGH REFERRALS TO COMMUNITY-BASED ORGANIZATIONS. VALLEY PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED IS THROUGH FINANCIAL COUNSELING IF IDENTIFIED AS UNDERINSURED. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.VALLEYPRES.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INSURANCE-PAYMENTS-COST-OF-CARE/BILLING-PAYMENTS-COST-OF-CARE/CHARITY-CARE-FINANCIAL-ASSISTANCE/ PART I, LINE 7: THE ORGANIZATION IS UTILIZING A COST-TO-CHARGE RATIO TO DETERMINE AMOUNTS WITHIN SCHEDULE H, PART I, LINES 7A AND 7C; AMOUNTS REPORTED ON LINE 7E, 7F, AND 7I WERE ARRIVED AT UTILIZING COST ACCOUNTING METHODOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT - HOSPITAL LEADERSHIP STAFF SUPPORTED COMMUNITY ORGANIZATIONS THROUGH PARTICIPATION IN COALITIONS, COMMUNITY BOARDS, COMMITTEES AND NETWORKS OF AGENCIES ADDRESSING COMMON ISSUES. EMPLOYEES ARE ALSO SUPPORTED BY THE HOSPITAL TO ENGAGE IN PLANNING, EDUCATION PRESENTATIONS, CONSORTIA, SUMMITS, AND MEETINGS WITH COMMUNITY GROUPS.COALITION BUILDING AND ADVOCACY - HOSPITAL REPRESENTATIVES SERVED ON SEVERAL COMMUNITY COMMITTEES AND BOARDS THAT ADDRESSED HEALTH IMPROVEMENT AND COMMUNITY DEVELOPMENT AND ENGAGED IN ADVOCACY EFFORTS THAT SUPPORTED ACCESS TO HEALTH CARE.WORKFORCE DEVELOPMENT - VPH KNOWS THE IMPORTANCE OF CONNECTING WITH THE WORKFORCE OF THE FUTURE. THE HOSPITAL PARTICIPATED IN SEVERAL CAREER DAY EVENTS WITH LOCAL HIGH SCHOOLS TO PROVIDE INFORMATION ON HEALTH CARE CAREERS TO 215 STUDENTS.OTHER (INDIRECT SUPPORT) - VPH IS COMMITTED TO EMPOWERING OUR COMMUNITY PARTNERS BY PROVIDING RESOURCES AND OPPORTUNITIES THAT MAY CONTRIBUTE TO THE COMMUNITY'S WELL-BEING. SOME OF THESE EXAMPLES INCLUDE: (I) INVITATIONS TO TABLE AND OUTREACH TO OUR SHARED COMMUNITY DURING THE MONTHLY VPH BABY SHOWERS; AND (II) PROVIDED IN-SERVICE SESSIONS FOR THE VPH CASE MANAGEMENT TEAM, ENABLING ORGANIZATIONS TO EXCHANGE THE MOST RECENT RESOURCES FOR PATIENTS POST HOSPITAL DISCHARGE. THIS APPROACH SUPPORTS PATIENTS HOLISTICALLY, ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. SOME OF THESE ORGANIZATIONS INCLUDE: MOTHER'S NUTRITION; NORTHEAST VALLEY WIC PROGRAM; CHICA'S MOM; AND TARZANA TREATMENT CENTER. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: NONE OF THE BAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 3 IS ATTRIBUTABLE TO PATIENTS WHO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY; THESE ACCOUNTS ARE WRITTEN-OFF TO CHARITY CARE RATHER THAN TO BAD DEBT. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT CONTAIN A SEPARATE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE FOOTNOTE THAT ADDRESSES "PATIENT ACCOUNTS RECEIVABLE" CAN BE FOUND ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY WAS BASED ON THE 2023 MEDICARE COST REPORT COST-TO-CHARGE RATIO. IT IS THE HOSPITAL'S BELIEF THAT THE SHORTFALL REFLECTED ON PART III, LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN THE HOSPITAL'S COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS. PART III, LINE 9B: THE HOSPITAL INITIALLY MAKES ALL REASONABLE EFFORTS TO OBTAIN FROM THE PATIENT OR HIS OR HER REPRESENTATIVE INFORMATION ABOUT WHETHER PRIVATE OR PUBLIC HEALTH INSURANCE OR SPONSORSHIP MAY FULLY OR PARTIALLY COVER THE CHARGES FOR CARE RENDERED BY THE HOSPITAL