Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.).. | ||||||
| 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) | |||||
| 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....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| 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. |
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