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 private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 07-01-2014 , and ending 06-30-2015
BCheck if applicable:
CName of organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1111 E STANLEY BOULEVARD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LIVERMORE, CA94550
D Employer identification number

94-1429628
E Telephone number

G Gross receipts $ 270,792,521
F Name and address of principal officer:
SCOTT GREGERSON
1111 E STANLEY BOULEVARD
LIVERMORE,CA94550
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.VALLEYCARE.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1958
M State of legal domicile: CA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 5
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 1,661
6 Total number of volunteers (estimate if necessary) ............. 6 250
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 414,846
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 158,418
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 484,344 0
9 Program service revenue (Part VIII, line 2g) ......... 261,052,516 258,998,902
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 114,675 70,320
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,592,375 9,740,919
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 269,243,910 268,810,141
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 58,724,030 0
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) 139,475,830 129,724,629
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 143,057,373 130,711,724
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 341,257,233 260,436,353
19 Revenue less expenses. Subtract line 18 from line 12....... -72,013,323 8,373,788
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 180,057,382 232,001,582
21 Total liabilities (Part X, line 26)............. 144,038,714 133,560,415
22 Net assets or fund balances. Subtract line 21 from line 20..... 36,018,668 98,441,167
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: VALLEYCARE HEALTH SYSTEM'S MISSION IS TO ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY 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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 239,145,722 including grants of $ 0 ) (Revenue $ 268,594,698 )
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 expensesMediumBullet239,145,722
Form 990 (2014)
Form 990 (2014)
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 (see instructions)? ...
2
 
No
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, or have a section 501(h) election in effect during the tax year? 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 III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
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 and XII is optional Click to see attachment
12b
Yes
 
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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions) ....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
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...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
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 ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
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 direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
224
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
1,661
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
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
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, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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 as charitable contributions?...
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
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 or note to any line 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
11
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
5
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
Yes
 
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletNICOLE PEDIGO
1111 E STANLEY BOULEVARD
LIVERMORE,CA94550 (925) 373-8006
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) DANIEL MORISSETTE........................................................................
BOARD CHAIR (AS OF 05/15)
1.6
.......................50.65
X           0 1,463,680 60,177
(2) JENNIFER VARGAS........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................50.65
X           0 874,648 62,804
(3) JOHN GOLDMAN........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................2.4
X           0 0 0
(4) JAMES HEREFORD........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................50.4
X           0 1,026,852 142,258
(5) LLOYD B MINOR MD........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................55.4
X           0 1,599,819 357,385
(6) KAYE FOSTER-CHEEK........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................2.4
X           0 0 0
(7) ALCINA WEGRZYNOWSKI........................................................................
DIRECTOR
2.0
.......................2.2
X           0 0 0
(8) JOHN SENSIBA........................................................................
DIRECTOR
2.0
.......................2.2
X           0 0 0
(9) KEVIN BOOTH........................................................................
DIRECTOR (AS OF 05/15)
2.0
.......................2.2
X           0 0 0
(10) RAJNEESH BAHAL........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................50.4
X           0 421,156 15,388
(11) AMIR DAN RUBIN........................................................................
DIRECTOR (AS OF 05/15)
1.6
.......................53.65
X           0 3,047,978 359,230
(12) JANET CRISTIANO........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 11,584
(13) MARTY INDERBITZEN........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 16,752
(14) JOHN LOUIE MD........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 0
(15) JIM SUMMERS........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 0
(16) TOM VARGAS........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................2.2
X           0 0 11,584
(17) DALE KAYE........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 0
Form 990 (2014)
Form 990 (2014)
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 (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) TIM WEAVER........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 11,584
(19) JOSEPH GRANT........................................................................
DIRECTOR (THROUGH 04/15)
2.0
.......................0.2
X           0 0 16,752
(20) DAVID MERTES........................................................................
DIRECTOR (THROUGH 10/14)
2.0
.......................0.2
X           0 0 9,654
(21) BARBARA MERTES........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................0.2
X           0 0 1,057
(22) DEBORAH MCKEEHAN........................................................................
DIRECTOR (THROUGH 07/14)
2.0
.......................0.2
X           0 0 16,752
(23) JOHN YEE........................................................................
DIRECTOR (THROUGH 05/15)
2.0
.......................2.2
X           332,449 0 0
(24) SCOTT GREGERSON........................................................................
PRESIDENT
47.8
.......................2.2
    X       335,902 0 24,609
(25) ROBERT KOWAL........................................................................
COO (THROUGH 10/14)
50.0
.......................0.0
    X       306,182 0 2,948
(26) DOUGLAS GUNDERSON........................................................................
COO (AS OF 05/15)
25.0
.......................25.0
    X       0 447,192 79,111
(27) BENJIE M LOANZON........................................................................
CFO (AS OF 05/15)
20.0
.......................30.4
    X       0 563,050 49,162
(28) GINA TEEPLES........................................................................
CNO
50.0
.......................0.0
      X     204,403 0 10,553
(29) DOMINADOR BRIONES........................................................................
VP OF FINANCE
50.0
.......................0.0
      X     223,083 0 23,586
(30) LAVERN BROWN........................................................................
VP GENERAL SERVICES
49.8
.......................0.2
      X     307,621 0 41,134
(31) DOREEN MAPLES........................................................................
VP COMPLIANCE
50.0
.......................0.0
      X     215,079 0 18,821
(32) PAUL MUSER........................................................................
LEAD MULTI-MODALITY TECH
50.0
.......................0.0
        X   265,331 0 24,691
(33) DENISE MAVROGIANIS........................................................................
REGISTERED NURSE
50.0
.......................0.0
        X   233,416 0 26,163
(34) KENNETH BARTLETT........................................................................
CT TECHNICIAN
50.0
.......................0.0
        X   235,519 0 10,256
(35) STEPHANIE CHEN........................................................................
REGISTERED NURSE
50.0
.......................0.0
        X   222,908 0 17,556
(36) MAREN EGBERT........................................................................
REGISTERED NURSE
50.0
.......................0.0
        X   223,144 0 14,362
(37) MARCELINA FEIT........................................................................
FORMER CEO
49.8
.......................0.2
          X 707,082 0 43,819
(38) KENNETH JENSEN........................................................................
FORMER CFO
49.8
.......................3.7
          X 339,290 0 21,843
(39) CYNTHIA NOONAN........................................................................
FORMER COO
50.0
.......................0.0
          X 366,438 0 32,251
(40) JESSICA JORDAN........................................................................
FORMER VP OF PATIENT CARE
50.0
.......................0.0
          X 214,546 0 27,361
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,732,393 9,444,375 1,561,187
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet415
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
Yes
 
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SIEMENS MEDICAL SOLUTIONS,
DEPT LA 21536
PASADENA,CA911851536
IT SERVICES 7,442,367
CHMB,
700 LA TERRAZA BLVD SUITE 200
ESCONDIDO,CA92025
BILLING SERVICES 1,715,398
HOOPER LUNDY BOOKMAN,
1875 CENTURY PARK EAST SUITE 1600
LOS ANGELES,CA900672799
LEGAL SERVICES 1,442,705
KAUFMAN HALL ASSOCIATES,
8610 SOLUTION CENTER
CHICAGO,IL606778006
CONSULTING SERVICES 1,226,960
REGENTS OF UCSF,
505 PARNASSUS AVE BOX 0110
SAN FRANCISCO,CA941430110
PHYSICIAN SERVICES 1,203,766
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet48
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt 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 above
1f
 
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 0
 Program Service RevenueAmt Business Code
2a PATIENT SERVICES 621990 258,584,056 258,584,056    
b LAB SERVICES 621500 414,846   414,846  
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 258,998,902
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 73,383     73,383
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 1,909,290  
b Less: rental expenses 1,979,317  
c Rental income or (loss) -70,027 0
d Net rental income or (loss).......MediumBullet -70,027     -70,027
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses   3,063
c Gain or (loss)   -3,063
d Net gain or (loss)..........MediumBullet -3,063     -3,063
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 0    
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 0      
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 0      
Miscellaneous Revenue Business Code
11a OTHER REVENUES 900099 6,494,999 6,494,999    
b MONTHLY DUES-LIFESTYLE 624310 3,100,797 3,100,797    
c K-1 INCOME 900099 215,150     215,150
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 9,810,946
12 Total revenue. See Instructions......MediumBullet 268,810,141 268,179,852 414,846 215,443
Form 990 (2014)
Form 990 (2014)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 0  
4 Benefits paid to or for members .... 0  
5 Compensation of current officers, directors, trustees, and key employees .... 1,790,737   1,790,737  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages .... 86,535,243 83,511,060 3,024,183  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 3,713,609 3,421,080 292,529  
9 Other employee benefits ....... 30,457,737 28,598,542 1,859,195  
10 Payroll taxes ........... 7,227,303 6,874,095 353,208  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 3,476,414 719,997 2,756,417  
c Accounting ........... 157,450   157,450  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 8,429,232 7,195,180 1,234,052  
12 Advertising and promotion .... 0      
13 Office expenses ....... 9,366,688 8,510,351 856,337  
14 Information technology ...... 8,336,868 5,002,121 3,334,747  
15 Royalties .. 0      
16 Occupancy ........... 8,702,188 8,676,866 25,322  
17 Travel ............ 147,916 51,171 96,745  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 94,029 83,627 10,402  
20 Interest ........... 4,889,583 4,144,379 745,204  
21 Payments to affiliates ....... 6,368,188 6,368,188    
22 Depreciation, depletion, and amortization ..... 9,741,538 9,444,427 297,111  
23 Insurance .............. 2,086,724 1,863,695 223,029  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 40,036,744 39,982,981 53,763  
b PURCHASED SERVICES 10,121,321 7,052,831 3,068,490  
c DUES AND SUBSCRIPTIONS 874,054 317,406 556,648  
d LICENSE AND TAXES 630,508 404,034 226,474  
e All other expenses 17,252,279 16,923,691 328,588  
25 Total functional expenses. Add lines 1 through 24e 260,436,353 239,145,722 21,290,631 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 10,160,486 1 18,423,413
2 Savings and temporary cash investments ......... 14,801,800 2 14,786,476
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 35,626,370 4 36,697,871
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 254,100 7 200,000
8 Inventories for sale or use .............. 4,819,079 8 4,724,788
9 Prepaid expenses and deferred charges .......... 955,871 9 1,560,858
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 133,910,043
b Less: accumulated depreciation ..... 10b 1,498,098 88,062,823 10c 132,411,945
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 16,258,712 12 4,685,394
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 1,239,455
15 Other assets. See Part IV, line 11 ........... 9,118,141 15 17,271,382
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 180,057,382 16 232,001,582
Liabilities 17 Accounts payable and accrued expenses ......... 41,111,262 17 38,361,930
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 736,020 19 250,440
20 Tax-exempt bond liabilities ............. 77,305,334 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 9,052,392 23 6,298,112
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 15,833,706 25 88,649,933
26 Total liabilities. Add lines 17 through 25......... 144,038,714 26 133,560,415
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 35,933,239 27 98,378,738
28 Temporarily restricted net assets ........... 85,429 28 62,429
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 36,018,668 33 98,441,167
34 Total liabilities and net assets/fund balances ........ 180,057,382 34 232,001,582
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
268,810,141
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
260,436,353
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
8,373,788
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
36,018,668
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
54,048,711
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
98,441,167
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
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)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(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? ..........................
Yes
 
155,975
j
Total. Add lines 1c through 1i ...............................
155,975
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1 LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES.
Schedule C (Form 990 or 990EZ) 2014

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
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 value of contributions to (during year)    
3 Aggregate value of 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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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)
Revenue 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 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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 XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   35,524,005 35,524,005
b Buildings ................   72,736,567 539,359 72,197,208
c Leasehold improvements ............   6,332,600 252,844 6,079,756
d Equipment ................   15,543,526 631,775 14,911,751
e Other .................   3,773,345 74,120 3,699,225
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 132,411,945
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DEPOSITS 1,099,888
(2) EQUITY INVESTMENT (PPA-I) 1,659,959
(3) EQUITY INVESTMENT (PPA-II) 7,033,690
(4) HOSP QUAL ASSURANCE RECEIVABLE 3,700,680
(5) NON PATIENT RECEIVABLES 530,697
(6) INTERCOMPANY RECEIVABLES 507,954
(7) SELF-INSURANCE RECEIVABLES 2,738,514


Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 17,271,382
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
MINIMUM PENSION LIABILITY 5,615,205
SELF INSURANCE RESERVES 8,208,996
INTERCOMPANY PAYABLE 69,375,684
REFUNDABLE DEPOSITS 19,718
DEFERRED RENT 676,435
ESTIMATED 3RD PARTY PAYOR STTLMENTS 587,014
HOSPITAL QUALITY ASSURANCE PAYABLE 4,166,881


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 88,649,933
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
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 XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) ..
    1,539,401   1,539,401 0.590 %
b Medicaid (from Worksheet 3,
column a) ....
    11,135,179 6,146,199 4,988,980 1.920 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    19,949,474 6,848,371 13,101,103 5.030 %
d Total Financial Assistance
and Means-Tested
Government Programs .
    32,624,054 12,994,570 19,629,484 7.540 %
Other Benefits
    800,566 589,619 210,946 0.080 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    1,368,707   1,368,707 0.530 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)     77,640   77,640 0.030 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    2,000      
j Total. Other Benefits ..     2,248,913 589,619 1,657,293 0.640 %
k Total. Add lines 7d and 7j .     34,872,967 13,584,189 21,286,777 8.180 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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            
8 Workforce development 2   84,364   84,364  
9 Other            
10 Total 2   84,364   84,364  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
19,243,948
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
74,444,627
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
107,364,859
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-32,920,232
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HOSPITAL COMMITTEE FOR THE L-P AREAS
1111 E STANLEY BLVD
LIVERMORE,CA94550
WWW.VALLEYCARE.COM
140000114
X X         X   LIFESTYLE RX MEDICAL FITNESS FACILITY  
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HOSPITAL COMMITTEE FOR THE L-P AREAS
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.VALLEYCARE.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

HOSPITAL COMMITTEE FOR THE L-P AREAS
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

