VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202402289349302380
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-15T15:18:37-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941294954EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone5593533000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368762ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTINA MYCROFTPersonNm
Person TitleSVP AND CFOPersonTitleTxt
Phone5593533000PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTODD SUNTRAPAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368762ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,280,636,524GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDRENActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee3957TotalEmployeeCnt
Total Volunteers277TotalVolunteersCnt
Total Gross UBI$2,296,979TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,432,528NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$48,366,824PYContributionsGrantsAmt
CY Contributions Grants$9,460,031CYContributionsGrantsAmt
PY Program Service Revenue$1,039,778,586PYProgramServiceRevenueAmt
CY Program Service Revenue$748,650,351CYProgramServiceRevenueAmt
PY Investment Income$31,738,502PYInvestmentIncomeAmt
CY Investment Income$50,512,885CYInvestmentIncomeAmt
PY Other Revenue$8,555,197PYOtherRevenueAmt
CY Other Revenue$12,944,813CYOtherRevenueAmt
PY Total Revenue$1,128,439,109PYTotalRevenueAmt
CY Total Revenue$821,568,080CYTotalRevenueAmt
PY Grants And Similar Paid$5,311,220PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,218,901CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$353,708,857PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$369,980,125CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$415,230,372PYOtherExpensesAmt
CY Other Expenses$404,558,073CYOtherExpensesAmt
PY Total Expenses$774,250,449PYTotalExpensesAmt
CY Total Expenses$775,757,099CYTotalExpensesAmt
PY Revenues Less Expenses$354,188,660PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$45,810,981CYRevenuesLessExpensesAmt
Total Assets BOY$2,061,981,246TotalAssetsBOYAmt
Total Assets EOY$2,141,940,535TotalAssetsEOYAmt
Total Liabilities BOY$378,845,445TotalLiabilitiesBOYAmt
Total Liabilities EOY$370,211,936TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,683,135,801NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,771,728,599NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$590,418,608ExpenseAmt
Grant$1,218,901GrantAmt
Revenue$748,650,351RevenueAmt
DescVALLEY CHILDREN'S HOSPITAL IS CENTRAL CALIFORNIA'S ONLY PEDIATRIC HOSPITAL, FEATURING THE REGION'S ONLY LEVEL IV NICU, A RENOWNED PEDIATRIC CANCER AND BLOOD DISEASES CENTER AND A PIONEERING HEART CENTER. WE WERE THE FIRST CHILDREN'S HOSPITAL WEST OF THE ROCKIES TO EARN THE MAGNET NURSING DESIGNATION - THE HIGHEST NURSING BENCHMARK - AND U.S. NEWS & WORLD REPORT RANKS US ONE OF THE NATION'S TOP CHILDREN'S HOSPITALS IN SEVEN SPECIALTIES. OUR TEAM OF 670 PHYSICIANS AND 3,500 STAFF MEMBERS PROVIDES HIGH-QUALITY CARE TO MORE THAN 1.3 MILLION CHILDREN IN THE REGION. SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY BENEFIT.Desc
Total Program Service Expenses$590,418,608TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document312IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3957EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TINA MYCROFT SVP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5593533000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP93636ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TODD SUNTRAPAK
CEO20.5039.50Yes (X)Yes (X)$2,989,322$0$62,300
BEVERLY HAYDEN-PUGH
SVP/ADVR TO CEO (AS OF 3/23)24.0036.00$1,507,867$0$132,447Yes (X)
MICHELE R WALDRON
SVP, CFO22.2037.80Yes (X)$1,294,288$0$55,030
NATALE PONTICELLO JR
SVP/ADVR TO SVP & CPO (AS OF 3/23)43.0017.00$1,169,900$0$98,966Yes (X)
DAVID CHRISTENSEN
SVP, CPE & PRES VCMG24.0036.00$1,209,196$0$52,507Yes (X)
JANE WILLSON
SVP, CHIEF STRATEGY OFFICER18.0042.00$706,393$0$452,480Yes (X)
DAVID HODGE JR
VP, MEDICAL GROUP & ANCILLARY OP35.0025.00$658,346$0$128,812Yes (X)
KEVIN SHIMAMOTO
VP AND ADVISOR TO CIO10.0050.00$665,445$0$104,968Yes (X)
DANIELLE BARRY
SVP, COO30.0030.00$673,281$0$95,684Yes (X)
KAREN DAHL
VP, MED AFFAIRS & PHYS DEV40.0020.00$653,115$0$102,687Yes (X)
MICHAEL GOLDRING
SVP STRATEGIC PARTNERSHIPS12.0048.00$695,477$0$42,890Yes (X)
LYNNE ASHBECK
SVP, CHIEF COMMUNITY IMPACT OFF18.0042.00$622,039$0$94,212Yes (X)
WILLIAM CHALTRAW JR
SVP, CHIEF LEGAL OFFICER12.0048.00$656,447$0$52,018Yes (X)
JOLIE LIMON
VP ACAD AFFAIRS, DIO & CHI50.0010.00$541,229$0$97,151Yes (X)
JOEL BROWNELL
VP, CHIEF MED INFO OFF. (THRU 9/23)40.0020.00$532,621$0$103,839Yes (X)
STEPHANIE VANCE
VP, FINANCE30.0030.00$510,109$0$112,734Yes (X)
JESSIE HUDGINS
VP, FACILITIES & SUPPORT (THRU 1/23)45.0015.00$517,510$0$82,203Yes (X)
JOSEPH EGAN
VP & CIO50.0010.00$406,743$0$63,648Yes (X)
VICKY TILTON
VP PATIENT CARE SVCS/CNO (AS OF 3/23)50.0010.00$422,014$0$41,522Yes (X)
KELLY BEALL
SVP/CHIEF PEOPLE OFFICER (AS OF 3/23)43.0017.00$314,797$0$49,482Yes (X)
KELLIE DYER
VP SUPPLY, CONSTR & FAC. (AS OF 1/23)35.0015.00$248,345$0$26,560Yes (X)
FAISAL RAZZAQI MD
CHIEF OF STAFF/BOARD MEMBER0.500.50Yes (X)$62,500$0$0
MIMI CHAO MD
FORMER CHIEF OF STAFF0.00$12,500$0$0Yes (X)
DAN ADAMS
BOARD TREASURER0.501.80Yes (X)Yes (X)$0$6,000$0
JOSE ELGORRIAGA
BOARD CHAIR0.601.40Yes (X)Yes (X)$0$0$0
JEANNINE CAMPOS GRECH
BOARD CHAIR (THRU 12/22)1.000.80Yes (X)Yes (X)$0$0$0
MICHAEL HANSON
BOARD VICE CHAIR0.501.80Yes (X)Yes (X)$0$0$0
DANIELLE PARNAGIAN
BOARD SECRETARY0.500.50Yes (X)Yes (X)$0$0$0
RILEY WALTER
BOARD MEMBER0.500.50Yes (X)$0$0$0
BILL SMITTCAMP
BOARD MEMBER0.501.80Yes (X)$0$0$0
DAN KOONTZ
BOARD MEMBER0.500.50Yes (X)$0$0$0
MENDY LAVAL
BOARD MEMBER0.500.50Yes (X)$0$0$0
SISSY DALENA WOOD
BOARD MEMBER0.500.50Yes (X)$0$0$0
LISA SMITTCAMP
BOARD MEMBER0.500.50Yes (X)$0$0$0
VALERIE VUICICH
GUILD MEMBER0.500.50Yes (X)$0$0$0
SUSAN BYERS
BOARD MEMBER0.500.50Yes (X)$0$0$0
JARROD MARTINEZ
BOARD MEMBER0.500.50Yes (X)$0$0$0
THOMAS PAGE MD
BOARD MEMBER0.500.50Yes (X)$0$0$0
ALLISON KARAHADIAN
BOARD MEMBER0.500.50Yes (X)$0$0$0
LUZ GONZALEZ MD
BOARD MEMBER0.500.50Yes (X)$0$0$0
KIM RUIZ BECK
BOARD MEMBER (THRU 1/23)1.000.60Yes (X)$0$0$0
NICO GENTILE
BOARD MEMBER (THRU 11/22)1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$17,069,484TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,000TotReportableCompRltdOrgAmt
Total Other Compensation$2,052,140TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K971IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636SUBSPEC PHYSICIAN SERVICES$44,685,000
QUIRING GENERAL LLC
5118 E CLINTON WAYFRESNOCA93727CONSTRUCTION SERVICES$31,625,706
PEDIATRIC ANESTHESIA ASSOCIATES
6235 N FRESNO ST STE 103FRESNOCA93710ANESTHESIA/CRITICAL CARE$15,092,527
SPAN CONSTRUCTION
3353 YEAGER DRMADERACA93637CONSTRUCTION SERVICES$6,559,460
SODEXO INC & ASSOCIATES
PO BOX 360170PITTSBURGHPA152516170HOUSEKEEPING SERVICES$5,616,045
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K148CntrctRcvdGreaterThan100KCnt
Related Organizations$6,682,995RelatedOrganizationsAmt
Government Grants$2,041,225GovernmentGrantsAmt
All Other Contributions$735,811AllOtherContributionsAmt
Noncash Contributions$23,507NoncashContributionsAmt
Total Contributions$9,460,031TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES900099$729,393,794$729,393,794
HOME CARE 340B PROGRAM900099$12,767,478$12,767,478
MANAGEMENT SERVICES541610$6,358,252$6,358,252
LAB SERVICES900099$130,827$130,827
FieldValueIRS element (for citing)
Total Program Service Revenue$748,650,351TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,000,954TotalRevenueColumnAmt
Unrelated Business Revenue$2,296,979UnrelatedBusinessRevenueAmt
Exclusion$42,703,975ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$991,314TotalRevenueColumnAmt
Exclusion$991,314ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,071,093RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$900,412RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$170,681RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$170,681TotalRevenueColumnAmt
Exclusion$170,681ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$462,358,692SecuritiesAmt
Other$215,084OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$458,040,871SecuritiesAmt
Other$12,288OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,317,821SecuritiesAmt
Other$202,796OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,520,617TotalRevenueColumnAmt
Exclusion$4,520,617ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$347,412GrossSalesOfInventoryAmt
Cost Of Goods Sold$114,873CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,539TotalRevenueColumnAmt
Exclusion$232,539ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business900099BusinessCd
Total Revenue Column$2,465,351TotalRevenueColumnAmt
Exclusion$2,465,351ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,076,242TotalRevenueColumnAmt
Exclusion$10,076,242ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,541,593OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$821,568,080TotalRevenueColumnAmt
Related Or Exempt Func Income$748,650,351RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,296,979UnrelatedBusinessRevenueAmt
Exclusion$61,160,719ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$905,798TotalAmt
Program Services$905,798ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$313,103TotalAmt
Program Services$313,103ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,288,559TotalAmt
Management And General$16,288,559ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$269,024,999TotalAmt
Program Services$204,541,576ProgramServicesAmt
Management And General$64,483,423ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,544,658TotalAmt
Program Services$11,767,834ProgramServicesAmt
Management And General$3,776,824ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,730,118TotalAmt
Program Services$34,104,507ProgramServicesAmt
Management And General$14,625,611ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,391,791TotalAmt
Program Services$14,885,391ProgramServicesAmt
Management And General$5,506,400ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,227,341TotalAmt
Program Services$143,116ProgramServicesAmt
Management And General$3,084,225ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,468,197TotalAmt
Management And General$2,468,197ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$259,528TotalAmt
Management And General$259,528ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$140,313TotalAmt
Management And General$140,313ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,586,116TotalAmt
Management And General$3,586,116ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$107,623,959TotalAmt
Program Services$107,303,189ProgramServicesAmt
Management And General$320,770ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,423,314TotalAmt
Program Services$68,134ProgramServicesAmt
Management And General$2,355,180ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$120,131,218TotalAmt
Program Services$111,636,040ProgramServicesAmt
Management And General$8,495,178ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,293,056TotalAmt
Program Services$6,072,837ProgramServicesAmt
Management And General$2,220,219ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,839,016TotalAmt
Program Services$6,780,012ProgramServicesAmt
Management And General$2,059,004ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$734,200TotalAmt
Program Services$232,776ProgramServicesAmt
Management And General$501,424ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$263,583TotalAmt
Program Services$58,135ProgramServicesAmt
Management And General$205,448ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,289,834TotalAmt
Program Services$7,856,893ProgramServicesAmt
Management And General$2,432,941ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,973,886TotalAmt
Program Services$20,252,153ProgramServicesAmt
Management And General$16,721,733ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,031,328TotalAmt
Management And General$6,031,328ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HOSPITAL FEE PROGRAM$38,061,845$38,061,845
PURCHASED SERVICES$33,760,888$15,004,771$18,756,117
BAD DEBT$9,601,391$9,601,391
UBI TAXES$150,000$150,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,699,060TotalAmt
Program Services$679,107ProgramServicesAmt
Management And General$11,019,953ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$775,757,099TotalAmt
Program Services$590,418,608ProgramServicesAmt
Management And General$185,338,491ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$885,991BOYAmt
EOY$812,358EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$646,160,966BOYAmt
EOY$488,908,207EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$777,563BOYAmt
EOY$968,363EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$111,218,980BOYAmt
EOY$103,018,092EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$38,534,416BOYAmt
EOY$58,150,923EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,677,924BOYAmt
EOY$14,738,794EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,822,499BOYAmt
EOY$11,904,486EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$881,108,958LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$436,053,238LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$400,603,378BOYAmt
EOY$445,055,720EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$461,048,891BOYAmt
