VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202542269349303504
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
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	2025-08-14T19:30:42-05:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	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	2023-10-01	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	TINA MYCROFT	PersonNm
Person Title	SVP AND CFO	PersonTitleTxt
Phone	5593533000	PhoneNum
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY CAMPOS	PreparerPersonNm
PTIN	P00448102	PTIN
Phone	2099556100	PhoneNum
Preparation	2025-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$1,681,162,578	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	4075	TotalEmployeeCnt
Total Volunteers	310	TotalVolunteersCnt
Total Gross UBI	-$3,051,050	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$208,970	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,460,031	PYContributionsGrantsAmt
CY Contributions Grants	$27,531,096	CYContributionsGrantsAmt
PY Program Service Revenue	$748,650,351	PYProgramServiceRevenueAmt
CY Program Service Revenue	$833,543,744	CYProgramServiceRevenueAmt
PY Investment Income	$50,512,885	PYInvestmentIncomeAmt
CY Investment Income	$91,361,125	CYInvestmentIncomeAmt
PY Other Revenue	$12,944,813	PYOtherRevenueAmt
CY Other Revenue	$13,981,763	CYOtherRevenueAmt
PY Total Revenue	$821,568,080	PYTotalRevenueAmt
CY Total Revenue	$966,417,728	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,218,901	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,893,633	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$369,980,125	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$409,076,984	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$404,558,073	PYOtherExpensesAmt
CY Other Expenses	$460,026,664	CYOtherExpensesAmt
PY Total Expenses	$775,757,099	PYTotalExpensesAmt
CY Total Expenses	$870,997,281	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,810,981	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$95,420,447	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,141,940,535	TotalAssetsBOYAmt
Total Assets EOY	$2,326,989,096	TotalAssetsEOYAmt
Total Liabilities BOY	$370,211,936	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$360,805,090	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,771,728,599	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,966,184,006	NetAssetsOrFundBalancesEOYAmt
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	$668,507,956	ExpenseAmt
Grant	$1,893,633	GrantAmt
Revenue	$833,543,744	RevenueAmt
Desc	VALLEY CHILDREN'S HOSPITAL IS CENTRAL CALIFORNIA'S ONLY PEDIATRIC HOSPITAL, FEATURING THE REGION'S ONLY LEVEL IV NICU, A RENOWNED PEDIATRIC CANCER AND BLOOD DISEASES CENTER AND A PIONEERING HEART CENTER. WE WERE THE FIRST CHILDREN'S HOSPITAL WEST OF THE ROCKIES TO EARN THE MAGNET NURSING DESIGNATION - THE HIGHEST NURSING BENCHMARK - AND U.S. NEWS & WORLD REPORT RANKS US ONE OF THE NATION'S TOP CHILDREN'S HOSPITALS IN THREE SPECIALTIES. OUR TEAM OF APPROXIMATELY 670 PHYSICIANS AND APPROXIMATELY 3,500 STAFF MEMBERS PROVIDES HIGH-QUALITY CARE TO MORE THAN 1.3 MILLION CHILDREN IN THE REGION. SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY BENEFIT.	Desc
Total Program Service Expenses	$668,507,956	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	356	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4075	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	15	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	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TINA MYCROFT SVP & 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 (40 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
TODD SUNTRAPAK
CEO	20.50	39.50	Yes (X)	Yes (X)	$3,203,684	$0	$66,483
BEVERLY HAYDEN-PUGH FORMER
CNO, SVP/ADVR TO CEO (AS OF 3/23)	24.00	36.00			$1,555,213	$0	$134,615	Yes (X)
MICHELE WALDRON FORMER CFOEVP
& PRINC. CNSLT TO CEO (AS OF 10/23)	22.20	37.80			$1,405,362	$0	$47,171		Yes (X)
DAVID CHRISTENSEN MD
SVP, CPE & PRESIDENT VCMG	24.00	36.00			$1,245,480	$0	$62,371	Yes (X)
NATALE PONTICELLO JR FORMER
CPO,SVP/ADVR TO SVP&CPO (AS OF 3/23)	43.00	17.00			$1,035,059	$0	$100,431	Yes (X)
JOLIE LIMON MD VP ACAD
AFFAIRS, DIO & CHI (THRU 10/23)	50.00	10.00			$966,773	$0	$116,590	Yes (X)
JOEL BROWNELL MD
VP, CHIEF MED INFO OFF. (THRU 9/23)	40.00	20.00			$890,134	$0	$100,105			Yes (X)
DAVID HODGE JR
VP, MEDICAL GROUP & ANCILLARY OP	35.00	25.00			$758,642	$0	$135,046	Yes (X)
DANIELLE BARRY
SVP, COO	30.00	30.00			$770,415	$0	$116,567	Yes (X)
JANE WILLSON
SVP, CHIEF STRATEGY OFFICER	18.00	42.00			$744,502	$0	$111,071	Yes (X)
MICHAEL GOLDRING
SVP STRATEGIC PARTNERSHIPS	12.00	48.00			$768,985	$0	$41,352			Yes (X)
WILLIAM CHALTRAW JR
SVP, CHIEF LEGAL OFFICER	12.00	48.00			$734,725	$0	$56,128	Yes (X)
KAREN DAHL MD
VP, MED AFFAIRS & PHYS DEV	40.00	20.00			$678,467	$0	$107,096			Yes (X)
LYNNE ASHBECK
SVP, CHIEF COMMUNITY IMPACT OFFICER	18.00	42.00			$679,973	$0	$94,904			Yes (X)
KEVIN SHIMAMOTO FORMER CIO
VP AND ADVISOR TO CIO (THRU 9/24)	10.00	50.00			$648,571	$0	$106,657			Yes (X)
STEPHANIE VANCE
VP, FINANCE (THRU 11/23)	30.00	30.00			$579,841	$0	$117,222	Yes (X)
JOSEPH EGAN
VP & CIO	50.00	10.00			$580,598	$0	$108,047	Yes (X)
KELLY BEALL SVPCHIEF
PEOPLE OFFICER (AS OF 3/23)	43.00	17.00			$539,749	$0	$90,664	Yes (X)
VICKY TILTON VP PATIENT
CARE SVCS/CNO (AS OF 3/23)	50.00	10.00			$473,529	$0	$81,548	Yes (X)
TINA MYCROFT
SVP & CFO (AS OF 10/23)	22.20	37.80		Yes (X)	$409,219	$0	$11,082
KELLIE DYER VP SUPPLY
CONSTR & FAC. (AS OF 1/23)	35.00	15.00			$353,626	$0	$30,672	Yes (X)
JESSIE HUDGINS
VP, FACILITIES & SUPPORT (THRU 1/23)	45.00	15.00			$261,912	$0	$72,753	Yes (X)
FAISAL RAZZAQI MD CHIEF OF
STAFF/BOARD MEMBER (THRU 2/24)	0.50	0.50	Yes (X)		$75,000	$0	$0
DAN ADAMS
BOARD TREASURER	0.50	1.80	Yes (X)	Yes (X)	$0	$10,000	$0
JOSE ELGORRIAGA
BOARD CHAIR	0.60	1.40	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL HANSON
BOARD VICE CHAIR	0.50	1.80	Yes (X)	Yes (X)	$0	$0	$0
DANIELLE PARNAGIAN
BOARD SECRETARY	0.50	0.50	Yes (X)	Yes (X)	$0	$0	$0
CHRISTINE ALMON MD
CHIEF OF STAFF (AS OF 3/24)	0.50	0.50	Yes (X)		$0	$0	$0
SUSAN BYERS
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
LUZ GONZALEZ MD
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
ALLISON KARAHADIAN
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
MENDY LAVAL
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
JARROD MARTINEZ
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
THOMAS PAGE MD
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
LISA SMITTCAMP
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
VALERIE VUICICH
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
SISSY DALENA WOOD
BOARD MEMBER	0.50	0.50	Yes (X)		$0	$0	$0
DAN KOONTZ
BOARD MEMBER (THRU 8/24)	0.50	0.50	Yes (X)		$0	$0	$0
BILL SMITTCAMP
BOARD MEMBER (THRU 12/23)	0.50	1.80	Yes (X)		$0	$0	$0
RILEY WALTER
BOARD MEMBER (THRU 12/23)	0.50	0.50	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$19,359,459	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,000	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,908,575	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1059	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	$62,500,000
QUIRING GENERAL LLC
5118 E CLINTON WAY	FRESNO	CA	93727	CONSTRUCTION SERVICES	$17,547,904
PEDIATRIC ANESTHESIA ASSOCIATES
6235 N FRESNO ST STE 103	FRESNO	CA	93710	ANESTHESIA/CRITICAL CARE	$15,138,436
SODEXO INC& ASSOCIATES
PO BOX 360170	PITTSBURGH	PA	152516170	HOUSEKEEPING SERVICES	$6,077,211
KRUGER CONSTRUCTION INC
1205 BARSTOW AVENUE	CLOVIS	CA	93612	CONSTRUCTION SERVICES	$4,786,998

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	135	CntrctRcvdGreaterThan100KCnt
Related Organizations	$22,819,221	RelatedOrganizationsAmt
Government Grants	$4,166,489	GovernmentGrantsAmt
All Other Contributions	$545,386	AllOtherContributionsAmt
Noncash Contributions	$12,055	NoncashContributionsAmt
Total Contributions	$27,531,096	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	900099	$814,945,222	$814,945,222
HOME CARE 340B PROGRAM	900099	$11,911,286	$11,911,286
SUPPORT SERVICES	541610	$6,607,365	$6,607,365
LAB SERVICES	900099	$79,871	$79,871

Field	Value	IRS element (for citing)
Total Program Service Revenue	$833,543,744	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,428,988	TotalRevenueColumnAmt
Unrelated Business Revenue	-$3,051,050	UnrelatedBusinessRevenueAmt
Exclusion	$45,480,038	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$991,791	TotalRevenueColumnAmt
Exclusion	$991,791	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,128,900	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$684,982	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$443,918	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$443,918	TotalRevenueColumnAmt
Exclusion	$443,918	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$761,518,412	SecuritiesAmt
Other	$212,002	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$713,629,476	SecuritiesAmt
Other	$160,592	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$47,888,936	SecuritiesAmt
Other	$51,410	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,940,346	TotalRevenueColumnAmt
Exclusion	$47,940,346	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$416,820	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$269,800	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,020	TotalRevenueColumnAmt
Exclusion	$147,020	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$2,727,849	TotalRevenueColumnAmt
Exclusion	$2,727,849	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,662,976	TotalRevenueColumnAmt
Exclusion	$10,662,976	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,390,825	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$966,417,728	TotalRevenueColumnAmt
Related Or Exempt Func Income	$833,543,744	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$3,051,050	UnrelatedBusinessRevenueAmt
Exclusion	$108,393,938	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	$1,511,774	TotalAmt
Program Services	$1,511,774	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$381,859	TotalAmt
Program Services	$381,859	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,756,808	TotalAmt
Management And General	$13,756,808	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$302,248,035	TotalAmt
Program Services	$229,173,201	ProgramServicesAmt
Management And General	$73,074,834	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,696,373	TotalAmt
Program Services	$13,594,426	ProgramServicesAmt
Management And General	$4,101,947	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$52,877,143	TotalAmt
Program Services	$37,036,546	ProgramServicesAmt
Management And General	$15,840,597	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,498,625	TotalAmt
Program Services	$16,443,407	ProgramServicesAmt
Management And General	$6,055,218	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,872,384	TotalAmt
Management And General	$4,872,384	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,272,541	TotalAmt
Management And General	$4,272,541	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$286,324	TotalAmt
Management And General	$286,324	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$127,500	TotalAmt
Management And General	$127,500	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,067,999	TotalAmt
Management And General	$6,067,999	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$117,575,314	TotalAmt
Program Services	$117,311,708	ProgramServicesAmt
Management And General	$263,606	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,010,232	TotalAmt
Program Services	$50,508	ProgramServicesAmt
Management And General	$1,959,724	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$146,265,126	TotalAmt
Program Services	$137,021,921	ProgramServicesAmt
Management And General	$9,243,205	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,833,093	TotalAmt
Program Services	$6,523,527	ProgramServicesAmt
Management And General	$2,309,566	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,734,950	TotalAmt
Program Services	$6,674,658	ProgramServicesAmt
Management And General	$2,060,292	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,009,291	TotalAmt
Program Services	$297,690	ProgramServicesAmt
Management And General	$711,601	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$379,862	TotalAmt
Program Services	$31,979	ProgramServicesAmt
Management And General	$347,883	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,785,604	TotalAmt
Program Services	$8,252,595	ProgramServicesAmt
Management And General	$2,533,009	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$39,890,357	TotalAmt
Program Services	$22,049,014	ProgramServicesAmt
Management And General	$17,841,343	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,065,453	TotalAmt
Management And General	$8,065,453	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HOSPITAL FEE PROGRAM	$42,926,883	$42,926,883
PURCHASED SERVICES	$29,466,811	$13,608,119	$15,858,692
BAD DEBT	$13,481,552	$13,481,552
UBI TAXES	$976,377	$976,377

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,999,011	TotalAmt
Program Services	$1,160,212	ProgramServicesAmt
Management And General	$12,838,799	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$870,997,281	TotalAmt
Program Services	$668,507,956	ProgramServicesAmt
Management And General	$202,489,325	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$812,358	BOYAmt
EOY	$840,653	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$488,908,207	BOYAmt
EOY	$561,470,620	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$968,363	BOYAmt
EOY	$766,903	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$103,018,092	BOYAmt
EOY	$137,465,776	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$58,150,923	BOYAmt
EOY	$58,823,805	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,738,794	BOYAmt
EOY	$17,617,644	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,904,486	BOYAmt
EOY	$13,365,224	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$922,643,854	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$473,608,098	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$445,055,720	BOYAmt
EOY	$449,035,756	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$536,982,420	BOYAmt
EOY	$557,599,978	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$251,771,950	BOYAmt
EOY	$374,492,887	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$44,683,956	BOYAmt
EOY	$41,233,162	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$184,945,266	BOYAmt
EOY	$114,276,688	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,141,940,535	BOYAmt
EOY	$2,326,989,096	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$90,954,979	BOYAmt
EOY	$93,309,225	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$246,977,204	BOYAmt
EOY	$238,789,518	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,279,753	BOYAmt
EOY	$28,706,347	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$370,211,936	BOYAmt
EOY	$360,805,090	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	$1,744,021,434	BOYAmt
EOY	$1,931,011,467	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,707,165	BOYAmt
EOY	$35,172,539	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,771,728,599	BOYAmt
EOY	$1,966,184,006	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,141,940,535	BOYAmt
EOY	$2,326,989,096	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$95,420,447	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$95,822,692	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,212,268	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$16,602	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$325,147	OtherActivitiesAmt
Total Lobbying Expenditures	$341,749	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 LOCAL, STATE, AND FEDERAL ELECTED OFFICIALS REGARDING HEALTHCARE POLICY THAT IMPACTS CHILDREN, INCLUDING GENERAL COMMUNICATION WITH AND EDUCATION OF BOTH THE LEGISLATORS AND THEIR STAFF MEMBERS. EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE LESS THAN 1% OF TOTAL HOSPITAL EXPENDITURES. VALLEY CHILDREN'S HOSPITAL HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $16,602 BROWNSTEIN HYATT FARBER SCHRECK $127,500 ASSOCIATION DUES RELATED TO LOBBYING NACH 43,798 AMERICAN SOCIETY HEALTHCARE ENGINEERING 41 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 314 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 80,551 CALIFORNIA HOSPITAL ASSOCIATION/AMERICAN HOSP ASSOC 27,214 CHILDREN'S SPECIALTY CARE COALITION 3,591 FRESNO CHAMBER OF COMMERCE 267 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA 41,751 NATIONAL ASSOCIATION OF EPILEPSY CENTERS 120 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $341,749	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$91,520,402	OtherCostOrOtherBasisAmt
Book Value	$91,520,402	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$408,358,925	OtherCostOrOtherBasisAmt
Depreciation	$181,191,123	DepreciationAmt
Book Value	$227,167,802	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,554,557	OtherCostOrOtherBasisAmt
Depreciation	$3,554,216	DepreciationAmt
Book Value	$341	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$359,856,806	OtherCostOrOtherBasisAmt
Depreciation	$257,872,227	DepreciationAmt
Book Value	$101,984,579	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$59,353,164	OtherCostOrOtherBasisAmt
Depreciation	$30,990,532	DepreciationAmt
Book Value	$28,362,632	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$449,035,756	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LIMITED PARTNERSHIPS	$157,176,882	F
HEDGE FUNDS	$108,968,953	F
PRIVATE CAPITAL FUNDS	$108,347,052	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$374,492,887	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDesc	AmtAmt
MALPRACTICE RESERVE	$8,188,588
ACCRUED PENSION LIABILITY	$431,999
457 LIABILITY	$5,957,023
1732 LIABILITY	$456,342
WORKERS COMP	$4,410,215
INS LIABILITY	$1,843,785
DC SERP LIABILITY	$984,262
457F RT LIABILITY	$297
OPERATING LEASE - LONG TERM PORTION	$5,771,766
LAND DEVELOPMENT OBLIGATION	$115,000
RETIREE HEALTH LIABILITY	$300,000
OTHER	$247,070

Field	Value	IRS element (for citing)
Total Liability	$28,706,347	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

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	0	0	INVESTMENTS	$174,335,391
EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	INVESTMENTS	$14,618,454

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	$188,953,845	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$188,953,845	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

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	THE AMOUNT IN COLUMN F IS BASED ON FAIR MARKET VALUE.	ExplanationTxt

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
Percent400	Yes (X)	Percent400Ind
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	$117,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$587,139,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$511,285,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,853,512	NetCommunityBenefitExpnsAmt
Total Expense	0.08850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$260,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,757	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$587,516,574	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$511,402,395	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,114,179	NetCommunityBenefitExpnsAmt
Total Expense	0.08880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,578,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,578,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,766,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,362,441	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,403,727	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,574,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$542,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,031,615	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$701,536	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$701,536	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,620,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,905,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,715,646	NetCommunityBenefitExpnsAmt
Total Expense	0.02300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$609,137,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$513,307,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,829,825	NetCommunityBenefitExpnsAmt
Total Expense	0.11180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,433,297	BadDebtExpenseAmt
Reimbursed By Medicare	$270,550	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$310,834	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$40,284	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY CHILDREN'S HOSPITAL	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	936368761	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.VALLEYCHILDRENS.ORG	WebsiteAddressTxt
State License	040000160	StateLicenseNum
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

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	22	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/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT	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	400.000000000000	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 AIN ACCORDANCE WITH STATE REGULATIONS, A CHNA IS PERFORMED EVERY THREE YEARS. IN CONDUCTING THE MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. A VARIETY OF PRIMARY DATA COLLECTION METHODS WERE USED TO OBTAIN COMMUNITY INPUT INCLUDING FOCUS GROUPS, INTERVIEWS, AND SURVEYS. THE COLLECTED DATA WAS USED TO IDENTIFY SIGNIFICANT COMMUNITY NEEDS.FRESNO, KINGS, MADERA, AND TULARE COUNTIESPRIMARY DATA WERE COLLECTED THROUGH SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE SURVEY INCLUDED QUESTIONS TO DESCRIBE THE COMMUNITY, THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH STATUS AND WAS AVAILABLE IN ENGLISH AND SPANISH. COMMUNITY ORGANIZATIONS DISTRIBUTED THE SURVEYS ONLINE AND IN PAPER FORMAT. 4,856 USABLE SURVEYS WERE RECEIVED. COMMUNITY-BASED ORGANIZATIONS AND OTHER GROUPS LED THE FOCUS GROUPS AND INTERVIEWS. COMMUNITY MEMBERS ATTENDED IN-PERSON OR VIRTUALLY ON ZOOM. FIFTY-NINE (59) FOCUS GROUPS ENGAGED 473 PERSONS FROM OCTOBER TO DECEMBER 2021. TARGET POPULATIONS FOR THE FOCUS GROUPS WERE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY. KEY INFORMANTS WERE CHOSEN FOR INTERVIEWS BASED ON THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES. FIFTY (50) KEY INFORMANT INTERVIEWS WERE COMPLETED FROM OCTOBER TO DECEMBER 2021.KERN COUNTYPRIMARY DATA WERE COLLECTED THROUGH INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND SURVEYS WITH COMMUNITY RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THIRTY (30) TELEPHONE INTERVIEWS WERE CONDUCTED FROM OCTOBER TO DECEMBER 2021. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN KERN COUNTY WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. SURVEYS WERE DISTRIBUTED TO ENGAGE COMMUNITY RESIDENTS AND OBTAIN INPUT ON HEALTH AND SOCIAL NEEDS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM SEPTEMBER 13 TO NOVEMBER 15, 2021. DURING THIS TIME, 255 USABLE SURVEYS WERE COLLECTED. THE SURVEYS WERE DISTRIBUTED THROUGH HOSPITAL CHANNELS INCLUDING SOCIAL MEDIA. THE SURVEY WAS ALSO DISTRIBUTED TO COMMUNITY PARTNERS WHO MADE THEM AVAILABLE TO THEIR CLIENTS.MERCED COUNTYTHE ASSESSMENT INCORPORATED PRIMARY RESEARCH THROUGH A COMMUNITY HEALTH SURVEY AND AN ONLINE KEY INFORMANT SURVEY. THE SURVEYS WERE CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE) AND THROUGH ONLINE QUESTIONNAIRES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 300 INDIVIDUALS, AGES 18 AND OLDER, IN MERCED COUNTY. WHEN THE INTERVIEWS WERE COMPLETED, THEY WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION TO APPROPRIATELY REPRESENT MERCED COUNTY AS A WHOLE.AN ONLINE KEY INFORMANT SURVEY SOLICITED INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY VALLEY CHILDREN'S HOSPITAL AND MERCY MEDICAL CENTER MERCED. THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 69 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.PARTICIPATION INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS:- ACE OVERCOMERS- ALL DADS MATTER- BEHAVIORAL HEALTH- CASTLE FAMILY HEALTH CENTERS- CENTRAL CALIFORNIA ALLIANCE FOR HEALTH- CENTRAL OPPORTUNITY CENTER CVOC- COURT APPOINTED SPECIAL ADVOCATES MERCED COUNTY- FAMILY RESOURCE COUNCIL- FIRST 5 MERCED COUNTY- HEAD START PROGRAM MERCED COUNTY OFFICE OF EDUCATION- MERCED CITY SCHOOL DISTRICT- MERCED COUNTY COMMUNITY ACTION AGENCY WIC- MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH- MERCED COUNTY HUMAN SERVICES AGENCY, ALL MOMS MATTER- MERCED COUNTY HUMAN SERVICES AGENCY, EMPLOYMENT AND TRAINING BRANCH- MERCED COUNTY MENTAL HEALTH DEPT.- MERCED COUNTY OFFICE OF EDUCATION, CARING KIDS- MERCED COUNTY OFFICE OF EDUCATION, GROW PROGRAM- MERCED COUNTY OFFICE OF EDUCATION, MIGRANT EDUCATION- MERCED RESCUE MISSION- PEOPLE'S PROMISE- SIERRA VISTA CHILDREN AND FAMILY SERVICES- ST. VINCENT DE PAUL SOCIETY PLANADA- UNIVERSITY OF CALIFORNIA MERCED- VALLEY CRISIS CENTERSTANISLAUS COUNTYTWELVE (12) INTERVIEWS WERE CONDUCTED DURING JANUARY AND FEBRUARY 2022. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH THE HEALTH AND WELLBEING IN STANISLAUS COUNTY, WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITY. ORGANIZATIONS WERE IDENTIFIED BASED ON THE ROLE THEY PLAYED IN THE COMMUNITY. INDIVIDUALS REPRESENTING ORGANIZATIONS THAT DELIVERED HEALTH AND RELATED SOCIAL SERVICES TO THE COMMUNITY AT-LARGE WERE SOLICITED FOR INVOLVEMENT. SOCIAL SERVICE/COMMUNITY SERVING ORGANIZATIONS, INCLUDING HEALTH CARE PROVIDERS (FQHCS), AND THE INDIVIDUALS REPRESENTING THEM, WERE ALSO RECRUITED FOR PARTICIPATION. THE LOCAL PUBLIC HEALTH AGENCY WAS RECRUITED FOR PARTICIPATION AND REPRESENTATIVES FROM THE HOSPITAL WERE INCLUDED.FOCUS GROUP PARTICIPANTS WERE IDENTIFIED FROM THE ORGANIZATIONS SERVING THE COMMUNITY'S MOST VULNERABLE POPULATIONS. IN SOME INSTANCES, WHERE A FOCUS GROUP WAS DIFFICULT TO CONVENE (DUE TO THE PANDEMIC), REPRESENTATIVES THAT WORKED DIRECTLY WITH VULNERABLE POPULATIONS WERE SOLICITED FOR INVOLVEMENT. THREE (3) FOCUS GROUPS ENGAGED 17 PEOPLE AND WERE HELD VIA ZOOM IN MARCH 2022. FOCUS GROUP PARTICIPANTS REPRESENTED COMMUNITY HEALTH WORKERS, STUDENTS, VOLUNTEERS AND OUTREACH WORKERS. KEY INFORMANTS WERE CHOSEN FOR INTERVIEWS BASED ON THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: VALLEY CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	VALLEY CHILDREN'S HOSPITAL COLLABORATED WITH THE FOLLOWING HOSPITAL FACILITIES TO COMPLETE THE CHNA:FRESNO, KINGS, MADERA AND TULARE COUNTIES- SAINT AGNES MEDICAL CENTER AND COMMUNITY REGIONAL MEDICAL CENTER.KERN COUNTY- DIGNITY HEALTH (MERCY AND MEMORIAL HOSPITALS), ADVENTIST HEALTH (BAKERSFIELD, DELANO AND TEHACHAPI VALLEY), KERN MEDICAL, AND KAISER PERMANENTE.MERCED COUNTY- MERCY MEDICAL CENTER MERCED.STANISLAUS COUNTY- SUTTER HEALTH MEMORIAL MEDICAL CENTER.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:	VALLEY CHILDREN'S HOSPITAL COLLABORATED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA TO COMPLETE THE CHNA.
PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE:	WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT
PART V, SECTION B, LINE 11	THE 2022 CHNA PROCESS INCLUDED COLLECTION AND ANALYSIS OF DATA SOURCES FOR THE HOSPITAL SERVICE AREA. SECONDARY DATA WERE COLLECTED FROM COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTH CARE, BIRTH CHARACTERISTICS, ACUTE AND CHRONIC CONDITIONS, HEALTH BEHAVIORS, MENTAL HEALTH, AND SUBSTANCE USE. IN ADDITION, VALLEY CHILDREN'S CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS WITH COMMUNITY STAKEHOLDERS AND RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THE COLLECTED DATA WERE USED TO IDENTIFY SIGNIFICANT COMMUNITY NEEDS. GIVEN THE COMMUNITY INPUT SPECIFIC TO CHILD HEALTH, THE MAJOR NEEDS IDENTIFIED FOR CHILDREN THROUGHOUT THE SERVICE AREA INCLUDED THE FOLLOWING:- ACCESS TO HEALTH CARE INCLUDES ACCESS TO PRIMARY CARE, SPECIALTY CARE, PREVENTIVE CARE, AND TRANSPORTATION.- CHRONIC DISEASES INCLUDE PREVENTION, MANAGEMENT, AND TREATMENT OF CHRONIC DISEASES (DIABETES, ASTHMA, CANCER), CAREGIVER SUPPORT FOR CHILDREN EXPERIENCING CHRONIC DISEASES.- ECONOMIC INSECURITY INCLUDES POVERTY, BASIC NEEDS SERVICES, AND FOOD INSECURITY.- HOUSING AND HOMELESSNESS INCLUDE ACCESS TO SAFE AND AFFORDABLE HOUSING, AND ISSUES RELATED TO PERSONS WHO ARE EXPERIENCING HOMELESSNESS, INCLUDING HOUSING AVAILABILITY, SOCIAL SERVICES AND TRANSITIONAL CARE.- MATERNAL AND INFANT HEALTH INCLUDE TEEN PREGNANCY, PRENATAL CARE, LOW-BIRTH WEIGHT BIRTHS,PREMATURE BIRTHS, INFANT MORTALITY, AND BREASTFEEDING.- MENTAL HEALTH INCLUDES ANXIETY AND DEPRESSION, SEVERE MENTAL ILLNESS, ACCESS TO MENTAL HEALTHCARE AND SUPPORTIVE SERVICES, REDUCTION IN STIGMA AND AVAILABILITY OF MENTAL HEALTH CARE BEDS.- OBESITY/NUTRITION/PHYSICAL ACTIVITY INCLUDE ACCESS TO HEALTHY, AFFORDABLE FOOD, INCREASED ACCESS TO OUTDOOR ACTIVITIES.- PREVENTIVE CARE INCLUDES VACCINES, TESTING AND SCREENINGS.- SUBSTANCE USE AND MISUSE INCLUDE TOBACCO USE, VAPING, DRUG MISUSE AND ALCOHOL USE.- VIOLENCE AND INJURY PREVENTION INCLUDE ACCIDENTAL INJURIES, NEIGHBORHOOD SAFETY, REDUCTION IN CRIME, AND CHILD ABUSE.THE CHNA SERVED AS A RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. THE COMMUNITY PRIORITIZATION OF NEEDS WAS ALSO TAKEN INTO CONSIDERATION. VALLEY CHILDREN'S IS ADDRESSING THE FOLLOWING NEEDS:- ACCESS TO HEALTH CARE (INCLUDING PREVENTIVE CARE)- CHRONIC DISEASES (INCLUDING OBESITY, NUTRITION, AND PHYSICAL ACTIVITY)- MATERNAL AND INFANT HEALTH- MENTAL HEALTH- VIOLENCE AND INJURY PREVENTIONACCESS TO CAREACCESS TO PRIMARY AND PREVENTIVE CARE FOR AT-RISK CHILDRENPEDIATRIC PHYSICIAN RESIDENTS PARTICIPATING IN VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM PROVIDED PRIMARY AND PREVENTIVE HEALTHCARE SERVICES TO AT-RISK CHILDREN IN FRESNO COUNTY AS PART OF THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS' MOBILE HEALTH UNIT (MHU). DESIGNED TO HELP ENSURE THAT CHILDREN ARE ABLE TO START SCHOOL ON TIME AND ACCESS THEIR EDUCATION, THE MHU HELD 43 CLINICS IN 2024, INCLUDING MANY LOCATED IN RURAL AND LOW-INCOME COMMUNITIES. AS A PART OF THOSE CLINICS, 1,014 CHILDHOOD VACCINATIONS WERE ADMINISTERED, AND 256 SPORTS PHYSICALS WERE PERFORMED.ADAPTIVE SPORTS PROGRAMVALLEY 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 ARE CURRENTLY PATIENTS AT VALLEY CHILDREN'S. THE PROGRAM, THE ONLY ONE OF ITS KIND IN CENTRAL CALIFORNIA, IS DESIGNED FOR INDIVIDUALS WITH PHYSICAL IMPAIRMENTS AND CONDITIONS RANGING FROM CEREBRAL PALSY, SPINAL CORD INJURIES AND AMPUTATIONS. DISABLED YOUTH, UP TO AGE 21, ARE ESPECIALLY ENCOURAGED TO ATTEND. IN 2024, ABOUT 70 CHILDREN PARTICIPATED IN A VARIETY OF ACTIVITIES INCLUDING WHEELCHAIR BASKETBALL, WHEELCHAIR TENNIS, WHEELCHAIR SOCCER, CANOEING/KAYAKING, ROCK CLIMBING, TRACK AND FIELD, AND SNOW AND WATER SKIING.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.EXPANDED ACCESS TO PEDIATRIC PRIMARY AND SPECIALTY CAREVALLEY CHILDREN'S MADE CASH CONTRIBUTIONS FOR THE PURCHASE OF CAPITAL-RELATED ITEMS TO BE USED TO INCREASE ACCESS TO HEALTHCARE SERVICES FOR CHILDREN THROUGHOUT THE REGION.TRANSPORTATIONGIVEN THE CENTRAL VALLEY'S LARGELY RURAL LANDSCAPE AND HIGH CONCENTRATION OF POVERTY, TRANSPORTATION HAS LONG BEEN A CHALLENGE FOR MANY FAMILIES. VALLEY CHILDREN'S SOCIAL WORK DEPARTMENT ASSISTED FAMILIES WITH TRANSPORTATION BY PROVIDING GAS CARDS, TAXI VOUCHERS, AND FUNDING TRANSPORTATION/RIDE SHARING EXPENSES, AMTRAK TICKETS AND BUS TOKENS. VALLEY CHILDREN'S ALSO SUBSIDIZED BUS AND OTHER PUBLIC TRANSIT SERVICES FROM THE CITY OF FRESNO AND KINGS COUNTY.VISION SCREENINGSTHROUGH A PARTNERSHIP WITH THE TZU CHI MEDICAL FOUNDATION AND ITS SEE 2 SUCCEED INITIATIVE, VALLEY CHILDREN'S HELPED MAKE POSSIBLE VISION SCREENINGS FOR 14,409 SCHOOL AGED CHILDREN IN FRESNO COUNTY ACROSS 18 SCHOOL DISTRICTS AND 51 SCHOOL SITES. AS A RESULT OF THE SCREENINGS, 1,353 FULL EYE EXAMS WERE CONDUCTED, AND 1,167 PAIRS OF GLASSES WERE PROVIDED TO CHILDREN.CHRONIC DISEASE PREVENTIONBLUE ZONES PROJECT BAKERSFIELDBLUE ZONES BAKERSFIELD SUPPORTS INTERVENTIONS AND INITIATIVES THAT EMPOWER PEOPLE, INCENTIVIZES DIFFERENT ORGANIZATIONS AND BUSINESSES TO ENHANCE THE WAYS THEY PROMOTE HEALTH AND WELLNESS, AND IMPLEMENTS POLICIES THAT TRANSFORM THE ENVIRONMENT. IN 2024, VALLEY CHILDREN'S PROVIDED FINANCIAL SUPPORT FOR BLUE ZONES PROJECT BAKERSFIELD, SUPPORTED ITS ADVOCACY EFFORTS, AND PARTICIPATED ON THE INITIATIVE'S STEERING COMMITTEE AND SCHOOL WELLNESS COMMITTEE. WITH THE HELP OF VALLEY CHILDREN'S, A TOTAL OF 20 SCHOOLS HAD BECOME CERTIFIED AS BLUE ZONE PROJECT APPROVED SCHOOLS AT THE END OF 2024. TO BECOME AN APPROVED SITE, SCHOOLS SIGN A PLEDGE COMMITTING TO PURSUE SPECIFIC POLICIES AND PROGRAMS THAT SUPPORT STUDENT HEALTH AND WELLBEING. VALLEY CHILDREN'S SUPPORT ALSO HELPED MAKE POSSIBLE "WELLNESS WALKS TO SCHOOL AND A BOOK VENDING MACHINE AT MCKINLEY ELEMENTARY SCHOOL IN BAKERSFIELD.FOOD FOR FAMILIESVALLEY CHILDREN'S DIETARY DEPARTMENT PROVIDED MEAL COUPONS TO BREASTFEEDING MOMS WHOSE INFANTS WERE AT VALLEY CHILDREN'S. ADDITIONALLY, VALLEY CHILDREN'S SOCIAL WORK TEAM PROVIDED PATIENTS' FAMILIES WHO WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL WITH MEAL COUPONS WHEN THE NEED WAS DETERMINED. THE SOCIAL WORK TEAM ALSO WORKED CLOSELY WITH THE CALIFORNIA CHILDREN'S SERVICES PROGRAM TO PROVIDE FOOD FOR ELIGIBLE FAMILIES.FOOD SECURITY - CENTRAL CALIFORNIA FOOD BANK PARTNERSHIPIN MARCH 2022, VALLEY CHILDREN'S ENTERED A THREE-YEAR PARTNERSHIP WITH THE CENTRAL CALIFORNIA FOOD BANK TO SUPPORT ACCESS TO HEALTHY AND NUTRITIOUS FOOD FOR CHILDREN AND FAMILIES ACROSS OUR SERVICE AREA. THROUGH THIS PARTNERSHIP, VALLEY CHILDREN'S HOME CARE STAFF, AS PART OF THEIR REGULAR HOME VISITS, ARE BRINGING QUALIFYING FAMILIES A SPECIALLY ASSEMBLED FOOD BOX EVERY MONTH THAT ALIGNS WITH THE FAMILY'S CULTURAL PREFERENCES. IN THE PARTNERSHIP'S FIRST TWO YEARS, VALLEY CHILDREN'S DISTRIBUTED 19,512 POUNDS OF FOOD (THE EQUIVALENT OF 16,259 MEALS) TO 83 FAMILIES, INCLUDING 197 CHILDREN. ANOTHER COMPONENT OF OUR PARTNERSHIP INCLUDES SUPPORT FOR FOOD DISTRIBUTION AT WEST FRESNO ELEMENTARY SCHOOL WHERE OVER 90% OF THE STUDENTS DURING THE 2023 2024 SCHOOL YEAR QUALIFIED FOR FREE AND REDUCED PRICED MEALS. DURING THE PARTNERSHIP'S FIRST TWO YEARS, 94,900 POUNDS OF FOOD WERE DISTRIBUTED (THE EQUIVALENT OF 79,083 MEALS) TO 1,293 FAMILIES INCLUDING 4,388 CHILDREN.A THIRD FEATURE OF THE PARTNERSHIP INCLUDES VALLEY CHILDREN'S SUPPORT FOR THE FIRST FRUITS MARKET THAT OPENED IN FRESNO IN SEPTEMBER 2023. INSIDE THE FRESNO RESCUE MISSION'S CITY CENTER, A FULL SERVICE 'HUB' FOR KIDS, FAMILIES, RUNAWAY YOUTH, AND UNHOUSED ADULTS, THE MARKET PROVIDES A VARIETY OF FRESH PRODUCE, PROTEIN, CULTURALLY APPROPRIATE FOOD AND SHELF-STABLE FOOD ITEMS TO ANYONE IN NEED OF FOOD ASSISTANCE IN AN ENVIRONMENT DESIGNED JUST LIKE ANY GROCERY STORE WHERE 'CUSTOMERS' CAN CHOOSE ITEMS MOST USEFUL AND MOST CULTURALLY APPROPRIATE FOR THEM. THROUGH JANUARY 2024, THE MARKET DISTRIBUTED CLOSE TO 500,000 POUNDS OF FOOD TO OVER 11,000 HOUSEHOLDS.
PART V, SECTION B, LINE 11 (CONTINUED)	FOOD SECURITY - MERCED PARTNERSHIPIN MERCED COUNTY, VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE CONTINUED ITS PARTNERSHIP WITH COMMUNITY INITIATIVES FOR COLLECTIVE IMPACT AND THE MERCED COUNTY FOOD BANK TO HELP NEEDY FAMILIES ACCESS FOOD AT LOCAL GROCERY STORES. THROUGH THE PARTNERSHIP, VALLEY CHILDREN'S PROVIDERS SCREEN ALL CHILDREN ENROLLED IN MEDI-CAL AND THEIR FAMILIES FOR FOOD INSECURITY. IF A FAMILY SCREENS POSITIVE FOR FOOD INSECURITY, THE PROVIDERS GIVE THE FAMILY A COUPON THAT CAN BE USED AT ANY GROCERY STORE THAT ACCEPTS FOOD COUPONS TO HELP WITH THE PURCHASE OF STAPLES SUCH AS FRUITS, VEGETABLES AND DAIRY PRODUCTS. IN 2024, 23% OF FAMILIES SCREENED POSITIVE FOR FOOD INSECURITY. NEARLY 14% OF THOSE WHO SCREENED POSITIVE HAD PRIVATE HEALTH INSURANCE, AND 73% OF IDENTIFIED AS HISPANIC AND LATINO INDIVIDUALS.FOOD SECURITY - FOODLINK FOR TULARE COUNTY PARTNERSHIPIN 2024, VALLEY CHILDREN'S CONTINUED ITS PARTNERSHIP WITH FOODLINK FOR TULARE COUNTY IN SUPPORT OF THE ORGANIZATION'S SMART PACK PROGRAM. THROUGH THE SMART PACK PROGRAM, FOODLINK PROVIDES FOOD INSECURE STUDENTS AND THEIR FAMILIES WITH A BACKPACK OF HEALTHY FOOD EACH FRIDAY DURING THE SCHOOL YEAR SO THAT CHILDREN HAVE FOOD OVER THE WEEKENDS WHEN THEY ARE NOT ABLE TO ACCESS FREE OR REDUCED-PRICE SCHOOL BREAKFASTS AND LUNCHES. WITH VALLEY CHILDREN'S FINANCIAL SUPPORT, FOODLINK PROVIDED 1,184 BACKPACKS TO 51 FAMILIES FOR THE SCHOOL YEAR ENDING JUNE 2024.EPILEPSY SUPPORT PROGRAMVALLEY CHILDREN'S EPILEPSY PROGRAM CONTINUED ITS COMMUNITY-BASED OUTREACH WORK IN 2024 BY PROVIDING THE FOLLOWING EDUCATION AND TRAINING TO KEY STAKEHOLDERS.1. SCHOOL HEALTH AND WELLNESS - PROVIDED SEIZURE SAFE TRAINING TO MORE THAN 600 STAFF ACROSS 15 SCHOOL DISTRICTS.2. COMMUNITY RESOURCES - HOSTED 36 SUPPORT GROUPS. - FILMED AND MADE AVAILABLE 10 EDUCATIONAL VIDEOS ON ADMINISTERING SEIZURE RESCUE MEDICATIONS WITH MORE THAN 174,000 VIEWS. - DISTRIBUTED 100 COMFORT CARE BACKPACKS TO SCHOOL NURSES.3. COMMUNITY EVENTS - HOSTED ART FOR EPILEPSY, SUMMER SAFETY WATER SPLASH DAY, AND EPILEPSY AWARENESS ACTIVITIES, REACHING MORE THAN 1,000 INDIVIDUALS.4. LEGISLATIVE ADVOCACY - CONTINUED TO SUPPORT THE WORK OF THE CONGRESSIONAL EPILEPSY CAUCUS, ADVOCATING FOR EPILEPSY AWARENESS AND RESEARCH FUNDING.MATERNAL AND INFANT HEALTHCLINICAL PARTNERSHIP PROGRAMVALLEY CHILDREN'S CLINICAL PARTNERSHIP PROGRAM BRINGS TOGETHER INSTITUTIONS FOCUSED ON ENHANCING NEONATAL AND PEDIATRIC CARE, REGARDLESS OF WHETHER THE ILL OR INJURED CHILD BECOMES A VALLEY CHILDREN'S PATIENT. THROUGH THE PROGRAM, VALLEY CHILDREN'S PHYSICIANS AND STAFF PROVIDE EDUCATION AND OTHER RESOURCES FOR PARTNERING HEALTHCARE FACILITIES. THIS SUPPORT HELPS MINIMIZE CHILDREN BEING TRANSFERRED OR REFERRED UNNECESSARILY TO VALLEY CHILDREN'S AND HELPS TO QUICKLY IDENTIFY WHEN A CHILD NEEDS ADVANCED PEDIATRIC CARE. ADDITIONALLY, WITH IMPROVED COMMUNICATION AND TOOLS, THE PROGRAM DECREASES STRESS FOR PATIENTS AND FAMILIES, INCREASES PROVIDER CONFIDENCE, AND ENHANCES PERFORMANCE AT VALLEY CHILDREN'S AND THE PARTNERING PROVIDER.IN 2024, VALLEY CHILDREN'S SUPPORTED 18 INPATIENT AND FOUR OUTPATIENT CLINICAL PARTNERS AND, AS A PART OF THAT SUPPORT, CONVENED MORE THAN 30 TRAINING AND EDUCATION EVENTS THAT DREW MORE THAN 750 ATTENDEES. THE AVERAGE INVESTMENT OF TIME FOR EACH HEALTHCARE PARTNER WAS MORE THAN 200 HOURS ANNUALLY.MEETING FAMILIES' BASIC NEEDS: DIAPERSACCORDING TO RESEARCH RESULTS RELEASED BY THE NATIONAL DIAPER BANK NETWORK IN JUNE 2023, NEARLY HALF (47%) OF U.S. FAMILIES WITH YOUNG CHILDREN STRUGGLE TO AFFORD DIAPERS. BASED ON THAT SAME RESEARCH, A LACK OF ADEQUATE DIAPERS "IS ASSOCIATED WITH PHYSICAL, EMOTIONAL, AND ECONOMIC HARDSHIP TO CHILDREN AND FAMILIES." ACROSS OUR SERVICE AREA, WHERE UP TO 30% OF CHILDREN ARE LIVING IN POVERTY, THERE IS A CLEAR LINK BETWEEN FAMILY INCOME AND A FAMILY'S INABILITY TO COVER BASIC NEEDS FOR THEIR CHILDREN, INCLUDING PURCHASING DIAPERS. IN RECOGNITION OF THIS REALITY, VALLEY CHILDREN'S DONATED 49,312 DIAPERS TO COMMUNITY-BASED ORGANIZATIONS TO DISTRIBUTE TO FAMILIES IN NEED. ORGANIZATIONS RECEIVING DIAPERS INCLUDED FIRST 5 MADERA COUNTY, SAINT REST BAPTIST CHURCH AND WEST FRESNO FAMILY RESOURCE CENTER.SAFE SLEEP FOR INFANTSTHE GUILDS CENTER FOR COMMUNITY HEALTH CONTINUED TO SUPPORT THE CENTRAL VALLEY SAFE SLEEP COALITION THAT REPRESENTS MORE THAN 50 MEMBERS IN NINE COUNTIES ACROSS THE CENTRAL VALLEY. THE COALITION, CO-CHAIRED BY VALLEY CHILDREN'S AND FIRST 5 FRESNO COUNTY, HAS A VISION THAT EVERY PARENT AND CAREGIVER OF AN INFANT WILL HAVE ACCESS TO CULTURALLY APPROPRIATE RISK REDUCTION EDUCATION AND RESOURCES ON INFANT SLEEP, KEEPING ALL CENTRAL VALLEY INFANTS SAFE FROM PREVENTABLE CAUSES OF DEATH. COALITION MEMBERS INCLUDE REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS, COUNTY FIRST 5 OFFICES, THE CALIFORNIA HEALTH COLLABORATIVE, COUNTY OFFICES OF EDUCATION, COUNTY COMMUNITY ACTION PARTNERSHIPS, THE BLACK WELLNESS AND PROSPERITY CENTER AND CULTURAL BROKERS, INC. IN 2024, THE COALITION HOSTED ITS SECOND-ANNUAL SAFE SLEEP CONFERENCE THAT FOCUSED ON EDUCATORS AND INCLUDED A PANEL OF COMMUNITY HEALTH WORKERS (CHW) AND PARENTS WHO LOST A CHILD TO SUDDEN INFANT DEATH SYNDROME TO TELL THEIR STORIES. ALSO, THE COALITION DISTRIBUTED 66 CRIBETTES INCLUDING 35 THROUGH OUR COMMUNITY PARTNERS TO INFANTS IDENTIFIED AS HAVING NO SAFE SLEEP ENVIRONMENTS AND CONDUCTED VIRTUAL TRAININGS ON SAFE SLEEP BASICS TO NEARLY 300 CHILDCARE PROVIDERS, HEALTHCARE STAFF AND COMMUNITY MEMBERS. THE COALITION CONTINUES TO WORK WITH FRESNO HOPE AND THEIR CHW NETWORK TO PROVIDE CULTURALLY APPROPRIATE SAFE SLEEP EDUCATION AND RESOURCES TO PARENTS IN NEED.MENTAL HEALTHMENTAL HEALTH IS ONE OF THE MOST PRESSING NEEDS FACING CHILDREN IN CALIFORNIA. CHILDREN LIVING IN VALLEY CHILDREN'S SERVICE AREA ARE PARTICULARLY UNDERSERVED DUE TO THE GEOGRAPHY, PROVIDER SHORTAGES AND LIMITED COMMUNITY-BASED SERVICES. IN 2024, VALLEY CHILDREN'S DEMONSTRATED ITS COMMITMENT TO MEETING THE MENTAL HEALTH NEEDS OF CHILDREN IN A NUMBER OF WAYS, INCLUDING THOSE LISTED BELOW.ADVERSE CHILDHOOD EXPERIENCES (ACES)IN SPRING 2024, VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE IN MERCED CONCLUDED WORK ON A $622,000 GRANT FROM THE CALIFORNIA'S ACES AWARE INITIATIVE TO ADDRESS ACES THROUGH INCREASED COMMUNITY PARTNERSHIPS, EXPANDED EDUCATION AND BROADENED SCREENING AND REFERRALS.THROUGH THE GRANT, VALLEY CHILDREN'S HELPED TO IDENTIFY PATIENTS AND FAMILIES AT RISK FOR POOR HEALTH OUTCOMES BECAUSE OF ACES AND TOXIC STRESS; EDUCATED PROVIDERS, STAFF AND COMMUNITY MEMBERS AROUND ACES AND TOXIC STRESS AND HOW TO INTERVENE; CONNECTED FAMILIES TO NEEDED RESOURCES; AND BUILT RESILIENCE TO BREAK THE CYCLE.SCREENING AND REFERRALS FOR ACES HAS EXPANDED BEYOND OUR MERCED PRACTICE AND IS NOW BEING IMPLEMENTED ACROSS OUR PRIMARY CARE SITES FROM MERCED TO BAKERSFIELD. IN 2024, VALLEY CHILDREN'S PRIMARY CARE PRACTICES SCREENED MORE THAN 2,600 CHILDREN FOR ACES, WITH NEARLY 11% SCREENING POSITIVE FOR HIGH RISK OF TOXIC STRESS.YOUTH HEALTH AMBASSADORSIN MAY 2023, THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ANNOUNCED THE CHILD AND YOUTH RESILIENCE CHALLENGE, LOOKING FOR INNOVATIVE, COMMUNITY-LED INITIATIVES TO PROMOTE RESILIENCE IN CHILDREN AND ADOLESCENTS. VALLEY CHILDREN'S SUBMITTED A PROPOSAL IN CONJUNCTION WITH THE FRESNO COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP YOUTH LEADERSHIP COUNCIL AND WAS AWARDED FUNDING TO SUPPORT THE WORK OF THE PARTNERSHIP. WITH THE FUNDING, VALLEY CHILDREN'S FACILITATED THE DEVELOPMENT OF A NOVEL, YOUTH-DRIVEN CURRICULUM TITLED, "YOUTH HEALTH AMBASSADORS" THAT COMBINES AN EVIDENCE-BASED APPROACH TO COMBAT TOXIC STRESS, WITH YOUTH LED COMMUNITY EDUCATION AND SERVICE. THE PROGRAM WAS SELECTED AS ONE OF 14 FINALISTS FROM MORE THAN 500 APPLICATIONS FROM ACROSS THE U.S. AND CULMINATED IN EIGHT VALLEY YOUTH FROM UNDERSERVED AND UNDER-RESOURCED COMMUNITIES PRESENTING THEIR WORK TO HHS IN WASHINGTON, D.C. THE PROGRAM IS NOW A TWO-YEAR, LONGITUDINAL CURRICULUM FOCUSED ON LEADERSHIP DEVELOPMENT SKILLS AND TRAINING.COMMUNITY-BASED COLLABORATION AND EDUCATIONIN 2024, VALLEY CHILDREN'S CONTINUED ITS PARTICIPATION IN THE ZERO SUICIDE INITIATIVE, A NATIONAL COLLABORATIVE AIMED AT PREVENTING YOUTH SUICIDE THROUGH IMPROVED HOSPITAL SCREENING, INTERNAL SYSTEMS OF CARE AND REGIONAL COMMUNITY COLLABORATIONS. REGIONAL COLLABORATIVES, IN WHICH VALLEY CHILDREN'S PARTICIPATED, INCLUDED THE FRESNO SUICIDE PREVENTION COLLABORATIVE AND THE MADERA COUNTY SUICIDE EDUCATION AND AWARENESS COLLABORATIVE. THEY ADDRESSED ISSUES OF MENTAL HEALTH, HOMELESSNESS AND THE IMPACT ON FAMILIES.
PART V, SECTION B, LINE 11 (CONTINUED)	ADDITIONALLY, VALLEY CHILDREN'S CONTINUED ITS COLLABORATION WITH CALIFORNIA STATE UNIVERSITY FRESNO IN SUPPORT OF HEALTHY KIDS. HEALTHY FUTURES. FOCUSING ON THE HEALTH AND WELL-BEING OF KIDS IN THE CENTRAL VALLEY. HEALTHY KIDS. HEALTHY FUTURES. PROVIDES RESOURCES TO STUDENTS AND FAMILIES ON HEALTHY EATING TIPS, BACK TO SCHOOL ADVICE FOR PARENTS, AND OTHER USEFUL RESOURCES.VIOLENCE AND INJURY PREVENTIONCHILD ABUSE PREVENTIONVALLEY CHILDREN'S GUILDS CHILD ABUSE PREVENTION AND TREATMENT CENTER'S MISSION IS TO PROVIDE COMPREHENSIVE SERVICES TO CHILDREN, DEPENDENT ADULTS AND THEIR FAMILIES THROUGH A MULTIDISCIPLINARY, TRAUMA-INFORMED PROGRAM, AND TO MEET THE PHYSICAL AND EMOTIONAL NEEDS OF VICTIMS WITH ABUSE CONSIDERATIONS.THE CENTER IS RECOGNIZED IN CENTRAL CALIFORNIA AND AROUND THE STATE AS A LEADER IN ADVOCACY, INJURY PREVENTION AND ACADEMIC TRAINING. THE CENTER PRIDES ITSELF ON WORKING COLLABORATIVELY WITH PREVENTION AND INTERVENTION GROUPS THROUGHOUT THE STATE TO ENSURE THEY ARE ADDRESSING CHILD MALTREATMENT TO THE BEST OF THEIR ABILITY. THE CENTER IS CURRENTLY A MEMBER OF THE CHILD ADVOCACY CENTERS OF CALIFORNIA, CENTRAL CALIFORNIA COALITION OF CHILD ABUSE PREVENTION COUNCILS AND THE RAY E. HELFER SOCIETY FOR CHILD ABUSE PEDIATRICS.THE GUILDS CHILD ABUSE PREVENTION AND TREATMENT CENTER INCLUDES THE CHILD ADVOCACY CLINIC, WHICH OPERATES FIVE DAYS A WEEK AND SEES APPROXIMATELY 800 CHILDREN EACH YEAR. THE CENTER'S PROVIDERS ARE ALSO AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY FOR EMERGENCY COVERAGE. THE CENTER INCLUDES AN INPATIENT COMPONENT THAT EVALUATES AN ADDITIONAL 100 CHILDREN ANNUALLY IN THE PEDIATRIC EMERGENCY DEPARTMENT, ACUTE-CARE AND PEDIATRIC INTENSIVE CARE UNITS. IN ADDITION TO THE MEDICAL SERVICES OFFERED, THE CENTER HAS A TEAM OF SOCIAL WORKERS AND A LICENSED MENTAL HEALTH CLINICIAN THAT PROVIDE PSYCHO-SOCIAL ASSESSMENT, LINKAGES TO COMMUNITY SERVICES AND TRAUMA THERAPY.IN 2024, THE CENTER WORKED CLOSELY WITH LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES AND DISTRICT ATTORNEYS' OFFICES IN THEIR INVESTIGATIVE EFFORTS OF CHILD MALTREATMENT. COLLABORATIVE EFFORTS INCLUDED CASE CONSULTATION AND MONTHLY SUSPECT CHILD ABUSE AND NEGLECT MEETINGS FACILITATED BY OUR CHILD ADVOCACY CLINIC IN AN EFFORT TO TRACK, MONITOR AND ADVOCATE FOR THE HEALTH AND SAFETY OF AT-RISK CHILDREN THROUGHOUT THE VALLEY.FOR PREVENTION EDUCATION, THE CENTER CONTINUED TO COLLABORATE WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO PARENTS, CAREGIVERS, HEALTHCARE PERSONNEL, TEACHERS AND MANDATED REPORTERS. THESE PARTNERS INCLUDED RAPE COUNSELING SERVICES (RCS) OF FRESNO, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, CHILD PROTECTIVE SERVICES, DISTRICT ATTORNEY'S OFFICES, LOCAL LAW ENFORCEMENT AGENCIES, SEXUAL ASSAULT RESPONSE TEAMS (SART), VICTIM ADVOCACY GROUPS, SCHOOL DISTRICTS THROUGHOUT THE CENTRAL VALLEY AND COUNTY PUBLIC HEALTH DEPARTMENTS. IN ADDITION, THE CENTER HOSTED ITS FOURTH ANNUAL CHILD ABUSE PREVENTION CONFERENCE IN APRIL 2024 BRINGING EXPERTS IN THE FIELD OF CHILD ABUSE TO PROVIDE EDUCATION AND INFORMATION ON BEST PRACTICES TO CHILDPROTECTION PROFESSIONALS THROUGHOUT THE CENTRAL VALLEY.INJURY PREVENTION PROGRAMUNINTENTIONAL INJURY IS THE NUMBER ONE KILLER OF CHILDREN ACROSS THE UNITED STATES AND AROUND THE WORLD. SAFE KIDS CENTRAL CALIFORNIA IS ONE OF 400 COALITIONS THAT ARE PART OF SAFE KIDS WORLDWIDE, AN EXTENSIVE NETWORK OF COALITIONS AND PARTNERS IN THE UNITED STATES AND AROUND THE WORLD DEDICATED TO REDUCING INJURIES FROM MOTOR VEHICLES, SPORTS, DROWNINGS, FALLS, BURNS, POISONINGS AND MORE. AS THE LEAD AGENCY FOR SAFE KIDS CENTRAL CALIFORNIA, VALLEY CHILDREN'S IS A LEADER IN SUPPORTING PEDIATRIC INJURY PREVENTION EFFORTS THROUGHOUT CENTRAL CALIFORNIA AND IS COMMITTED TO PROVIDING RESOURCES TOWARD THESE EFFORTS. SAFE KIDS CENTRAL CALIFORNIA IS A COALITION OF 30 AGENCIES MADE UP OF HEALTHCARE, LAW ENFORCEMENT, SOCIAL SERVICES, EDUCATION, MEDIA AND OTHER ORGANIZATIONS THAT ARE DEDICATED TO PREVENTING UNINTENTIONAL INJURY IN CHILDREN.IN 2024, VALLEY CHILDREN'S INJURY PREVENTION PROGRAM RECORDED 6,177 CONTACTS WITH COMMUNITY MEMBERS DURING 15 COMMUNITY-BASED TEACHING EVENTS ON THE FOLLOWING TOPICS: ATV SAFETY, CARBON MONOXIDE POISONING PREVENTION, CHILD PASSENGER SAFETY, CONCUSSIONS, GUN STORAGE SAFETY, HALLOWEEN SAFETY, HOME SAFETY, POISON PREVENTION, RAILROAD SAFETY, SAFE INFANT SLEEP, TEEN DRIVING, TOY SAFETY, VEHICLE SAFETY, VEHICULAR HEAT STROKE PREVENTION AND WATER SAFETY.TO ENSURE THAT CHILDREN WERE SAFE AT HOME, VALLEY CHILDREN'S DISTRIBUTED SAFETY EQUIPMENT, INCLUDING THE FOLLOWING, TO FAMILIES IN NEED. - 2,235 REFLECTOR FLASHLIGHTS - 296 INFANT SAFE SLEEP SACKS - 284 BICYCLE HELMETS - 76 CAR SEATS - 62 GUN SAFETY LOCKSDISASTER PREPAREDNESSVALLEY CHILDREN'S DONATED SPACE TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH TO STORE PHARMACEUTICALS TO BE USED IN REGIONAL DISASTERS OR MEDICAL EMERGENCIES.POISON CONTROLTHE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE VALLEY CHILDREN'S CAMPUS AND RECEIVED A DONATION OF OFFICE SPACE IN 2024 FROM VALLEY CHILDREN'S. THE CENTER ANSWERS CALLS 24 HOURS A DAY, SEVEN DAYS A WEEK AND PROVIDES EXPERT ADVICE AND INFORMATION REGARDING EXPOSURE TO POTENTIALLY HARMFUL SUBSTANCES.SIGNIFICANT NEEDS VALLEY CHILDREN'S DOES NOT INTEND TO ADDRESSKNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, VALLEY CHILDREN'S CHOOSES TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. VALLEY CHILDREN'S WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING ECONOMIC INSECURITY, HOUSING AND HOMELESSNESS, AND SUBSTANCE USE. ALSO, AS POINTED OUT EARLIER, THIS REPORT IS NOT EXHAUSTIVE OF EVERYTHING VALLEY CHILDREN'S DOES TO ENHANCE THE HEALTH AND WELLBEING OF THE COMMUNITIES WE SERVE. VALLEY CHILDREN'S WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE IT CAN APPROPRIATELY CONTRIBUTE TO ADDRESSING THOSE NEEDS, EITHER DIRECTLY OR IN COLLABORATION WITH OTHERS.
PART V, SECTION B, LINE 13H:	FACILITY REPORTING GROUP - A200% OR LESS FEDERAL POVERTY GUIDELINES (FPG) - FULL CHARITABLE DISCOUNT $0 CHARGES.201%-400% FPG - LOW INCOME DISCOUNT NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.400% - HIGH MEDICAL COST DISCOUNT, INCOME FOR THE LAST 12 MONTHS DOES NOT EXCEED 400% OF FPG AND THEY HAVE NOT RECEIVED A DISCOUNTED RATE FROM THE HOSPITAL AS A RESULT OF THEIR THIRD-PARTY INSURANCE COVERAGE AND THEIR ANNUAL OUT-OF-POCKET MEDICAL EXPENSES. FOR THE PRIOR 12 MONTHS EXCEED 10% OF THEIR FAMILY'S ANNUAL INCOME. NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.PROMPT PAY DISCOUNT: VALLEY CHILDREN'S WILL EXTEND A 45% PROMPT PAY DISCOUNT TO THOSE SELF-PAY PATIENTS WHO WISH TO PAY THEIR ENTIRE OUTSTANDING BALANCE IMMEDIATELY. INSURED PATIENTS WITH NON-COVERED SERVICES WHICH ARE DEEMED MEDICALLY NECESSARY AND WISH TO PAY THEIR OUTSTANDING BALANCE IMMEDIATELY WILL BE ELIGIBLE FOR A 45% DISCOUNT UPON REQUEST.
PART V, LINE 16A, FAP WEBSITE:	HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID
PART V, LINE 16B, FAP APPLICATION WEBSITE:	HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:	HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID
PART V, LINE 16J, FAP OTHER INFORMATION:	ADDITIONALLY THE POLICY IS SENT BY US POSTAL SERVICE TO COMMUNITY AGENCIES TO BE DISTRIBUTED.VALLEY CHILDREN'S MAINTAINS A LIST OF PROVIDERS IN A DOCUMENT SEPARATE FROM THE FINANCIAL ASSISTANCE POLICY. MEMBERS OF THE PUBLIC MAY READILY OBTAIN A COPY FREE OF CHARGE, BOTH ONLINE AND ON PAPER, AS REQUIRED BY IRS NOTICE 2015-46. THE LINK TO THE WEBSITE IS:HTTPS://WWW.VALLEYCHILDRENS.ORG/FIND-A-DOCTOR/FIND-A-DOCTOR

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	N/A
PART I, LINE 6A:	N/A
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 $ 13,481,552.
PART III, LINE 2:	COSTING METHODOLOGY:ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBT IF SUBSEQUENTLY COLLECTED. THE COST OF BAD DEBT WRITE-OFFS WERE CALCULATED BY APPLYING THE OVERALL COST TO CHARGE RATIO OF THE ORGANIZATION TO THE CHARGES WRITTEN OFF.
PART III, LINE 4:	FOOTNOTE DESCRIBING BAD DEBT EXPENSE: SEE PAGE 15-16 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COST IS CALCULATED USING THE FILED 2024 MEDICARE COST REPORT. MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE REIMBURSEMENT IS NOT NEGOTIABLE AND DOES NOT COVER THE COST TO PROVIDE SERVICES. ADDITIONALLY, THE MAJORITY OF THE HOSPITAL'S MEDICARE PATIENTS WOULD BE COVERED BY MEDI-CAL IF THEY DID NOT FALL UNDER THE MEDICARE COVERAGE OPTION.
PART III, LINE 9B:	COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE; INSURANCE COLLECTION ATTEMPTS CONTINUE AS APPROPRIATE.
PART VI, LINE 2:	IN ADDITION TO PERFORMING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE FACILITY HAS MADE ITS MOST RECENT FY2022 CHNA AVAILABLE ON ITS PUBLIC WEBSITE AND ASKS FOR PUBLIC COMMENTS TO SOLICIT ADDITIONAL INFORMATION AND INPUT ON COMMUNITY HEALTH NEEDS. FACILITY STAFF ACTIVELY PARTICIPATE IN LOCAL COLLABORATIVE GROUPS THAT CONVENE TO IDENTIFY AND ADDRESS COMMUNITY HEALTH AND WELFARE NEEDS. MEMBERS OF FACILITY STAFF SERVE ON COMMUNITY ORGANIZATION GOVERNING BOARDS AND ADVISORY BODIES TO PUBLIC HEALTH AGENCIES, AND INFORMATION OBTAINED FROM THIS ACTIVE COMMUNITY INVOLVEMENT FACTORS INTO IDENTIFICATION OF COMMUNITY HEALTH NEEDS.
PART VI, LINE 3:	ENROLLMENT IN HEALTH INSURANCEVALLEY CHILDREN'S IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM OR VALLEY CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, VALLEY CHILDREN'S STAFF ASSISTED THE FAMILIES WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES.
PART VI, LINE 4:	VALLEY CHILDREN'S HEALTHCARE IS CENTRAL CALIFORNIA'S ONLY HIGH-QUALITY, COMPREHENSIVE HEALTHCARE NETWORK DEDICATED TO CHILDREN, FROM BEFORE BIRTH TO YOUNG ADULTHOOD, AS WELL AS TO HIGH-RISK PREGNANT WOMEN, OFFERING HIGHLY SPECIALIZED MEDICAL AND SURGICAL SERVICES TO CARE FOR CONDITIONS RANGING FROM COMMON TO THE HIGHLY COMPLEX.VALLEY CHILDREN'S SERVICE AREA IS FOCUSED ON THE SEVEN COUNTIES THAT COLLECTIVELY ACCOUNT FOR MORE THAN 90% OF VALLEY CHILDREN'S INPATIENT AND OUTPATIENT VOLUME. THOSE COUNTIES ARE FRESNO, KERN, KINGS, MADERA, MERCED, STANISLAUS AND TULARE.THE TOTAL POPULATION OF VALLEY CHILDREN'S HOSPITAL'S SEVEN-COUNTY SERVICE AREA COUNTIES IS 3,454,760. DENSITIES RANGED FROM 72.74 PERSONS PER SQUARE MILE IN MADERA COUNTY TO 363.09 PERSONS PER SQUARE MILE IN STANISLAUS COUNTY. THE PERCENTAGE OF CHILDREN AND TEENS, AGES 0 TO 17, RANGED FROM 27.2% IN KINGS COUNTY AND STANISLAUS COUNTY TO 31.0% IN TULARE COUNTY, AS COMPARED TO CALIFORNIA AT 23.0%. THE PERCENTAGE OF ADULTS, AGES 18 TO 64, RANGED FROM 57.9% IN TULARE COUNTY TO 62.8% IN KINGS COUNTY. THE PERCENTAGE OF ADULTS, AGES 65 AND OLDER, RANGED FROM 10.0% IN KINGS COUNTY TO 13.8% IN MADERA COUNTY.AMONG SERVICE AREA COUNTIES, THE HISPANIC OR LATINO POPULATIONS RANGED FROM 46.3% IN STANISLAUS COUNTY TO 64.6% IN TULARE COUNTY. WHITE POPULATIONS RANGED FROM 27.6% IN MERCED COUNTY TO 41.9% IN STANISLAUS COUNTY. ASIAN POPULATIONS RANGED FROM 1.9% IN MADERA COUNTY TO 10.1% IN FRESNO COUNTY. BLACK OR AFRICAN AMERICAN POPULATIONS RANGED FROM 1.3% IN TULARE COUNTY TO 5.8% IN KINGS COUNTY.THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUALLY UPDATES OFFICIAL POVERTY LEVELS. IN 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. AMONG RESIDENTS OF THE SERVICE AREA COUNTIES, POVERTY RATES RANGED FROM 15.1% IN STANISLAUS COUNTY TO 23.8% IN TULARE COUNTY. LOW-INCOME RATES (200% OF FPL OR BELOW) IN THE SERVICE AREA RANGED FROM 37.9% IN STANISLAUS COUNTY TO 50.1% IN TULARE COUNTY. ADULTS, BELOW 200% FPL, RECEIVING FOOD STAMPS, RANGED FROM 11.0% IN KINGS COUNTY TO 32.0% IN FRESNO COUNTY. PARENTS OR GUARDIANS OF ELIGIBLE CHILDREN WHO PARTICIPATED IN THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM RANGED FROM 44.5% IN MADERA COUNTY TO 82.6% IN MERCED COUNTY.THE HEALTHY PEOPLE 2030 OBJECTIVE FOR HEALTH INSURANCE COVERAGE FOR ALL POPULATION GROUPS IS 92.1%. HEALTH INSURANCE COVERAGE FOR ALL POPULATIONS RANGED FROM 91.7% IN FRESNO, MADERA, AND MERCED COUNTIES TO 94.3% IN STANISLAUS COUNTY. HEALTH INSURANCE COVERAGE FOR CHILDREN AND YOUTH, AGES 0 TO 18, RANGED FROM 96.1% IN MADERA COUNTY TO 97.8% IN STANISLAUS COUNTY. CHILDREN AND YOUTH, AGES 0 TO 18, WHO HAD MEDICAID (MEDI-CAL) HEALTH INSURANCE COVERAGE RANGED FROM 43.2% IN STANISLAUS COUNTY TO 70.4% IN TULARE COUNTY. IN 2024, 75.7% OF VALLEY CHILDREN'S INPATIENT AND 72% OF OUTPATIENT VISITS WERE COVERED BY MEDICAID.ALL SERVICE AREA COUNTIES HAVE ONE OR MORE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHTHE GOVERNING BOARD OF VALLEY CHILDREN'S HOSPITAL IS PRIMARILY COMPRISED OF MEMBERS OF THE COMMUNITY WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. THE HOSPITAL FACILITY MAINTAINS AN OPEN MEDICAL STAFF EXCEPT IN RARE INSTANCES WHEN A CLINICAL DEPARTMENT IS "CLOSED" IN ACCORDANCE WITH CALIFORNIA LAW FOR HOSPITAL-BASED SERVICES. AS A NONPROFIT ORGANIZATION, ANY SURPLUS FUNDS ARE INVESTED BACK INTO PROVIDING HEALTH CARE SERVICES AND RESOURCES TO THE COMMUNITY, INCLUDING BUT NOT LIMITED TO NEW PATIENT CARE LOCATIONS AND EQUIPMENT, EXPANDED PROGRAMS AND SERVICES, AND THE TRAINING OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM IS AFFILIATED WITH THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AND PROVIDES GENERAL AND ADVANCED CLINICAL PEDIATRIC TRAINING. THE PROGRAM PLAYS A CRITICAL ROLE IN MEETING THE PEDIATRIC PHYSICIAN NEEDS OF THE CENTRAL VALLEY.THE RESEARCH PROGRAM AT VALLEY CHILDREN'S HOSPITAL CONSISTS OF NATIONAL MULTI-CENTER CLINICAL TRIALS AND LOCALLY GENERATED, PHYSICIAN-INITIATED RESEARCH STUDIES. OUR FOCUS IS TO PARTICIPATE IN STUDIES THAT ARE TAILORED TO MEET THE VARYING NEEDS OF OUR PATIENT POPULATION. VALLEY CHILDREN'S ONCOLOGY RESEARCH PROGRAM IS A MEMBER OF THE CHILDREN'S ONCOLOGY GROUP, AN INTERNATIONAL NETWORK OF CLINICAL TRIALS, WHICH IS FEDERALLY FUNDED BY THE NATIONAL CANCER INSTITUTE.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
BUDDHIST TZU CHI FOUNDATION
3898 N ANN AVE	FRESNO	CA	93727	942952782	501(C)(3)	$10,000	$0	SPONSORSHIP
CHILDREN'S MOVEMENT OF FRESNO
4949 E KINGS CANYON RD STE 202	FRESNO	CA	93706	946003272	501(C)(3)	$8,500	$0	SPONSORSHIP
CULTURAL BROKERS INC
2025 E DAKOTA AVE 223	FRESNO	CA	93706	455495386	501(C)(3)	$20,000	$0	DONATION
FOODLINK TULARE COUNTY
611 2ND ST	EXETER	CA	93221	942558802	501(C)(3)	$13,037	$0	SPONSORSHIP
MAKE A WISH
351 W CROMWELL AVE STE 112-A	FRESNO	CA	93711	680027351	501(C)(3)	$7,500	$0	SPONSORSHIP
MARJAREE MASON CENTER
1600 M STREET	FRESNO	CA	93721	941156639	501(C)(3)	$65,000	$0	SPONSORSHIP AND DONATION
POVERELLO HOUSE
412 F ST	FRESNO	CA	93706	770007985	501(C)(3)	$20,000	$0	DONATION
SAN JOAQUIN RIVER PARKWAY
11605 OLD FRIANT RD	FRESNO	CA	93730	770196692	501(C)(3)	$30,000	$0	SPONSORSHIP AND DONATION
THE BOYS & GIRLS CLUBS OF FRESNO COUNTY
540 N AUGUSTA AVE	FRESNO	CA	93701	941149171	501(C)(3)	$5,500	$0	DONATION
THE FOUNDATION FCOE
1111 VAN NESS 3RD FLR	FRESNO	CA	93706	800381096	501(C)(3)	$12,500	$0	SPONSORSHIP
UNITED WAY OF STANISLAUS COUNTY
422 MCHENRY AVE	MODESTO	CA	95354	941212129	501(C)(3)	$7,500	$0	DONATION
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	464158433	501(C)(3)	$975,000	$0	CONTRIBUTION
WEST FRESNO FAMILY RESOURCE CENTER
1802 E CALIFORNIA AVE	FRESNO	CA	93706	770577093	501(C)(3)	$10,700	$0	SPONSORSHIP
CENTRAL VALLEY COMMUNITY FOUNDATION
1260 FULTON STREET STE 200	FRESNO	CA	93706	770478025	501(C)(3)	$25,000	$0	SPONSORSHIP
THE DOLLYWOOD FOUNDATION
111 E MAIN ST 2ND FLR	SEVLERVILLE	TN	37764	621348105	501(C)(3)	$30,000	$0	DONATION
BREAK THE BARRIERS INTERNATIONAL
8555 N CEDAR AVE	FRESNO	CA	93720	770106437	501(C)(3)	$50,000	$0	DONATION
ADVENTIST HEALTH DELANO FOUNDATION
1401 GARCES HWY	DELANO	CA	93215	770258013	501(C)(3)	$50,000	$0	DONATION
CENTRAL CALIFORNIA FOOD BANK
4010 E AMENDOLA DR	FRESNO	CA	93720	770320851	501(C)(3)	$58,360	$0	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP	9	$22,500
EDUCATION SCHOLARSHIP - RESPIRATORY FOCUS	2	$1,500
CAFETERIA MEALS	17767		$109,267	FMV	MEAL COUPONS FOR PATIENT FAMILIES
TAXI, BUS AND TRANSIT SERVICES	15235		$200,592	BOOK	SUBSIDIZATION OF BUS AND TRANSIT SERVICES
CANCER SURVIVORSHIP SCHOLARSHIP	48	$48,000

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 RECIPIENT COMPLETES THEIR EDUCATION. CANCER SURVIVORSHIP SCHOLARSHIPS ARE DESIGNED TO HELP HOSPITAL PEDIATRIC CANCER SURVIVORS WITH THEIR COLLEGE/VOCATIONAL EDUCATION EXPENSES. A COMMITTEE REVIEWS APPLICATIONS ON AN ANNUAL BASIS AND APPROVES THE SCHOLARSHIP. ALL RECIPIENTS ARE CURRENT OR FORMER PATIENTS OF THE HOSPITAL'S CANCER AND BLOOD DISORDER CENTER. OTHER SERVICES ARE PURCHASED FROM VARIOUS VENDORS AND ARE SUPPLIED TO PATIENTS AND THEIR FAMILIES. THE RECORDS FOR THESE PURCHASED SERVICES ARE MAINTAINED BY THE HOSPITAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

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	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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	$1,696,750	$0	$598,969	$0	$907,965	$0	$30,180	$0	$36,303	$0	$3,270,167	$0	$0	$0
BEVERLY HAYDEN-PUGH FORMER
CNO, SVP/ADVR TO CEO (AS OF 3/23)	$564,061	$0	$272,568	$0	$718,584	$0	$116,917	$0	$17,698	$0	$1,689,828	$0	$577,609	$0
MICHELE WALDRON FORMER CFOEVP
& PRINC. CNSLT TO CEO (AS OF 10/23)	$506,380	$0	$476,624	$0	$422,358	$0	$30,180	$0	$16,991	$0	$1,452,533	$0	$0	$0
DAVID CHRISTENSEN MD
SVP, CPE & PRESIDENT VCMG	$854,764	$0	$177,845	$0	$212,871	$0	$30,180	$0	$32,191	$0	$1,307,851	$0	$0	$0
NATALE PONTICELLO JR FORMER
CPO,SVP/ADVR TO SVP&CPO (AS OF 3/23)	$323,995	$0	$87,384	$0	$623,680	$0	$99,238	$0	$1,193	$0	$1,135,490	$0	$559,747	$0
JOLIE LIMON MD VP ACAD
AFFAIRS, DIO & CHI (THRU 10/23)	$327,354	$0	$0	$0	$639,419	$0	$90,401	$0	$26,189	$0	$1,083,363	$0	$167,863	$0
JOEL BROWNELL MD
VP, CHIEF MED INFO OFF. (THRU 9/23)	$278,414	$0	$0	$0	$611,720	$0	$80,457	$0	$19,648	$0	$990,239	$0	$164,011	$0
DAVID HODGE JR
VP, MEDICAL GROUP & ANCILLARY OP	$492,048	$0	$88,507	$0	$178,087	$0	$102,855	$0	$32,191	$0	$893,688	$0	$70,399	$0
DANIELLE BARRY
SVP, COO	$519,848	$0	$106,973	$0	$143,594	$0	$82,241	$0	$34,326	$0	$886,982	$0	$49,185	$0
JANE WILLSON
SVP, CHIEF STRATEGY OFFICER	$465,532	$0	$98,760	$0	$180,210	$0	$102,649	$0	$8,422	$0	$855,573	$0	$72,388	$0
MICHAEL GOLDRING
SVP STRATEGIC PARTNERSHIPS	$523,554	$0	$106,425	$0	$139,006	$0	$30,180	$0	$11,172	$0	$810,337	$0	$0	$0
WILLIAM CHALTRAW JR
SVP, CHIEF LEGAL OFFICER	$490,239	$0	$104,438	$0	$140,048	$0	$23,537	$0	$32,591	$0	$790,853	$0	$0	$0
KAREN DAHL MD
VP, MED AFFAIRS & PHYS DEV	$465,126	$0	$87,730	$0	$125,611	$0	$95,315	$0	$11,781	$0	$785,563	$0	$65,617	$0
LYNNE ASHBECK
SVP, CHIEF COMMUNITY IMPACT OFFICER	$432,744	$0	$87,241	$0	$159,988	$0	$94,904	$0	$0	$0	$774,877	$0	$64,741	$0
KEVIN SHIMAMOTO FORMER CIO
VP AND ADVISOR TO CIO (THRU 9/24)	$429,112	$0	$80,717	$0	$138,742	$0	$98,235	$0	$8,422	$0	$755,228	$0	$68,057	$0
STEPHANIE VANCE
VP, FINANCE (THRU 11/23)	$357,128	$0	$108,920	$0	$113,793	$0	$85,031	$0	$32,191	$0	$697,063	$0	$50,747	$0
JOSEPH EGAN
VP & CIO	$398,320	$0	$72,171	$0	$110,107	$0	$67,034	$0	$41,013	$0	$688,645	$0	$0	$0
KELLY BEALL SVPCHIEF
PEOPLE OFFICER (AS OF 3/23)	$391,964	$0	$79,996	$0	$67,789	$0	$51,651	$0	$39,013	$0	$630,413	$0	$0	$0
VICKY TILTON VP PATIENT
CARE SVCS/CNO (AS OF 3/23)	$378,998	$0	$69,699	$0	$24,832	$0	$49,543	$0	$32,005	$0	$555,077	$0	$0	$0
TINA MYCROFT
SVP & CFO (AS OF 10/23)	$267,848	$0	$99,658	$0	$41,713	$0	$0	$0	$11,082	$0	$420,301	$0	$0	$0
KELLIE DYER VP SUPPLY
CONSTR & FAC. (AS OF 1/23)	$264,051	$0	$44,133	$0	$45,442	$0	$20,725	$0	$9,947	$0	$384,298	$0	$0	$0
JESSIE HUDGINS
VP, FACILITIES & SUPPORT (THRU 1/23)	$12,009	$0	$0	$0	$249,903	$0	$72,062	$0	$691	$0	$334,665	$0	$55,415	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	VALLEY CHILDREN'S HOSPITAL RELIED ON A RELATED ORGANIZATION, VALLEY CHILDREN'S HEALTHCARE, TO ESTABLISH THE COMPENSATION AND BENEFITS USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS AND "WRITTEN EMPLOYMENT CONTRACT."
PART I, LINES 4A-B	SEVERANCE PAYMENTS TOTALING $393,078 AND $419,557 WERE MADE TO JOEL BROWNELL AND JOLIE LIMON, RESPECTIVELY DURING THE CALENDAR YEAR AND ARE INCLUDED IN PART II, COLUMN B(III). THE SEVERANCE PAYMENTS 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 NONCONTRIBUTORY, NONQUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (DCSERP), 2) A SPLIT DOLLAR LIFE INSURANCE PROGRAM USED AS A RETENTION TOOL FOR CERTAIN KEY EXECUTIVES. PARTICIPANTS OF THIS PROGRAM FORFEIT ELIGIBILITY FOR THE DCSERP (SEE SCHEDULE L PART V FOR A BROADER DESCRIPTION) AND 3) AN ADDITIONAL DEFERRED COMPENSATION PLAN BENEFITTING CERTAIN KEY EXECUTIVES (457F RT). $1,088,761 WAS PAID OUT OF THE DCSERP PLAN DURING THE YEAR. DCSERP PAYOUT AND EMPLOYER ACCRUAL TO THE DCSERP FOR CALENDAR YEAR 2023 ARE AS FOLLOWS: BEVERLY HAYDEN-PUGH - DCSERP PAYOUT $86,760; ACCRUAL $86,737 JESSIE HUDGINS - DCSERP PAYOUT $55,415; ACCRUAL $51,311 JANE WILLSON - DCSERP PAYOUT $72,388; ACCRUAL $72,369 STEPHANIE VANCE - DCSERP PAYOUT $50,747; ACCRUAL $54,851 NATALE PONTICELLO - DCSERP PAYOUT $105,414; ACCRUAL $70,014 KAREN DAHL - DCSERP PAYOUT $65,617; ACCRUAL $70,948 KEVIN SHIMAMOTO - DCSERP PAYOUT $68,057; ACCRUAL $67,982 DANIELLE BARRY - DCSERP PAYOUT $49,185; ACCRUAL $70,041 JOEL BROWNELL - DCSERP PAYOUT $164,011; ACCRUAL $56,377 DAVID HODGE JR - DCSERP PAYOUT $70,399; ACCRUAL $72,675 LYNNE ASHBECK - DCSERP PAYOUT $64,741; ACCRUAL $64,724 JOLIE LIMON - DCSERP PAYOUT $167,863; ACCRUAL $60,221 VICKY TILTON - DCSERP ACCRUAL $37,343 KELLY BEALL - DCSERP ACCRUAL $29,006 JOSEPH EGAN - DCSERP ACCRUAL $36,854 MICHAEL GOLDRING, WILLIAM CHALTRAW, JR, DAVID CHRISTENSEN, TODD SUNTRAPAK, MICHELE WALDRON, DANIELLE BARRY, KELLY BEALL, AND VICKY TILTON PARTICIPATE IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM IN LIEU OF THE DCSERP. THE EFFECTIVE DATE OF PARTICIPATION FOR DANIELLE BARRY, VICKY TILTON AND KELLY BEALL WAS MAY 2023, AND THE DC SERP CONTRIBUTIONS WERE SUBSEQUENTLY FORFEITED. BEVERLY HAYDEN-PUGH AND NATALE PONTICELLO PARTICIPATE IN A 457F RT DEFERRED COMPENSATION PLAN. THE FOLLOWING AMOUNTS PAID DURING THE 2023 CALENDAR YEAR: BEVERLY HAYDEN-PUGH - $490,849 NATALE PONTICELLO - $454,332
PART I, LINE 7	AN INCENTIVE PLAN HAS BEEN ESTABLISHED THAT ALLOWS FOR PAYMENT OF INCENTIVES BASED ON NETWORK WIDE GOALS TO QUALIFYING INDIVIDUALS. SUCH GOALS ARE RELATED TO A VARIETY OF METRICS INCLUDING OPERATIONAL AND QUALITY RESULTS OF THE HOSPITAL AND ITS RELATED ENTITIES. THE INCENTIVE PLAN HAS BEEN APPROVED BY THE COMPENSATION COMMITTEE OF THE VALLEY CHILDREN'S HEALTHCARE BOARD OF TRUSTEES. THE COMMITTEE REVIEWS AND APPROVES THE PLAN GOALS AT THE BEGINNING OF THE PLAN YEAR AND ACHIEVEMENT OF THESE GOALS, AND FORECASTED PAYOUTS, AT THE END OF EACH YEAR.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (10 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
TODD SUNTRAPAK
OFFICER	SPLIT INTEREST INSURANCE	Yes (X)	$11,109,107	$11,594,071	0	Yes (1)	Yes (1)
MICHELE WALDRON
FORMER OFFICER	SPLIT INTEREST INSURANCE	Yes (X)	$9,721,634	$10,150,122	0	Yes (1)	Yes (1)
DAVID CHRISTENSEN
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$5,282,545	$5,513,152	0	Yes (1)	Yes (1)
WILLIAM CHALTRAW
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$2,122,641	$2,215,304	0	Yes (1)	Yes (1)
MICHAEL GOLDRING
HIGHEST COMPENSATED EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$5,498,581	$5,738,619	0	Yes (1)	Yes (1)
TODD SUNTRAPAK
OFFICER	SEE BELOW STATEMENT 2	Yes (X)	$5,000,000	$4,330,703	0	Yes (1)	Yes (1)
DANIELLE BARRY
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$5,061,842	$5,317,642	0	Yes (1)	Yes (1)
KELLY BEALL
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$5,657,652	$5,943,562	0	Yes (1)	Yes (1)
VICKY TILTON
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$4,494,584	$4,721,719	0	Yes (1)	Yes (1)
WILLIAM CHALTRAW
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$3,140,219	$3,298,911	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$58,823,805	TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, COLUMN C:	FormAndLineReferenceDesc
Explanation	STATEMENT 1: THE HOSPITAL HAS ENTERED INTO LIFE INSURANCE-BASED ARRANGEMENTS WITH CERTAIN KEY EXECUTIVES WHO FORFEITED THEIR PARTICIPATION IN THE DC SERP PLAN. THE PURPOSE OF THESE ARRANGEMENTS IS TO RETAIN THE EXECUTIVES FOR A SPECIFIED PERIOD OF TIME AND THEREFORE ACCESS TO THIS BENEFIT IS SUBJECT TO EXTENDED VESTING REQUIREMENTS. THE HOSPITAL FULLY FUNDED THE PREMIUMS ON THE ASSOCIATED LIFE INSURANCE POLICIES AT IMPLEMENTATION AND THERE ARE NO ADDITIONAL FUNDING REQUIREMENTS. UNDER THE ARRANGEMENTS, THE HOSPITAL WILL ACCRUE INVESTMENT RETURNS AND INTEREST ON THE PREMIUMS PAID FOR THE LIFE INSURANCE POLICIES. UPON THE DEATH OF A COVERED EXECUTIVE, THE HOSPITAL WILL BE REPAID THE INVESTMENT AND ACCRUED RETURNS, THE EXECUTIVES' BENEFICIARIES WILL RECEIVE AS A DEATH BENEFIT AN AMOUNT EQUAL TO THE MOST RECENT PROJECTION OF THE TOTAL VESTED LIFETIME AMOUNT AVAILABLE, LESS ANY AMOUNTS BORROWED BY THE EXECUTIVE AFTER THE DATE OF THE PROJECTION, AND ANY REMAINING EXCESS PROCEEDS WILL BE DONATED TO THE HOSPITAL TO BE USED TO SERVE THE COMMUNITY AND OTHERWISE FULFILL THE MISSION. THE VALUE OF THE DONATION (THE ESTIMATED EXCESS PROCEEDS THAT WOULD REMAIN) AS OF 9/30/24 IS ESTIMATED TO BE IN EXCESS OF $78.6M IN THE AGGREGATE WITH RESPECT TO THESE KEY EXECUTIVES.STATEMENT 2: LOAN FOR RESIDENCE AS A RETENTION INCENTIVE IN LIEU OF OTHER COMPENSATION. ANNUAL LOAN REDUCTION REPRESENTS TAXABLE INCOME REPORTED IN SCHEDULE J PART II B (III) AS OTHER REPORTABLE COMPENSATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	LISA SMITTCAMP AND BILL SMITTCAMP HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE AMENDED AND RESTATED BYLAWS OF VALLEY CHILDREN'S HOSPITAL, EFFECTIVE 10/17/13, ESTABLISHED VALLEY CHILDREN'S HEALTHCARE AS THE SOLE MEMBER OF THE CORPORATION. CERTAIN MEMBER RIGHTS, INCLUDING THE RIGHT TO APPROVE, FIX THE NUMBER, ELECT, AND REMOVE ELECTED TRUSTEES, ARE INCLUDED IN THESE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7A	SEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION A, LINE 7B	SEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION B, LINE 11B	A DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. IN ADDITION, A MEETING IS HELD TO REVIEW THE FORM 990 AND PROVIDE FOR ADDITIONAL TIME TO ANSWER QUESTIONS. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 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 VI, SECTION B, LINE 16B:	THE ORGANIZATION'S BOARD OF DIRECTOR'S ADOPTED A WRITTEN POLICY IN 2025 GOVERNING JOINT VENTURE PARTICIPATION. HOWEVER, THIS POLICY WAS NOT OPERATIVE DURING THE APPLICABLE TAX YEAR. HOWEVER, AS A MATTER OF PRACTICE, ANY JOINT VENTURE OR OTHER ARRANGEMENT WOULD BE REVIEWED BY BOTH INTERNAL AND EXTERNAL LEGAL COUNSEL, AS WELL AS OTHER QUALIFIED ADVISORS, TO CONSIDER THE IMPACTS OF THE JOINT VENTURE OR SIMILAR ARRANGEMENT ON THE TAX-EXEMPT STATUS OF THE ORGANIZATION.
FORM 990, PART IX, LINE 11G	PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 93,890,656. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,890,656. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 23,421,052. MANAGEMENT AND GENERAL EXPENSES 142,985. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,564,037. CONSULTING & SERVICE FEES - ON PARENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 120,621. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,621.
FORM 990, PART XI, LINE 9:	GAIN ON SALE OF ASSETS 161,218. PASS-THROUGH INVESTMENT LOSS 3,051,050.

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	$721,800	TotalIncomeAmt
End Of Year Assets	$5,828,158	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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FOWLER BUSINESS & PROFESSIONAL PARK LLC
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	471813772	REAL ESTATE INVESTMENT	CA	N/A	RELATED	$400,722	$16,779,198	Yes (1)	Yes (1)	0.50000
COMPASS HEALTH ADMINISTRATORS LLC
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	822891309	BENEFIT ADMIN	CA	N/A				0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
VALLEY CHILDREN'S HOLDINGS I LLC
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	371872422	HEALTHCARE	CA	N/A	C	0
FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	301030354	PROPERTY OWNERS ASSOCIATION	CA		C	0	FOWLER BUSINESS & PROFESSIONAL PARK LLC	$8,086	0.50000

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	M	TransactionTypeTxt
Involved	$68,105,284	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt