VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202102249349302475
- Schema version
- 2019v5.2
- 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 | 2021-08-12T16:55:35-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | 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 | 2019-10-01 | 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 | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2021-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $1,349,851,371 | 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 | 3823 | TotalEmployeeCnt |
| Total Volunteers | 358 | TotalVolunteersCnt |
| Total Gross UBI | -$252,085 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$260,085 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,589,742 | PYContributionsGrantsAmt |
| CY Contributions Grants | $72,292,863 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $700,460,709 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $639,100,420 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28,557,962 | PYInvestmentIncomeAmt |
| CY Investment Income | $43,967,983 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,565,741 | PYOtherRevenueAmt |
| CY Other Revenue | $13,771,799 | CYOtherRevenueAmt |
| PY Total Revenue | $771,174,154 | PYTotalRevenueAmt |
| CY Total Revenue | $769,133,065 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,663,364 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,477,643 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $315,753,975 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $335,243,815 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $402,900,727 | PYOtherExpensesAmt |
| CY Other Expenses | $340,087,112 | CYOtherExpensesAmt |
| PY Total Expenses | $729,318,066 | PYTotalExpensesAmt |
| CY Total Expenses | $676,808,570 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,856,088 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $92,324,495 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,643,182,800 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,839,248,835 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $444,971,050 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $537,989,764 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,198,211,750 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,301,259,071 | 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 | $81,820,152 | ExpenseAmt |
| Grant | $1,477,643 | GrantAmt |
| Revenue | $369,877,077 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $433,685,307 | ExpenseAmt |
| Revenue | $269,223,343 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $515,505,459 | 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 | Yes (1) | 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 | Yes (1) | 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 | 334 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3823 | 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 (43 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) | $2,052,601 | $0 | $43,730 | |||
| 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 | |||
| ADAM HOLMES MD | ||||||||||
| CHIEF OF STAFF (THRU 2/20) | 1.00 | Yes (X) | $75,000 | $0 | $0 | |||||
| MIMI CHAO MD | ||||||||||
| CHIEF OF STAFF (BEG 2/20) | 1.00 | 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 | |||||
| VICKI BURKHALTER | ||||||||||
| BOARD MEMBER (THRU 01/20) | 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 GONALEZ 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) | $928,510 | $0 | $42,918 | ||||
| BEVERLY HAYDEN-PUGH | ||||||||||
| SVP, CLINICAL INT, PATIENT | 18.00 | 27.00 | $840,381 | $0 | $109,566 | Yes (X) | ||||
| DAVID CHRISTENSEN | ||||||||||
| SVP, MEDICAL AFFAIRS & CPE | 27.00 | 18.00 | $845,321 | $0 | $48,310 | Yes (X) | ||||
| KEVIN SHIMAMOTO | ||||||||||
| VP AND CIO | 40.00 | $664,789 | $0 | $87,913 | Yes (X) | |||||
| NATALE PONTICELLO JR | ||||||||||
| SVP, CHIEF PEOPLE OFFICER | 29.00 | 11.00 | $648,852 | $0 | $81,863 | Yes (X) | ||||
| JANE WILLSON | ||||||||||
| SVP, CHIEF STRATEGY OFFICE | 8.00 | 32.00 | $589,086 | $0 | $96,179 | Yes (X) | ||||
| MICHAEL GOLDRING | ||||||||||
| PRESIDENT, VCMG | 12.00 | 28.00 | $634,056 | $0 | $31,972 | Yes (X) | ||||
| KAREN DAHL | ||||||||||
| VP, QUALITY & PATIENT SAFE | 40.00 | $563,890 | $0 | $88,799 | Yes (X) | |||||
| JESSIE HUDGINS | ||||||||||
| VP, FACILITIES | 40.00 | $536,601 | $0 | $87,767 | Yes (X) | |||||
| LYNNE ASHBECK | ||||||||||
| SVP, COMM ENGAGEMENT & POP | 40.00 | $523,037 | $0 | $78,479 | Yes (X) | |||||
| WILLIAM CHALTRAW | ||||||||||
| SVP/CHIEF LEGAL OFFICER | 40.00 | $549,588 | $0 | $42,041 | Yes (X) | |||||
| JOEL BROWNELL MD | ||||||||||
| VP, CHIEF MEDICAL INFO OFF | 40.00 | $483,757 | $0 | $88,164 | Yes (X) | |||||
| DAVID SINGH | ||||||||||
| VP, COO OF VCMG | 40.00 | $477,699 | $0 | $77,394 | Yes (X) | |||||
| DAVID HODGE JR | ||||||||||
| VP CLINICAL OPS & ANCILLAR | 40.00 | $447,948 | $0 | $89,862 | Yes (X) | |||||
| STEPHANIE VANCE | ||||||||||
| FINANCE, VP | 40.00 | $399,020 | $0 | $90,788 | Yes (X) | |||||
| BRIAN SMULLIN | ||||||||||
| VP, MANAGED CARE | 40.00 | $371,176 | $0 | $82,145 | Yes (X) | |||||
| DANIELLE BARRY | ||||||||||
| VP, REVENUE CYCLE MGMT | 40.00 | $373,804 | $0 | $69,132 | Yes (X) | |||||
| JOLIE LIMON | ||||||||||
| VP ACAD AFFAIRS, DIO & CHIEF OF PED | 40.00 | $402,746 | $0 | $26,526 | Yes (X) | |||||
| KRISTINE AUBRY | ||||||||||
| EXEC DIREC. AMB. SVCS (THRU 4/19) | 40.00 | $288,035 | $0 | $13,075 | Yes (X) | |||||
| PAUL LEBBY | ||||||||||
| NEURODEV PROGRAM DIRECTOR | 40.00 | $257,769 | $0 | $34,890 | Yes (X) | |||||
