VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201842279349302144
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T17:14:53-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W March Ln Ste 200AddressLine1Txt
CityStocktonCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941294954EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Valley Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone5593533000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 Valley Childrens PlaceAddressLine1Txt
CityMaderaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368761ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichele WaldronPersonNm
Person TitleCFOPersonTitleTxt
Phone5593533000PhoneNum
Signature2018-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTracy S PagliaPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2018-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELE WALDRONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 Valley Childrens PlaceAddressLine1Txt
CityMaderaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368761ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,020,902,968GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.valleychildrens.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDRENActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee3439TotalEmployeeCnt
Total Volunteers442TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$21,198,267PYContributionsGrantsAmt
CY Contributions Grants$24,828,237CYContributionsGrantsAmt
PY Program Service Revenue$539,203,507PYProgramServiceRevenueAmt
CY Program Service Revenue$532,224,270CYProgramServiceRevenueAmt
PY Investment Income$12,966,081PYInvestmentIncomeAmt
CY Investment Income$48,604,582CYInvestmentIncomeAmt
PY Other Revenue$15,845,165PYOtherRevenueAmt
CY Other Revenue$19,645,264CYOtherRevenueAmt
PY Total Revenue$589,213,020PYTotalRevenueAmt
CY Total Revenue$625,302,353CYTotalRevenueAmt
PY Grants And Similar Paid$12,188,201PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,187,157CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$277,283,712PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$291,045,351CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$244,272,406PYOtherExpensesAmt
CY Other Expenses$254,453,232CYOtherExpensesAmt
PY Total Expenses$533,744,319PYTotalExpensesAmt
CY Total Expenses$558,685,740CYTotalExpensesAmt
PY Revenues Less Expenses$55,468,701PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$66,616,613CYRevenuesLessExpensesAmt
Total Assets BOY$1,164,758,110TotalAssetsBOYAmt
Total Assets EOY$1,214,830,788TotalAssetsEOYAmt
Total Liabilities BOY$283,321,497TotalLiabilitiesBOYAmt
Total Liabilities EOY$228,566,436TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$881,436,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$986,264,352NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide high quality comprehensive healthcare services to children regardless of their ability to pay and to continuously improve the health and well-being of children.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$44,205,592ExpenseAmt
Grant$13,187,157GrantAmt
Revenue$247,008,550RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$391,826,482ExpenseAmt
Grant$0GrantAmt
Revenue$285,215,720RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$436,032,074TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document307IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3439EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELE WALDRON CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5593533000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Todd Suntrapak
CEO17.5032.50Yes (X)Yes (X)$1,241,917$0$220,754
Dr Linda Fraley
Board member1.001.00Yes (X)$0$0$0
Paul McDougal
Foundation Chairman, Termed 1/31/171.001.00Yes (X)$0$0$0
Dave Nalchajian
Board Secretary/Treasurer1.001.00Yes (X)Yes (X)$0$0$0
David Krause
Board chair termed 7/20/171.001.00Yes (X)$0$0$0
Dr Robert Kubo
Board Secretary Termed 7/20/171.001.00Yes (X)Yes (X)$0$0$0
RILEY WALTER
BOARD MEMBER1.001.00Yes (X)$0$0$0
Michael Hanson
Board Member1.00Yes (X)$0$0$0
Bill Smittcamp
Board Chair1.003.00Yes (X)Yes (X)$0$0$0
Kim Ruiz Beck
Board Member1.002.00Yes (X)$0$0$0
Jeannine Campos Grech
Board Treasurer/Vice Chair1.003.00Yes (X)Yes (X)$0$0$0
Fred Laningham MD
Chief of Staff1.00Yes (X)$62,500$0$0
Jose Elgorriaga
Board Member1.00Yes (X)$0$0$0
Mendy Laval
Board Member1.00Yes (X)$0$0$0
Brenden Smith
Board Member Termed 7/20/171.001.00Yes (X)$0$0$0
Rob Yraceburu
Board Member1.00Yes (X)$0$0$0
Allison Karahadian
Board Member1.00Yes (X)$0$0$0
Sissy Dalena Wood
Board Member1.00Yes (X)$0$0$0
Michele R Waldron
Senior VP, CFO18.5031.50Yes (X)$675,571$0$150,034
David Christensen
Senior VP, CPE27.0018.00$749,983$0$121,596Yes (X)
BEVERLY HAYDEN-PUGH
Senior VP, Clinical Integration/CNO18.0027.00$533,834$0$142,736Yes (X)
Jessie Hudgins
VP, Facilities40.00$421,240$0$114,260Yes (X)
Natale Ponticello JR
Senior VP, Chief People Officer29.0011.00$427,048$0$62,939Yes (X)
Jane Willson
Senior VP, Chief Strategy Officer8.0032.00$454,321$0$94,399Yes (X)
David Singh
VP, Chief Operating officer VCMG20.0020.00$421,860$0$64,907Yes (X)
Michael Goldring
President, VCMG12.0028.00$523,519$0$87,710Yes (X)
Stephanie Vance
Finance, VP40.00$321,448$0$79,965Yes (X)
Joel Brownell MD
VP, Chief Medical Information Office40.00$387,075$0$73,436Yes (X)
Karen Dahl
VP, Quality & Patient Safey40.00$428,337$0$66,360Yes (X)
Kevin Shimamoto
VP and CIO40.00$406,438$0$63,013Yes (X)
DANIEL DAVIS
VP, Patient Care40.00$330,481$0$77,958Yes (X)
Daniel Barry
VP, Revenue Cycle Mgmt40.00$240,942$0$45,920Yes (X)
William Chaltraw
Senior VP/Chief Legal Officer40.00$357,964$0$24,768Yes (X)
Brian Smullin
VP Managed Care40.00$204,959$0$14,582Yes (X)
David Hodge Jr
VP Ancillary Services40.00$292,788$0$43,937Yes (X)
Christopher Long
Exec Dir Comm/Advoc, Termed 6/7/1640.00$371,721$0$29,821Yes (X)
Paul Lilles
Director, Physician Practice40.00$219,087$0$41,213Yes (X)
Stanley Stumpf
Dir Biomed Engr Termed 11/5/1640.00$273,285$0$33,994Yes (X)
Christopher Nola
Dir Workforce Secur Termed 8/26/1640.00$214,240$0$34,238Yes (X)
Tracy Blair
Exec Dir/Dep General Counsel40.00$217,221$0$10,621Yes (X)
DrSahar Barayan
Former Chief of Staff0.00$12,500$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,790,279TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,699,161TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K645IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Valley Children's MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636SUBSPEC PHySICIAN SERVICES$35,032,032
PEDIATRIC ANETHESIA ASSOCIAtes
6235 N FRESNO ST STE 103FRESNOCA93710ANETHESIA/CRITICAL CARE$10,483,726
Sodexo Inc & Associates
PO Box 360170PittsburghPA152516170HOUSEKEEPING SERVICES$4,781,694
Zumwalt Construction Inc
5520 E Lamona AveFRESNOCA93727Construction Services$2,779,274
New England Sheet Metal
PO Box 11158FresnoCA93771Construction Services$1,672,315
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K92CntrctRcvdGreaterThan100KCnt
Related Organizations$11,921,738RelatedOrganizationsAmt
Government Grants$12,168,276GovernmentGrantsAmt
All Other Contributions$738,223AllOtherContributionsAmt
Noncash Contributions$5,476NoncashContributionsAmt
Total Contributions$24,828,237TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES900099$528,492,334$528,492,334
ManAGEMENT SERVICES541610$3,540,943$3,540,943
Lab Services900099$190,993$190,993
FieldValueIRS element (for citing)
Total Program Service Revenue$532,224,270TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,996,064TotalRevenueColumnAmt
Exclusion$14,996,064ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$928,720TotalRevenueColumnAmt
Exclusion$928,720ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$183,705RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$158,570RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$25,135RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,135TotalRevenueColumnAmt
Exclusion$25,135ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$427,808,704SecuritiesAmt
Other$29,741OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$394,672,385SecuritiesAmt
Other$486,262OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$33,136,319SecuritiesAmt
Other-$456,521OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,679,798TotalRevenueColumnAmt
Exclusion$32,679,798ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$615,985GrossSalesOfInventoryAmt
Cost Of Goods Sold$283,398CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$332,587TotalRevenueColumnAmt
Exclusion$332,587ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business900099BusinessCd
Total Revenue Column$3,151,502TotalRevenueColumnAmt
Exclusion$3,151,502ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,136,040TotalRevenueColumnAmt
Exclusion$16,136,040ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,287,542OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$625,302,353TotalRevenueColumnAmt
Related Or Exempt Func Income$532,224,270RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$68,249,846ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,975,485TotalAmt
Program Services$12,975,485ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$211,672TotalAmt
Program Services$211,672ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,981,191TotalAmt
Management And General$11,981,191ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$193,274,678TotalAmt
Program Services$154,321,023ProgramServicesAmt
Management And General$38,953,655ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,368,345TotalAmt
Program Services$12,194,148ProgramServicesAmt
Management And General$3,174,197ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$54,222,131TotalAmt
Program Services$40,258,237ProgramServicesAmt
Management And General$13,963,894ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,199,006TotalAmt
Program Services$12,283,186ProgramServicesAmt
Management And General$3,915,820ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,492,329TotalAmt
Program Services$43,960ProgramServicesAmt
Management And General$2,448,369ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,560,310TotalAmt
Management And General$2,560,310ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$159,422TotalAmt
Management And General$159,422ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,742,088TotalAmt
Management And General$2,742,088ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$64,696,942TotalAmt
Program Services$64,297,996ProgramServicesAmt
Management And General$398,946ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,811,068TotalAmt
Program Services$3,811,068ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$80,717,703TotalAmt
Program Services$73,620,757ProgramServicesAmt
Management And General$7,096,946ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,714,533TotalAmt
Management And General$5,714,533ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,199,405TotalAmt
Program Services$3,957,720ProgramServicesAmt
Management And General$1,241,685ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$680,393TotalAmt
Program Services$277,183ProgramServicesAmt
Management And General$403,210ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$582,789TotalAmt
Program Services$82,701ProgramServicesAmt
Management And General$500,088ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,118,798TotalAmt
Program Services$4,751,680ProgramServicesAmt
Management And General$1,367,118ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,455,440TotalAmt
Program Services$14,368,977ProgramServicesAmt
Management And General$10,086,463ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,879,011TotalAmt
Program Services$1,391ProgramServicesAmt
Management And General$3,877,620ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$23,460,570$17,869,051$5,591,519
Hospital Fee Program$15,064,063$15,064,063
BAD DEBT$4,732,005$4,732,005
DUES$1,866,473$203,542$1,662,931

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,519,890TotalAmt
Program Services$706,229ProgramServicesAmt
Management And General$4,813,661ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$558,685,740TotalAmt
Program Services$436,032,074ProgramServicesAmt
Management And General$122,653,666ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,334BOYAmt
EOY$13,685EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$159,117,236BOYAmt
EOY$216,742,357EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$606,581BOYAmt
EOY$401,514EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,196,786BOYAmt
EOY$79,144,610EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,425,855BOYAmt
EOY$8,662,016EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,164,921BOYAmt
EOY$14,653,449EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$517,088,938LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$256,930,273LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$247,014,121BOYAmt
EOY$260,158,665EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$269,857,676BOYAmt
EOY$332,510,847EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$322,524,401BOYAmt
EOY$235,911,898EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,415,799BOYAmt
EOY$9,492,668EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$81,421,400BOYAmt
EOY$57,139,079EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,164,758,110BOYAmt
EOY$1,214,830,788EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,240,199BOYAmt
EOY$60,099,865EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,434,685BOYAmt
EOY$115,615,136EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,646,613BOYAmt
EOY$52,851,435EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$283,321,497BOYAmt
EOY$228,566,436EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$877,515,448BOYAmt
EOY$976,330,656EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,921,165BOYAmt
EOY$9,933,696EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$881,436,613BOYAmt
EOY$986,264,352EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,164,758,110BOYAmt
EOY$1,214,830,788EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$66,616,613ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,376,521NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$24,834,605OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$7,197DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$166,640OtherActivitiesAmt
Total Lobbying Expenditures$173,837TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationVALLEY CHILDREN'S HOSPITAL HAS HAD DIRECT CONTACT WITH AND HAS ENCOURAGED OTHERS TO HAVE DIRECT CONTACT WITH LOCAL, STATE AND FEDERAL LEGISLATORS REGARDING CHILDREN'S HEALTH CARE PUBLIC POLICY. THESE CONTACTS HAVE PROVIDED INFORMATION REGARDING THE PROVISION OF HEALTH CARE SERVICES TO CHILDREN, THE ANTICIPATED EFFECT ON CHILDREN'S HEALTH OF PENDING LEGISLATIVE PROPOSALS, AND REQUESTS FOR ASSISTANCE IN SUPPORTING ACCESS TO CHILDREN'S HEALTH CARE BY MAINTAINING CURRENT STATE AND FEDERAL FUNDING LEVELS FOR MEDI-CAL AND OTHER PUBLIC PROGRAMS. EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE LESS THAN 1% OF TOTAL HOSPITAL EXPENDITURES. VALLEY CHILDREN'S HOSPITAL HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $7,197 ASSOCIATION DUES RELATED TO LOBBYING NACH 27,527 NACH CONTRIBUTION 3,100 ASSOCIATION FOR HEALTHCARE RESOURCE PROFESSIONALS 38 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 424 CALIFORNIA CHAMBER OF COMMERCE 112 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 96,373 CALIFORNIA HOSPITAL ASSOCIATION/AMERICAN HOSP ASSOC 13,439 CHILDREN'S SPECIALTY CARE COALITION 4,408 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIF. 21,099 NATIONAL ASSOCIATION OF EPILEPSY CENTERS 120 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $173,837ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,953,094OtherCostOrOtherBasisAmt
Book Value$14,953,094BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$287,450,095OtherCostOrOtherBasisAmt
Depreciation$102,413,721DepreciationAmt
Book Value$185,036,374BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,878,122OtherCostOrOtherBasisAmt
Depreciation$2,746,165DepreciationAmt
Book Value$1,131,957BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,488,888OtherCostOrOtherBasisAmt
Depreciation$130,509,860DepreciationAmt
Book Value$54,979,028BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,318,739OtherCostOrOtherBasisAmt
Depreciation$21,260,527DepreciationAmt
Book Value$4,058,212BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$260,158,665TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLimited PartnershipsDesc
Book Value$235,911,898BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$235,911,898TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
MALPRACTICE RESERVE$5,921,691
ACCRUED PENSION LIABILITY$32,889,164
457 LIABILITY$2,681,183
1732 LIABILITY$520,033
workers comp$5,221,600
INS LIABILITY$3,310,400
DC SERP LIABILITY$2,044,919
VPA Holdings - Investment Deficit$262,445
FieldValueIRS element (for citing)
Total Liability$52,851,435TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,536TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,536NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$398,996,685TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$351,623,003DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,373,682NetCommunityBenefitExpnsAmt
Total Expense0.08550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,631TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,843DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,788NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$399,192,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$351,647,846DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,545,006NetCommunityBenefitExpnsAmt
Total Expense0.08580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,079,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,079,527NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,717,869TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$541,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,176,316NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$885,985TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$298,858DirectOffsettingRevenueAmt
Net Community Benefit Expns$587,127NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,161,197TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,161,197NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,844,578TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$840,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,004,167NetCommunityBenefitExpnsAmt
Total Expense0.04160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$423,037,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$352,488,257DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,549,173NetCommunityBenefitExpnsAmt
Total Expense0.12740TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,487,082BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$265,309ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$355,039CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$89,730MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumChildrens HospitalChildrensHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
VALLEY CHILDREN'S HOSPITAL
19300 VALLEY CHILDRENS PLACEMADERACA936368761www.valleychildrens.org040000160Yes (X)Yes (X)A
VALLEY CHILDREN'S HOME CARE
27555 N DEL MAR AVEFRESNOCA93711www.valleychildrens.org040000160Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group - aBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.VALLEYCHILDRENS.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.VALLEYCHILDRENS.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.VALLEYCHILDRENS.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.VALLEYCHILDRENS.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.VALLEYCHILDRENS.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility Reporting Group A
Facility Reporting Group A consists of:- Facility 1: VALLEY CHILDREN'S HOSPITAL, - Facility 2: VALLEY CHILDREN'S HOME CARE
Facility Reporting Group - a Part V, Section B, line 5:In order to conduct the regional CHNA for Fresno, Kings, Madera and Tulare counties, hospital leaders from each county, including Valley Children's Hospital, engaged with the Hospital Council of Northern and Central California to form the Hospital Council Community Benefit Workgroup. This workgroup represents 15 hospitals throughout the four counties. Under their direction, consultants reviewed the secondary data in the region in order to begin looking for evidence of health needs, to design a community engagement process to solicit feedback on these needs, and to create a process to prioritize these needs based on community input. Consultants from Leap Solutions reviewed three sources to determine what the most common health needs are for consideration in a CHNA. Included in the review were metrics or indicators identified by the Center for Disease Control (CDC) and metrics used by Healthy People 2020 initiative, a collaboration of the US Department of Health and Human Services and other federal agencies and research institutions. Consultants also reviewed the list of the most commonly identified health needs across Kaiser Permanente's CHNA Data Platform (www.chna.org). After reviewing all the lists, the consultants found that the 15 potential health needs identified by the CHNA Data Platform align well with those defined by the CDC and those used by the Healthy People 2020 initiative. They were adopted for use in this CHNA to guide the primary and secondary data collection. These health needs are: - Access to Care - Breathing Problems (Asthma) - Cancers - Climate and Health - Cardiovascular Disease/Stroke (Heart Disease) - Diabetes - Economic Security - HIV/AIDS/STDS - Maternal, Infant and Child Health - Mental Health - Obesity - Oral Health - Overall Health - Substance Abuse - Violence/Injury PreventionThe next step in the CHNA process required engaging the community to solicit their perceptions of the most pressing health needs in the community. This effort included CHNA Surveys, focus groups and key stakeholder interviews with public health directors, hospital CEOs and nonprofit organization leaders serving unique segments of the community (i.e. the disabled, poor, or unique ethnic groups). These three methodologies were used in order to reach community members who might be more comfortable sharing their perspectives on an individual survey versus attending a focus group. In order to leverage the opportunity to use a consistent set of questions across all four counties, the Workgroup selected a CHNA Survey designed by the Healthy Madera Coalition with the County Public Health Department staff. Thirty-six questions centered on key health concerns and factors that influence the health of the community and included demographic. The CHNA Survey focused on: - community health needs, - environmental factors that influence the health of the community, - behaviors that impact health - barriers to getting health care in their county - indicators of a healthy community, and - factors in their communities needing most improvement. The survey was provided through Survey Monkey, an online web platform, in both Spanish and English and corresponding website links were emailed to hospital and facility staff as well as community members. The survey link was configured to allow for confidentiality of responses and the survey was available from July 1, 2015 to December 2, 2015. Two community organizations were contracted to assist with the community outreach efforts. These were: Fresno Metro Ministrya nonprofit established in 1970 with a mission to advocate for the health and well-being of the community and Centro La Familia Advocacy Servicesa nonprofit working to empower low income people to access life sustaining resources through education, training and social services. In addition, the Madera County Department of Public Health and Camarena Health, a Federally Qualified Health Center, assisted with the outreach efforts in their own county and provided the community survey used for this CHNA. Focus GroupsA total of 15 focus groups were conducted ranging in size from 4 to 24 participants. The focus groups were attended by hospital and facility staff, community leaders from nonprofit and faith-based organization and elected officials and residents. These sessions were conducted primarily in English. Other focus groups were comprised of primarily residents, including mothers and youth, and were conducted in English and Spanish. Childcare was provided at two of the focus groups. All of the focus groups followed the same format and agenda: - An introduction and overview of the CHNA process and purpose- A review of eight key health indicators to understand how the counties ranked in comparison with California and the United States- A review of how other residents and health care workers responded to the CHNA Survey and whether those attending agree or disagree with most common responses to the above-mentioned five key questions (Q11, Q12, Q13, Q14 and Q16- A Large group discussion was facilitated on three additional questions that were used to seek the group's consensus on: What are some key services you believe would help address these challenges from the following options: 1. More community clinics/ambulatory centers 2. More regional initiatives on community health 3. Engaging nonprofits in coordinated care 4. Using community advisory councils 5. More patient support groups 6. More health education fairs/ events 7. More upstream health interventions 8. OTHER: What ONE effort would make the greatest impact on health outcomes in your community from the following options: 1. More disease prevention efforts 2. More coordinated care programs/services 3. More upstream health initiatives 4. Better community infrastructure to support healthy living 5. Improved health education 6. Improved environmental conditions 7. Improved economic conditions 8. Other Are you aware of any new programs or services that were created in the last three years that have the potential to address your community's health needs?In order to keep each of the focus groups to a 60-minute format, it was necessary to choose among a significant amount of secondary data to share with participants. The consultants selected health indicators directly linked to the results of the 2013 Hospital Council Regional CHNA Report produced for the same four counties. This allowed the focus group participants to continue discussing asthma, obesity, access to care, mental health and socioeconomic factors that were concerns raised in 2013 CHNA.Key Stakeholder InterviewsThe workgroup identified approximately 95 key stakeholders in the region who would be important to interview. Consultants contacted each stakeholder offering to conduct phone or in-person interviews. Participants in this effort included: County Public Health Directors, hospital executives and nonprofit leaders who serve the community with social, health, or educational support services. These key stakeholders were selected as they could provide a unique perspective on the health of the community, health care delivery systems and overall conditions that influence health behaviors. In addition, the CHNA community outreach also involved the Tule River Nation Elders and Tribal Council Members in Tulare County. Each stakeholder was given the opportunity to review the key health indicators for their county and then was asked to rank responses to the five key questions reviewed by the focus groups.Identifying Health NeedsIn order to identify the health needs in this CHNA report, the workgroup and health officers from each County's Department of Public Health met November 12, 2015 to review the survey data and a summary of secondary data on the health needs for all four counties.
Facility Reporting Group - a Part V, Section B, line 6a:- ADVENTIST HEALTH CENTRAL - Hanford- ADVENTIST HEALTH CENTRAL - Reedley- ADVENTIST HEALTH CENTRAL - Selma- COMMUNITY REGIONAL MEDICAL CENTER Fresno- CLOVIS COMMUNITY MEDICAL CENTER- COALINGA REGIONAL MEDICAL CENTER- KAISER PERMANENTE FRESNO REGION - KAWEAH DELTA HEALTH CARE DISTRICT - MADERA COMMUNITY HOSPITAL - SAINT AGNES MEDICAL CENTER - SAN JOAQUIN VALLEY REHABILITATION HOSPITAL- SIERRA VIEW DISTRICT HOSPITAL- TULARE REGIONAL MEDICAL CENTER
Facility Reporting Group - a Part V, Section B, line 6b:- Hospital Council of Northern and Central California- Madera County Public Health Department- Centro La Familia- Fresno Metro Ministry
Facility Reporting Group - a Part V, Section B, line 13b:200% OR LESS FEDERAL POVERTY GUIDELINES (FPG) - FULL CHARITABLE DISCOUNT $0 CHARGES.201%-350% FPG - LOW INCOME DISCOUNT NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.350% - HIGH MEDICAL COST DISCOUNT, INCOME FOR THE LAST 12 MONTHS DOES NOT EXCEED 350% OF FPG AND THEY HAVE NOT RECEIVED A DISCOUNTED RATE FROM THE HOSPITAL AS A RESULT OF THEIR THIRD-PARTY INSURANCE COVERAGE AND THEIR ANNUAL OUT-OF-POCKET MEDICAL EXPENSES. FOR THE PRIOR 12 MONTHS EXCEED 10% OF THEIR FAMILY'S ANNUAL INCOME. NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.351% AND GREATER THAN FPG - PROMPT PAY DISCOUNT 25% DISCOUNT FROM CHARGES FOR PATIENTS WHO PAY THEIR BALANCE IN FULL WITHIN 30 DAYS.
Facility Reporting Group - a Part V, Section B, line 16j:Additionally the policy is sent by US Postal Service to Community Agencies to be distributed.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Charity care at cost was calculated using a cost-to-charge ratio derived from worksheet 2. The decision support system was used to calculate cost-to-charge for determining unreimbursed Medi-Cal and other means-tested government programs. This decision support system addresses all patient segments (i.e inpatient, outpatient, etc.).
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 4,732,005.
Part III, Line 4:Footnote describing bad debt expense: See page 14, Note 1 of the audited financial statements.Costing methodology:Allowance for doubtful accounts are estimated based on historical write-off percentages and review of large balance self-pay accounts. Doubtful accounts are written off against the allowance after adequate collection effort is exhausted and recorded as recoveries of bad debt if subsequently collected. The cost of bad debt write-offs were calculated by applying the overall cost to charge ratio of the organization to the charges written off.
Part III, Line 8:Medicare allowable cost is calculated using the filed 2017 Medicare Cost Report. Medicare shortfall should be included as a component of Community Benefit because reimbursement is not negotiable and does not cover the cost to provide services. Additionally, the majority of the Hospital's Medicare patients would be covered by Medi Cal if they did not fall under the Medicare coverage option.
Part III, Line 9b:Collection attempts are discontinued once charges are determined to be eligible for charity care or financial assistance; insurance collection attempts continue as appropriate.
Part VI, Line 2:COMMUNITY HEALTH NEEDS ASSESSMENT: VALLEY CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM IS BASED ON A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CONSISTENT WITH STATE AND FEDERAL LAW, VALLEY CHILDREN'S HOSPITAL COMPLETES A FORMAL CHNA AT LEAST ONCE EVERY THREE YEARS. VALLEY CHILDREN'S HOSPITAL'S 2017 COMMUNITY BENEFITS PROGRAM IS BUILT UPON THE OUTCOMES OF A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDED THE FOLLOWING ACTIVITIES:JOINT NEEDS ASSESSMENT -VALLEY CHILDREN'S HOSPITAL PARTNERED WITH HOSPITALS IN A FOUR-COUNTY REGION TO CONDUCT AN ASSESSMENT OF HEALTH NEEDS FOR BOTH CHILDREN AND ADULTS. COUNTIES COVERED INCLUDED MADERA, KINGS, FRESNO, AND TULARE. THROUGH THEIR REGIONAL HOSPITAL ASSOCIATION, THE HOSPITALS CONTRACTED JOINTLY WITH LEAP SOLUTIONS TO FACILITATE THE CHNA, WHICH WAS CONDUCTED BETWEEN OCTOBER 2015 AND FEBRUARY 2016 AND PUBLISHED IN MARCH 2016. LEAP SOLUTIONS, LLC FOLLOWED SEVERAL STEPS TO ENSURE THAT THE HOSPITALS WOULD HAVE ADEQUATE INFORMATION FROM WHICH TO IDENTIFY POSSIBLE ACTIONS. FIRST, IT WAS IMPORTANT TO REVIEW THE WORK THAT HAD BEEN DONE IN THE PAST AND IDENTIFY OPPORTUNITIES FOR IMPROVEMENT. SECOND, IT WAS ESSENTIAL TO AGREE UPON THE DATA TO BE USED FOR THE REPORT IN ORDER TO APPLY A CONSISTENT SET OF KEY SOCIAL DETERMINANTS OF HEALTH IN EACH OF THE FOUR COUNTIES. SUPPLEMENTAL ASSESSMENT ACTIVITY - IN ADDITION TO THE LEAP SOLUTIONS' FACILITATED ASSESSMENT, VALLEY CHILDREN'S HOSPITAL STAFF ACCESSED OTHER RESOURCES TO FURTHER ASSESS CHILDREN'S HEALTH CARE NEEDS THROUGHOUT THE HOSPITAL'S ENTIRE SERVICE AREA. RESOURCES INCLUDED DATA SOURCES AS WELL AS CONVERSATIONS WITH LOCAL HEALTH CARE PROVIDERS AND ADVOCATES. DATA SOURCES INCLUDED KIDSDATA.ORG, THE CALIFORNIA HEALTH INTERVIEW SURVEY DATA, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH'S PEDIATRIC NUTRITION SURVEILLANCE DATA, AND THE CALIFORNIA CHILD WELFARE INDICATORS PROJECT AT THE UNIVERSITY OF CALIFORNIA AT BERKELEY. LOCAL PROVIDERS AND ADVOCATES CONSULTED INCLUDED FEDERALLY QUALIFIED HEALTH CENTERS, INDIVIDUAL PEDIATRICIANS, THE CENTRAL CALIFORNIA CHILDREN'S INSTITUTE AND THE CENTRAL VALLEY HEALTH POLICY INSTITUTE.VALLEY CHILDREN'S HOSPITAL STAFF ALSO REMAINED ACTIVELY ENGAGED IN A NUMBER OF COMMUNITY-BASED ORGANIZATIONS AND INITIATIVES IN 2017. THIS CONTINUOUS ENGAGEMENT KEPT THE HOSPITAL CLOSE TO THE ISSUES MOST IMPACTING THE HEALTH AND WELLBEING OF CHILDREN IN ITS SERVICE AREA AND ALLOWED THE HOSPITAL TO MAKE ADJUSTMENTS TO ITS COMMUNITY BENEFITS PROGRAM ACTIVITIES AS APPROPRIATE.
Part VI, Line 4:Community Information: As the only pediatric specialty hospital located in Central California, Valley Children's Hospital's primary service area extends from San Joaquin County in the north to Kern County in the south, and from the Central Coast to the Sierra Nevada. The service area includes 11 counties and is home to over 1.4 million children ages 0-20. In 2017, Valley Children's Hospital had 12,372 inpatient cases, 120,016 Emergency Department visits and a combined 254,059 outpatient center, day surgery, radiology and laboratory visits. Medi-Cal benefits covered 77% of the hospital's total inpatient days and 76% of the outpatient visits at Valley Children's Hospital. Almost two-thirds of the hospital's inpatient population consisted of children 4 years of age or younger and over 75% were an ethnicity other than Caucasian.
Part VI, Line 5:PROMOTION OF COMMUNITY HEALTH: VALLEY CHILDREN'S HOSPITAL PARTNERS WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS TO HELP ADDRESS ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING THE FOLLOWING. CHILD ABUSE PREVENTION - PREVENTING AND PROTECTING CHILDREN FROM ABUSE AND NEGLECT FORM THE CORNERSTONE OF THE GUILD'S OF CHILDREN'S HOSPITAL CHILD ABUSE PREVENTION AND TREATMENT CENTER. IN PARTNERSHIP WITH A NUMBER OF PRIVATE AND PUBLIC AGENCIES, THE PROGRAM PROVIDED EDUCATION, LEADERSHIP, AND DIRECT SERVICES FOR CHILDREN WHO WERE VICTIMS OF ABUSE AND TO PARENTS AND COMMUNITY-BASED ORGANIZATIONS TO HELP PREVENT ABUSE.CAPACITY FOR MEETING THE NEEDS OF MEDICALLY COMPLEX CHILDREN - VALLEY CHILDREN'S HOSPITAL RECOGNIZES THE CRITICAL ROLE THAT COMMUNITY BASED PROVIDERS AND ORGANIZATIONS PLAY IN MEETING THE NEEDS OF MEDICALLY COMPLEX CHILDREN AND IS COMMITTED TO MAKING SURE THEY HAVE THE CLINICAL SKILLS TO TAKE CARE OF THIS PATIENT POPULATION. TO HELP ENSURE THESE CHILDREN RECEIVE MEDICALLY APPROPRIATE CARE AT SCHOOL, VALLEY CHILDREN'S HOSPITAL PARTNERED WITH THE CALIFORNIA SCHOOL NURSE ORGANIZATION AND INDIVIDUAL SCHOOL DISTRICTS TO PROVIDE TRAINING TO SCHOOL NURSES ON A VARIETY OF CLINICAL PROCEDURES AND TOPICS CRITICAL TO KEEPING CHILDREN HEALTHY. ADDITIONALLY, VALLEY CHILDREN'S HOSPITAL PARTICIPATED IN AND HOSTED THE SCHOOL HEALTH ADVISORY PANEL'S QUARTERLY MEETINGS. THE PANEL IS A CONSORTIUM OF SCHOOL DISTRICT HEALTH DIRECTORS THROUGHOUT THE CENTRAL VALLEY THAT SERVES AS A LINK BETWEEN SCHOOL-BASED HEALTH CARE PROFESSIONALS AND CHILDREN'S HOSPITAL FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING EMERGING ISSUES IMPACTING THE HEALTH AND WELLBEING OF STUDENTS IN GRADES K-12. VALLEY CHILDREN'S HOSPITAL PROVIDED SIGNIFICANT OUTREACH EDUCATION TO REFERRING HOSPITALS AND COMMUNITY BASED ORGANIZATIONS TO MAKE SURE THEY HAVE THE CLINICAL EXPERTISE NEEDED TO CARE FOR MEDICALLY COMPLEX CHILDREN. IN 2017, VALLEY CHILDREN'S HOSPITAL PROVIDED CONTINUING MEDICAL EDUCATION PROGRAMS TO OVER 600 COMMUNITY-BASED PRIMARY CARE PHYSICIANS. PEDIATRIC SUBSPECIALTY PHYSICIANS FROM VALLEY CHILDREN'S SERVED AS THE FEATURED FACULTY, PROVIDING COMMUNITY-BASED PHYSICIANS WITH GUIDANCE ON A VARIETY OF PEDIATRIC MEDICAL CONDITIONS INCLUDING ADVANCED ENDOSCOPY IN PEDIATRICS, COMMUNITY ACQUIRED PNEUMONIA AND VALLEY FEVER, PEDIATRIC BRAIN AND SPINAL CORD TUMORS, PEDIATRIC EPILEPSY, PEDIATRIC PLASTIC SURGERY, PEDIATRIC SPINAL CORD INJURIES, SCOLIOSIS IN CHILDREN AND ADOLESCENTS, TREATMENT OF CRITICAL CONGENITAL HEART DISEASE AND TREATMENT OF CHRONIC SINUSITS IN CHILDREN. PROGRAMS WERE PROVIDED AT LOCATIONS THROUGHOUT THE VALLEY CHILDREN'S SERVICE AREA, INCLUDING BAKERSFIELD, MADERA, MERCED, MODESTO AND SAN LUIS OBISPO.Valley Children's participated in a number of initiatives supporting the healthy development of children both during pregnancy and during the first three years of life. Examples include the following.Fresno County Pre-Term Birth Initiative: Fresno County has one of California's highest rates of prematurity with 1 out of every 9 babies born too early. Premature birth can cause serious physical and mental disabilities or even death before the baby's first birthday.Over a ten year period, the Fresno County Pre-Term Birth Initiative will work to improve the health of Fresno's mothers and reduce the rate of premature babies. Using an approach called Collective Impact, partners across many sectors have come together to create change in Fresno County. Valley Children's has been an active participant in this initiative, with Valley Children's Senior Vice President for Community Engagement and Population Wellness serving as chair of the Initiative's Steering Committee.Help Me Grow Fresno County: Help Me Grow is a coordinated system of early identification and referral for Fresno County's children ages 0-5 who are at risk for development delays. In 2017, Valley Children's played an important role in this initiative, both in supporting the adoption of the Help Me Grow model in our primary care practices and by making available one of our pediatricians to serve as a Physician Champion by helping to promote and train other pediatricians in the Help Me Grow model.March of Dimes: Valley Children's partnered closely with the March of Dimes to advocate on behalf of policies at the state and federal level that promote healthy pregnancies and healthy babies. Additionally, Valley Children's Director of Community and Government Relations chaired the March of Dimes' of California's Advocacy and Government Affairs Committee in 2017.INJURY PREVENTION - VALLEY CHILDREN'S OPERATES AN INJURY PREVENTION PROGRAM TO INCREASE COMMUNITY AWARENESS OF CHILDHOOD INJURIES AND THOSE MEASURES THAT CAN BE TAKEN TO DECREASE THEIR PREVALENCE THROUGHOUT CENTRAL CALIFORNIA. IN 2017, THE PROGRAM RECORDED OVER 23,367 CONTACTS WITH CHILDREN, PARENTS, HEALTH CARE PROFESSIONALS AND OTHERS AT 175 DIFFERENT COMMUNITY, MEDIA AND PROFESSIONAL EVENTS, COVERING THE FOLLOWING TOPICS IN 2017: CHILD PASSENGER SAFETY, HELMET SAFETY, MEDICATION SAFETY, CONCUSSION, SAFE INFANT SLEEP, ABUSIVE HEAD TRAUMA, SUICIDE PREVENTION, TEEN DEPRESSION, POISON PREVENTION.IN ADDITION TO TOPICS LISTED ABOVE, VALLEY CHILDREN'S CONTINUED ITS STRONG FOCUS ON WATER SAFETY THROUGH THE KOHL'S WATER SAFETY PROGRAM - A PARTNERSHIP BETWEEN VALLEY CHILDREN'S HOSPITAL AND KOHL'S CARES. THIS PROGRAM PROVIDES BROAD-BASED AWARENESS MESSAGING, EDUCATIONAL OPPORTUNITIES AND COMMUNITY OUTREACH EVENTS TO CHILDREN AND FAMILIES ON WATER SAFETY AND DROWNING PREVENTION. THE MULTIFACETED PROGRAM AIMS TO DECREASE WATER-RELATED INJURIES AND DROWING AND IMPROVE THE HEALTH, SAFETY AND WELLBEING OF CHILDREN IN COMMUNITIES SERVED BY VALLEY CHILDREN'S AND KOHL'S DEPARTMENT STORES. THE MISSION OF VALLEY CHILDREN'S HOSPITAL IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF AND IS AN INDEPENDENT NON PROFIT ORGANIZATION GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES WHICH IS THEREFORE ACCOUNTABLE TO OUR COMMUNITY AND ONLY OUR COMMUNITY.
Part VI, Line 6:N/A
Part VI, Line 7, Reports Filed With StatesCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Community Food Bank
3403 E Central AveFresnoCA93725770320851501(c)(3)$6,500SPONSORSHIP
Hindi's Hospice
2490 W Shaw 101FresnoCA93711770071360501(c)(3)$7,500SPONSORSHIPS
Buddhist Tzu Chi Med Foundation
1000 S Garfield AveAlhambraCA91801954457939501(c)(3)$10,000SPONSORSHIP
March of Dimes
7575 N Del Mar 104FresnoCA93711131846366501(c)(3)$21,000SPONSORSHIP
Valley Children's Medical Group
9300 Valley Childrens PlaceMaderaCA936368782464150987501(c)(3)$12,866,938Donation
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP3$10,025
EDUCATION SCHOLARSHIP - Neonatal Focus1$1,671
EDUCATION SCHOLARSHIP - Respiratory Focus2$2,506
CAFETERIA MEALS13543$83,289FMVMEAL COUPONS FOR PATIENT FAMILIES
TAXI, BUS AND TRANSIT SERVICES419$114,181BOOKSUBSIDIzATION OF BUS AND TRANSIT SERVICES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationNursing Scholarships are designed to help employees meet financial needs that are not covered by other tuition reimbursement programs. A scholarship committee reviews applications bi-annually based on certain criteria. Recipients are chosen by the committee and the Chief Nursing Officer approves the selections. All recipients are employees of the Hospital and the Hospital is made aware when the recipient completes their education. Other services provided are purchased from various vendors and are supplied to patients and their families. The records for these purchased services are maintained by the Hospital.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Todd Suntrapak
CEO$847,945$0$220,179$0$173,793$0$198,880$0$21,874$0$1,462,671$0$116,396$0
Michele R Waldron
Senior VP, CFO$496,830$0$94,256$0$84,485$0$132,535$0$17,499$0$825,605$0$65,243$0
David Christensen
Senior VP, CPE$547,893$0$108,264$0$93,826$0$99,722$0$21,874$0$871,579$0$74,584$0
BEVERLY HAYDEN-PUGH
Senior VP, Clinical Integration/CNO$390,610$0$74,381$0$68,843$0$133,987$0$8,749$0$676,570$0$47,279$0
Jessie Hudgins
VP, Facilities$275,010$0$62,645$0$83,585$0$101,136$0$13,124$0$535,500$0$46,668$0
Natale Ponticello JR
Senior VP, Chief People Officer$316,128$0$61,921$0$48,999$0$62,939$0$0$0$489,987$0$40,453$0
Jane Willson
Senior VP, Chief Strategy Officer$329,702$0$65,767$0$58,852$0$90,024$0$4,375$0$548,720$0$38,530$0
David Singh
VP, Chief Operating officer VCMG$297,402$0$63,743$0$60,715$0$64,907$0$0$0$486,767$0$41,546$0
Michael Goldring
President, VCMG$432,480$0$81,517$0$9,522$0$78,961$0$8,749$0$611,229$0$0$0
Stephanie Vance
Finance, VP$248,702$0$54,116$0$18,630$0$62,466$0$17,499$0$401,413$0$0$0
Joel Brownell MD
VP, Chief Medical Information Office$321,960$0$64,335$0$780$0$60,312$0$13,124$0$460,511$0$0$0
Karen Dahl
VP, Quality & Patient Safey$342,717$0$66,810$0$18,810$0$61,985$0$4,375$0$494,697$0$0$0
Kevin Shimamoto
VP and CIO$319,592$0$66,528$0$20,318$0$58,638$0$4,375$0$469,451$0$0$0
DANIEL DAVIS
VP, Patient Care$271,478$0$51,445$0$7,558$0$69,209$0$8,749$0$408,439$0$0$0
Daniel Barry
VP, Revenue Cycle Mgmt$217,734$0$22,909$0$299$0$28,421$0$17,499$0$286,862$0$0$0
William Chaltraw
Senior VP/Chief Legal Officer$357,154$0$0$0$810$0$7,269$0$17,499$0$382,732$0$0$0
Brian Smullin
VP Managed Care$154,209$0$50,000$0$750$0$0$0$14,582$0$219,541$0$0$0
David Hodge Jr
VP Ancillary Services$248,974$0$29,160$0$14,654$0$26,438$0$17,499$0$336,725$0$0$0
Christopher Long
Exec Dir Comm/Advoc, Termed 6/7/16$110,234$0$29,992$0$231,495$0$23,259$0$6,562$0$401,542$0$0$0
Paul Lilles
Director, Physician Practice$184,998$0$23,020$0$11,069$0$19,339$0$21,874$0$260,300$0$0$0
Stanley Stumpf
Dir Biomed Engr Termed 11/5/16$128,448$0$15,571$0$129,266$0$25,974$0$8,020$0$307,279$0$0$0
Christopher Nola
Dir Workforce Secur Termed 8/26/16$131,802$0$0$0$82,438$0$19,656$0$14,582$0$248,478$0$0$0
Tracy Blair
Exec Dir/Dep General Counsel$209,131$0$7,779$0$311$0$6,975$0$3,646$0$227,842$0$0$0
DrSahar Barayan
Former Chief of Staff$12,500$0$0$0$0$0$0$0$0$0$12,500$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTodd Suntrapak chartered an airplane to attend a CCHA Board Meeting. No part of the expense was treated as taxable compensation to the employee.
Part I, Lines 4a-bPART I, LINES 4A: SEVERANCE PAYMENTS TOTALING $222,602, $124,571 and $77,792 WERE MADE TO Christopher Long, Stanley Stumpf and Christopher Nola, RETROSPECTIVELY DURING THE CALENDAR YEAR AND ARE INCLUDED IN PART II, COLUMN B(III). THE SEVERANCE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY CLAUSE. TERMS AND CONDITIONS OF THE AGREEMENTS WILL BE PROVIDED TO THE IRS UPON REQUEST. PART I, LINES 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS INCLUDE 1) A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), 2) A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES AND 3) A NONCONTRIBUTORY, NONQUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (DCSERP). TODD SUNTRAPAK, JESSIE HUDGINS, NATALE PONTICELLO, MICHAEL GOLDRING, JOEL BROWNELL, DAVID HODGE JR, CHRISTOPHER LONG, Danielle Barry, William Chaltraw, Brian Smullin AND DANNY DAVIS ARE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. $470,699 WAS PAID OUT OF THE DCSERP PLAN DURING THE YEAR. EMPLOYEE AND EMPLOYER CONTRIBUTIONS TO THE DEFERRED COMPENSATION PLAN, EMPLOYER CONTRIBUTIONS TO THE DCSERP, AND THE CHANGE IN ACTUARIAL VALUE OF SERP BENEFITS FOR YEAR 2016 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 BEVERLY HAYDEN-PUGH - DEFERRED COMPENSATION PLAN $18,000; DCSERP $52,636; CHANGE IN SERP ACTUARIAL VALUE $35,061 JESSIE HUDGINS - DEFERRED COMPENSATION PLAN $18,000; DCSERP $42,679; CHANGE IN SERP ACTUARIAL VALUE $17,368 DAVID CHRISTENSEN - DEFERRED COMPENSATION PLAN $18,000; DCSERP $77,743; CHANGE IN SERP ACTUARIAL VALUE $1,839 JANE WILLSON - DEFERRED COMPENSATION PLAN $18,000; DCSERP $45,841; CHANGE IN SERP ACTUARIAL VALUE $9,020 DAVID SINGH - DEFERRED COMPENSATION PLAN $18,000; DCSERP $43,514; CHANGE IN SERP ACTUARIAL VALUE $0 STEPHANIE VANCE - DEFERRED COMPENSATION PLAN $18,000; DCSERP $37,202; NOT ELIGIBLE FOR SERP NATALIE PONTICELLO - DEFERRED COMPENSATION PLAN $0; DCSERP $42,799; NOT ELIGIBLE FOR SERP MICHAEL GOLDRING - DEFERRED COMPENSATION PLAN $0; DCSERP $58,733; NOT ELIGIBLE FOR SERP JOEL BROWNELL - DEFERRED COMPENSATION PLAN $0; DCSERP $44,375; NOT ELIGIBLE FOR SERP KAREN DAHL - DEFERRED COMPENSATION PLAN $18,000; DCSERP $48,260; NOT ELIGIBLE FOR SERP KEVIN SHIMAMOTO - DEFERRED COMPENSATION PLAN $18,000; DCSERP $45,901; NOT ELIGIBLE FOR SERP DAVID HODGE AND BRIAN SMULLIN - NOT ELIGIBLE FOR DCSERP OR SERP DANIEL DAVIS - DEFERRED COMPENSATION PLAN $0; DCSERP $37,134; NOT ELIGIBLE FOR SERP DANIELLE BARRY - DEFERRED COMPENSATION PLAN $0; DCSERP $17,721; NOT ELIGIBLE FOR SERP WILLIAM CHALTRAW - DEFERRED COMPENSATION PLAN $0; DCSERP $7,269; NOT ELIGIBLE FOR SERP
Part I, Line 5An Executive Incentive Plan has been established that allows for payment of incentives based on both network wide and individual goals. Such goals are related to a variety of metrics including revenue, operational and quality results of the Hospital and its related entities. The Incentive Plan has been approved by the Compensation Committee of the valley children's healthcare Board of Trustees. The committee reviews the forecasted payouts at the end of each year based on the financial and operating results.
Part I, Line 6SEE EXPLANATION FOR LINE 5, ABOVE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF MADERABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN946000518BondIssuerEIN
CUSIP556902DN1CUSIPNum
Bond Issued2010-02-04BondIssuedDt
Issue Price$39,512,854IssuePriceAmt
PurposeTo refund series 2006 Bonds issued on 6/26/06.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$11,825,000RetiredAmt
Total Proceeds$39,512,855TotalProceedsAmt
In Reserve Fund$3,401,815InReserveFundAmt
Other Spent Proceeds$36,111,040OtherSpentProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropYes (1)ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0.00000ChangeInUseBondFinancedPropPct
Remedial Action Taken0RemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: COUNTY OF MADERA Date the Rebate Computation was Performed: 09/30/2017
PART III, SECTION 8A & 8BCERTAIN OBSOLETE OR BROKEN EQUIPMENT WAS DISPOSED OF. IN SOME CASES, NOMINAL SCRAP PROCEEDS WERE RECEIVED.
PART IV, SECTION 2PROCEEDS USED TO REDEEM SERIES 2006 CERTIFICATES MET THE 6 MONTH EXCEPTION TO REBATE. HOWEVER, RESERVE FUND PROCEEDS ARE BEING TREATED AS SUBJECT TO REBATE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART III, LINE 4A:Statement of Program service Accomplishments - Program Service One I. Description of Program Service One Over 60 years ago, our founding mothers had a dream to care for children in a hospital as special as its patients. Valley Children's Hospital has flourished ever since, caring for hundreds of thousands of children. Our mission guides us as we travel the road to our future alongside staff, physicians, children, families, our community and our partners throughout the region. Mission The Mission of Valley Children's Hospital is to provide high quality, comprehensive health care services to children regardless of their ability to pay, and to continuously improve the health and well-being of children. Vision Our vision captures the path we've traveled and showcases our commitment and passion to be the best. Our clear focus is to continue to provide the best care and the best quality pediatric services available anywhere with a vision to become the nation's best children's hospital. Core Values The following core organizational values guide the investments and support provided by Valley Children's Hospital's Community Benefits Program. Excellence - We depend on exceptional people to provide exceptional quality health care and services throughout Valley Children's Hospital. We set high standards and we support each other as we strive to achieve them. We invest in each other and we value the individual and cultural differences that make us strong. We are proud of our superior services as measured by quality outcomes. Compassionate Care - We treat every child, every family, each other, our visitors and our vendors with respect, kindness, hope, joy and good humor. We display our helpful, healing, family-centered spirit at every opportunity. We recognize the importance of playfulness in human interaction and in the health of children. We look for ways to ease suffering and provide comfort. Integrity - We are honest, ethical and responsible in our work and in the way we deal with others. We keep our promises and admit our mistakes. We know ourselves and we avoid hidden agendas. By the way we live our lives everyday, we are worthy of the trust people place in us. Innovation - We embrace change, creativity, continuous learning and personal growth. We incorporate new ideas, technology and methods to improve the health care and services we provide. We anticipate future trends and we create strategic plans to insure future growth and continued vitality. Collaboration - We build enduring internal and external relationships, joining with colleagues across organizational boundaries to improve the care and services we provide. We encourage and reward both individual and team achievements. We put the common good ahead of narrow interests. Stewardship - We are resourceful, adaptable and resilient. We have a "can do" attitude that gets the job done. We are fiscally responsible and efficient with our time. We protect our reserves and manage our operating costs in order to invest in the next generation of kids. We are each personally dedicated to making Valley Children's Hospital better because we were here. Commitment to the Community As a not-for-profit organization governed by its own Board of Trustees, Valley Children's Hospital is solely committed to addressing the medical needs of our region's sickest children. With 358 beds at September 30, 2017, a medical staff of over 575 physicians and approximately 3,400 total employees, Valley Children's Hospital offers accessibility to over 40 fetal, neonatal and pediatric subspecialties, all committed to providing the highest level of quality care possible. Examples include the hospital's Neonatal and Pediatric Intensive Care Units that maintain low mortality rates, when compared nationally, while treating some of the sickest children. While providing exceptional care is the single greatest contribution the hospital makes for our children and their families, the hospital also appreciates that it is uniquely positioned to support the needs of children in other ways as well. As an extension of the hospital's mission and vision, the goal of Valley Children's Hospital's Community Benefits Program is to advance the health and wellbeing of underserved, medically needy children through collaboration and common concern. II. SERVICE AREA DEMOGRAPHICS AND PATIENT VOLUME Service Area Demographics As the only pediatric specialty hospital located in Central California, Valley Children's Hospital's primary service area extends from South San Joaquin County in the north to Kern County in the south, and from the Central Coast to the Sierra Nevada and is home to over 1.3 million children ages 0-20. Valley Children's Hospital's Patient Volume In 2017, Valley Children's Hospital had 12,372 inpatient cases, 120,016 Emergency Department visits and a combined 254,059 outpatient center, Regional Specialty Care Center and day surgery visits. Medi-Cal covered 77% of the hospital's total inpatient days and 76% of total outpatient visits at the hospital. Almost 2/3 of the hospital's inpatient population consisted of children 4 years of age or younger and nearly 75% were an ethnicity other than Caucasian.
Form 990, Part III, Line 4aIII. COMMUNITY BENEFITS PROGRAM ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, COMMUNITY BENEFITS ARE GENERALLY DEFINED AS THOSE ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS, AND MEET AT LEAST ONE OF THE FOLLOWING OBJECTIVES: - IMPROVE ACCESS TO HEALTH CARE SERVICES - ENHANCE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR PRIVATE, COMMUNITY-BASED EFFORTS ALSO INCLUDED IN THE DEFINITION IS THE PROVISION OF CHARITY CARE AND THE UNREIMBURSED COST OF PROVIDING HEALTH CARE SERVICES TO THOSE ENROLLED IN PUBLIC PROGRAMS, INCLUDING MEDI-CAL. IN FY 2017, VALLEY CHILDREN'S HOSPITAL PROVIDED COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS WITHIN ITS SERVICE AREA. A SUMMARY OF THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS IN 2017: *COMMUNITY HEALTH EDUCATION CLINICAL PARTNERSHIPS VALLEY CHILDREN'S CLINICAL PARTNERSHIP PROGRAM BRINGS TOGETHER INSTITUTIONS FOCUSED ON ENHANCING NEONATAL AND PEDIATRIC CARE, REGARDLESS IF THE ILL OR INJURED CHILD BECOMES A VALLEY CHILDREN'S PATIENT. THIS EFFORT HELPS PREVENT CHILDREN FROM BEING TRANSFERRED OR REFERRED UNNECESSARILY TO VALLEY CHILDREN'S, AS WELL AS POTENTIALLY IDENTIFIES EARLIER WHEN A CHILD NEEDS ADVANCED PEDIATRIC CARE. WITH IMPROVED COMMUNICATION AND TOOLS, WE DECREASE STRESS FOR PATIENTS AND FAMILIES AND INCREASE PROVIDER CONFIDENCE IN PROVIDING PEDIATRIC CARE, WHILE ENHANCING PERFORMANCE AT BOTH INSTITUTIONS. THE GOALS OF OUR CLINICAL PARTNERSHIPS INCLUDE PROVIDING: -IMPROVED QUALITY -MORE CARE DELIVERED CLOSER TO HOME -ENHANCED, COORDINATED CARE IN 2017, VALLEY CHILDREN'S SUPPORTED 10 CLINICAL PARTNERS. INJURY PREVENTION VALLEY CHILDREN'S OPERATES AN INJURY PREVENTION PROGRAM TO INCREASE COMMUNITY AWARENESS OF CHILDHOOD INJURIES AND THOSE MEASURES THAT CAN BE TAKEN TO DECREASE THEIR PREVALENCE THROUGHOUT CENTRAL CALIFORNIA. THE PROGRAM RECORDED OVER 23,367 CONTACTS WITH CHILDREN, PARENTS, HEALTH CARE PROFESSIONALS AND OTHERS AT 175 DIFFERENT COMMUNITY, MEDIA AND PROFESSIONAL EVENTS. THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2017: CHILD PASSENGER SAFETY, HELMET SAFETY, MEDICATION SAFETY, CONCUSSION, SAFE INFANT SLEEP, ABUSIVE HEAD TRAUMA, SUICIDE PREVENTION, TEEN DEPRESSION AND POISON PREVENTION. IN ADDITION TO TOPICS LISTED ABOVE, VALLEY CHILDREN'S CONTINUED ITS STRONG FOCUS ON WATER SAFETY THROUGH THE KOHL'S WATER SAFETY PROGRAM - A PARTNERSHIP BETWEEN VALLEY CHILDREN'S HOSPITAL AND KOHL'S CARES. THIS PROGRAM PROVIDES BROAD-BASED AWARENESS MESSAGING, EDUCATIONAL OPPORTUNITIES AND COMMUNITY OUTREACH EVENTS TO CHILDREN AND FAMILIES ON WATER SAFETY AND DROWNING PREVENTION. THE MULTIFACETED PROGRAM AIMS TO DECREASE WATER-RELATED INJURIES AND DROWNING AND IMPROVE THE HEALTH, SAFETY AND WELLBEING OF CHILDREN IN COMMUNITIES SERVED BY VALLEY CHILDREN'S AND KOHL'S DEPARTMENT STORES. healthCARE LITERACY VALLEY CHILDREN'S PROVIDED ACCESS TO ON-LINE EDUCATIONAL INFORMATION VIA THE HEALTH ENCYCLOPEDIA LINK ON ITS WEBSITE. HEALTH ENCYCLOPEDIA CONTAINS THOUSANDS OF PAGES OF INFORMATION ON PEDIATRIC DISEASES, CONDITIONS AND TREATMENTS, AS WELL AS SECTIONS ON HOW TO KEEP KIDS HEALTHY. THE ENCYCLOPEDIA IS AVAILABLE IN ENGLISH AND SPANISH. MEETING THE NEEDS OF MEDICALLY COMPLEX CHILDREN VALLEY CHILDREN'S RECOGNIZES THE CRITICAL ROLE THAT COMMUNITY-BASED PROVIDERS AND ORGANIZATIONS PLAY IN MEETING THE NEEDS OF MEDICALLY COMPLEX CHILDREN AND IS COMMITTED TO MAKING SURE THEY HAVE THE CLINICAL SKILLS TO TAKE CARE OF THIS PATIENT POPULATION. THE HOSPITAL PROVIDED OUTREACH EDUCATION TO HOSPITAL STAFF AND COMMUNITY-BASED ORGANIZATIONS TO MAKE SURE THEY HAVE THE CLINICAL EXPERTISE NEEDED TO CARE FOR MEDICALLY COMPLEX CHILDREN, INCLUDING CHILDREN WITH TRACHEOSTOMIES AND VENTILATORS. ADAPTIVE SPORTS PROGRAM VALLEY CHILDREN'S ADAPTIVE SPORTS PROGRAM PROVIDES RECREATIONAL AND ATHLETIC EXPERIENCES FOR THOSE WITH DISABILITIES FREE OF CHARGE. IT'S DESIGNED FOR INDIVIDUALS WITH PHYSICAL AND HEALTH IMPAIRMENTS AND CONDITIONS RANGING FROM CEREBRAL PALSY TO SPINAL CORD INJURIES. THROUGH HARD WORK AND DETERMINATION, PARTICIPANTS LEARN THAT IT'S POSSIBLE FOR THEM, TOO, TO TAKE PART IN ATHLETIC ACTIVITIES, EXCEED EXPECTATIONS AND ACHIEVE THEIR DREAMS. THE PROGRAM OFFERS A UNIQUE OPPORTUNITY FOR PEOPLE WITH SIMILAR DISABILITIES TO COME TOGETHER AND INCREASE THEIR SOCIAL INTERACTION. PARENTS OF SPECIAL NEEDS CHILDREN ALSO HAVE THE CHANCE TO MEET OTHER PARENTS AND FIND SUPPORT, ENCOURAGEMENT AND FRIENDSHIP. ACTIVITIES OFFERED IN 2017 INCLUDED WATER SKIING, SURFING, ROCK CLIMBING, SLED HOCKEY, WHEELCHAIR BASKETBALL, KAYAKING, TENNIS, PADDLE BOARDING, CAMPING, ADAPTIVE SCUBA AND TRACK AND FIELD. * HEALTH CARE SUPPORT SERVICES VALLEY CHILDREN'S PROVIDED HEALTH CARE SUPPORT SERVICES TO HELP ADDRESS THE HEALTH CARE NEEDS OF CHILDREN AND THEIR FAMILIES, AT HOME, AT SCHOOL, AND IN THE COMMUNITY. CHILD ABUSE PREVENTION THE GUILDS OF VALLEY CHILDREN'S HOSPITAL CHILD ABUSE PREVENTION AND TREATMENT CENTER'S MISSION IS TO PROVIDE COMPREHENSIVE SERVICES TO CHILDREN AND THEIR FAMILIES THROUGH A MULTIDISCIPLINARY, CHILD-FRIENDLY PROGRAM, AND TO MEET THE PHYSICAL AND EMOTIONAL NEEDS OF CHILDREN SUSPECTED OF BEING ABUSED OR NEGLECTED. THE CENTER'S VISION IS TO BE THE PREMIER PROVIDER IN CENTRAL CALIFORNIA FOR DIAGNOSTIC PHYSICAL ABUSE ASSESSMENTS, FOSTER CARE MEDICAL CLEARANCE EXAMINATIONS, AND PEDIATRIC SEXUAL ASSAULT EVALUATIONS INCLUDING CHILDREN WHO HAVE BEEN VICTIMS OF COMMERCIAL SEXUAL EXPLOITATION. THE CENTER'S CHILD ADVOCACY CLINIC OPERATES FIVE DAYS A WEEK AND SEES CLOSE TO 1,000 CHILDREN EACH YEAR. THE CENTER'S PROVIDERS ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY FOR EMERGENCY COVERAGE. THE CENTER INCLUDES AN INPATIENT COMPONENT THAT EVALUATES ABOUT 100 CHILDREN YEARLY IN THE PEDIATRIC EMERGENCY DEPARTMENT, ACUTE-CARE FLOORS AND THE PEDIATRIC INTENSIVE CARE UNIT. THESE CHILDREN ARE EVALUATED FOR SUSPECTED PHYSICAL ABUSE, SEXUAL ABUSE AND NEGLECT. THE STAFF INCLUDES A BOARD-CERTIFIED CHILD ABUSE PEDIATRICIAN, NURSE PRACTITIONERS SPECIALIZING IN CHILD MALTREATMENT, FORENSIC NURSES, SOCIAL WORKERS, A CENTER COORDINATOR AND SUPPORT STAFF. THE CENTER WORKS CLOSELY WITH LAW ENFORCEMENT, COUNTY CHILD PROTECTIVE SERVICES (CPS) AGENCIES, AND DISTRICT ATTORNEYS' OFFICES IN CHILD MALTREATMENT INVESTIGATIONS. COLLABORATIVE EFFORTS INCLUDE CASE CONSULTATION AND MONTHLY SCAN (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 CENTRAL VALLEY. THE SCAN TEAM CONSISTS OF MULTIDISCIPLINARY MEMBERS THAT INCLUDE PHYSICIANS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, LAW ENFORCEMENT, CPS, ATTORNEYS, PUBLIC HEALTH AND OTHER INDIVIDUALS AND GROUPS WHEN INDICATED. THE CENTER'S EFFORTS ALSO INCLUDE PARTICIPATION IN MUTLIPLE COUNTY CHILD DEATH REVIEW TEAM (CDRT) MEETINGS. THESE MEETINGS ARE DESIGNED TO REVIEW CHILD ABUSE AND NEGLECT FATALITIES, ALONG WITH SUSPICIOUS CHILD DEATHS, TO PREVENT FUTURE FATALITIES BY IMPROVING SERVICES, ADVOCATING FOR CHANGE AND CONDUCTING PUBLIC AWARENESS ACTIVITIES. THE CENTER ALSO COLLABORATES WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO PARENTS, CAREGIVERS, HEALTH CARE PERSONNEL, TEACHERS AND MANDATED REPORTERS OF SUSPECTED CHILD MALTREATMENT. THESE PARTNERS INCLUDE VALLEY CHILDREN'S TRAUMA DEPARTMENT'S INJURY PREVENTION TEAM, SAFE KIDS, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, COMPREHENSIVE YOUTH SERVICES, CPS, EXCEPTIONAL PARENTS UNLIMITED, SEXUAL ASSAULT RESPONSE TEAMS (SART), AND COUNTY PUBLIC HEALTH DEPARTMENTS. ENROLLMENT IN HEALTH INSURANCE VALLEY CHILDREN'S IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM, OR THE VALLEY CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, VALLEY CHILDREN'S STAFF ASSISTED THE FAMILY WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES. FOOD FOR FAMILIES VALLEY CHILDREN'S DIETARY DEPARTMENT PROVIDED MEAL COUPONS TO BREAST-FEEDING MOMS WHOSE INFANTS WERE AT VALLEY CHILDREN'S. ADDITIONALLY, THROUGH A PROGRAM CALLED MEALS OF THE HEART, WHICH IS SPONSORED BY RONALD MCDONALD CHARITIES OF CENTRAL CALIFORNIA, VALLEY CHILDREN'S SOCIAL WORK TEAM PROVIDED PATIENTS' FAMILIES WITH MEAL COUPONS WHEN THEY ARRIVED AND WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL. THE SOCIAL WORK TEAM ALSO WORKS CLOSELY WITH THE CALIFORNIA CHILDREN'S SERVICES PROGRAM TO PROVIDE FOOD FOR ELIGIBLE FAMILIES.
Form 990, Part III, Line 4aVALLEY CHILDREN'S ALSO PARTNERED WITH OTHER REGIONAL ORGANIZATIONS THAT HELP ENSURE PATIENTS' FAMILIES HAVE FOOD TO EAT, INCLUDING THE MENDIBURU MAGIC FOUNDATION BASED IN BAKERSFIELD, THE ROMAN CATHOLIC DIOCESE OF FRESNO, AND THE SWEET EATS PROGRAM. LITERACY PROGRAM Valley Children's Healthcare is uniquely positioned to make a difference in the literacy of children throughout our service area. It is the aim of our Literacy Program to put a new, age- appropriate book into the hands of every child who comes into our Hospital. Currently, we provide 1,500-2,000 new books a month to our inpatients and outpatients. Reaching our literacy goals requires much more than just handing out free books. It also requires educating parents on the importance of literacy and talking to their children. Valley Children's staff co-chaired the Fresno Childrens Movements talk Read Sign campaign in 2017, which focused on promoting reading throughout different school districts, Head Start programs, and Women and Infant Children offices. For many families in the Central Valley, books are a luxury. The area is among the poorest in the nation with 41 percent of the area's children ages 0-5 living in households where the income is below the federal poverty level. Not coincidentally, the Valley is also one of the least literate parts of the country. Studies have shown that children from poor socio-economic environments can start kindergarten having heard 30 million fewer words than their more affluent peers. Reading to children can shift this kind of trend. However, asking financially strapped families to put books for their children ahead of other vital priorities is unrealistic. That is why our program wants to help them take the luxury out of literacy. Putting books into the hands of families that cannot afford them can go a long way in increasing literacy rates and performance in school, highlighting the importance of making books a part of normal life for every child who visits Valley Children's. TRANSPORTATION GIVEN THE CENTRAL VALLEY'S LARGELY RURAL LANDSCAPE AND HIGH CONCENTRATION OF POVERTY, TRANSPORTATION HAS LONG BEEN A CHALLENGE FOR MANY FAMILIES. VALLEY CHILDREN'S CONTINUES TO WORK WITH THE COMMUNITY TO IMPROVE PUBLIC TRANSPORTATION AND ACCESS TO CARE. VALLEY CHILDREN'S SOCIAL WORK DEPARTMENT ASSISTED FAMILIES WITH TRANSPORTATION BY PROVIDING GAS CARDS, TAXI VOUCHERS AND / OR BUS TOKENS. VALLEY CHILDREN'S ALSO SUBSIDIZED BUS AND OTHER PUBLIC TRANSIT SERVICES FROM THE CITY OF FRESNO AND KINGS COUNTY. *SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES VALLEY CHILDREN'S SUPPORTED A NUMBER OF PROGRAMS AND ACTIVITIES TO IMPROVE THE CAPACITY OF COMMUNITIES TO PROMOTE HEALTH AND WELLNESS AMONG CHILDREN. CHILDHOOD WEIGHT MANAGEMENT In 2017, Valley Children's initiated conversations with community stakeholders for the purpose of developing a regional agenda that measurably improves the health and wellbeing of children by reducing and preventing childhood obesity through collaboration, education and advocacy. Led by its Community Diabetes Program Coordinator and in collaboration with the Central California Children's Institute at California State University, Fresno, Valley Children's work included the following: An environmental scan was conducted across all of the counties in our service area to better understand the issue of childhood obesity, to assess existing programs, initiatives and services, and to identify resource gaps and opportunities for effective intervention and potential partnerships. Valley Children's engaged over 50 community organizations and stakeholders including schools, public health departments, community based organizations, healthcare providers, health plans, businesses and local government. Based on the results of the environmental scan, an action plan was developed that focuses on increasing awareness and access to healthy foods and beverages, supporting opportunities for safe physical activity, and creating and improving policies, systems and environmental changes that support healthy living. Initial action plan work has looked at system improvements, including enhanced coordination amongst separate obesity prevention initiatives taking place in three counties and education and support for pediatricians in their efforts to prevent and / or manage childhood obesity. Additionally, in 2017, Valley Children's staff co-chaired the Fresno County Health Improvement Partnership Diabetes Collaborative and its Youth Initiatives subcommittee and was a member of its Health Literacy and Food to Share subcommittees. Valley Children's staff also presented to the School Health Advisory Council and school nurse leaders across the region. EARLY CHILD DEVELOPMENT Valley Children's participated in a number of initiatives supporting the healthy development of children both during pregnancy and during the first three years of life. Examples include the following. Fresno County Pre-Term Birth Initiative: Fresno County has one of California's highest rates of prematurity with 1 out of every 9 babies born too early. Premature birth can cause serious physical and mental disabilities or even death before the baby's first birthday. Over a ten year period, the Fresno County Pre-Term Birth Initiative will work to improve the health of Fresno's mothers and reduce the rate of premature babies. Using an approach called Collective Impact, partners across many sectors have come together to create change in Fresno County. Valley Children's has been an active participant in this initiative, with Valley Children's Senior Vice President for Community Engagement and Population Wellness serving as chair of the Initiative's Steering Committee. Help Me Grow Fresno County: Help Me Grow is a coordinated system of early identification and referral for Fresno County's children ages 0-5 who are at risk for development delays. In 2017, Valley Children's played an important role in this initiative, both in supporting the adoption of the Help Me Grow model in our primary care practices and by making available one of our pediatricians to serve as a Physician Champion by helping to promote and train other pediatricians in the Help Me Grow model. March of Dimes: Valley Children's partnered closely with the March of Dimes to advocate on behalf of policies at the state and federal level that promote healthy pregnancies and healthy babies. Additionally, Valley Children's Director of Community and Government Relations chaired the March of Dimes' of California's Advocacy and Government Affairs Committee in 2017. MENTAL HEALTH Issues and challenges associated with child and adolescent mental health continued to be a major concern in 2017. To help identify potential regional solutions, Valley Children's supported or participated in a number of activities. Valley Children's staff provided teen suicide prevention education to students and staff at area high schools. In February 2017, Valley Children's hosted a seminar titled "A Discussion on Teen Depression and Suicide Prevention" that drew over 200 attendees from across the Central Valley. In addition, Valley Children's staff either led or participated in a number of community-based collaboratives focused on preventing child mental illness and / or early identification and treatment of child mental illness. Valley Children's staff chaired an initiative called Community Conversations, which is a 50 member collaborative addressing issues of mental health, homelessness and the impact on families. A number of Valley Children's staff also served as members of the Fresno Suicide Prevention Collaborative.
FORM 990 PART III, LINE 4B:STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE TWO COMMITMENT TO MEDI-CAL - Valley CHILDREN'S HOSPITAL'S COMMITMENT TO SERVING ITS COMMUNITY IS EVIDENCED BY THE LARGE NUMBER OF PATIENTS SERVES THAT ARE COVERED BY MEDI-CAL. IN 2017, 77% OF HOSPITAL INPATIENT DAYS WERE COVERED BY MEDI-CAL. THE COMBINED NET EFFECT OF TOTAL MEDI-CAL REIMBURSEMENT AND DISPROPORTIONATE SHARE FUNDING IN RELATION TO THE COST OF THESE SERVICES RESULTED IN A NET LOSS TO THE HOSPITAL IN 2017 OF $98,716,902. THIS FIGURE IS SEPARATE FROM AND DOES NOT INCLUDE THE COMMUNITY BENEFIT ACTIVITIES AND EXPENSES NOTED IN PREVIOUS SECTIONS, AND ALSO EXCLUDES THE REVENUE AND EXPENSES ASSOCIATED WITH THE HOSPITAL FEE PROGRAM, WHICH IS DESCRIBED IN MORE DETAIL BELOW. HOSPITAL FEE PROGRAM - IN 2009, CALIFORNIA IMPLEMENTED THE HOSPITAL FEE PROGRAM THROUGH WHICH HOSPITALS IN CALIFORNIA, INCLUDING VALLEY CHILDREN'S HOSPITAL, RECEIVED SUPPLEMENTAL MEDI-CAL PAYMENTS. CALIFORNIA IMPLEMENTED THE PROGRAM TO HELP OFFSET A PORTION OF HOSPITAL MEDI-CAL PAYMENT SHORTFALLS ACCRUED OVER CURRENT AND PRIOR YEARS. THE PROGRAM WAS FUNDED BY A QUALITY ASSURANCE FEE PAID BY HOSPITALS THAT THE STATE THEN USES TO COLLECT ADDITIONAL FEDERAL FUNDING. HOSPITAL FEE PROGRAMS LIKE CALIFORNIA'S ARE ALLOWABLE UNDER FEDERAL LAW, AND THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROVED CALIFORNIA'S PROGRAM. In 2017, Valley Children's Hospital recognized program revenue of $51,343,220, net of the hospital's quality assurance fee and hospital contributions to the California Health Foundation and Trust (CHFT). CHFT was established under the Program for the purpose of supporting charitable activities. CHARITY CARE - IN KEEPING WITH OUR MISSION, Valley CHILDREN'S HOSPITAL CONTINUES TO ACCEPT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2017, CHILDREN'S HOSPITAL PROVIDED $99,536 IN CHARITY CARE. THE AMOUNT REPRESENTS COSTS ASSOCIATED WITH PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES IN RELATION TO THE COST OF THESE SERVICES. CHARITY CARE INCLUDES COUNTY INDIGENT AND FREE CARE, WHICH IS BASED ON THE PATIENT'S INABILITY TO PAY FOR SERVICES. IN ORDER TO ASSIST FAMILIES WITH ONGOING CARE NEEDS, Valley CHILDREN'S HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES PATIENT FAMILIES TO APPLY FOR APPROPRIATE GOVERNMENT FUNDING IN CONJUNCTION WITH APPLYING FOR FINANCIAL ASSISTANCE (CHARITY CARE). AS A RESULT, MANY FAMILIES QUALIFY FOR GOVERNMENT PROGRAMS AND DO NOT ULTIMATELY REQUIRE CHARITY CARE. THE HOSPITAL'S CHARITY CARE AMOUNT IS SEPARATE FROM AND DOES NOT INCLUDE THE COMMUNITY BENEFIT ACTIVITIES AND EXPENSES NOTED IN PREVIOUS SECTIONS.
Form 990, Part VI, Section A, line 6The amended and restated bylaws of Valley Children's Hospital, effective 10/17/13, established Valley Children's Healthcare as the sole member of the corporation. Certain member rights, including the right to approve, fix the number, elect, and remove elected trustees, are included in these bylaws.
Form 990, Part VI, Section A, line 7aSee answer for line 6 above
Form 990, Part VI, Section A, line 7bSEE ANSWER FOR LINE 6 ABOVE
Form 990, Part VI, Section B, line 11bA DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
Form 990, Part VI, Section B, line 12cTHE HOSPITAL BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE HOSPITAL'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. THE HOSPITAL MAINTAINS A SEPARATE BUT SIMILAR POLICY GOVERNING INDIVIDUALS EMPLOYED IN COVERED POSITIONS.
Form 990, Part VI, Section B, line 15AS PROVIDED BY THE VALLEY CHILDREN'S HEALTHCARE BYLAWS, A COMPENSATION COMMITTEE HAS BEEN ESTABLISHED THAT CONSISTS OF A CHAIR AND AT LEAST THREE MEMBERS OF THE BOARD OF TRUSTEES. THE PRIMARY ROLE OF THE COMMITTEE IS TO ENSURE THAT COMPENSATION IS REASONABLY RELATED TO THE DUTIES PERFORMED FOR THE NETWORK AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO CEO, OFFICER, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE CEO'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE
Form 990, Part VI, Section C, line 19A COPY OF Valley CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF Valley CHILDREN'S HOSPITAL IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE ANNUAL FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part IX, line 11gProfessional Medical Fees: Program service expenses 57,215,046. Management and general expenses 0. Fundraising expenses 0. Total expenses 57,215,046. other Professional Fees - Temporary staffing fees: Program service expenses 7,082,950. Management and general expenses 398,946. Fundraising expenses 0. Total expenses 7,481,896.
Form 990, Part XI, line 9:Pension-related changes other than net periodic pension cost 24,834,607. Rounding -2.

Schedule R IRS990ScheduleR

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Valley CHILDREN'S HEALThcare
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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of EOY AssetsShareOfEOYAssetsAmt
Mondrian International Fixed Income Fund LP
1105 N Market Street Ste 1118WilmingtonDE19801201575121investmentDEN/Aunrelated$760,989000.84420
Herndon Temperance LLC
5286 E Home AvefresnoCA93727812808671Real PropertyCArelated-$19,465000.98000Valley Children's Hospital$2,470,060
VALLEY PHYSICIANS ALLIANCE LLC
9300 valley childrens placemaderaCA93636813817791healthcareCArelated-$551,381000.25500VPA Holdings LLC$1,436,481

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPct
Valley Children's Holdings I LLC
9300 VALLEY CHILDRENS PLACEmaderaCA93636371872422healthcareCAN/AC0
VPA Holdings LLC
9300 VALLEY CHILDRENS PLACEmaderaCA93636814192995InvestingCACYes (1)Valley Children's Hospital0.50000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VALLEY CHILDREN'S MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$12,866,938InvolvedAmt
Method Of Amount DeterminationCASH VALUEMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationNAME OF RELATED ORGANIZATION: VALLEY CHILDREN'S HEALTHCARE FOUNDATION PRIMARY ACTIVITY: PHILANTHROPY/FUNDRAISING FOR VALLEY CHILDREN'S HEALTHCARE & RELATED ENTITIESExplanationTxt

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