Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 11-01-2010 and ending 10-31-2011
BCheck if applicable:
CName of organization
VALLEY PRESBYTERIAN HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
15107 VANOWEN STREET
 
Room/suite
City or town, state or country, and ZIP + 4
VAN NUYS, CA91405
D Employer identification number

95-1945832
E Telephone number

G Gross receipts $ 299,152,312
F Name and address of principal officer:
LORI CARDLE
15107 VANOWEN STREET
VAN NUYS,CA91405
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1948
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 2
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,938
6 Total number of volunteers (estimate if necessary) .... 6 289
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 796,115 600,982
9 Program service revenue (Part VIII, line 2g) ......... 280,526,493 294,119,036
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 51,771 142,717
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 4,208,799
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 281,374,379 299,071,534
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,768,654 1,928,288
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 117,950,034 124,504,701
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet344,664    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 137,993,539 149,672,664
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 257,712,227 276,105,653
19 Revenue less expenses. Subtract line 18 from line 12...... 23,662,152 22,965,881
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 165,230,921 173,472,084
21 Total liabilities (Part X, line 26)............ 79,078,142 89,678,524
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 86,152,779 83,793,560
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: VALLEY PRESBYTERIAN HOSPITAL EXISTS TO IMPROVE THE QUALITY OF HEALTH IN OUR COMMUNITY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 203,671,608 including grants of $   ) (Revenue $ 294,119,036 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 203,671,608
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
327
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,938
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
16
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
2
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
LORI CARDLE
15107 VANOWEN ST
VAN NUYS,CA91405
(818) 782-6600
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) WILLIAM ALLEN
SECRETARY
 .40 X           0 9,999 0
(2) JAMES PORTER
TREASURER
 .40 X           0 9,999 0
(3) IRA FRIEDMAN MD
DIRECTOR
 .40 X           0 9,999 0
(4) DAVID FLEMING
CHAIRMAN
 .40 X           60,900 109,119 0
(5) RICHARD KATZ
DIRECTOR
 .40 X           0 9,999 0
(6) STUART SOLOMON
DIRECTOR
 .40 X           0 9,999 0
(7) GREG KAY MD
DIRECTOR
 .40 X           0 9,999 0
(8) PEGI MATSUDA
DIRECTOR
 .40 X           0 9,999 0
(9) TRACY RAFTER
DIRECTOR
 .40 X           0 9,999 0
(10) PATRICK WALSH MD
DIRECTOR
 .40 X           134,368 0 0
(11) NICHOLAS DI DOMENICO MD
DIRECTOR
 .40 X           0 0 0
(12) KARMAN MALEK MD
DIRECTOR
 .40 X           0 0 0
(13) SUMAN PATEL MD
DIRECTOR
 .40 X           128,480 0 0
(14) SRIDHAR RAMACHANDRAN MD
DIRECTOR
 .40 X           13,200 0 0
(15) LEROY CHASE
DIRECTOR
 .40 X           0 9,999 0
(16) RAPHAEL VEGA
DIRECTOR
 .40 X           0 9,999 0
(17) GUSTAVO VALDESPINO
PRESIDENT & CEO
 40.00     X       809,615 0 173,479
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ROBERT BILLS
PREVIOUS CEO
 40.00     X       73,287 0 0
(19) JEAN O'KEEFE RICO
SR VP QUALITY
 40.00       X     377,837 0 76,369
(20) NORMA RESNEDER
SR VP HR & ORG DEVELOPMENT
 40.00       X     312,822 0 65,772
(21) JULIE REBACK
VP BUS DEVELOPMENT
 40.00       X     270,214 0 50,986
(22) RAY MOSS
VP & CHIEF INFORMATION OFFICER
 40.00       X     268,448 0 58,717
(23) GAYATHRI JITH
VP OPERATIONS
 40.00       X     254,484 0 47,498
(24) JENNIFER CASTALDO
VP SERVICE EXCELLENCE
 40.00       X     229,102 0 51,822
(25) MICHELLE QUIGLEY
VP & CNO
 40.00       X     251,240 0 48,624
(26) LORI CARDLE
VP FINANCE
 40.00       X     212,146 0 13,501
(27) DAVID SPECTER
VP BUS DEVELOPMENT
 40.00       X     98,984 0 0
(28) LAUREN LEBARON
ASSISTANT CFO
 40.00       X     195,603 0 19,380
(29) SOHEILA RAHMAN-ATAR
REGISTERED NURSE
 40.00         X   215,153 0 21,286
(30) HASMIG ANANIAN
REGISTERED NURSE
 40.00         X   214,738 0 20,836
(31) SYLVIA SONG
REGISTERED NURSE
 40.00         X   201,556 0 19,975
(32) GEORGE STYER
DIRECTOR APPLICATIONS
 40.00         X   191,527 0 16,354
(33) JUNG KIM
REGISTERED NURSE
 40.00         X   193,082 0 21,869
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,607,802 209,109 706,468
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet249
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PREFERRED IPA
1025 N BRAND BLVD 100
GLENDALE,CA91202 		MEDICAL SERVICES 3,691,430
REHABCARE GROUP
PO BOX 502096
ST LOUIS,MO63150 		HEALTH CARE MANAGEMENT 2,185,700
ST VINCENT ANESTHESIA MEDICAL
PO BOX 50045
PASADENA,CA91115 		ANESTHESIA SERVICES 1,650,000
COMMUNITY FAMILY CARE MEDICAL GROUP
19210 S VERMONT AVE STE 400
GARDENA,CA90048 		MEDICAL SERVICES 1,619,342
CGLIC-CHICAGO
5476 COLLECTIONS CENTER DR
CHICAGO,IL606930547 		HEALTH INSURANCE MGMT SERVICE FEE 1,487,328
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet127
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		600,982
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 600,982
Program Service Revenue Business Code
2a PATIENT SERVICE REV. 621,110 255,787,190 255,787,190    
b CAPITATION PREMIUM 621,110 37,678,426 37,678,426    
c EXEMPT ORG RENT 531,120 653,420 653,420    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 294,119,036
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 141,567     141,567
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 236,901  
b Less: rental expenses 80,778  
c Rental income or (loss) 156,123  
d Net rental income or (loss).......MediumBullet 156,123     156,123
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   1,150
b Less: cost or other basis and sales expenses    
c Gain or (loss)   1,150
d Net gain or (loss)..........MediumBullet 1,150     1,150
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER REVENUE 900,099 2,977,353     2,977,353
b FOOD SALES 722,210 838,007     838,007
c GIFT SHOP REVENUE 453,220 237,316     237,316
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 4,052,676
12 Total revenue. See Instructions....MediumBullet 299,071,534 294,119,036 0 4,351,516
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,928,288 1,928,288
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 3,779,533   3,779,533  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 54,776   54,776  
7 Other salaries and wages 99,804,310 74,197,642 25,378,925 227,743
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 2,201,646   2,201,646  
9 Other employee benefits ....... 11,226,393   11,226,393  
10 Payroll taxes ........... 7,438,043 6,087,530 1,350,513  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 761,114   761,114  
c Accounting ........... 155,663   155,663  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 24,812,754 18,027,083 6,668,750 116,921
12 Advertising and promotion ....        
13 Office expenses ....... 41,589,227 37,686,170 3,903,057  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 6,436,182   6,436,182  
17 Travel ............ 149,548 20,529 129,019  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 1,639,717   1,639,717  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 7,158,698   7,158,698  
23 Insurance .............. 1,245,395   1,245,395  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a CAPITATION EXPENSES 35,392,679 35,392,679    
b PROVIDER PROGRAM FEES 20,777,819 20,777,819    
c BAD DEBT EXPENSE 8,163,685 8,163,685    
d OTHER CONTROLLABLE EXPS 1,390,183 1,390,183    
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 276,105,653 203,671,608 72,089,381 344,664
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 149,907 1 3,195,285
2 Savings and temporary cash investments ....... 3,197,982 2 34,989,922
3 Pledges and grants receivable, net ......... 3,476,610 3 799,355
4 Accounts receivable, net ......... 26,688,797 4 25,057,125
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,267,563 8 3,709,422
9 Prepaid expenses and deferred charges ............ 1,184,710 9 8,611,675
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 229,402,918
b Less: accumulated depreciation. ..... 10b 149,181,685 74,073,616 10c 80,221,233
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 159,477 12 5,293,506
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 53,032,259 15 11,594,561
16 Total assets. Add lines 1 through 15 (must equal line 34)... 165,230,921 16 173,472,084
Liabilities 17 Accounts payable and accrued expenses . 49,595,599 17 45,383,170
18 Grants payable ..........   18  
19 Deferred revenue ..........   19 15,494,241
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 17,895,992 23 14,987,284
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 11,586,551 25 13,813,829
26 Total liabilities. Add lines 17 through 25..... 79,078,142 26 89,678,524
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 81,709,623 27 78,790,854
28 Temporarily restricted net assets ..... 4,443,156 28 5,002,706
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 86,152,779 33 83,793,560
34 Total liabilities and net assets/fund balances ..... 165,230,921 34 173,472,084
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
299,071,534
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
276,105,653
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
22,965,881
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
86,152,779
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-25,325,100
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
83,793,560
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
VALLEY PRESBYTERIAN HOSPITAL
  		Employer identification number