| YVONNE WOOD | ||||||||||
| MANAGER PATIENT THROUGHPUT | 40.00 | $245,974 | $0 | $45,054 | Yes (X) | |||||
| AMANDA PATTERSON | ||||||||||
| EXEC DIREC & DEPUTY GEN COUNSEL | 40.00 | $238,398 | $0 | $32,563 | Yes (X) | |||||
| MELISSA CHASE | ||||||||||
| DIRECTOR PHARMACY | 40.00 | $236,657 | $0 | $31,369 | Yes (X) | |||||
| DEBRA FLORES | ||||||||||
| FORMER PRESIDENT & COO (THRU 4/19) | 40.00 | $1,037,037 | $0 | $83,410 | Yes (X) | |||||
| DANIEL DAVIS | ||||||||||
| FORMER VP, PATIENT CARE (THRU 4/19) | 40.00 | $645,523 | $0 | $65,943 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,357,255 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,669,852 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 766 | 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 | $43,600,000 |
| PEDIATRIC ANETHESIA ASSOCIATES | |||||
| 6235 N FRESNO ST STE 103 | FRESNO | CA | 93710 | ANETHESIA/CRITICAL CARE | $11,724,853 |
| SODEXO INC & ASSOCIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | HOUSEKEEPING SERVICES | $5,470,059 |
| VIZIENT INC & ASSOCIATES | |||||
| 290 E JOHN CARPENTER FREEWAY | IRVING | TX | 75062 | TEMP NURSES | $4,264,319 |
| KRUGER CONSTRUCTION INC | |||||
| 1205 BARSTOW AVE | CLOVIS | CA | 93612 | CONSTRUCTION SERVICES | $4,216,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 97 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $30,022,916 | RelatedOrganizationsAmt |
| Government Grants | $41,740,704 | GovernmentGrantsAmt |
| All Other Contributions | $529,243 | AllOtherContributionsAmt |
| Total Contributions | $72,292,863 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 900099 | $621,163,323 | $621,163,323 |
| HOME CARE 340B PROGRAM | 900099 | $10,228,091 | $10,228,091 |
| LAB SERVICES | 900099 | $3,858,043 | $3,858,043 |
| MANAGEMENT SERVICES | 541610 | $3,850,963 | $3,850,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $639,100,420 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,728,559 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$252,085 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,980,644 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,314,996 | TotalRevenueColumnAmt |
| Exclusion | $1,314,996 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $879,852 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $680,955 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $198,897 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $198,897 | TotalRevenueColumnAmt |
| Exclusion | $198,897 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $602,727,400 | SecuritiesAmt |
| Other | $3,072,699 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $578,882,921 | SecuritiesAmt |
| Other | $992,750 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,844,479 | SecuritiesAmt |
| Other | $2,079,949 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,924,428 | TotalRevenueColumnAmt |
| Exclusion | $25,924,428 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $306,312 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $161,680 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,632 | TotalRevenueColumnAmt |
| Exclusion | $144,632 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $2,374,901 | $2,374,901 |
| PENSION PLAN TERMINATION SETTLEME | 900099 | $1,060,460 | $1,060,460 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,992,909 | TotalRevenueColumnAmt |
| Exclusion | $9,992,909 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,428,270 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $769,133,065 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $639,100,420 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$252,085 | UnrelatedBusinessRevenueAmt |
| Exclusion | $57,991,867 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,274,893 | TotalAmt |
| Program Services | $1,274,893 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,750 | TotalAmt |
| Program Services | $202,750 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,603,045 | TotalAmt |
| Management And General | $23,603,045 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,186,800 | TotalAmt |
| Program Services | $165,103,797 | ProgramServicesAmt |
| Management And General | $43,083,003 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,536,120 | TotalAmt |
| Program Services | $11,901,490 | ProgramServicesAmt |
| Management And General | $2,634,630 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,375,780 | TotalAmt |
| Program Services | $46,834,663 | ProgramServicesAmt |
| Management And General | $23,541,117 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,542,070 | TotalAmt |
| Program Services | $13,251,178 | ProgramServicesAmt |
| Management And General | $5,290,892 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,608,839 | TotalAmt |
| Program Services | $11,174 | ProgramServicesAmt |
| Management And General | $4,597,665 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,423,869 | TotalAmt |
| Management And General | $1,423,869 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,496 | TotalAmt |
| Management And General | $226,496 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,378,922 | TotalAmt |
| Management And General | $3,378,922 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,665,983 | TotalAmt |
| Program Services | $81,665,983 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,113,762 | TotalAmt |
| Program Services | $53,421 | ProgramServicesAmt |
| Management And General | $2,060,341 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,111,539 | TotalAmt |
| Program Services | $102,222,060 | ProgramServicesAmt |