HOSPITAL COMMITTEE FOR THE L-P AREAS
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B TWO FACILITIES OPERATE UNDER THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS' LICENSE. VALLEY MEMORIAL HOSPITAL 1111 E STANLEY BLVD LIVERMORE, CA 94550 VALLEYCARE MEDICAL CENTER 5555 W LAS POSITAS BLVD PLEASANTON, CA 94588
PART V, SECTION B, LINE 2 ON SEPTEMBER 23, 2014, SHC ENTERED INTO AN AFFILIATION AGREEMENT WITH VCHS, WHICH WILL ADVANCE LEADING EDGE AND HIGHLY COORDINATED CARE IN THE BAY AREA. UNDER THIS AGREEMENT, SHC WAS SUBSTITUTED AS THE SOLE CORPORATE MEMBER OF VCHS WITH THE ASSOCIATED CONTROL OF VCHS, INCLUDING VALLEY MEMORIAL HOSPITAL ("VMH"), VALLEYCARE MEDICAL CENTER ("VCMC"), VALLEYCARE MEDICAL FOUNDATION ("VCMF"), AND VALLEYCARE SENIOR HOUSING, INC. ("VCSH"). ON MAY 18, 2015, WITH ALL CONDITIONS OF THE AFFILIATION AGREEMENT SATISFIED AND ALL REGULATORY APPROVALS OBTAINED, THE AFFILIATION BETWEEN VCHS AND SHC WAS CONSUMMATED AND BECAME EFFECTIVE. VCHS, WHICH OWNS VMH AND VCMC, AND WHICH IS THE MEMBER OF VCMF AND VCSH, BECAME A SUBSIDIARY OF SHC.
PART V, SECTION B, LINE 5 VCHS COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK IN THE 2013 CHNA PROCESS. THE PROCESS INCLUDED COMPREHENSIVE REVIEW OF SECONDARY DATA ON HEALTH OUTCOMES, DRIVERS, CONDITIONS AND BEHAVIORS AS WELL AS COLLECTION AND ANALYSIS OF PRIMARY DATA THROUGH COMMUNITY CONVERSATIONS WITH MEMBERS OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. INPUT ON THE IDENTIFIED COMMUNITY HEALTH NEEDS, AND THE RELATIVE PRIORITY AMONG THEM, WAS GATHERED THROUGH A CONVENING OF PUBLIC AND COMMUNITY HEALTH LEADERS, ADVOCATES AND EXPERTS. THE RESULTING PRIORITIZED LIST REPRESENTS A COMMUNITY UNDERSTANDING THAT IS INFORMED BY BOTH DATA AND EXPERIENCE. VALLEYCARE HEALTH SYSTEM, ALONG WITH KAISER PERMANENTE WALNUT CREEK CONTRACTED WITH CAROLINE MCCALL DBA ARETE CONSULTING TO COMPLETE THE DATA ANALYSIS REQUIRED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. MS. MCCALL ALSO DESIGNED AND FACILITATED PRIMARY DATA COLLECTION AND SUPPORTED A PRIORITIZATION SESSION THAT ENGAGED PUBLIC AND COMMUNITY HEALTH EXPERTS FROM THE TRI-VALLEY. MS. MCCALL SUBCONTRACTED WITH NANCY SHEMICK TO CONDUCT PRIMARY DATA COLLECTION IN SPANISH. THE MAJORITY OF THE SECONDARY DATA USED IN THIS CHNA WERE MADE AVAILABLE THROUGH THE KAISER PERMANENTE (KP) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DATA PLATFORM, POWERED BY THE CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES), AND THE INSTITUTE FOR PEOPLE, PLACES, AND POSSIBILITY (IP3). THESE DATA WERE ORGANIZED INTO SIX DISTINCT CATEGORIES: DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, HEALTH BEHAVIORS, HEALTH OUTCOMES. THE STATISTICIANS AT THE CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES) USED DATA FROM THE SOURCES LISTED ABOVE TO CREATE THE KAISER PERMANENTE CHNA DATA PLATFORM. THE PLATFORM ANALYSIS OF DATA BY GEOGRAPHIC AREAS IS LIMITED BY THE GEOGRAPHY FOR WHICH THE DATA WERE ORIGINALLY COLLECTED. HEALTH OUTCOMES DATA FROM THE PLATFORM WERE DOWNLOADED FOR ALAMEDA COUNTY, AND WHENEVER POSSIBLE, FOR THE COMMUNITIES IN THE TRI-VALLEY AREA. THESE DATA WERE COMPARED TO BENCHMARKS DEFINED EITHER BY HEALTHY PEOPLE 2020 OR STATE-LEVEL RATES. AFTER IDENTIFYING THOSE HEALTH OUTCOMES INDICATORS FOR WHICH THE POPULATION IN THE VCHS SERVICE AREA WERE SEEN TO COMPARE POORLY TO BENCHMARKS, ASSOCIATED INDICATORS OF HEALTH (HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT AND SOCIAL AND ECONOMIC FACTORS) WERE REVIEWED AND ANALYZED TO SEE WHERE THESE INDICATORS ALSO SHOWED POOR PERFORMANCE RELATIVE TO BENCHMARKS. BASED ON THE COMBINED ANALYSIS DESCRIBED ABOVE, A SET OF COMMUNITY HEALTH CONCERNS WERE IDENTIFIED AND SERVED AS THE BASIS FOR A SERIES OF FACILITATED COMMUNITY CONVERSATIONS AS DESCRIBED BELOW. COMMUNITY INPUT VCHS, IN COLLABORATION WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK, COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS THAT HAD BEEN CULLED FROM THE SECONDARY DATA (AS DESCRIBED ABOVE) WERE DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS WAS SHARED AND DISCUSSED WITH A MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS USING ESTABLISHED CRITERIA. THE SECOND MEANS OF GATHERING COMMUNITY INPUT WAS THROUGH A GROUP OF PUBLIC HEALTH AND SOCIAL SERVICE PROFESSIONALS WHO WERE GATHERED TO DISCUSS AND PRIORITIZE AMONG THE COMMUNITY HEALTH NEEDS THAT EMERGED FROM THE SYNTHESIS OF THE SECONDARY DATA AND COMMUNITY CONVERSATIONS. THE STAKEHOLDER MEETING WAS HELD ON NOVEMBER 27, 2012. THE MEETING FORMAT INCLUDED AN OPENING PRESENTATION FOLLOWED BY SMALL GROUP AND LARGE GROUP DISCUSSIONS. PARTICIPANTS WERE PROVIDED WITH DEMOGRAPHIC DATA FOR EASTERN ALAMEDA COUNTY AS WELL AS HEALTH OUTCOMES DATA AND OTHER RELATED HEALTH INDICATORS FOR ALL OF THE HEALTH CONCERNS THAT EMERGED FROM ANALYSIS OF THE PRIMARY AND SECONDARY DATA. AS A RESULT OF THE SMALL AND LARGE GROUP CONVERSATIONS, THE STAKEHOLDERS OFFERED RECOMMENDATIONS REGARDING THE RELATIVE PRIORITY OF EACH DEFINED COMMUNITY HEALTH NEED. AGENCY PARTICIPANTS LISTED BELOW: EAST BAY YOUTH & FAMILY INITIATIVES, TRI-VALLEY HAVEN, CITY OF LIVERMORE, ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY, TRI-CITY HEALTH CENTER, OPEN HEART KITCHEN, HORIZONS FAMILY COUNSELING, SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY, LIVERMORE AREA RECREATION AND PARK DISTRICT AND AXIS COMMUNITY HEALTH. COMMUNITY CONVERSATIONS TWO GROUPS OF COMMUNITY MEMBERS WERE RECRUITED BY COMMUNITY AGENCIES SERVING THE RELEVANT POPULATIONS. ONE OF THE COMMUNITY CONVERSATIONS WAS HELD AT AN ELEMENTARY SCHOOL AND ENGAGED SPANISH-SPEAKING FEMALE PARENTS AND THE SECOND CONVERSATION INCLUDED LOW-INCOME COMMUNITY MEMBERS WHO WERE RECRUITED THROUGH A COMMUNITY-BASED COUNSELING CENTER. PARTICIPANTS WERE RECRUITED FROM POPULATIONS WITH HIGH RATES OF POVERTY, LOW RATES OF HIGH SCHOOL GRADUATION AND RELATIVELY LOW RATES OF INSURANCE COVERAGE.
PART V, SECTION B, LINE 6A 2013 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH COLLABORATION BETWEEN VALLEYCARE HEALTH SYSTEM AND KAISER PERMANENTE WALNUT CREEK, BOTH OF WHICH SERVE THE TRI-VALLEY COMMUNITIES OF LIVERMORE, PLEASANTON AND DUBLIN (IN ALAMEDA COUNTY, CALIFORNIA).
PART V, SECTION B, LINES 7A/10A URL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX.
PART V, SECTION B, LINE 11 OF THE 8 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, VALLEYCARE HEALTH SYSTEM SELECTED THREE TO ADDRESS; PRIMARY CARE SERVICES AND INFORMATION (HEALTH LITERACY), INCLUDING ADEQUATE SPANISH CAPACITY, ASTHMA PREVENTION AND HEALTHY EATING. VALLEYCARE ADDRESSES THESE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS BY PARTNERING WITH COMMUNITY BASED ORGANIZATIONS. FOR A DETAILED DESCRIPTION OF VALLEYCARE'S COMMUNITY PARTNERS AND RESOURCES PROVIDED SEE THE IMPLEMENTATION STRATEGY AT HTTP://WWW.VALLEYCARE.COM/PDFS/CHNA-IMPLEMENTATIONSTRATEGY.PDF HEALTH NEEDS VALLEYCARE HEALTH SYSTEM DOES NOT INTEND TO ADDRESS THE REMAINING PRIORITIZED HEALTH NEEDS FOR THIS SERVICE AREA WILL NOT BE ADDRESSED BY VALLEYCARE HEALTH SYSTEM BECAUSE USING THE CRITERIA DESCRIBED PREVIOUSLY, THEY WERE NOT RANKED AS HIGH AS ACCESS TO BEHAVIORAL HEALTH CARE AND SERVICES, ACCESS TO AFFORDABLE, HEALTHY FOOD, ENSURING SAFE AND HEALTHY ENVIRONMENTS AND ACCESS TO PREVENTIVE HEALTH CARE SERVICES. VALLEYCARE HEALTH SYSTEM HAS UNIQUE RESOURCES AND CAPACITY TO DEDICATE TO THE CHOSEN HEALTH NEEDS. THE GROUP RECOGNIZED THAT THE NEEDS NOT SELECTED WOULD BE ADDRESSED IN SOME OF THE STRATEGIES DEVELOPED, AS A NUMBER OF THEM HAVE MULTIPLE OUTCOMES. IN ADDITION, THERE ARE A NUMBER OF EXISTING ORGANIZATIONS SPEARHEADING COMMUNITY-BASED INITIATIVES THAT ARE CURRENTLY ADDRESSING THE NEEDS BELOW. THE NEEDS THAT WILL NOT BE ADDRESSED ARE: ECONOMIC SECURITY, AFFORDABLE, LOCAL MENTAL HEALTH SERVICES, AFFORDABLE, LOCAL SUBSTANCE ABUSE SERVICES, SPECIALTY CARE AND PARENTING SKILLS AND SUPPORT.
PART V, SECTION B, LINE 22D PATIENTS WITH PROVEN FAMILY INCOME AT OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE FULL FINANCIAL ASSISTANCE. IN COMPLIANCE WITH AB 774, PATIENTS WITH A PROVEN FAMILY INCOME OF MORE THAN 200%, UP TO 350% OF THE FEDERAL POVERTY LEVEL, WILL RECEIVE FINANCIAL ASSISTANCE DISCOUNT EQUAL TO THE MEDI-CAL CONTRACTUAL ALLOWANCE APPLICABLE TO THE SERVICE PERIOD. LINES 22A-C DO NOT APPLY AS WE CHARGE MUCH LESS THAN OUR NEGOTIATED RATES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 LIFESTYLE RX
1119 E STANLEY BLVD
LIVERMORE,CA94550
MEDICAL FITNESS FACILITY
2 VCHS - URGENT CARE CENTER
1133 E STANLEY BLVD
LIVERMORE,CA94550
URGENT CARE CENTER
3 VCHS - URGENT CARE CENTER
4000 DUBLIN BLVD STE 150
DUBLIN,CA94568
URGENT CARE CENTER
4
5
6
7
8
9
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART I, LINE 6: VALLEYCARE HEALTH SYSTEM (VCHS) HAS PROVIDED HIGH-QUALITY, NOT-FOR-PROFIT HEALTH CARE TO THE TRIVALLEY AND SURROUNDING COMMUNITIES SINCE 1961. THROUGH HIGHLY SKILLED PHYSICIANS, NURSES AND STAFF AND STATE-OF-THE ART TECHNOLOGY, VALLEYCARE OFFERS A WIDE RANGE OF HEALTH CARE SERVICES AT ITS LIVERMORE, PLEASANTON AND DUBLIN MEDICAL FACILITIES. VALLEYCARE IS NOT PUBLICLY OWNED OR OPERATED, NOR IS IT SUPPORTED BY TAXES. VALLEYCARE REINVESTS ANY PROFITS IT MAKES INTO NEW SERVICES, EQUIPMENT AND FACILITIES. A 11-MEMBER BOARD OF DIRECTORS, WHICH IS ELECTED BY ITS CORPORATE MEMBERS, GOVERNS THE VALLEYCARE CORPORATION. CORPORATE MEMBERS EXERCISE CERTAIN RESERVED RIGHTS WITH RESPECT TO GOVERNANCE DECISIONS. UNDER STATE LAW SB 697, THE STATE OF CALIFORNIA REQUIRES ALL NON-PROFIT HOSPITALS IN CALIFORNIA TO COMPLETE AND SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT. ALTHOUGH HOSPITALS BRING NUMEROUS BENEFITS TO THEIR LOCAL ECONOMIES, THESE REPORTS ARE INTENDED TO DOCUMENT THE WAYS IN WHICH EACH HOSPITAL GOES ABOVE AND BEYOND THE CORE FUNCTIONS OF A HOSPITAL TO SUPPORT THE HEALTH NEEDS OF ITS COMMUNITY. EVERY THREE YEARS, NON-PROFIT HOSPITALS IN CALIFORNIA MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE GREATEST HEALTH NEEDS AFFECTING THEIR RESPECTIVE COMMUNITIES. IN ADDITION TO THE STATE MANDATE, THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT, ENACTED MARCH 23, 2010, REQUIRES TAX-EXEMPT HOSPITALS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND TO ADOPT IMPLEMENTATION STRATEGIES TO MEET THE HEALTH NEEDS IDENTIFIED THROUGH THE ASSESSMENTS. THE COMMUNITY BENEFITS REPORT CAN BE FOUND ON OUR WEBSITE AT HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX.
