VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-11
IRS object ID: 202232239349302533
Schema version: 2020v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-11T18:08:40-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3121 W MARCH LN STE 200	AddressLine1Txt
City	STOCKTON	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	952192367	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941294954	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VALL	BusinessNameControlTxt
Phone	5593533000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1Txt
City	MADERA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	936368762	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE VANCE	PersonNm
Person Title	VICE PRESIDENT, FINANCE	PersonTitleTxt
Phone	5593533000	PhoneNum
Signature	2022-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	STEPHANIE	PersonFirstNm
Person Last	VANCE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TRACY S PAGLIA	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum
Preparation	2022-08-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TODD SUNTRAPAK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1Txt
City	MADERA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	936368762	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,083,007,259	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.VALLEYCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3917	TotalEmployeeCnt
Total Volunteers	216	TotalVolunteersCnt
Total Gross UBI	$235,712	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$488,254	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$72,292,863	PYContributionsGrantsAmt
CY Contributions Grants	$79,253,958	CYContributionsGrantsAmt
PY Program Service Revenue	$639,100,420	PYProgramServiceRevenueAmt
CY Program Service Revenue	$648,316,638	CYProgramServiceRevenueAmt
PY Investment Income	$43,967,983	PYInvestmentIncomeAmt
CY Investment Income	$36,634,301	CYInvestmentIncomeAmt
PY Other Revenue	$13,771,799	PYOtherRevenueAmt
CY Other Revenue	$8,041,477	CYOtherRevenueAmt
PY Total Revenue	$769,133,065	PYTotalRevenueAmt
CY Total Revenue	$772,246,374	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,477,643	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$819,181	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$335,243,815	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$341,070,272	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$340,087,112	PYOtherExpensesAmt
CY Other Expenses	$347,600,290	CYOtherExpensesAmt
PY Total Expenses	$676,808,570	PYTotalExpensesAmt
CY Total Expenses	$689,489,743	CYTotalExpensesAmt
PY Revenues Less Expenses	$92,324,495	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$82,756,631	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,839,248,835	TotalAssetsBOYAmt
Total Assets EOY	$2,106,349,301	TotalAssetsEOYAmt
Total Liabilities BOY	$537,989,764	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$633,568,106	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,301,259,071	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,472,781,195	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$432,894,136	ExpenseAmt
Revenue	$304,425,388	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$79,107,958	ExpenseAmt
Grant	$819,181	GrantAmt
Revenue	$343,891,250	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$512,002,094	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	284	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3917	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHELE WALDRON CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5593533000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1Txt
City	MADERA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93636	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TODD SUNTRAPAK
CEO	17.50	32.50	Yes (X)	Yes (X)	$3,946,200	$0	$1,566,676
MIMI CHAO MD
CHIEF OF STAFF	1.00		Yes (X)		$62,500	$0	$0
JEANNINE CAMPOS GRECH
BOARD TREAS/CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOSE ELGORRIAGA
BOARD VICE CHAIR	1.00		Yes (X)	Yes (X)	$0	$0	$0
DAN ADAMS
BOARD SECRETARY/TREAS	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
RILEY WALTER
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
BILL SMITTCAMP
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
KIM RUIZ BECK
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
DAN KOONTZ
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
MENDY LAVAL
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
SISSY DALENA WOOD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DANIELLE PARNAGIAN
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
CONNIE MCCLASKEY
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
NICO GENTILE
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
LUZ GONZALEZ MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
LISA SMITTCAMP
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
MICHELE R WALDRON
SVP, CFO	18.50	31.50		Yes (X)	$1,005,629	$0	$1,552,148
BEVERLY HAYDEN-PUGH
SVP, CLINICAL INT, PATIENT	18.00	27.00			$920,360	$0	$2,121,450	Yes (X)
NATALE PONTICELLO JR
SVP, CHIEF PEOPLE OFFICER	29.00	11.00			$589,620	$0	$1,588,170	Yes (X)
JESSIE HUDGINS
VP, FACILITIES	40.00				$1,042,625	$0	$91,083	Yes (X)
DAVID CHRISTENSEN
SVP, CPE & PRES VCMG	27.00	18.00			$972,927	$0	$59,295	Yes (X)
JANE WILLSON
SVP, CHIEF STRATEGY OFFICE	8.00	32.00			$627,280	$0	$101,410	Yes (X)
MICHAEL GOLDRING
SVP STRATEGIC PARTNERSHIPS	40.00				$677,085	$0	$46,773	Yes (X)
KAREN DAHL
VP, MED AFFAIRS & PHYS DEV	40.00				$609,158	$0	$93,629	Yes (X)
DAVID HODGE JR
VP HOSPITAL OPERATIONS	40.00				$587,995	$0	$111,445	Yes (X)
KEVIN SHIMAMOTO
VP AND CIO	40.00				$594,242	$0	$94,039	Yes (X)
WILLIAM CHALTRAW
SVP/CHIEF LEGAL OFFICER	40.00				$612,573	$0	$52,500	Yes (X)
LYNNE ASHBECK
SVP, CHIEF COMMUNITY IMPACT	40.00				$578,988	$0	$83,437	Yes (X)
JOEL BROWNELL MD
VP, CHIEF MEDICAL INFO OFF	40.00				$514,890	$0	$100,135	Yes (X)
DAVID SINGH
VP, COO OF VCMG	40.00				$500,016	$0	$78,990	Yes (X)
JOLIE LIMON
VP ACAD AFFAIRS, DIO & CHI	40.00				$473,369	$0	$68,053	Yes (X)
STEPHANIE VANCE
FINANCE, VP	40.00				$435,597	$0	$101,945	Yes (X)
BRIAN SMULLIN
VP, MANAGED CARE	40.00				$416,072	$0	$91,313	Yes (X)
DANIELLE BARRY
SVP, CHIEF OP INTEG	40.00				$415,069	$0	$83,458	Yes (X)
RAED KHOURY
VP, QUAL, PATIENT SAFETY	40.00				$209,843	$0	$31,270	Yes (X)
VICKY TILTON
EXEC DIREC & ASST CNO	40.00				$301,993	$0	$36,741		Yes (X)
YVONNE WOOD
MANAGER PATIENT THROUGHPUT	40.00				$273,275	$0	$58,616		Yes (X)
AMANDA PATTERSON
EXEC DIREC & DEPUTY GEN CO	40.00				$270,592	$0	$42,496		Yes (X)
RATAN MILEVOJ
DIR INNOV & ASST CSO	40.00				$260,150	$0	$47,064		Yes (X)
PAUL LEBBY
NEURODEV PROGRAM DIRECTOR	40.00				$261,971	$0	$41,912		Yes (X)
DAVID NALCHAJIAN
FORMER BOARD MEMBER	40.00				$300,000	$0	$0			Yes (X)
ADAM HOLMES MD
FORMER CHIEF OF STAFF (THRU 02/20)	1.00				$12,500	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,472,519	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,344,048	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	860	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	SUBSPEC PHYSICIAN SERVICES	$44,470,000
PEDIATRIC ANETHESIA ASSOCIATES
6235 N FRESNO ST STE 103	FRESNO	CA	93710	ANETHESIA/CRITICAL CARE	$14,363,673
VIZIENT INC & ASSOCIATES
290 E JOHN CARPENTER FREEWAY	IRVING	TX	75062	TEMP NURSES	$5,540,357
SODEXO INC & ASSOCIATES
PO BOX 360170	PITTSBURGH	PA	152516170	HOUSEKEEPING SERVICES	$5,510,567
TECH KNOWLEDGE & ASSOCIATES
1 CENTERPOINTE DR ST 200	LA PALMA	CA	906232539	CONSTRUCTION SERVICES	$4,429,654

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,583,592	RelatedOrganizationsAmt
Government Grants	$71,865,831	GovernmentGrantsAmt
All Other Contributions	$804,535	AllOtherContributionsAmt
Total Contributions	$79,253,958	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	900099	$627,402,013	$627,402,013
HOME CARE 340B PROGRAM	900099	$11,167,641	$11,167,641
MANAGEMENT SERVICES	541610	$5,933,547	$5,933,547
LAB SERVICES	900099	$3,813,437	$3,813,437

Field	Value	IRS element (for citing)
Total Program Service Revenue	$648,316,638	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,725,039	TotalRevenueColumnAmt
Unrelated Business Revenue	$235,712	UnrelatedBusinessRevenueAmt
Exclusion	$12,489,327	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$752,460	TotalRevenueColumnAmt
Exclusion	$752,460	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$989,791	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$803,587	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$186,204	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,204	TotalRevenueColumnAmt
Exclusion	$186,204	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$333,062,772	SecuritiesAmt
Other	$1,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$310,293,229	SecuritiesAmt
Other	-$386,259	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,769,543	SecuritiesAmt
Other	$387,259	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,156,802	TotalRevenueColumnAmt
Exclusion	$23,156,802	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$98,996	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$50,328	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,668	TotalRevenueColumnAmt
Exclusion	$48,668	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$2,152,852	TotalRevenueColumnAmt
Exclusion	$2,152,852	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,653,753	TotalRevenueColumnAmt
Exclusion	$5,653,753	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,806,605	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$772,246,374	TotalRevenueColumnAmt
Related Or Exempt Func Income	$648,316,638	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$235,712	UnrelatedBusinessRevenueAmt
Exclusion	$44,440,066	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$597,923	TotalAmt
Program Services	$597,923	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$221,258	TotalAmt
Program Services	$221,258	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$26,081,391	TotalAmt
Management And General	$26,081,391	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$204,414,321	TotalAmt
Program Services	$162,169,056	ProgramServicesAmt
Management And General	$42,245,265	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,880,311	TotalAmt
Program Services	$11,634,679	ProgramServicesAmt
Management And General	$3,245,632	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$77,384,226	TotalAmt
Program Services	$53,715,955	ProgramServicesAmt
Management And General	$23,668,271	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,310,023	TotalAmt
Program Services	$13,168,383	ProgramServicesAmt
Management And General	$5,141,640	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,204,530	TotalAmt
Program Services	$21,555	ProgramServicesAmt
Management And General	$6,182,975	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,264,198	TotalAmt
Management And General	$1,264,198	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$244,539	TotalAmt
Management And General	$244,539	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,364,324	TotalAmt
Management And General	$5,364,324	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$67,850,761	TotalAmt
Program Services	$67,419,896	ProgramServicesAmt
Management And General	$430,865	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,943,386	TotalAmt
Program Services	$64,645	ProgramServicesAmt
Management And General	$1,878,741	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$123,652,188	TotalAmt
Program Services	$115,197,386	ProgramServicesAmt
Management And General	$8,454,802	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,694,675	TotalAmt
Program Services	$6,330,341	ProgramServicesAmt
Management And General	$2,364,334	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,118,404	TotalAmt
Program Services	$5,061,838	ProgramServicesAmt
Management And General	$2,056,566	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$171,406	TotalAmt
Program Services	$107,658	ProgramServicesAmt
Management And General	$63,748	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$189,012	TotalAmt
Program Services	$95,852	ProgramServicesAmt
Management And General	$93,160	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,619,464	TotalAmt
Program Services	$9,732,463	ProgramServicesAmt
Management And General	$2,887,001	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,920,446	TotalAmt
Program Services	$17,713,527	ProgramServicesAmt
Management And General	$16,206,919	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,297,008	TotalAmt
Management And General	$5,297,008	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$29,605,291	$14,069,690	$15,535,601
HOSPITAL FEE PROGRAM	$24,319,329	$24,319,329
BAD DEBT	$9,179,286	$9,179,286
UBI TAXES	$469,000	$469,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,493,043	TotalAmt
Program Services	$712,374	ProgramServicesAmt
Management And General	$8,780,669	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$689,489,743	TotalAmt
Program Services	$512,002,094	ProgramServicesAmt
Management And General	$177,487,649	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$656,090	BOYAmt
EOY	$585,034	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$453,279,674	BOYAmt
EOY	$614,804,090	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$393,666	BOYAmt
EOY	$678,187	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$99,329,099	BOYAmt
EOY	$116,296,007	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$32,867,599	BOYAmt
EOY	$33,199,334	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,636,578	BOYAmt