95-1945832
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
VALLEY PRESBYTERIAN HOSPITAL
  		Employer identification number

95-1945832
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
VALLEY PRESBYTERIAN HOSPITAL
  		Employer identification number

95-1945832
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
8,394
j
Total. lines 1c through 1i ...................................
8,394
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,587,222 1,587,222
b Buildings ................   132,284,870 84,498,703 47,786,167
c Leasehold improvements ............        
d Equipment ................   91,398,878 64,682,982 26,715,896
e Other .................   4,131,948   4,131,948
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 80,221,233
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) SELF INSURANCE RESERVE 63,864
(2) OTHER RECEIVABLES 11,530,697







Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 11,594,561
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
SELF INSURANCE RESERVES 12,194,897
ANNUITY AND TRUST PAYABLE 1,618,932







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 13,813,829
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 299,071,534
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 276,105,653
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 22,965,881
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -25,325,100
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -25,325,100
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -2,359,219
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 297,224,024
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 297,224,024
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 1,847,510
c Add lines 4a and 4b....................... 4c 1,847,510
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 299,071,534
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 274,258,143
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 274,258,143
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 1,847,510
c Add lines 4a and 4b....................... 4c 1,847,510
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 276,105,653
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF OCTOBER 31, 2011 OR 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   ADJUSTMENT FOR PY RESTATEMENT DUE TO CA IP PROVIDER FEE -22,939,100. ADJUSTMENT FOR PY RESTATEMENT DUE TO ASSET RETIREMENT OBLIGATIONS -2,386,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   RECLASSIFICATION OF GRANT EXPENSE 1,928,288. RECLASSIFICATION OF RENTAL EXPENSES -80,778.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:   RECLASSIFICATION OF GRANT EXPENSE 1,928,288. RECLASSIFICATION OF RENTAL EXPENSES -80,778.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    2,247,753 226,799 2,020,954 0.750 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    127,447,473 112,000,000 15,447,473 5.770 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     8,030,826 1,702,528 6,328,298 2.360 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    137,726,052 113,929,327 23,796,725 8.880 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    324,131   324,131 0.120 %
f Health professions education
(from Worksheet 5) .. 		           
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ...     324,131   324,131 0.120 %
kTotal. Add lines 7d and 7j. ..     138,050,183 113,929,327 24,120,856 9.000 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy     23,000   23,000 0.010 %
8 Workforce development            
9 Other            
10 Total     23,000   23,000 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
8,163,685
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
67,854,336
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
76,531,928
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-8,677,592
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 VALLEY PRESBYTERIAN HOSPITAL
15107 VANOWEN STREET
VAN NUYS,CA91405 		X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:VALLEY PRESBYTERIAN HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1 Yes  
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20 09
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3   No
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4 Yes  
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5 Yes  
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7   No
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 350.000000000000%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 350.000000000000%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8163685.
    PART II: SEE FORM 990, PART III, LINE 4A AND SCHEDULE O.
    PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENT THAT ADDRESSES ACCOUNTS RECEIVABLE IS AS FOLLOWS:THE HOSPITAL CARRIES ITS ACCOUNTS RECEIVABLE AT BILLED AMOUNTS LESS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL DOES NOT ACCRUE INTEREST ON ITS RECEIVABLES. ON A PERIODIC BASIS, THE HOSPITAL EVALUATES ITS ACCOUNTS RECEIVABLE AND ESTABLISHES ALLOWANCES BASED ON CONTRACTUAL ARRANGEMENTS, HISTORY OF PAST WRITE-OFFS AND COLLECTIONS AND CURRENT CREDIT CONDITIONS. THE HOSPITAL'S POLICY FOR WRITING OFF RECEIVABLES AS UNCOLLECTIBLE VARIES BASED ON THE PAYER ARRANGEMENTS AND MANAGEMENT'S ESTIMATE OF THE CUSTOMER'S ABILITY TO PAY.