| Management And General | $1,889,479 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,081,377 | TotalAmt |
| Program Services | $7,412,390 | ProgramServicesAmt |
| Management And General | $2,668,987 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,196,445 | TotalAmt |
| Program Services | $4,326,304 | ProgramServicesAmt |
| Management And General | $1,870,141 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,487 | TotalAmt |
| Program Services | $205,010 | ProgramServicesAmt |
| Management And General | $436,477 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,534 | TotalAmt |
| Program Services | $119,303 | ProgramServicesAmt |
| Management And General | $115,231 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,231,968 | TotalAmt |
| Program Services | $9,317,761 | ProgramServicesAmt |
| Management And General | $2,914,207 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,323,126 | TotalAmt |
| Program Services | $17,304,614 | ProgramServicesAmt |
| Management And General | $13,018,512 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,505,976 | TotalAmt |
| Program Services | $3,536 | ProgramServicesAmt |
| Management And General | $4,502,440 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOSPITAL FEE PROGRAM | $33,369,746 | $33,369,746 | |
| PURCHASED SERVICES | $25,869,741 | $9,929,423 | $15,940,318 |
| BAD DEBT | $10,152,266 | $10,152,266 | |
| TAXES AND LICENSES | $4,002,590 | $77,760 | $3,924,830 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,948,446 | TotalAmt |
| Program Services | $765,937 | ProgramServicesAmt |
| Management And General | $4,182,509 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,808,570 | TotalAmt |
| Program Services | $515,505,459 | ProgramServicesAmt |
| Management And General | $161,303,111 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,023 | BOYAmt |
| EOY | $656,090 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,626,543 | BOYAmt |
| EOY | $453,279,674 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,290 | BOYAmt |
| EOY | $393,666 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,334,570 | BOYAmt |
| EOY | $99,329,099 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,087,175 | BOYAmt |
| EOY | $32,867,599 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,304,869 | BOYAmt |
| EOY | $13,636,578 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,453,853 | BOYAmt |
| EOY | $26,182,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $700,139,526 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $335,580,518 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,120,047 | BOYAmt |
| EOY | $364,559,008 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $359,036,948 | BOYAmt |
| EOY | $550,686,376 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,638,065 | BOYAmt |
| EOY | $149,854,533 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,952,458 | BOYAmt |
| EOY | $43,000,249 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,098,959 | BOYAmt |
| EOY | $104,803,431 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,182,800 | BOYAmt |
| EOY | $1,839,248,835 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,716,352 | BOYAmt |
| EOY | $80,256,332 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,455,816 | BOYAmt |
| EOY | $153,091,859 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,798,882 | BOYAmt |
| EOY | $304,641,573 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,971,050 | BOYAmt |
| EOY | $537,989,764 | 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 | $1,183,770,455 | BOYAmt |
| EOY | $1,277,223,635 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,441,295 | BOYAmt |
| EOY | $24,035,436 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,198,211,750 | BOYAmt |
| EOY | $1,301,259,071 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,182,800 | BOYAmt |
| EOY | $1,839,248,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $92,324,495 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,254,579 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,531,753 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | 0 | 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 | $14,528 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $333,591 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $348,119 | 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 $14,528 ASSOCIATION DUES RELATED TO LOBBYING NACH 39,548 NACH CONTRIBUTION 3,200 AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING 102 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 507 CALIFORNIA CHAMBER OF COMMERCE 117 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 81,378 CALIFORNIA HOSPITAL ASSOCIATION/AMERICAN HOSP ASSOC 22,243 CHILDREN'S SPECIALTY CARE COALITION 3,848 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIF. 26,985 NATIONAL ASSOCIATION OF EPILEPSY CENTERS 120 BROWNSTEIN HYATT FARBER SCHRECK 155,543 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $348,119 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,149,066 | OtherCostOrOtherBasisAmt |
| Book Value | $54,149,066 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $317,446,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,957,042 | DepreciationAmt |
| Book Value | $185,489,053 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,735,262 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,354,703 | DepreciationAmt |
| Book Value | $380,559 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $288,557,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,898,460 | DepreciationAmt |