EOY	$13,923,281	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$26,182,532	BOYAmt
EOY	$42,312,174	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$728,114,441	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$367,302,333	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$364,559,008	BOYAmt
EOY	$360,812,108	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$550,686,376	BOYAmt
EOY	$540,953,167	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$149,854,533	BOYAmt
EOY	$241,129,101	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$43,000,249	BOYAmt
EOY	$43,530,304	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$104,803,431	BOYAmt
EOY	$98,126,514	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,839,248,835	BOYAmt
EOY	$2,106,349,301	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$80,256,332	BOYAmt
EOY	$81,559,043	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$153,091,859	BOYAmt
EOY	$259,601,117	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$304,641,573	BOYAmt
EOY	$292,407,946	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$537,989,764	BOYAmt
EOY	$633,568,106	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,277,223,635	BOYAmt
EOY	$1,452,137,851	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,035,436	BOYAmt
EOY	$20,643,344	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,301,259,071	BOYAmt
EOY	$1,472,781,195	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,839,248,835	BOYAmt
EOY	$2,106,349,301	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$82,756,631	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$89,398,928	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$633,435	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$15,227	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$331,054	OtherActivitiesAmt
Total Lobbying Expenditures	$346,281	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	VALLEY 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 OF PENDING LEGISLATIVE PROPOSALS, AND REQUESTS FOR ASSISTANCE IN SUPPORTING ACCESS TO CHILDREN'S HEALTH CARE BY MAINTAINING 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 $15,227 ASSOCIATION DUES RELATED TO LOBBYING NACH 30,286 AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING 136 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 444 CALIFORNIA ASSOC OF MEDICAL PRODUCT SUPPLIERS 131 CALIFORNIA CHAMBER OF COMMERCE 117 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 95,246 CALIFORNIA HOSPITAL ASSOCIATION/AMERICAN HOSP ASSOC 24,380 CHILDREN'S SPECIALTY CARE COALITION 3,308 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA 23,136 NATIONAL ASSOCIATION OF EPILEPSY CENTERS 120 BROWNSTEIN HYATT FARBER SCHRECK 153,750 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $346,281	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,256,858	OtherCostOrOtherBasisAmt
Book Value	$56,256,858	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$332,323,061	OtherCostOrOtherBasisAmt
Depreciation	$142,441,146	DepreciationAmt
Book Value	$189,881,915	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,735,262	OtherCostOrOtherBasisAmt
Depreciation	$3,542,129	DepreciationAmt
Book Value	$193,133	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$298,055,940	OtherCostOrOtherBasisAmt
Depreciation	$196,074,174	DepreciationAmt
Book Value	$101,981,766	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,743,320	OtherCostOrOtherBasisAmt
Depreciation	$25,244,884	DepreciationAmt
Book Value	$12,498,436	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$360,812,108	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LIMITED PARTNERSHIPS	$118,525,168	F
HEDGE FUNDS	$116,218,418	F
PRIVATE CAPITAL FUNDS	$6,385,515	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$241,129,101	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
MALPRACTICE RESERVE	$8,359,807
ACCRUED PENSION LIABILITY	$987,227
457 LIABILITY	$4,743,033
1732 LIABILITY	$476,715
WORKERS COMP	$3,705,600
INS LIABILITY	$2,304,400
DC SERP LIABILITY	$1,198,775
BONDS	$262,082,634
OPERATING LEASE - LT PORTION	$5,461,631
LAND DEVELOPMENT OBLIGATION	$400,000
457F RT LIABILITY	$2,688,124

Field	Value	IRS element (for citing)
Total Liability	$292,407,946	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	$127,887,485
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	INVESTMENTS	$22,115,975

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$150,003,460	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$150,003,460	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$266,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$266,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$466,553,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$385,249,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,303,937	NetCommunityBenefitExpnsAmt
Total Expense	0.11950	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,333,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,108,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,224,566	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$471,153,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$388,358,191	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,794,921	NetCommunityBenefitExpnsAmt
Total Expense	0.12170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,486,861	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,486,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,011,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,859,635	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,152,231	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,109,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$552,232	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$557,524	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,643,348	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,643,348	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,251,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,411,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,839,964	NetCommunityBenefitExpnsAmt
Total Expense	0.01890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$486,404,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$390,770,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,634,885	NetCommunityBenefitExpnsAmt
Total Expense	0.14060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,882,699	BadDebtExpenseAmt
Reimbursed By Medicare	$357,499	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$470,156	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$112,657	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Childrens HospitalChildrensHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
VALLEY CHILDREN'S HOSPITAL
1	9300 VALLEY CHILDRENS PLACE	MADERA	CA	936368761	WWW.VALLEYCHILDRENS.ORG	040000160	Yes (X)	Yes (X)	A
VALLEY CHILDREN'S HOME CARE
2	5085 E MCKINLEY AVE	FRESNO	CA	93727	WWW.VALLEYCHILDRENS.ORG	040000160	Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.VALLEYCHILDRENS.ORG/ABOUT-US	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5:	FACILITY REPORTING GROUP AVALLEY CHILDREN'S 2019 CHNA WAS BASED ON A JOINT NEEDS ASSESSMENT FOR FRESNO, KINGS, MADERA AND TULARE COUNTIES, AND THEN SEPARATE NEEDS ASSESSMENTS FOR KERN, MERCED AND STANISLAUS COUNTIES. VALLEY CHILDREN'S PARTNERED WITH 15 HOSPITALS TO CONDUCT AN ASSESSMENT OF HEALTH NEEDS FOR BOTH CHILDREN AND ADULTS. THE CHNA WAS FACILITATED BY THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA'S COMMUNITY BENEFITS WORKGROUP, AND INCLUDED A THOROUGH REVIEW OF SECONDARY DATA AS WELL AS SIGNIFICANT COMMUNITY ENGAGEMENT THROUGH SURVEYS, FOCUS GROUPS AND KEY STAKEHOLDER INTERVIEWS. TO ASSESS THE NEEDS OF CHILDREN IN KERN, MERCED, AND STANISLAUS COUNTIES, VALLEY CHILDREN'S CONSULTED SECONDARY DATA SOURCES AND WORKED WITH COMMUNITY PARTNERS TO CONVENE ONE-ON-ONE INTERVIEWS AND FOCUS GROUPS WITH ORGANIZATIONS REPRESENTING LOW INCOME, UNDERSERVED COMMUNITIES. THE FRESNO, KINGS, MADERA, AND TULARE COUNTIES CHNA WAS FACILITATED BY THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA'S COMMUNITY BENEFITS WORKGROUP. THE WORKGROUP COLLABORATED WITH HC2 STRATEGIES, INC. TO CONDUCT KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND ESTABLISH PRIORITY HEALTH NEEDS FOR THE 2019-2021 COMMUNITY HEALTH NEEDS CYCLE. ADDITIONALLY, THE COMMITTEE WORKED WITH WILDFIRE GRAPHICS & ANALYTICS, LLC TO GATHER HEALTH INDICATOR DATA, ANALYZE QUANTITATIVE AND QUALITATIVE DATA, AND PACKAGE THE FINAL REPORT. AD LUCEM CONSULTING ESTABLISHED THE METHODOLOGY FOR RANKING HEALTH NEED DATA FROM KEY INFORMANT AND FOCUS GROUP INTERVIEWS. AD LUCEM ALSO PROVIDED THE OVERALL RANKINGS FOR THE FOUR-COUNTY REGION. BIEL CONSULTING, INC. CONDUCTED THE CHNA IN KERN COUNTY. BIEL CONSULTING, INC. HAS EXTENSIVE EXPERIENCE CONDUCTING HOSPITAL HEALTH ASSESSMENTS AND WORKING WITH HOSPITALS ON DEVELOPING, IMPLEMENTING, AND EVALUATING COMMUNITY BENEFIT PROGRAMS. DR. MELISSA BIEL CONDUCTED THE KERN COUNTY CHNA.THE MERCED COUNTY CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. THE STANISLAUS COUNTY MAPP EFFORT COLLABORATED WITH COMMUNITY HEALTH INSIGHTS (CHI). CHI CONDUCTED THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. THE CHNA PROCESS INCLUDED COLLECTION AND ANALYSIS OF UP-TO-DATE DATA FOR VALLEY CHILDREN'S SERVICE AREA FROM A NUMBER OF SECONDARY SOURCES. IN ADDITION, PRIMARY DATA WERE COLLECTED DIRECTLY FROM STAKEHOLDERS IN 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 COUNTIESSOURCES OF DATA FOR THIS ASSESSMENT INCLUDED BOTH PRIMARY AND SECONDARY DATA. SECONDARY DATA SOURCES INCLUDED PUBLICLY REPORTED STATE AND NATIONALLY-RECOGNIZED DATA SOURCES SUCH AS COMMUNITY COMMONS, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, AND COUNTY HEALTH RANKINGS & ROADMAPS. PRIMARY DATA WERE COLLECTED THROUGH 48 KEY INFORMANT INTERVIEWS, 24 FOCUS GROUPS THAT REACHED 284 PERSONS, AND AN ONLINE SURVEY THAT REACHED 1,178 PERSONS. KEY INFORMANTS AND FOCUS GROUPS WERE PURPOSEFULLY CHOSEN TO REPRESENT MEDICALLY UNDER-SERVED, LOW-INCOME OR MINORITY POPULATIONS IN OUR COMMUNITY. THE ONLINE SURVEY WAS DISTRIBUTED TO PARTNER ORGANIZATIONS THAT WERE NOT REPRESENTED BY KEY INFORMANTS AND ADVERTISED TO THE GENERAL PUBLIC VIA A PUBLIC SERVICE ANNOUNCEMENT HOSTED ON UNIVISION'S ARRIBA VALLE CENTRAL SHOW.KERN COUNTY SECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF KERN COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE, AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, KERN COUNTY PUBLIC HEALTH DEPARTMENT, HEALTHY KERN COUNTY, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. INFORMATION WAS ALSO OBTAINED THROUGH COMMUNITY SURVEYS AND INTERVIEWS WITH INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED BY THE HOSPITAL. FORTY-ONE (41) INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 THROUGH MARCH 2019. THE KERN COUNTY COMMUNITY BENEFIT COLLABORATIVE REPRESENTATIVES DEVELOPED A PLAN FOR DISTRIBUTION OF A SURVEY TO ENGAGE COMMUNITY RESIDENTS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK, AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM NOVEMBER 2018 TO JANUARY 2019 AND DURING THIS TIME, 1,114 USABLE SURVEYS WERE COLLECTED.MERCED COUNTY THIS ASSESSMENT INCORPORATED DATA FROM QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDED PRIMARY RESEARCH FROM THE PRC COMMUNITY HEALTH SURVEY AND SECONDARY RESEARCH. THESE QUANTITATIVE COMPONENTS ALLOWED FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDED PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. THE SURVEY INSTRUMENT USED FOR THIS STUDY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES.FOR THE PRC COMMUNITY HEALTH SURVEY, A TELEPHONE INTERVIEW METHODOLOGY ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 300 INDIVIDUALS, AGE 18 AND OLDER, IN MERCED COUNTY. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT MERCED COUNTY AS A WHOLE. AN ONLINE KEY INFORMANT SURVEY WAS ALSO COMPLETED. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE HOSPITAL PARTNERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 49 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.STANISLAUS COUNTY QUANTITATIVE DATA COLLECTION FOR THE CHNA WAS CONDUCTED USING SECONDARY SOURCES. IN ORDER TO IDENTIFY INDICATORS TO BE INCLUDED IN THE ANALYSIS, A LIST OF POTENTIAL INDICATORS WAS COMPILED FROM THE 2013 STANISLAUS COUNTY COMMUNITY HEALTH ASSESSMENT, HEALTHY PEOPLE 2020, LET'S GET HEALTHY CALIFORNIA, THE STANISLAUS COUNTY ADMINISTRATIVE OFFICE, COUNTY HEALTH RANKINGS, KAISER PERMANENTE'S MODESTO MEDICAL CENTER'S CHNA, SUTTER HEALTH MODESTO'S CHNA, STANISLAUS COUNTY'S FOCUS ON PREVENTION AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS' (NACCHO) RECOMMENDED AND EXTENDED INDICATOR AND TOPIC LISTS. THOSE INDICATORS WERE GROUPED INTO THE NACCHO RECOMMENDED CATEGORIES AND THEMATIC SUBCATEGORIES. QUALITATIVE DATA WERE GATHERED FROM PRIMARY SOURCES. NINE FOCUS GROUPS WERE CONDUCTED FROM JANUARY TO FEBRUARY,2019 IN STANISLAUS COUNTY. ELEVEN KEY INFORMANT INTERVIEWS WERE CONDUCTED FROM DECEMBER 2018 TO FEBRUARY 2019. FOCUS GROUP AND KEY INFORMANT RESPONSES TO QUESTIONS ABOUT KEY HEALTH NEEDS WERE MATCHED TO THE COMMUNITY HEALTH ASSESSMENT TOPIC CATEGORIES AND SUBCATEGORIES. THE IDENTIFICATION OF SIGNIFICANT COMMUNITY NEEDS BEGAN WITH A REVIEW OF THE DATA THAT DESCRIBED THE HOSPITAL SERVICE AREA. HEALTH NEEDS THAT DID NOT MEET STATE OR NATIONAL BENCHMARKS WERE IDENTIFIED. THE PRIMARY DATA COLLECTION PROCESS THEN OBTAINED COMMUNITY INPUT TO SUPPORT THE SECONDARY DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS, AND DISCOVER GAPS IN RESOURCES. COMMUNITY INPUT WAS USED TO PRIORITIZE THESE NEEDS.