VALLEY PRESBYTERIAN HOSPITAL   PART V, SECTION B, LINE 4: ABODE COMMUNITIESGLENDALE ADVENTIST HOSPITALACCESS TO CARE GLENDALE HEALTHY KIDSADVANCE HEALTH MEDICAL GROUP HAVEN HILLSALLIANCE FOR A BETTER COMMUNITY HENRY MAYO NEWHALL MEMORIAL HOSPITALAMERICAN CANCER SOCIETY SFV HILLVIEW MENTAL HEALTH CERITER INC.AMERICAN DIABETES ASSOCIATION LA HOMES FOR LIFE FOUNDATIONAMERICAN HEART ASSOCIATION IMMUNIZATION PROGRAM PUBLIC HEALTHARTHRITIS FOUNDATION VALLEY BRANCH JEWISH FAMILY SERVICES LOS ANGELESBOYS AND GIRLS CLUB JEWISH FAMILY SERVICES VALLEY STORE FRONTBRODOUS READY FOR SCHOOL FAMILY KAISER PERMANENTE PANORAMA CITYCHILD AND FAMILY GUIDANCE CENTER KAISER PERMANENTE WOODLAND HILLSCHILD CARE RESOURCE CENTER KIDS COMMUNITY DENTAL CLINICCHILD DEVELOPMENT INSTITUTE LA COUNTY AREA AGENCY ON AGINGCHRYSALIS LA FAMILY HOUSINGCITY OF LOS ANGELES COUNCIL DISTRICT 7 LA VALLEY COLLEGECITY OF LOS ANGELES, OFFICE OF MAYOR LAC DEPT. OF HEALTH SERVICESCOLUMBUS SCHOOL BASED CLINIC LAC DEPT. OF HEALTH SERVICES OFFICE OF AMBULATORY CARECOMPREHENSIVE COMMUNITY HEALTH CENTERS LAC DEPT. OF HEALTH SERVICES OFFICE OF PLANNING & DEVELOPMENTCOMMUNITY CLINIC ASSOCIATION LOS ANGELES COUNTY LAC DEPT. OF MENTAL HEALTHCOUNCIL MEMBER GRIEG SMITH LAC DEPT. OF PUBLIC HEALTHCRECENTA VALLEY YMCA LAC DEPT. OF PUBLIC HEALTH OFFICE HEALTH ASSESSMENT & EPIDEMIOLOGYCRI-HELP INC LAC PROBATION DEPARTMENTDEL-CARMEN MEDICAL CENTER LACDA VICTIM WITNESS ASSISTANCEECONOMIC ALLIANCE OF THE SAN FERNANDO VALLEY LA HEALTH ACTIONEL CENTRO DE AMISTAD LAUSD DISTRICT 1EI NIDO FAMILY CENTERS LAUSD DISTRICT 2EL PROYECTO DEL BARRIO LUTHERAN SOCIAL SERVICEFAMILY CARE PARTNERSHIP MEET EACH NEED WITH DIGNITY/MENDFRIENDS OF THE FAMILY MISSION CITY COMMUNITY HOSPITALGARY HERMAN DDS, INC. MISSION CITY COMMUNITY HOSPITAL UCLA DENTAL CLINICNEIGHBORHOOD LEGAL SERVICES MISSION CITY COMMUNITY NETWORK, INC.NEW DIRECTIONS SANTA CLARITA ADULT DAY HEALTHNORTHEAST VALLEY HEALTH CORPORATION, CANOGA PARK SANTA CLARITA COMMUNITY DEV. CORP.NORTH EAST VALLEY HEALTH CORPORATION, PACOIMASHERMAN OAKS HOSPITAL SAGE PROGRAMNORTH EAST VALLEY HEALTH CORPORATION, SAN FERNANDO TARZANA TREATMENT CENTER, NORTHRIDGENORTHEAST VALLEY HOMELESS HEALTH CLINIC TARZANA TREATMENT CENTER, RESEDANORTHRIDGE HOSPITAL MEDICAL CENTER THE HELP GROUPOVARIAN CANCER COALITION THE VILLAGE CANOGA PARK READY FOR SCHOOLPACIFIC ASIAN COUNSELING SERVICES TRANSIT COALITION-CHAMBER OF COMMERCEPARTNERS IN CARE FOUNDATION UCAL SCHOOL OF DENTISTRYPEOPLE IN PROGRESS URBAN EDUCATION OF HEALTH SERVICESPHILLIPS GRADUATE INSTITUTE VALLEY CARE OLIVE VIEW-UCLAPPA NORTH HOLLYWOOD HEALTH CENTER VALLEY COMMUNITY CLINICPROJECT GRAD LOS ANQELES (PGLA) VALLEY COMMUNITY TEEN CLINICPROJECT SAFE VALLEY NON PROFIT HUMAN INTERACTION RESEARCH INSTITUTEPROJECT YOUTH GREEN PROVIDENCE CENTER FOR COMMUNITY HEALTH VALLEY TRAUMA CENTERPROVIDENCE SENIOR OUTREACH AND SCHOOL PROGRAMS VALLEY VIEW FAMILY CLINICPROVIDENCE HOLY CROSS VERDUGO MENTAL HEALTH CENTERPROVIDENCE SAINT JOSEPH MEDICAL CENTER VOA HEAD START AND EARLY STARTPROVIDENCE TARZANA MEDICAL CENTER VOLUNTEERS OF AMERICA LA HEAD START & EARLY HEAD STARTPUEBLO Y SALUD INC. WELLNESS WORKS INCSAN FERNANDO VALLEY DENTAL SOCIETY ZEV YAROSLAVSKY THIRD DISTRICT OFFICESAN FERNANDO COMMUNITY MENTAL HEALTH INC.SAN FERNANDO COMMUNITY MENTAL HEALTH CORNERSTONE
VALLEY PRESBYTERIAN HOSPITAL   PART V, SECTION B, LINE 5C: THE NEEDS ASSESSMENT IS ALSO AVAILABLE TO THE PUBLIC THROUGH MAILING AND WEBSITE.
VALLEY PRESBYTERIAN HOSPITAL   PART V, SECTION B, LINE 7: THE HOSPITAL HAS NOT COMPLETED A FULL ANALYSIS OF THE NEEDS IDENTIFIED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT.
VALLEY PRESBYTERIAN HOSPITAL   PART V, SECTION B, LINE 13G: OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED IS THROUGH FINANCIAL COUNSELING IF IDENTIFIED AS UNDERINSURED.
VALLEY PRESBYTERIAN HOSPITAL   PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLED 110% OF MEDICARE RATE TO INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
    PART VI, LINE 2: COMMUNITY NEEDS ASSESSMENT AND PLANNING PROCESS: VALLEY PRESBYTERIAN HOSPITAL PARTICIPATES IN THE TRIENNIAL SAN FERNANDO/SANTA CLARITA VALLEY COMMUNITY NEEDS ASSESSMENT PROCESS THAT BEGAN IN 1997. THIS LARGE CONSORTIUM OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IS CURRENTLY CONDUCTING RESEARCH AND WILL PRODUCE ITS SIXTH TRIENNIAL REPORT BY LATE SUMMER 2013. THE COPY OF THE 2010 COMMUNITY NEEDS ASSESSMENT CONTAINS THE NAMES OF THE PARTICIPATING ORGANIZATIONS AND A DESCRIPTION OF THE COLLABORATION PROCESS. THE SURVEY'S FINDINGS, ALONG WITH VARIOUS INTERNAL AND EXTERNAL ANALYSES, ARE USED TO ASSIST VALLEY PRESBYTERIAN HOSPITAL IN DETERMINING THE TYPES OF SERVICE MODIFICATIONS AND PROGRAMS THAT IT SHOULD CONSIDER TO ADDRESS THE NEEDS OF ITS COMMUNITY.THERE ARE FOUR KEY STEPS IN THE PLANNING PROCESS THAT DIRECTS OUR COMMUNITY DEVELOPMENT PROGRAM PLANNING. THESE FOUR STEPS INCLUDE:1. REVIEW OF COMMUNITY NEEDS ASSESSMENT: EVERY YEAR, VALLEY PRESBYTERIAN HOSPITAL REVIEWS CURRENT COMMUNITY PROGRAMS FOR RE-EVALUATION AND MEASUREMENT.2. CREATION OF NEW PROGRAMS: USING THE INFORMATION FROM THE COMMUNITY NEEDS ASSESSMENT AND THROUGH INTERACTION WITH COMMUNITY LEADERS, VALLEY PRESBYTERIAN HOSPITAL IDENTIFIES NEW PROGRAMS FOR IMPLEMENTATION.3. CREATION OF COMMUNITY STRATEGIC PLAN: AN ANNUAL PLAN IS CREATED AND PRESENTED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL.4. PROGRAM DESIGN AND IMPLEMENTATION: WHEN THE PLAN IS APPROVED, CURRENT COMMUNITY PROGRAMS ARE REVISED AND OR ENHANCED, IF NECESSARY. NEW COMMUNITY PROGRAMS ARE CREATED AND IMPLEMENTED.