TO A PATIENT. ONCE ALL INSURERS HAVE ISSUED PAYMENT, AND THE ACCOUNT HAS BEEN REVIEWED BY A CLAIMS ADJUSTER, ANY REMAINING BALANCE IS OWED BY THE PATIENT. WHEN THE HOSPITAL IS NOT ABLE TO COLLECT OUTSTANDING PAYMENTS FROM A PATIENT OR AN INSURER THROUGH ITS OWN REASONABLE EFFORTS, IT MAY WORK WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN OUTSTANDING PAYMENTS. FOR ANY PATIENT THAT IS UNINSURED OR HAS HIGH MEDICAL COSTS, AS DISCUSSED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE COLLECTION AGENCY OR ANY OTHER AGENT OF THE HOSPITAL SHALL NOT REPORT ADVERSE INFORMATION TO A CREDIT REPORTING AGENCY OR TAKE ANY LEGAL ACTION AGAINST THE PATIENT FOR NONPAYMENT LESS THAN 150 DAYS AFTER THE PATIENT WAS FIRST BILLED. THIS TIMELINE WILL BE EXTENDED IF THE PATIENT HAS APPEALED THE BILL AND THE APPEAL IS PENDING. THE HOSPITAL, COLLECTION AGENCY, OR ANY OTHER AFFILIATE OF THE HOSPITAL CANNOT USE WAGE GARNISHMENTS OR LIEN ON PERSONAL RESIDENCES AS A MEANS OF COLLECTIONS.ALTERNATIVELY, PATIENTS WHO ARE UNABLE TO PAY THEIR BALANCE IN FULL ARE GIVEN THE OPPORTUNITY TO MAKE MONTHLY PAYMENTS BASED ON THE BALANCE OWED WITH NO INTEREST. THE COLLECTIONS VENDOR WILL MAKE EVERY ATTEMPT TO HAVE THE ACCOUNT PAID IN FULL WITHIN THREE MONTHS FOR ACCOUNTS WITH SMALLER BALANCES, AND 12 MONTHS FOR ACCOUNTS WITH LARGER BALANCES. IF THE PATIENT AND THE COLLECTIONS VENDOR CANNOT AGREE ON A PAYMENT PLAN THE HOSPITAL SHALL CREATE A REASONABLE PAYMENT PLAN, CONSISTING OF MONTHLY PAYMENTS NOT MORE THAN 10% OF THE PATIENT'S FAMILY MONTHLY INCOME, EXCLUDING MONEY SPENT ON ESSENTIAL LIVING EXPENSES. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. INITIALLY, SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA COLLECTED AND ANALYZED PRIOR TO THE INTERVIEWS AND SURVEYS. THE IDENTIFIED SIGNIFICANT HEALTH NEEDS INCLUDED: ACCESS TO HEALTH CARE; ALZHEIMER'S DISEASE; BIRTH INDICATORS; CHRONIC DISEASES; COVID-19; DENTAL CARE; ECONOMIC INSECURITY; HOUSING AND HOMELESSNESS; MENTAL HEALTH; OVERWEIGHT AND OBESITY; PREVENTIVE PRACTICES; AND SUBSTANCE ABUSE.THE IDENTIFIED SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED WITH INPUT FROM THE COMMUNITY. INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND A COMMUNITY SURVEY WERE USED TO GATHER INPUT ON THE SIGNIFICANT HEALTH NEEDS. THE FOLLOWING CRITERIA WERE USED TO PRIORITIZE THE HEALTH NEEDS: (I) THE PERCEIVED SEVERITY OF A HEALTH OR COMMUNITY ISSUE AS IT AFFECTS THE HEALTH AND LIVES OF THOSE IN THE COMMUNITY; (II) IMPROVING OR WORSENING OF AN ISSUE IN THE COMMUNITY; (III) AVAILABILITY OF RESOURCES TO ADDRESS THE NEED; AND (IV) THE LEVEL OF IMPORTANCE THE HOSPITAL SHOULD PLACE ON ADDRESSING THE ISSUE. EACH OF THE STAKEHOLDER INTERVIEWEES WAS SENT A LINK TO AN ELECTRONIC SURVEY (SURVEY MONKEY) IN ADVANCE OF THE INTERVIEW. ADDITIONALLY, THE LINK TO THE PRIORITIZATION SURVEY WAS MADE AVAILABLE TO COMMUNITY RESIDENTS. THE STAKEHOLDERS WERE ASKED TO RANK EACH IDENTIFIED HEALTH NEED. THE PERCENTAGE OF RESPONSES WERE NOTED AS THOSE THAT IDENTIFIED THE NEED AS HAVING SEVERE OR VERY SEVERE IMPACT ON THE COMMUNITY, HAD WORSENED OVER TIME, AND HAD A SHORTAGE OR ABSENCE OF RESOURCES AVAILABLE IN THE COMMUNITY. NOT ALL SURVEY RESPONDENTS ANSWERED EVERY