PART V, SECTION B, LINE 5 (CONTINUED):	THE 2019 CHNA REPORT PROCESS IDENTIFIED THE FOLLOWING 13 HEALTH NEEDS IN FRESNO, KINGS, MADERA AND TULARE COUNTIES. - ACCESS TO CARE - ASTHMA - CANCER - CLIMATE AND HEALTH - CARDIOVASCULAR DISEASE - ECONOMIC SECURITY - HIV/AIDS/STIS - MATERNAL AND INFANT HEALTH - MENTAL HEALTH - OBESITY/HEAL/DIABETES - ORAL HEALTH - SUBSTANCE USE/TOBACCO USE - VIOLENCE AND INJURY PREVENTION COMMUNITY MEDICAL CENTERS, SAINT AGNES MEDICAL CENTER, AND VALLEY CHILDREN'S HOSPITAL, INVITED LEADERS REPRESENTING COUNTY PUBLIC HEALTH AND COMMUNITY-BASED ORGANIZATIONS FROM FRESNO, KINGS, MADERA AND TULARE COUNTIES TO PARTICIPATE IN A HEALTH NEEDS RANKING PROCESS. PUBLIC HEALTH AND COMMUNITY LEADERS WERE TASKED WITH RANKING THE NEEDS THAT WERE MOST PRESSING IN THEIR RESPECTIVE COUNTIES, BASED ON HEALTH ISSUES PREVIOUSLY IDENTIFIED IN THE 2019 PRIMARY DATA COLLECTION PHASE. PARTICIPANTS IN THE COLLABORATIVE HEALTH RANKING SESSION WERE TASKED WITH RANKING THE IDENTIFIED HEALTH NEEDS BASED ON THE FOLLOWING CRITERIA: - SEVERITY, MAGNITUDE, URGENCY - FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS - POTENTIAL IMPACT ON GREATEST NUMBER OF PEOPLE - POTENTIAL HEALTH NEED SCORE (BASED ON COMMUNITY STAKEHOLDER AND RESIDENT FEEDBACK) - OUTCOMES ARE MEASURABLE AND ACHIEVABLE IN A 3-YEAR SPAN - EXISTING RESOURCES/PROGRAMS KERN COUNTY SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROM SECONDARY DATA USING THE SIZE OF THE PROBLEM (RELATIVE PORTION OF POPULATION AFFLICTED BY THE PROBLEM) AND THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF THE PROBLEM, THE HEALTH NEED INDICATORS THAT WERE IDENTIFIED IN THE SECONDARY DATA WERE MEASURED AGAINST BENCHMARK DATA; SPECIFICALLY, COUNTY RATES, STATE RATES AND/OR HEALTHY PEOPLE 2020 OBJECTIVES. INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST ONE OR MORE OF THESE BENCHMARKS MET THIS CRITERION TO BE CONSIDERED A HEALTH NEED. THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE DETERMINED: - ACCESS TO HEALTH CARE - ALZHEIMER'S DISEASE - BIRTH INDICATORS - CHRONIC DISEASES (ASTHMA, CANCER, DIABETES, HEART DISEASE, KIDNEY DISEASE, LIVER DISEASE, LUNG DISEASE, STROKE, VALLEY FEVER) - DENTAL CARE/ORAL HEALTH - ECONOMIC INSECURITY - ENVIRONMENTAL POLLUTION - FOOD INSECURITY - HOUSING AND HOMELESSNESS - MENTAL HEALTH - OVERWEIGHT AND OBESITY - PREVENTIVE PRACTICES - SEXUALLY TRANSMITTED INFECTIONS - SUBSTANCE USE AND MISUSE - UNINTENTIONAL INJURIES - VIOLENCE AND INJURY THE LIST OF SIGNIFICANT HEALTH NEEDS INFORMED PRIMARY DATA COLLECTION. THE PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO VALIDATE SECONDARY DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS, AND DISCOVER GAPS IN RESOURCES. COMMUNITY STAKEHOLDER INTERVIEWS WERE USED TO GATHER INPUT AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS. THE FOLLOWING CRITERIA WERE USED TO PRIORITIZE THE HEALTH NEEDS: - THE PERCEIVED SEVERITY OF A HEALTH ISSUE OR HEALTH FACTOR AS IT AFFECTS THE HEALTH AND LIVES OF THOSE IN THE COMMUNITY; - THE LEVEL OF IMPORTANCE THE HOSPITAL SHOULD PLACE ON ADDRESSING THE ISSUE. THE STAKEHOLDERS WERE ALSO ASKED TO RANK ORDER (POSSIBLE SCORE OF 4) THE HEALTH NEEDS ACCORDING TO HIGHEST LEVEL OF IMPORTANCE IN THE COMMUNITY. THE TOTAL SCORE FOR EACH SIGNIFICANT HEALTH NEED WAS DIVIDED BY THE TOTAL NUMBER OF RESPONSES FOR WHICH DATA WERE PROVIDED, RESULTING IN AN OVERALL AVERAGE FOR EACH HEALTH NEED. MERCED COUNTY SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WERE IDENTIFIED FROM THE INFORMATION GATHERED THROUGH THE CHNA AND THE GUIDELINES SET FORTH IN HEALTHY PEOPLE 2020 (WWW.HEALTHYPEOPLE.GOV). SIGNIFICANT HEALTH NEEDS WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE NEEDS ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS. FOLLOWING IS THE LIST OF SIGNIFICANT HEALTH NEEDS IDENTIFIED IN MERCED COUNTY. - ACCESS TO HEALTH CARE - CANCER - DEMENTIA, INCLUDING ALZHEIMER'S DISEASE - DIABETES - HEART DISEASE AND STROKE - INFANT HEALTH AND FAMILY PLANNING - INJURY AND VIOLENCE - KIDNEY DISEASE - MENTAL HEALTH - NUTRITION, PHYSICAL ACTIVITY AND WEIGHT - POTENTIALLY DISABLING CONDITIONS - RESPIRATORY DISEASES - SUBSTANCE USE - TOBACCO USE STANISLAUS COUNTY AFTER GATHERING QUANTITATIVE AND QUALITATIVE DATA, TOPIC CATEGORIES AND SUBCATEGORIES WERE CONSIDERED AS KEY HEALTH NEEDS IF THEY MET THE FOLLOWING CRITERIA: - INDICATORS REVIEWED IN SECONDARY DATA DEMONSTRATED THAT THE COUNTY ESTIMATE WAS POORER BY MORE THAN ONE PERCENTAGE POINT WHEN COMPARED TO THE BENCHMARK ESTIMATE (IN MOST CASES, CALIFORNIA STATE AVERAGE). - THE HEALTH ISSUE WAS IDENTIFIED AS A KEY THEME IN AT LEAST THREE INTERVIEWS. - THE HEALTH ISSUE WAS IDENTIFIED AS A KEY THEME IN AT LEAST THREE FOCUS GROUPS. THIS METHOD REVEALED THE FOLLOWING KEY HEALTH NEEDS: - ACCESS TO CARE - ASTHMA/AIR QUALITY - CHRONIC DISEASE - COMMUNICABLE DISEASE - ECONOMIC INSECURITY - EDUCATION - HOUSING AND HOMELESSNESS - MENTAL HEALTH - SAFETY - SUBSTANCE USE - TRANSPORTATION ON MAY 30, 2019, COMMUNITY MEMBERS AND STAKEHOLDERS WERE CONVENED FOR A COMMUNITY CONVERSATION TO PRIORITIZE THESE HEALTH NEEDS. DURING THE COMMUNITY CONVERSATION BREAKOUT GROUPS, PARTICIPANTS DISCUSSED ISSUES AND CONCERNS THAT IMPACTED THE HEALTH OF STANISLAUS COUNTY. THEY WERE ALSO ASKED TO IDENTIFY COMMUNITY ASSETS AND RESOURCES.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: VALLEY CHILDREN'S HOSPITAL, - FACILITY 2: VALLEY CHILDREN'S HOME CARE
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	- ADVENTIST HEALTH HANFORD, REEDLEY, SELMA, TULARE, BAKERSFIELD AND TEHACHAPI VALLEY- CLOVIS COMMUNITY MEDICAL CENTER - COALINGA REGIONAL MEDICAL CENTER (CLOSED) - COMMUNITY REGIONAL MEDICAL CENTER (INCLUDES COMMUNITY BEHAVIORAL HEALTH CENTER) - DELANO REGIONAL MEDICAL CENTER (KERN COUNTY)- DIGNITY HEALTH (KERN COUNTY)- KAISER PERMANENTE, FRESNO SERVICE AREA, KERN COUNTY - KAWEAH DELTA HEALTH CARE DISTRICT - KERN MEDICAL- MADERA COMMUNITY HOSPITAL - MERCY MEDICAL MERCED- MEMORIAL HOSPITAL LOS BANOS- SAN JOAQUIN VALLEY REHABILITATION HOSPITAL - SIERRA VIEW MEDICAL CENTER - SAINT AGNES MEDICAL CENTER - VALLEY CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:	- HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA- COMMUNITY COMMONS- CALIFORNIA DEPARTMENT OF PUBLIC HEALTH- COUNTY HEALTH RANKINGS & ROADMAPS- KERN COUNTY COMMUNITY BENEFIT COLLABORATIVE- STANISLAUS COUNTY HEALTH SERVICES AGENCY PUBLIC HEALTH DEPARTMENT
PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:	HTTPS://WWW.VALLEYCHILDRENS.ORG/GUILDS-CENTER-FOR-COMMUNITY-HEALTH/COMMUNITY-BENEFIT
PART V, SECTION B, LINE 11	ACCESS TO CARE ENROLLMENT IN HEALTH INSURANCE VALLEY CHILDREN'S 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 FAMILIES WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES. CLINICAL PARTNERSHIPS VALLEY 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 HELPS PREVENT CHILDREN FROM BEING TRANSFERRED OR REFERRED UNNECESSARILY TO VALLEY CHILDREN'S AND HELPS IDENTIFY WHEN A CHILD NEEDS ADVANCED PEDIATRIC CARE. THE GOALS OF THE CLINICAL PARTNERSHIP PROGRAM INCLUDE PROVIDING: ENHANCED, COORDINATED CARE, MORE CARE DELIVERED CLOSER TO HOME, AND IMPROVED QUALITY AND CONFIDENCE IN PROVIDING PEDIATRIC CARE. IN 2017, VALLEY CHILDREN'S SUPPORTED 10 CLINICAL PARTNERSHIPS. IN 2018, VALLEY CHILDREN'S SUPPORTED 13 INPATIENT CLINICAL PARTNERS AND TWO OUTPATIENT CLINICAL PARTNERS. MEETING THE NEEDS OF MEDICALLY COMPLEX CHILDREN VALLEY CHILDREN'S RECOGNIZES THE CRITICAL ROLE THAT COMMUNITY-BASED PROVIDERS AND ORGANIZATIONS PLAY IN MEETING THE NEEDS OF MEDICALLY COMPLEX CHILDREN AND IS COMMITTED TO MAKING SURE THEY HAVE THE CLINICAL SKILLS TO TAKE CARE OF THIS PATIENT POPULATION. VALLEY CHILDREN'S PROVIDED SIGNIFICANT OUTREACH AND EDUCATION FOR COMMUNITY-BASED ORGANIZATIONS AND PROVIDERS TO MAKE SURE THEY HAVE THE CLINICAL EXPERTISE NEEDED TO CARE FOR MEDICALLY COMPLEX CHILDREN, INCLUDING CHILDREN WITH TRACHEOSTOMIES AND VENTILATORS. TRANSPORTATION GIVEN 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 INCREASE ACCESS TO CARE 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. CHRONIC DISEASE PREVENTION HEALTH CARE LITERACY VALLEY CHILDREN'S PROVIDED ACCESS TO ONLINE EDUCATIONAL INFORMATION VIA THE HEALTH ENCYCLOPEDIA LINK ON ITS WEBSITE. THE HEALTH ENCYCLOPEDIA CONTAINS THOUSANDS OF PAGES OF INFORMATION ON PEDIATRIC DISEASES, CONDITIONS AND TREATMENTS, AS WELL AS SECTIONS ON HOW TO KEEP KIDS HEALTHY. THE ENCYCLOPEDIA IS AVAILABLE IN ENGLISH AND SPANISH. COMMUNITIES FOR HEALTHY KIDS THE COMMUNITIES FOR HEALTHY KIDS INITIATIVE IS A MULTI-SECTOR PARTNERSHIP BETWEEN HEALTH CARE PROVIDERS, HEALTH PLANS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, PUBLIC HEALTH DEPARTMENTS AND THE AGRICULTURE INDUSTRY TO INCREASE ACCESS TO AND CONSUMPTION OF HEALTHY FOODS AND BEVERAGES AND TO INCREASE OPPORTUNITIES FOR AND PARTICIPATION IN PHYSICAL ACTIVITY. THE PURPOSE OF THIS EFFORT IS TO ALIGN AND SUPPORT EXISTING PARTNERSHIPS ACROSS FRESNO, MADERA AND KINGS COUNTIES IN AN EFFORT TO REDUCE CHILDHOOD OBESITY IN THE CENTRAL VALLEY THROUGH EDUCATION, ADVOCACY AND THE COORDINATED IMPLEMENTATION OF IDENTIFIED STRATEGIES. FURTHERMORE, VALLEY CHILDREN'S HAS IDENTIFIED FOOD INSECURITY AS A CRITICAL SOCIAL DETERMINANT OF HEALTH THAT IMPACTS THE HEALTH AND WELLBEING OF OUR PATIENTS AND FAMILIES. CHILDREN WHO ARE FOOD INSECURE LACK ACCESS TO AFFORDABLE AND HEALTHY FOODS, WHICH LEADS TO ADVERSE HEALTH OUTCOMES, INCLUDING INCREASED OBESITY RATES. TO SUPPORT THIS EFFORT, VALLEY CHILDREN'S LAUNCHED A PILOT PROJECT AT ONE OF ITS COMMUNITY-BASED PRIMARY CARE PEDIATRIC PRACTICES. PROVIDERS AT THE PRACTICE SCREEN THEIR PATIENTS FOR FOOD INSECURITY. IF ASSESSED TO BE "AT-RISK," PATIENTS ARE CONNECTED TO NUTRITION PROGRAMS AND EMERGENCY FOOD RESOURCES. ADDITIONAL SUPPORT INCLUDED THE FOLLOWING ACTIVITIES: - VALLEY CHILDREN'S CONVENED A CONTINUING MEDICAL EDUCATION EVENT ON CHILDHOOD OBESITY PREVENTION FOR COMMUNITY PROVIDERS IN FRESNO, MADERA, MERCED, KINGS AND TULARE COUNTIES TO RAISE AWARENESS ABOUT WAYS TO ADDRESS CHILDHOOD OBESITY WITHIN THE CLINICAL SETTING. - VALLEY CHILDREN'S SERVED ON THE STEERING COMMITTEE FOR THE FRESNO COUNTY HEALTH IMPROVEMENT PARTNERSHIP, CO-CHAIRED THE FRESNO COUNTY DIABETES COLLABORATIVE AND PARTICIPATED IN THE LIVE WELL MADERA COUNTY DIABETES AND OBESITY WORKGROUP, THE KINGS COUNTY DIABESITY COALITION AND THE TULARE COUNTY DIABETES AND OBESITY WORKGROUP. INFANT HEALTH VALLEY CHILDREN'S PARTICIPATED IN INITIATIVES THAT SUPPORTED THE HEALTHY DEVELOPMENT OF CHILDREN, DURING PREGNANCY AND INTO THE FIRST 3-5 YEARS OF LIFE. EXAMPLES INCLUDED THE FOLLOWING: - FRESNO COUNTY PRE-TERM BIRTH INITIATIVE FRESNO COUNTY HAS ONE OF CALIFORNIA'S HIGHEST