    PART VI, LINE 3: PATIENT EDUCATION: A PACKET IS GIVEN TO ALL PATIENTS AT VALLEY PRESBYTERIAN HOSPITAL. IT IS DESIGNED TO PROVIDE INFORMATION REGARDING CHARITY QUALIFICATION, DISCOUNTING PROCESSES, AND AN APPLICATION FOR MEDICAL AND OTHER GOVERNMENT PROGRAMS TO OUR UNINSURED PATIENTS.FINANCIAL ASSISTANCE PROGRAM - UNINSURED OR UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY THEIR BILL MAY BE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE, LEAVING YOU NO FINANCIAL OBLIGATION TO THE HOSPITAL FOR YOUR BILL. QUALIFICATIONS ARE BASED UPON VERIFIABLE INCOME AND FAMILY SIZE, AND DETERMINED BY CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY FOR OUR FINANCIAL ASSISTANCE PROGRAM, YOU MUST SUBMIT THE REQUIRED DOCUMENTATION WITHIN 15 DAYS OF DISCHARGE FROM THE HOSPITAL. PLEASE REFERENCE THE ATTACHED POLICY AND APPLICATION FOR ADDITIONAL INFORMATION AND REQUIREMENTS.UNINSURED DISCOUNT RATE - VALLEY PRESBYTERIAN HOSPITAL OFFERS DAILY RATES FOR INPATIENT SERVICES, AND A SIGNIFICANTLY REDUCED CHARGE RATE FOR OUTPATIENT SERVICES. THE REDUCED RATES EXCLUDE HIGH COST SERVICES SUCH AS IMPLANTABLE DEVICES OR HIGH COST PHARMACY PRODUCTS, WHICH WILL BE BILLED EQUIVALENT TO THE HOSPITAL'S COST. SURGICAL INPATIENTS WILL BE BILLED $2,500 FOR THE FIRST DAY STAY AND $2,000 FOR SUBSEQUENT DAYS UNTIL DISCHARGED. OUTPATIENT DISCOUNTED RATES ARE BASED UPON 110% OF MEDICARE REIMBURSABLE FOR THE TESTS OR PROCEDURES TO BE PERFORMED. VALLEY PRESBYTERIAN HOSPITAL'S THREE MATERNITY PLANS ARE AS FOLLOWS:-NORMAL DELIVERY UP TO A 2 DAY STAY - $2,500, -C-SECTION UP TO A 3 DAY STAY - $4,000, -C-SECTION 4 DAY STAY - $5,500 IF DURING THE ADMISSION, YOU CHOOSE TO HAVE A CIRCUMCISION COMPLETED ON YOUR CHILD, IT IS INCLUDED IN THE MATERNITY PLAN. IF A DECISION IS MADE TO PERFORM THE PROCEDURE ON AN OUTPATIENT SURGERY BASIS, THE COST WILL BE $800 FOR THE HOSPITAL FEES ONLY. PAYMENT PLANS - YOUR BALANCE IS DUE UPON DISCHARGE FROM THE HOSPITAL. IF YOU DO NOT QUALIFY FOR STATE ASSISTANCE OR OUR FINANCIAL ASSISTANCE PROGRAM, YOU MAY ESTABLISH PAYMENT ARRANGEMENTS WITH OUR FINANCIAL COUNSELOR. PAYMENT ARRANGEMENTS MAY BE MADE WITH NO INTEREST PENALTIES. DEFAULTING ON YOUR PAYMENT PLAN DISQUALIFIES YOU FROM TAKING ADVANTAGE OF THIS OPTION. MEDI-CAL AND GOVERNMENT PROGRAMS - YOU MAY QUALIFY FOR GOVERNMENT PROGRAMS TO ASSIST YOU WITH PAYMENT FOR ALL OR PART OF YOUR HOSPITAL EXPENSES. VALLEY PRESBYTERIAN HOSPITAL HAS AN INTERNAL MEDI-CAL ELIGIBILITY UNIT TO ASSIST YOU WITH YOUR MEDI-CAL APPLICATION PROCESS. FOR APPLICATION ASSISTANCE, PLEASE CALL 818-902-5125 OR VISIT THE MEDI-CAL ELIGIBILITY UNIT ON THE 5TH FLOOR TOWER OF THE HOSPITAL. YOU MAY RECEIVE BILLS FROM OTHER BILLING COMPANIES FOR PHYSICIAN CHARGES, RADIOLOGY, AMBULANCE, ETC. FOR ADDITIONAL ASSISTANCE OR QUESTIONS REGARDING YOUR HOSPITAL BILL, PLEASE CONTACT THE BUSINESS OFFICE AT 818-902-2913.
    PART VI, LINE 4: COMMUNITY INFORMATION: VALLEY PRESBYTERIAN HOSPITAL'S TOTAL SERVICE AREA IS COMPRISED OF ALMOST 17 MILLION PERSONS WITH A FORECASTED INCREASE OF 3.0 PERCENT BY 2016. VALLEY PRESBYTERIAN HOSPITAL'S 2011 PRIMARY SERVICE AREA (PSA) (THE AREA THAT GENERATES 75% OF VPH DISCHARGES) HAS A POPULATION OF JUST ABOUT 1 MILLION AND IS MADE UP OF 19 ZIP CODES THAT HAVE SOME OF THE LOWEST MEDIAN HOUSEHOLD INCOME LEVELS AND HIGHEST POPULATION DENSITIES. IN THE SAN FERNANDO VALLEY, IT INCLUDES THE COMMUNITIES OF VAN NUYS, PACOIMA, RESEDA, SUN VALLEY, CANOGA PARK, GRANADA HILLS, PANORAMA CITY, SAN FERNANDO, SYLMAR, NORTH HILLS, NORTH HOLLYWOOD, SHERMAN OAKS AND WINNETKA. WITH THE EXCEPTION OF SAN FERNANDO, THE PSA IS PART OF THE CITY OF LOS ANGELES. THE 2011 RACIAL/ETHNIC DISTRIBUTION IS:-HISPANIC 57%-CAUCASIAN 22% -ASIAN OR PACIFIC ISLANDER 13% -AFRICAN-AMERICAN 4% -OTHER 4%IN THE PSA, APPROXIMATELY 27% OF THE RESIDENTS ARE ON MEDI-CAL AND APPROXIMATELY 28% ARE UNINSURED.
    PART VI, LINE 6:
    PART VI, LINE 7:
REPORTS FILED WITH STATES PART VI, LINE 7 CA
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number
95-1945832
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) CALIFORNIA HEALTH FOUNDATION AND TRUST1215 K STREET STE 800
SACRAMENTO,CA95814 		94-1498697 501(C)(3) 1,881,188       CA HOSPITAL PROVIDER PROGRAM
(2) LOS ANGELES COUNTY BUSINESS JOURNAL5700 WILSHIRE BLVD SUITE 170
LOS ANGELES,CA90036 		26-0295348 501(C)(6) 15,000       ADVERTISING PACKAGE
(3) EL PROYECTO DEL BARRIO FOUNDATION8902 WOODMAN AVENUE
ARLETA,CA91331 		95-2662606 501(C)(3) 5,000       SILVER SPONSORSHP - 40 YEAR OF HOPE EVENT
(4) LOS ANGELES TIMES202 WEST 1ST STREET
LOS ANGELES,CA90012 		36-4371324   5,000       AMERICAN DIABETES ASSOC. & LA TIMES "STEP OUT & WALK" EVENT SPONSOR
(5) CSUN FOUNDATION18111 NORDHOFF STREET
NORTHRIDGE,CA91330 		95-6196006 501(C)(3) 10,000       PERFORMING ARTS CENTER DONATION