PART I, LINE 7: RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE AT SCHEDULE H, PART I, LINE 7.
PART III, LINE 2: BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2015 WAS $19,243,948, WHICH IS AT CHARGES. BAD DEBT IS BASED ON REMAINING ACCOUNT BALANCE AFTER ANY DISCOUNTS OR PAYMENTS HAVE BEEN APPLIED. VCHS DOES NOT RECLASSIFY ANY BAD DEBT TO CHARITY UNLESS THE PATIENT QUALIFIES UNDER THE CHARITY CARE POLICY. A COST TO CHARGE RATIO WAS USED TO DETERMINE COST. PART III, LINE 3: VCHS DOES NOT CALCULATE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4: DUE TO THE AFFILIATION OF THE HOSPITAL COMMITTEE OF THE LIVERMORE-PLEASANTON AREAS AND SHC, THE FOOTNOTE TO THE FINANCIAL STATEMENTS BELOW APPEARS IN THE HOSPITAL COMMITTEE OF THE LIVERMORE-PLEASANTON AREAS 5/17/2015 AUDITED FINANCIAL STATEMENTS. PER THE AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS OF APPROXIMATELY $16,071,000 AND $21,931,000 FOR THE PERIODS ENDED MAY 17, 2015 AND JUNE 30, 2014, RESPECTIVELY, REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR SERVICES PROVIDED PRIMARILY TO SELF-PAY AND THE CO-PAYMENT PORTION OF PRIVATE HEALTH INSURANCE PATIENTS. PATIENT ACCOUNTS RECEIVABLE, AMOUNTS PAYABLE TO THIRD-PARTY PAYORS AND NET PATIENT SERVICE REVENUE - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, VCHS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS ON A CONSOLIDATED BASIS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD PARTY INSURANCE COVERAGE, VCHS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTABLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (THOSE WITHOUT THIRD-PARTY INSURANCE COVERAGE), AND RECEIVABLES REPRESENTING DEDUCTIBLES AND COPAYMENTS REQUIRED FROM PATIENTS BY THEIR INSURANCE PLANS, VCHS RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS HISTORICALLY COLLECTED AFTER ALL REASONABLE COLLECTIONS HAVE BEEN EXHAUSTED IS THE ESTIMATED UNCOLLECTABLE RATE. THIS RATE IS APPLIED TO EXISTING ACCOUNTS TO RECORD AN ESTIMATE FOR UNCOLLECTABLE ACCOUNTS. VCHS'S SELF-PAY WRITE-OFFS BASED ON GROSS CHARGES WERE $10,947,000 AND $24,035,000 FOR THE PERIODS ENDED MAY 17, 2015 AND JUNE 30, 2014, RESPECTIVELY. VCHS HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE PERIODS ENDED MAY 17, 2015 AND JUNE 30, 2014. VCHS DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD PARTY PAYORS.
PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL OF $32,920,232 REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: 1. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER MEANS-BASED GOVERNMENT PROGRAMS, 2. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS, 3. THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION ON REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUAL, AND 4. THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE OR OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: THE AMOUNT DETERMINED AS CHARITY CARE IS NOT COLLECTED AND WRITTEN OFF TO CHARITY. IF A REDUCED RATE IS GIVEN, THE AMOUNT DETERMINED AS PATIENT BALANCE IS COLLECTED IN THE SAME MANNER AS ALL OTHER PATIENTS.
PART VI, LINE 2: VCHS COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK IN THE 2013 CHNA PROCESS. THIS PROCESS BEGAN IN 2012 (NEXT CHNA WILL BE COMPLETED IN 2016 IN ALIGNMENT WITH IRS FINAL RULES). THE PROCESS INCLUDED COMPREHENSIVE REVIEW OF SECONDARY DATA ON HEALTH OUTCOMES, DRIVERS, CONDITIONS AND BEHAVIORS AS WELL AS COLLECTION AND ANALYSIS OF PRIMARY DATA THROUGH COMMUNITY CONVERSATIONS WITH MEMBERS OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. INPUT ON THE IDENTIFIED COMMUNITY HEALTH NEEDS, AND THE RELATIVE PRIORITY AMONG THEM, WAS GATHERED THROUGH A CONVENING OF PUBLIC AND COMMUNITY HEALTH LEADERS, ADVOCATES AND EXPERTS. THE RESULTING PRIORITIZED LIST REPRESENTS A COMMUNITY UNDERSTANDING THAT IS INFORMED BY BOTH DATA AND EXPERIENCE. THE GOAL WAS TO COLLECTIVELY GATHER COMMUNITY FEEDBACK, UNDERSTAND EXISTING DATA ABOUT HEALTH STATUS AND PRIORITIZE LOCAL HEALTH NEEDS IN THE COMMUNITY.
PART VI, LINE 3: VALLEYCARE HEALTH SYSTEM WILL INTERVIEW EACH PATIENT/GUARANTOR AND DETERMINE THE CAPABILITY TO MEET HIS/HER FINANCIAL OBLIGATIONS FOR MEDICAL CARE. THOSE WHO ARE UNABLE TO MEET THE FINANCIAL OBLIGATION WILL FIRST BE SCREENED FOR POSSIBLE ELIGIBILITY UNDER STATE OR FEDERAL HEALTHCARE PROGRAMS. IF THEY DO NOT MEET STATE OR FEDERAL CRITERIA FOR HEALTHCARE BENEFITS, THEY WILL BE INTERVIEWED TO DETERMINE WHETHER THEY MEET THE CRITERIA FOR FINANCIAL ASSISTANCE, AS DEFINED IN THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY.
PART VI, LINE 4: THE TRI-VALLEY REGION IS BASED AROUND THE FOUR SUBURBAN CITIES OF LIVERMORE, PLEASANTON, DUBLIN AND SAN RAMON IN THE THREE VALLEYS FROM WHICH IT TAKES ITS NAME: AMADOR VALLEY, LIVERMORE VALLEY AND SAN RAMON VALLEY. LIVERMORE, PLEASANTON AND DUBLIN ARE IN ALAMEDA COUNTY, WHILE SAN RAMON IS IN CONTRA COSTA COUNTY. VALLEYCARE'S PRIMARY SERVICE AREA IS THE TRI-VALLEY. VALLEYCARE HAS FACILITIES IN PLEASANTON, LIVERMORE, AND DUBLIN. THE TRI-VALLEY ACCOUNTS FOR OVER 80% OF VALLEYCARE'S INPATIENT DISCHARGES. THE CURRENT POPULATION OF THE TRI-VALLEY IS ESTIMATED AS FOLLOWS: DUBLIN TOTAL POPULATION: 46,036 UNDER 18 YEARS OLD: 22% AGES 18-34: 28% AGES 35-64: 43% AGE 65+: 7% WHITE: 51% BLACK: 9% ASIAN: 27% HISPANIC: 14% PERCENT BELOW POVERTY: 3.5% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 92.5% LIVERMORE TOTAL POPULATION: 80,968 UNDER 18 YEARS OLD: 25% AGES 18-34: 21% AGES 35-64: 44% AGE 65+: 10% WHITE: 75% BLACK: 2% ASIAN: 8% HISPANIC: 21% PERCENT BELOW POVERTY: 6% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 92% PLEASANTON TOTAL POPULATION: 70,285 UNDER 18 YEARS OLD: 27% AGES 18-34: 15% AGES 35-64: 47% AGE 65+: 11% WHITE: 67% BLACK: 2% ASIAN: 23% HISPANIC: 10% PERCENT BELOW POVERTY: 4.2% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 94.9% SAN RAMON TOTAL POPULATION: 69,241 UNDER 18 YEARS OLD: 22% AGES 18-34: 18% AGES 35-64: 46% AGE 65+: 7% WHITE: 53% BLACK: 2% ASIAN: 36% HISPANIC: 10% PERCENT BELOW POVERTY: 3.6% PERCENT OVER AGE 25 WITH HS DIPLOMA OR EQUIVALENT: 97.2%
PART VI, LINE 5: THE FOLLOWING PROGRAMS AND SERVICES FURTHER THE ORGANIZATION'S EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY: PLEASANTON CAMPUS: VALLEYCARE MEDICAL CENTER, WHICH OPENED IN DECEMBER 1991, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 114,000 SQUARE FEET OF SPACE THAT PROVIDES A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL INPATIENT AND OUTPATIENT ACUTE SERVICES, INCLUDING AN OUTPATIENT SURGICAL CENTER, A DIAGNOSTIC IMAGING CENTER INCLUDING COMPUTERIZED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING AND A WOMEN'S CENTER (MAMMOGRAPHY), CARDIAC CARE, EMERGENCY ROOM, INTENSIVE CARE, OBSTETRICS, PEDIATRICS AND OPERATING AND RECOVERY ROOMS. THE CURRENT LICENSED BED CAPACITY OF VALLEYCARE MEDICAL CENTER IS 167 ACUTE CARE BEDS (ALL OF WHICH ARE STAFFED), INCLUDING 116 MEDICAL/SURFICAL ACUTE CARE, 15 PERINATAL, 22 CRITICAL CARE, 4 PEDIATRIC, AND 10 INTENSIVE CARE NURSERY BEDS. LIVERMORE CAMPUS: VALLEY MEMORIAL HOSPITAL, ON THE LIVERMORE CAMPUS, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 125,000 SQUARE FEET OF SPACE THAT INCLUDES 26 SKILLED NURSING, AND 14 GERIATRIC PSYCHIATRIC BEDS. ADDITIONAL SERVICES AT VALLEY MEMORIAL HOSPITAL INCLUDE URGENT CARE, LABORATORY, OCCUPATIONAL HEALTH, DIAGNOSTIC IMAGING (ULTRASOUND, MAMMOGRAPHY, BONE DENSITOMETRY) AND RADIOLOGY. THE AMBULATORY SURGERY CENTER ON THE LIVERMORE CAMPUS, OPENED IN JULY 2003, HAS FOUR OPERATING ROOMS, THREE GASTRO-INTESTINAL (GI) SUITES, AND A 21-BED-PRE-OP AND POST ANESTHESIA CARE UNIT. THE URGENT CARE UNIT ON THE LIVERMORE CAMPUS, ALSO OPENED IN JULY 2003, HAS NINE EXAMINATION ROOMS WHERE PATIENTS RECEIVE CARE FOR CONDITIONS OF AN URGENT NATURE. THE LIVERMORE CAMPUS IS ALSO THE LOCATION OF LIFESTYLE RX, AN INTEGRATED MEDICAL FITNESS CENTER OWNED AND OPERATED BY THE CORPORATION. IT IS DESIGNED TO PROMOTE COMMUNITY WELLNESS THROUGH SERVICES SUCH AS MEDICALLY BASED FITNESS, CARDIAC AND PULMONARY REHABILITATION, STRENGTH AND CARDIAC TRAINING, PHYSICAL AND SPORTS MEDICINE, AND WATER THERAPIES. LICENSED AND STAFFED BEDS FOR 2015 AT VALLEYCARE MEIDCAL CENTER WERE 167, WHILE AT THE VALLEY MEMORIAL HOSPITAL THE NUMBER OF LICENSED BEDS IS 75, WITH STAFFED BEDS AT 40.
PART VI, LINE 6: IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY.
PART VI, LINE 7: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: CA
Schedule H (Form 990) 2014
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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
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 or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
No
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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), 501(c)(4), and 501(c)(29) organizations 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
 