RATES OF PREMATURE BIRTH WITH 1 OUT OF EVERY 9 BABIES BORN TOO EARLY. PREMATURE BIRTH CAN CAUSE SERIOUS PHYSICAL AND MENTAL DISABILITIES, OR EVEN DEATH, BEFORE THE BABY'S FIRST BIRTHDAY. OVER A 10-YEAR PERIOD, THE FRESNO COUNTY PRE-TERM BIRTH INITIATIVE HAS WORKED TO IMPROVE THE HEALTH OF FRESNO MOTHERS AND REDUCE THE RATE OF PREMATURE BABIES. USING AN APPROACH CALLED COLLECTIVE IMPACT, PARTNERS ACROSS MANY SECTORS HAVE COME TOGETHER TO CREATE CHANGE IN FRESNO COUNTY. VALLEY CHILDREN'S HAS BEEN AN ACTIVE PARTICIPANT IN THIS INITIATIVE, WITH VALLEY CHILDREN'S SENIOR VICE PRESIDENT FOR COMMUNITY ENGAGEMENT AND POPULATION WELLNESS SERVING AS CHAIR OF THE INITIATIVE'S STEERING COMMITTEE. - CRADLE TO CAREER FRESNO AND STANISLAUS COUNTIES HAVE BEGUN FORMAL CRADLE TO CAREER INITIATIVES FOR THE PURPOSE OF CONVENING PUBLIC AND PRIVATE SECTOR STAKEHOLDERS TO WORK TOGETHER TO IMPROVE OUTCOMES FOR CHILDREN IN THEIR COMMUNITIES, FROM PRE-CONCEPTION TO COLLEGE AND/OR VOCATIONAL TRAINING. VALLEY CHILDREN'S PARTICIPATES IN BOTH INITIATIVES AND HAS BEEN A STRONG VOICE FOR THE INCLUSION OF OUTCOMES AND INDICATORS FOCUSED ON CHILD HEALTH AND WELLNESS. - HELP ME GROW FRESNO COUNTY HELP ME GROW IS A COORDINATED SYSTEM OF EARLY IDENTIFICATION AND REFERRAL FOR CHILDREN, AGES 0-5, WHO ARE AT RISK FOR DEVELOPMENTAL DELAYS. IN FY2018, VALLEY CHILDREN'S SUPPORTED THE IMPLEMENTATION OF HELP ME GROW IN ITS PEDIATRIC PRIMARY CARE PRACTICES IN FRESNO COUNTY BY PROMOTING THE USE OF A SPECIFIC DEVELOPMENTAL ASSESSMENT AND SCREENING TOOL THAT IS PART OF THE HELP ME GROW MODEL. - MARCH OF DIMES VALLEY CHILDREN'S PARTNERED WITH THE MARCH OF DIMES TO ADVOCATE FOR POLICIES AT THE STATE AND FEDERAL LEVEL THAT PROMOTE HEALTHY PREGNANCIES AND HEALTHY BABIES. ADDITIONALLY, VALLEY CHILDREN'S DIRECTOR OF COMMUNITY AND GOVERNMENT RELATIONS CHAIRED THE MARCH OF DIMES OF CALIFORNIA'S ADVOCACY AND GOVERNMENT AFFAIRS COMMITTEE IN FY2017 AND FY2018. MENTAL HEALTH ISSUES AND CHALLENGES ASSOCIATED WITH CHILD AND ADOLESCENT MENTAL HEALTH CONTINUED TO BE A MAJOR CONCERN. TO HELP IDENTIFY POTENTIAL REGIONAL SOLUTIONS, VALLEY CHILDREN'S SUPPORTED OR PARTICIPATED IN A NUMBER OF ACTIVITIES. VALLEY CHILDREN'S STAFF PROVIDED TEEN SUICIDE PREVENTION EDUCATION TO STUDENTS AND STAFF AT AREA HIGH SCHOOLS. IN FEBRUARY 2017, VALLEY CHILDREN'S HOSTED A SEMINAR TITLED "A DISCUSSION ON TEEN DEPRESSION AND SUICIDE PREVENTION" THAT DREW OVER 200 ATTENDEES FROM ACROSS THE CENTRAL VALLEY. VALLEY CHILDREN'S STAFF EITHER LED OR PARTICIPATED IN A NUMBER OF COMMUNITY-BASED COLLABORATIVES FOCUSED ON PREVENTING CHILD MENTAL ILLNESS AND/OR EARLY IDENTIFICATION AND TREATMENT OF CHILD MENTAL ILLNESS. VALLEY CHILDREN'S STAFF CHAIRED COMMUNITY CONVERSATIONS, A 50-MEMBER COLLABORATIVE ADDRESSING ISSUES OF MENTAL HEALTH, HOMELESSNESS AND THE IMPACT ON FAMILIES. A NUMBER OF VALLEY CHILDREN'S STAFF ALSO SERVED AS MEMBERS OF THE FRESNO SUICIDE PREVENTION COLLABORATIVE AND MADERA COUNTY SUICIDE EDUCATION AND AWARENESS COLLABORATIVE. VIOLENCE AND INJURY PREVENTION UNINTENTIONAL INJURY IS THE LEADING CAUSE OF DEATH FOR CHILDREN IN THE U.S. AS A LEADER IN PROVIDING SPECIALIZED PEDIATRIC HEALTHCARE, VALLEY CHILDREN'S RECOGNIZES THE IMPORTANCE OF INJURY PREVENTION AND WORKS COLLABORATIVELY WITH COMMUNITY AGENCIES TO PREVENT THOSE TRAGEDIES. EACH YEAR, VALLEY CHILDREN'S INJURY PREVENTION PROGRAM PROVIDES INJURY PREVENTION EDUCATION AND OUTREACH TO CHILDREN AND FAMILIES THROUGH A VARIETY OF FORUMS THROUGHOUT CENTRAL CALIFORNIA. THE PROGRAM IS DESIGNED TO HELP KEEP OUR KIDS SAFE.
PART V, SECTION B, LINE 11 (CONTINUED)	CHILD ABUSE PREVENTION THE GUILDS OF VALLEY CHILDREN'S HOSPITAL CHILD ABUSE PREVENTION AND TREATMENT CENTER'S MISSION IS TO PROVIDE COMPREHENSIVE SERVICES TO CHILDREN, DEPENDENT ADULTS AND THEIR FAMILIES THROUGH A MULTIDISCIPLINARY, CHILD-FRIENDLY PROGRAM, AND TO MEET THE PHYSICAL AND EMOTIONAL NEEDS OF VICTIMS OF CHILD ABUSE. THE CENTER'S VISION IS TO BE THE PREMIER PROVIDER IN CENTRAL CALIFORNIA FOR DIAGNOSTIC PHYSICAL ABUSE ASSESSMENTS, FOSTER CARE MEDICAL CLEARANCE EXAMINATIONS AND PEDIATRIC SEXUAL ASSAULT EVALUATIONS, INCLUDING CHILDREN WHO HAVE BEEN VICTIMS OF COMMERCIAL SEXUAL EXPLOITATION. ADDITIONALLY, THE CENTER'S PROVIDERS, KNOWN AS THE CHILD ADVOCACY TEAM, REGULARLY TESTIFY IN BOTH DEPENDENCY AND CRIMINAL COURTS THROUGHOUT THE VALLEY. THE CENTER IS RECOGNIZED IN CENTRAL CALIFORNIA AND AROUND THE STATE AS A LEADER IN ADVOCACY, INJURY PREVENTION, CLINICAL RESEARCH AND ACADEMIC TRAINING. THE CENTER INCLUDES THE CHILD ADVOCACY CLINIC, WHICH OPERATES FIVE DAYS A WEEK AND SEES APPROXIMATELY 1,000 CHILDREN EACH YEAR. CENTER PROVIDERS ALSO ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY FOR EMERGENCY COVERAGE. THE CENTER INCLUDES AN INPATIENT COMPONENT THAT EVALUATES ABOUT 100 CHILDREN YEARLY IN THE PEDIATRIC EMERGENCY DEPARTMENT, ACUTE-CARE FLOORS AND PEDIATRIC INTENSIVE CARE UNIT. THESE CHILDREN ARE EVALUATED FOR SUSPECTED PHYSICAL ABUSE, SEXUAL ABUSE AND NEGLECT. THE STAFF INCLUDES CHILD ABUSE PEDIATRICIANS, NURSE PRACTITIONERS SPECIALIZED IN CHILD MALTREATMENT, FORENSIC NURSES, SOCIAL WORKERS, FORENSIC INTERVIEWERS, A CENTER COORDINATOR, A LICENSED MENTAL HEALTH PROVIDER AND SUPPORT STAFF. IN ADDITION TO THE CLINICAL SERVICES OFFERED BY THE CENTER, A MULTI-DISCIPLINARY INTERVIEWING CENTER IS ALSO AVAILABLE FOR VICTIMS OR WITNESSES OF CRIMES. FORENSIC INTERVIEWING SERVICES ARE REQUESTED BY LAW ENFORCEMENT AND/OR CPS. THE PURPOSE OF THE FORENSIC INTERVIEWING PROGRAM COMPONENT IS TO REDUCE THE NUMBER OF INTERVIEWS AND DECREASE THE NUMBER OF INDIVIDUALS WHO WILL TALK TO THE VICTIM. THE CENTER STRIVES TO PROVIDE A WELCOMING, CHILD-FRIENDLY ENVIRONMENT WHERE CHILDREN/DEPENDENT ADULTS CAN FEEL SAFE AND BE INTERVIEWED BY A TRAINED PROFESSIONAL. THERE IS ONGOING COLLABORATION WITH EXTERNAL COMMUNITY PARTNERS AND OTHER HOSPITAL SERVICES INCLUDING SUBSPECIALTY CLINICS, PATIENT AND FAMILY SERVICES, INTERPRETER SERVICES, RADIOLOGY, DIAGNOSTIC CLINICAL LABORATORIES, CHILD LIFE SERVICES AND PASTORAL CARE. THE CENTER WORKS CLOSELY WITH LAW ENFORCEMENT, CPS AND DISTRICT ATTORNEYS' OFFICES IN THEIR INVESTIGATIVE EFFORTS OF CHILD MALTREATMENT. COLLABORATIVE EFFORTS INCLUDE CASE CONSULTATION AND MONTHLY SUSPECT CHILD ABUSE AND NEGLECT (SCAN) 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 COLLABORATES WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO PARENTS, CAREGIVERS, HEALTHCARE PERSONNEL, TEACHERS AND MANDATED REPORTERS OF SUSPECTED CHILD MALTREATMENT. THESE PARTNERS INCLUDE VALLEY CHILDREN'S TRAUMA DEPARTMENT'S INJURY PREVENTION TEAM, SAFE KIDS, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, COMPREHENSIVE YOUTH SERVICES, CPS, EXCEPTIONAL PARENTS UNLIMITED, SEXUAL ASSAULT RESPONSE TEAMS (SART) AND COUNTY PUBLIC HEALTH DEPARTMENTS. POISON CONTROL THE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE VALLEY CHILDREN'S CAMPUS AND RECEIVED A DONATION OF OFFICE SPACE FROM VALLEY CHILDREN'S. THE CENTER ANSWERS CALLS FROM THROUGHOUT THE REGION AND PROVIDES EXPERT ADVICE AND INFORMATION REGARDING EXPOSURE TO POTENTIALLY HARMFUL SUBSTANCES. THE PHONES ARE STAFFED 24 HOURS A DAY, 7 DAYS A WEEK. IN ADDITION TO PROVIDING EMERGENCY TELEPHONE ADVICE REGARDING POISON EXPOSURES, THE POISON CONTROL CENTER OPERATES SEVERAL PROGRAMS CRITICAL TO A CULTURALLY DIVERSE, AGRICULTURALLY BASED COMMUNITY LIKE THE CENTRAL VALLEY. THE CENTER HAS BEEN EXPRESSLY RESPONSIVE TO THE GROWING AND LARGELY UNDERSERVED LATINO POPULATION BY DEVELOPING SPECIALIZED TEACHING TOOLS AND PROGRAM INTERVENTIONS IN SPANISH, AND PROVIDING CUSTOMIZED TRAININGS FOR COMMUNITY HEALTH WORKERS IN SPANISH. ALSO, THE CENTER CONTRACTS WITH THE STATE DEPARTMENT OF PESTICIDE REGULATION (DPR) TO ASSIST PHYSICIANS IN COMPLYING WITH MANDATORY REPORTING REQUIREMENTS FOR PESTICIDE EXPOSURES. THE POISON CONTROL CENTER ALSO PROVIDES CASE DATA AND INFORMATION ON THE HEALTH ISSUES RELATED TO PESTICIDE EXPOSURE IN CALIFORNIA.NEEDS NOT ADDRESSEDTAKING INTO CONSIDERATION BOTH VALLEY CHILDREN'S EXISTING RESOURCES AND AS WELL AS COMMUNITY RESOURCES, VALLEY CHILDREN'S WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: ORAL HEALTH, SUBSTANCE USE, CLIMATE AND HEALTH/ENVIRONMENTAL POLLUTION, HOUSING AND HOMELESSNESS, EDUCATION, ECONOMIC SECURITY, SEXUALLY TRANSMITTED INFECTIONS, ALZHEIMER'S DISEASE, AND COMMUNICABLE DISEASES. KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, VALLEY CHILDREN'S CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. THIS IMPLEMENTATION STRATEGY REPORT IS NOT EXHAUSTIVE OF EVERYTHING VALLEY CHILDREN'S DOES TO ENHANCE THE HEALTH OF ITS COMMUNITY. VALLEY CHILDREN'S WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE IT CAN APPROPRIATELY CONTRIBUTE TO ADDRESSING THOSE NEEDS.
PART V, SECTION B, LINE 13H:	FACILITY REPORTING GROUP - A200% OR LESS FEDERAL POVERTY GUIDELINES (FPG) - FULL CHARITABLE DISCOUNT $0 CHARGES.201%-350% 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.350% - HIGH MEDICAL COST DISCOUNT, INCOME FOR THE LAST 12 MONTHS DOES NOT EXCEED 350% 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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $ 9,179,286.
PART III, LINE 4:	FOOTNOTE DESCRIBING BAD DEBT EXPENSE: SEE PAGE 14, NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS.COSTING METHODOLOGY:ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND REVIEW OF LARGE BALANCE SELF-PAY ACCOUNTS. 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 8:	MEDICARE ALLOWABLE COST IS CALCULATED USING THE FILED 2021 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:	COMMUNITY HEALTH NEEDS ASSESSMENT: VALLEY CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM IS BASED ON A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CONSISTENT WITH STATE AND FEDERAL LAW, VALLEY CHILDREN'S HOSPITAL COMPLETES A FORMAL CHNA AT LEAST ONCE EVERY THREE YEARS. VALLEY CHILDREN'S HOSPITAL'S 2021 COMMUNITY BENEFITS PROGRAM IS BUILT UPON THE OUTCOMES OF A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDED THE FOLLOWING ACTIVITIES:VALLEY CHILDREN'S 2019 CHNA WAS BASED ON A JOINT NEEDS ASSESSMENT FOR FRESNO, KINGS, MADERA AND TULARE COUNTIES. VALLEY CHILDREN'S PARTNERED WITH 15 HOSPITALS TO CONDUCT AN ASSESSMENT OF HEALTH NEEDS FOR BOTH CHILDREN AND ADULTS. THE CHNA WAS COORDINATED BY THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, AND INCLUDED A THOROUGH REVIEW OF SECONDARY DATA AS WELL AS SIGNIFICANT COMMUNITY ENGAGEMENT THROUGH SURVEYS, FOCUS GROUPS AND KEY STAKEHOLDER INTERVIEWS. ADDITIONALLY, VALLEY CHILDREN'S STAFF ENGAGED REGULARLY WITH A HOST OF COMMUNITY-BASED ORGANIZATIONS AND INITIATIVES THAT KEPT US CLOSE TO THE ISSUES IMPACTING THE HEALTH AND WELLBEING OF CHILDREN IN THE REGION.
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:	COMMUNITY INFORMATION: AS THE ONLY PEDIATRIC NETWORK OF ITS KIND IN ALL OF CENTRAL CALIFORNIA, VALLEY CHILDREN'S SERVICE AREA EXTENDS FROM SAN JOAQUIN COUNTY IN THE NORTH TO KERN COUNTY IN THE SOUTH, AND SERVES MUCH OF THE CENTRAL COAST AND EASTERN SIERRA AS WELL. VALLEY CHILDREN'S SERVICE AREA IS FOCUSED ON THOSE SEVEN COUNTIES THAT COLLECTIVELY ACCOUNT FOR MORE THAN 90% OF VALLEY CHILLDREN'S INPATIENT AND OUTPATIENT VOLUME. THOSE COUNTIES ARE FRESNO, KERN, KINGS, MADERA, MERCED, STANISLAUS AND TULARE. ACCORDING TO WWW.KIDSDATA.ORG, MORE THAN 1/4 OF CHILDREN LIVING IN THESE SEVEN COUNTIES LIVE IN POVERTY, 3/4 ARE AN ETHNICITY OTHER THAN CAUCASIAN AND CLOSE TO 1/5 LIVE IN FAMILIES WHERE ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN AT HOME. IN 2021, VALLEY CHILDREN'S HOSPITAL HAD 10,211 INPATIENT ADMISSIONS, 73,945 EMERGENCY DEPARTMENT VISITS AND 265,080 HOSPITAL-BASED OUTPATIENT SPECIALTY CARE CENTER, REGIONAL SPECIALTY CARE CENTER, PRIMARY CARE CENTER, AND URGENT CARE CENTER VISITS. MEDI-CAL BENEFITS COVERED 74.5% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 73.1% OF THE OUTPATIENT VISITS AT VALLEY CHILDREN'S HOSPITAL.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMOBILE HEALTH UNITPEDIATRIC PHYSICIAN RESIDENTS PARTICIPATING IN VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM PROVIDED PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES TO AT-RISK CHILDREN IN FRESNO COUNTY AS A PART OF THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS' (FCSOS) MOBILE HEALTH UNIT (MHU). DESIGNED TO HELP ENSURE THAT CHILDREN ARE HEALTHY AND READY AND ABLE TO LEARN, THE MHU VISITED 17 DIFFERENT SCHOOLS REGULARLY DURING THE YEAR INCLUDING MANY RURAL AND LOW-INCOME COMMUNITIES, AND AS PART OF THESE VISITS, ADMINISTERED 415 VACCINATIONS TO CHILDREN AGES 0-18.FOOD FOR FAMILIES VALLEY CHILDREN'S DIETARY TEAM PROVIDED MEAL COUPONS TO BREASTFEEDING MOMS WHOSE INFANTS WERE AT VALLEY CHILDREN'S. ADDITIONALLY, THROUGH A PROGRAM CALLED MEALS FROM THE HEART, WHICH IS SPONSORED BY RONALD MCDONALD CHARITIES OF CENTRAL CALIFORNIA, VALLEY CHILDREN'S SOCIAL WORK TEAM PROVIDED PATIENTS' FAMILIES WITH MEAL COUPONS WHEN THEY ARRIVED AND WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL. THE SOCIAL WORK TEAM ALSO WORKED CLOSELY WITH THE CALIFORNIA CHILDREN'S SERVICES PROGRAM TO PROVIDE FOOD FOR ELIGIBLE FAMILIES. FOOD INSECURITYIN 2021. VALLEY CHILDREN'S AND THE GUILDS CENTER FOR COMMUNITY HEALTH CONTINUED ITS PARTNERSHIP WITH VALLARTA SUPERMARKETS AND THE KIDS EAT SMART CAMPAIGN, WHICH PROMOTES ACCESS TO HEALTHY FOODS. A CORNERSTONE OF KIDS EAT SMART IS CREATING OPPORTUNITIES FOR CHILDREN TO DEVELOP HEALTHY EATING HABITS AND CREATING ENVIRONMENTS THAT INCREASE ACCESS TO HEALTHY FOOD. TO DATE, MORE THAN 15,000 PIECES OF FRUIT HAVE BEEN DISTRIBUTED TO CHILDREN AT VALLARTA SUPERMARKETS IN THE CITIES OF FRESNO, TULARE, VISALIA, AND PORTERVILLE. IN ADDITION, THE GUILDS CENTER FOR COMMUNITY HEALTH AND SECURED FUNDING FROM SAVE MART AND RITE AID FOR EXPANSION OF THIS PROGRAM INTO ADDITIONAL COMMUNITIES. IN 2021, AMIDST THE COVID-19 PANDEMIC AND AS FOOD INSECURITY PERSISTED AT ELEVATED LEVELS, VALLEY CHILDREN'S CONTINUED ITS PRESCRIPTION FOR FOOD PROGRAM AT ITS MERCED OLIVEWOOD PEDIATRICS PRACTICE. WITH FUNDING FROM THE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, VALLEY CHILDREN'S PRIMARY CARE PROVIDERS IN MERCED SCREENED CHILDREN FOR FOOD INSECURITY USING A SIMPLE SURVEY DEVELOPED BY THE AMERICAN ACADEMY OF PEDIATRICS. A FAMILY WAS DETERMINED TO BE FOOD INSECURE IF, DURING THE LAST 12 MONTHS, THEY WORRIED ABOUT NOT HAVING ENOUGH MONEY TO BUY FOOD OR THEY RAN OUT OF FOOD AND DID NOT HAVE ENOUGH MONEY TO BUY MORE. FOR CHILDREN AND FAMILIES FOUND TO BE FOOD INSECURE, OUR PROVIDERS HANDED THE FAMILIES A "PRESCRIPTION FOR FOOD" VOUCHER, WHICH ENTITLED THEM TO RECEIVE A 30-POUND BOX OF NUTRITIOUS AND HEALTHY FOODS FROM THE MERCED COUNTY FOOD BANK ON A MONTHLY BASIS FOR 12 MONTHS.VALLEY CHILDREN'S PROVIDERS AT OLIVEWOOD PEDIATRICS SCREENED A TOTAL OF 1,630 PATIENTS, 359 OF WHICH WERE DETERMINED TO FOOD INSECURE. DATA SHOWS THAT APPROXIMATELY 26% OF MEDI-CAL PATIENTS AT OUR MERCED COUNTY PRACTICE ARE FOOD INSECURE. OVER THE COURSE OF THIS PROGRAM, AND BASED ON FOOD REDEMPTION NUMBERS REPORTED BY THE MERCED COUNTY FOOD BANK, MORE THAN 3,000 INDIVIDUALS (OUR PATIENTS PLUS THEIR FAMILY MEMBERS) RECEIVED FREE FOOD THANKS TO THE PROGRAM.SCHOOLS FOR THRIVING AND HEALTHY STUDENTSIN JULY 2021, VALLEY CHILDREN'S CONCLUDED PHASE I OF ITS SCHOOLS FOR THRIVING AND HEALTHY STUDENTS INITIATIVE. THE PURPOSE OF THE INITIATIVE IS TO ENGAGE SCHOOL LEADERS ACROSS FRESNO AND MADERA COUNTIES AND TO INCREASE THE KNOWLEDGE AND SKILLS NEEDED TO EFFECTIVELY DEVELOP AND IMPLEMENT LOCAL SCHOOL WELLNESS POLICIES. A TOTAL OF 19 SCHOOL DISTRICTS IN THE TWO COUNTIES ARE PARTICIPATING IN THE INITIATIVE. SPECIFIC GOALS OF THE INITIATIVE ARE TO: A) INCREASE KNOWLEDGE OF THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD (WSCC) FRAMEWORK; B) INCREASE THE NUMBER OF SCHOOL DISTRICTS ADOPTING LOCAL SCHOOL WELLNESS POLICIES (LWSP) THAT INCORPORATE EVIDENCE-BASED PRACTICES, AND; C) INSTITUTE A REGULAR, ONGOING PROCESS BY WHICH THE PARTICIPATING DISTRICTS MONITOR THEIR PERFORMANCE, SHARE PRACTICES AND DEVELOP ACCOUNTABILITY FOR COMPREHENSIVE AND ONGOING IMPLEMENTATION OF THEIR WELLNESS POLICIES. KEY OUTCOMES FROM PHASE I INCLUDE SIX OF THE PARTICIPATING SCHOOL DISTRICT WELLNESS POLICIES USING EVIDENCE-BASED PRACTICES, AN INCREASED UNDERSTANDING AMONGST SCHOOL DISTRICT LEADERSHIP OF THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD FRAMEWORK, AND AGREEMENT BY THE SCHOOL DISTRICTS TO IMPLEMENT PHASE II OF SCHOOLS FOR HEALTHY AND THRIVING STUDENTS, WHICH BEGAN IN FALL 2021. PHASE I OF THE INITIATIVE WAS FUNDED BY VALLEY CHILDREN'S IN PARTNERSHIP WITH THE PUBLIC HEALTH INSTITUTE'S CENTER FOR WELLNESS AND NUTRITION, THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS AND THE MADERA COUNTY SUPERINTENDENT OF SCHOOLS. 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. VALLEY CHILDREN'S DEMONSTRATED ITS COMMITMENT TO MEETING THE MENTAL HEALTH NEEDS OF CHILDREN IN A NUMBER OF WAYS, INCLUDING THOSE LISTED BELOW AND IN PART V, SECTION B, LINE 11.IN RESPONSE TO THE CHALLENGES THAT COVID-19 AND DISTANCE LEARNING HAS CREATED FOR CHILDREN, VALLEY CHILDREN'S MENTAL HEALTH PROVIDERS HOSTED TWO SEPARATE FACEBOOK LIVE EVENTS DURING WHICH THEY DISCUSSED ISSUES SPECIFIC TO COVID-19 AND STUDENTS' SOCIAL AND EMOTIONAL WELL-BEING.ADDITIONALLY, VALLEY CHILDREN'S LAUNCHED AN INITIATIVE CALLED 360ME 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 BOTH OUR CHILDREN'S PHYSICAL HEALTH AND THEIR MENTAL HEALTH. AT THE STATE LEVEL, VALLEY CHILDREN'S SENIOR VICE PRESIDENT AND CHIEF COMMUNITY IMPACT OFFICER CHAIRED CALIFORNIA'S MENTAL HEALTH SERVICES OVERSIGHT & ACCOUNTABILITY COMMISSION AND A NUMBER OF VALLEY CHILDREN'S TEAM MEMBERS SUCCESSFULLY HELPED ADVOCATE FOR CONTINUED MEDI-CAL COVERAGE FOR POSTPARTUM DEPRESSION.REGIONAL CAPACITYIN SEPTEMBER 2019, VALLEY CHILDREN'S ANNOUNCED A PARTNERSHIP WITH UNIVERSAL HEALTH SERVICES (UHS), ONE OF THE NATION'S LARGEST AND MOST RESPECTED PROVIDERS OF BEHAVIORAL HEALTH SERVICES. UNDER THE PARTNERSHIP, UHS WILL CONSTRUCT, OWN AND OPERATE AN 81,600-SQUARE-FOOT, 128-BED BEHAVIORAL HEALTH HOSPITAL FOR CHILDREN AND ADULTS IMMEDIATELY ADJACENT TO THE VALLEY CHILDREN'S HOSPITAL CAMPUS IN MADERA. THE FACILITY WILL INCLUDE A 24-BED INPATIENT UNIT FOR CHILDREN AND ADOLESCENTS, AGES 5-17, REPRESENTING A 49% INCREASE IN AVAILABLE BEDS FOR KIDS FROM KERN TO SAN JOAQUIN COUNTIES. THE HOSPITAL IS EXPECTED TO OPEN IN 2022.VALLEY CHILDREN'S RESPONSE TO COVID-19SINCE THE START OF COVID-19, VALLEY CHILDREN'S HAS RECOGNIZED THAT IT HAS A CRITICAL ROLE TO PLAY NOT ONLY IN MEETING THE HEALTH NEEDS OF ITS PATIENTS AND ITS WORKFORCE, BUT ALSO IN HELPING THE BROADER COMMUNITY MEET THE CHALLENGES CREATED BY THE PANDEMIC. EXAMPLES OF THE SUPPORT THAT VALLEY CHILDREN'S PROVIDED TO ITS COMMUNITY PARTNERS IN 2021 INCLUDE THE FOLLOWING:- COVID-19 TEST SAMPLE PROCESSING: VALLEY CHILDREN'S PROCESSED MORE THAN 17,000 COVID-19 TESTING SAMPLES FOR SIX DIFFERENT COMMUNITY-BASED PROVIDERS AND ORGANIZATIONS THAT LACKED ADEQUATE LABORATORY CAPACITY OF THEIR OWN.- VALLEY CHILDREN'S PROVIDED CRITICAL FINANCIAL SUPPORT FOR THOSE ORGANIZATIONS WORKING HARD TO ADDRESS A VARIETY OF NEEDS AND CHALLENGES THAT CHILDREN AND FAMILIES WERE FACING DUE TO THE PANDEMIC, INCLUDING ACCESS TO HEALTHY FOODS AND AN INCREASE IN CHILD TRAUMA.THE MISSION OF VALLEY CHILDREN'S HOSPITAL IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF AND IS AN INDEPENDENT NON PROFIT ORGANIZATION GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES WHICH IS THEREFORE ACCOUNTABLE TO OUR COMMUNITY AND ONLY OUR COMMUNITY.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COURT APPOINTED SPECIAL ADVOCATES OF FRESNO COUNTY