EOY$536,982,420EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$206,266,947BOYAmt
EOY$251,771,950EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$45,306,074BOYAmt
EOY$44,683,956EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$123,677,617BOYAmt
EOY$184,945,266EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,061,981,246BOYAmt
EOY$2,141,940,535EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$96,249,707BOYAmt
EOY$90,954,979EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$254,735,818BOYAmt
EOY$246,977,204EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,859,920BOYAmt
EOY$32,279,753EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$378,845,445BOYAmt
EOY$370,211,936EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,650,610,632BOYAmt
EOY$1,744,021,434EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,525,169BOYAmt
EOY$27,707,165EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,683,135,801BOYAmt
EOY$1,771,728,599EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,061,981,246BOYAmt
EOY$2,141,940,535EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$45,810,981ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$45,071,930NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,290,113OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$16,930DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$341,809OtherActivitiesAmt
Total Lobbying Expenditures$358,739TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FormAndLineReferenceDesc
ExplanationVALLEY CHILDREN'S HOSPITAL HAS HAD DIRECT CONTACT WITH AND HAS ENCOURAGED OTHERS TO HAVE DIRECT CONTACT WITH LOCAL, STATE AND FEDERAL LEGISLATORS REGARDING CHILDREN'S HEALTH CARE PUBLIC POLICY. THESE CONTACTS HAVE PROVIDED INFORMATION REGARDING THE PROVISION OF HEALTH CARE SERVICES TO CHILDREN, THE ANTICIPATED EFFECT ON CHILDREN'S HEALTH AND VALLEY CHILDREN'S HOSPITAL OF PENDING LEGISLATIVE PROPOSALS, AND REQUESTS FOR ASSISTANCE IN SUPPORTING ACCESS TO CHILDREN'S HEALTH CARE BY MAINTAINING OR INCREASING CURRENT STATE AND FEDERAL FUNDING LEVELS FOR MEDI-CAL AND OTHER PUBLIC PROGRAMS. EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE LESS THAN 1% OF TOTAL HOSPITAL EXPENDITURES. VALLEY CHILDREN'S HOSPITAL HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $16,930 BROWNSTEIN HYATT FARBER SCHRECK $140,313 ASSOCIATION DUES RELATED TO LOBBYING NACH 31,958 AMERICAN SOCIETY HEALTHCARE ENGINEERING 82 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 351 CALIFORNIA CHAMBER OF COMMERCE 125 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 91,822 CALIFORNIA HOSPITAL ASSOCIATION/AMERICAN HOSP ASSOC 26,421 CHILDREN'S SPECIALTY CARE COALITION 3,791 FRESNO CHAMBER OF COMMERCE 275 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA 46,551 NATIONAL ASSOCIATION OF EPILEPSY CENTERS 120 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $358,739ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,118,669OtherCostOrOtherBasisAmt
Book Value$70,118,669BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$413,885,161OtherCostOrOtherBasisAmt
Depreciation$166,741,644DepreciationAmt
Book Value$247,143,517BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,554,557OtherCostOrOtherBasisAmt
Depreciation$3,553,961DepreciationAmt
Book Value$596BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$347,587,433OtherCostOrOtherBasisAmt
Depreciation$237,399,326DepreciationAmt
Book Value$110,188,107BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,963,138OtherCostOrOtherBasisAmt
Depreciation$28,358,307DepreciationAmt
Book Value$17,604,831BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$445,055,720TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIPS$92,930,080F
HEDGE FUNDS$95,946,826F
PRIVATE CAPITAL FUNDS$62,895,044F
FieldValueIRS element (for citing)
Total Book Value Securities$251,771,950TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DISPROPORTIONATE SHARE FUNDS RECEIVABLE$10,436,424
INSURANCE RECEIVABLE$12,671,037
PROVIDER FEE RECEIVABLE$159,584,178
457 TRUST FUNDS$4,960,090
OTHER$14,061,503
ADVANCE MED FOUNDATION-$18,296,994
PREPAID LEASE ASSET$1,529,028
FieldValueIRS element (for citing)
Total Book Value Other Assets$184,945,266TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
MALPRACTICE RESERVE$11,926,436
ACCRUED PENSION LIABILITY$513,027
457 LIABILITY$4,960,090
1732 LIABILITY$56,276
WORKERS COMP$4,004,574
INS LIABILITY$2,093,971
DC SERP LIABILITY$826,882
457F RT LIABILITY$498,010
OPERATING LEASE - LONG TERM PORTION$6,900,487
LAND DEVELOPMENT OBLIGATION$500,000
FieldValueIRS element (for citing)
Total Liability$32,279,753TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VII, LINE 3:FormAndLineReferenceDesc
ExplanationTHE OVERALL FINANCIAL OBJECTIVES OF THE HOSPITAL'S INVESTMENT PORTFOLIO ARE TO 1) PRESERVE PRINCIPAL AND MAINTAIN PURCHASING POWER FOR A PORTION OF PORTFOLIO ASSETS IN ORDER TO PROVIDE A SOURCE OF FUNDING FOR STRATEGIC INVESTMENT AND ANNUAL ENDOWMENT DISTRIBUTIONS, AND 2) GROW A PORTION OF PORTFOLIO ASSETS TO IMPROVE THE FINANCIAL WELL-BEING OF VALLEY CHILDREN'S HEALTHCARE AND ITS SUBSIDIARIES. TO ACHIEVE THESE GOALS, THE PORTFOLIO IS INVESTED IN A VARIETY OF INVESTMENT VEHICLES INCLUDING, BUT NOT LIMITED TO, MUTUAL FUNDS, EXCHANGE TRADED FUNDS, SEPARATELY MANAGED ACCOUNTS, COMMINGLED FUNDS, US TREASURY NOTES, LIMITED PARTNERSHIPS, HEDGE FUNDS AND PRIVATE CAPITAL FUNDSExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$137,661,677
EUROPE (INCLUDING ICELAND & GREENLAND)00INVESTMENTS$23,380,447
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$161,042,124SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$161,042,124TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3:THE AMOUNT IN COLUMN F IS BASED ON FAIR MARKET VALUE.
PART III ACCOUNTING METHOD:

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,423TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,423NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$515,432,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$467,061,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,371,425NetCommunityBenefitExpnsAmt
Total Expense0.06310TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$413,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,209DirectOffsettingRevenueAmt
Net Community Benefit Expns$251,860NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$515,938,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$467,222,620DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,715,708NetCommunityBenefitExpnsAmt
Total Expense0.06350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,407,211TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,407,211NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,706,137TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,659,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,046,330NetCommunityBenefitExpnsAmt
Total Expense0.01700TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,371,405TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$474,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$896,598NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$966,714TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$966,714NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,451,467TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,134,614DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,316,853NetCommunityBenefitExpnsAmt
Total Expense0.02260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$535,389,795TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$469,357,234DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,032,561NetCommunityBenefitExpnsAmt
Total Expense0.08610TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,178,201BadDebtExpenseAmt
Reimbursed By Medicare$128,925ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$239,984CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$111,059MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY CHILDREN'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368761ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.VALLEYCHILDRENS.ORGWebsiteAddressTxt
State License040000160StateLicenseNum
Childrens HospitalYes (X)ChildrensHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFITOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFITStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5:FACILITY REPORTING GROUP AIN CONDUCTING THE MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. A VARIETY OF PRIMARY DATA COLLECTION METHODS WERE USED TO OBTAIN COMMUNITY INPUT INCLUDING FOCUS GROUPS, INTERVIEWS, AND SURVEYS. THE COLLECTED DATA WERE USED TO IDENTIFY SIGNIFICANT COMMUNITY NEEDS.FRESNO, KINGS, MADERA, AND TULARE COUNTIESPRIMARY DATA WERE COLLECTED THROUGH SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE SURVEY INCLUDED QUESTIONS TO DESCRIBE THE COMMUNITY, THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH STATUS AND WAS AVAILABLE IN ENGLISH AND SPANISH. COMMUNITY ORGANIZATIONS DISTRIBUTED THE SURVEYS ONLINE AND IN PAPER FORMAT. 4,856 USABLE SURVEYS WERE RECEIVED. COMMUNITY-BASED ORGANIZATIONS AND OTHER GROUPS LED THE FOCUS GROUPS AND INTERVIEWS. COMMUNITY MEMBERS ATTENDED IN-PERSON OR VIRTUALLY ON ZOOM. FIFTY-NINE (59) FOCUS GROUPS ENGAGED 473 PERSONS FROM OCTOBER TO DECEMBER 2021. TARGET POPULATIONS FOR THE FOCUS GROUPS WERE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY. KEY INFORMANTS WERE CHOSEN FOR INTERVIEWS BASED ON THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES. FIFTY (50) KEY INFORMANT INTERVIEWS WERE COMPLETED FROM OCTOBER TO DECEMBER 2021.KERN COUNTYPRIMARY DATA WERE COLLECTED THROUGH INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND SURVEYS WITH COMMUNITY RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THIRTY (30) TELEPHONE INTERVIEWS WERE CONDUCTED FROM OCTOBER TO DECEMBER 2021. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN KERN COUNTY WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. SURVEYS WERE DISTRIBUTED TO ENGAGE COMMUNITY RESIDENTS AND OBTAIN INPUT ON HEALTH AND SOCIAL NEEDS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM SEPTEMBER 13 TO NOVEMBER 15, 2021. DURING THIS TIME, 255 USABLE SURVEYS WERE COLLECTED. THE SURVEYS WERE DISTRIBUTED THROUGH HOSPITAL CHANNELS INCLUDING SOCIAL MEDIA. THE SURVEY WAS ALSO DISTRIBUTED TO COMMUNITY PARTNERS WHO MADE THEM AVAILABLE TO THEIR CLIENTS.MERCED COUNTYTHE ASSESSMENT INCORPORATED PRIMARY RESEARCH THROUGH A COMMUNITY HEALTH SURVEY AND AN ONLINE KEY INFORMANT SURVEY. THE SURVEYS WERE CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE) AND THROUGH ONLINE QUESTIONNAIRES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 300 INDIVIDUALS, AGES 18 AND OLDER, IN MERCED COUNTY. WHEN THE INTERVIEWS WERE COMPLETED, THEY WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION TO APPROPRIATELY REPRESENT MERCED COUNTY AS A WHOLE.AN ONLINE KEY INFORMANT SURVEY SOLICITED INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY VALLEY CHILDREN'S HOSPITAL AND MERCY MEDICAL CENTER MERCED. THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 69 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.PARTICIPATION INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS:- ACE OVERCOMERS- ALL DADS MATTER- BEHAVIORAL HEALTH- CASTLE FAMILY HEALTH CENTERS- CENTRAL CALIFORNIA ALLIANCE FOR HEALTH- CENTRAL OPPORTUNITY CENTER CVOC- COURT APPOINTED SPECIAL ADVOCATES MERCED COUNTY- FAMILY RESOURCE COUNCIL- FIRST 5 MERCED COUNTY- HEAD START PROGRAM MERCED COUNTY OFFICE OF EDUCATION- MERCED CITY SCHOOL DISTRICT- MERCED COUNTY COMMUNITY ACTION AGENCY WIC- MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH- MERCED COUNTY HUMAN SERVICES AGENCY, ALL MOMS MATTER- MERCED COUNTY HUMAN SERVICES AGENCY, EMPLOYMENT AND TRAINING BRANCH- MERCED COUNTY MENTAL HEALTH DEPT.- MERCED COUNTY OFFICE OF EDUCATION, CARING KIDS- MERCED COUNTY OFFICE OF EDUCATION, GROW PROGRAM- MERCED COUNTY OFFICE OF EDUCATION, MIGRANT EDUCATION- MERCED RESCUE MISSION- PEOPLE'S PROMISE- SIERRA VISTA CHILDREN AND FAMILY SERVICES- ST. VINCENT DE PAUL SOCIETY PLANADA- UNIVERSITY OF CALIFORNIA MERCED- VALLEY CRISIS CENTERSTANISLAUS COUNTYTWELVE (12) INTERVIEWS WERE CONDUCTED DURING JANUARY AND FEBRUARY 2022. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH THE HEALTH AND WELLBEING IN STANISLAUS COUNTY, WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITY. ORGANIZATIONS WERE IDENTIFIED BASED ON THE ROLE THEY PLAYED IN THE COMMUNITY. INDIVIDUALS REPRESENTING ORGANIZATIONS THAT DELIVERED HEALTH AND RELATED SOCIAL SERVICES TO THE COMMUNITY AT-LARGE WERE SOLICITED FOR INVOLVEMENT. SOCIAL SERVICE/COMMUNITY SERVING ORGANIZATIONS, INCLUDING HEALTH CARE PROVIDERS (FQHCS), AND THE INDIVIDUALS REPRESENTING THEM, WERE ALSO RECRUITED FOR PARTICIPATION. THE LOCAL PUBLIC HEALTH AGENCY WAS RECRUITED FOR PARTICIPATION AND REPRESENTATIVES FROM THE HOSPITAL WERE INCLUDED.FOCUS GROUP PARTICIPANTS WERE IDENTIFIED FROM THE ORGANIZATIONS SERVING THE COMMUNITY'S MOST VULNERABLE POPULATIONS. IN SOME INSTANCES, WHERE A FOCUS GROUP WAS DIFFICULT TO CONVENE (DUE TO THE PANDEMIC), REPRESENTATIVES THAT WORKED DIRECTLY WITH VULNERABLE POPULATIONS WERE SOLICITED FOR INVOLVEMENT. THREE (3) FOCUS GROUPS ENGAGED 17 PEOPLE AND WERE HELD VIA ZOOM IN MARCH 2022. FOCUS GROUP PARTICIPANTS REPRESENTED COMMUNITY HEALTH WORKERS, STUDENTS, VOLUNTEERS AND OUTREACH WORKERS. KEY INFORMANTS WERE CHOSEN FOR INTERVIEWS BASED ON THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES.