| Book Value | $112,659,124 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,251,519 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,370,313 | DepreciationAmt |
| Book Value | $11,881,206 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $364,559,008 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| LIMITED PARTNERSHIPS | $47,723,271 | F |
| HEDGE FUNDS | $102,131,262 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $149,854,533 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DISPROPORTIONATE SHARE FUNDS RECEIVABLE | $8,568,056 |
| INSURANCE RECEIVABLE | $13,290,336 |
| PROVIDER FEE RECEIVABLE | $39,899,612 |
| 457 TRUST FUNDS | $3,911,922 |
| OTHER | $3,703,043 |
| ADVANCE MED FOUNDATION | -$3,212,786 |
| PREPAID LEASE ASSET | $2,050,420 |
| SPLIT DOLLAR POLICIES | $26,893,976 |
| PROP 4 RECEIVABLE | $9,698,852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $104,803,431 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| MALPRACTICE RESERVE | $9,793,364 |
| ACCRUED PENSION LIABILITY | $1,012,926 |
| 457 LIABILITY | $3,911,922 |
| 1732 LIABILITY | $1,647,526 |
| WORKERS COMP | $3,848,880 |
| INS LIABILITY | $2,231,120 |
| DC SERP LIABILITY | $1,000,826 |
| BONDS | $269,043,939 |
| OPERATING LEASE - LT PORTION | $5,249,357 |
| LAND DEVELOPMENT OBLIGATION | $400,000 |
| 457F RT LIABILITY | $6,501,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $304,641,573 | 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 | $96,375,754 |
| EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM | 0 | 0 | INVESTMENTS | $25,443,990 |
| 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 | $121,819,744 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $121,819,744 | 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 | $209,349 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $209,349 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $459,122,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $403,581,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,540,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08330 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,309 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,918 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $459,435,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $403,641,578 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,793,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,404,759 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,404,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,243,907 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,234,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,009,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01200 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,084,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $417,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $666,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $980,753 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $980,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,713,534 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,652,282 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,061,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $472,148,822 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $405,293,860 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,854,962 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,365,761 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $342,772 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $435,412 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$92,640 | 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 $ 10,152,266. |
| 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 2020 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 2020 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, APPROXIMATELY 1/3 OF CHILDREN LIVING IN THESE SEVEN COUNTIES LIVE IN POVERTY, 3/4 ARE AN ETHNICITY OTHER THAN CAUCASIAN AND CLOSE TO 1/4 LIVE IN FAMILIES WHERE ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN AT HOME. IN 2020, VALLEY CHILDREN'S HOSPITAL HAD 10,727 INPATIENT ADMISSIONS, 84,720 EMERGENCY DEPARTMENT VISITS AND 256,544 HOSPITAL-BASED OUTPATIENT SPECIALTY CARE CENTER, REGIONAL SPECIALTY CARE CENTER, PRIMARY CARE CENTER, AND URGENT CARE CENTER VISITS. MEDI-CAL BENEFITS COVERED 73.8% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 74.6% 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 VISITS APPROXIMATELY 13 DIFFERENT SCHOOLS REGULARLY DURING THE YEAR THAT SERVE PREDOMINATELY RURAL, LOW-INCOME COMMUNITIES. VALLEY CHILDREN'S RESIDENTS ARE ABLE TO PROVIDE CHILDREN AND THEIR FAMILIES WITH SERVICES AND SUPPORT THAT OTHERWISE WOULD BE DIFFICULT FOR THEM TO ACCESS.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 INSECURITYADDRESSING FOOD INSECURITY WITHIN THE HEALTHCARE SETTING PROVIDES VALLEY CHILDREN'S THE ABILITY TO FURTHER FOSTER THE HEALTH OF OUR PATIENTS AND COMMUNITIES. 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. IN ADDITION, VALLEY CHILDREN'S AND THE GUILDS CENTER FOR COMMUNITY HEALTH ONCE AGAIN PARTNERED WITH VALLARTA SUPERMARKET IN FRESNO, TULARE, VISALIA AND PORTERVILLE TO PROMOTE ACCESS TO HEALTHY FOODS. THROUGH THE PROGRAM, CHILDREN SHOPPING WITH THEIR FAMILIES AT ANY PARTICIPATING VALLARTA SUPERMARKET LOCATION WERE OFFERED FREE FRUIT. GIVEN THAT MANY CHILDREN RELY ON MEALS PROVIDED BY SCHOOLS FOR MUCH OF THEIR FOOD INTAKE, VALLEY CHILDREN'S FELT IT WAS IMPORTANT TO MAKE HEALTHY FOOD AVAILABLE, ESPECIALLY DURING THE SUMMER WHEN MOST CHILDREN ARE NOT IN SCHOOL.SCHOOLS FOR THRIVING AND HEALTHY STUDENTSVALLEY CHILDREN'S CONTINUED 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 17 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. THE INITIATIVE IS FUNDED BY VALLEY CHILDREN'S AND IS SUPPORTED BY 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.AT THE STATE LEVEL, VALLEY CHILDREN'S SENIOR VICE PRESIDENT FOR COMMUNITY ENGAGEMENT AND POPULATION WELLNESS 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 2020 INCLUDE THE FOLLOWING:- COVID-19 TEST SAMPLE PROCESSING: VALLEY CHILDREN'S PROCESSED MORE THAN 9,900 COVID-19 TESTING SAMPLES FOR 10 DIFFERENT COMMUNITY-BASED PROVIDERS AND ORGANIZATIONS THAT LACKED ADEQUATE LABORATORY CAPACITY OF THEIR OWN.