QUESTION, THEREFORE, THE RESPONSE PERCENTAGES WERE CALCULATED BASED ON RESPONDENTS ONLY AND NOT ON THE ENTIRE SAMPLE SIZE. ACCESS TO HEALTH CARE, COVID-19, AND HOUSING AND HOMELESSNESS HAD THE HIGHEST SCORES FOR SEVERE IMPACT ON THE COMMUNITY IN THE SURVEY. HOUSING AND HOMELESSNESS, MENTAL HEALTH AND ECONOMIC INSECURITY HAD THE HIGHEST RANKINGS FOR WORSENED OVER TIME. HOUSING AND HOMELESSNESS, MENTAL HEALTH ACCESS TO HEALTH CARE AND ECONOMIC INSECURITY WERE RATED HIGHEST ON INSUFFICIENT RESOURCES AVAILABLE TO ADDRESS THE NEED.THE INTERVIEWEES AND COMMUNITY RESIDENTS WERE ALSO ASKED TO PRIORITIZE THE HEALTH NEEDS ACCORDING TO HIGHEST LEVEL OF IMPORTANCE IN THE COMMUNITY. THE TOTAL SCORE FOR EACH SIGNIFICANT HEALTH NEED (POSSIBLE SCORE OF 4) WAS DIVIDED BY THE TOTAL NUMBER OF RESPONSES FOR WHICH DATA WERE PROVIDED, RESULTING IN AN OVERALL SCORE FOR EACH HEALTH NEED. ACCESS TO HEALTH CARE, CHRONIC DISEASE AND PREVENTIVE PRACTICES WERE RANKED AS THE TOP THREE PRIORITY NEEDS IN THE SERVICE AREA. PART VI, LINE 3: THE HOSPITAL DISTRIBUTES A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND OFFERS A CONFIDENTIAL APPLICATION FOR CHARITY CARE OR DISCOUNTED CARE PRIOR TO DISCHARGE. THE HOSPITAL ALSO DISTRIBUTES A WRITTEN NOTICE ABOUT THE AVAILABILITY OF THE HOSPITAL'S DISCOUNT PAYMENT AND CHARITY CARE POLICIES, ELIGIBILITY, AND CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE WHO CAN PROVIDE FURTHER INFORMATION ABOUT THESE POLICIES.INFORMATION ABOUT FINANCIAL ASSISTANCE IS ALSO DISSEMINATED AND MADE WIDELY AVAILABLE THROUGH VARIOUS MEANS INCLUDING: (I) MAKING PAPER COPIES AVAILABLE IN PERSON OR BY MAIL UPON REQUEST AND WITHOUT CHARGE; (II) INFORMING AND NOTIFYING VISITORS THROUGH CONSPICUOUS PUBLIC DISPLAY, INCLUDING POSTING NOTICES IN AREAS SUCH AS THE EMERGENCY DEPARTMENT, BILLING OFFICE, ADMISSIONS OFFICE, AND OTHER OUTPATIENT SETTINGS; (III) INFORMING AND NOTIFYING THE COMMUNITY, SUCH AS BY DISTRIBUTING AN INFORMATION SHEET OR SUMMARY OF THE CHARITY CARE POLICY TO LOCAL PUBLIC AGENCIES AND NONPROFIT ORGANIZATIONS; AND (IV) MAKING AVAILABLE ON THE HOSPITAL'S WEB SITE THE CHARITY CARE POLICY AND A PLAIN LANGUAGE SUMMARY OF THE CHARITY CARE POLICY, AND THE CONFIDENTIAL APPLICATION FORM.ADDITIONALLY, FOR UNINSURED PATIENTS, THE PATIENT WILL BE PROVIDED AN ESTIMATE FOR THE PATIENT FINANCIAL RESPONSIBILITY THAT WILL BE DUE FOR THE TESTS/PROCEDURES TO BE PROVIDED OR, IN THE CASE OF AN INPATIENT ADMISSION, FOR THE ESTIMATED LENGTH OF STAY BASED UPON THEIR PRIMARY DIAGNOSIS. IF THE PATIENT IS UNABLE TO PAY THE ESTIMATE IN FULL OR MAKE PAYMENT ARRANGEMENTS, THE PATIENT WILL BE REFERRED TO FINANCIAL COUNSELING FOR A MEDI-CAL ELIGIBILITY SCREENING BASED ON THE PATIENT'S CONFIDENTIAL FINANCIAL INFORMATION. PART VI, LINE 4: THE TOTAL POPULATION OF THE VALLEY PRESBYTERIAN HOSPITAL (VPH) SERVICE AREA IS 882,305. OF THE AREA POPULATION, 49.6% ARE MALE AND 50.4% ARE FEMALE. CHILDREN AND TEENS, AGES 0-17, MAKE UP 23.0% OF THE POPULATION, 65.6% ARE ADULTS, AGES 18-64, AND 11.4% OF THE POPULATION ARE SENIORS, 65 AND OLDER. IN THE SERVICE AREA, VAN NUYS 91402 HAS THE LARGEST PERCENTAGE OF YOUTH, AGES 0-17 (25.4%). CANOGA PARK HAS THE HIGHEST PERCENTAGE OF ADULTS, AGES 65 AND OLDER (13.9%). AMONG ADULTS IN THE SERVICE