No
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1DANIEL MORISSETTEBOARD CHAIR (AS OF 05/15) (i)
(ii)
0
...............................
714,551
0
...............................
427,909
0
...............................
321,220
0
...............................
23,400
0
...............................
36,777
0
...............................
1,523,857
0
...............................
168,506
2JENNIFER VARGASDIRECTOR (AS OF 05/15) (i)
(ii)
0
...............................
505,308
0
...............................
154,502
0
...............................
214,838
0
...............................
23,400
0
...............................
39,404
0
...............................
937,452
0
...............................
119,197
3JAMES HEREFORDDIRECTOR (AS OF 05/15) (i)
(ii)
0
...............................
688,503
0
...............................
304,682
0
...............................
33,667
0
...............................
110,172
0
...............................
32,086
0
...............................
1,169,110
0
...............................
0
4LLOYD B MINOR MDDIRECTOR (AS OF 05/15) (i)
(ii)
0
...............................
1,340,166
0
...............................
200,000
0
...............................
59,653
0
...............................
300,000
0
...............................
57,385
0
...............................
1,957,204
0
...............................
0
5RAJNEESH BAHALDIRECTOR (AS OF 05/15) (i)
(ii)
0
...............................
171,269
0
...............................
110,417
0
...............................
139,470
0
...............................
0
0
...............................
15,388
0
...............................
436,544
0
...............................
0
6AMIR DAN RUBINDIRECTOR (AS OF 05/15) (i)
(ii)
0
...............................
1,704,324
0
...............................
1,022,000
0
...............................
321,654
0
...............................
321,942
0
...............................
37,288
0
...............................
3,407,208
0
...............................
270,987
7JOHN YEEDIRECTOR (THROUGH 05/15) (i)
(ii)
332,449
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
0
...............................
0
332,449
...............................
0
0
...............................
0
8SCOTT GREGERSONPRESIDENT (i)
(ii)
333,722
...............................
0
0
...............................
0
2,180
...............................
0
7,650
...............................
0
16,959
...............................
0
360,511
...............................
0
0
...............................
0
9ROBERT KOWALCOO (THROUGH 10/14) (i)
(ii)
130,800
...............................
0
0
...............................
0
175,382
...............................
0
0
...............................
0
2,948
...............................
0
309,130
...............................
0
0
...............................
0
10DOUGLAS GUNDERSONCOO (AS OF 05/15) (i)
(ii)
0
...............................
342,341
0
...............................
96,875
0
...............................
7,976
0
...............................
48,301
0
...............................
30,810
0
...............................
526,303
0
...............................
0
11BENJIE M LOANZONCFO (AS OF 05/15) (i)
(ii)
0
...............................
298,188
0
...............................
131,241
0
...............................
133,621
0
...............................
23,885
0
...............................
25,277
0
...............................
612,212
0
...............................
0
12GINA TEEPLESCNO (i)
(ii)
191,975
...............................
0
12,000
...............................
0
428
...............................
0
8,656
...............................
0
1,897
...............................
0
214,956
...............................
0
0
...............................
0
13DOMINADOR BRIONESVP OF FINANCE (i)
(ii)
221,205
...............................
0
0
...............................
0
1,878
...............................
0
6,564
...............................
0
17,022
...............................
0
246,669
...............................
0
0
...............................
0
14LAVERN BROWNVP GENERAL SERVICES (i)
(ii)
274,154
...............................
0
0
...............................
0
33,467
...............................
0
25,500
...............................
0
15,634
...............................
0
348,755
...............................
0
0
...............................
0
15DOREEN MAPLESVP COMPLIANCE (i)
(ii)
210,080
...............................
0
0
...............................
0
4,999
...............................
0
10,506
...............................
0
8,315
...............................
0
233,900
...............................
0
0
...............................
0
16PAUL MUSERLEAD MULTI-MODALITY TECH (i)
(ii)
120,295
...............................
0
0
...............................
0
145,036
...............................
0
8,769
...............................
0
15,922
...............................
0
290,022
...............................
0
0
...............................
0
17DENISE MAVROGIANISREGISTERED NURSE (i)
(ii)
120,602
...............................
0
0
...............................
0
112,814
...............................
0
10,127
...............................
0
16,036
...............................
0
259,579
...............................
0
0
...............................
0
18KENNETH BARTLETTCT TECHNICIAN (i)
(ii)
117,099
...............................
0
0
...............................
0
118,420
...............................
0
9,088
...............................
0
1,168
...............................
0
245,775
...............................
0
0
...............................
0
19STEPHANIE CHENREGISTERED NURSE (i)
(ii)
100,382
...............................
0
0
...............................
0
122,526
...............................
0
1,375
...............................
0
16,181
...............................
0
240,464
...............................
0
0
...............................
0
20MAREN EGBERTREGISTERED NURSE (i)
(ii)
117,708
...............................
0
0
...............................
0
105,436
...............................
0
5,995
...............................
0
8,367
...............................
0
237,506
...............................
0
0
...............................
0
21MARCELINA FEITFORMER CEO (i)
(ii)
190,882
...............................
0
0
...............................
0
516,200
...............................
0
24,500
...............................
0
19,319
...............................
0
750,901
...............................
0
0
...............................
0
22KENNETH JENSENFORMER CFO (i)
(ii)
136,627
...............................
0
0
...............................
0
202,663
...............................
0
9,800
...............................
0
12,043
...............................
0
361,133
...............................
0
0
...............................
0
23CYNTHIA NOONANFORMER COO (i)
(ii)
157,734
...............................
0
0
...............................
0
208,704
...............................
0
24,500
...............................
0
7,751
...............................
0
398,689
...............................
0
0
...............................
0
24JESSICA JORDANFORMER VP OF PATIENT CARE (i)
(ii)
74,930
...............................
0
0
...............................
0
139,616
...............................
0
24,916
...............................
0
2,445
...............................
0
241,907
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINES 1A, 1B, AND 2 HOUSING ALLOWANCE ROBERT KOWAL, COO, WAS RECRUITED FROM OUT OF THE AREA. PURSUANT TO HIS EMPLOYMENT CONTRACT HE RECEIVED A MONTHLY HOUSING ALLOWANCE THAT WAS NEGOTIATED UPON HIRE. THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III).
SCHEDULE J, PART I, LINE 4A SEVERANCE IS PAID FOR POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS UPON THE TERMINATION OF EMPLOYMENT. MARCELINA FEIT - $481,250 KENNETH JENSEN - $150,000 ROBERT KOWAL - $155,997
SCHEDULE J, PART I, LINE 4B STANFORD HEALTH CARE ("SHC"), A RELATED ORGANIZATION, PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (A) THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; THE PARTICIPANT BECOMES FULLY VESTED WHEN (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (D) THE PARTICIPANT COMPLETES SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH OF THE PARTICIPANT. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2014: AMIR DAN RUBIN $ 284,718 DANIEL MORISSETTE $ 269,311 JENNIFER VARGAS $ 186,665 BENJIE M LOANZON $ 98,053 DOUGLAS GUNDERSON $ 1,376 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED AND WERE PAID IN CALENDAR 2014 ARE REPORTED IN COLUMN (F). LLOYD B. MINOR PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN C. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET.
SCHEDULE J, PART II, COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B-III INCLUDES ACCRUED VACATION AND SICK LEAVE PAY OUT.
SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF VCHS. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II.
Schedule J (Form 990) 2014