2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
3
3
Enter total number of other organizations ................................ . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: 1) ONCE A GRANT IS RECEIVED, GRANT COVENANTS ARE IDENTIFIED, REVIEWED AND COMMUNICATED AS APPROPRIATE, 2) COVENANTS ARE CALENDARED BY MONTH TO ENSURE TIMELY RESPONSE AND COMPLETION, 3A) IF A GRANT IS FOR CAPITAL EQUIPMENT, THE BENEFITTING VPE DEPARTMENT NOTIFIES THE DEVELOPMENT DEPARTMENT THAT A PROJECT HAS BEEN COMPLETED AND/OR EQUIPMENT HAS BEEN PURCHASED; A PURCHASE ORDER IS COMPLETED; DEVELOPMENT DEPARTMENT NOTIFIES ACCOUNTING THAT FUNDS MAY BE RELEASED, 3B) IF THE GRANT IS FOR TRAINING, ALL STEPS IN 3A APPLY BUT INSTEAD OF COMPLETING A PURCHASE ORDER, DOCUMENTATION OF TRAINING DETAILS IS ATTACHED INCLUDING WHO ATTENDING TRAINING, HOW MANY HOURS AND HOURLY RATES, 4) ONCE THE GRANT IS EXPENDED, THE GRANTOR IS NOTIFIED.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) DAVID FLEMING (i)
(ii)		 60,900
109,119 		0
0 		0
0 		0
0 		0
0 		60,900
109,119 		0
0
(2) GUSTAVO VALDESPINO (i)
(ii)		 605,165
0 		204,450
0 		0
0 		159,978
0 		13,501
0 		983,094
0 		0
0
(3) JEAN O'KEEFE RICO (i)
(ii)		 313,172
0 		64,665
0 		0
0 		62,868
0 		13,501
0 		454,206
0 		0
0
(4) NORMA RESNEDER (i)
(ii)		 259,117
0 		53,705
0 		0
0 		52,271
0 		13,501
0 		378,594
0 		0
0
(5) JULIE REBACK (i)
(ii)		 231,036
0 		39,178
0 		0
0 		37,485
0 		13,501
0 		321,200
0 		0
0
(6) RAY MOSS (i)
(ii)		 229,629
0 		38,819
0 		0
0 		45,216
0 		13,501
0 		327,165
0 		0
0
(7) GAYATHRI JITH (i)
(ii)		 217,847
0 		36,637
0 		0
0 		33,997
0 		13,501
0 		301,982
0 		0
0
(8) JENNIFER CASTALDO (i)
(ii)		 195,786
0 		33,316
0 		0
0 		38,321
0 		13,501
0 		280,924
0 		0
0
(9) MICHELLE QUIGLEY (i)
(ii)		 207,534
0 		43,706
0 		0
0 		35,123
0 		13,501
0 		299,864
0 		0
0
(10) LORI CARDLE (i)
(ii)		 145,744
0 		66,402
0 		0
0 		0
0 		13,501
0 		225,647
0 		0
0
(11) LAUREN LEBARON (i)
(ii)		 171,840
0 		23,763
0 		0
0 		5,879
0 		13,501
0 		214,983
0 		0
0
(12) SOHEILA RAHMAN-ATAR (i)
(ii)		 214,995
0 		158
0 		0
0 		7,785
0 		13,501
0 		236,439
0 		0
0
(13) HASMIG ANANIAN (i)
(ii)		 214,580
0 		158
0 		0
0 		7,335
0 		13,501
0 		235,574
0 		0
0
(14) SYLVIA SONG (i)
(ii)		 201,348
0 		208
0 		0
0 		6,474
0 		13,501
0 		221,531
0 		0
0
(15) GEORGE STYER (i)
(ii)		 174,476
0 		17,051
0 		0
0 		2,853
0 		13,501
0 		207,881
0 		0
0
(16) JUNG KIM (i)
(ii)		 192,924
0 		158
0 		0
0 		8,368
0 		13,501
0 		214,951
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINES 4A-B PART I, LINE 4A: ROBERT BILLS RECEIVED SEVERANCE PAYMENT OF $73,287, WHICH WAS INCLUDED IN 2010 W-2 WAGES. PART I, LINE 4B: IN 2010, VALLEY PRESBYTERIAN HOSPITAL HAS A 457(F) PLAN. THE FOLLOWING ARE OFFICERS AND KEY EMPLOYEES THAT PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: GUSTAVO VALDESPINO JEAN O'KEEFE RICO NORMA RESNEDER JULIE REBACK RAY MOSS GAYATHRI JITH JENNIFER CASTALDO MICHELLE QUIGLEY
  PART I, LINE 6 VALLEY PRESBYTERIAN HOSPITAL HAS AN INCENTIVE (BONUS) PLAN FOR EXECUTIVE TEAM MEMBERS AND DIRECTORS. PAYMENT OF ANY BONUS IS CONTINGENT ON SEVERAL CRITERIA, ONE OF WHICH IS BENCHMARKED BY ACHIEVING SPECIFIC EBITDA ON AN ANNUAL BASIS.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) RAFTER GROUP
  		DIRECTOR (BOARD MEMBER) - TRACY RAFTER 116,100 MARKETING/PUBLIC RELATIONS SERVICES   No
(2) MALEK & FREIDMAN OB GYN
  		DIRECTOR (BOARD MEMBER) - KARMAN MALEK, MD & IRA FRIEDMAN, MD 267,500 MEDICAL SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 4   THE ORGANIZATION'S BYLAWS WERE CHANGED TO REFLECT THE FOLLOWING CHANGES. 1. PREVIOUSLY MEMBERSHIP INCLUDED ONE CLASS OF MEMBERSHIP, A SOLE MEMBER HEALTH DYNAMICS, INC. THIS WAS CHANGED IN THE NEW BYLAWS TO NO MEMBERS. 2. THE NEW BYLAWS INCREASE THE NUMBER OF BOARD OF DIRECTORS FROM 19 TO A MAXIMUM OF 25, OF WHICH TWO THIRDS OF THE MEMBERS ARE TO BE COMMUNITY DIRECTORS NOT ENGAGED IN HEALTHCARE AND BETWEEN 3-6 SHOULD PHYSICIANS IN GOOD STANDING ON THE MEDICAL STAFF. 3. THE MEMBERS TERMS WILL BE HELD FOR 3 YEARS AND UNTIL A SUCCESSOR HAS BEEN FOUND. MULTIPLE TERMS ARE ALLOWED. 4. THE NEW BYLAWS REQUIRE 8 REGULAR MEETINGS TO OCCUR ANNUALLY. 5. QUORUMS ARE CHANGE TO 50% FROM 40% AND ADDS A SUPER MAJORITY REQUIREMENT OF 75% OF MEMBERS TO APPROVE: - A DECISION TO SELL THE ASSETS - TO AUTHORIZE A MERGER - TO FILE FOR BANKRUPTCY - TO DISSOLVE THE CORPORATION - TO AMEND THIS PROVISION 6. THE NEW BYLAWS ALSO ELIMINATES COMPENSATION FOR THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION B, LINE 11   THE CFO AND VP FINANCE REVIEW THE WORKPAPERS AND THE DRAFT 990. ONCE THE 990 IS COMPLETED IT IS REVIEWED WITH THE CEO AND THE BOARD FINANCE AND AUDIT COMMITTEE PRIOR TO FILING.
  FORM 990, PART VI, SECTION B, LINE 12C VALLEY PRESBYTERIAN HOSPITAL'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. ALL VALLEY PRESBYTERIAN HOSPITAL EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AS SOON AS ITS KNOWN. ADDITIONALLY, VALLEY PRESBYTERIAN HOSPITAL RECENTLY HIRED A COMPLIANCE OFFICER TO OVERSEE THIS POLICY ON A REGULAR AND CONSISTENT BASIS.
  FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE VALLEY PRESBYTERIAN HOSPITAL BOARD. IN DETERMINING EACH INDIVIDUAL'S COMPENSATION, THE COMMITTEE, ADVISED BY AN OUTSIDE CONSULTANT, UTILIZES THE MOST RECENT CALIFORNIA REGIONAL EXECUTIVE COMPENSATION SURVEY REPORTS PREPARED BY INTEGRATED HEALTHCARE STRATEGIES (FORMERLY KNOWN AS CLARK CONSULTING) AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. THESE SURVEYS PROVIDE EXECUTIVE COMPENSATION DATA (INCLUDING BENEFIT DATA) FROM 120 CALIFORNIA HEALTH SYSTEMS AND HOSPITALS. THE HOSPITAL PAYS SENIOR EXECUTIVES BOTH A BASE SALARY AND AN INCENTIVE BONUS BASED UPON BOTH THE ORGANIZATION'S AND THE INDIVIDUAL'S PERFORMANCE. BASE SALARIES ARE PAID AT THE MIDPOINT BETWEEN THE 50TH AND 75TH PERCENTILES FOR CALIFORNIA HOSPITALS OF SIMILAR SIZE BASED UPON ANNUAL NET REVENUE. ANNUAL INCENTIVES ALLOW THE INDIVIDUAL EXECUTIVE BETWEEN THE 75TH-100TH PERCENTILE OF TOTAL CASH COMPENSATION FOR GOOD PERFORMANCE. THE 75TH PERCENTILE WAS CHOSEN GIVEN THE FACT THAT 1) NET REVENUE FOR THE HOSPITAL FAILS TO ADEQUATELY STATE THE COMPLEXITY OF THE ORGANIZATION BECAUSE NET REVENUE IS UNDERSTATED BY VIRTUE OF THE FACT THAT OVER-ALL REVENUE IS DEFLATED BY THE HOSPITAL'S LARGE MEDI-CAL PERCENTAGE AND THE FACT THAT IT IS CLASSIFIED AS A DISPROPORTIONATE SHARE HOSPITAL AND, 2) THE HOSPITAL DOES NOT PROVIDE COMMON SENIOR EXECUTIVE BENEFITS SUCH AS SUPPLEMENTAL RETIREMENT PLAN, SUPPLEMENTAL LIFE INSURANCE, AND LONG TERM CARE INSURANCE. 80% OF THE INDIVIDUAL ANNUAL EXECUTIVE INCENTIVE AWARDS ARE BASED UPON MEASURABLE OBJECTIVES ESTABLISHED AT THE START OF THE FISCAL YEAR BY THE GOVERNING BOARD'S COMPENSATION COMMITTEE. THE OBJECTIVES INCLUDE QUALITY, FINANCIAL, AND BUSINESS DEVELOPMENT COMPONENTS. THE REMAINING 20% OF THE INCENTIVE AWARDS ARE AWARDED AT THE DISCRETION OF THE COMPENSATION COMMITTEE. TARGET INCENTIVE AWARDS ARE SET ON A SLIDING SCALE OF 15-45% DEPENDING ON POSITION AND PERFORMANCE.
  FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST AT THE HOSPITAL LOCATION.
HOURS PER WEEK DEVOTED BY MEMBER OF THE BOARD FORM 990, PART VII, SECTION A, COLUMN B PATRICK WALSH, MD, SUMAN PATEL, MD AND SRIDHAR RAMACHANDRAN, MD ARE MEMBERS OF THE BOARD. THEY DEVOTE AN AVERAGE OF 0.40 HOURS PER WEEK RELATING TO THEIR ACTIVITIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE REPORTABLE COMPENSATION IS RELATED TO PROFESSIONAL MEDICAL SERVICES PROVIDED TO THE HOSPITAL AND ARE UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: ADJUSTMENT FOR PY RESTATEMENT DUE TO CA IP PROVIDER FEE -22,939,100. ADJUSTMENT FOR PY RESTATEMENT DUE TO ASSET RETIREMENT OBLIGATIONS -2,386,000. TOTAL TO FORM 990, PART XI, LINE 5: -25,325,100.
AUDIT COMMITTEE AND OVERSIGHT FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.
EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A VALLEY PRESBYTERIAN HOSPITAL IS A FREESTANDING, NOT-FOR-PROFIT COMMUNITY HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING MEDICAL SERVICES IN THE SAN FERNANDO VALLEY AND NEIGHBORING AREAS. VALLEY PRESBYTERIAN HOSPITAL CURRENTLY HAS 350 LICENSED BEDS AND PROVIDES PRIMARY AND SECONDARY ACUTE CARE TO THE COMMUNITY. PROGRAMS, FACILITIES, AND SERVICES: EMERGENCY SERVICES: VALLEY PRESBYTERIAN HOSPITAL'S EMERGENCY DEPARTMENT SAW APPROXIMATELY 58,000 PATIENT VISITS IN FY 2011, NEARLY A 20% INCREASE OVER THE PREVIOUS YEAR. AS HAS BEEN DOCUMENTED IN NUMEROUS PUBLICATIONS, MANY LIMITED-INCOME PATIENTS MAKE THE EMERGENCY DEPARTMENT THEIR "PHYSICIAN'S OFFICE" AND OFTEN COME FOR ROUTINE MEDICAL AND FOLLOW UP CARE. THIS TYPE OF VOLUME DRAMATICALLY CONSTRICTS PATIENT FLOW THAT LEADS TO MANY VISITS THAT ARE NOT ELIGIBLE FOR REIMBURSEMENT. BECAUSE THE MAJORITY OF EMERGENCY ROOM VISITORS ARE MEDICAL AND UNINSURED PATIENTS, THIS CREATES SEVERAL CHALLENGES. ONE OF THE CHALLENGES IS THE HOSPITAL MUST ENSURE SPECIALTY PHYSICIAN COVERAGE FOR THESE PATIENTS. THIS REQUIRES THAT WE PROVIDE ORTHOPEDICS, SURGERY, ANESTHESIA, AND RADIOLOGY SERVICES. ANOTHER CHALLENGE IS THE EMERGENCY DEPARTMENT SEES A LARGE PERCENTAGE OF HIGH-RISK PREGNANCIES. TO SUPPORT THESE PATIENTS, WE HAVE A FIVE-BED OB TRIAGE UNIT THAT SEES APPROXIMATELY 500-550 PATIENTS EACH MONTH. EVEN WITH THE CHALLENGE OF THE PATIENT MIX, VALLEY PRESBYTERIAN HOSPITAL HAS CONTINUED TO ADD NEW SERVICES IN THE EMERGENCY DEPARTMENT TO MEET COMMUNITY NEEDS. THE HOSPITAL IS A STEMI CERTIFIED RECEIVING CENTER. AS A STEMI CERTIFIED RECEIVING CENTER, VALLEY PRESBYTERIAN HOSPITAL IS ONE OF THE REGION'S BEST-EQUIPPED FACILITIES FOR THE TREATMENT OF HEART ATTACK PATIENTS TRANSPORTED BY AMBULANCE. THE HOSPITAL'S CARDIAC RESPONSE TEAM IS A TIGHTLY KNIT GROUP OF NURSES, EMERGENCY ROOM PHYSICIANS, CARDIOLOGIST, SURGEONS AND TECHNICIANS - ALL WORKING TOGETHER TO MOVE PATIENTS FROM AN