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: VALLEY CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:VALLEY CHILDREN'S HOSPITAL COLLABORATED WITH THE FOLLOWING HOSPITAL FACILITIES TO COMPLETE THE CHNA:FRESNO, KINGS, MADERA AND TULARE COUNTIES- SAINT AGNES MEDICAL CENTER AND COMMUNITY REGIONAL MEDICAL CENTER.KERN COUNTY- DIGNITY HEALTH (MERCY AND MEMORIAL HOSPITALS), ADVENTIST HEALTH (BAKERSFIELD, DELANO AND TEHACHAPI VALLEY), KERN MEDICAL, AND KAISER PERMANENTE.MERCED COUNTY- MERCY MEDICAL CENTER MERCED.STANISLAUS COUNTY- SUTTER HEALTH MEMORIAL MEDICAL CENTER.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:VALLEY CHILDREN'S HOSPITAL COLLABORATED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA TO COMPLETE THE CHNA.
PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE:WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT
PART V, SECTION B, LINE 11THE 2022 CHNA PROCESS INCLUDED COLLECTION AND ANALYSIS OF DATA SOURCES FOR THE HOSPITAL SERVICE AREA. SECONDARY DATA WERE COLLECTED FROM COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTH CARE, BIRTH CHARACTERISTICS, ACUTE AND CHRONIC CONDITIONS, HEALTH BEHAVIORS, MENTAL HEALTH, AND SUBSTANCE USE. IN ADDITION, VALLEY CHILDREN'S CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS WITH COMMUNITY STAKEHOLDERS AND RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THE COLLECTED DATA WERE USED TO IDENTIFY SIGNIFICANT COMMUNITY NEEDS. GIVEN THE COMMUNITY INPUT SPECIFIC TO CHILD HEALTH, THE MAJOR NEEDS IDENTIFIED FOR CHILDREN THROUGHOUT THE SERVICE AREA INCLUDED THE FOLLOWING:- ACCESS TO HEALTH CARE INCLUDES ACCESS TO PRIMARY CARE, SPECIALTY CARE, PREVENTIVE CARE, AND TRANSPORTATION.- CHRONIC DISEASES INCLUDE PREVENTION, MANAGEMENT, AND TREATMENT OF CHRONIC DISEASES (DIABETES, ASTHMA, CANCER), CAREGIVER SUPPORT FOR CHILDREN EXPERIENCING CHRONIC DISEASES.- ECONOMIC INSECURITY INCLUDES POVERTY, BASIC NEEDS SERVICES, AND FOOD INSECURITY.- HOUSING AND HOMELESSNESS INCLUDE ACCESS TO SAFE AND AFFORDABLE HOUSING, AND ISSUES RELATED TO PERSONS WHO ARE EXPERIENCING HOMELESSNESS, INCLUDING HOUSING AVAILABILITY, SOCIAL SERVICES AND TRANSITIONAL CARE.- MATERNAL AND INFANT HEALTH INCLUDE TEEN PREGNANCY, PRENATAL CARE, LOW-BIRTH WEIGHT BIRTHS,PREMATURE BIRTHS, INFANT MORTALITY, AND BREASTFEEDING.- MENTAL HEALTH INCLUDES ANXIETY AND DEPRESSION, SEVERE MENTAL ILLNESS, ACCESS TO MENTAL HEALTHCARE AND SUPPORTIVE SERVICES, REDUCTION IN STIGMA AND AVAILABILITY OF MENTAL HEALTH CARE BEDS.- OBESITY/NUTRITION/PHYSICAL ACTIVITY INCLUDE ACCESS TO HEALTHY, AFFORDABLE FOOD, INCREASED ACCESS TO OUTDOOR ACTIVITIES.- PREVENTIVE CARE INCLUDES VACCINES, TESTING AND SCREENINGS.- SUBSTANCE USE AND MISUSE INCLUDE TOBACCO USE, VAPING, DRUG MISUSE AND ALCOHOL USE.- VIOLENCE AND INJURY PREVENTION INCLUDE ACCIDENTAL INJURIES, NEIGHBORHOOD SAFETY, REDUCTION IN CRIME, AND CHILD ABUSE.THE CHNA SERVED AS A RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. THE COMMUNITY PRIORITIZATION OF NEEDS WAS ALSO TAKEN INTO CONSIDERATION. VALLEY CHILDREN'S IS ADDRESSING THE FOLLOWING NEEDS:- ACCESS TO HEALTH CARE (INCLUDING PREVENTIVE CARE)- CHRONIC DISEASES (INCLUDING OBESITY, NUTRITION, AND PHYSICAL ACTIVITY)- MATERNAL AND INFANT HEALTH- MENTAL HEALTH- VIOLENCE AND INJURY PREVENTIONACCESS TO CARE (INCLUDING PREVENTIVE CARE):ACCESS TO PRIMARY AND PREVENTIVE CARE FOR AT-RISK CHILDRENPEDIATRIC PHYSICIAN RESIDENTS PARTICIPATING IN VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM PROVIDED PRIMARY AND PREVENTIVE HEALTHCARE SERVICES TO AT-RISK CHILDREN IN FRESNO COUNTY AS PART OF THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS' MOBILE HEALTH UNIT (MHU). DESIGNED TO HELP ENSURE THAT CHILDREN ARE HEALTHY AND READY TO LEARN, THE MHU VISITED 31 DIFFERENT SCHOOLS IN 2023, INCLUDING MANY LOCATED IN RURAL AND LOW-INCOME COMMUNITIES. AS A PART OF THOSE VISITS, 1,164 CHILDHOOD VACCINATIONS WERE ADMINISTERED, AND 331 SPORTS PHYSICALS WERE PERFORMED.AFFORDABLE BROADBAND INTERNET ACCESSACCESS TO AFFORDABLE AND RELIABLE BROADBAND INTERNET SERVICE IS CRITICAL TO ENSURING THAT EVERYONE HAS ACCESS TO QUALITY HEALTH CARE INCLUDING INDIVIDUALS LIVING IN AREAS WHERE HEALTH CARE PROVIDERS AND SERVICES ARE IN SHORT SUPPLY.IN RECOGNITION OF THIS REALITY, VALLEY CHILDREN'S WAS ACTIVELY INVOLVED IN COMMUNITY-BASED EFFORTS TO IMPROVE ACCESS TO BROADBAND INCLUDING SERVING AS A MEMBER OF THE FRESNO COALITION FOR DIGITAL INCLUSION (FCDI) EXECUTIVE POLICY WORKGROUP. ESTABLISHED IN 2022, FCDI BRINGS TOGETHER INSTITUTIONS, LOCAL GOVERNMENT/PUBLIC AGENCIES AND COMMUNITY-BASED ORGANIZATIONS TO COLLABORATE WITH SHARED PURPOSE TOWARD EQUITABLE INTERNET ACCESS. THERE ARE PRESENTLY 29 ORGANIZATIONS AT THE TABLE REPRESENTING THE COUNTY AND CITY OF FRESNO, K-12, HIGHER EDUCATION, HEALTHCARE, HOUSING AND COMMUNITY-BASED ORGANIZATIONS. THE COALITION'S WORK IN 2023 INCLUDED ANALYSIS OF BROADBAND ACCESS GAPS IN FRESNO COUNTY AND ADVOCACY TO ENSURE THAT REGULATORS AND POLICY MAKERS WERE USING THE MOST ACCURATE DATA IN IDENTIFYING AREAS OF GREATEST NEED.ENROLLMENT IN HEALTH INSURANCE VALLEY CHILDREN'S IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM OR VALLEY CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, VALLEY CHILDREN'S STAFF ASSISTED THE FAMILIES WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES.TRANSPORTATIONGIVEN THE CENTRAL VALLEY'S LARGELY RURAL LANDSCAPE AND HIGH CONCENTRATION OF POVERTY, TRANSPORTATION HAS LONG BEEN A CHALLENGE FOR MANY FAMILIES. VALLEY CHILDREN'S CONTINUED TO WORK WITH THE COMMUNITY TO IMPROVE PUBLIC TRANSPORTATION AND ACCESS TO CARE. VALLEY CHILDREN'S SOCIAL WORK DEPARTMENT ASSISTED FAMILIES WITH TRANSPORTATION BY PROVIDING GAS CARDS, TAXI VOUCHERS, AMTRAK TICKETS AND BUS TOKENS. VALLEY CHILDREN'S ALSO SUBSIDIZED BUS AND OTHER PUBLIC TRANSIT SERVICES FROM THE CITY OF FRESNO AND KINGS COUNTY.EXPANDED ACCESS TO PEDIATRIC PRIMARY AND SPECIALTY CAREVALLEY CHILDREN'S MADE CASH CONTRIBUTIONS FOR THE PURCHASE OF CAPITAL-RELATED ITEMS TO BE USED TO INCREASE ACCESS TO HEALTHCARE SERVICES FOR CHILDREN THROUGHOUT THE REGION.CHRONIC DISEASE PREVENTION (INCLUDING OBESITY, NUTRITION AND PHYSICAL ACTIVITY)ADAPTIVE SPORTS PROGRAMVALLEY CHILDREN'S ADAPTIVE SPORTS PROGRAM PROVIDED FREE RECREATIONAL AND ATHLETIC EXPERIENCES FOR CHILDREN, ADOLESCENTS AND YOUNG ADULTS WITH DISABILITIES, REGARDLESS OF WHETHER THEY HAVE BEEN OR ARE CURRENTLY PATIENTS AT VALLEY CHILDREN'S. THE PROGRAM, THE ONLY ONE OF ITS KIND IN CENTRAL CALIFORNIA, IS DESIGNED FOR INDIVIDUALS WITH PHYSICAL IMPAIRMENTS AND CONDITIONS RANGING FROM CEREBRAL PALSY, SPINAL CORD INJURIES AND AMPUTATIONS. DISABLED YOUTH, UP TO AGE 21, WERE ESPECIALLY ENCOURAGED TO ATTEND. IN 2023, APPROXIMATELY 70 CHILDREN PARTICIPATED IN A VARIETY OF ACTIVITIES INCLUDING WHEELCHAIR BASKETBALL, WHEELCHAIR TENNIS, WHEELCHAIR SOCCER, CANOEING/KAYAKING, ROCK CLIMBING, TRACK AND FIELD, AND SNOW AND WATER SKIING.FOOD FOR FAMILIESVALLEY CHILDREN'S DIETARY DEPARTMENT PROVIDED MEAL COUPONS TO BREASTFEEDING MOMS WHOSE INFANTS WERE AT VALLEY CHILDREN'S. ADDITIONALLY, VALLEY CHILDREN'S SOCIAL WORK TEAM PROVIDED PATIENTS' FAMILIES WHO WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL WITH MEAL COUPONS WHEN THE NEED WAS DETERMINED. THE SOCIAL WORK TEAM ALSO WORKED CLOSELY WITH THE CALIFORNIA CHILDREN'S SERVICES PROGRAM TO PROVIDE FOOD FOR ELIGIBLE FAMILIES.FOOD SECURITY - CENTRAL CALIFORNIA FOOD BANK PARTNERSHIPIN MARCH 2022, VALLEY CHILDREN'S ENTERED INTO A THREE-YEAR PARTNERSHIP WITH THE CENTRAL CALIFORNIA FOOD BANK TO SUPPORT ACCESS TO HEALTHY AND NUTRITIOUS FOOD FOR CHILDREN AND FAMILIES ACROSS OUR SERVICE AREA. THROUGH THE PARTNERSHIP, VALLEY CHILDREN'S HAS COMMITTED FUNDING OVER THREE YEARS THAT SUPPORTS THE FOLLOWING INTERVENTIONS: A) FOOD DISTRIBUTIONS TO UP TO 70 FAMILIES WITH CHILDREN BEING SERVED BY VALLEY CHILDREN'S HOME CARE. QUALIFYING FAMILIES RECEIVE ONE FOOD BOX PER MONTH, B) FOOD DISTRIBUTIONS TO UP TO 100 FAMILIES EACH YEAR THROUGH A MONTHLY FOOD DISTRIBUTION AT WEST FRESNO MIDDLE SCHOOL, AND C) SUPPORT FOR THE FIRST FRUITS MARKET AT CITY CENTER IN FRESNO THAT IS AVAILABLE TO LOW-INCOME FAMILIES WITH CHILDREN TO ACCESS NUTRITIOUS FOOD, FREE OF CHARGE, IN A SETTING MUCH LIKE ANY NEIGHBORHOOD GROCERY STORY. REGARDING THE FOOD DISTRIBUTION TO VALLEY CHILDREN'S HOME CARE PATIENTS, HOME CARE STAFF DISTRIBUTED 8,492 POUNDS OF FOOD (THE EQUIVALENT OF 7,076 MEALS) TO 35 FAMILIES INCLUDING 90 CHILDREN IN THE PARTNERSHIP'S FIRST YEAR.REGARDING THE FOOD DISTRIBUTION AT WEST FRESNO MIDDLE SCHOOL, 23,055 POUNDS OF FOOD WERE DISTRIBUTED (THE EQUIVALENT OF 19,213 MEALS) TO 377 FAMILIES INCLUDING 1,382 CHILDREN IN THE FIRST YEAR OF THE PARTNERSHIP.FOOD SECURITY - MERCED PARTNERSHIPIN MERCED COUNTY, VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE PARTNERED WITH COMMUNITY INITIATIVES FOR COLLECTIVE IMPACT AND THE MERCED COUNTY FOOD BANK TO HELP NEEDY FAMILIES ACCESS FOOD AT LOCAL GROCERY STORES. THROUGH THE PARTNERSHIP, VALLEY CHILDREN'S PROVIDERS SCREEN ALL CHILDREN ENROLLED IN MEDI-CAL AND THEIR FAMILIES FOR FOOD INSECURITY AND IF A FAMILY SCREENS POSITIVE FOR FOOD INSECURITY, THE PROVIDERS WILL GIVE THE FAMILY A COUPON THAT CAN BE USED AT ANY GROCERY STORE THAT ACCEPTS FOOD COUPONS TO HELP WITH THE PURCHASE OF STAPLES SUCH AS FRUITS, VEGETABLES AND DAIRY PRODUCTS.
PART V, SECTION B, LINE 11 (CONTINUED)BLUE ZONES PROJECT BAKERSFIELDIN 2023, VALLEY CHILDREN'S PROVIDED FINANCIAL SUPPORT FOR THE BLUE ZONES BAKERSFIELD INITIATIVE, SUPPORTED ITS ADVOCACY EFFORTS, AND PARTICIPATED ON THE INITIATIVE'S STEERING COMMITTEE AND SCHOOL WELLNESS COMMITTEE.VALLEY CHILDREN'S HEALTHCARE, THROUGH ITS GUILDS CENTER FOR COMMUNITY HEALTH, JOINED ADVENTIST HEALTH AND OTHER STAKEHOLDERS TO LAUNCH BLUE ZONES PROJECT BAKERSFIELD. BASED ON THE NATIONAL BLUE ZONES PROJECT MODEL, THE BAKERSFIELD PROJECT IS A WELL-BEING IMPROVEMENT INITIATIVE DESIGNED TO MAKE HEALTHIER CHOICES EASIER BY ENCOURAGING CHANGES THAT LEAD TO HEALTHIER OPTIONS. WHEN INDIVIDUALS AND ORGANIZATIONS PARTICIPATE, THEIR SMALL CHANGES CONTRIBUTE TO HUGE BENEFITS: LOWERED HEALTH CARE COSTS, IMPROVED PRODUCTIVITY, AND A HIGHER QUALITY OF LIFE.BLUE ZONES BAKERSFIELD SUPPORTED INTERVENTIONS AND INITIATIVES THAT EMPOWER PEOPLE, INCENTIVIZE PLACES TO ENHANCE THE WAYS THEY PROMOTE HEALTH AND WELLNESS, AND IMPLEMENT POLICY THAT TRANSFORMS THE ENVIRONMENT. BLUE ZONES SUPPORTED COMMUNITY WALKING GROUPS, HOSTING COOKING DEMONSTRATIONS, AND IS WORKING ON A COMPREHENSIVE GRASS ROOTS ENGAGEMENT STRATEGY NEIGHBORHOOD BY NEIGHBORHOOD. BLUE ZONES WORKED WITH SCHOOLS, WORKSITES, GROCERY STORES AND RESTAURANTS, AND FAITH-BASED ORGANIZATIONS TO IMPLEMENT PRACTICES THAT MAKE IT EASIER FOR INDIVIDUALS TO MAKE HEALTHY CHOICES. BLUE ZONES SUPPORTED POLICY CHANGES THAT REDUCE TOBACCO USE, INCREASE THE AVAILABILITY OF HEALTHY FOODS, AND PROMOTE CHANGES TO THE BUILT ENVIRONMENT THAT MAKE IT EASIER AND SAFER FOR RESIDENTS TO TAKE ADVANTAGE OF AMENITIES SUCH AS PARKS, SIDEWALKS, BIKE PATHS, AND PUBLIC TRANSPORTATION.HELP ME GROWHELP ME GROW IS A SYSTEM USED THROUGHOUT THE UNITED STATES TO HELP CHILDREN REACH THEIR OPTIMAL DEVELOPMENT BY KINDERGARTEN. HELP ME GROW PROGRAMS INCLUDE A CENTRALIZED INTAKE AND REFERRAL PROCESS, COMMUNITY OUTREACH TO PROMOTE EARLY INTERVENTION SYSTEMS, TARGETED OUTREACH TO CHILDCARE AND CHILD HEALTH PROVIDERS, AND THE COLLECTION AND ANALYSIS OF DATA TO IMPROVE THE SYSTEM.IN SPRING 2023, VALLEY CHILDREN'S, IN PARTNERSHIP WITH FIRST 5 FRESNO, FIRST 5 KERN, AND FIRST 5 MERCED, ENGAGED THE SERVICES OF A CONSULTANT TO CONDUCT A STUDY REGARDING A POTENTIAL REGIONAL HELP ME GROW INITIATIVE. THE GOAL OF THIS STUDY WAS TO EVALUATE THE BENEFITS OF, AND DEVELOP A PLAN FOR, THE CREATION OF A REGIONAL INITIATIVE THAT PROMOTES COLLABORATION, CAPACITY BUILDING, ENHANCED SCREENING LEVELS, AND IMPROVED SYSTEMS OF CARE FOR ALL CHILDREN. THE STUDY, WHICH WAS COMPLETED IN NOVEMBER 2023, CONCLUDED THAT THERE WAS JUSTIFICATION FOR AND SUPPORT FOR A REGIONAL INITIATIVE AND PROVIDED A BLUE PRINT FOR CREATING A CENTRAL VALLEY HELP ME GROW PROGRAM. VALLEY CHILDREN'S IS CURRENTLY FACILITATING WORK TOWARDS CREATING THAT PROGRAM.EPILEPSY SUPPORT PROGRAMVALLEY CHILDREN'S EPILEPSY PROGRAM CONTINUED ITS COMMUNITY-BASED OUTREACH WORK IN 2023 BY PROVIDING THE FOLLOWING EDUCATION AND TRAINING TO KEY STAKEHOLDERS.- THE PROGRAM PROVIDED TRAINING TO 541 STAFF ACROSS 8 SCHOOL DISTRICTS ON SEIZURE PREPAREDNESS AND SAFETY AND PROVIDED 100 COMFORT CARE BACKPACKS TO SCHOOLS FOR STUDENTS WITH EPILEPSY.- THE PROGRAM FACILITATED 25 SEPARATE SUPPORT GROUPS THAT REACHED 26 TEENS AND 52 PARENTS.- THE PROGRAM'S SOCIAL MEDIA VIDEOS ON SEIZURE RESCUE MEDICATION WERE VIEWED OVER 68,000 TIMES AND WERE USED IN SCHOOL TRAININGS NATIONALLY PROVIDING INSTRUCTION TO SCHOOL STAFF ON HOW TO ADMINISTER EMERGENCY SEIZURE RESCUE MEDICATIONS.- THE PROGRAM PARTICIPATED IN A NUMBER OF COMMUNITY EVENTS THROUGH WHICH IT WAS ABLE TO PROVIDE EDUCATION AND PROMOTE AWARENESS REGARDING EPILEPSY TO OVER 3,800 INDIVIDUALS.- THE PROGRAM'S LEADERSHIP ALSO WAS ACTIVE IN PUBLIC POLICY AT A STATE AND FEDERAL LEVEL INCLUDING PROVIDING IMPORTANT EDUCATION AND INFORMATION TO THE CONGRESSIONAL EPILEPSY CAUCUS AND SERVING ON THE EPILEPSY ALLIANCE AMERICA BOARD OF DIRECTORS.SCHOOLS FOR THRIVING AND HEALTHY STUDENTSVALLEY CHILDREN'S AND THE GUILDS CENTER FOR COMMUNITY HEALTH, IN PARTNERSHIP WITH THE CENTER FOR WELLNESS AND NUTRITION AND NO KID HUNGRY, COMPLETED PHASE II OF SCHOOLS FOR HEALTHY AND THRIVING STUDENTS, WHICH SUPPORTED SCHOOL DISTRICTS IN THEIR EFFORTS TO UPDATE AND FULLY LEVERAGE SCHOOL WELLNESS POLICIES, INCLUDING POLICIES ADDRESSING PHYSICAL ACTIVITY AND NUTRITION.THE FRAMEWORK FOR THE WORK WAS THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL (WSCC), A STUDENT-CENTERED TOOL FOR ADDRESSING HEALTH IN SCHOOLS. OF THE 17 PARTICIPATING SCHOOL DISTRICTS, 4 UPDATED THEIR SCHOOL DISTRICT WELLNESS POLICIES AND 14 UPDATED A WSCC RELATED POLICY.MATERNAL AND INFANT HEALTHCLINICAL PARTNERSHIP PROGRAMVALLEY CHILDREN'S CLINICAL PARTNERSHIP PROGRAM BRINGS TOGETHER INSTITUTIONS FOCUSED ON ENHANCING NEONATAL AND PEDIATRIC CARE, REGARDLESS OF WHETHER THE ILL OR INJURED CHILD BECOMES A VALLEY CHILDREN'S PATIENT. THIS EFFORT HELPED PREVENT CHILDREN FROM BEING TRANSFERRED OR REFERRED UNNECESSARILY TO VALLEY CHILDREN'S, AND HELPED TO QUICKLY IDENTIFY WHEN A CHILD NEEDS ADVANCED PEDIATRIC CARE. WITH IMPROVED COMMUNICATION AND TOOLS, THE PROGRAM DECREASED STRESS FOR PATIENTS AND FAMILIES AND INCREASED PROVIDER CONFIDENCE IN PROVIDING PEDIATRIC CARE, WHILE ENHANCING PERFORMANCE AT VALLEY CHILDREN'S AND THE PARTNERING PROVIDER.THE GOALS OF OUR CLINICAL PARTNERSHIP INCLUDED:- IMPROVED QUALITY AND CONFIDENCE IN PROVIDING PEDIATRIC CARE- MORE CARE DELIVERED CLOSER TO HOME- ENHANCED, COORDINATED CARE- IMPROVED ACCESS TO VALLEY CHILDREN'S HOSPITALISTS, SPECIALISTS, RESOURCES AND NURSING AND ANCILLARY CLINICAL EXPERTISEIN 2023, VALLEY CHILDREN'S SUPPORTED 17 INPATIENT CLINICAL PARTNERS AND, AS A PART OF