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
Return Reference Explanation
FORM 990, PART I, LINE 1 DESCRIPTION OF ORGANIZATION MISSION: THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS, DBA VALLEYCARE HEALTH SYSTEM ("VCHS") IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION THAT PROVIDES BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES.
FORM 990, PART III, LINE 4A OPERATION OF TWO ACUTE CARE HOSPITALS WITH A TOTAL OF 167 ACUTE, 26 SKILLED NURSING AND 14 ACUTE PSYCHIATRIC BEDS: SERVICES INCLUDE ICU/CCU, MEDICAL, SURGICAL, OBSTETRIC, NURSERY INPATIENT SERVICE, AND EMERGENCY ROOM, URGENT CARE AND OUTPATIENT SERVICES. ALSO CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY-CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ANY PROFITS MADE FROM OPERATIONS ARE INVESTED INTO NEW FACILITIES, EQUIPMENT AND SERVICES. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, VALLEYCARE HEALTH SYSTEM CONTRIBUTES TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR THE VULNERABLE POPULATIONS, THE BROADER COMMUNITY AND HEALTH RESEARCH, TRAINING AND EDUCATION. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. AS PART OF VALLEYCARE HEALTH SYSTEM'S SUPPORT FOR ITS COMMUNITY PARTNERS AND OTHER COMMUNITY-BASED AGENCIES, VCHS CONDUCTED A VARIETY OF ACTIVITIES FOR COMMUNITY MEMBERS, RANGING FROM EDUCATION AND SUPPORT TO PERSONS WITH CHRONIC CONDITIONS, MEALS TO THE DISABLED AND SENIORS AND REDUCED-COST WELLNESS PROGRAMS FOR ECONOMICALLY DISADVANTAGED MEMBERS OF THE COMMUNITY. EDUCATION AND SUPPORT PROGRAMS LIFESTYLERX IS A 70,000-SQUARE-FOOT WELLNESS CENTER PROVIDING COMPREHENSIVE, MEDICAL-BASED, HIGH-QUALITY EDUCATION AND FITNESS SERVICES. VALLEYCARE HEALTH SYSTEMS' LIFESTYLERX SCHOLARSHIP PROGRAM PROVIDES LOW-INCOME MEMBERS OF THE COMMUNITY WITH THE OPPORTUNITY TO ACHIEVE THEIR MAXIMUM HEALTH, FITNESS AND WELL-BEING POTENTIAL. FOR LOW-INCOME SENIORS WHO LIVE ALONE AND CANNOT SHOP AND PREPARE MEALS FOR THEMSELVES, VCHS OFFERS THE MEALS ON WHEELS PROGRAM IN LIVERMORE, PLEASANTON, DUBLIN AND SUNOL. THROUGH ITS CANCER EDUCATION AND AWARENESS, CANCER PREVENTION, SMOKING CESSATION AND SKIN CANCER EDUCATIONAL PROGRAMS, VCHS IMPROVES AWARENESS OF THE SYMPTOMS OF CANCER FOR THOSE MOST VULNERABLE TO CANCER. VCHS ALSO PROVIDES AMERICAN CANCER SOCIETY (ACS) CANCER SCREENING FOR MEN AND WOMEN, AND PROVIDES LIBRARY RESOURCES FOR THE COMMUNITIES IT SERVES. IN ADDITION, THROUGH ITS CANCER SUPPORT GROUP AND BREAST CANCER SUPPORT GROUP, VCHS OFFERS DISCUSSION AND EDUCATION FOR THOSE WHO HAVE BEEN DIAGNOSED WITH CANCER. LIFESTYLERX'S CANCER SURVIVORSHIP WELLNESS PROGRAM IS A COMPONENT OF VALLEYCARE'S CANCER REHABILITATION STAR (SURVIVORSHIP TRAINING AND REHABILITATION) PROGRAM. THE PROGRAM IS DESIGNED TO HELP ALL THOSE WHO ARE SUFFERING FROM CANCER BECOME MORE INDEPENDENT, AND HELP THEM FIND WAYS TO MANAGE THE SIDE EFFECTS AND THEIR RECOVERY FROM CANCER TREATMENT. ACCESS TO INFORMATION AND SERVICES VCHS PROVIDES A WIDE VARIETY OF INFORMATION AND SERVICES TO THE BROADER COMMUNITY. THE VCHS MY HEART'S CONTENT PROGRAM PROVIDES LECTURES TO THE COMMUNITY ON CARDIOVASCULAR HEALTH. THE INFANT CPR PROGRAM PROVIDES CPR TRAINING TO THE COMMUNITY AT LARGE, AND IS ALSO OFFERED FREE TO LOW-INCOME PARENTS OF NEWBORNS. CHILDBIRTH PREPARATION CLASSES, WHICH PREPARE PARENTS FOR CHILDBIRTH, ARE OFFERED TO THE COMMUNITY AT LARGE, AND ALSO ARE FREE TO LOW-INCOME PARENTS. VCHS ALSO SPONSORS A SIBLINGS CLASS FOR FAMILIES WITH CHILDREN, HELPING SIBLINGS ADJUST TO A NEW BABY. THE VCHS E-HEALTH NEWSLETTER IS AN INNOVATIVE, FREE SERVICE TO THE COMMUNITY, PATIENTS, EMPLOYEES AND FRIENDS THAT ALLOWS THEM TO RECEIVE PERSONALIZED INFORMATION ON HEALTH ISSUES THAT MATTER MOST TO EACH ONE OF THEM. THE E-NEWSLETTER PROVIDES ONLINE ACCESS TO VALUABLE, INDIVIDUALIZED HEALTH INFORMATION. E-NEWSLETTERS AND REMINDERS ARE SENT MONTHLY TO THE SUBSCRIBED DATABASE VIA EMAIL ADDRESSES. THE VCHS AMERICAN HEART ASSOCIATION TRAINING CENTER CONDUCTS CLASSES THROUGHOUT THE YEAR, TEACHING COMMUNITY MEMBERS CPR AND PROVIDING THEM WITH AMERICAN HEART ASSOCIATION CARDS AS PROOF OF CLASS COMPLETION. THE VALLEYCARE HEALTH LIBRARY AND RYAN COMER CANCER RESOURCE CENTER, ESTABLISHED IN 1991 AND OPEN TO THE PUBLIC, OFFERS FREE ACCESS TO EASY-TO-UNDERSTAND, UP-TO-DATE HEALTH AND MEDICAL INFORMATION. LOCATED IN THE SAME BUILDING AS THE REGIONAL CANCER CENTER AT VALLEYCARE, THE VALLEYCARE HEALTH LIBRARY OFFERS EVERYONE IN THE VALLEYCARE SERVICE AREA SUPPORT AND EDUCATION IN A COMFORTABLE AND RELAXED ATMOSPHERE. THE CENTER HAS THE LARGEST COLLECTION OF CANCER-RELATED EDUCATION MATERIALS IN NORTHERN CALIFORNIA. THE LIBRARY IS STAFFED BY TRAINED VOLUNTEERS AND SUPPORT STAFF WHO GUIDE CANCER PATIENTS AND FAMILIES THROUGH THE TREATMENT PROCESS. IN ADDITION, CANCER PATIENTS RECEIVE A PERSONALIZED HANDBOOK TO HELP THEM KEEP TRACK OF INFORMATION, MEDICATIONS, TREATMENT RECORDS AND APPOINTMENTS. HEALTHY EATING AND PHYSICAL ACTIVITY AS OBESITY IS A MAJOR HEALTH ISSUE IN THE TRI-VALLEY AREA, OBESITY EDUCATION AND PREVENTION IS A TOP FOCUS FOR VCHS. MORE THAN 31 PERCENT OF LATINO CHILDREN IN THE DUBLIN SCHOOL DISTRICT AND MORE THAN 37 PERCENT OF BOTH AFRICAN AMERICAN AND LATINO CHILDREN IN THE LIVERMORE SCHOOL DISTRICT ARE OVERWEIGHT. VCHS CONDUCTED A WIDE VARIETY OF PROGRAMS ON HEALTHY EATING FOR THE BROADER COMMUNITY OVER THE PAST YEAR, BEGINNING WITH EDUCATION OF NEW MOTHERS ON THE BENEFITS AND IMPORTANCE OF BREASTFEEDING THEIR INFANTS. THE NEW MOMS SUPPORT GROUP SUPPORTS NEW MOTHERS WITH GUEST SPEAKERS WHO FOCUS ON BREASTFEEDING AS A HEALTHY START TO LIFE. VCHS ALSO PROVIDED TRAINING FOR YOUTHFUL ATHLETES AND TREATED ATHLETIC INJURIES AT YOUTH SPORTING EVENTS. THE PHYSICAL AND SPORTS MEDICINE PROGRAM PROVIDES EDUCATION ABOUT FITNESS, NUTRITION AND SAFETY, AND PROMOTES PHYSICAL FITNESS AND SAFE PLAY FOR THE INDIVIDUALS PARTICIPATING IN ORGANIZED SPORTS. VCHS ALSO PROVIDES MEDICAL SUPPLIES FOR FIRST AID TO LOCAL COMMUNITY EVENTS. IN ITS YOGA FOR CANCER PROGRAM, VCHS PROVIDES A COMMUNITY SUPPORT GROUP THAT TEACHES AND PRACTICES YOGA FOR THOSE SUFFERING FROM CANCER AND FOR THE FAMILIES OF CANCER SUFFERERS. THE ANNUAL DIABETES EDUCATION SEMINAR EDUCATES TRI-VALLEY COMMUNITY MEMBERS ON HEALTHY EATING HABITS AND PREVENTION OF PRE-DIABETES. FOR THOSE WHO LIVE WITH DIABETES, VCHS OFFERS A MONTHLY DIABETES SUPPORT GROUP REVIEWING VARIOUS CLINICAL TOPICS, WITH OCCASIONAL GUEST SPEAKERS. FOR THE NUTRITION NEEDS OF SENIOR MEMBERS OF THE COMMUNITY, VCHS MADE PRESENTATIONS IN LIVERMORE AND PLEASANTON ON SENIOR NUTRITION. THESE EDUCATIONAL PROGRAMS HELP SENIORS UNDERSTAND THE CONNECTION BETWEEN GOOD NUTRITION AND A LONG, HEALTHY LIFE. THE VCHS NEW MOM WELLNESS PROGRAM OFFERED BY LIFESTYLERX IS AN EFFECTIVE WAY FOR NEW MOTHERS IN THE COMMUNITY TO GET BACK IN SHAPE AND FEEL BETTER. THIS COMPREHENSIVE FOUR-WEEK PROGRAM TEACHES METHODS OF GAINING ENERGY, LIVING A HEALTHY LIFESTYLE AND BECOMING MOTIVATED TO TAKE CARE OF NEW FAMILIES.
FORM 990, PART III, LINE 4A CONTINUED CHRONIC HEALTH CONDITIONS THE VCHS HEALING TOUCH PROGRAM ENSURES THAT EACH PERSON IN THE COMMUNITY RECEIVING CANCER TREATMENT IS OFFERED SUPPORTIVE CARE IMPLEMENTING HEALING TOUCH TECHNIQUES TO SUPPORT THE PERSON AS A WHOLE AND TO MANAGE SYMPTOMS OF PAIN, MALAISE, NAUSEA AND/OR STRESS. THE 2015 BREAST CANCER SYMPOSIUM HOSTED BY VCHS, "ADVANCES IN BREAST CANCER, FROM DNA TO DRUGS," ENSURED THAT COMMUNITY MEMBERS ARE UP-TO-DATE ON CURRENT SCREENING AND TREATMENT RECOMMENDATIONS. THE LOOK GOOD FEEL BETTER PROGRAM PROVIDES A SUPPORT GROUP FOR WOMEN DEALING WITH THE SIDE EFFECTS OF CANCER TREATMENT. SPECIALLY TRAINED VOLUNTEERS TEACH SELF-CARE, BEAUTY AND PSYCHOLOGICAL SUPPORT, PROVIDE WIGS AND SCARVES, AND CONDUCT DEMONSTRATIONS FOR COPING WITH HAIR LOSS. VALLEYCARE HEALTH SYSTEM SUPPORTS HEALTH RESEARCH, EDUCATION, AND TRAINING IN A WIDE VARIETY OF PROGRAMS. SPECIALIZED HEALTH CARE WORKFORCE TRAINING IN THE DIETETICS INTERNSHIP PROGRAM, VCHS STAFF SUPERVISES NUTRITION AND DIETETIC GRADUATES AND/OR STUDENTS THROUGH CLINICAL NUTRITION AND/OR FOOD SERVICE ROTATIONS AS THEY LEARN AND PERFORM PROFESSIONAL AND TECHNICAL TASKS ACCORDING TO NATIONAL COMPETENCY STANDARDS. STUDENT INTERNS ROTATE THROUGH VARIOUS HOSPITAL UNITS WITH STAFF AND ADMINISTRATIVE/MANAGEMENT DIETITIANS SO THAT THEY CAN EXPERIENCE ALL DIMENSIONS OF THE DEPARTMENT OPERATION. EACH STAFF REGISTERED DIETITIAN WHO IS RESPONSIBLE FOR SERVING AS A PRECEPTOR FOR THE INTERN DEVOTES AN AVERAGE OF 25 PERCENT OF HIS/HER TIME TO THE INTERN'S SUPERVISION. VCHS PROVIDES PRECEPTORS FOR GRADUATE NURSING STUDENTS. STUDENTS RECEIVE EXPOSURE AND EXPERIENCE TO NURSE PRACTITIONER, NURSING ADMINISTRATION AND CLINICAL NURSE SPECIALIST POSITIONS. IN CONNECTION WITH CHABOT COLLEGE, SAMUEL MERRITT UNIVERSITY SCHOOL OF NURSING, CAL STATE UNIVERSITY EAST BAY, OHLONE AND CALIFORNIA STATE UNIVERSITY DOMINGUEZ HILLS, VCHS REGISTERED NURSES IN MULTIPLE NURSING UNITS, INCLUDING MEDICAL/SURGICAL AND INTENSIVE CARE UNITS, PROVIDE DIRECT SUPERVISION TO STUDENT NURSES IN A CLINICAL ENVIRONMENT. EACH STUDENT HAS A ROTATION OF 380 HOURS PER SEMESTER. VCHS ALSO PROVIDES MENTORING EDUCATION FOR THE UC SAN DIEGO LACTATION CERTIFICATION PROGRAM. FINALLY, VCHS PROVIDES SURGICAL TECHNOLOGY TRAINING FOR SURGICAL TECHNOLOGY STUDENTS IN THE OPERATING ROOM, SUPERVISED BY A SURGICAL TECHNOLOGIST AND REGISTERED NURSES. THROUGHOUT THE YEAR, VCHS HOSTS COLLEGE STUDENT INTERNS IN PHYSICAL AND SPORTS MEDICINE IN VARYING AFFILIATION DATES, RANGING FROM SIX MONTHS OF FULL-TIME INTERNSHIP TO ONE DAY A WEEK. THE VCHS HIGH SCHOOL STUDENTS PRECEPTORSHIP PROVIDES VALUABLE NURSING TRAINING TO SENIOR HIGH SCHOOL STUDENTS, HELPING THEM TO DEVELOP VALUABLE PATIENT ASSESSMENT AND ASSISTANCE SKILLS. STUDENTS ARE PERMITTED TO OBSERVE AND SHADOW HEALTH CARE STAFF IN VARIOUS AREAS OF THE HOSPITAL DURING A TYPICAL WORK DAY AND, WHEN APPROPRIATE, ASSIST WITH SIMPLE PROJECTS FOR A "HANDS-ON" EXPERIENCE. IN ITS SCHOOL OUTREACH PROGRAM, VCHS REGISTERED NURSES CONDUCT A SEMINAR FOR HIGH SCHOOL STUDENTS IN THE TRI-VALLEY REGION. TOPICS INCLUDE GENERAL SURGERY INFORMATION, A DEMONSTRATION OF LAPAROSCOPIC INSTRUMENTS AND OPERATING ROOM LAYOUT. IN ADDITION, THE VCHS MENTORING PROGRAM ALLOWS HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL AND NURSING CAREERS TO SHADOW HEALTH CARE PROFESSIONALS ON MULTIPLE UNITS AT VALLEYCARE. VCHS ALSO INVITES ADVANCED PLACEMENT STUDENTS IN TRI-VALLEY SCHOOLS TO COME INTO VCHS FACILITIES AND WATCH A BARIATRIC SURGERY VIDEO, AFTER WHICH THEY GO INTO A MOCK OPERATING ROOM FOR A SIMULATION. RESEARCH/CLINICAL TRIALS THE REGIONAL CANCER CENTER AT VALLEYCARE IS AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF). VALLEYCARE'S UCSF AFFILIATION BRINGS NATIONAL INSTITUTES FOR HEALTH AND NATIONAL CANCER INSTITUTE CLINICAL TRIALS TO VALLEYCARE. TRI-VALLEY CANCER PATIENTS CAN ACCESS UCSF ACADEMIC RESOURCES-WITHOUT THE NECESSITY TO TRAVEL-TO DISCUSS THE BEST COURSE OF TREATMENT, AS WELL AS PROVIDE CARE THROUGH CLINICAL TRIALS WHICH INCLUDE INFUSION AND RADIATION THERAPY. THESE STUDIES ARE DESIGNED TO ANSWER SCIENTIFIC QUESTIONS AND ARE PERFORMED IN ORDER TO EVALUATE NEW TREATMENTS AND FIND NEW AND BETTER WAYS TO HELP PEOPLE WITH CANCER.
FORM 990, PART VI, SECTION A, LINE 2 DAVID MERTES AND BARBARA MERTES HAVE A FAMILY RELATIONSHIP. THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD HEALTH CARE: DANIEL MORISSETTE JENNIFER VARGAS JAMES HEREFORD RAJNEESH BAHAL AMIR DAN RUBIN BENJIE M LOANZON THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD HEALTH CARE: JOHN GOLDMAN LLOYD B. MINOR MD KAYE FOSTER-CHEEK THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD PET-CT LLC: AMIR DAN RUBIN JAMES HEREFORD LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: AMIR DAN RUBIN DANIEL MORISSETTE THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: AMIR DAN RUBIN DANIEL MORISSETTE THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: AMIR DAN RUBIN DANIEL MORISSETTE FORM 990, PART VI, SECTION A, LINE 4 STANFORD HEALTH CARE (SHC) BECAME THE SOLE MEMBER OF THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) EFFECTIVE AS OF MAY 18, 2015. VCHS'S ARTICLES OF INCORPORATION WERE AMENDED (I) TO EXPAND THE CHARITABLE PURPOSES OF THE CORPORATION TO INCLUDE SUPPORT FOR THE DEVELOPMENT AND OPERATION OF A BROAD GEOGRAPHIC NETWORK OF HEALTH CARE PROVIDERS PROVIDERS AND FACILITIES IN COLLABORATION WITH SHC AND STANFORD UNIVERSITY (THE UNIVERSITY) AND ITS SCHOOL OF MEDICINE, TO FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE UNIVERSITY, AND TO DEVELOP, SPONSOR AND ADVANCE SERVICES AND PROGRAMS THAT ADDRESS THE PHYSICAL AND MENTAL NEEDS OF THE COMMUNITY AT LARGE AND (II) TO ESTABLISH SHC AS THE SOLE CORPORATE MEMBER OF VCHS AND DISSOLVE THE THEN-EXISTING COMMUNITY INDIVIDUAL MEMBERS OF THE CORPORATION. VCHS'S BYLAWS WERE AMENDED TO (I) ELIMINATE THE THEN-EXISTING INDIVIDUAL MEMBERS OF VCHS AND ESTABLISH SHC AS THE SOLE MEMBER OF VCHS AND (II) TO ESTABLISH THAT AN ELEVEN-MEMBER BOARD OF DIRECTORS, CONSISTING OF THREE CLASS A DIRECTORS AND EIGHT CLASS B DIRECTORS. THE INITIAL CLASS A DIRECTORS WERE SELECTED BY THE EXISTING BOARD OF VCHS FROM AMONG ITS CURRENT MEMBERS. AS VACANCIES OCCUR, THE CLASS A DIRECTORS WILL SELECT REPLACEMENT DIRECTORS, WHOSE APPOINTMENT WILL BE SUBJECT TO APPROVAL BY SHC. THE CLASS B DIRECTORS WERE SELECTED BY SHC FROM A SLATE OF CANDIDATES SUBMITTED BY A NOMINATING COMMITTEE APPOINTED BY SHC.
FORM 990, PART VI, SECTION B, LINE 6 STANFORD HEALTH CARE IS THE SOLE MEMBER OF VCHS.
FORM 990, PART VI, SECTION B, LINE 7A STANFORD HEALTH CARE, AS THE SOLE MEMBER OF VCHS, APPOINTS ALL CLASS "B" DIRECTORS, AND APPROVES THE VCHS BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 7B THE SOLE MEMBER, STANFORD HEALTH CARE, APPROVES THE APPOINTMENT OF CLASS "A" DIRECTORS TO THE VCHS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DEPARTMENT REVIEWS THE FORM 990 FOR ACCURACY. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FORM 990 IS SENT ELECTRONICALLY TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE CFO REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS AND INVITES QUESTIONS. FOLLOWING THIS REVIEW, A FULL COPY OF THE FINAL RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. ONCE THESE STEPS ARE COMPLETE, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C VCHS USES A RFP PROCESS FOR THESE ACTIVITIES AND DOCUMENTS THE DECISION-MAKING PROCESS TO DEMONSTRATE WHY WE CHOSE A SPECIFIC CONTRACTOR, VENDOR, OR PRODUCT SO EVEN IF SOMEONE HAS AN INTEREST IN ONE OF THESE, WE CAN DEMONSTRATE THE DECISION WAS MADE FOR OTHER REASONS SUCH AS QUALITY, COST, AVAILABILITY ETC.
FORM 990, PART VI, SECTION B, LINE 15 VCHS UTILIZES THE SERVICES OF RODEGHERO CONSULTING GROUP FOR COMPENSATION BENCHMARKING, ANALYSIS, AND REPORTING. THE BOARD OF DIRECTORS HAS A COMPENSATION SUB-COMMITTEE WHO REVIEW THE RESULTS OF THE COMPENSATION REVIEW AND IS ASSURED THAT TOTAL COMPENSATION IS CONSISTENT WITH THE MARKET. THIS PROCESS WAS LAST PERFORMED IN 2014.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING/ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: BOND EXTINGUISHMENT - $63,030,636 INTERCOMPANY NOTE - ($69,111,073) SET UP INTANGIBLES - $1,262,465 FAIR VALUE ADJUSTMENT OF FIXED ASSETS - $53,035,061 FAIR VALUE ADJUSTMENT OF PPAI & II PARTNERSHIP - $5,854,619 RELEASED TEMPORARY RESTRICTED NET ASSETS - ($22,997) TOTAL - $54,048,711 AS A RESULT OF THE AFFILIATION ON MAY 18, 2015, THE ASSETS AND DEBT OF THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS WERE REVIEWED AND REVALUED. ACCORDINGLY, THERE IS AN ADJUSTMENT BASED ON MARKET FLUCTUATION, TO THE FAIR VALUE OF THE ASSETS AND DEBT.
AUDITED FINANCIAL STATEMENTS ATTACHED TO THE FORM 990 INCLUDE: - THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS CONSOLIDATED FINANCIAL STATEMENTS AS OF 5/17/15 AND FOR THE PERIOD 7/01/2014 THROUGH 5/17/2015 (CUTOFF BEFORE THE AFFILIATION BETWEEN STANFORD HEATH CARE AND THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS ON 5/18/2015). - STANFORD HEALTH CARE CONSOLIDATED FINANCIAL STATEMENTS AS OF 8/31/2015 AND FOR THE PERIOD 9/01/2014 THROUGH 8/31/2015. THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS BALANCE SHEET AS OF 8/31/2015 AND RESULTS OF OPERATIONS FOR THE PERIOD FROM AFFILIATION, 5/18/2015 THROUGH 8/31/2015 ARE INCLUDED IN THE STANFORD HEALTH CARE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-
PLEASANTON AREAS
Employer identification number

94-1429628
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1) THE BRD OF TRUST LELAND STANF JR UNIV
3145 PORTER DRIVE

PALO ALTO,CA94304
94-1156365
EDUCATION CA 501(C)(3) 2 NA
 
 
No
(2) STANFORD HEALTH CARE
300 PASTEUR DRIVE MC 5555

STANFORD,CA94305
94-6174066
HEALTHCARE CA 501(C)(3) 3 STANFORD
 
Yes
 
(3) LUCILE SALTER PACKARD CHILDRENS HOSPITAL
725 WELCH ROAD MC 5553

PALO ALTO,CA94304
77-0003859
HEALTHCARE CA 501(C)(3) 3 STANFORD
 
Yes
 
(4) VALLEYCARE CHARITABLE FOUNDATION
1111 E STANLEY BLVD

LIVERMORE,CA94550
94-2941652
FUNDRAISING CA 501(C)(3) 9 HOSP CMTE LP
 
Yes
 
(5) VALLEYCARE MEDICAL FOUNDATION INC
5655 W LAS POSITAS BLVD 220

PLEASANTON,CA94588
26-2593526
SUPPORT VCHS CA 501(C)(3) 9 HOSP CMTE LP
 
Yes
 
(6) VALLEYCARE SENIOR HOUSING
1111 E STANLEY BLVD

LIVERMORE,CA94550
94-3382224
SR. FACILITY CA 501(C)(3) 11C, III-FI HOSP CMTE LP
 
Yes
 
(7) THE FREIDENRICH SUPPORT FOUNDATION
3145 PORTER DRIVE

PALO ALTO,CA94304
30-0519583
SUPPORT CA 501(C)(3) 11A, I STANFORD
 
Yes
 
(8) SHR HOLDINGS INC
3145 PORTER DRIVE

PALO ALTO,CA94304
94-3187167
REAL ESTATE CA 501(C)(25) N/A STANFORD
 
Yes
 
(9) SU EMP BEN TRUST POST RETEMPYNT BEN
3145 PORTER DRIVE

PALO ALTO,CA94304
94-3246199
BENEFITS CA 501(C)(9) N/A STANFORD
 
Yes
 
(10) UNIVERSITY HEALTHCARE ALLIANCE
855 OAK GROVE AVE SUITE 100

MENLO PARK,CA94205
94-3192446
HEALTHCARE CA 501(C)(3) 3 SHC
 
Yes
 
(11) THE DUDLEY E CHAMBERS FOUNDATION
JP MORGAN CHASE PO BOX 3038

MILWAUKEE,WI53201
38-6841793
SUPPORT NY 501(C)(3) 11D, III-O STANFORD
 
Yes
 
(12) STANFORD UNIVERSITY BOOKSTORE
BLDG 60 MAIN QUAD NO 105

STANFORD,CA94305
94-0894150
SUPPORT CA 501(C)(3) 11A, I STANFORD
 
Yes
 
(13) PACKARD CHILDREN'S HEALTH ALLIANCE
725 WELCH ROAD MC5551

PALO ALTO,CA94304
32-0359189
HEALTHCARE CA 501(C)(3) 3 LPCH
 
Yes
 
(14) STANFORD HABITAT CONSERVATION BOARD
3160 PORTER DR STE 200

PALO ALTO,CA94304
46-1882243
CONSERVATION CA 501(C)(3) 7 STANFORD
 
Yes
 
(15) STANFORD FACULTY CLUB
PO BOX 7229

STANFORD,CA94309
94-1187089
FAC INTERACT. CA 501(C)(7) N/A STANFORD
 
Yes
 
(16) THE HONG KONGSU CHARITABLE TRUST
1401 CAROLINE CENTER
28 PING ROAD,CAUSEWAY  
HK
98-6078093
SUPPORT HK 501(C)(3)   STANFORD
 
Yes
 
(17) THE STANFORD TRUST
65 HIGH STREET
OXFORD   OX1 46L
UK
SUPPORT UK 501(C)(3)   STANFORD
 
Yes
 
(18) STANFORD PROGRAMME (CAPE TOWN) NPC
WAVERLY BUSINESS PARK BUILDING 11
CAPE TOWN    
SF
EDUCATION SF 501(C)(3)   STANFORD
 
Yes
 
(19) STANFORD FEDERAL CREDIT UNION
1860 EMBARCADERO RD

PALO ALTO,CA94303
94-1492212
CREDIT UNION CA 501(C)(1) N/A STANFORD
 
Yes
 
(20) STANFORD HEALTH CARE ADVANTAGE
3220 BLUME DR STE 260

RICHMOND,CA948065741
46-4071746
HEALTHCARE CA 501(c)(3) 11A, I SHC
 
Yes
 
(21) STANFORD SCHOOLS CORPORATION
475 POPE STREET

MENLO PARK,CA94025
20-2699147
EDUCATIONAL CA 501(C)(3) 2 STANFORD
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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
(1) ATWATER 12 LP