AMBULANCE TO A STATE-OF-THE-ART CARDIAC CATHETERIZATION LAB IN 90 MINUTES OR LESS. BY REALIGNING OUR PATIENT FLOW FROM THE EMERGENCY ROOM TO THE CATHETERIZATION LAB TO THE ICU, THE HOSPITAL HAS DRAMATICALLY REDUCED THE TIME IT TAKES FOR CORONARY PATIENTS TO GET THE LIFE-SAVING TREATMENT THEY NEED. LAST YEAR, THE STEMI RECEIVING CENTER TREATED 100 STEMI PATIENTS, WHICH ADDED TO THE ALREADY BUSY CARDIAC CATHETERIZATION LAB THAT PERFORMED 829 CARDIAC CATHETERIZATIONS AND ANOTHER 346 INTERVENTIONS. VALLEY PRESBYTERIAN HOSPITAL BECAME STROKE CERTIFIED THIS YEAR. AS A PRIMARY STROKE CENTER, THE HOSPITAL IS REQUIRED TO HAVE A NEUROLOGIST AVAILABLE 24/7. BECAUSE LOCAL NEUROLOGISTS WERE NOT AVAILABLE TO PROVIDE 24/7 COVERAGE, THE HOSPITAL CONTRACTED WITH A GROUP OF NEUROLOGISTS TO PROVIDE COVERAGE VIA TELEMEDICINE. THE HOSPITAL ALSO PURCHASED A 'ROBOT' THAT FACILITATES THE TELEMEDICINE CONSULTATION. USING THE RP-LITE ROBOT, THE REMOTELY LOCATED CONSULTING NEUROLOGIST HAS THE ABILITY TO VISUALLY EXAMINE THE STROKE PATIENT WHILE ALSO COMMUNICATING WITH THE ATTENDING PHYSICIAN AND NURSE. THE NEUROLOGIST CAN ALSO ACCESS THE PATIENT'S MEDICAL RECORDS, IMAGES AND LAB RESULTS JUST AS EASILY AS BEING IN THE ROOM. MOST IMPORTANTLY, REMOTE CONSULTATIONS TAKE PLACE WITHIN MOMENTS OF ADMITTING THE STROKE PATIENT, ALLOWING OUR PHYSICIANS TO INTERVENE QUICKLY BEFORE EXTENSIVE DAMAGE IS DONE. MANAGED CARE CAPITATION: VALLEY PRESBYTERIAN HOSPITAL PARTICIPATES IN THE CARE OF MANAGED MEDI-CAL CAPITATED PATIENTS IN PARTNERSHIP WITH SEVERAL MEDICAL GROUPS SERVING THE SAN FERNANDO VALLEY REGION. CAPITATION IS A METHOD OF PAYMENT FOR HEALTH SERVICES IN WHICH A HOSPITAL IS PAID A FIXED AMOUNT PER ENROLLEE TO COVER A DEFINED SCOPE OF SERVICES FOR A DEFINED POPULATION SET REGARDLESS OF ACTUAL NUMBER OR NATURE SERVICES PROVIDED.
EXEMPT PURPOSE ACHIEVEMENTS (CONTINUATION) FORM 990, PART III, LINE 4A CONTINUATION OF PROGRAMS, FACILITIES, AND SERVICES: OBSTETRICAL (OB) SERVICE AFFINITY PROGRAM - LITTLE TREASURES: VALLEY PRESBYTERIAN HOSPITAL HAS CREATED THE LITTLE TREASURES OR THE "PEQUENOS TESOROS" PROGRAM AS A WAY OF CREATING A UNIFYING IDENTITY FOR THE FULL SUITE OF MATERNITY SERVICES OFFERED BY THE HOSPITAL. LITTLE TREASURES CREATES A VISUAL, EMOTIONAL AND RELATABLE EXPRESSION FOR THE MISSION OF VPH'S MATERNITY SERVICES: A SINGULAR COMMITMENT TO THE HEALTH AND WELL-BEING OF THE WOMEN OF OUR COMMUNITY, THEIR CHILDREN AND THEIR FAMILIES. HIGH RISK INFANT CLINIC: THE NEONATAL INTENSIVE CARE UNIT (NICU) IS CERTIFIED BY CALIFORNIA CHILDREN'S SERVICES (CCS) WITHIN THE SAN FERNANDO VALLEY TO PROVIDE FOLLOW-UP CARE FOR HIGH-RISK BABIES THAT QUALIFY FOR CCS CHILDBIRTH SERVICES. EACH HIGH-RISK INFANT IS EVALUATED EVERY SIX MONTHS, 18 MONTHS AND 24 MONTHS. AMPUTATION PREVENTION CENTER: VALLEY PRESBYTERIAN HOSPITAL'S AMPUTATION PREVENTION CENTER (APC) IS ONE OF A HANDFUL OF IDENTIFIED HOSPITAL-BASED CENTERS IN THE NATION TO OFFER CUTTING EDGE CLINICAL AND TECHNOLOGICAL EXPERTISE IN LIMB SALVAGE. CARDIAC REHABILITATION: CARDIAC REHABILITATION IS A CUSTOMIZED PROGRAM OF EXERCISE AND EDUCATION DESIGNED TO HELP PATIENTS RECOVER AFTER A HEART ATTACK FROM OTHER FORMS OF HEART DISEASE, OR AFTER SURGERY TO TREAT HEART DISEASE. VALLEY REHABILITATION CENTER (VRC): THE VALLEY REHABILITATION CENTER (VRC) OFFERS A 15-BED CAPACITY AND INCLUDES A PATIENT DINING AREA AND THERAPY GYM EQUIPPED WITH A BODY WEIGHT SUPPORT TREADMILL. PATIENTS REFERRED TO THE VRC RECEIVE CARE FROM THE VALLEY'S BEST INTERDISCIPLINARY TEAM OF EXPERTS. THE TEAM INCLUDES A PHYSICAL THERAPIST, 24/7 REHABILITATION NURSES, OCCUPATIONAL THERAPISTS, SPEECH AND RECREATIONAL THERAPISTS, DIETITIANS, ORTHOTIC/PROSTHETIC CONSULTANTS AND A LICENSED CLINICAL SOCIAL WORKER. A NEUROPSYCHOLOGIST IS ALSO AVAILABLE TO HELP WITH THE EMOTIONAL AND COGNITIVE ISSUES PATIENTS AND FAMILIES FACE DURING AND AFTER THEIR REHABILITATION. PHYSICIAN REFERRAL SERVICES: VALLEY PRESBYTERIAN HOSPITAL'S PHYSICIAN REFERRAL SERVICE IS A FREE SERVICE THAT HELPS COMMUNITY MEMBERS FIND A PRIMARY CARE PHYSICIAN OR SPECIALIST. THIS PROGRAM PROVIDES MORE THAN 300 FREE REFERRALS A MONTH TO MEMBERS OF THE COMMUNITY AND SURROUNDING GREATER SAN FERNANDO VALLEY. OUR CONSULTANTS ARE ABLE TO PROVIDE THE FOLLOWING INFORMATION ABOUT A PHYSICIAN: BOARD CERTIFICATION, EDUCATION, GENDER, LANGUAGES SPOKEN, MEDICAL INSURANCE ACCEPTED, OFFICE HOURS, AND LOCATIONS. MEDI-CAL ELIGIBILITY UNIT: VALLEY PRESBYTERIAN HOSPITAL OFFERS A MEDI-CAL ELIGIBILITY UNIT TO ASSIST IN QUALIFYING UNINSURED PATIENTS AND A SELECT GROUP OF INSURED PATIENTS FOR MEDI-CAL BENEFITS. CLINICAL CARE INTERNSHIPS: THE CLINICAL CARE EXTENDER PIPELINE PROGRAM RECRUITS A DIVERSE GROUP OF STUDENTS AND INDIVIDUALS IN CAREER TRANSITION FROM SURROUNDING COLLEGES AND UNIVERSITIES TO PARTICIPATE IN A YEAR-LONG VOLUNTEER CLINICAL INTERNSHIP. THROUGH THIS INTERNSHIP, PARTICIPANTS GAIN EXPERIENTIAL EDUCATION IN DEPARTMENTS THROUGHOUT THE