AREA, 6.6% IDENTIFY AS PART OF THE LESBIAN, GAY, BISEXUAL COMMUNITY.IN THE SERVICE AREA, 61.5% OF THE POPULATION ARE HISPANIC/LATINO; WHITES MAKE UP 23.1% OF THE POPULATION; ASIANS COMPRISE 9.3% OF THE POPULATION; AFRICAN AMERICANS ARE 4.1% OF THE POPULATION; AND NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 3.9% OF THE POPULATION. THE SERVICE AREA HAS A LARGER PERCENTAGE OF HISPANIC/LATINO INDIVIDUALS COMPARED TO THE COUNTY (48.5%) AND STATE (39%).IN THE SERVICE AREA, SPANISH IS SPOKEN AT HOME AMONG 53.9% OF THE POPULATION. ENGLISH ONLY IS SPOKEN IN THE HOME AMONG 30.5% OF THE POPULATION. OF THE POPULATION, 7.6% SPEAK AN INDO-EUROPEAN LANGUAGE, AND 6.9% OF THE POPULATION SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE AT HOME. THE SERVICE AREA HAS A HIGHER PERCENTAGE OF THE POPULATION THAT SPEAKS SPANISH OR AN INDO-EUROPEAN LANGUAGE IN THE HOME WHEN COMPARED TO THE COUNTY AND THE STATE. WHEN EXAMINED BY SERVICE AREA ZIP CODE, PACOIMA (78.2%) AND VAN NUYS 91402 (66.6%) HAVE THE HIGHEST PERCENTAGE OF SPANISH SPEAKERS. WINNETKA (12.5%) AND VAN NUYS 91402 (11.9%) HAVE THE HIGHEST PERCENTAGE OF ASIAN/PACIFIC ISLANDER LANGUAGE SPEAKERS IN THE SERVICE AREA. THE HIGHEST PERCENTAGE OF INDO-EUROPEAN LANGUAGES SPOKEN AT HOME IS IN NORTH HOLLYWOOD 91605 (15.2%) AND VAN NUYS 91401 (14.6%). LINGUISTIC ISOLATION IS DEFINED AS THE POPULATION, AGES 5 AND OLDER, WHO SPEAKS ENGLISH "LESS THAN VERY WELL". IN THE SERVICE AREA, 30.6% OF THE POPULATION IS LINGUISTICALLY ISOLATED.IN THE SERVICE AREA, 2.7% OF THE POPULATION, 18 YEARS AND OLDER, ARE VETERANS. THIS IS LOWER THAN THE PERCENTAGE OF VETERANS FOUND IN THE COUNTY (3.3%) AND STATE (5.2%).THE COUNTY HEALTH RANKINGS RANK ORDER COUNTIES ACCORDING TO A VARIETY OF HEALTH FACTORS. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. CALIFORNIA'S 58 COUNTIES WERE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 58 FOR THE COUNTY WITH THE POOREST FACTORS. FOR SOCIAL AND ECONOMIC FACTORS, LOS ANGELES COUNTY IS RANKED 34, SHOWING A DECREASE IN RANK FROM 29 IN 2018.THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUALLY UPDATES OFFICIAL POVERTY POPULATION STATISTICS. IN 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. AMONG RESIDENTS IN THE SERVICE AREA, 16.8% HAD INCOMES < 200% FPL IN THE SERVICE AREA. FAMILY INCOME HAS BEEN SHOWN TO AFFECT CHILDREN'S WELLBEING. COMPARED TO THEIR PEERS, CHILDREN IN POVERTY ARE MORE LIKELY TO HAVE PHYSICAL, BEHAVIORAL AND EMOTIONAL HEALTH PROBLEMS. IN OUR SERVICE AREA, 12.6% OF CHILDREN LIVE BELOW THE POVERTY LEVEL AND 26.6% OF CHILDREN ARE CATEGORIZED AS LOW-INCOME (< 200% FPL). IN THE SERVICE AREA, 14.5% OF SENIORS LIVE IN POVERTY, WHICH IS HIGHER THAN THE COUNTY RATE (13.2%) AND THE STATE RATE (10.2%).AMONG ADULTS IN OUR SERVICE AREA, 24.3% REPORTED AVOIDING GOVERNMENT BENEFITS DUE TO CONCERNS ABOUT DISQUALIFICATION FROM OBTAINING A GREEN CARD OR US CITIZENSHIP, AS COMPARED TO LOS ANGELES COUNTY AT 18.8%. ADDITIONALLY, 37.7% OF ADULTS BELOW 200% FPL CANNOT AFFORD FOOD AND 22.2% UTILIZE FOOD STAMPS. AMONG ELIGIBLE CHILDREN IN OUR SERVICE AREA, 24.9%, ACCESS WIC BENEFITS AS COMPARED TO LOS ANGELES COUNTY AT 41.9%. AMONG LOW-INCOME OLDER AND DISABLED ADULTS, 7.3% IN OUR SERVICE AREA ARE RECEIVING SUPPLEMENTAL SECURITY INCOME AS COMPARED TO LOS ANGELES COUNTY AT 10.5%.THE NATIONAL SCHOOL LUNCH PROGRAM IS A FEDERALLY ASSISTED MEAL PROGRAM THAT PROVIDES FREE, NUTRITIONALLY BALANCED LUNCHES TO CHILDREN WHOSE FAMILIES MEET ELIGIBILITY INCOME REQUIREMENTS. AMONG CHILDREN IN THE LOS ANGELES UNIFIED SCHOOL DISTRICT, 80.3% ARE ELIGIBLE FOR THE PROGRAM. ADDITIONALLY, AMONG HOUSEHOLDS WITH INCOMES LESS THAN 300% OF FEDERAL POVERTY LEVEL, 24.4% IN OUR SERVICE AREA WERE FOOD INSECURE.UTILIZING THE MOST AVAILABLE DATA, IN 2020 THE UNEMPLOYMENT RATE IN LOS ANGELES COUNTY WAS 12.8% AND 10.1% IN CALIFORNIA. PRELIMINARY DATA FOR THE MONTH OF FEBRUARY 2021 SHOWED AN UNEMPLOYMENT RATE OF 10.6% IN LOS ANGELES COUNTY. HIGH UNEMPLOYMENT CAN BE ATTRIBUTED IN PART TO THE COVID PANDEMIC. PART VI, LINE 5: ADDITIONAL INFORMATION DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES FURTHER ITS EXEMPT PURPOSE INCLUDES: (I) THAT THE MAJORITY OF VPH'S BOARD MEMBERS ARE UNPAID COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL SERVICE AREA; AND (II) ANY SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO FURTHER SUPPORT THE COMMUNITY. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 NORTHEAST VALLEY HEALTH CORPORATION 1172 N MACLAY AVE SAN FERNANDO CA 91340 237120632 501(C)(3) 48750 0 BEHAVIORAL HEALTH COORDINATOR POSITION YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN LOS ANGELES 4301 W 3RD STREET LOS ANGELES CA 90020 951644052 501(C)(3) 34836 0 FOOD PANTRY / VPH COMMUNITY GRANT / GALA SPONSORSHIP / DODGER NIGHT / CHRONIC DISEASE SUPPORT NATIONAL OVARIAN CANCER COALITION 12221 MERIT DRIVE SUITE 1950 DALLAS TX 75251 650628064 501(C)(3) 10000 0 OVARIAN CANCER AWARNESS AND SUPPORT ONEGENERATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 7500 0 SENIOR SYMPOSIUM / VPH COMMUNITY GRANT EL CENTRO DE AMISTAD INC 7038 OWENSMOUTH AVE CANOGA PARK CA 91303 953498639 501(C)(3) 5300 0 VPH COMMUNITY GRANT / BACK TO SCHOOL SPONSORSHIP 5 0 PART I, LINE 2: THE HOSPITAL GIVES GRANTS TO NONPROFIT ORGANIZATIONS THAT ARE EITHER IN THE HEALTHCARE SPACE OR VITAL TO THEIR COMMUNITY. THE HOSPITAL PROVIDES OVERSIGHT TO ENSURE THAT ANY RESTRICTED GRANT FUNDS ARE USED ACCORDING TO THE RESTRICTIONS, IF APPLICABLE. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 GUSTAVO VALDESPINO PRESIDENT AND CEO 834005 0 202467 0 9533 0 242199 0 16347 0 1304551 0 0 0 LORI CARDLE EVP, CHIEF OPERATING & FINANCIAL OFF 731154 0 156490 0 7335 0 159646 0 16347 0 1070972 0 0 0 HANNAH GROSSMAN MD SVP, CHIEF MEDICAL OFFICER 460520 0 90176 0 9300 0 98231 0 16347 0 674574 0 0 0 TAMALA CHOMA VP, GEN COUNSEL & CHIEF COMP & PRIV 366060 0 52360 0 7410 0 58444 0 20809 0 505083 0 0 0 LORI BURNELL SVP, CNO THROUGH 6/2023 164323 0 71602 0 179035 0 76747 0 6287 0 497994 0 72614 0 TONY EVANS VP, CHIEF INFORMATION OFFICER 306314 0 45474 0 7311 0 52772 0 15827 0 427698 0 0 0 EDINANCE MUWONGE CLINICAL NURSE SUPERVISOR 325741 0 300 0 18255 0 13200 0 536 0 358032 0 0 0 MELISSA PARKER MANAGER OF CARDIAC CATH LAB 302201 0 1500 0 15558 0 11550 0 21242 0 352051 0 0 0 DIANA MILAN-FINLEY ASSOCIATE ADMINISTRATOR 263681 0 26574 0 1205 0 37824 0 16347 0 345631 0 0 0 DALLAS RYAN DIRECTOR, MATERIALS MANAGEMENT 261095 0 12189 0 600 0 9385 0 14088 0 297357 0 0 0 TODD CONNELLY VP, HUMAN RESOURCES THROUGH 11/2023 220662 0 21998 0 1473 0 25260 0 24419 0 293812 0 0 0 NIGHAT KHAN ICU NURSE 249881 0 300 0 8573 0 11666 0 9711 0 280131 0 0 0 HAJUNG LEE ICU NURSE 263248 0 300 0 0 0 9321 0 7161 0 280030 0 0 0 TANZANEKA BUCKOR INTERIM CNO START 6/2023 226029 0 22000 0 1312 0 3946 0 23363 0 276650 0 0 0 JEREMY REDIN VP, FINANCE 184022 0 10000 0 726 0 8015 0 12875 0 215638 0 0 0 PART I, LINE 1A LISA ALLEN, INTERIM VP OF HUMAN RESOURCES, RECEIVED A TAXABLE HOUSING ALLOWANCE DURING THE 2023 CALENDAR YEAR WHICH WAS REPORTED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A 457(F) PLAN AVAILABLE TO CERTAIN EXECUTIVES OF THE ORGANIZATION. DURING THE 2023 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS, WHICH IS REPORTED AS "RETIREMENT AND OTHER DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): GUSTAVO VALDESPINO - $206,499 LORI CARDLE - $129,561 HANNAH GROSSMAN, MD - $78,303 TAMALA CHOMA - $46,894 LORI BURNELL - $72,227 TONY EVANS - $39,428 DIANA MILAN-FINLEY - $23,740 TODD CONNELLY - $17,045 TANZANEKA BUCKOR - $3,298 ADDITIONALLY, DUE TO VESTING OF THE 457(F) PLAN, LORI BURNELL RECOGNIZED $72,614 OF TAXABLE COMPENSATION, WHICH HAS BEEN REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" IN SCHEDULE J, PART II, COLUMN (B)(III) AND "COMPENSATION REPORTED IN COLUMN (B) REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990" IN SCHEDULE J, PART II, COLUMN F. PART I, LINE 7 VALLEY PRESBYTERIAN HOSPITAL HAS AN INCENTIVE (BONUS) PLAN AVAILABLE FOR EXECUTIVE TEAM MEMBERS AND HOSPITAL DEPARTMENT DIRECTORS. PAYMENT OF ANY BONUS IS CONTINGENT ON SEVERAL CRITERIA, INCLUDING: EARNINGS BEFORE INTEREST, DEPRECIATION, AND AMORTIZATION (EBIDA); QUALITY; EMPLOYEE ENGAGEMENT; AND PATIENT SATISFACTION SCORES, WHICH ARE BENCHMARKED BY ACHIEVING SPECIFIC MEASURES ON AN ANNUAL BASIS. FORM 990, PART III, LINE 4A: VALLEY PRESBYTERIAN HOSPITAL IS ONE OF THE LARGEST AND MOST PRESTIGIOUS FULL-SERVICE, ACUTE CARE FACILITIES IN THE SAN FERNANDO VALLEY. THE 350-BED HOSPITAL SERVES THOUSANDS OF FAMILIES EACH YEAR, WITH ACCESS TO A WIDE RANGE OF MEDICAL EXPERTISE AND LEADING-EDGE TECHNOLOGY ACROSS ALL ELEMENTS OF CARE. KEY HOSPITAL MEDICAL SERVICES AND PROGRAM SERVICE ACCOMPLISHMENTS IN 2023 INCLUDE: EMERGENCY SERVICES - THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT PLAYS AN IMPORTANT ROLE IN SERVING THE COMMUNITY AND HAS SEVERAL DESIGNATIONS THAT DEMONSTRATE COMMITMENT TO EXCELLENT CARE. AS A CERTIFIED CARDIAC RECEIVING CENTER FOR HEART ATTACK PATIENTS, HEART SPECIALISTS COLLABORATE TO PROVIDE CRITICAL CARE WITHIN THE FIRST 90 MINUTES OF CHEST PAIN. IN ADDITION, THE HOSPITAL IS A CERTIFIED STROKE CENTER BASED ON ITS RESPONSE TO CRITICAL PATIENT CONDITIONS. THE HOSPITAL HAS A DEDICATED STROKE-FOCUSED PROGRAM STAFFED BY MEDICAL PROFESSIONALS WHO ARE SPECIALLY TRAINED IN STROKE CARE AND WHO USE ADVANCED TECHNIQUES TO ACT QUICKLY. VALLEY PRESBYTERIAN HOSPITAL IS DESIGNATED AS A PEDIATRIC MEDICAL CENTER (PMC), RECOGNIZED BY THE COUNTY OF LOS ANGELES. THIS DESIGNATION ALLOWS OUR TEAM OF PEDIATRIC SPECIALISTS TO TREAT AND HANDLE A HIGHER LEVEL OF CARE NEEDED FOR PEDIATRIC PATIENTS IN OUR PEDIATRIC INTENSIVE CARE UNIT (PICU). WE ARE ONE OF ONLY THREE HOSPITALS