- VALLEY CHILDREN'S INCREASED ITS 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 FOOD AND ACCESS TO INTERVENTION SERVICES FOR DOMESTIC VIOLENCE AND CHILD ABUSE.- PERSONAL PROTECTIVE EQUIPMENT: VALLEY CHILDREN'S DONATED PERSONAL PROTECTIVE EQUIPMENT TO A VARIETY OF ORGANIZATIONS THAT WERE RUNNING SHORT OF KEY ITEMS, INCLUDING FACE SHIELDS, GLOVES, GOWNS, MASKS AND SHOE COVERS. ORGANIZATIONS TO WHICH WE DONATED INCLUDED SCHOOLS, OTHER PROVIDERS, COUNTY DEPARTMENTS OF SOCIAL SERVICES (TO ENSURE HOME VISITATIONS FOR AT-RISK CHILDREN) AND COMMUNITY-BASED ORGANIZATIONS SERVING CHILDREN AND FAMILIES.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 (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BUDDHIST TZU CHI MEDICAL FOUNDATION | |||||||
| 1008 S GARFIELD AVE | ALHAMBRA | CA | 91801 | 954457939 | 501(C)(3) | $10,000 | SPONSORSHIP |
| SAN JOAQUIN VALLEY RIVER PARKWAY | |||||||
| 11605 OLD FRIANT ROAD | FRESNO | CA | 93730 | 770196692 | 501(C)(3) | $15,000 | SPONSORSHIP |
| MAKE-A-WISH NORTHERN & CENTRAL | |||||||
| 2800 CLUB CENTER DR | SACRAMENTO | CA | 95835 | 680027351 | 501(C)(3) | $10,500 | SPONSORSHIP |
| RONALD MCDONALD HOUSE | |||||||
| 9161 RANDALL WAY | MADERA | CA | 93720 | 942864490 | 501(C)(3) | $11,000 | SPONSORSHIP |
| FRESNO METRO MINISTRY | |||||||
| 4270 N BLACKSTONE AVE STE 212 | FRESNO | CA | 93726 | 942181848 | 501(C)(3) | $13,000 | SPONSORSHIP |
| FOUNDATION FCOE | |||||||
| 1111 VAN NESS AVE 3RD FL | FRESNO | CA | 93721 | 800381096 | 501(C)(3) | $18,750 | SPONSORSHIP |
| CENTRAL CALIFORNIA FOOD BANK | |||||||
| 4010 E HARDY AVE | FRESNO | CA | 93725 | 770320851 | 501(C)(3) | $20,000 | SPONSORSHIP/DONATION |
| CENTRAL VALLEY COMM FOUNDATION | |||||||
| 5260 N PALM AVE STE 122 | FRESNO | CA | 93704 | 770478025 | 501(C)(3) | $25,000 | SPONSORSHIP |
| STANISLAUS COMM FOUNDATION | |||||||
| 100 SYCAMORE AVE STE 200 | MODESTO | CA | 95354 | 680483054 | 501(C)(3) | $25,000 | SPONSORSHIP |
| LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| 340 W FALLBROOK STE 101 | FRESNO | CA | 93711 | 135644916 | 501(C)(3) | $27,500 | SPONSORSHIP |
| MARCH OF DIMES FOUNDATION | |||||||
| 401 W FALLBROOK 112 | FRESNO | CA | 93711 | 131846366 | 501(C)(3) | $31,000 | SPONSORSHIP |
| CULTURAL BROKERS INC | |||||||
| 2115 KERN ST STE 330 | FRESNO | CA | 93721 | 455495386 | 501(C)(3) | $40,000 | SPONSORSHIP |
| MARJAREE MASON CENTER INC | |||||||
| 1600 M STREET | FRESNO | CA | 93721 | 941156639 | 501(C)(3) | $160,000 | DONATION |
| VALLEY CHILDREN'S MEDICAL GROUP | |||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93720 | 464150987 | 501(C)(3) | $399,393 | DONATION |
| VALLEY CHILDREN'S HEALTHCARE | |||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93720 | 464158433 | 501(C)(3) | $405,000 | DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 15 | 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 | 11 | $22,000 | |||
| EDUCATION SCHOLARSHIP - RESPIRATORY FOCUS | 1 | $1,000 | |||
| CAFETERIA MEALS | 6379 | $39,231 | FMV | MEAL COUPONS FOR PATIENT FAMILIES | |
| TAXI, BUS AND TRANSIT SERVICES | 8964 | $135,679 | 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 | Yes (1) | 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 (26 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 | $1,202,478 | $0 | $767,695 | $0 | $82,428 | $0 | $16,500 | $0 | $27,230 | $0 | $2,096,331 | $0 | $0 | $0 |
| MICHELE R WALDRON | ||||||||||||||
| SVP, CFO | $569,248 | $0 | $319,295 | $0 | $39,967 | $0 | $26,580 | $0 | $16,338 | $0 | $971,428 | $0 | $0 | $0 |
| BEVERLY HAYDEN-PUGH | ||||||||||||||
| SVP, CLINICAL INT, PATIENT | $457,173 | $0 | $286,857 | $0 | $96,351 | $0 | $98,674 | $0 | $10,892 | $0 | $949,947 | $0 | $0 | $0 |
| DAVID CHRISTENSEN | ||||||||||||||
| SVP, MEDICAL AFFAIRS & CPE | $628,835 | $0 | $182,755 | $0 | $33,731 | $0 | $21,080 | $0 | $27,230 | $0 | $893,631 | $0 | $0 | $0 |
| KEVIN SHIMAMOTO | ||||||||||||||
| VP AND CIO | $364,211 | $0 | $93,538 | $0 | $207,040 | $0 | $82,467 | $0 | $5,446 | $0 | $752,702 | $0 | $0 | $0 |
| NATALE PONTICELLO JR | ||||||||||||||
| SVP, CHIEF PEOPLE OFFICER | $352,902 | $0 | $104,337 | $0 | $191,613 | $0 | $81,863 | $0 | $0 | $0 | $730,715 | $0 | $0 | $0 |
| JANE WILLSON | ||||||||||||||
| SVP, CHIEF STRATEGY OFFICE | $386,086 | $0 | $116,935 | $0 | $86,065 | $0 | $90,733 | $0 | $5,446 | $0 | $685,265 | $0 | $0 | $0 |
| MICHAEL GOLDRING | ||||||||||||||
| PRESIDENT, VCMG | $464,966 | $0 | $136,526 | $0 | $32,564 | $0 | $21,080 | $0 | $10,892 | $0 | $666,028 | $0 | $0 | $0 |
| KAREN DAHL | ||||||||||||||
| VP, QUALITY & PATIENT SAFE | $386,458 | $0 | $101,048 | $0 | $76,384 | $0 | $83,353 | $0 | $5,446 | $0 | $652,689 | $0 | $0 | $0 |
| JESSIE HUDGINS | ||||||||||||||
| VP, FACILITIES | $279,875 | $0 | $75,466 | $0 | $181,260 | $0 | $71,429 | $0 | $16,338 | $0 | $624,368 | $0 | $0 | $0 |
| LYNNE ASHBECK | ||||||||||||||
| SVP, COMM ENGAGEMENT & POP | $358,139 | $0 | $97,207 | $0 | $67,691 | $0 | $78,479 | $0 | $0 | $0 | $601,516 | $0 | $0 | $0 |
| WILLIAM CHALTRAW | ||||||||||||||
| SVP/CHIEF LEGAL OFFICER | $408,394 | $0 | $121,131 | $0 | $20,063 | $0 | $20,257 | $0 | $21,784 | $0 | $591,629 | $0 | $0 | $0 |
| JOEL BROWNELL MD | ||||||||||||||
| VP, CHIEF MEDICAL INFO OFF | $341,709 | $0 | $84,799 | $0 | $57,249 | $0 | $71,826 | $0 | $16,338 | $0 | $571,921 | $0 | $0 | $0 |
| DAVID SINGH | ||||||||||||||
| VP, COO OF VCMG | $319,083 | $0 | $85,366 | $0 | $73,250 | $0 | $77,394 | $0 | $0 | $0 | $555,093 | $0 | $0 | $0 |
| DAVID HODGE JR | ||||||||||||||
| VP CLINICAL OPS & ANCILLAR | $353,771 | $0 | $69,715 | $0 | $24,462 | $0 | $68,078 | $0 | $21,784 | $0 | $537,810 | $0 | $0 | $0 |
| STEPHANIE VANCE | ||||||||||||||
| FINANCE, VP | $266,939 | $0 | $71,133 | $0 | $60,948 | $0 | $69,004 | $0 | $21,784 | $0 | $489,808 | $0 | $0 | $0 |
| BRIAN SMULLIN | ||||||||||||||
| VP, MANAGED CARE | $282,632 | $0 | $65,842 | $0 | $22,702 | $0 | $60,361 | $0 | $21,784 | $0 | $453,321 | $0 | $0 | $0 |
| DANIELLE BARRY | ||||||||||||||
| VP, REVENUE CYCLE MGMT | $273,571 | $0 | $66,270 | $0 | $33,963 | $0 | $47,348 | $0 | $21,784 | $0 | $442,936 | $0 | $0 | $0 |
| JOLIE LIMON | ||||||||||||||
| VP ACAD AFFAIRS, DIO & CHIEF OF PED | $338,664 | $0 | $57,705 | $0 | $6,377 | $0 | $21,080 | $0 | $5,446 | $0 | $429,272 | $0 | $0 | $0 |
| KRISTINE AUBRY | ||||||||||||||
| EXEC DIREC. AMB. SVCS (THRU 4/19) | $68,058 | $0 | $60,856 | $0 | $159,121 | $0 | $13,075 | $0 | $0 | $0 | $301,110 | $0 | $0 | $0 |
| PAUL LEBBY | ||||||||||||||
| NEURODEV PROGRAM DIRECTOR | $245,780 | $0 | $50 | $0 | $11,939 | $0 | $23,998 | $0 | $10,892 | $0 | $292,659 | $0 | $0 | $0 |
| YVONNE WOOD | ||||||||||||||
| MANAGER PATIENT THROUGHPUT | $245,670 | $0 | $50 | $0 | $254 | $0 | $23,270 | $0 | $21,784 | $0 | $291,028 | $0 | $0 | $0 |
| AMANDA PATTERSON | ||||||||||||||
| EXEC DIREC & DEPUTY GEN COUNSEL | $207,573 | $0 | $30,542 | $0 | $283 | $0 | $10,779 | $0 | $21,784 | $0 | $270,961 | $0 | $0 | $0 |
| MELISSA CHASE | ||||||||||||||
| DIRECTOR PHARMACY | $207,512 | $0 | $28,955 | $0 | $190 | $0 | $15,031 | $0 | $16,338 | $0 | $268,026 | $0 | $0 | $0 |
| DEBRA FLORES | ||||||||||||||
| FORMER PRESIDENT & COO (THRU 4/19) | $164,951 | $0 | $197,761 | $0 | $674,325 | $0 | $83,410 | $0 | $0 | $0 | $1,120,447 | $0 | $0 | $0 |
| DANIEL DAVIS | ||||||||||||||
| FORMER VP, PATIENT CARE (THRU 4/19) | $86,324 | $0 | $126,882 | $0 | $432,317 | $0 | $65,943 | $0 | $0 | $0 | $711,466 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | SEVERENCE PAYMENTS TOTALLING $285,251, $566,578, AND $139,825 WERE MADE TO DANIEL DAVIS, DEBRA FLORES, AND KRISTINE AUBREY RETROSPECTIVELY DURING THE CALENDAR YEAR AND ARE INCLUDED IN PART II, COLUMN B(III). THE SEVERENCE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY CLAUSE. TERMS AND CONDITIONS OF THE AGREEMENTS WILL BE PROVIDED TO THE IRS UPON REQUEST. 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, AND BRIAN SMULLIN ARE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. $1,190,150 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 2019 ARE AS FOLLOWS: BEVERLY HAYDEN-PUGH - DCSERP $72,094; CHANGE IN SERP ACTUARIAL VALUE $0. JESSIE HUDGINS - DCSERP $44,921; CHANGE IN SERP ACTUARIAL VALUE $0. JANE WILLSON - DCSERP $61,694; CHANGE IN SERP ACTUARIAL VALUE $2,459. DAVID SINGH - DCSERP $50,814; CHANGE IN SERP ACTUARIAL VALUE $0. STEPHANIE VANCE - DCSERP $42,342; NOT ELIGIBLE FOR SERP. NATALIE PONTICELLO - DCSERP $55,283; NOT ELIGIBLE FOR SERP. JOEL BROWNELL - DCSERP $50,746; NOT ELIGIBLE FOR SERP. KAREN DAHL - DCSERP $60,119; NOT ELIGIBLE FOR SERP. KEVIN SHIMAMOTO - DCSERP $55,884; NOT ELIGIBLE FOR SERP. DANIEL DAVIS - DCSERP $42,873; NOT ELIGIBLE FOR SERP. DANIELLE BARRY - DCSERP $39,656; NOT ELIGIBLE FOR SERP. BRIAN SMULLIN - DCSERP $39,684; NOT ELIGIBLE FOR SERP. DAVID HODGE - DCSERP $41,498; NOT ELIGIBLE FOR SERP. LYNNE ASHBECK - DCSERP $51,899; NOT ELIGIBLE FOR SERP. DEBRA FLORES - DCSERP $76,019; NOT ELIGIBLE FOR SERP. MICHAEL GOLDRING, WILLIAM CHALTRAW, JR, DAVID CHRISTENSEN, TODD SUNTRAPAK, AND MICHELE WALDRON PARTICIPATE IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM. |
| 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) | $10,434,500 | $11,137,263 | 0 | Yes (1) | Yes (1) |
| MICHELE WALDRON | |||||||
| CURRENT OFFICER | SEE BELOW | Yes (X) | $8,325,373 | $8,793,865 | 0 | Yes (1) | Yes (1) |
| DAVID CHRISTENSEN | |||||||
| CURRENT KEY EMPLOYEE | SEE BELOW | Yes (X) | $5,013,793 | $5,295,933 | 0 | Yes (1) | Yes (1) |
| WILLIAM CHALTRAW | |||||||
| CURRENT KEY EMPLOYEE | SEE BELOW | Yes (X) | $2,014,651 | $2,128,021 | 0 | Yes (1) | Yes (1) |
| MICHAEL GOLDRING | |||||||
| CURRENT KEY EMPLOYEE | SEE BELOW | Yes (X) | $5,228,683 | $5,512,517 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $32,867,599 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBRA FLORES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FORMER PRESIDENT/COO | RelationshipDescriptionTxt |
| Transaction | $1,206,500 | TransactionAmt |
| Transaction | PURCHASED PERSONAL RESIDENCE AS A PART OF SEPARATION AGREEMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
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 (15 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. OUR MISSION GUIDES US AS WE TRAVEL THE ROAD TO OUR FUTURE ALONGSIDE STAFF, PHYSICIANS, CHILDREN, FAMILIES, OUR COMMUNITY AND OUR PARTNERS THROUGHOUT THE REGION. 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 CLEAR FOCUS 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 DEPEND ON EXCEPTIONAL PEOPLE TO PROVIDE EXCEPTIONAL QUALITY HEALTH CARE AND SERVICES THROUGHOUT VALLEY CHILDREN'S HOSPITAL. WE SET HIGH STANDARDS AND WE SUPPORT EACH OTHER AS WE STRIVE TO ACHIEVE THEM. WE INVEST IN EACH OTHER AND WE VALUE THE INDIVIDUAL AND CULTURAL DIFFERENCES THAT MAKE US STRONG. WE ARE PROUD OF OUR SUPERIOR SERVICES AS MEASURED BY QUALITY OUTCOMES. COMPASSIONATE CARE - WE TREAT EVERY CHILD, EVERY FAMILY, EACH OTHER, OUR VISITORS AND OUR VENDORS WITH RESPECT, KINDNESS, HOPE, JOY AND GOOD HUMOR. WE DISPLAY OUR HELPFUL, HEALING, FAMILY-CENTERED SPIRIT AT EVERY OPPORTUNITY. WE RECOGNIZE THE IMPORTANCE OF PLAYFULNESS IN HUMAN INTERACTION AND IN THE HEALTH OF CHILDREN. WE LOOK FOR WAYS TO EASE SUFFERING AND PROVIDE COMFORT. INTEGRITY - WE ARE HONEST, ETHICAL AND RESPONSIBLE IN OUR WORK AND IN THE WAY WE DEAL WITH OTHERS. WE KEEP OUR PROMISES AND ADMIT OUR MISTAKES. WE KNOW OURSELVES AND WE AVOID HIDDEN AGENDAS. BY THE WAY WE LIVE OUR LIVES EVERYDAY, WE ARE WORTHY OF THE TRUST PEOPLE PLACE IN US. INNOVATION - WE EMBRACE CHANGE, CREATIVITY, CONTINUOUS LEARNING AND PERSONAL GROWTH. WE INCORPORATE NEW IDEAS, TECHNOLOGY AND METHODS TO IMPROVE THE HEALTH CARE AND SERVICES WE PROVIDE. WE ANTICIPATE FUTURE TRENDS AND WE CREATE STRATEGIC PLANS TO INSURE FUTURE GROWTH AND CONTINUED VITALITY. COLLABORATION - WE BUILD ENDURING INTERNAL AND EXTERNAL RELATIONSHIPS, JOINING WITH COLLEAGUES ACROSS ORGANIZATIONAL BOUNDARIES TO IMPROVE THE CARE AND SERVICES WE PROVIDE. WE ENCOURAGE AND REWARD BOTH INDIVIDUAL AND TEAM ACHIEVEMENTS. WE PUT THE COMMON GOOD AHEAD OF NARROW INTERESTS. STEWARDSHIP - WE ARE RESOURCEFUL, ADAPTABLE AND RESILIENT. WE HAVE A "CAN DO" ATTITUDE THAT GETS THE JOB DONE. WE ARE FISCALLY RESPONSIBLE AND EFFICIENT WITH OUR TIME. WE PROTECT OUR RESERVES AND MANAGE OUR OPERATING COSTS IN ORDER TO INVEST IN THE NEXT GENERATION OF KIDS. WE ARE EACH PERSONALLY DEDICATED TO MAKING VALLEY CHILDREN'S HOSPITAL BETTER BECAUSE WE WERE HERE. 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 2020-2021 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 APPRECIATES 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 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 HOSPITAL'S PATIENT VOLUME IN 2020, VALLEY CHILDREN'S HOSPITAL HAD 10,727 INPATIENT ADMISSIONS, 84,720 EMERGENCY DEPARTMENT VISITS AND 256,544 HOSPITAL BASED OUTPATIENT SPECIALTY CARE CENTER, REGIONAL SPECIALTY CARE CENTER, PRIMARY CARE CENTER, AND URGENT CARE VISITS. MEDI-CAL COVERED 73.8% OF VALLEY CHILDREN'S TOTAL INPATIENT CASES AND 74.6% OF TOTAL OUTPATIENT VISITS. |
| FORM 990, PART III, LINE 4A | III. COMMUNITY BENEFITS PROGRAM ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, COMMUNITY BENEFITS ARE GENERALLY DEFINED AS THOSE ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS, AND MEET AT LEAST ONE OF THE FOLLOWING OBJECTIVES: - IMPROVE ACCESS TO HEALTH CARE SERVICES - ENHANCE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR PRIVATE, COMMUNITY-BASED EFFORTS ALSO INCLUDED IN THE DEFINITION IS THE PROVISION OF CHARITY CARE AND THE UNREIMBURSED COST OF PROVIDING HEALTH CARE SERVICES TO THOSE ENROLLED IN PUBLIC PROGRAMS, INCLUDING MEDI-CAL. IN FY 2020, VALLEY CHILDREN'S HOSPITAL PROVIDED COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS WITHIN ITS SERVICE AREA. COMMUNITY HEALTH IMPROVEMENT SERVICES ADAPTIVE SPORTS PROGRAM VALLEY CHILDREN'S ADAPTIVE SPORTS PROGRAM PROVIDES FREE RECREATIONAL AND ATHLETIC EXPERIENCES FOR CHILDREN, ADOLESCENTS AND YOUNG ADULTS WITH DISABILITIES, REGARDLESS OF WHETHER THEY HAVE BEEN OR CURRENTLY ARE PATIENTS AT VALLEY CHILDREN'S. THE ONLY ONE OF ITS KIND IN CENTRAL CALIFORNIA, THE PROGRAM IS DESIGNED FOR INDIVIDUALS WITH PHYSICAL IMPAIRMENTS AND CONDITIONS RANGING FROM CEREBRAL PALSY TO SPINAL CORD INJURIES. DISABLED YOUTH UP TO AGE 21 ARE ESPECIALLY ENCOURAGED TO ATTEND. THE REGION'S ABUNDANT MOUNTAINS, LAKES, RIVERS, TRAILS AND ATHLETIC FACILITIES MAKE AMAZING DESTINATION HOTSPOTS FOR RECREATIONAL AND COMPETITIVE ACTIVITIES. WHETHER WATER SKIING OR ROCK CLIMBING, PARTICIPANTS ENJOY A FUN EXPERIENCE WHILE BOOSTING THEIR HEALTH, CONFIDENCE AND INDEPENDENCE. THROUGH HARD WORK AND DETERMINATION, CHILDREN LEARN IT IS POSSIBLE TO PARTICIPATE IN ATHLETICS, EXCEED EXPECTATIONS AND ACHIEVE THEIR DREAMS. THE COVID-19 PANDEMIC SIGNIFICANTLY LIMITED THE NUMBER OF ACTIVITIES THE PROGRAM AS ABLE TO SUPPORT IN 2020, HOWEVER THE WHEELCHAIR BASKETBALL TEAM WAS ABLE TO COMPETE IN TWO DIFFERENT TOURNAMENTS. INJURY PREVENTION PROGRAM IN 2020, THE PROGRAM RECORDED 6,984 CONTACTS WITH CHILDREN, PARENTS, HEALTHCARE PROFESSIONALS AND OTHERS AT NUMEROUS COMMUNITY, MEDIA AND PROFESSIONAL EVENTS, COVERING THE FOLLOWING TOPICS: ABUSIVE HEAD TRAUMA, BABY BASICS, BICYCLE SAFETY, CHILD PASSENGER SAFETY, CHOKING PREVENTION, CONCUSSION PREVENTION AND MANAGEMENT, DRIVER SAFETY AND AWARENESS INCLUDING DRUNK/DISTRACTED DRIVING, HALLOWEEN SAFETY, HOME SAFETY, MEDICATION SAFETY, POISON PREVENTION, RESPONDING TO A BLEEDING EMERGENCY PEDIATRIC TRAUMA AND WATER SAFETY, RAILROAD SAFETY, SAFE SLEEP, SUICIDE PREVENTION, AND TRAUMATIC BRAIN INJURY PREVENTION. VALLEY CHILDREN'S DISTRIBUTED 119 BICYCLE HELMETS TO CHILDREN AND FAMILIES WHOSE EXISTING HELMETS DID NOT MEET MINIMUM SAFETY STANDARDS OR WHO DID NOT HAVE HELMETS AT ALL. REGARDING CAR SEAT SAFETY, VALLEY CHILDREN'S CONDUCTED SAFETY CHECKS ON 260 CAR SEATS AND GAVE AWAY 146 CAR SEATS TO FAMILIES WHOSE EXISTING CAR SEATS DID NOT MEET MINIMUM SAFETY STANDARDS OR WHO SIMPLY DID NOT HAVE A CAR SEAT AND NEEDED ONE. DUE TO COVID-19, VALLEY CHILDREN'S CONDUCTED MUCH OF ITS OUTREACH IN 2020 VIA ZOOM OR WEBEX AND ALSO CREATED PROFESSIONALLY PRODUCED VIDEOS FOCUSED ON BOOSTER SEAT SAFETY, RAILROAD SAFETY, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND BURN PREVENTION. VALLEY CHILDREN'S SHARED THE VIDEOS ON SOCIAL MEDIA SITES AND FORWARDED TO SCHOOL DISTRICTS AND COMMUNITY BASED ORGANIZATIONS THROUGHOUT OUR SERVICE AREA. 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 2020 WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO PARENTS, CAREGIVERS, HEALTHCARE PERSONNEL, TEACHERS AND MANDATED REPORTERS. THESE PARTNERS INCLUDED VALLEY CHILDREN'S TRAUMA DEPARTMENT'S INJURY PREVENTION TEAM, SAFE KIDS, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, CPS, FRESNO UNIFIED SCHOOL DISTRICT, 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 2020, 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 3,020 PATIENTS, 659 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 3,695 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 ADDITION, VALLEY CHILDREN'S AND THE GUILDS CENTER FOR COMMUNITY HEALTH ONCE AGAIN PARTNERED WITH VALLARTA SUPERMARKET IN FRESNO, TULARE, VISALIA AND PORTERVILLE DURING THE SUMMER OF 2020 TO PROMOTE ACCESS TO HEALTHY FOODS. THROUGH THE PROGRAM, CHILDREN WHO WERE SHOPPING WITH THEIR FAMILIES AT ANY ONE OF THE PARTICIPATING VALLARTA SUPERMARKET LOCATIONS WERE OFFERED FREE FRUIT. GIVEN THAT MANY CHILDREN RELY ON MEALS PROVIDED BY SCHOOLS FOR MUCH OF THEIR FOOD INTAKE, VALLEY CHILDREN'S FELT IT WAS IMPORTANT TO MAKE HEALTHY FOOD AVAILABLE, ESPECIALLY DURING THE SUMMER WHEN MOST CHILDREN ARE NOT IN SCHOOL. CHRONIC DISEASE PREVENTION SCHOOLS FOR THRIVING AND HEALTHY STUDENTS IN 2020, VALLEY CHILDREN'S CONTINUED 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 17 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. THE INITIATIVE IS FUNDED BY VALLEY CHILDREN'S AND IS SUPPORTED BY 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 2020, VALLEY CHILDREN'S PARTICIPATED IN SEVERAL INITIATIVES SUPPORTING THE HEALTHY DEVELOPMENT OF 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 2020, VALLEY CHILDREN'S CONTINUED TO PARTICIPATE IN 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. SPECIFIC ACCOMPLISHMENTS IN 2020 INCLUDED PRESERVING STATE FUNDING FOR THE EXTENSION OF MEDI-CAL POSTPARTUM COVERAGE FOR NEW MOMS DIAGNOSED WITH A MENTAL HEALTH CONDITION, PREVENTING STATE BUDGET CUTS TO THE BLACK INFANT HEALTH PROGRAM, AND ADVOCATING FOR THE BROADER PRACTICE OF NURSE MIDWIFERY CARE IN CALIFORNIA. IN 2020, VALLEY CHILDREN'S DIRECTOR OF COMMUNITY AND GOVERNMENT RELATIONS CHAIRED 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 2020, 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 AT THE LOCAL LEVEL, 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. FINALLY, 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. 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 INSTITUTIONS. 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 IN 2020, VALLEY CHILDREN'S SUPPORTED 16 INPATIENT CLINICAL PARTNERS. IN RESPONSE TO THE PANDEMIC, MANY OF OUR MEETINGS AND EDUCATIONAL ACTIVITIES SHIFTED TO VIRTUAL SESSIONS. 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 2020, 73.8% 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 2020 OF $156,529,541. 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 2020, VALLEY CHILDREN'S HOSPITAL RECOGNIZED PROGRAM REVENUE OF $100,988,571, 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 2020, CHILDREN'S HOSPITAL PROVIDED $209,249 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 | DAN KOONZ, 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 IX, LINE 11G | PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 73,995,005. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,995,005. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 7,501,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,501,422. CONSULTING & MANAGEMENT FEES - ON PARENT: PROGRAM SERVICE EXPENSES 169,556. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,556. |
| FORM 990, PART XI, LINE 9: | PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -361,884. CUMULATIVE EFFECT OF ACCOUNTING STANDARD CHANGE -300,503. PASS-THROUGH INVESTMENT INCOME 252,085. GAIN ON SALE OF LAND -2,121,451. |
| FORM 990, PART XII, LINE 3B: | VALLEY CHILDREN'S IS IN THE PROCESS OF COMPLETING THE REQUIRED A-133 AUDIT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2020. THE EXTENDED DUE DATE FOR COMPLETION IS DECEMBER 31, 2021. |
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 | $545,995 | TotalIncomeAmt |
| End Of Year Assets | $7,967,420 | 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 | Yes (1) | |
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VALLEY PHYSICIANS ALLIANCE LLC | |||||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 813817791 | INVESTING | CA | N/A | ||||||
| FOWLER BUSINESS & PROFESSIONAL PARK LLC | |||||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 471813772 | REAL ESTATE INVESTMENT | CA | N/A | RELATED | $138,738 | $14,293,243 | Yes (1) | Yes (1) | 0.50000 |
| COMPASS HEALTH ADMINISTRATORS LLC | |||||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 822891309 | BENEFIT ADMIN | CA | N/A | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VALLEY CHILDREN'S HOLDINGS I LLC | ||||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 371872422 | HEALTHCARE | CA | N/A | C | 0 | |||
| VPA HOLDINGS LLC | ||||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 814192995 | INVESTING | CA | N/A | C | Yes (1) | -$10,664 | 0.50000 | |
| FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION | ||||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 301030354 | PROPERTY OWNERS ASSOCIATION | CA | C | 0 | -$2,736 | 0.50000 | FOWLER BUSINESS & PROFESSIONAL PARK LLC | |
| 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 |
Comments