HOSPITAL AND ARE MOTIVATED TO PURSUE CAREERS IN HEALTH CARE. NURSE SCHOLAR PROGRAM: THE NURSE SCHOLAR PROGRAM AIMS TO GROW NURSES FROM WITHIN THE COMMUNITY TO SERVE THE UNIQUE NEEDS OF VALLEY PRESBYTERIAN HOSPITAL'S DIVERSE PATIENT POPULATION. IN FISCAL YEAR 2011, VPH PROVIDED 16 NURSING STUDENTS WITH FINANCIAL SUPPORT ASSOCIATED WITH NURSING SCHOOL. IN ADDITION TO FINANCIAL SUPPORT, THE NURSE SCHOLARS ARE PROVIDED MENTORSHIP AND GUIDANCE BY EXPERIENCED NURSE EDUCATORS, AND THE NURSE EDUCATORS WORK WITH THEM THROUGH ANY CHALLENGES THAT OCCUR WHILE IN NURSING SCHOOL. UPON COMPLETING THEIR NURSING PROGRAMS, NURSE SCHOLARS ARE HIRED BY VALLEY PRESBYTERIAN HOSPITAL AND COMMIT TO SERVING THE COMMUNITY FOR A MINIMUM OF ONE YEAR. STUDENT HEALTHCARE PROGRAM: VALLEY PRESBYTERIAN HOSPITAL PARTNERS WITH LOS ANGELES VALLEY COLLEGE (LAVC) TO BRING LOW-AND NO-COST QUALITY HEALTHCARE TO OUR COMMUNITY'S STUDENTS. THROUGH THIS UNIQUE COLLABORATION, THE HOSPITAL PROVIDES PHYSICIANS AND PHYSICIAN ASSISTANTS FOR LAVC'S STUDENT HEALTH CENTER, WHERE ENROLLED STUDENTS BENEFIT FROM AN ARRAY OF HEALTHCARE SERVICES, INCLUDING PHYSICAL EXAMS, SCREENINGS, IMMUNIZATIONS AND REFERRALS. MATERNAL CHILD HEALTH SERVICES: VALLEY PRESBYTERIAN HOSPITAL CONTINUES TO ADVOCATE AND ACT ON THE SURGEON GENERAL'S CALL-TO-ACTION TO SUPPORT BREASTFEEDING. BREASTFEEDING IS RECOGNIZED AS A PREVENTIVE MEASURE FOR OBESITY, DIABETES AND OTHER CHRONIC ILLNESSES. THIS IS WHY VALLEY PRESBYTERIAN HOSPITAL ADVOCATES BREASTFEEDING AS THE HEALTHIEST OPTION FOR NURTURING NEWBORNS. PREPARED CHILDBIRTH: PREPARED CHILDBIRTH CLASSES EDUCATE EXPECTING PARENTS-TO-BE ABOUT PERSONAL NUTRITION, RELAXATION SKILLS, BREATHING TECHNIQUES, ADMINISTRATION OF EPIDURAL ANESTHESIA, C-SECTION DELIVERY AND THE LATEST IN LABOR AND DELIVERY COMFORT MEASURES. CHILDBIRTH EDUCATION: VALLEY PRESBYTERIAN HOSPITAL RECOGNIZES THAT CHILDBIRTH EDUCATION IS A VITAL COMPONENT IN PREPARING FOR DELIVERING A BABY. TO ASSIST PARENTS IN PLANNING FOR THEIR DELIVERY, VPH OFFERS CLASSES THAT COVER IMPORTANT INFORMATION AND TRAINING ON THE FOLLOWING: BASIC PREGNANCY INFORMATION, PREPARATION FOR THE LABORING PROCESS, PAIN MANAGEMENT, RELAXATION TECHNIQUES, PARTNER COPING MEASURES, AND POST-PARTUM CARE. BABY BEGINNINGS: BABY BEGINNINGS CLASSES ARE INTENDED TO OFFER EXPECTING PARENTS-TO-BE A PROPER FOUNDATION WHEN IT COMES TO BASIC INFANT CARE. VALLEY PRESBYTERIAN HOSPITAL OFFERS CLASSES THAT EDUCATE PARENTS ON THE FOLLOWING: CHOOSING A PEDIATRICIAN, INFANT BEHAVIOR, BATHING TECHNIQUES, SAFETY, FEEDING PATTERNS, AND SWADDLING AND SOOTHING TECHNIQUES. HEART SAVER: THE HEART SAVER PROGRAM PROVIDES OUR COMMUNITY MEMBERS EDUCATION ON CARDIOPULMONARY RESUSCITATION (CPR) FOR ADULTS, CHILDREN AND INFANTS. COMMUNITY HEALTH AND WELLNESS OUTREACH: AS A PRIMARY STROKE CENTER, VALLEY PRESBYTERIAN HOSPITAL HOSTED ITS FIRST ANNUAL STROKE AND WELLNESS FAIR IN 2011, WHICH WAS ATTENDED BY MORE THAN 600 PEOPLE. VPH PROVIDED MORE THAN 400 FREE FLU VACCINATIONS; CAROTID ARTERY SCREENINGS; CHOLESTEROL, GLUCOSE (BLOOD SUGAR), AND BLOOD PRESSURE SCREENINGS, AND BODY FAT (BMI) ANALYSES. ANOTHER COMMUNITY OUTREACH PROGRAM WHERE VALLEY PRESBYTERIAN HOSPITAL PARTICIPATED WAS A COMMUNITY HEALTH AND SAFETY FAIR HOSTED BY LOS ANGELES CITY COUNCILMAN TONY CARDENAS. THIS EVENT BROUGHT TOGETHER MORE THAN 30 ORGANIZATIONS-INCLUDING CITY, COUNTY, STATE AND FEDERAL AGENCIES FOR THIS ANNUAL EVENT. VALLEY PRESBYTERIAN HOSPITAL OFFERED BLOOD PRESSURE SCREENINGS TO ATTENDEES AND FREE INFORMATION ON CARDIOVASCULAR HEALTH. MORE THAN 2,000 COMMUNITY MEMBERS ATTENDED THE EVENT. VALLEY PRESBYTERIAN HOSPITAL ALSO PARTICIPATED IN THE FOLLOWING COMMUNITY WELLNESS PROGRAMS: -HEALTHY KIDS DAY - THIS EVENT EDUCATED THE COMMUNITY ON HEALTHY EATING HABITS, NUTRITIONAL FOOD MODELS FOR LOW CALORIE OPTIONS, PROPORTIONAL FOOD SERVINGS AND BALANCED NUTRITIONAL MEALS. MORE THAN 150 COMMUNITY MEMBERS PARTICIPATED IN THE EVENT. -BREASTFEEDING CHALLENGE AND FAMILY FAIR - THIS FAIR ENCOURAGES EXPECTING MOTHERS TO PARTICIPATE IN BREASTFEEDING THEIR INFANTS. VALLEY PRESBYTERIAN HOSPITAL PROVIDED BREASTFEEDING SUPPORT INFORMATIONAL MATERIALS AND A REGISTERED NURSE TO ANSWER INQUIRIES ABOUT BREASTFEEDING. -CHILDREN'S COMMUNITY SCHOOL 16TH ANNUAL HEALTH AND SAFETY FAIR - THIS HEALTH FAIR IS ATTENDED BY VAN NUYS CHILDREN AND FAMILIES SEEKING EDUCATION ON DIABETES. VPH PROVIDED HEALTH CARE PROFESSIONALS TO PERFORM GLUCOSE SCREENINGS AND DISTRIBUTE EDUCATIONAL MATERIALS ON DIABETES PREVENTION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
VALLEY PRESBYTERIAN HOSPITAL
 
Employer identification number

95-1945832
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) HEALTH DYNAMICS INC

15107 VANOWEN ST

VAN NUYS,CA91405
95-3795346 		PARENT COMPANY OF HOSPITAL CA 501(C)(3) LINE 11C, III-FI N/A
 
No












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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