THAT HOLD THE PMC DESIGNATION IN THE SAN FERNANDO VALLEY. DURING 2023, 54,914 PATIENTS VISITED THE EMERGENCY SERVICES DEPARTMENT. REHABILITATION SERVICES - VALLEY PRESBYTERIAN HOSPITAL OFFERS A FULL RANGE OF REHABILITATION SERVICES. OUR PHYSICIANS, NURSES, THERAPISTS, AND SPECIALISTS WORK TOGETHER TO PROVIDE PERSONALIZED TREATMENT PLANS. WE OFFER PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND REHABILITATION SERVICES IN OUR WELL-EQUIPPED REHABILITATION CENTER. THE DEPARTMENT HAS BEEN CERTIFIED BY THE INTERNATIONALLY RENOWNED CARF, THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. CHILDREN'S SERVICES - THE HOSPITAL PROVIDES COMPASSIONATE AND SPECIALIZED PEDIATRIC CARE FOR SICK OR INJURED CHILDREN. VPH HAS A 25-BED PEDIATRIC CARE CENTER FOR CHILDREN WITH SERIOUS CONDITIONS AND RECEIVED A COMPLETE MAKE-OVER IN 2022. ADDITIONALLY, THE HOSPITAL HAS A 10-BED PEDIATRIC INTENSIVE CARE UNIT (PICU) AND A 32-BED, LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) FOR CRITICALLY ILL NEWBORNS. VPH MAINTAINS THE PEDIATRIC MEDICAL CENTER DESIGNATION. MATERNITY SERVICES - THE MATERNITY PROGRAM IS WELL KNOWN AMONG FAMILIES IN THE REGION. DURING 2023, 2,148 BABIES WERE BORN AT VPH. SHOULD A NEED ARISE, A PHYSICIAN IS AVAILABLE 24/7 TO HANDLE PATIENT EMERGENCIES. THE HOSPITAL'S OUTPATIENT PERINATAL CENTER SERVES WOMEN WITH HIGH-RISK PREGNANCIES AND OFFERS "NON-STRESS" ULTRASOUNDS, FETAL ECHOCARDIOGRAM SERVICES AS WELL AS HIGH-RISK INFANT FOLLOW UP SERVICES. IN ADDITION, VPH OFFERS MATERNITY CLASSES TO THE COMMUNITY AT NO COST. SURGERY SERVICES - THE HOSPITAL PROVIDES A BROAD RANGE OF SURGICAL SERVICES REPRESENTING A WIDE RANGE OF SPECIALTY AREAS. IN 2023, 7,421 SURGERIES WERE PERFORMED. PHYSICIANS AND SURGICAL STAFF HAVE THE TOOLS AND ADVANCED TECHNOLOGY NEEDED TO PERFORM A FULL RANGE OF SURGICAL PROCEDURES AND TO DELIVER THE HIGHEST QUALITY OF CARE. MANY PROCEDURES INVOLVE MINIMALLY INVASIVE TECHNIQUES, WHICH CAN MINIMIZE PAIN AND SPEED RECOVERY TIME. HEART & VASCULAR SERVICES - VALLEY PRESBYTERIAN HOSPITAL OFFERS A FULL RANGE OF CARDIAC SERVICES TO QUICKLY AND ACCURATELY DIAGNOSE AND TREAT PATIENTS SUFFERING FROM CRITICAL HEART AND VASCULAR CONDITIONS. THE EXPERT MULTIDISCIPLINARY MEDICAL TEAM IS DEDICATED TO ACTING QUICKLY AND SAVING PATIENTS' LIVES. THE FRITZ B. BURNS VALLEY CARDIAC CATHETERIZATION LAB IS ONE OF THE AREA'S MOST TECHNOLOGICALLY ADVANCED AND BEST EQUIPPED FACILITIES. AS A CERTIFIED STROKE CENTER, WE ARE COMMITTED TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. OUTPATIENT SERVICES - THE HOSPITAL'S OUTPATIENT SERVICES DEPARTMENTS INCLUDE OUTPATIENT GENERAL AND GASTROINTESTINAL LABORATORIES; RADIOLOGY/IMAGING DEPARTMENT; AND THERAPY PROGRAMS, INCLUDING OCCUPATIONAL, PHYSICAL, RESPIRATORY, AND NUCLEAR MEDICINE. CENTER FOR WOUND HEALING THE CENTER FOR WOUND HEALING IS AMONG A FEW FACILITIES NATIONWIDE THAT BRINGS TOGETHER THE INTERDISCIPLINARY EXPERTISE OF VASCULAR AND PODIATRIC SURGEONS, LIMB SALVAGE, AND WOUND MANAGEMENT SPECIALISTS. PATIENTS WITH "AT-RISK" LIMBS RECEIVE INTEGRATED CARE UTILIZING THE LATEST EQUIPMENT AND INSTRUMENTS TO PERFORM LIMB-SAVING PROCEDURES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED BY AN OUTSIDE ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE STAFF. THE CONTROLLER, VP OF FINANCE, AND THE EVP & CHIEF OPERATING AND FINANCIAL OFFICER THEN REVIEW THE DRAFT FORM 990, AND APPROPRIATE REVISIONS ARE MADE. THEREAFTER, THE FORM 990 IS REVIEWED WITH THE CEO AND THE BOARD FINANCE COMMITTEE, AND THEN IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C VPH'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE OF VPH IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE ATTESTATION. VPH'S COMPLIANCE OFFICER AND CEO REVIEW THESE ATTESTATIONS TO IDENTIFY ANY/ALL CONFLICTS THAT THE ORGANIZATION MUST BE AWARE OF SO THE APPROPRIATE MITIGATIONS CAN BE PUT IN PLACE. SHOULD A BOARD MEMBER, OFFICER, DIRECTOR, AND/OR KEY EMPLOYEE HAVE A CONFLICT WITH ANY ISSUES BEING DISCUSSED OR VOTED ON AT A MEETING OF THE BOARD OF DIRECTORS, THEY WOULD BE ASKED TO RECUSE THEMSELVES FROM THE DISCUSSION AND/OR VOTE ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS REVIEWED AND PAY ACTIONS ARE RECOMMENDED BY THE COMPENSATION COMMITTEE (WHICH CONSISTS OF BOARD AND NON-BOARD MEMBERS WITH COMPENSATION EXPERIENCE), AND THEN APPROVED BY THE VPH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTING FIRM AND MAINTAINS AN OBJECTIVE DECISION-MAKING PROCESS, ENSURING CONSISTENCY OF VPH'S EXECUTIVE PROGRAMS WITH THE ORGANIZATION'S EXECUTIVE PAY PHILOSOPHY AND OVERALL MISSION AND VALUES. VPH'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO FULFILL ITS MISSION OF IMPROVING THE QUALITY OF HEALTH IN THE SAN FERNANDO VALLEY AND TO ENSURE ITS FINANCIAL STABILITY. TOTAL COMPENSATION OFFERED TO OUR EXECUTIVES INCLUDES BASE SALARY, INCENTIVE BONUS, AND BENEFITS. THE INCENTIVE BONUS IS BASED ON KEY MEASURABLE SUCCESS INDICATORS APPROVED IN ADVANCE BY THE COMPENSATION COMMITTEE. THESE INDICATORS INCLUDE QUALITY, FINANCIAL, PEOPLE AND PATIENT SATISFACTION GOALS. IN ORDER TO RETAIN OUR KEY EMPLOYEES, WE OFFER A DEFERRED COMPENSATION PLAN WHICH PROVIDES AN ANNUAL BENEFIT (BASED ON A PERCENTAGE OF COMPENSATION) TO BE PAID ON A FUTURE DATE UPON VESTING IN THE PLAN. IN DETERMINING EACH INDIVIDUAL'S COMPENSATION, THE COMMITTEE RELIES ON COMPARABILITY DATA PROVIDED BY OUR INDEPENDENT CONSULTANT AND OBTAINED FROM SEVERAL DATA SOURCES INCLUDING: FORMS 990 OF SELECT COMPARATOR ORGANIZATIONS (28 CALIFORNIA-BASED, SIMILARLY-SIZED NONPROFIT HOSPITALS) AND A NUMBER OF WELL-REGARDED NATIONAL HEALTHCARE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE HOSPITAL LOCATION. FORM 990, PART IX, LINE 11G OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 159,485,459. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,485,459. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 29,179,369. MANAGEMENT AND GENERAL EXPENSES 20,112,897. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,292,266. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 18,645,704. MANAGEMENT AND GENERAL EXPENSES 11,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,657,404. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS -5,183. CHARITABLE REMAINDER TRUSTS (4) CHARITABLE GIVING CA VPH 1 VALLEY PRESBYTERIAN SERVICES CORPORATION 15107 VANOWEN STREET VAN NUYS CA 91405 823927685 MANAGEMENT SERVICE ORGANIZATION CA VPH C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0