2018-08-15T17:14:53-05:00 2017-09-30 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2016-10-01 942797447 Valley Children's Healthcare Foundation THEC 5593533000 9300 VALLEY CHILDRENS PLACE Madera CA 936368761 michele waldron Treasurer 5593533000 2018-08-14 1 Tracy S Paglia P00366884 2099556100 2018-08-14 2016 2022-09-23 18:48:47Z MICHELE WALDRON 9300 VALLEY CHILDRENS PLACE Madera CA 936368761 31334138 0 X N/A X 1981 CA TO GENERATE FUNDS TO SUPPORT THE GOALS OF VALLEY CHILDREN'S Healthcare and its affiliated entities. 27 23 16 0 0 0 12447687 17469817 0 0 387076 1735329 44490 47439 12879253 19252585 7311479 12443712 0 0 2139579 1913051 308460 336438 2108722 543127 941333 10302645 15634534 2576608 3618051 26304743 30704791 459305 785375 25845438 29919416 X VALLEY CHILDREN'S HEALTHCARE FOUNDATION IS A CHARITABLE TAX-EXEMPT ORGANIZATION BENEFITING VALLEY CHILDREN'S Healthcare and its affiliated entities. THE FOUNDATION'S MISSION IS TO GENERATE FUNDS TO SUPPORT THE GOALS OF VALLEY CHILDREN'S Healthcare and its affiliated entities. 0 0 11921738 11921738 0 Distribution to Valley Children's Hospital, a nonprofit 501(c)(3) organization, for equipment and operational expenses: $11,921,738. 521974 521974 0 Distribution to Valley Children's Medical Group, a nonprofit 501(c)(3) organization, for equipment and operational expenses: $521,974. 12443712 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 16 1 0 0 0 0 0 1 1 0 0 0 0 X 27 23 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X MICHELE WALDRON 5593533000 9300 Valley Childrens Place Madera CA 93636 Todd Suntrapak President, CEO (Thru 9/30/2017) 2.50 47.50 X X 0 1241917 220754 Michele R Waldron Treasurer, CFO 2.50 47.50 X X 0 675571 150034 Dan Adams Secretary 1.00 X X 0 0 0 Erin Berberian-Gleason Board Member 1.00 40.00 X 0 185494 28912 Blair Cunnings Board Member 1.00 X 0 0 0 Marty Flaming Board Member 1.00 X 0 0 0 Kenneth Jue Board Member 1.00 X 0 0 0 Linda Bliss Board Member 1.00 X 0 0 0 Robert Saroyan President 40.00 X X 0 440456 82415 Paul McDougal board Member 1.00 1.00 X 0 0 0 Patrick Murphy Board Member 1.00 X 0 0 0 Caren Myers Board Member 1.00 X 0 0 0 Vicki Burkhalter Board Member (Thru 1/15/2017) 1.00 X 0 0 0 Skip Nugent Board Member 1.00 X 0 0 0 Carl Refuerzo Board Member 1.00 X 0 0 0 Kim Ruiz-Beck Chairman 1.00 2.00 X X 0 0 0 Debbie Smades-Henes Board Member 1.00 X 0 0 0 Bill Smittcamp Board Member 1.00 3.00 X 0 0 0 Dr Nadarasa Visveshwara Board Member 1.00 X 0 0 0 Richard Shehadey Board Member 1.00 X 0 0 0 Kevin Williams Board Member 1.00 X 0 0 0 Jody Young Board Member 1.00 X 0 0 0 Jeannine Grech Vice Chairman 1.00 3.00 X X 0 0 0 Danielle Parnagian Board Member 1.00 X 0 0 0 Kathy Horstmann-Huebert Board Member 1.00 X 0 0 0 Lance Mouw Board Member 1.00 X 0 0 0 Ken Ramos Board Member 1.00 X 0 0 0 Terance Frazier Board Member 1.00 X 0 0 0 JR Shannon Board Member 1.00 X 0 0 0 0 2543438 482115 0 0 1 0 CHILDREN'S MIRACLE NETWORK 4525 S 2300 EAST SALT LAKE CITY UT 84112 FUNDRAISING 355833 Valley Children's Healthcare 9300 Valley Childrens Place Madera CA 93630 Management Services 328619 2 1772306 1082080 14615431 12349 17469817 502454 502454 12974665 11741790 1232875 1232875 1232875 387202 1082080 339763 47439 47439 19252585 0 0 1782768 12443712 12443712 1381127 380124 1001003 143654 39914 103740 307380 83864 223516 80890 22475 58415 328619 328619 13950 13950 336438 336438 88316 88316 108104 108104 23943 5986 17957 129990 10091 119899 1500 375 1125 56326 42724 13602 10178 10178 13842 13842 TAXES & LICENSES 32420 8105 24315 Bank Charges 12975 3244 9731 Dues & Subscriptions 12535 3134 9401 108635 27159 81476 15634534 12443712 1082100 2108722 300 300 5403490 4436801 122150 122898 208737 55570 19156 153167 8682147 14007282 11005262 10408409 1072238 1575934 26304743 30704791 459305 785375 459305 785375 X 1257260 1095351 6726581 7606709 17861597 21217356 25845438 29919416 26304743 30704791 X 3618051 515915 -59988 X 0 1 X 1 0 X 5815550 8126004 10857898 12412187 17469817 54681456 5815550 8126004 10857898 12412187 17469817 54681456 5538138 49143318 946534 1027173 355152 402242 502454 3233555 91773 82929 88786 44490 47439 355417 58270428 0.84340 0.88750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17861597 3355759 21217356 16327045 1534552 17861597 13901775 2425270 16327045 13419203 482572 13901775 12825387 593816 13419203 1.00000 0 1 1 208737 55570 153167 153167 Limited Partnerships 10408409 F 10408409 Irrevocable Trust Receivable 540046 Annuity Receivable 211696 Other 824192 1575934 Part V, Line 4: TO PROVIDE A PERPETUAL AND PREDICTABLE SOURCE OF REVENUE FOR THE USE AND BENEFIT OF VARIOUS PROGRAMS, OPERATING AND CAPITAL NEEDS OF VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES. X X X X X X X 1 CHILDREN'S MIRACLE NETWORK 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 COORDINATE DIRECT MAIL PROGRAM AND OTHER CAMPAIGN 1 390920 336438 54482 390920 336438 54482 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY kid's day 583092 377142 205950 139840 HARVEST BALL 886190 704938 181252 85164 114760 0 1469282 1082080 387202 85164 254600 339764 47438 1 Valley Children's Hospital 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 941294954 501(c)(3) 11916262 5476 FMV Various Items EQUIPMENT AND OPERATIONAL expenses Valley Children's Medical group 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 464150987 501(c)(3) 521974 Distribution to Valley Children's Medical group for Operational Expenses 2 0 Part I, Line 2: VALLEY CHILDREN'S HEALTHCARE FOUNDATION MAKES GRANTS ONLY TO RELATED ORGANIZATIONS. NO MONITORING OF THE USE OF GRANT FUNDS, OTHER THAN TO MEET DONOR RESTRICTIONS, IS NEEDED. 0 1 0 0 0 0 0 0 0 Todd Suntrapak President, CEO (Thru 9/30/2017) 0 847945 0 220179 0 173793 0 198880 0 21874 0 1462671 0 116396 Michele R Waldron Treasurer, CFO 0 496830 0 94256 0 84485 0 132535 0 17499 0 825605 0 65243 Erin Berberian-Gleason Board Member 0 185336 0 0 0 158 0 16565 0 12347 0 214406 0 0 Robert Saroyan President 0 345472 0 68074 0 26910 0 69291 0 13124 0 522871 0 0 Part I, Line 4b VALLEY CHILDREN'S HOSPITAL, A RELATED ORGANIZATION, HAS THREE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDING A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES AND A NON-CONTRIBUTORY, NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EXEC RETIREMENT PLAN (DC SERP). $181,639 Was PAID OUT OF THE PLANS DURING THE YEAR. EMPLOYEE AND EMPLOYER CONTRIBUTIONS TO THE DEFERRED COMPENSATION PLAN, EMPLOYER CONTRIBUTION TO THE DCSERP AND THE CHANGE IN ACTUARIAL VALUE OF SERP BENEFITS FOR THE YEAR ENDING 9/30/17 ARE AS FOLLOWS: MICHELE WALDRON - DEFERRED COMPENSATION PLAN $18,000; DCSERP $68,398; CHANGE IN SERP ACTUARIAL VALUE $24,077 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $0; DCSERP $142,453; CHANGE IN SERP ACTUARIAL VALUE $20,870 Robert Saroyan - DEFERRED COMPENSATION PLAN $18,000; DCSERP $49,182; CHANGE IN SERP ACTUARIAL VALUE $0 PART I, LINE 3: THE FOUNDATION RELIED ON A RELATED ORGANIZATION, VALLEY CHILDREN'S HOSPITAL, TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE FOUNDATION'S CEO, USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS AND "WRITTEN EMPLOYMENT CONTRACT". Form 990, Part VI, Section A, line 6 Valley Children's Healthcare is the sole member of the corporation. Certain member rights include the right to approve, elect, and remove elected board members of the Foundation. 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 SUMMARY OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL AND THE FORM 990 IS MADE AVAILABLE IN THE FOUNDATION OFFICE PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE SUMMARY AND 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. CHANGES CAN BE MADE IF WARRANTED BEFORE THE 990 IS FILED. Form 990, Part VI, Section B, line 12c THE FOUNDATION BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE FOUNDATION'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 valley children's healthcare 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. FOUNDATION SUPPORT STAFFS ARE EMPLOYED BY Valley CHILDREN'S HOSPITAL AND ARE THEREFORE SUBJECT TO THE HOSPITAL'S CONFLICT OF INTEREST POLICY. Form 990, Part VI, Section B, line 15 THE OFFICERS AND SUPPORT STAFFS OF THE FOUNDATION ARE EMPLOYED BY THE HOSPITAL. AS SUCH, THE FOUNDATION DOES NOT HAVE EMPLOYEES THAT IT PAYS DIRECTLY. AS PROVIDED BY 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 THIS 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, OFFICERS, 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 FOUNDATION'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF THE FOUNDATION IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE HOSPITAL PREPARES CONSOLIDATED ANNUAL FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. THESE STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: Change in fair value of gift annuity -14,373. reserve for uncollectible pledges -45,615. FORM 990, PART III, LINE 4C The Valley Children's Healthcare Foundation is a charitable tax-exempt organization benefiting Valley Children's Healthcare and its affiliated entities, Valley Children's Hospital and Valley Children's Medical Group. The Foundation's mission is clear and unequivocal: "Generate funds to support the goals of Valley Children's Healthcare and its affiliated entities, Valley Children's Hospital and Valley Children's Medical Group." As the fundraising arm of valley children's healthcare and its affiliates, the Foundation utilizes a variety of programs to raise philanthropic funds to meet valley children's healthcare's mission. The Foundation is a participating member of the Children's Miracle Network, and other widely anticipated Valley events, including the annual Kid's Day and the Harvest Ball. In addition, the Foundation has developed corporate, annual cause-marketing, outside special events, tributes, direct mail, and major and planned gift programs. While the only "member" of the Foundation is Valley Children's Healthcare, the work of the Foundation is directed and assisted by the Board of Directors comprising 27 volunteer community members. Founded in 1981, the Foundation has developed and led community-based philanthropic efforts to support the Hospital in addition to the work of the Hospital Guilds. In its initial years, the Foundation's fund raising efforts were largely focused on special events and annual programs. Presently the Foundation is focused on building programs to support a Major Gifts culture to compliment the core annual funding programs. VALLEY CHILDREN'S HOSPITAL 9300 VALLEY CHILDRENS PLACE MADERA CA 93630 941294954 HOSPITAL CA 501(c)(3) 3 Valley Children's Healthcare 0 Valley Children's Medical Group 9300 VALLEY CHILDRENS PLACE MADERA CA 93630 464150987 HEALTH CARE CA 501(c)(3) Line 10 Valley Children's Healthcare 0 Valley Children's Healthcare 9300 VALLEY CHILDRENS PLACE MADERA CA 93630 464158433 HEALTH CARE CA 501(c)(3) Line 12b, II N/A 0 Herndon Temperance LLC 5286 E Home Ave Fresno CA 93727 812808671 Real Property CA N/A Valley Physicians Alliance LLC 9300 Valley Childrens Place Madera CA 93636 813817791 Healthcare CA N/A Valley Children's Holdings I LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 371872422 healthcare CA N/A C 0 VPA Holdings LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 814192995 Investing CA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0