2300 TULARE ST STE 210	FRESNO	CA	93721	770401361	501(C)(3)	$5,700	SPONSORSHIP
DOWN SYNDROME ASSOCIATION OF CENTRAL
491 W SHAW	FRESNO	CA	93711	770520742	501(C)(3)	$6,000	SPONSORSHIP
MAKE-A-WISH NORTHERN & CENTRAL
2800 CLUB CENTER DR	SACRAMENTO	CA	95835	680027351	501(C)(3)	$8,000	SPONSORSHIP
SIERRA VISTA CHILD & FAMILY SERVICES
100 POPLAR AVE	MODESTO	CA	95354	942158023	501(C)(3)	$10,000	DONATION
RONALD MCDONALD HOUSE
9161 RANDALL WAY	MADERA	CA	93720	942864490	501(C)(3)	$11,000	SPONSORSHIP
CATHOLIC CHARITIES DIOCESE OF FRESNO
149 N FULTON ST	FRESNO	CA	93701	941678938	501(C)(3)	$12,000	SPONSORSHIP
FRESNO METRO MINISTRY
4270 N BLACKSTONE AVE STE 212	FRESNO	CA	93726	942181848	501(C)(3)	$15,000	SPONSORSHIP
SAN JOAQUIN VALLEY RIVER PARKWAY
11605 OLD FRIANT ROAD	FRESNO	CA	93730	770196692	501(C)(3)	$15,000	SPONSORSHIP
PUBLIC HEALTH INSTITUTE
555 12TH STREET 2ND FLR	OAKLAND	CA	94607	941646278	501(C)(3)	$24,436	SCHOOL HEALTH & WELLNESS
STANISLAUS COMM FOUNDATION
100 SYCAMORE AVE STE 200	MODESTO	CA	95354	680483054	501(C)(3)	$25,000	SPONSORSHIP
CENTRAL CALIFORNIA FOOD BANK
4010 E HARDY AVE	FRESNO	CA	93725	770320851	501(C)(3)	$44,937	SPONSORSHIP
FOUNDATION FCOE
1111 VAN NESS AVE 3RD FL	FRESNO	CA	93721	800381096	501(C)(3)	$50,000	SPONSORSHIP
MARJAREE MASON CENTER INC
1600 M STREET	FRESNO	CA	93721	941156639	501(C)(3)	$75,000	SPONSORSHIP
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACE	MADERA	CA	936368762	464150987	501(C)(3)	$235,100	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP	5	$10,000
EDUCATION SCHOLARSHIP - RESPIRATORY FOCUS	1	$1,000
CAFETERIA MEALS	7404		$45,535	FMV	MEAL COUPONS FOR PATIENT FAMILIES
TAXI, BUS AND TRANSIT SERVICES	11575		$154,928	BOOK	SUBSIDIZATION OF BUS AND TRANSIT SERVICES

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	NURSING 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. 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

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (1)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TODD SUNTRAPAK
CEO	$1,499,948	$0	$2,283,541	$0	$162,711	$0	$1,527,060	$0	$39,616	$0	$5,512,876	$0	$0	$0
BEVERLY HAYDEN-PUGH
SVP, CLINICAL INT, PATIENT	$518,029	$0	$296,136	$0	$106,195	$0	$2,101,737	$0	$19,713	$0	$3,041,810	$0	$74,682	$0
MICHELE R WALDRON
SVP, CFO	$631,355	$0	$332,215	$0	$42,059	$0	$1,527,060	$0	$25,088	$0	$2,557,777	$0	$0	$0
NATALE PONTICELLO JR
SVP, CHIEF PEOPLE OFFICER	$391,954	$0	$115,296	$0	$82,370	$0	$1,585,524	$0	$2,646	$0	$2,177,790	$0	$58,533	$0
JESSIE HUDGINS
VP, FACILITIES	$289,444	$0	$667,154	$0	$86,027	$0	$73,039	$0	$18,044	$0	$1,133,708	$0	$629,385	$0
DAVID CHRISTENSEN
SVP, CPE & PRES VCMG	$736,830	$0	$201,310	$0	$34,787	$0	$21,460	$0	$37,835	$0	$1,032,222	$0	$0	$0
JANE WILLSON
SVP, CHIEF STRATEGY OFFICE	$423,363	$0	$126,242	$0	$77,675	$0	$93,272	$0	$8,138	$0	$728,690	$0	$53,481	$0
MICHAEL GOLDRING
SVP STRATEGIC PARTNERSHIPS	$493,362	$0	$151,201	$0	$32,522	$0	$27,060	$0	$19,713	$0	$723,858	$0	$0	$0
KAREN DAHL
VP, MED AFFAIRS & PHYS DEV	$414,039	$0	$112,918	$0	$82,201	$0	$83,726	$0	$9,903	$0	$702,787	$0	$60,791	$0
DAVID HODGE JR
VP HOSPITAL OPERATIONS	$433,801	$0	$89,984	$0	$64,210	$0	$80,311	$0	$31,134	$0	$699,440	$0	$37,970	$0
KEVIN SHIMAMOTO
VP AND CIO	$405,672	$0	$105,855	$0	$82,715	$0	$85,931	$0	$8,108	$0	$688,281	$0	$58,726	$0
WILLIAM CHALTRAW
SVP/CHIEF LEGAL OFFICER	$441,644	$0	$133,058	$0	$37,871	$0	$20,966	$0	$31,534	$0	$665,073	$0	$0	$0
LYNNE ASHBECK
SVP, CHIEF COMMUNITY IMPACT	$394,690	$0	$111,672	$0	$72,626	$0	$83,437	$0	$0	$0	$662,425	$0	$56,381	$0
JOEL BROWNELL MD
VP, CHIEF MEDICAL INFO OFF	$362,071	$0	$96,760	$0	$56,059	$0	$74,690	$0	$25,445	$0	$615,025	$0	$54,731	$0
DAVID SINGH
VP, COO OF VCMG	$331,586	$0	$94,663	$0	$73,767	$0	$78,990	$0	$0	$0	$579,006	$0	$51,904	$0
JOLIE LIMON
VP ACAD AFFAIRS, DIO & CHI	$374,678	$0	$79,840	$0	$18,851	$0	$58,297	$0	$9,756	$0	$541,422	$0	$0	$0
STEPHANIE VANCE
FINANCE, VP	$311,565	$0	$78,880	$0	$45,152	$0	$70,811	$0	$31,134	$0	$537,542	$0	$43,659	$0
BRIAN SMULLIN
VP, MANAGED CARE	$299,516	$0	$72,957	$0	$43,599	$0	$64,131	$0	$27,182	$0	$507,385	$0	$41,497	$0
DANIELLE BARRY
SVP, CHIEF OP INTEG	$296,053	$0	$75,601	$0	$43,415	$0	$52,324	$0	$31,134	$0	$498,527	$0	$43,000	$0
VICKY TILTON
EXEC DIREC & ASST CNO	$301,223	$0	$50	$0	$720	$0	$6,577	$0	$30,164	$0	$338,734	$0	$0	$0
YVONNE WOOD
MANAGER PATIENT THROUGHPUT	$269,795	$0	$2,550	$0	$930	$0	$24,732	$0	$33,884	$0	$331,891	$0	$0	$0
AMANDA PATTERSON
EXEC DIREC & DEPUTY GEN CO	$227,622	$0	$42,662	$0	$308	$0	$12,155	$0	$30,341	$0	$313,088	$0	$0	$0
RATAN MILEVOJ
DIR INNOV & ASST CSO	$226,921	$0	$33,022	$0	$207	$0	$16,300	$0	$30,764	$0	$307,214	$0	$0	$0
PAUL LEBBY
NEURODEV PROGRAM DIRECTOR	$249,929	$0	$50	$0	$11,992	$0	$24,949	$0	$16,963	$0	$303,883	$0	$0	$0
DAVID NALCHAJIAN
FORMER BOARD MEMBER	$300,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$300,000	$0	$0	$0
RAED KHOURY
VP, QUAL, PATIENT SAFETY	$209,120	$0	$0	$0	$723	$0	$13,539	$0	$17,731	$0	$241,113	$0	$0	$0
ADAM HOLMES MD
FORMER CHIEF OF STAFF (THRU 02/20)	$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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	SUPPLEMENTAL 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 AVAILABLE TO CERTAIN KEY EXECUTIVES (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, BRIAN SMULLIN, STEPHANIE VANCE, JOEL BROWNELL AND JOLIE LIMON ARE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. $744,225 WAS PAID OUT OF THE DCSERP PLAN DURING THE YEAR. EMPLOYER CONTRIBUTIONS TO THE DCSERP AND THE CHANGE IN ACTUARIAL VALUE OF SERP BENEFITS FOR CALENDAR YEAR 2020 ARE AS FOLLOWS: BEVERLY HAYDEN-PUGH - DCSERP $74,677; CHANGE IN SERP ACTUARIAL VALUE $0. JESSIE HUDGINS - DCSERP $45,907; SERP PAYOUT $583,469; CHANGE IN SERP ACTUARIAL VALUE $0. JANE WILLSON - DCSERP $63,753; CHANGE IN SERP ACTUARIAL VALUE $2,459. DAVID SINGH - DCSERP $51,930; CHANGE IN SERP ACTUARIAL VALUE $0. STEPHANIE VANCE - DCSERP $43,778; NOT ELIGIBLE FOR SERP. NATALIE PONTICELLO - DCSERP $58,464; NOT ELIGIBLE FOR SERP. JOEL BROWNELL - DCSERP $53,230; NOT ELIGIBLE FOR SERP. KAREN DAHL - DCSERP $62,013; NOT ELIGIBLE FOR SERP. KEVIN SHIMAMOTO - DCSERP $58,682; NOT ELIGIBLE FOR SERP. DANIELLE BARRY - DCSERP $41,381; NOT ELIGIBLE FOR SERP. BRIAN SMULLIN - DCSERP $42,671; NOT ELIGIBLE FOR SERP. DAVID HODGE - DCSERP $53,251; NOT ELIGIBLE FOR SERP. LYNNE ASHBECK - DCSERP $56,377; NOT ELIGIBLE FOR SERP. JOLIE LIMON - DCSERP $31,237; NOT ELIGIBLE FOR SERP. MICHAEL GOLDRING, WILLIAM CHALTRAW, JR, DAVID CHRISTENSEN, TODD SUNTRAPAK, AND MICHELE WALDRON PARTICIPATE IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM. TODD SUNTRAPAK, MICHELE WALDRON, BEVERLY HAYDEN-PUGH AND NATALIE PONTICELLO PARTICIPATE IN A 457F RABBI TRUST DEFERRED COMPENSATION PLAN. THE FOLLOWING AMOUNTS ACCRUED DURING THE 2020 CALENDAR YEAR: TODD SUNTRAPAK - $1,500,000 MICHELE WALDRON - $1,500,000 BEVERLY HAYDEN-PUGH - $2,000,000 NATALIE PONTICELLO - $1,500,000
PART I, LINE 5	AN EXECUTIVE INCENTIVE PLAN HAS BEEN ESTABLISHED THAT ALLOWS FOR PAYMENT OF INCENTIVES BASED ON BOTH NETWORK WIDE AND INDIVIDUAL GOALS. SUCH GOALS ARE RELATED TO A VARIETY OF METRICS INCLUDING REVENUE, 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 THE FORECASTED PAYOUTS AT THE END OF EACH YEAR BASED ON THE FINANCIAL AND OPERATING RESULTS.