2100 ROSS AVE STE 1600
DALLAS,TX75201
75-2944481
INVESTMENTS DE NA
 
                 
(2) AVENUE ASIA CAPITAL PARTNERS LP

399 PARK AVE 6TH FL
NEW YORK,NY10022
01-0553224
INVESTMENTS DE NA
 
                 
(3) JER R E QUALIFIED PARTNERS EUROPE LP

7950 JONES BRANCH DR STE 220
MCLEAN,VA22107
54-2029560
INVESTMENTS DE NA
 
                 
(4) PALO ALTO LP

13 CASTLE STREET
ST. HELIER   XC JE4 9WG
JE
INVESTMENTS JE NA
 
                 
(5) SANDPIPER FUND LP

2000 MCKINNEY AVE STE 2125
DALLAS,TX75201
26-0341626
INVESTMENTS TX NA
 
                 
(6) SAROFIM MULTIFAMILY PARTNERS LP

8115 PRESTON RD STE 400
DALLAS,TX75225
20-1929002
RE DEVELOPMENT DE NA
 
                 
(7) SCP REAL ASSETS FUND (A) LP

450 PARK AVE 23RD FL
NEW YORK,NY10022
20-3949682
INVESTMENTS DE NA
 
                 
(8) DEK PORTFOLIO LLC

C/O SPAULDING SLYE INV 1 PO S
BOSTON,MA02109
04-3446765
INVESTMENTS DE NA
 
                 
(9) FORTRESS IW COINVESTMENT (FUND B) LP

1345 AVE OF THE AMERICAS 23RD FL
NEW YORK,NY10105
98-0509639
INVESTMENTS CJ NA
 
                 
(10) JER REAL ESTATE PARTNERS EUROPE II LP

CLARGES HOUSE 6-12 CLARGES ST
LONDON,ENW1J 8AD
UK
INVESTMENTS UK NA
 
                 
(11) STANFORD PET-CT LLC

300 PASTEUR DRIVE M/C 5555
STANFORD,CA94305
61-1423414
MED. DIAGNOST CA NA
 
                 
(12) CEE EQUITY HOLDINGS LP

ELIZABETH HOUSE 9 CASTLE ST
ST. HELIER,,JEJE4 2QP
JE
INVESTMENTS JE NA
 
                 
(13) LSF V DHB HOLDINGS LP

2711 N HASKELL AVE STE 1700
DALLAS,TX75204
27-2858604
INVESTMENTS DE NA
 
                 
(14) SIC SNOWCREEK VIII LLC

635 KNIGHT WAY
STANFORD,CA94305
27-5431605
RE DEVELOPMENT CA NA
 
                 
(15) SUMIT HOLDING INTERNATIONAL LLC

1400 PAGE MILL ROAD MC5713
PALO ALTO,CA94304
26-3934706
HOLDING COMPANY DE NA
 
                 
(16) ARCOLA VENTURE LLC

C/O STANFORD MGMT CO 635 KNIGHT W
STANFORD,CA943057297
37-1689632
RE DEVELOPMENT DE NA
 
                 
(17) BLACKSTONE REP VII TE 7-NQ LP

C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK,NY10154
90-0878802
INVESTMENTS DE NA
 
                 
(18) OUTLAWS CASINO LTD

3160 PORTER DR
PALO ALTO,CA94304
84-1457498
HOLDING COMPANY CO NA
 
                 
(19) STANFORD EMANUEL RAD ONCOLOGY CENTER

825 DELBON AVE
TURLOCK,CA95382
20-8885091
RADIOLOGY CA NA
 
                 
(20) ARCOLA RESIDENTIAL VENTURE LLC

635 KNIGHT WAY
STANFORD,CA943057297
90-0818278
REAL ESTATE CA NA
 
                 
(21) STANFORD-STARTX FUND LLC

3145 PORTER DRIVE
PALO ALTO,CA94304
46-4297719
INVESTMENTS DE NA
 
                 
(22) CLAIRVUE CAPITAL PARTNERS II-TE 1 LP

150 CALIFORNIA STREET STE 850
SAN FRANCISCO,CA94111
80-0909516
INVESTMENTS DE NA
 
                 
(23) CLAIRVUE CAPITAL PARTNERS II-TE 2 LP

150 CALIFORNIA STREET STE 850
SAN FRANCISCO,CA94111
80-0909556
INVESTMENTS DE NA
 
                 
(24) KEB INVESTORS II LP

WASHINGTON MALL STE 304 7 REID ST
HAMILTON   HM 11
BD
94-1156365
INVESTMENTS BD NA
 
                 
(25) SEQUOIA MFM OPERATING COMPANY LLC

770 WELCH ROAD LPCH- ADMIN MC5551
PALO ALTO,CA94304
47-5060529
MFM PROGRAM CA NA
 
                 
(26) SP SMC PARTNERS LLC

2711 CENTERVILLE RD STE 400
WILMINGTON,DE19808
INVESTMENTS DE NA
 
                 
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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MARINER VOYAGER INTERNATIONAL LTD

C/O STUARTS CORP SVCS PO BOX 2510
GEORGE TOWN    
CJ
INVESTMENTS CJ NA
 
C CORP          
(2) STANFORD SGGS EUROPE INC

UGLAND HOUSE S CHURCH ST
PO BOX 309GT, GEORGE TOWN    
CJ
13-1684331
INVESTMENTS CJ NA
 
C CORP          
(3) BLACK RIVER EMEA INVESTORS FUND LTD

UGLAND HOUSE S CHURCH ST
GEORGE TOWN    
CJ
98-0428006
INVESTMENTS CJ NA
 
C CORP          
(4) EAST SAIL

C/O INTL FS INC IFS COURT
TWENTYEIGHT, CYBERCITY, EBENE    
MP
INVESTMENTS MP NA
 
C CORP          
(5) GAVEA INVESTMENT FUND II-C LP

PO BOX 896GT HARBOUR CENTRE
GEORGE TOWN,CAYMAN ISLANDS  
CJ
98-0537952
INVESTMENTS CJ NA
 
C CORP          
(6) LS ALBERTA III LP

C/O JE ROBERT COS 1650 TYSON BLVD
MCLEAN,VA22102
98-0493425
INVESTMENTS CA NA
 
C CORP          
(7) CLAT (15)

 
 
CHARITABLE TR CA NA
 
TRUST          
(8) CRT (536)

 
 
CHARITABLE TR CA NA
 
TRUST          
(9) OTHER (7)

 
 
CHARITABLE TR CA NA
 
TRUST          
(10) PIF (77)

 
 
CHARITABLE TR CA NA
 
TRUST          
(11) ALPINE CHALET INC

PO BOX 9988
SOUTH LAKE TAHOE,CA96158
94-1556099
SKI LODGE CA NA
 
C CORP          
(12) STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)

5275TH FLBLDG CACADEMY SOUTH RD
HAIDAN DISTRICT,BEIJING  
CH
EDUCATION CH NA
 
C CORP          
(13) STANFORD UNIV MED NETWORK RISK AUTHORITY

1400 PAGE MILL RD MSC 5713
PALO ALTO,CA94304
46-1132002
RISK MGMT CON CA NA
 
C CORP          
(14) PROFESSIONAL EXCHANGE ASSURANCE COMPANY

201 MERCHANT STREET SUITE 2400
HONOLULU,HI96813
90-0897686
INSURANCE HI NA
 
C CORP          
(15) ARCOLA RES DEVELOPMENT CORP

C/O SMC 635 KNIGHT WAY
STANFORD,CA943057297
80-0804754
INVESTMENT DE NA
 
C CORP          
(16) BREP VII ALBERTA FEEDER(OFFSHORE)TE7 LP

C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK,NY10154
98-1066351
INVESTMENTS CA NA
 
C CORP          
(17) BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP

C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK,NY10154
98-1066355
INVESTMENTS CA NA
 
C CORP          
(18) WOODBOURNE CANADA PARTNERS II -CAYMAN LP

C/O INTRTRST CORP SERV190 ELGIN AV
GRAND CAYMAN,CAYMAN ISLANDSKY1-9005
CJ
98-0705321
INVESTMENTS CJ NA
 
C CORP          
(19) WEST FACE ALTERNATIVE CREDIT CAYMAN LP

PO BOX 10008 WILLOW HOUSE
GRAND CAYMAN,CAYMAN ISLANDSKY1-1001
CJ
98-1140761
INVESTMENTS CJ NA
 
C CORP          
(20) MIDPOINT TECHNOLOGY PARK OWNERS ASSOC

3145 PORTER DRIVE
PALO ALTO,CA94304
94-3287254
REAL ESTATE CA NA
 
C CORP          
(21) BIENVILLE ARGENTINA OPPS OFFSHORE FUND

405 LEXINGTON AVE 34TH FLOOR
NEW YORK,NY10174
INVESTMENTS CJ NA
 
C CORP          
(22) ICHIGO JAPAN FUND K

1 NORTH BRIDGE RD 6-8
SINGAPORE,SINGAPORE179094
SN
INVESTMENTS CJ NA
 
C CORP          
(23) AFFINITY MEDICAL SOLUTIONS INC

1221 BROADWAY 3RD FLOOR
OAKLAND,CA94612
20-3134011
HEALTHCARE DE NA
 
C CORP          
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) VALLEYCARE MEDICAL FOUNDATION INC

P 6,368,188 FMV





Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R ON SEPTEMBER 23, 2014, SHC ENTERED INTO AN AFFILIATION AGREEMENT WITH VCHS, WHICH WILL ADVANCE LEADING EDGE AND HIGHLY COORDINATED CARE IN THE BAY AREA. UNDER THIS AGREEMENT, SHC WAS SUBSTITUTED AS THE SOLE CORPORATE MEMBER OF VCHS WITH THE ASSOCIATED CONTROL OF VCHS, INCLUDING VALLEY MEMORIAL HOSPITAL ("VMH"), VALLEYCARE MEDICAL CENTER ("VCMC"), VALLEYCARE MEDICAL FOUNDATION ("VCMF"), AND VALLEYCARE SENIOR HOUSING, INC. ("VCSH"). ON MAY 18, 2015, WITH ALL CONDITIONS OF THE AFFILIATION AGREEMENT SATISFIED AND ALL REGULATORY APPROVALS OBTAINED, THE AFFILIATION BETWEEN VCHS AND SHC WAS CONSUMMATED AND BECAME EFFECTIVE. VCHS, WHICH OWNS VMH AND VCMC, AND WHICH IS THE MEMBER OF VCMF AND VCSH, BECAME A SUBSIDIARY OF SHC. AS A RESULT, EFFECTIVE MAY 18, 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS IS RELATED TO SHC AND ITS OTHER AFFILIATES. ADDITIONALLY, AS OF THIS DATE, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS IS NO LONGER AFFILIATED WITH VALLEYCARE CHARITABLE FOUNDATION.
SCHEDULE R, PART III, COLUMNS (E), (F), (G), (H), (I), (J), AND (K) RESPONSE IS "N/A" FOR ALL ORGANIZATIONS. SCHEDULE R, PART IV, LINE (2) CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (3) CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (4) OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE (5) POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, COLUMNS (F), (G), AND (H) RESPONSE IS "N/A" FOR ALL ORGANIZATIONS.
Schedule R (Form 990) 2014
Additional Data


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