THAT SUPPORT, CONVENED 22 TRAINING AND EDUCATION EVENTS THAT DREW MORE THAN 750 ATTENDEES. THE AVERAGE INVESTMENT OF TIME FOR EACH HOSPITAL PARTNER WAS MORE THAN 300 HOURS ANNUALLY.SAFE SLEEP FOR INFANTSVALLEY CHILDREN'S CO-LEADS THE CENTRAL VALLEY SAFE SLEEP COALITION, IN CONJUNCTION WITH FIRST 5 FRESNO COUNTY. THE SAFE SLEEP COALITION IS A 9-COUNTY COLLABORATIVE FOCUSES ON PROVIDING CULTURALLY APPROPRIATE RISK REDUCTION EDUCATION AND RESOURCES ON SAFE INFANT SLEEP.IN SEPTEMBER 2023, THE COALITION HELD ITS FIRST LEARNING COLLABORATIVE GEARED TOWARD SAFE SLEEP EDUCATION FOR CHILDCARE CENTER PROVIDERS, LICENSED AND UNLICENSED IN-HOME CHILDCARE PROVIDERS, AND ANY FRIENDS, FAMILY OR NEIGHBORS WHO PROVIDE CARE TO INFANTS UNDER THE AGE OF 1 YEAR. THE FIRST COLLABORATIVE HOSTED OVER 200 LEARNERS FROM ALL 9 CENTRAL VALLEY COUNTIES AND WAS SIMULTANEOUSLY TRANSLATED INTO SPANISH TO PROVIDE MORE EQUITABLE ACCESS TO THIS CRITICAL INFORMATION. COMMUNITY SUPPORT VALLEY CHILDREN'S DONATED DIAPERS TO UNDERSERVED RESIDENTS.MENTAL HEALTHMENTAL HEALTH IS ONE OF THE MOST PRESSING NEEDS FACING CHILDREN IN CALIFORNIA. CHILDREN LIVING IN VALLEY CHILDREN'S SERVICE AREA ARE PARTICULARLY UNDERSERVED DUE TO THE GEOGRAPHY, PROVIDER SHORTAGES AND LIMITED COMMUNITY-BASED SERVICES. IN 2023, VALLEY CHILDREN'S DEMONSTRATED ITS COMMITMENT TO MEETING THE MENTAL HEALTH NEEDS OF CHILDREN IN A NUMBER OF WAYS, INCLUDING THOSE LISTED BELOW.ADVERSE CHILDHOOD EXPERIENCES (ACES)VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE IN MERCED RECEIVED CLOSE TO $622,000 IN GRANT FUNDING FROM THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES TO ADDRESS ACES THROUGH THE PRACTICE GRANT. THE AWARD WAS IN PARTNERSHIP WITH THE OFFICE OF THE CALIFORNIA SURGEON GENERAL, THE POPULATION HEALTH INNOVATION LAB, AND THE UCLA-UCSF ACES AWARE FAMILY RESILIENCE NETWORK, ALSO KNOWN AS UCANN. THE GOALS OF THE GRANT FOCUSED ON STRENGTHENING PARTNERSHIPS BETWEEN PRACTICES, COMMUNITY-BASED ORGANIZATIONS (CBOS), AND MANAGED MEDI-CAL HEALTH PLANS; AS WELL AS DEVELOPING NEW AND SUSTAINABLE SERVICES AND WORKFORCE EXPANSION. VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PARTNERED WITH ACE OVERCOMERS TO HIRE A CARE NAVIGATOR. CARE NAVIGATION SERVICES WERE PROVIDED TO PATIENTS FROM OLIVEWOOD PEDIATRICS AND ACE OVERCOMERS WHO EITHER SCREENED POSITIVE FOR RISK OF TOXIC STRESS OR HAD AN IDENTIFIED SOCIAL NEED, SUCH AS TRANSPORTATION ASSISTANCE.THE CARE NAVIGATOR, IN CONJUNCTION WITH ACE OVERCOMERS AND VALLEY CHILDREN'S, DID EXTENSIVE OUTREACH TO VARIOUS CLINICS AND PRACTICES REGARDING THE IMPORTANCE OF SCREENING AND REFERRAL.IN 2023, VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE SCREENED CHILDREN FOR ACES, AND CONNECTED THOSE WHO SCREENED POSITIVE WITH NECESSARY SERVICES THROUGH CARE NAVIGATION.
PART V, SECTION B, LINE 11 (CONTINUED)PARTNERSHIP THROUGH THE PRACTICE GRANT ALSO INCLUDED WORK WITH THE CALIFORNIA CONSORTIUM FOR PREVENTION AND INTERVENTION (CALCPI) TO DEVELOP SOCIAL-EMOTIONAL LEARNING TRAINING MODULES FOR TEACHERS, ADMINISTRATORS, SCHOOL STAFF, SERVICE PROVIDERS, PARENTS, AND EDUCATIONAL STAKEHOLDERS ACROSS MERCED COUNTY. THE MODULES WERE GEARED TOWARD EARLY ELEMENTARY (TK-2ND GRADE), LATE ELEMENTARY (3RD-5TH GRADE), MIDDLE SCHOOL (6TH-8TH GRADE), HIGH SCHOOL (9TH-12TH GRADE), PEER INTERVENTIONISTS, AND COMMUNITY HEALTH WORKERS AND ARE EASILY ACCESSIBLE TO RURAL COMMUNITIES OF MERCED COUNTY. THE COLLABORATION WITH CPI ALSO RESULTED IN ADDITIONAL SUPPORT OF FOSTER YOUTH THROUGH COLLABORATIVE WORK WITH COURT APPOINTED SPECIAL ADVOCATES OF MERCED COUNTY.THROUGH THE GRANT, VALLEY CHILDREN'S HELPED TO IDENTIFY PATIENTS AND FAMILIES AT RISK FOR POOR HEALTH OUTCOMES BECAUSE OF ACES AND TOXIC STRESS; EDUCATE PROVIDERS, STAFF AND COMMUNITY MEMBERS AROUND ACES AND TOXIC STRESS AND HOW TO INTERVENE; CONNECT FAMILIES TO NEEDED RESOURCES; AND BUILD RESILIENCE TO BREAK THE CYCLE.BEHAVIORAL HEALTH SCHOOL LIAISONTHROUGH FUNDING FROM THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS, VALLEY CHILDREN'S HIRED AN ON-SITE BEHAVIORAL HEALTH SCHOOL LIAISON. THE LIAISON COLLABORATED WITH AREA SCHOOL DISTRICTS TO ENSURE THAT CHILDREN PRESENTING TO OUR EMERGENCY DEPARTMENT AND INPATIENT UNITS WITH MENTAL HEALTH NEEDS RECEIVED APPROPRIATE RESOURCES AND SUPPORT WHEN THEY RETURNED TO SCHOOL. THE PARTNERSHIP ENDED IN MAY 2023.YOUTH HEALTH AMBASSADORSIN MAY 2023, THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ANNOUNCED THE CHILD AND YOUTH RESILIENCE CHALLENGE. IN RESPONSE, VALLEY CHILDREN'S PROVIDED IN-KIND SUPPORT TO THE FRESNO COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (FCHIP) AND THEIR YOUTH LEADERSHIP COUNCIL (YLC) IN THE APPLICATION AND PLANNING OF A NOVEL CURRICULUM BY AND FOR YOUNG ADOLESCENTS BUILT AROUND STRESS BUSTERS WAYS TO MANAGE DAY-TO-DAY STRESS AND COUNTER TOXIC STRESS. THE CURRICULUM, TITLED "YOUTH HEALTH AMBASSADORS", IS A PILOT PROGRAM THAT INCLUDES EDUCATION AND COMMUNITY OUTREACH TO BUILD RESILIENCE, AND WAS ONE OF 14 FINALISTS SELECTED FROM OVER 500 APPLICATIONS FROM ACROSS THE US. COMMUNITY-BASED COLLABORATION AND EDUCATION IN SEPTEMBER 2022, VALLEY CHILDREN'S HEALTHCARE WAS SELECTED TO PARTICIPATE WITH 15 OTHER CHILDREN'S HOSPITALS IN A NATIONAL COLLABORATIVE AIMED AT PREVENTING YOUTH SUICIDE THROUGH IMPROVED HOSPITAL SCREENING, INTERNAL SYSTEMS OF CARE AND REGIONAL COMMUNITY COLLABORATIONS AIMED AND REDUCING YOUTH SUICIDE TO ZERO. AS THE COLLABORATIVE LEADERS---CARDINAL HEALTH FOUNDATION AND THE ZERO SUICIDE INITIATIVE---HAVE SAID, "ZERO SUICIDE IS THE ONLY GOAL TO STRIVE TOWARDS." REGIONAL COLLABORATIVES IN WHICH VALLEY CHILDREN'S PARTICIPATED INCLUDED THE FRESNO SUICIDE PREVENTION COLLABORATIVE AND THE MADERA COUNTY SUICIDE EDUCATION AND AWARENESS COLLABORATIVE THAT ADDRESSED ISSUES OF MENTAL HEALTH, HOMELESSNESS AND THE IMPACT ON FAMILIES. ADDITIONALLY, VALLEY CHILDREN'S CONTINUED TO SUPPORT 360ME, AN INITIATIVE THAT IS DESIGNED TO PROVIDE FAMILIES, SCHOOLS AND COMMUNITIES WITH TOOLS AND RESOURCES TO MAKE SURE WE ARE DOING ALL THAT WE CAN TO SAFEGUARD OUR CHILDREN'S PHYSICAL AND MENTAL HEALTH. 360ME INTENTIONALLY HELPS STAKEHOLDERS RECOGNIZE AND UNDERSTAND THE MANY CONNECTIONS BETWEEN MENTAL AND PHYSICAL WELLNESS AND TO REDUCE THE STIGMA SOCIETY INCORRECTLY ASSOCIATES WITH MENTAL HEALTH.VIOLENCE AND INJURY PREVENTIONCHILD ABUSE PREVENTIONVALLEY CHILDREN'S GUILDS CHILD ABUSE PREVENTION AND TREATMENT CENTER'S MISSION IS TO PROVIDE COMPREHENSIVE SERVICES TO CHILDREN, DEPENDENT ADULTS AND THEIR FAMILIES THROUGH A MULTIDISCIPLINARY, TRAUMA-INFORMED PROGRAM, AND TO MEET THE PHYSICAL AND EMOTIONAL NEEDS OF VICTIMS WITH ABUSE CONSIDERATIONS.THE CENTER IS RECOGNIZED IN CENTRAL CALIFORNIA AND AROUND THE STATE AS A LEADER IN ADVOCACY, INJURY PREVENTION AND ACADEMIC TRAINING. THE CENTER PRIDES ITSELF ON WORKING COLLABORATIVELY WITH PREVENTION AND INTERVENTION GROUPS THROUGHOUT THE STATE TO ENSURE THEY ARE ADDRESSING CHILD MALTREATMENT TO THE BEST OF THEIR ABILITY. THE CENTER IS CURRENTLY A MEMBER OF THE CHILD ADVOCACY CENTERS OF CALIFORNIA, CENTRAL CALIFORNIA COALITION OF CHILD ABUSE PREVENTION COUNCILS, AND THE RAY E. HELFER SOCIETY FOR CHILD ABUSE PEDIATRICS.THE GUILDS CHILD ABUSE PREVENTION AND TREATMENT CENTER INCLUDES THE CHILD ADVOCACY CLINIC, WHICH OPERATES FIVE DAYS A WEEK AND SEES APPROXIMATELY 900 CHILDREN EACH YEAR. THE CENTER'S PROVIDERS ALSO ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY FOR EMERGENCY COVERAGE. THE CENTER INCLUDES AN INPATIENT COMPONENT THAT EVALUATES AN ADDITIONAL 100 CHILDREN ANNUALLY IN THE PEDIATRIC EMERGENCY DEPARTMENT, ACUTE-CARE AND PEDIATRIC INTENSIVE CARE UNITS. IN ADDITION TO THE MEDICAL SERVICES OFFERED, THE CENTER HAS A TEAM OF SOCIAL WORKERS AND A LICENSED MENTAL HEALTH CLINICIAN THAT PROVIDE PSYCHO-SOCIAL ASSESSMENT, LINKAGES TO COMMUNITY SERVICES, AND TRAUMA THERAPY.IN 2023, THE CENTER WORKED CLOSELY WITH LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES AND DISTRICT ATTORNEYS' OFFICES IN THEIR INVESTIGATIVE EFFORTS OF CHILD MALTREATMENT. COLLABORATIVE EFFORTS INCLUDED CASE CONSULTATION AND MONTHLY SUSPECT CHILD ABUSE AND NEGLECT MEETINGS FACILITATED BY OUR CHILD ADVOCACY CLINIC IN AN EFFORT TO TRACK, MONITOR, AND ADVOCATE FOR THE HEALTH AND SAFETY OF AT-RISK CHILDREN THROUGHOUT THE VALLEY.FOR PREVENTION EDUCATION, THE CENTER CONTINUED TO COLLABORATE WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO PARENTS, CAREGIVERS, HEALTHCARE PERSONNEL, TEACHERS AND MANDATED REPORTERS. THESE PARTNERS INCLUDED VALLEY CHILDREN'S TRAUMA DEPARTMENT'S INJURY PREVENTION TEAM AND EMERGENCY DEPARTMENT, SAFE KIDS CENTRAL CALIFORNIA, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, CHILD PROTECTIVE SERVICES, DISTRICT ATTORNEY'S OFFICES, LOCAL LAW ENFORCEMENT AGENCIES, SEXUAL ASSAULT RESPONSE TEAMS (SART), VICTIM ADVOCACY GROUPS AND COUNTY PUBLIC HEALTH DEPARTMENTS.INJURY PREVENTION PROGRAMUNINTENTIONAL INJURY IS THE NUMBER ONE KILLER OF CHILDREN ACROSS THE UNITED STATES AND AROUND THE WORLD. SAFE KIDS CENTRAL CALIFORNIA IS ONE OF 400 COALITIONS THAT ARE PART OF SAFE KIDS WORLDWIDE, AN EXTENSIVE NETWORK OF COALITIONS AND PARTNERS IN THE UNITED STATES AND AROUND THE WORLD TO REDUCE INJURIES FROM MOTOR VEHICLE, SPORTS, DROWNINGS, FALLS, BURNS, POISONINGS, AND MORE. AS THE LEAD AGENCY FOR SAFE KIDS CENTRAL CALIFORNIA, VALLEY CHILDREN'S IS PROUD TO BE A LEADER IN SUPPORTING PEDIATRIC INJURY PREVENTION EFFORTS THROUGHOUT CENTRAL CALIFORNIA AND IS COMMITTED TO PROVIDING RESOURCES TOWARD THESE EFFORTS. SAFE KIDS CENTRAL CALIFORNIA IS A COALITION OF 30 AGENCIES MADE UP OF HEALTHCARE, LAW ENFORCEMENT, SOCIAL SERVICES, EDUCATION, MEDIA, AND OTHER ORGANIZATIONS THAT ARE DEDICATED TO PREVENTING UNINTENTIONAL INJURY IN CHILDREN.IN 2023, VALLEY CHILDREN'S INJURY PREVENTION PROGRAM RECORDED 3,577 CONTACTS WITH COMMUNITY MEMBERS DURING 16 COMMUNITY-BASED TEACHING EVENTS ON THE FOLLOWING TOPICS: ATV SAFETY, CARBON MONOXIDE POISONING PREVENTION, CHILD PASSENGER SAFETY, CONCUSSIONS, GUN STORAGE SAFETY, HALLOWEEN SAFETY, HOME SAFETY, POISON PREVENTION, RAILROAD SAFETY, SAFE INFANT SLEEP, TEEN DRIVING, TOY SAFETY, VEHICLE SAFETY, VEHICULAR HEAT STROKE PREVENTION AND WATER SAFETY.IN ORDER TO ENSURE THAT CHILDREN WERE SAFE AT HOME, VALLEY CHILDREN'S DISTRIBUTED THE FOLLOWING SAFETY EQUIPMENT TO FAMILIES IN 2023.- 795 BICYCLE HELMETS- 26 GUN SAFETY LOCKS- 105 CAR SEATS AS A RESULT OF 188 CAR SEATS CHECKED AT 5 SEPARATE CAR SEAT CHECK EVENTSDISASTER PREPAREDNESSVALLEY CHILDREN'S DONATED SPACE TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH TO STORE PHARMACEUTICALS TO BE USED IN REGIONAL DISASTERS OR MEDICAL EMERGENCIES.POISON CONTROLTHE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE VALLEY CHILDREN'S CAMPUS AND RECEIVED A DONATION OF OFFICE SPACE IN 2023 FROM VALLEY CHILDREN'S. THE CENTER ANSWERS CALLS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND PROVIDES EXPERT ADVICE AND INFORMATION REGARDING EXPOSURE TO POTENTIALLY HARMFUL SUBSTANCES.NEEDS NOT ADDRESSEDSINCE VALLEY CHILDREN'S CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, VALLEY CHILDREN'S WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING ECONOMIC INSECURITY, HOUSING AND HOMELESSNESS, AND SUBSTANCE USE.
PART V, SECTION B, LINE 13H:FACILITY REPORTING GROUP - A200% OR LESS FEDERAL POVERTY GUIDELINES (FPG) - FULL CHARITABLE DISCOUNT $0 CHARGES.201%-400% FPG - LOW INCOME DISCOUNT NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.400% - HIGH MEDICAL COST DISCOUNT, INCOME FOR THE LAST 12 MONTHS DOES NOT EXCEED 400% OF FPG AND THEY HAVE NOT RECEIVED A DISCOUNTED RATE FROM THE HOSPITAL AS A RESULT OF THEIR THIRD-PARTY INSURANCE COVERAGE AND THEIR ANNUAL OUT-OF-POCKET MEDICAL EXPENSES. FOR THE PRIOR 12 MONTHS EXCEED 10% OF THEIR FAMILY'S ANNUAL INCOME. NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.PROMPT PAY DISCOUNT: VALLEY CHILDREN'S WILL EXTEND A 45% PROMPT PAY DISCOUNT TO THOSE SELF-PAY PATIENTS WHO WISH TO PAY THEIR ENTIRE OUTSTANDING BALANCE IMMEDIATELY. INSURED PATIENTS WITH NON-COVERED SERVICES WHICH ARE DEEMED MEDICALLY NECESSARY AND WISH TO PAY THEIR OUTSTANDING BALANCE IMMEDIATELY WILL BE ELIGIBLE FOR A 45% DISCOUNT UPON REQUEST.
PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID
PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID
PART V, LINE 16J, FAP OTHER INFORMATION:ADDITIONALLY THE POLICY IS SENT BY US POSTAL SERVICE TO COMMUNITY AGENCIES TO BE DISTRIBUTED.VALLEY CHILDREN'S MAINTAINS A LIST OF PROVIDERS IN A DOCUMENT SEPARATE FROM THE FINANCIAL ASSISTANCE POLICY. MEMBERS OF THE PUBLIC MAY READILY OBTAIN A COPY FREE OF CHARGE, BOTH ONLINE AND ON PAPER, AS REQUIRED BY IRS NOTICE 2015-46. THE LINK TO THE WEBSITE IS:HTTPS://WWW.VALLEYCHILDRENS.ORG/FIND-A-DOCTOR/FIND-A-DOCTOR

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:CHARITY CARE AT COST WAS CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE DECISION SUPPORT SYSTEM WAS USED TO CALCULATE COST-TO-CHARGE FOR DETERMINING UNREIMBURSED MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THIS DECISION SUPPORT SYSTEM ADDRESSES ALL PATIENT SEGMENTS (I.E INPATIENT, OUTPATIENT, ETC.).
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,601,391.
PART III, LINE 2:COSTING METHODOLOGY:ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBT IF SUBSEQUENTLY COLLECTED. THE COST OF BAD DEBT WRITE-OFFS WERE CALCULATED BY APPLYING THE OVERALL COST TO CHARGE RATIO OF THE ORGANIZATION TO THE CHARGES WRITTEN OFF.
PART III, LINE 4:FOOTNOTE DESCRIBING BAD DEBT EXPENSE: SEE PAGE 17-20, NOTE 2 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:MEDICARE ALLOWABLE COST IS CALCULATED USING THE FILED 2023 MEDICARE COST REPORT. MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE REIMBURSEMENT IS NOT NEGOTIABLE AND DOES NOT COVER THE COST TO PROVIDE SERVICES. ADDITIONALLY, THE MAJORITY OF THE HOSPITAL'S MEDICARE PATIENTS WOULD BE COVERED BY MEDI-CAL IF THEY DID NOT FALL UNDER THE MEDICARE COVERAGE OPTION.
PART III, LINE 9B:COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE; INSURANCE COLLECTION ATTEMPTS CONTINUE AS APPROPRIATE.
PART VI, LINE 2:IN ADDITION TO PERFORMING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE FACILITY HAS MADE ITS MOST RECENT FY2022 CHNA AVAILABLE ON ITS PUBLIC WEBSITE AND ASKS FOR PUBLIC COMMENTS TO SOLICIT ADDITIONAL INFORMATION AND INPUT ON COMMUNITY HEALTH NEEDS. FACILITY STAFF ACTIVELY PARTICIPATE IN LOCAL COLLABORATIVE GROUPS THAT CONVENE TO IDENTIFY AND ADDRESS COMMUNITY HEALTH AND WELFARE NEEDS. MEMBERS OF FACILITY STAFF SERVE ON COMMUNITY ORGANIZATION GOVERNING BOARDS AND ADVISORY BODIES TO PUBLIC HEALTH AGENCIES, AND INFORMATION OBTAINED FROM THIS ACTIVE COMMUNITY INVOLVEMENT FACTORS INTO IDENTIFICATION OF COMMUNITY HEALTH NEEDS.
PART VI, LINE 3:ENROLLMENT IN HEALTH INSURANCEVALLEY CHILDREN'S IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM OR VALLEY CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, VALLEY CHILDREN'S STAFF ASSISTED THE FAMILIES WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES.
PART VI, LINE 4:VALLEY CHILDREN'S HEALTHCARE IS CENTRAL CALIFORNIA'S ONLY HIGH-QUALITY, COMPREHENSIVE HEALTHCARE NETWORK DEDICATED TO CHILDREN, FROM BEFORE BIRTH TO YOUNG ADULTHOOD, AS WELL AS TO HIGH-RISK PREGNANT WOMEN, OFFERING HIGHLY SPECIALIZED MEDICAL AND SURGICAL SERVICES TO CARE FOR CONDITIONS RANGING FROM COMMON TO THE HIGHLY COMPLEX.VALLEY CHILDREN'S SERVICE AREA IS FOCUSED ON THE SEVEN COUNTIES THAT COLLECTIVELY ACCOUNT FOR MORE THAN 90% OF VALLEY CHILDREN'S INPATIENT AND OUTPATIENT VOLUME. THOSE COUNTIES ARE FRESNO, KERN, KINGS, MADERA, MERCED, STANISLAUS AND TULARE.THE TOTAL POPULATION OF VALLEY CHILDREN'S HOSPITAL'S SEVEN-COUNTY SERVICE AREA COUNTIES IS 3,454,760. DENSITIES RANGED FROM 72.74 PERSONS PER SQUARE MILE IN MADERA COUNTY TO 363.09 PERSONS PER SQUARE MILE IN STANISLAUS COUNTY. THE PERCENTAGE OF CHILDREN AND TEENS, AGES 0 TO 17, RANGED FROM 27.2% IN KINGS COUNTY AND STANISLAUS COUNTY TO 31.0% IN TULARE COUNTY, AS COMPARED TO CALIFORNIA AT 23.0%. THE PERCENTAGE OF ADULTS, AGES 18 TO 64, RANGED FROM 57.9% IN TULARE COUNTY TO 62.8% IN KINGS COUNTY. THE PERCENTAGE OF ADULTS, AGES 65 AND OLDER, RANGED FROM 10.0% IN KINGS COUNTY TO 13.8% IN MADERA COUNTY.AMONG SERVICE AREA COUNTIES, THE HISPANIC OR LATINO POPULATIONS RANGED FROM 46.3% IN STANISLAUS COUNTY TO 64.6% IN TULARE COUNTY. WHITE POPULATIONS RANGED FROM 27.6% IN MERCED COUNTY TO 41.9% IN STANISLAUS COUNTY. ASIAN POPULATIONS RANGED FROM 1.9% IN MADERA COUNTY TO 10.1% IN FRESNO COUNTY. BLACK OR AFRICAN AMERICAN POPULATIONS RANGED FROM 1.3% IN TULARE COUNTY TO 5.8% IN KINGS COUNTY.THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUALLY UPDATES OFFICIAL POVERTY LEVELS. IN 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. AMONG RESIDENTS OF THE SERVICE AREA COUNTIES, POVERTY RATES RANGED FROM 15.1% IN STANISLAUS COUNTY TO 23.8% IN TULARE COUNTY. LOW-INCOME RATES (200% OF FPL OR BELOW) IN THE SERVICE AREA RANGED FROM 37.9% IN STANISLAUS COUNTY TO 50.1% IN TULARE COUNTY. ADULTS, BELOW 200% FPL, RECEIVING FOOD STAMPS, RANGED FROM 11.0% IN KINGS COUNTY TO 32.0% IN FRESNO COUNTY. PARENTS OR GUARDIANS OF ELIGIBLE CHILDREN WHO PARTICIPATED IN THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM RANGED FROM 44.5% IN MADERA COUNTY TO 82.6% IN MERCED COUNTY.THE HEALTHY PEOPLE 2030 OBJECTIVE FOR HEALTH INSURANCE COVERAGE FOR ALL POPULATION GROUPS IS 92.1%. HEALTH INSURANCE COVERAGE FOR ALL POPULATIONS RANGED FROM 91.7% IN FRESNO, MADERA, AND MERCED COUNTIES TO 94.3% IN STANISLAUS COUNTY. HEALTH INSURANCE COVERAGE FOR CHILDREN AND YOUTH, AGES 0 TO 18, RANGED FROM 96.1% IN MADERA COUNTY TO 97.8% IN STANISLAUS COUNTY. CHILDREN AND YOUTH, AGES 0 TO 18, WHO HAD MEDICAID (MEDI-CAL) HEALTH INSURANCE COVERAGE RANGED FROM 43.2% IN STANISLAUS COUNTY TO 70.4% IN TULARE COUNTY. IN 2023, 74.2% OF VALLEY CHILDREN'S INPATIENT AND 73.6% OF OUTPATIENT VISITS WERE COVERED BY MEDICAID.ALL SERVICE AREA COUNTIES HAVE ONE OR MORE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHTHE GOVERNING BOARD OF VALLEY CHILDREN'S HOSPITAL IS COMPRISED OF MEMBERS OF THE COMMUNITY. NONE OF THE GOVERNING BODY MEMBERS ARE COMPENSATED FOR THEIR BOARD SERVICE.THE HOSPITAL FACILITY MAINTAINS AN OPEN MEDICAL STAFF EXCEPT IN RARE INSTANCES WHEN A CLINICAL DEPARTMENT IS "CLOSED" IN ACCORDANCE WITH CALIFORNIA LAW FOR HOSPITAL-BASED SERVICES. AS A NONPROFIT ORGANIZATION, ANY SURPLUS FUNDS ARE INVESTED BACK INTO PROVIDING HEALTH CARE SERVICES AND RESOURCES TO THE COMMUNITY, INCLUDING BUT NOT LIMITED TO NEW PATIENT CARE LOCATIONS AND EQUIPMENT, EXPANDED PROGRAMS AND SERVICES, AND THE TRAINING OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM IS AFFILIATED WITH THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AND PROVIDES GENERAL AND ADVANCED CLINICAL PEDIATRIC TRAINING. THE PROGRAM PLAYS A CRITICAL ROLE IN MEETING THE PEDIATRIC PHYSICIAN NEEDS OF THE CENTRAL VALLEY.THE RESEARCH PROGRAM AT VALLEY CHILDREN'S HOSPITAL CONSISTS OF NATIONAL MULTI-CENTER CLINICAL TRIALS AND LOCALLY GENERATED, PHYSICIAN-INITIATED RESEARCH STUDIES. OUR FOCUS IS TO PARTICIPATE IN STUDIES THAT ARE TAILORED TO MEET THE VARYING NEEDS OF OUR PATIENT POPULATION. VALLEY CHILDREN'S ONCOLOGY RESEARCH PROGRAM IS A MEMBER OF THE CHILDREN'S ONCOLOGY GROUP, AN INTERNATIONAL NETWORK OF CLINICAL TRIALS, WHICH IS FEDERALLY FUNDED BY THE NATIONAL CANCER INSTITUTE.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FOODLINK TULARE COUNTY
611 2ND STEXETERCA93221942558802501(C)(3)$7,500$0SPONSORSHIP
MAKE A WISH
351 W CROMWELL AVE STE 112-AFRESNOCA93711680027351501(C)(3)$7,500$0SPONSORSHIP
UNITED WAY OF STANISLAUS COUNTY
422 MCHENRY AVEMODESTOCA95354941212129501(C)(3)$7,500$0DONATION
BUDDHIST TZU CHI FOUNDATION
3898 N ANN AVEFRESNOCA93727942952782501(C)(3)$10,000$0SPONSORSHIP
COURT APPOINTED SPECIAL ADVOCATES
2300 TULARE ST STE 210FRESNOCA93706770401361501(C)(3)$10,000$0SPONSORSHIP
SAN JOAQUIN RIVER PARKWAY
11605 OLD FRIANT RDFRESNOCA93730770196692501(C)(3)$10,000$0SPONSORSHIP
WEST FRESNO FAMILY RESOURCE CENTER
1802 E CALIFORNIA AVEFRESNOCA93706770577093501(C)(3)$10,000$0SPONSORSHIP
RONALD MCDONALD HOUSE
9161 RANDALL WAYMADERACA93636942864490501(C)(3)$10,000$0SPONSORSHIP
MARJAREE MASON CENTER
1600 M STREETFRESNOCA93721941156639501(C)(3)$10,600$0SPONSORSHIP
THE BOYS & GIRLS CLUBS OF FRESNO COUNTY
540 N AUGUSTA AVEFRESNOCA93701941149171501(C)(3)$15,000$0DONATION
CATHOLIC CHARITIES DIOCESE OF FRESNO
149 N FULTON STFRESNOCA93701941678938501(C)(3)$15,000$0DONATION
FRESNO MISSION
263 G STFRESNOCA93716941279785501(C)(3)$25,000$0DONATION
PUBLIC HEALTH INSTITUTE
555 12TH ST STE 600OAKLANDCA94607941646278501(C)(3)$25,000$0SCHOOL HEALTH & WELLNESS CONSORTIUM
FRESNO METROPOLITAN MINISTRY
3845 N CLARK STE 101FRESNOCA93726942181848501(C)(3)$50,000$0SPONSORSHIP
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636464150987501(C)(3)$535,698$0DONATION
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACEMADERACA93636464158433501(C)(3)$70,000$0DONATION
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP5$12,500
EDUCATION SCHOLARSHIP - RESPIRATORY FOCUS2$2,000
CAFETERIA MEALS13355$82,133FMVMEAL COUPONS FOR PATIENT FAMILIES
TAXI, BUS AND TRANSIT SERVICES11195$176,456BOOKSUBSIDIZATION OF BUS AND TRANSIT SERVICES
CANCER SURVIVORSHIP SCHOLARSHIP34$34,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNURSING SCHOLARSHIPS ARE DESIGNED TO HELP EMPLOYEES MEET FINANCIAL NEEDS THAT ARE NOT COVERED BY OTHER TUITION REIMBURSEMENT PROGRAMS. A SCHOLARSHIP COMMITTEE REVIEWS APPLICATIONS BI-ANNUALLY BASED ON CERTAIN CRITERIA. RECIPIENTS ARE CHOSEN BY THE COMMITTEE AND THE CHIEF NURSING OFFICER APPROVES THE SELECTIONS. ALL RECIPIENTS ARE EMPLOYEES OF THE HOSPITAL AND THE HOSPITAL IS MADE AWARE WHEN THE RECEIPIENT COMPLETES THEIR EDUCATION. CANCER SURVIVORSHIP SCHOLARSHIPS ARE DESIGNED TO HELP HOSPITAL PEDIATRIC CANCER SURVIVORS WITH THEIR COLLEGE/VOCATIONAL EDUCATION EXPENSES. A COMMITTEE REVIEWS APPLICATIONS ON AN ANNUAL BASIS AND APPROVES THE SCHOLARSHIP. ALL RECIPIENTS ARE CURRENT OR FORMER PATIENTS OF THE HOSPITAL'S CANCER AND BLOOD DISORDER CENTER. OTHER SERVICES ARE PURCHASED FROM VARIOUS VENDORS AND ARE SUPPLIED TO PATIENTS AND THEIR FAMILIES. THE RECORDS FOR THESE PURCHASED SERVICES ARE MAINTAINED BY THE HOSPITAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TODD SUNTRAPAK
CEO$1,697,554$0$1,055,670$0$236,098$0$28,380$0$33,920$0$3,051,622$0$0$0
BEVERLY HAYDEN-PUGH
SVP/ADVR TO CEO (AS OF 3/23)$541,784$0$306,632$0$659,451$0$115,966$0$16,481$0$1,640,314$0$626,884$0
MICHELE R WALDRON
SVP, CFO$687,772$0$348,416$0$258,100$0$29,403$0$25,627$0$1,349,318$0$0$0
NATALE PONTICELLO JR
SVP/ADVR TO SVP & CPO (AS OF 3/23)$434,793$0$126,255$0$608,852$0$96,295$0$2,671$0$1,268,866$0$578,763$0
DAVID CHRISTENSEN
SVP, CPE & PRES VCMG$834,988$0$239,546$0$134,662$0$28,380$0$24,127$0$1,261,703$0$0$0
JANE WILLSON
SVP, CHIEF STRATEGY OFFICER$450,116$0$130,971$0$125,306$0$444,649$0$7,831$0$1,158,873$0$72,764$0
DAVID HODGE JR
VP, MEDICAL GROUP & ANCILLARY OP$480,639$0$120,271$0$57,436$0$98,914$0$29,898$0$787,158$0$55,573$0
KEVIN SHIMAMOTO
VP AND ADVISOR TO CIO$431,175$0$113,303$0$120,967$0$97,137$0$7,831$0$770,413$0$68,205$0
DANIELLE BARRY
SVP, COO$452,417$0$123,694$0$97,170$0$62,936$0$32,748$0$768,965$0$61,148$0
KAREN DAHL
VP, MED AFFAIRS & PHYS DEV$449,135$0$116,951$0$87,029$0$91,696$0$10,991$0$755,802$0$64,717$0
MICHAEL GOLDRING
SVP STRATEGIC PARTNERSHIPS$492,449$0$145,234$0$57,794$0$28,380$0$14,510$0$738,367$0$0$0
LYNNE ASHBECK
SVP, CHIEF COMMUNITY IMPACT OFF$421,891$0$117,478$0$82,670$0$94,212$0$0$0$716,251$0$65,836$0
WILLIAM CHALTRAW JR
SVP, CHIEF LEGAL OFFICER$465,919$0$135,435$0$55,093$0$21,720$0$30,298$0$708,465$0$0$0
JOLIE LIMON
VP ACAD AFFAIRS, DIO & CHI$384,372$0$99,128$0$57,729$0$87,503$0$9,648$0$638,380$0$41,223$0
JOEL BROWNELL
VP, CHIEF MED INFO OFF. (THRU 9/23)$356,198$0$92,778$0$83,645$0$79,324$0$24,515$0$636,460$0$67,035$0
STEPHANIE VANCE
VP, FINANCE$361,498$0$90,880$0$57,731$0$82,836$0$29,898$0$622,843$0$45,688$0
JESSIE HUDGINS
VP, FACILITIES & SUPPORT (THRU 1/23)$320,280$0$84,276$0$112,954$0$77,569$0$4,634$0$599,713$0$49,123$0
JOSEPH EGAN
VP & CIO$318,926$0$51,934$0$35,883$0$25,455$0$38,193$0$470,391$0$0$0
VICKY TILTON
VP PATIENT CARE SVCS/CNO (AS OF 3/23$327,795$0$69,749$0$24,470$0$11,600$0$29,922$0$463,536$0$0$0
KELLY BEALL
SVP/CHIEF PEOPLE OFFICER (AS OF 3/23$262,969$0$30,750$0$21,078$0$13,289$0$36,193$0$364,279$0$0$0
KELLIE DYER
VP SUPPLY, CONSTR & FAC. (AS OF 1/23$209,610$0$30,525$0$8,210$0$17,254$0$9,306$0$274,905$0$0$0
MIMI CHAO MD
FORMER CHIEF OF STAFF$12,500$0$0$0$0$0$0$0$0$0$12,500$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3VALLEY CHILDREN'S HOSPITAL RELIED ON A RELATED ORGANIZATION, VALLEY CHILDREN'S HEALTHCARE, TO ESTABLISH THE COMPENSATION AND BENEFITS USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS AND "WRITTEN EMPLOYMENT CONTRACT."
PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS INCLUDE 1) A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), 2) A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES AND 3) A NONCONTRIBUTORY, NONQUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (DCSERP), 4) A SPLIT DOLLAR LIFE INSURANCE PROGRAM USED AS A RETENTION TOOL FOR CERTAIN KEY EXECUTIVES. PARTICIPANTS OF THIS PROGRAM FORFEIT ELIGIBILITY FOR THE DCSERP (SEE SCHEDULE L PART V FOR A BROADER DESCRIPTION) AND 5) AN ADDITIONAL DEFERRED COMPENSATION PLAN BENEFITTING CERTAIN KEY EXECUTIVES. TODD SUNTRAPAK, DAVID HODGE JR, DANIELLE BARRY, LYNNE ASHBECK, STEPHANIE VANCE, VICKY TILTON, JOSEPH EGAN AND KELLIE DYER WERE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. $826,153 WAS PAID OUT OF THE DCSERP PLAN DURING THE YEAR. DCSERP PAYOUT AND EMPLOYER ACCRUAL TO THE DCSERP FOR CALENDAR YEAR 2022 ARE AS FOLLOWS: BEVERLY HAYDEN-PUGH - DCSERP PAYOUT $87,591; ACCRUAL $87,586 JESSIE HUDGINS - DCSERP PAYOUT $49,123; ACCRUAL $49,336 JANE WILLSON - DCSERP PAYOUT $72,764; ACCRUAL $72,760 STEPHANIE VANCE - DCSERP PAYOUT $45,688; ACCRUAL $54,456 NATALIE PONTICELLO - DCSERP PAYOUT $67,188; ACCRUAL $67,915 KAREN DAHL - DCSERP PAYOUT $64,717; ACCRUAL $69,447 KEVIN SHIMAMOTO - DCSERP PAYOUT $68,205; ACCRUAL $68,908 DANIELLE BARRY - DCSERP PAYOUT $61,148; ACCRUAL $51,336 JOEL BROWNELL - DCSERP PAYOUT $67,035; ACCRUAL $56,744 DAVID HODGE - DCSERP PAYOUT $55,573; ACCRUAL $69,638 LYNNE ASHBECK - DCSERP PAYOUT $65,836; ACCRUAL $65,832 JOLIE LIMON - DCSERP PAYOUT $41,223; ACCRUAL $59,123 MICHAEL GOLDRING, WILLIAM CHALTRAW, JR, DAVID CHRISTENSEN, TODD SUNTRAPAK, MICHELE WALDRON, DANIELLE BARRY, KELLY BEALL, AND VICKY TILTON PARTICIPATE IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM IN LIEU OF THE DCSERP. BEVERLY HAYDEN-PUGH AND NATALIE PONTICELLO PARTICIPATE IN A 457F RABBI TRUST DEFERRED COMPENSATION PLAN. THE FOLLOWING AMOUNTS PAID DURING THE 2022 CALENDAR YEAR: BEVERLY HAYDEN-PUGH - $539,293 NATALIE PONTICELLO - $511,576 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS FROZEN IN 2011. NO NEW PARTICIPANTS WERE ALLOWED TO ENTER THE PLAN AND EXISTING PARTICIPANTS NO LONGER ACCRUED BENEFITS. JANE WILLSON, THE REMAINING ACTIVE PLAN PARTICIPANT, RECEIVED THE FINAL BENEFIT PAYMENT DUE FROM THE PLAN IN THE AMOUNT OF $343,609 DURING THE CALENDAR YEAR 2022.
PART I, LINE 7AN INCENTIVE PLAN HAS BEEN ESTABLISHED THAT ALLOWS FOR PAYMENT OF INCENTIVES BASED ON NETWORK WIDE GOALS TO QUALIFYING INDIVIDUALS. SUCH GOALS ARE RELATED TO A VARIETY OF METRICS INCLUDING OPERATIONAL AND QUALITY RESULTS OF THE HOSPITAL AND ITS RELATED ENTITIES. THE INCENTIVE PLAN HAS BEEN APPROVED BY THE COMPENSATION COMMITTEE OF THE VALLEY CHILDREN'S HEALTHCARE BOARD OF TRUSTEES. THE COMMITTEE REVIEWS AND APPROVES THE PLAN GOALS AT THE BEGINNING OF THE PLAN YEAR AND ACHIEVEMENT OF THESE GOALS, AND FORECASTED PAYOUTS, AT THE END OF EACH YEAR.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (10 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
TODD SUNTRAPAK
OFFICERSPLIT INTEREST INSURANCEYes (X)$11,109,107$11,477,9050Yes (1)Yes (1)
MICHELE WALDRON
OFFICERSPLIT INTEREST INSURANCEYes (X)$9,721,634$10,021,9720Yes (1)Yes (1)
DAVID CHRISTENSEN
KEY EMPLOYEESPLIT INTEREST INSURANCEYes (X)$5,282,545$5,457,9140Yes (1)Yes (1)
WILLIAM CHALTRAW
KEY EMPLOYEESPLIT INTEREST INSURANCEYes (X)$2,122,641$2,193,1080Yes (1)Yes (1)
MICHAEL GOLDRING
HIGHEST COMPENSATED EMPLOYEESPLIT INTEREST INSURANCEYes (X)$5,498,581$5,681,1220Yes (1)Yes (1)
TODD SUNTRAPAK
OFFICERSEE BELOW STATEMENT 2Yes (X)$5,000,000$4,730,0200Yes (1)Yes (1)
DANIELLE BARRY
KEY EMPLOYEESPLIT INTEREST INSURANCEYes (X)$5,061,842$5,126,5370Yes (1)Yes (1)
KELLY BEALL
KEY EMPLOYEESPLIT INTEREST INSURANCEYes (X)$5,657,652$5,729,9620Yes (1)Yes (1)
VICKY TILTON
KEY EMPLOYEESPLIT INTEREST INSURANCEYes (X)$4,494,584$4,552,0290Yes (1)Yes (1)
WILLIAM CHALTRAW
KEY EMPLOYEESPLIT INTEREST INSURANCEYes (X)$3,140,219$3,180,3540Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$58,150,923TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, COLUMN C:FormAndLineReferenceDesc
ExplanationSTATEMENT 1: - THE HOSPITAL HAS ENTERED INTO LIFE INSURANCE-BASED ARRANGEMENTS WITH CERTAIN KEY EXECUTIVES. THE PURPOSE OF THESE ARRANGEMENTS IS TO RETAIN THE EXECUTIVES FOR A SPECIFIED PERIOD OF TIME AND THEREFORE ACCESS TO THIS BENEFIT IS SUBJECT TO EXTENDED VESTING REQUIREMENTS. THE HOSPITAL FULLY FUNDED THE PREMIUMS ON THE ASSOCIATED LIFE INSURANCE POLICIES AT IMPLEMENTATION AND THERE ARE NO ADDITIONAL FUNDING REQUIREMENTS. UNDER THE ARRANGEMENTS, THE HOSPITAL WILL ACCRUE INVESTMENT RETURNS AND INTEREST ON THE PREMIUMS PAID FOR THE LIFE INSURANCE POLICIES. UPON THE DEATH OF A COVERED EXECUTIVE, THE HOSPITAL WILL BE REPAID THE INVESTMENT AND ACCRUED RETURNS AND ANY REMAINING EXCESS PROCEEDS WILL BE DONATED TO THE HOSPITAL TO BE USED TO SERVE THE COMMUNITY AND OTHERWISE FULFILL ITS MISSION. THE VALUE OF THIS DONATION AS OF 9/30/23 IS ESTIMATED TO BE IN EXCESS OF $78.9M.STATEMENT 2: LOAN FOR RESIDENCE AS A RETENTION INCENTIVE IN LIEU OF OTHER COMPENSATION. ANNUAL LOAN FORGIVENESS REPRESENTS TAXABLE INCOME REPORTED IN SCHEDULE J PART II B (III) AS OTHER REPORTABLE COMPENSATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2LISA SMITTCAMP AND BILL SMITTCAMP HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE AMENDED AND RESTATED BYLAWS OF VALLEY CHILDREN'S HOSPITAL, EFFECTIVE 10/17/13, ESTABLISHED VALLEY CHILDREN'S HEALTHCARE AS THE SOLE MEMBER OF THE CORPORATION. CERTAIN MEMBER RIGHTS, INCLUDING THE RIGHT TO APPROVE, FIX THE NUMBER, ELECT, AND REMOVE ELECTED TRUSTEES, ARE INCLUDED IN THESE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7ASEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION A, LINE 7BSEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. IN ADDITION, A MEETING IS HELD TO REVIEW THE FORM 990 AND PROVIDE FOR ADDITIONAL TIME TO ANSWER QUESTIONS. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE HOSPITAL'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. THE HOSPITAL MAINTAINS A SEPARATE BUT SIMILAR POLICY GOVERNING INDIVIDUALS EMPLOYED IN COVERED POSITIONS.
FORM 990, PART VI, SECTION B, LINE 15AS PROVIDED BY THE VALLEY CHILDREN'S HEALTHCARE BYLAWS, A COMPENSATION COMMITTEE HAS BEEN ESTABLISHED THAT CONSISTS OF A CHAIR AND AT LEAST THREE MEMBERS OF THE BOARD OF TRUSTEES. THE PRIMARY ROLE OF THE COMMITTEE IS TO ENSURE THAT COMPENSATION IS REASONABLY RELATED TO THE DUTIES PERFORMED FOR THE NETWORK AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO CEO, OFFICER, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE CEO'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE
FORM 990, PART VI, SECTION C, LINE 19A COPY OF VALLEY CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF VALLEY CHILDREN'S HOSPITAL IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE ANNUAL FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, SECTION B, LINE 16B:WHILE THERE IS NO WRITTEN POLICY OR PROCEDURE FOR THE ARRANGEMENT, ANY JOINT VENTURE IS REVIEWED BY LEGAL COUNSEL WHO CONSIDERS THE IMPACTS OF THE TAX-EXEMPT STATUS OF THE ORGANIZATION.
FORM 990, PART IX, LINE 11GPROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 85,242,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,242,832. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 22,060,357. MANAGEMENT AND GENERAL EXPENSES 70,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,130,557. CONSULTING & MANAGEMENT FEES - ON PARENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 250,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,570.
FORM 990, PART XI, LINE 9:GAIN ON SALE OF ASSETS 6,866. PASS-THROUGH INVESTMENT INCOME -2,296,979.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HERNDON TEMPERANCE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP93636ZIPCd
FieldValueIRS element (for citing)
EIN812808671EIN
Primary ActivitiesREAL PROPERTYPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$732,318TotalIncomeAmt
End Of Year Assets$6,821,021EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VALLEY CHILDREN'S HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
VALLEY CHILDREN'S HEALTHCARE FOUNDATION
9300 VALLEY CHILDRENS PLACEMADERACA93636942797447PHILANTHROPY/FUNDRAISING FOR VALLEY CHILDREN'S HEALTHCARE & RELATED ENTITIESCA501(C)(3)LINE 7VALLEY CHILDREN'S HEALTHCARE0
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636464150987HEALTH CARECA501(C)(3)LINE 10VALLEY CHILDREN'S HEALTHCAREYes (1)
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACEMADERACA93636464158433HEALTH CARECA501(C)(3)LINE 12C, III-FI0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
FOWLER BUSINESS & PROFESSIONAL PARK LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636471813772REAL ESTATE INVESTMENTCAN/ARELATED$452,532$16,481,218Yes (1)Yes (1)0.50000
COMPASS HEALTH ADMINISTRATORS LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636822891309BENEFIT ADMINCAN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
VALLEY CHILDREN'S HOLDINGS I LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636371872422HEALTHCARECAN/AC0
FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION
9300 VALLEY CHILDRENS PLACEMADERACA93636301030354PROPERTY OWNERS ASSOCIATIONCAC0FOWLER BUSINESS & PROFESSIONAL PARK LLC$2,9600.50000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
VALLEY CHILDREN'S MEDICAL GROUP
B$535,698COST
VALLEY CHILDREN'S MEDICAL GROUP
M$59,666,435COST

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