PART I, LINE 6	SEE EXPLANATION FOR LINE 5, ABOVE

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
TODD SUNTRAPAK
CURRENT OFFICER	SEE BELOW	Yes (X)	$11,109,107	$11,249,672	0	Yes (1)	Yes (1)
MICHELE WALDRON
CURRENT OFFICER	SEE BELOW	Yes (X)	$8,771,634	$8,882,622	0	Yes (1)	Yes (1)
DAVID CHRISTENSEN
CURRENT KEY EMPLOYEE	SEE BELOW	Yes (X)	$5,282,545	$5,349,386	0	Yes (1)	Yes (1)
WILLIAM CHALTRAW
CURRENT KEY EMPLOYEE	SEE BELOW	Yes (X)	$2,122,641	$2,149,499	0	Yes (1)	Yes (1)
MICHAEL GOLDRING
CURRENT KEY EMPLOYEE	SEE BELOW	Yes (X)	$5,498,581	$5,568,155	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$33,199,334	TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, COLUMN C:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF THE SCHEDULE L, CASD IS NOT AN ACTUAL LOAN AS NO FUNDS ARE TRANSFERRED TO THE EXECUTIVES. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVES HAVE RECEIVED RETIREMENT BENEFITS, THE ORGANIZATION RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE ONE I. DESCRIPTION OF PROGRAM SERVICE ONE NEARLY 70 YEARS AGO, OUR FIVE FOUNDING MOTHERS HAD A DREAM TO BUILD A HOSPITAL IN THE CENTRAL VALLEY JUST FOR CHILDREN. VALLEY CHILDREN'S HEALTHCARE HAS GROWN AND FLOURISHED EVER SINCE, CARING FOR GENERATIONS OF CHILDREN SINCE 1952. MISSION THE MISSION OF VALLEY CHILDREN'S HOSPITAL IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. VISION OUR VISION CAPTURES THE PATH WE'VE TRAVELED AND SHOWCASES OUR COMMITMENT AND PASSION TO BE THE BEST. OUR VISION IS TO CONTINUE TO PROVIDE THE NATION'S BEST HEALTHCARE FOR KIDS AND TO BECOME THE NATION'S BEST CHILDREN'S HOSPITAL. CORE VALUES THE FOLLOWING CORE ORGANIZATIONAL VALUES GUIDE THE INVESTMENTS AND SUPPORT PROVIDED BY VALLEY CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM. EXCELLENCE: WE ARE DEDICATED, DISCIPLINED AND DEMONSTRATE HIGH STANDARDS AS WE STRIVE TO BE THE BEST. WE TAKE OWNERSHIP AND EMPOWER OURSELVES TO DELIVER AN EXCEPTIONAL EXPERIENCE, EVERY INTERACTION, EVERY TIME. COMPASSIONATE CARE: WE ARE PRESENT IN EVERY INTERACTION AND RESPOND TO OTHERS WITH WARMTH AND KINDNESS. INTEGRITY: WE ARE HONEST AND ETHICAL, DEMONSTRATE HIGH STANDARDS OF PERSONAL CONDUCT, KEEP OUR WORD AND TAKE RESPONSIBILITY FOR OUR ACTIONS. INNOVATION: WE LOOK FOR WAYS TO LEARN AND MAKE THINGS BETTER AND ARE PROBLEM SOLVERS. COLLABORATION: WE CONTRIBUTE TO, SUPPORT AND RESPECT DECISIONS THAT ARE MADE BY OUR TEAMS AND THE ORGANIZATION. WE BUILD AND PROMOTE POSITIVE WORKING RELATIONSHIPS AND TEAMWORK. STEWARDSHIP: WE ARE ACCOUNTABLE FOR EFFECTIVELY MANAGING OUR TIME AND THE ORGANIZATION'S RESOURCES. WE SHARE RESOURCES TO ACHIEVE THE BEST OUTCOME. COMMITMENT TO THE COMMUNITY VALLEY CHILDREN'S IS CENTRAL CALIFORNIA'S ONLY HIGH-QUALITY, COMPREHENSIVE HEALTH CARE NETWORK DEDICATED TO CHILDREN, FROM BEFORE BIRTH TO YOUNG ADULTHOOD, AS WELL AS TO HIGH RISK PREGNANT WOMEN, AND AS SUCH PLAYS A VITAL ROLE IN MEETING THE HEALTH CARE NEEDS OF SOME OF OUR REGION'S SICKEST AND MOST MEDICALLY VULNERABLE RESIDENTS. VALLEY CHILDREN'S NETWORK IS ANCHORED BY A 330-BED STAND-ALONE CHILDREN'S HOSPITAL IN MADERA PLUS THREE NEONATAL UNITS (28 BEDS IN TOTAL) LOCATED ACROSS THE CENTRAL VALLEY. IN ADDITION, VALLEY CHILDREN'S HEALTHCARE NETWORK INCLUDES SPECIALTY CARE CENTERS, PEDIATRIC PRIMARY CARE PRACTICES, AND WOMEN'S HEALTH SERVICES. VALLEY CHILDREN'S CONSISTENTLY RANKS AT THE TOP OF ITS PEER GROUP FOR QUALITY PATIENT OUTCOMES AS EVIDENCED BY THE FOLLOWING; A) DESIGNATION BY THE LEAP FROG GROUP IN 2020 AS ONE OF THE NATION'S TOP 10 CHILDREN'S HOSPITALS FOR EXCELLENCE IN PATIENT SAFETY AND QUALITY; B) MAGNET DESIGNATION FOR NURSING EXCELLENCE; C) BEACON AWARD FOR EXCELLENCE IN CRITICAL CARE, AND: D) U.S. NEWS AND WORLD REPORT RECOGNITION IN 2021-2022 AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS FOR NEONATOLOGY, PEDIATRIC DIABETES & ENDOCRINOLOGY, PEDIATRIC GASTROENTEROLOGY & GASTROINTESTINAL SURGERY, PEDIATRIC NEUROLOGY & NEUROSURGERY, PEDIATRIC ORTHOPEDICS, PEDIATRIC PULMONOLOGY & LUNG SURGERY AND PEDIATRIC UROLOGY. WHILE PROVIDING EXCEPTIONAL HEALTHCARE IS THE SINGLE GREATEST CONTRIBUTION VALLEY CHILDREN'S MAKES FOR CHILDREN AND THEIR FAMILIES, VALLEY CHILDREN'S ALSO RECOGNIZES THAT IT IS UNIQUELY POSITIONED TO SUPPORT THE NEEDS OF CHILDREN IN OTHER WAYS AS WELL. TO HELP ADVANCE ITS COMMUNITY-BASED WORK, VALLEY CHILDREN'S LAUNCHED THE GUILDS CENTER FOR COMMUNITY HEALTH IN NOVEMBER 2019. THE CENTER IS THE FIRST OF ITS KIND IN THE CENTRAL VALLEY TO BRIDGE THE EXCEPTIONAL CARE KIDS RECEIVE WITHIN OUR NETWORK AND THE HEALTH IMPACTS OUR CHILDREN EXPERIENCE WHERE THEY LIVE, LEARN AND PLAY. VALLEY CHILDREN'S RECOGNIZES THAT THE HEALTH OF OUR CHILDREN IS IMPACTED BY SOCIAL DETERMINANTS SUCH AS PHYSICAL ENVIRONMENT, HEALTH BEHAVIORS AND ECONOMIC STATUS. ACCORDING TO RESEARCH, OF ALL THE FACTORS THAT INFLUENCE OUR HEALTH, ONLY 20% ARE LINKED TO THE CLINICAL CARE WE RECEIVE AND 80% ARE RELATED TO THESE SOCIAL DETERMINANTS. THE GUILDS CENTER FOR COMMUNITY HEALTH IS AN INVESTMENT IN THAT 80%. II. SERVICE AREA DEMOGRAPHICS AND PATIENT VOLUME SERVICE AREA DEMOGRAPHICS AS THE ONLY PEDIATRIC SPECIALTY HOSPITAL LOCATED IN CENTRAL CALIFORNIA, VALLEY CHILDREN'S HOSPITAL'S SERVICE AREA EXTENDS FROM SACRAMENTO COUNTY IN THE NORTH TO KERN COUNTY IN THE SOUTH, AND SERVES MUCH OF THE CENTRAL COAST AND EASTERN SIERRA AS WELL. VALLEY CHILDREN'S HOSPITAL'S PATIENT VOLUME IN 2021, VALLEY CHILDREN'S HOSPITAL HAD 10,211 INPATIENT ADMISSIONS, 73,945 EMERGENCY DEPARTMENT VISITS AND 265,080 HOSPITAL BASED OUTPATIENT SPECIALTY CARE CENTER, REGIONAL SPECIALTY CARE CENTER, PRIMARY CARE CENTER, AND URGENT CARE VISITS. MEDI-CAL COVERED 74.5% OF VALLEY CHILDREN'S TOTAL INPATIENT CASES AND 73.1% OF TOTAL OUTPATIENT VISITS.
FORM 990, PART III, LINE 4A	III. COMMUNITY BENEFITS PROGRAM IN FY 2021, VALLEY CHILDREN'S HOSPITAL PROVIDED COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS WITHIN ITS SERVICE AREA. INJURY PREVENTION PROGRAM IN 2021, VALLEY CHILDREN'S INJURY PREVENTION PROGRAM RECORDED 500 CONTACTS WITH COMMUNITY MEMBERS DURING 17 VIRTUAL COMMUNITY-BASED TEACHING EVENTS COVERING THE FOLLOWING TOPICS: ATV SAFETY, CAR SAFETY, CAR SEAT AND CHILD PASSENGER SAFETY, CARBON MONOXIDE POISON PREVENTION, CONCUSSIONS, FIRE PREVENTION, HALLOWEEN SAFETY, HOME SAFETY, LEAD POISON PREVENTION, OVERUSE INJURIES, POISON PREVENTION, RAILROAD SAFETY, SAFE SLEEP, SNAKE BITES, TEEN DRIVING, TOY SAFETY, VAPING, VEHICULAR HEAT STROKE PREVENTION AND WATER SAFETY. ADDITIONALLY, VALLEY CHILDREN'S CREATED PROFESSIONALLY PRODUCED VIDEOS FOCUSED ON MANY OF THE TOPICS LISTED ABOVE, AND POSTED THE VIDEOS ON SOCIAL MEDIA SITES AND FORWARDED THEM TO SCHOOL DISTRICTS AND COMMUNITY-BASED ORGANIZATIONS THROUGHOUT OUR SERVICE AREA. WITH RESPECT TO SOCIAL MEDIA, VALLEY CHILDREN'S RECORDED ALMOST 37,820 VIEWS OF IT'S INJURY PREVENTION MATERIAL. COMMUNITY-BASED EDUCATION AND OUTREACH VALLEY CHILDREN'S PEDIATRIC RESIDENTS PROVIDED EDUCATION ON ASTHMA AND OTHER RESPIRATORY ISSUES IMPACTING SCHOOL-AGED CHILDREN AND CARDIAC ISSUES EXPERIENCED IN THE SCHOOL SETTING. CHILD ABUSE PREVENTION THE GUILDS OF VALLEY CHILDREN'S CHILD ABUSE PREVENTION AND TREATMENT CENTER'S MISSION IS TO PROVIDE COMPREHENSIVE SERVICES TO CHILDREN, DEPENDENT ADULTS AND THEIR FAMILIES THROUGH A MULTIDISCIPLINARY, CHILD-FRIENDLY PROGRAM, AND TO MEET THE PHYSICAL AND EMOTIONAL NEEDS OF VICTIMS WITH ABUSE CONSIDERATIONS. 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 ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY FOR EMERGENCY COVERAGE. THE CENTER INCLUDES AN INPATIENT COMPONENT THAT EVALUATES APPROXIMATELY 100 CHILDREN ANNUALLY IN THE PEDIATRIC EMERGENCY DEPARTMENT, ACUTE-CARE FLOORS AND PEDIATRIC INTENSIVE CARE UNIT. 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. FOR PREVENTION EDUCATION, THE CENTER CONTINUED TO COLLABORATE IN 2021 WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO A TOTAL OF 2,262 PARENTS, CAREGIVERS, HEALTHCARE PERSONNEL, TEACHERS, MANDATED REPORTERS, AND OTHERS. THESE PARTNERS INCLUDED VALLEY CHILDREN'S TRAUMA DEPARTMENT'S INJURY PREVENTION TEAM AND EMERGENCY DEPARTMENT, SAFE KIDS OF CENTRAL CALIFORNIA, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, CPS, DISTRICT ATTORNEY'S OFFICES, LOCAL LAW ENFORCEMENT AGENCIES, SEXUAL ASSAULT RESPONSE TEAMS (SART), VICTIM ADVOCACY GROUPS AND COUNTY PUBLIC HEALTH DEPARTMENTS. FINALLY, IN RESPONSE TO THE CHALLENGES CREATED BY COVID-19, THE CENTER CREATED AND PROMOTED A GUIDE FOR SCHOOLS AND OTHER AGENCIES ON HOW TO DETECT CHILD ABUSE IN A VIRTUAL ENVIRONMENT. HEALTHCARE SUPPORT SERVICES 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. FOOD FOR FAMILIES VALLEY CHILDREN'S DIETARY DEPARTMENT PROVIDED MEAL COUPONS TO BREASTFEEDING MOMS WHOSE INFANTS WERE AT VALLEY CHILDREN'S. ADDITIONALLY, THROUGH A PROGRAM CALLED MEALS OF THE HEART, WHICH IS SPONSORED BY RONALD MCDONALD CHARITIES OF CENTRAL CALIFORNIA, VALLEY CHILDREN'S SOCIAL WORK TEAM PROVIDED PATIENTS' FAMILIES WITH MEAL COUPONS WHEN THEY ARRIVED AND WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL. THE SOCIAL WORK TEAM ALSO WORKED CLOSELY WITH THE CALIFORNIA CHILDREN'S SERVICES PROGRAM TO PROVIDE FOOD FOR ELIGIBLE FAMILIES. TRANSPORTATION GIVEN 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. SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES FOOD INSECURITY IN 2021, VALLEY CHILDREN'S CONTINUED ITS PRESCRIPTION FOR FOOD PROGRAM AT ITS MERCED OLIVEWOOD PEDIATRICS PRACTICE. WITH FUNDING FROM THE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, VALLEY CHILDREN'S PRIMARY CARE PROVIDERS IN MERCED SCREEN CHILDREN FOR FOOD INSECURITY USING A SIMPLE SURVEY DEVELOPED BY THE AMERICAN ACADEMY OF PEDIATRICS. A FAMILY IS DETERMINED TO BE FOOD INSECURE IF, DURING THE LAST 12 MONTHS, THEY WORRIED ABOUT NOT HAVING ENOUGH MONEY TO BUY FOOD OR THEY RAN OUT OF FOOD AND DID NOT HAVE ENOUGH MONEY TO BUY MORE. FOR CHILDREN AND FAMILIES FOUND TO BE FOOD INSECURE, OUR PROVIDERS HAND THE FAMILIES A "PRESCRIPTION FOR FOOD" VOUCHER, WHICH ENTITLES THEM TO RECEIVE A FREE 30-POUND BOX OF NUTRITIOUS AND HEALTHY FOODS FROM THE MERCED COUNTY FOOD BANK ON MONTHLY BASIS FOR 12 MONTHS.
FORM 990, PART III, LINE 4A	THROUGH THE PRESCRIPTION FOR FOOD PROGRAM, PROVIDERS AT OUR OLIVEWOOD PEDIATRICS PRACTICE SCREENED A TOTAL OF 1,630 PATIENTS, 359 OF WHICH WERE DETERMINED TO BE FOOD INSECURE. DATA SHOWS THAT APPROXIMATELY 25 PERCENT OF MEDI-CAL PATIENTS AT OUR MERCED COUNTY PRACTICE ARE FOOD INSECURE. OVER THE COURSE OF THIS PROGRAM, AND BASED ON FOOD REDEMPTION NUMBERS REPORTED BY THE MERCED COUNTY FOOD BANK, A TOTAL OF 3,000 INDIVIDUALS (OUR PATENTS PLUS THEIR FAMILY MEMBERS) RECEIVED FREE FOOD THANKS TO THE PROGRAM. APPROXIMATELY 300 FAMILIES WERE RETURNING TO THE FOOD BANK ON A REGULAR BASIS. IN 2021, VALLEY CHILDREN'S AND THE GUILDS CENTER FOR COMMUNITY HEALTH CONTINUED IT'S PARTNERSHIP WITH VALLARTA SUPERMARKETS AND THE KIDS EAT SMART CAMPAIGN WHICH PROMOTES ACCESS TO HEALTHY FOODS. TO DATE, MORE THAN 15,000 PIECES OF FRUIT HAVE BEEN DISTRIBUTED TO CHILDREN AT VALLARTA SUPERMARKETS IN FRESNO, TULARE, VISALIA AND PORTERVILLE. IN ADDITION, THE GUILDS CENTER FOR COMMUNITY HEALTH SECURED FUNDING FROM SAVE MART AND RITE AID FOR EXPANSION OF THIS PROGRAM INTO ADDITIONAL COMMUNITIES. SCHOOLS FOR THRIVING AND HEALTHY STUDENTS IN 2021, VALLEY CHILDREN'S CONCLUDED PHASE I OF ITS SCHOOLS FOR THRIVING AND HEALTHY STUDENTS INITIATIVE. THE PURPOSE OF THE INITIATIVE WAS TO ENGAGE SCHOOL LEADERS ACROSS FRESNO AND MADERA COUNTIES AND TO INCREASE THE KNOWLEDGE AND SKILLS NEEDED TO EFFECTIVELY DEVELOP AND IMPLEMENT LOCAL SCHOOL WELLNESS POLICIES. A TOTAL OF 19 SCHOOL DISTRICTS IN THE TWO COUNTIES PARTICIPATED IN THE INITIATIVE. SPECIFIC GOALS OF THE INITIATIVE ARE TO A) INCREASE KNOWLEDGE OF THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD (WSCC) FRAMEWORK, B) INCREASE THE NUMBER OF SCHOOL DISTRICTS ADOPTING LOCAL SCHOOL WELLNESS POLICIES (LWSP) THAT INCORPORATE EVIDENCE-BASED PRACTICES AND C) INSTITUTE A REGULAR, ONGOING PROCESS BY WHICH THE PARTICIPATING DISTRICTS MONITOR THEIR PERFORMANCE, SHARE PRACTICES AND DEVELOP ACCOUNTABILITY FOR COMPREHENSIVE AND ONGOING IMPLEMENTATION OF THEIR WELLNESS POLICIES. PHASE I OF THE INITIATIVE IS FUNDED BY VALLEY CHILDREN'S IN PARTNERSHIP WITH THE PUBLIC HEALTH INSTITUTE'S CENTER FOR WELLNESS AND NUTRITION, THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS, AND THE MADERA COUNTY SUPERINTENDENT OF SCHOOLS. INFANT HEALTH IN 2021, VALLEY CHILDREN'S PARTICIPATED IN SEVERAL INITIATIVES SUPPORTING THE HEALTHY DEVELOPMENT OF YOUNG CHILDREN BOTH DURING PREGNANCY AND INTO THE FIRST 3 TO 5 YEARS OF LIFE. EXAMPLES INCLUDE THE FOLLOWING. CRADLE TO CAREER BOTH FRESNO AND STANISLAUS COUNTIES HAVE LAUNCHED FORMAL CRADLE TO CAREER INITIATIVES FOR THE PURPOSE OF CONVENING PUBLIC AND PRIVATE SECTOR STAKEHOLDERS TO WORK TOGETHER TO IMPROVE OUTCOMES FOR CHILDREN IN THEIR COMMUNITIES, FROM PRE-CONCEPTION TO COLLEGE AND/OR VOCATIONAL TRAINING. IN 2021, VALLEY CHILDREN'S CONTINUED TO PARTICIPATE IN AND HELP FUND BOTH INITIATIVES AND HAS BEEN A STRONG VOICE FOR THE INCLUSION OF OUTCOMES AND INDICATORS FOCUSED ON CHILD HEALTH AND WELLNESS. MARCH OF DIMES VALLEY CHILDREN'S PARTNERED CLOSELY WITH THE MARCH OF DIMES TO ADVOCATE FOR PUBLIC POLICY POSITIONS THAT PROMOTE HEALTHY PREGNANCIES AND HEALTHY BABIES. A MAJOR ACCOMPLISHMENT IN 2021 WAS ENACTMENT OF THE CALIFORNIA MOMNIBUS BILL THAT INCREASED FUNDING FOR THE TRAINING OF NURSE MIDWIVES, ADDED DOULA CARE AS A COVERED BENEFIT UNDER MEDI-CAL, AND STRENGTHENED CALIFORNIA'S FETAL AND INFANT MORTALITY REVIEW PROCESS. VALLEY CHILDREN'S DIRECTOR OF COMMUNITY AND GOVERNMENT RELATIONS CONTINUED TO CHAIR THE MARCH OF DIMES OF CALIFORNIA'S ADVOCACY AND GOVERNMENT AFFAIRS COMMITTEE. MENTAL HEALTH MENTAL 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 2021, VALLEY CHILDREN'S DEMONSTRATED ITS COMMITMENT TO MEETING THE MENTAL HEALTH NEEDS OF CHILDREN IN A NUMBER OF WAYS, INCLUDING THOSE LISTED BELOW. COMMUNITY-BASED EDUCATION AND OUTREACH VALLEY CHILDREN'S STAFF PROVIDED TEEN SUICIDE PREVENTION EDUCATION TO STUDENTS AND STAFF AT AREA HIGH SCHOOLS. IN ADDITION, VALLEY CHILDREN'S STAFF EITHER LED OR PARTICIPATED IN A NUMBER OF COMMUNITY-BASED INITIATIVES, INCLUDING SERVING AS MEMBERS OF THE FRESNO SUICIDE PREVENTION COLLABORATIVE AND THE MADERA COUNTY SUICIDE EDUCATION AND AWARENESS COLLABORATIVE, AS WELL AS CHAIRING COMMUNITY CONVERSATIONS, A COMMUNITY-WIDE PARTNERSHIP ADDRESSING ISSUES OF MENTAL HEALTH, HOMELESSNESS, AND THEIR IMPACT ON FAMILIES. VALLEY CHILDREN'S ALSO PROVIDED EDUCATION AND RESOURCES FOR COMMUNITY STAKEHOLDERS, INCLUDING CONTINUING MEDICAL EDUCATION FOR COMMUNITY-BASED PROVIDERS IN COLLABORATION WITH THE AMERICAN ACADEMY OF PEDIATRICS CALIFORNIA CHAPTER 1 MENTAL HEALTH ACCESS TASK FORCE. IN RESPONSE TO THE CHALLENGES THAT COVID-19 AND DISTANCE LEARNING HAS CREATED FOR CHILDREN, VALLEY CHILDREN'S MENTAL HEALTH PROVIDERS HOSTED TWO SEPARATE FACEBOOK LIVE EVENTS DURING WHICH THEY DISCUSSED ISSUES SPECIFIC TO COVID-19 AND STUDENTS' SOCIAL AND EMOTIONAL WELLBEING. ADDITIONALLY, VALLEY CHILDREN'S LAUNCHED AN INITIAITIVE CALLED 360ME 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 BOTH OUR CHILDREN'S PHYSICAL HEALTH AND THEIR MENTAL HEALTH. REGIONAL CAPACITY IN SEPTEMBER 2019, VALLEY CHILDREN'S ANNOUNCED A PARTNERSHIP WITH UNIVERSAL HEALTH SERVICES (UHS), ONE OF THE NATION'S LARGEST AND MOST RESPECTED PROVIDERS OF HOSPITAL AND HEALTHCARE SERVICES. UNDER THE PARTNERSHIP, UHS WILL CONSTRUCT, OWN AND OPERATE AN 81,600-SQUARE-FOOT, 128-BED BEHAVIORAL HEALTH HOSPITAL FOR CHILDREN AND ADULTS IMMEDIATELY ADJACENT TO THE VALLEY CHILDREN'S HOSPITAL CAMPUS IN MADERA. THE FACILITY WILL INCLUDE A 24-BED INPATIENT UNIT FOR CHILDREN AND ADOLESCENTS, AGES 5 -17, REPRESENTING A 49% INCREASE IN AVAILABLE BEDS FOR KIDS FROM KERN TO SAN JOAQUIN COUNTIES. THE HOSPITAL IS EXPECTED TO OPEN IN 2022. CLINICAL PARTNERSHIPS VALLEY CHILDREN'S CLINICAL PARTNERSHIP PROGRAM BRINGS TOGETHER INSTITUTIONS FOCUSED ON ENHANCING NEONATAL AND PEDIATRIC CARE, REGARDLESS IF THE ILL OR INJURED CHILD BECOMES A VALLEY CHILDREN'S PATIENT. THIS EFFORT HELPS PREVENT CHILDREN FROM BEING TRANSFERRED OR REFERRED UNNECESSARILY TO VALLEY CHILDREN'S, AS WELL AS POTENTIALLY IDENTIFIES EARLIER WHEN A CHILD NEEDS ADVANCED PEDIATRIC CARE. WITH IMPROVED COMMUNICATION AND TOOLS, WE DECREASE STRESS FOR PATIENTS AND FAMILIES AND INCREASE PROVIDER CONFIDENCE IN PROVIDING PEDIATRIC CARE, WHILE ENHANCING PERFORMANCE AT BOTH VALLEY CHILDREN'S AND THE PARTNERING PROVIDER. THE GOALS OF OUR CLINICAL PARTNERSHIPS INCLUDE PROVIDING: - 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 EXPERTISE. IN 2021, VALLEY CHILDREN'S SUPPORTED 17 INPATIENT CLINICAL PARTNERS, AND AS PART OF THAT SUPPORT, CONVENED A TOTAL OF 33 TRAINING AND EDUCATION EVENTS THAT DREW MORE THAN 1,300 ATTENDEES. NEVERTHELESS, WE COMMITTED AND INVESTED CONSIDERABLE SUPPORT AND RESOURCES IN OUR PARTNERING FACILITIES AND THEIR FEEDBACK CONTINUES TO BE POSITIVE RELATIVE TO OUR EFFORTS.
FORM 990, PART III, LINE 4B:	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE TWO COMMITMENT TO MEDI-CAL - VALLEY CHILDREN'S HOSPITAL'S COMMITMENT TO SERVING ITS COMMUNITY IS EVIDENCED BY THE LARGE NUMBER OF PATIENTS SERVES THAT ARE COVERED BY MEDI-CAL. IN 2021, 74.5% OF HOSPITAL INPATIENT DAYS WERE COVERED BY MEDI-CAL. THE COMBINED NET EFFECT OF TOTAL MEDI-CAL REIMBURSEMENT AND DISPROPORTIONATE SHARE FUNDING IN RELATION TO THE COST OF THESE SERVICES RESULTED IN A NET LOSS TO THE HOSPITAL IN 2021 OF $119,128,542. THIS FIGURE IS SEPARATE FROM AND DOES NOT INCLUDE THE COMMUNITY BENEFIT ACTIVITIES AND EXPENSES NOTED IN PREVIOUS SECTIONS, AND ALSO EXCLUDES THE REVENUE AND EXPENSES ASSOCIATED WITH THE HOSPITAL FEE PROGRAM, WHICH IS DESCRIBED IN MORE DETAIL BELOW. HOSPITAL FEE PROGRAM - IN 2009, CALIFORNIA IMPLEMENTED THE HOSPITAL FEE PROGRAM THROUGH WHICH HOSPITALS IN CALIFORNIA, INCLUDING VALLEY CHILDREN'S HOSPITAL, RECEIVED SUPPLEMENTAL MEDI-CAL PAYMENTS. CALIFORNIA IMPLEMENTED THE PROGRAM TO HELP OFFSET A PORTION OF HOSPITAL MEDI-CAL PAYMENT SHORTFALLS ACCRUED OVER CURRENT AND PRIOR YEARS. THE PROGRAM WAS FUNDED BY A QUALITY ASSURANCE FEE PAID BY HOSPITALS THAT THE STATE THEN USES TO COLLECT ADDITIONAL FEDERAL FUNDING. HOSPITAL FEE PROGRAMS LIKE CALIFORNIA'S ARE ALLOWABLE UNDER FEDERAL LAW, AND THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROVED CALIFORNIA'S PROGRAM. IN 2021, VALLEY CHILDREN'S HOSPITAL RECOGNIZED PROGRAM REVENUE OF $56,505,015, NET OF THE HOSPITAL'S QUALITY ASSURANCE FEE AND HOSPITAL CONTRIBUTIONS TO THE CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT). CHFT WAS ESTABLISHED UNDER THE PROGRAM FOR THE PURPOSE OF SUPPORTING CHARITABLE ACTIVITIES. CHARITY CARE - IN KEEPING WITH OUR MISSION, VALLEY CHILDREN'S HOSPITAL CONTINUES TO ACCEPT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2021, CHILDREN'S HOSPITAL PROVIDED $266,418 IN CHARITY CARE. THE AMOUNT REPRESENTS COSTS ASSOCIATED WITH PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES IN RELATION TO THE COST OF THESE SERVICES. CHARITY CARE INCLUDES COUNTY INDIGENT AND FREE CARE, WHICH IS BASED ON THE PATIENT'S INABILITY TO PAY FOR SERVICES. IN ORDER TO ASSIST FAMILIES WITH ONGOING CARE NEEDS, VALLEY CHILDREN'S HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES PATIENT FAMILIES TO APPLY FOR APPROPRIATE GOVERNMENT FUNDING IN CONJUNCTION WITH APPLYING FOR FINANCIAL ASSISTANCE (CHARITY CARE). AS A RESULT, MANY FAMILIES QUALIFY FOR GOVERNMENT PROGRAMS AND DO NOT ULTIMATELY REQUIRE CHARITY CARE. THE HOSPITAL'S CHARITY CARE AMOUNT IS SEPARATE FROM AND DOES NOT INCLUDE THE COMMUNITY BENEFIT ACTIVITIES AND EXPENSES NOTED IN PREVIOUS SECTIONS.
FORM 990, PART VI, SECTION A, LINE 2	LISA SMITTCAMP AND BILL SMITTCAMP HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE 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 7A	SEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION A, LINE 7B	SEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION B, LINE 11B	A 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. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE 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 15	AS 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 19	A 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 XI, LINE 9:	PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -7,898. GAIN ON SALE OF PPE -390,575. OTHER 750. PASS-THROUGH INVESTMENT INCOME -235,712.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HERNDON TEMPERANCE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1Txt
City	MADERA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93636	ZIPCd

Field	Value	IRS element (for citing)
EIN	812808671	EIN
Primary Activities	REAL PROPERTY	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$669,972	TotalIncomeAmt
End Of Year Assets	$8,048,652	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
VALLEY CHILDREN'S HEALTHCARE FOUNDATION
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	942797447	PHILANTHROPY/FUNDRAISING FOR VALLEY CHILDREN'S HEALTHCARE & RELATED ENTITIES	CA	501(C)(3)	LINE 7	VALLEY CHILDREN'S HEALTHCARE	0
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	464150987	HEALTH CARE	CA	501(C)(3)	LINE 10	VALLEY CHILDREN'S HEALTHCARE	0
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	464158433	HEALTH CARE	CA	501(C)(3)	LINE 12C, III-FI		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FOWLER BUSINESS & PROFESSIONAL PARK LLC
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	471813772	REAL ESTATE INVESTMENT	CA	N/A	RELATED	$172,952	$14,639,007	Yes (1)	Yes (1)	0.50000
COMPASS HEALTH ADMINISTRATORS LLC
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	822891309	BENEFIT ADMIN	CA	N/A				0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
VALLEY CHILDREN'S HOLDINGS I LLC
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	371872422	HEALTHCARE	CA	N/A	C	0
FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	301030354	PROPERTY OWNERS ASSOCIATION	CA		C	0	FOWLER BUSINESS & PROFESSIONAL PARK LLC	$49,314	0.50000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd