VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-15
IRS object ID: 201732279349303513
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-15T16:00:33-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Moss Adams LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3121 W March Ln Ste 200	AddressLine1Txt
City	Stockton	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	952192367	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941294954	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Valley Children's Hospital	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 Valley Childrens Place	AddressLine1Txt
City	Madera	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	936368761	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michele Waldron	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5593533000	PhoneNum
Signature	2017-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Tracy S Paglia	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum
Preparation	2017-08-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHELE WALDRON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 Valley Childrens Place	AddressLine1Txt
City	Madera	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	936368761	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$764,506,131	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.valleychildrens.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3299	TotalEmployeeCnt
Total Volunteers	475	TotalVolunteersCnt
Total Gross UBI	$66	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,658,021	PYContributionsGrantsAmt
CY Contributions Grants	$21,198,267	CYContributionsGrantsAmt
PY Program Service Revenue	$582,676,037	PYProgramServiceRevenueAmt
CY Program Service Revenue	$539,203,507	CYProgramServiceRevenueAmt
PY Investment Income	$15,816,048	PYInvestmentIncomeAmt
CY Investment Income	$12,966,081	CYInvestmentIncomeAmt
PY Other Revenue	$12,004,445	PYOtherRevenueAmt
CY Other Revenue	$15,845,165	CYOtherRevenueAmt
PY Total Revenue	$633,154,551	PYTotalRevenueAmt
CY Total Revenue	$589,213,020	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,811,358	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$12,188,201	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$260,856,264	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$277,283,712	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$252,415,468	PYOtherExpensesAmt
CY Other Expenses	$244,272,406	CYOtherExpensesAmt
PY Total Expenses	$515,083,090	PYTotalExpensesAmt
CY Total Expenses	$533,744,319	CYTotalExpensesAmt
PY Revenues Less Expenses	$118,071,461	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$55,468,701	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,092,469,377	TotalAssetsBOYAmt
Total Assets EOY	$1,164,758,110	TotalAssetsEOYAmt
Total Liabilities BOY	$278,947,276	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$283,321,497	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$813,522,101	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$881,436,613	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To provide high quality comprehensive healthcare services to children regardless of their ability to pay and to continuously improve the health and well-being of children.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$57,642,722	ExpenseAmt
Grant	$12,188,201	GrantAmt
Revenue	$277,766,674	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$358,872,982	ExpenseAmt
Revenue	$261,436,833	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$416,515,704	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	307	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3299	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5593533000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TODD SUNTRAPAK
CEO	17.50	32.50	Yes (X)	Yes (X)	$1,007,348	$0	$198,763
Bruce Albright
Board Member, Termed 12/31/15	1.00		Yes (X)		$0	$0	$0
Dr Linda Fraley
Board member, secretary thru 1/16	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Dave Nalchajian
Board Secretary	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Paul McDougal
Foundation Board Chairman	1.00	1.00	Yes (X)		$0	$0	$0
Dr Robert Kubo
Board member, TREASURER thru 1/16	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
RILEY WALTER
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
Jeff Mayer
Board Member, Termed 12/31/15	1.00		Yes (X)		$0	$0	$0
Michael Hanson
Board Member	1.00		Yes (X)		$0	$0	$0
Pat Ricchiuti
Board Member, Termed 12/31/15	1.00		Yes (X)		$0	$0	$0
Dr Charles Smith
Board Vice Chair, Deceased 8/12/16	1.00		Yes (X)	Yes (X)	$0	$0	$0
Bill Smittcamp
Board Chair	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
Kim Ruiz Beck
Board Member	1.00	2.00	Yes (X)		$0	$0	$0
Jeannine Campos Grech
Board TREASURER	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
Dr Sahar Barayan
CHIEF OF STAFF, Termed 2/2016	1.00		Yes (X)		$75,000	$0	$0
Fred Laningham MD
CHIEF OF STAFF	1.00		Yes (X)		$0	$0	$0
Noreen Wade
Board Member, Termed 1/31/16	1.00		Yes (X)		$0	$0	$0
Jose Elgorriaga
Board Member	1.00		Yes (X)		$0	$0	$0
Mendy Laval
Board Member	1.00		Yes (X)		$0	$0	$0
Dr David Krause
board meMBER, board chair thru 1/15	1.00	1.00	Yes (X)		$0	$0	$0
Michele R Waldron
Senior VP, CFO	18.50	31.50		Yes (X)	$611,109	$0	$141,992
David Christensen
Senior VP, CMO	18.00	27.00			$666,987	$0	$112,581	Yes (X)
BEVERLY HAYDEN-PUGH
Senior VP, Chief Operations and Chief Nursing Offi	18.00	27.00			$454,000	$0	$117,712	Yes (X)
Jessie Hudgins
VP, Facilities	40.00				$380,692	$0	$106,452	Yes (X)
Natale Ponticello JR
Senior VP, Human Resources	29.00	11.00			$378,136	$0	$60,791	Yes (X)
Jane Willson
Senior VP, Corporate Development	8.00	32.00			$398,150	$0	$86,476	Yes (X)
David Singh
VP, Ancillary Services	40.00				$378,059	$0	$66,386	Yes (X)
Michael Goldring
President, VCMG	12.00	28.00			$468,066	$0	$61,129	Yes (X)
Stephanie Vance
Finance, VP	40.00				$315,540	$0	$73,203	Yes (X)
Joel Brownell MD
VP, Chief Medical Information Officer	40.00				$384,824	$0	$42,229	Yes (X)
Karen Dahl
VP, Quality & Patient Safety	40.00				$336,263	$0	$15,326	Yes (X)
Kevin Shimamoto
VP and CIO	40.00				$318,168	$0	$11,203	Yes (X)
DANIEL DAVIS
VP Clinical Ops	40.00				$308,991	$0	$42,988	Yes (X)
Daniel Barry
VP, Revenue Cycle Mgmt	40.00				$172,717	$0	$9,495	Yes (X)
David Hodge Jr
VP Ancillary Services	40.00				$260,374	$0	$36,109	Yes (X)
Richard Sakai
Director Pharmacy	40.00				$206,761	$0	$39,073		Yes (X)
Christopher Long
Exec Dir Comm & Advocacy, Termed 6/7/16	40.00				$252,934	$0	$30,504		Yes (X)
Paul Lilles
Director, Physician Practice Services	40.00				$212,054	$0	$34,616		Yes (X)
Tom Cross
Pharmacist	40.00				$203,610	$0	$42,686		Yes (X)
Yvonne Wood
RN	40.00				$202,904	$0	$38,826		Yes (X)
Rick Wolf
Former VP, General Counsel, Termed 8/21/15	40.00				$755,097	$0	$79,332			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,747,784	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,447,872	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	602	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Valley Children's MEDICAL GROUP
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	SUBSPEC PHySICIAN SERVICES	$28,485,277
PEDIATRIC ANETHESIA ASSOCIAtes
6235 N FRESNO ST STE 103	FRESNO	CA	93710	ANETHESIA/CRITICAL CARE	$9,566,742
Sodexo Inc & Associates
PO Box 360170	Pittsburgh	PA	152516170	HOUSEKEEPING SERVICES	$4,702,971
Zumwalt Construction Inc
5520 E Lamona Ave	FRESNO	CA	93727	Construction Services	$2,706,254
dba Worldwide
222 S Main St	Rochester	MI	48307	Advertising/marketing Services	$2,665,190

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	82	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,233,250	RelatedOrganizationsAmt
Government Grants	$13,390,071	GovernmentGrantsAmt
All Other Contributions	$574,946	AllOtherContributionsAmt
Noncash Contributions	$1,165,400	NoncashContributionsAmt
Total Contributions	$21,198,267	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	900099	$535,980,305	$535,980,305
MANAGEMENT SERVICES	541610	$2,866,147	$2,866,147
OUTSIDE LAB SERVICES	900099	$357,055	$357,055

Field	Value	IRS element (for citing)
Total Program Service Revenue	$539,203,507	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,640,876	TotalRevenueColumnAmt
Unrelated Business Revenue	$66	UnrelatedBusinessRevenueAmt
Exclusion	$12,640,810	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$862,801	TotalRevenueColumnAmt
Exclusion	$862,801	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$107,279	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$95,655	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$11,624	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,624	TotalRevenueColumnAmt
Exclusion	$11,624	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$174,367,937	SecuritiesAmt
Other	$12,266	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$174,904,634	SecuritiesAmt
Other	$13,165	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$536,697	SecuritiesAmt
Other	-$899	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$537,596	TotalRevenueColumnAmt
Exclusion	-$537,596	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$622,064	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$279,657	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$342,407	TotalRevenueColumnAmt
Exclusion	$342,407	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,067,445	TotalRevenueColumnAmt
Exclusion	$3,067,445	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,423,689	TotalRevenueColumnAmt
Exclusion	$12,423,689	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,491,134	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$589,213,020	TotalRevenueColumnAmt
Related Or Exempt Func Income	$539,203,507	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$66	UnrelatedBusinessRevenueAmt
Exclusion	$28,811,180	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,973,233	TotalAmt
Program Services	$11,973,233	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$214,968	TotalAmt
Program Services	$214,968	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,411,651	TotalAmt
Management And General	$8,411,651	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$14,635	TotalAmt
Management And General	$14,635	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$184,291,726	TotalAmt
Program Services	$146,385,972	ProgramServicesAmt
Management And General	$37,905,754	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,331,139	TotalAmt
Program Services	$11,305,366	ProgramServicesAmt
Management And General	$3,025,773	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$54,783,246	TotalAmt
Program Services	$40,477,489	ProgramServicesAmt
Management And General	$14,305,757	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,451,315	TotalAmt
Program Services	$11,649,638	ProgramServicesAmt
Management And General	$3,801,677	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,688,460	TotalAmt
Program Services	$82,298	ProgramServicesAmt
Management And General	$2,606,162	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,061,932	TotalAmt
Management And General	$3,061,932	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$181,941	TotalAmt
Management And General	$181,941	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,456,256	TotalAmt
Management And General	$2,456,256	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$48,383,149	TotalAmt
Program Services	$48,170,983	ProgramServicesAmt
Management And General	$212,166	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,055,516	TotalAmt
Program Services	$5,055,516	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,353,221	TotalAmt
Program Services	$67,852,298	ProgramServicesAmt
Management And General	$8,500,923	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,241,049	TotalAmt
Management And General	$5,241,049	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,258,495	TotalAmt
Program Services	$3,375,343	ProgramServicesAmt
Management And General	$883,152	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$629,656	TotalAmt
Program Services	$232,433	ProgramServicesAmt
Management And General	$397,223	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$369,310	TotalAmt
Program Services	$53,808	ProgramServicesAmt
Management And General	$315,502	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,561,387	TotalAmt
Program Services	$5,139,628	ProgramServicesAmt
Management And General	$1,421,759	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,860,459	TotalAmt
Program Services	$14,370,528	ProgramServicesAmt
Management And General	$11,489,931	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,392,460	TotalAmt
Program Services	$69,066	ProgramServicesAmt
Management And General	$2,323,394	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Hospital Fee Program	$28,831,662	$28,831,662
PURCHASED SERVICES	$20,202,872	$15,274,544	$4,928,328
BAD DEBT	$5,231,182	$5,231,182
DUES	$1,911,194	$168,454	$1,742,740

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,602,205	TotalAmt
Program Services	$601,295	ProgramServicesAmt
Management And General	$4,000,910	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$533,744,319	TotalAmt
Program Services	$416,515,704	ProgramServicesAmt
Management And General	$117,228,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,436	BOYAmt
EOY	$13,334	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$161,458,720	BOYAmt
EOY	$159,117,236	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$452,249	BOYAmt
EOY	$606,581	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$61,304,184	BOYAmt
EOY	$64,196,786	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,317,968	BOYAmt
EOY	$8,425,855	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,876,710	BOYAmt
EOY	$6,164,921	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$488,623,309	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$241,609,188	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$251,011,261	BOYAmt
EOY	$247,014,121	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$262,720,053	BOYAmt
EOY	$269,857,676	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$259,885,083	BOYAmt
EOY	$322,524,401	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,615,078	BOYAmt
EOY	$5,415,799	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,814,635	BOYAmt
EOY	$81,421,400	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,092,469,377	BOYAmt
EOY	$1,164,758,110	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,824,099	BOYAmt
EOY	$54,240,199	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$129,040,378	BOYAmt
EOY	$123,434,685	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,082,799	BOYAmt
EOY	$105,646,613	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$278,947,276	BOYAmt
EOY	$283,321,497	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$795,970,464	BOYAmt
EOY	$877,515,448	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,551,637	BOYAmt
EOY	$3,921,165	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$813,522,101	BOYAmt
EOY	$881,436,613	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,092,469,377	BOYAmt
EOY	$1,164,758,110	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$55,468,701	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$41,708,898	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,263,087	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$6,839	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$352,333	OtherActivitiesAmt
Total Lobbying Expenditures	$359,172	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	Valley Children's Hospital has had direct contact with and has encouraged others to have direct contact with local, state and federal legislators regarding children's health care public policy. These contacts have provided information regarding the provision of health care services to children, the anticipated effect on children's health of pending legislative proposals, and requests for assistance in supporting access to children's health care by maintaining current state and federal funding levels for Medi-Cal and other public programs. Expenses associated with this activity are less than 1% of total Hospital expenditures. Valley Children's Hospital has made no contributions to any political candidate or elected official. Salaries related to lobbying $6,839 Association Dues related to lobbying NACH 20,621 American Hospital Association 9,944 Association of American Medical Colleges 261 California Chamber of Commerce 112 California Children's Hospital Association 63,228 California Hospital Association 236,866 Hospital Council of Northern & Central Calif. 21,301 Total expenditures related to legislative matters $359,172	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,727,143	OtherCostOrOtherBasisAmt
Book Value	$9,727,143	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$277,767,335	OtherCostOrOtherBasisAmt
Depreciation	$93,986,538	DepreciationAmt
Book Value	$183,780,797	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,714,543	OtherCostOrOtherBasisAmt
Depreciation	$2,504,561	DepreciationAmt
Book Value	$1,209,982	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$172,427,589	OtherCostOrOtherBasisAmt
Depreciation	$125,208,919	DepreciationAmt
Book Value	$47,218,670	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,986,699	OtherCostOrOtherBasisAmt
Depreciation	$19,909,170	DepreciationAmt
Book Value	$5,077,529	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$247,014,121	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Limited Partnerships	Desc
Book Value	$322,524,401	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$322,524,401	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
DISPROPORTIONATE SHARE FUNDS RECEIVABLE	$17,304,297
insurance receivable	$6,644,357
provider fee receivable	$36,019,306
457 trust funds	$2,256,600
restricted cash	$5,950,705
other	$4,405,884
UnaMORTIZED BOND ISSUE COSTS	$2,173,257
Advance Med Foundation	$3,798,244
Prepaid Lease asset	$2,868,750

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$81,421,400	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
MALPRACTICE RESERVE	$2,762,000
ACCRUED PENSION LIABILITY	$88,590,701
457 LIABILITY	$2,256,600
1732 LIABILITY	-$535,435
workers comp	$6,525,560
INS LIABILITY	$4,157,440
DC SERP LIABILITY	$1,889,747

Field	Value	IRS element (for citing)
Total Liability	$105,646,613	TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,102	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,102	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$371,962,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$344,174,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,788,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,661	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$372,127,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$344,200,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,926,939	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,190,224	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,190,224	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,456,891	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$537,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,919,483	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$823,507	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$313,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$509,553	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,195,046	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,195,046	NetCommunityBenefitExpnsAmt
Total Expense	0.02310	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,665,668	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$851,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,814,306	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$393,793,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$345,051,963	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,741,245	NetCommunityBenefitExpnsAmt
Total Expense	0.03980	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,662,593	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$529,801	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$789,340	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$259,539	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Childrens HospitalChildrensHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
VALLEY CHILDREN'S HOSPITAL
1	9300 VALLEY CHILDRENS PLACE	MADERA	CA	936368761	www.valleychildrens.org	040000160	Yes (X)	Yes (X)	A
VALLEY CHILDREN'S HOME CARE
2	7555 N DEL MAR AVE	FRESNO	CA	93711	www.valleychildrens.org	040000160	Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - a	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.VALLEYCHILDRENS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.VALLEYCHILDRENS.ORG	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.VALLEYCHILDRENS.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.VALLEYCHILDRENS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.VALLEYCHILDRENS.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: VALLEY CHILDREN'S HOSPITAL, - Facility 2: VALLEY CHILDREN'S HOME CARE
Facility Reporting Group - a Part V, Section B, line 5:	A TOTAL OF 14 FOCUS GROUPS WERE CONDUCTED AND INCLUDED COUNTY PUBLIC HEALTH DIRECTORS, PRIMARY CARE CLINIC PROVIDERS, COMMUNITY-BASED AGENCY LEADERS, AND OTHERS. ORGANIZATIONS OR INDIVIDUALS PARTICIPATING IN THE FOCUS GROUPS INCLUDED THE FOLLOWING.- FRESNO COUNTY PUBLIC HEALTH DIRECTOR- TULARE COUNTY PUBLIC HEALTH DIRECTOR- MADERA COUNTY PUBLIC HEALTH DIRECTOR- KINGS COUNTY PUBLIC HEALTH DIRECTOR- FIRST 5 MADERA COUNTY EXECUTIVE DIRECTOR- FIRST 5 FRESNO COUNTY COMMUNICATIONS DIRECTOR- CLINICA SIERRA VISTA CHIEF EXECUTIVE OFFICER- CENTRAL VALLEY HEALTH POLICY INSTITUTE EXECUTIVE DIRECTOR FOR INPUT ON ALL COUNTIES IN THE HOSPITAL'S SERVICE AREA IN ADDITION TO THE FEEDBACK RECEIVED THROUGH THE FOCUS GROUPS, VALLEY CHILDREN'S HOSPITAL INCORPORATED INTO THE CHNA INFORMATION GATHERED BY HOSPITAL STAFF AS PART OF THEIR ACTIVE INVOLVEMENT IN A VARIETY OF COMMUNITY BASED INITIATIVES OR ORGANIZATIONS, INCLUDING THOSE LISTED BELOW. -ABC 30 FRESNO COMMUNITY ADVISORY COMMITTEE, FRESNO-BI-ANNUAL BABIES FIRST COORDINATING COUNCIL-BINATIONAL HEALTH WEEK PLANNING COMMITTEES FOR MADERA AND FRESNO COUNTIE-CALIFORNIA BREAST FEEDING COALITION COMMUNICATION COMMITTEE-CALIFORNIA CENTRAL VALLEY COALITION FOR COMPASSIONATE CARE-CALIFORNIA SAFE TEEN DRIVING COMMITTEE-CHILD ABUSE PREVENTION COUNCILS-CHILDREN'S HEALTH AND AIR POLLUTION STUDY FOR THE SAN JOAQUIN VALLEY-CENTRAL CALIFORNIA PERINATAL MENTAL HEALTH COLLABORATIVE-CENTRAL VALLEY CONCUSSION CONSORTIUM-CENTRAL VALLEY HEALTH AND NUTRITION COLLABORATIVE-CENTRAL VALLEY SCHOOL HEALTH ADVISORY PANEL-CHILDREN'S HEALTH INITIATIVE FOR FRESNO COUNTY-COUNTY PEDIATRIC DEATH REVIEW TEAMS-CRADLE TO CAREER PARTNERSHIP, FRESNO COUNTY-FRESNO BABIES FIRST BREASTFEEDING TASK FORCE-FRESNO COUNTY INTERAGENCY TEAM MEMBER-FRESNO COUNTY 5150 TASK FORCE-FRESNO COUNTY SEXUAL ASSAULT RESPONSE TEAM-FRESNO HEALTHY COMMUNITIES ACCESS PARTNERS-HEALTHY MADERA STEERING COMMITTEE-HELP ME GROW FRESNO AND KERN COUNTIES-KERN CALL TO ACTION HEALTH CARE WORK GROUP-KERN COUNTY MEDICALLY VULNERABLE INFANT PROJECT-KINGS COUNTY MULTI-DISCIPLINARY TEAM-MADERA COUNTY BREAST FEEDING COALITION-MADERA COUNTY CHILD ABUSE PREVENTION COUNCIL-MADERA COUNTY INTERAGENCY COUNCIL FOR CHILDREN-MARCH OF DIMES CENTRAL VALLEY DIVISION-MARIPOSA COUNTY INTERAGENCY TEAM MEMBER-MODEL OF CARE PARTNERSHIP OVERSIGHT COMMITTEE, FRESNO COUNTY-PRETERM BIRTH COLLECTIVE IMPACT INITIATIVE FOR FRESNO COUNTY-RESOURCE CENTER FOR SURVIVORS, FRESNO COUNTY RAPE CRISIS SERVICES-ROMAN CATHOLIC DIOCESE OF FRESNO, HEALTH MINISTRY OFFICE-SAFE KIDS CENTRAL CALIFORNIA-TEEN PARENT SUPPORT PROGRAM FIRST 5 FRESNO-TULARE COUNTY HEALTHY FOR LIFE COLLABORATIVE-TULARE COUNTY SEXUAL ASSAULT RESPONSE TEAM-VENTANILLA DE SALUD PROGRAM, MEXICAN CONSULATE FRESNO
Facility Reporting Group - a Part V, Section B, line 6a:	- ADVENTIST HEALTH CENTRAL CALIFORNIA - COMMUNITY REGIONAL MEDICAL CENTER - FRESNO HEART HOSPITAL AND SURGICAL HOSPITAL - KAISER PERMANENTE FRESNO REGION - KAWEAH DELTA HEALTH CARE DISTRICT - MADERA COMMUNITY HOSPITAL - SAINT AGNES MEDICAL CENTER - SIERRA VIEW DISTRICT HOSPITAL
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 16i:	Additionally the policy is sent by US Postal Service to Community Agencies to be distributed.
Facility Reporting Group - a Part V, Section B, line 22d:	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 24:	If a patient did not qualify for full charitable discount, low income discount, high medical cost discount or 25% prompt pay discount then they could be charged gross charges for their services.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Charity care at cost was calculated using a cost-to-charge ratio derived from worksheet 2. The decision support system was used to calculate cost-to-charge for determining unreimbursed Medi-Cal and other means-tested government programs. This decision support system addresses all patient segments (i.e inpatient, outpatient, etc.).
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,231,182.
Part III, Line 4:	Footnote describing bad debt expense: See page 15, 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 2016 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 2016 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 2012 AND FEBRUARY 2013 AND PUBLISHED IN MARCH 2013. 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. THE OPPORTUNITY TO USE A COMPREHENSIVE DATA SET EMERGED AS KAISER PERMANENTE HAD LAUNCHED ITS CHNA DATA PLATFORM AND MADE IT AVAILABLE, NOT ONLY TO ITS FACILITIES BUT TO ALL COMMUNITIES INITIATING THEIR OWN NEEDS ASSESSMENT EFFORTS. GIVEN THE RESOURCES AVAILABLE FOR THIS WORK AND THE EASE OF USE FOR THIS DATA BASE, IT WAS DETERMINED THE DATA BASE WOULD SERVE AS THE PRIMARY SOURCE OF HEALTH OUTCOMES DATA ON THE POPULATIONS SERVED IN ALL FOUR COUNTIES. KAISER PERMANENTE HAS DESIGNED 80 HEALTH INDICATORS WHICH OVERLAP WITH THE HEALTHY PEOPLE 2020 INDICATORS -- THE MOST WIDELY USED LEADING HEALTH INDICATORS IN THE NATION BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE CHNA DATA PLATFORM IS A PRODUCT OF THE CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS AT THE UNIVERSITY OF MISSOURI INSTITUTE OF PEOPLE, PLACE AND POSSIBILITY COMMUNITY COMMONS PROJECT.IN ADDITION TO THE INFORMATION AVAILABLE THROUGH THE CHNA DATA PLATFORM, THE HOSPITALS PLACED A STRONG EMPHASIS ON CONDUCTING FOCUS GROUPS AND INTERVIEWS OF KEY STAKEHOLDERS IN EACH COUNTY. A TOTAL OF 14 FOCUS GROUPS WERE CONDUCTED AND INCLUDED COUNTY PUBLIC HEALTH DIRECTORS, PRIMARY CARE CLINIC PROVIDERS, COMMUNITY-BASED AGENCY LEADERS, LOCAL RESIDENTS, AND OTHERS. IN ADDITION, EIGHT FACILITY CEOS OR SENIOR EXECUTIVES WERE INTERVIEWED BY PHONE OR IN PERSON AS WERE ALL FOUR COUNTY PUBLIC HEALTH DIRECTORS. THE HOSPITALS WANTED TO ENSURE THAT THE FOCUS GROUP PROCESS COULD ALSO ACCOMMODATE INDIVIDUALS UNABLE TO TRAVEL TO THE MEETINGS OR PARTICIPATE IN PERSON. SIMILARLY, THE HOSPITALS BELIEVED SOME FRONTLINE HEALTH CARE STAFF WOULD NOT BE ABLE TO BE RELEASED FROM THEIR WORK IN ORDER TO ATTEND THE FOCUS GROUPS.LEAP SOLUTIONS CREATED AND DISTRIBUTED AN ONLINE SURVEY VERSION OF THE FOCUS GROUP QUESTIONS IN ORDER TO SOLICIT INPUT. LEAP SOLUTIONS REPRESENTS A TEAM OF QUALIFIED, EXPERIENCED PROFESSIONALS THAT HAS BEEN HELPING ORGANIZATIONS FOR THE PAST 30 YEARS MAXIMIZE THEIR LEVEL OF SERVICE AND THEIR ABILITY TO AFFECT POSITIVE CHANGE. LEAP SOLUTIONS HAS SIGNIFICANT EXPERIENCE WORKING WITH BOTH GOVERNMENTAL AND COMMUNITY-BASED NON-PROFIT AGENCIES TO ASSESS THEIR CUSTOMERS' NEEDS AND TO RE-CLARIFY OR REALIGN THEIR VISION AND FOCUS TO BEST ADDRESS THOSE NEEDS. 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 2016. 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.THE PROCESSES USED AND THE DATA SOURCES ACCESSED PROVIDED A RELIABLE ASSESSMENT OF COMMUNITY HEALTH NEEDS UPON WHICH VALLEY CHILDREN'S HOSPITAL COULD ESTABLISH PRIORITIES AND ACTIONS. THE ONE GAP THAT VALLEY CHILDREN'S HOSPITAL FELT EXISTED IN THE ASSESSMENT WAS THE NEED FOR MORE IN DEPTH DIALOGUE WITH COMMUNITY RESIDENTS. WHILE INPUT FROM RESIDENTS WAS SOLICITED AND INCORPORATED INTO THE CHNA, THE TOOLS USED TO IN ASSESSMENT PROCESS NEED TO BE REVISED TO ALLOW MORE TIME FOR DIALOGUE AND EXPLORATION OF KEY ISSUES, IN ADDITION TO WRITTEN SURVEYS.
Part VI, Line 3:	Patient education of eligibility for assistance: Each patient that presents as a self pay patient is directed to a financial counselor. The Financial Counselor educates patients and their families about government and charity care programs and assists with related applications. If a patient is not counseled by a Financial Counselor on the date of service, follow up attempts are made by the counselors and the business office to continue to inform and educate patients of available programs. In addition, the Charity Care policy is posted on the Hospital's website and there is signage throughout the Hospital informing patients of the availability of the charity care program.
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 1.3 million children ages 0-20. In 2016, Valley Children's Hospital had 12,966 inpatient cases, 121,852 Emergency Department visits and a combined 222,943 outpatient center, day surgery, radiology and laboratory visits. Medi-Cal benefits covered 76% of the hospital's total inpatient days and 77% of the outpatient visits at Valley Children's Hospital. Over 1/2 of the hospital's inpatient population consisted of children 4 years of age or younger and over 70% 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 2016, VALLEY CHILDREN'S HOSPITAL PROVIDED CONTINUING MEDICAL EDUCATION PROGRAMS TO OVER 400 COMMUNITY-BASED PRIMARY CARE PHYSICIANS. PEDIATRIC SUBSPECIALTY PHYSICIANS FROM THE HOSPITAL SERVED AS THE FEATURED FACULTY, PROVIDING COMMUNITY BASED PHYSICIANS WITH GUIDANCE ON HOW TO MANAGE A WIDE ARRAY OF COMPLEX PEDIATRIC MEDICAL CONDITIONS IN A NUMBER OF TOPICAL AREAS INCLUDING NEURO ONCOLOGY, INTERVENTIONAL RADIOLOGY, HAND SURGERY, BRAIN TUMORS AND MANY OTHERS . PROGRAMS WERE PROVIDED AT LOCATIONS THROUGHOUT THE HOSPITAL'S SERVICE AREA, INCLUDING BAKERSFIELD, MADERA, MERCED, MODESTO AND SAN LUIS OBISPO. DEVELOPMENTAL DISABILITIES - IN LATE 2015 AND EARLY 2016, VALLEY CHILDREN'S CONVENED A SERIES OF CONVERSATIONS WITH KEY STAKEHOLDERS, INCLUDING FIRST 5 AGENCIES AND COMMUNITY-BASED SERVICE PROVIDERS, TO DEVELOP A REGIONAL STRATEGY FOR IMPROVING THE HEALTH AND WELLBEING OF CHILDREN THROUGHOUT CENTRAL CALIFORNIA.KEY STAKEHOLDERS IDENTIFIED DEVELOPMENTAL SCREENINGS AND SERVICES AS A KEY OPPORTUNITY AND EVENTUALLY AGREED TO SUPPORT THE REGIONAL IMPLEMENTATION OF A PROGRAM CALLED HELP ME GROWN, WHICH IS A SYSTEM THAT CONNECTS AT-RISK CHILDREN WITH EARLY DETECTION AND CONNECTION TO SERVICES.AS AN EARLY ADOPTER OF HELP ME GROW IN CENTRAL CALIFORNIA, FIRST 5 FRESNO COUNTY TOOK THE LEAD ROLE IN FACILITATING ADOPTION OF HELP ME GROW BY OTHER COUNTIES. KERN AND MERCED FIRST 5 AGENCIES ARE IN THE PROCESS OF DEVELOPING AND/OR IMPLEMENTING HELP ME GROW OR SIMILAR PROGRAMS IN THEIR COUNTIES.IN 2016, VALLEY CHILDREN'S BEGAN THE PROCESS OF IMPLEMENTING HELP ME GROW IN ITS PRIMARY CARE PRACTICES IN FRESNO COUNTY AND PARTICIPATED IN DISCUSSIONS WITH BOTH THE KERN AND MERCED FIRST 5 AGENCIES REGARDING IMPLEMENTATION IN THEIR COUNTIES. ADDITIONALLY, VALLEY CHILDREN'S IS IN THE PROCESS OF ENTERING INTO AN AGREEMENT WITH HELP ME GROW IN FRESNO COUNTY TO HELP FACILITATE IMPLEMENTATION OF HELP ME GROW IN PRIMARY CARE PRACTICES THROUGHTOUT THE COUNTY.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 2016, THE PROGRAM RECORDED OVER 32,449 CONTACTS WITH CHILDREN, PARENTS, HEALTH CARE PROFESSIONALS AND OTHERS AT 175 DIFFERENT COMMUNITY, MEDIA AND PROFESSIONAL EVENTS, COVERING THE FOLLOWING TOPICS IN 2016: 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 States	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
HINDS HOSPICE
2490 W SHAW 100A	Fresno	CA	93711	770071360	501(c)(3)	$7,500	SPONSORSHIP
RONALD MCDONALD HOUSE
9161 Randall Way	MADERA	CA	93636	942864490	501(c)(3)	$7,500	SPONSORSHIPS
STAYWELL COMPANY LLC
PO BOX 90477	Chicago	IL	606960477	813100819		$8,250	Provide health information via VCH website
CSUF FOUNDATION
2555 E SAN RAMON MS SB73	FRESNO	CA	93748	946003272	501(c)(3)	$8,500	SPONSORSHIP
AMERICAN HEART ASSOCIATION
PO BOX 50085	Prescott	AZ	86304	135613797	501(c)(3)	$10,000	SPONSORSHIP
State Center Comm College
390 W FIR AVE STE 300	Clovis	CA	93611	770190269	501(c)(3)	$10,000	Donation
March of Dimes
7575 N Del Mar 104	Fresno	CA	93711	131846366	501(c)(3)	$15,000	SPONSORSHIP
Valley Children's Medical Group
9300 Valley Childrens Place	Madera	CA	936368782	464150987	501(c)(3)	$11,861,254	Donation

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP	3	$10,025
EDUCATION SCHOLARSHIP - Neonatal Focus	3	$5,013
EDUCATION SCHOLARSHIP - Respiratory Focus	1	$1,670
CAFETERIA MEALS	12083		$71,894	FMV	MEAL COUPONS FOR PATIENT FAMILIES
TAXI, BUS AND TRANSIT SERVICES	761		$126,366	BOOK	SUBSIDIzATION OF BUS AND TRANSIT SERVICES

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Nursing Scholarships are designed to help employees meet financial needs that are not covered by other tuition reimbursement programs. A scholarship committee reviews applications bi-annually based on certain criteria. Recipients are chosen by the committee and the Chief Nursing Officer approves the selections. All recipients are employees of the Hospital and the Hospital is made aware when the 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TODD SUNTRAPAK
CEO	$729,510	$0	$228,374	$0	$49,464	$0	$181,513	$0	$17,250	$0	$1,206,111	$0	$0	$0
Michele R Waldron
Senior VP, CFO	$457,726	$0	$120,346	$0	$33,037	$0	$129,054	$0	$12,938	$0	$753,101	$0	$0	$0
David Christensen
Senior VP, CMO	$521,595	$0	$126,150	$0	$19,242	$0	$95,331	$0	$17,250	$0	$779,568	$0	$0	$0
BEVERLY HAYDEN-PUGH
Senior VP, Chief Operations and Chie	$348,163	$0	$83,923	$0	$21,914	$0	$113,399	$0	$4,313	$0	$571,712	$0	$0	$0
Jessie Hudgins
VP, Facilities	$293,010	$0	$68,189	$0	$19,493	$0	$97,827	$0	$8,625	$0	$487,144	$0	$0	$0
Natale Ponticello JR
Senior VP, Human Resources	$294,741	$0	$75,799	$0	$7,596	$0	$60,791	$0	$0	$0	$438,927	$0	$0	$0
Jane Willson
Senior VP, Corporate Development	$298,242	$0	$76,779	$0	$23,129	$0	$86,476	$0	$0	$0	$484,626	$0	$0	$0
David Singh
VP, Ancillary Services	$280,874	$0	$78,080	$0	$19,105	$0	$66,386	$0	$0	$0	$444,445	$0	$0	$0
Michael Goldring
President, VCMG	$407,928	$0	$50,616	$0	$9,522	$0	$56,816	$0	$4,313	$0	$529,195	$0	$0	$0
Stephanie Vance
Finance, VP	$237,904	$0	$58,875	$0	$18,761	$0	$60,265	$0	$12,938	$0	$388,743	$0	$0	$0
Joel Brownell MD
VP, Chief Medical Information Office	$305,459	$0	$78,629	$0	$736	$0	$33,604	$0	$8,625	$0	$427,053	$0	$0	$0
Karen Dahl
VP, Quality & Patient Safety	$317,364	$0	$100	$0	$18,799	$0	$15,326	$0	$0	$0	$351,589	$0	$0	$0
Kevin Shimamoto
VP and CIO	$297,978	$0	$0	$0	$20,190	$0	$11,203	$0	$0	$0	$329,371	$0	$0	$0
DANIEL DAVIS
VP Clinical Ops	$258,003	$0	$43,884	$0	$7,104	$0	$30,050	$0	$12,938	$0	$351,979	$0	$0	$0
Daniel Barry
VP, Revenue Cycle Mgmt	$172,533	$0	$0	$0	$184	$0	$1,948	$0	$7,547	$0	$182,212	$0	$0	$0
David Hodge Jr
VP Ancillary Services	$211,837	$0	$36,388	$0	$12,149	$0	$23,171	$0	$12,938	$0	$296,483	$0	$0	$0
Richard Sakai
Director Pharmacy	$187,574	$0	$18,094	$0	$1,093	$0	$34,760	$0	$4,313	$0	$245,834	$0	$0	$0
Christopher Long
Exec Dir Comm & Advocacy, Termed 6/7	$203,450	$0	$36,905	$0	$12,579	$0	$21,879	$0	$8,625	$0	$283,438	$0	$0	$0
Paul Lilles
Director, Physician Practice Service	$184,163	$0	$17,643	$0	$10,248	$0	$17,366	$0	$17,250	$0	$246,670	$0	$0	$0
Tom Cross
Pharmacist	$194,571	$0	$50	$0	$8,989	$0	$29,748	$0	$12,938	$0	$246,296	$0	$0	$0
Yvonne Wood
RN	$202,712	$0	$50	$0	$142	$0	$24,574	$0	$14,252	$0	$241,730	$0	$0	$0
Rick Wolf
Former VP, General Counsel, Termed 8	$197,858	$0	$131,387	$0	$425,852	$0	$70,707	$0	$8,625	$0	$834,429	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Lines 4a-b	PART I, LINES 4A: SEVERANCE PAYMENTS TOTALLING $308,188 WERE MADE TO RICK WOLF, FORMER VP, GENERAL COUNSEL 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, AND DANNY DAVIS ARE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. $107,339 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 THE YEAR ENDING 9/30/2016 ARE AS FOLLOWS: MICHELE WALDRON - DEFERRED COMPENSATION PLAN $18,000; DCSERP $69,064; CHANGE IN SERP ACTUARIAL VALUE $20,397 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $0; DCSERP $128,337; CHANGE IN SERP ACTUARIAL VALUE $17,928 BEVERLY HAYDEN-PUGH - DEFERRED COMPENSATION PLAN $18,000; DCSERP $48,073; CHANGE IN SERP ACTUARIAL VALUE $20,209 JESSIE HUDGINS - DEFERRED COMPENSATION PLAN $0; DCSERP $43,338; CHANGE IN SERP ACTUARIAL VALUE $14,269 DAVID CHRISTENSEN - DEFERRED COMPENSATION PLAN $18,000; DCSERP $73,648; CHANGE IN SERP ACTUARIAL VALUE $1,563 RICK WOLF - DEFERRED COMPENSATION PLAN $10,000; DCSERP $45,446; CHANGE IN SERP ACTUARIAL VALUE $116 JANE WILLSON - DEFERRED COMPENSATION PLAN $18,000; DCSERP $44,304; CHANGE IN SERP ACTUARIAL VALUE $7,482 DAVID SINGH - DEFERRED COMPENSATION PLAN $18,000; DCSERP $45,047; CHANGE IN SERP ACTUARIAL VALUE $0 STEPHANIE VANCE - DEFERRED COMPENSATION PLAN $18,000; DCSERP $35,956; NOT ELIGIBLE FOR SERP NATALIE PONTICELLO - DEFERRED COMPENSATION PLAN $0; DCSERP $43,378; NOT ELIGIBLE FOR SERP MICHAEL GOLDRING - DEFERRED COMPENSATION PLAN $0; DCSERP $47,364; NOT ELIGIBLE FOR SERP JOEL BROWNELL - DEFERRED COMPENSATION PLAN $0; DCSERP $28,221; NOT ELIGIBLE FOR SERP KAREN DAHL - DEFERRED COMPENSATION PLAN $17,996; DCSERP $15,326; NOT ELIGIBLE FOR SERP KEVIN SHIMAMOTO - DEFERRED COMPENSATION PLAN $18,000; DCSERP $8,473; NOT ELIGIBLE FOR SERP DAVID HODGE, DANIELLE BARRY AND DANIEL DAVIS - NOT ELIGIBLE FOR DCSERP OR SERP
Part I, Line 5	An Executive Incentive Plan has been established that allows for payment of incentives based on both organization-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 Board of Trustees. The committee reviews the forecasted payouts at the end of each year based on the financial and operating results.
Part I, Line 6	SEE EXPLANATION FOR LINE 5, ABOVE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF MADERA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	946000518	BondIssuerEIN
CUSIP	556902DN1	CUSIPNum
Bond Issued	2010-02-04	BondIssuedDt
Issue Price	$39,512,854	IssuePriceAmt
Purpose	To refund series 2006 Bonds issued on 6/26/06.	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$11,825,000	RetiredAmt
Total Proceeds	$39,512,855	TotalProceedsAmt
In Reserve Fund	$3,644,537	InReserveFundAmt
Other Spent Proceeds	$35,868,318	OtherSpentProceedsAmt
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	Yes (1)	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	0	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: COUNTY OF MADERA Date the Rebate Computation was Performed: 09/30/2016
PART III, SECTION 8A & 8B	CERTAIN OBSOLETE OR BROKEN EQUIPMENT WAS DISPOSED OF. IN SOME CASES, NOMINAL SCRAP PROCEEDS WERE RECEIVED.
PART IV, SECTION 2	PROCEEDS 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 M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,160,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Starlight Fun Center	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$5,400	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART III, LINE 4A:	Statement of Program service Accomplishments - Program Service One I. Description of Program Service One 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, 2016, a medical staff of over 550 physicians and approximately 3,000 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 2016, Valley Children's Hospital had 12,966 inpatient cases, 121,852 Emergency Department visits and a combined 222,943 outpatient center, Regional Specialty Care Center, day surgery, radiology and laboratory visits. Medi-Cal covered 76% of the hospital's total inpatient days and 77% of total outpatient visits at the hospital. Over 1/2 of the hospital's inpatient population consisted of children 4 years of age or younger and nearly 70% were an ethnicity other than Caucasian.
Form 990, Part III, Line 4a	III. COMMUNITY BENEFITS PROGRAM ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, COMMUNITY BENEFITS ARE GENERALLY DEFINED AS THOSE ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS, AND MEET AT LEAST ONE OF THE FOLLOWING OBJECTIVES: - IMPROVE ACCESS TO HEALTH CARE SERVICES - ENHANCE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR PRIVATE, COMMUNITY-BASED EFFORTS ALSO INCLUDED IN THE DEFINITION IS THE PROVISION OF CHARITY CARE AND THE UNREIMBURSED COST OF PROVIDING HEALTH CARE SERVICES TO THOSE ENROLLED IN PUBLIC PROGRAMS, INCLUDING MEDI-CAL. IN FY 2016, 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 2016: COMMUNITY HEALTH EDUCATION 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 32,449 CONTACTS WITH CHILDREN, PARENTS, HEALTH CARE PROFESSIONALS AND OTHERS AT 175 DIFFERENT COMMUNITY, MEDIA AND PROFESSIONAL EVENTS. THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2016: 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. HEALTH LIBRARY 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. CANCER SURVIVORSHIP PROGRAM THE CHILDHOOD CANCER SURVIVORSHIP PROGRAM AT VALLEY CHILDREN'S PROVIDES SPECIALIZED, HIGH-QUALITY CARE TO HELP SURVIVORS OF CHILDHOOD CANCER LIVE HEALTHIER, HAPPIER LIVES. THE PROGRAM INCLUDES AN ANNUAL ASSESSMENT OF THE SURVIVOR'S HEALTH, ACADEMIC AND SOCIAL DEVELOPMENT, AND AN INDIVIDUALIZED ACTION PLAN TO ADDRESS LONG-TERM EFFECTS FROM CANCER TREATMENT. 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. TOPICS COVERED INCLUDED CARE FOR HIGH RISK NEWBORNS, GENERAL PEDIATRIC TRAUMA, ABUSIVE HEAD TRAUMA, AND THE PREVENTION OF HUMAN TRAFFICKING OF CHILDREN. REINTEGRATION 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 2016 INCLUDED WATER SKIING, SNOW SKIING, ROCK CLIMBING, SLED HOCKEY, WHEELCHAIR BASKETBALL, KAYAKING, TENNIS, PADDLE BOARDING, CAMPING, 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. THERE IS ONGOING COLLABORATION WITH EXTERNAL COMMUNITY PARTNERS, AND OTHER VALLEY CHILDREN'S SERVICES INCLUDING SUBSPECIALTY CLINICS, PATIENT AND FAMILY SERVICES, INTERPRETER SERVICES, RADIOLOGY, DIAGNOSTIC CLINICAL LABORATORIES, CHILD LIFE SERVICES AND PASTORAL CARE. THE CENTER WORKS CLOSELY WITH LAW ENFORCEMENT, 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 COMPRISES 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. ADDITIONALLY, THE CENTER PROVIDES BOTH INTERVENTION AND ANTICIPATORY GUIDANCE TO OUR PATIENTS AND FAMILIES AT VALLEY CHILDREN'S. 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 AND/OR THE CONTRACTED VENDOR 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 4a	VALLEY 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. We are an important member of the Talk Read Sing campaign, started by The Children's Movement Fresno, to educate parents on the importance of talking, reading and singing to their children. Valley Children's staff co-chaired the Talk Read Sign campaign in 2016, 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 are 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 HEALTH OF PERSONS IN THE COMMUNITY. CHILDHOOD WEIGHT MANAGEMENT VALLEY CHILDREN'S CONTINUED TO PLAY AN IMPORTANT ROLE IN 2016 SUPPORTING COMMUNITY BASED EFFORTS AT PROMOTING HEALTHY CHILDHOOD WEIGHT AND IN PREVENTING OBESITY AND TYPE II DIABETES. EXAMPLES INCLUDED VALLEY CHILDREN'S PARTICIPATION IN THE FRESNO COUNTY HEALTH IMPROVEMENT PARTNERSHIP (FCHIP) WORK GROUP ON CHILDHOOD OBESITY AND DIABETES PREVENTION, WHICH HAS AND WILL CONTINUE TO FOCUS ON INCREASING AWARENESS, PREVENTION AND EARLY INTERVENTION FOR PRE-DIABETES AND TYPE II DIABETES. IN THE COMING YEAR, THE WORK GROUP WILL BE WORKING WITH DUNCAN HIGH SCHOOL IN FRESNO TO INCREASE THE LEVEL OF EDUCATION AVAILABLE TO STUDENTS AND STAFF REGARDING TYPE II DIABETES PREVENTION. ADDITIONALLY, VALLEY CHILDREN'S DIABETES EDUCATORS PROVIDED EDUCATION TO SCHOOL NURSES ON A NUMBER OF TOPICS IMPACTING CHILDHOOD WEIGHT AND NUTRITION BY WORKING DIRECTLY WITH INDIVIDUAL SCHOOLS AND THROUGH VALLEY CHILDREN'S SCHOOL NURSE CONFERENCE THAT ATTRACTS 150-200 SCHOOL NURSES FROM THROUGHOUT THE REGION ANNUALLY. DEVELOPMENTAL DISABILITIES In late 2015 and early 2016, Valley Children's convened a series of conversations with key stakeholders, including First 5 agencies and community-based service providers, to develop a regional strategy for improving the health and wellbeing of children throughout Central California. Key stakeholders identified developmental screenings and services as a key opportunity and eventually agreed to support the regional implementation of a program called Help Me Grow, which is a system that connects at-risk children with early detection and connection to services. As an early adopter of Help Me Grow in Central California, First 5 Fresno County took the lead role in facilitating adoption of Help Me Grow by other counties. Kern and Merced First 5 agencies are in the process of developing and / or implementing Help Me Grow or similar programs in their counties. In 2016, Valley Children's began the process of implementing Help Me Grow in its primary care practices in Fresno County and participated in discussions with both the Kern and Merced First 5 agencies regarding implementation in their counties. Additionally, Valley Children's is in the process of entering into an agreement with Help Me Grow in Fresno County to help facilitate implementation of Help Me Grow in primary care practices throughout the county. MENTAL HEALTH VALLEY CHILDREN'S PARTICIPATED IN SEVERAL COMMUNITY-BASED INITIATIVES THAT INCREASED ACCESS TO, OR COORDINATION OF, MENTAL HEALTH SERVICES FOR CHILDREN. VALLEY CHILDREN'S ADVOCATED FOR THE ESTABLISHMENT OF A 16-BED INPATIENT ADOLESCENT PSYCHIATRIC CENTER IN THE CITY OF FRESNO, AND SERVED ON THE COMMITTEE CHARGED WITH SELECTING A PROVIDER TO OPERATE THE FACILITY. ADDITIONALLY, VALLEY CHILDREN'S SERVED ON TASK FORCES CONVENED IN SEVERAL CENTRAL VALLEY COUNTIES CHARGED WITH IMPROVING POLICIES AND PROCEDURES RELATED TO THE MANAGEMENT OF PATIENTS WHO ARE BEING HELD INVOLUNTARILY DUE TO THE RISK THEY POSE TO THEMSELVES AND / OR OTHERS. SCHOOL HEALTH VALLEY CHILDREN'S 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 VALLEY CHILDREN'S FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING EMERGING ISSUES IMPACTING THE HEALTH AND WELLBEING OF STUDENTS IN GRADES K - 12.
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 ITS SERVES THAT ARE COVERED BY MEDI-CAL. IN 2016, 76% 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 2016 OF $90,664,956. 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 2016, Valley Children's Hospital recognized program revenue of $53,906,313, 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 2016, CHILDREN'S HOSPITAL PROVIDED $104,102 IN CHARITY CARE. THE AMOUNT REPRESENTS COSTS ASSOCIATED WITH PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES IN RELATION TO THE COST OF THESE SERVICES. CHARITY CARE INCLUDES COUNTY INDIGENT AND FREE CARE, WHICH IS BASED ON THE PATIENT'S INABILITY TO PAY FOR SERVICES. IN ORDER TO ASSIST FAMILIES WITH ONGOING CARE NEEDS, Valley CHILDREN'S HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES PATIENT FAMILIES TO APPLY FOR APPROPRIATE GOVERNMENT FUNDING IN CONJUNCTION WITH APPLYING FOR FINANCIAL ASSISTANCE (CHARITY CARE). AS A RESULT, MANY FAMILIES QUALIFY FOR GOVERNMENT PROGRAMS AND DO NOT ULTIMATELY REQUIRE CHARITY CARE. THE HOSPITAL'S CHARITY CARE AMOUNT IS SEPARATE FROM AND DOES NOT INCLUDE THE COMMUNITY BENEFIT ACTIVITIES AND EXPENSES NOTED IN PREVIOUS SECTIONS.
Form 990, Part VI, Section A, line 2	Pat Ricchiutti, Director and Bill Smittcamp, Chairman, have a business relationship.
Form 990, Part VI, Section A, line 6	The amended and restated bylaws of Valley Children's Hospital, effective 10/17/13, established Valley Children's Healthcare as the sole member of the corporation. Certain member rights, including the right to approve, fix the number, elect, and remove elected trustees, are included in these bylaws.
Form 990, Part VI, Section A, line 7a	See answer for line 6 above
Form 990, Part VI, Section A, line 7b	SEE ANSWER FOR LINE 6 ABOVE
Form 990, Part VI, Section B, line 11	A DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
Form 990, Part VI, Section B, line 12c	THE HOSPITAL BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE HOSPITAL'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. THE HOSPITAL MAINTAINS A SEPARATE BUT SIMILAR POLICY GOVERNING INDIVIDUALS EMPLOYED IN COVERED POSITIONS.
Form 990, Part VI, Section B, line 15	AS PROVIDED BY THE HOSPITAL 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 HOSPITAL AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO CEO, OFFICER, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE CEO'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE
Form 990, Part VI, Section C, line 19	A COPY OF Valley CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF Valley CHILDREN'S HOSPITAL IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE ANNUAL FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part XI, line 9:	Pension-related changes other than net periodic pension cost -29,263,018. Rounding -3. INCOME FROM K-1S -66.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Valley CHILDREN'S Healthcare FOUNDATION
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	942797447	PHILANTHROPY/FUNDRAISING FOR VALLEY CHILDREN'S HEALTHCARE & RELATED ENTITIES	CA	501(c)(3)	Line 7	VALLEY CHILDREN'S HEALTHCARE	0
Valley CHILDREN'S MEDICAL Group
9300 VALLEY CHILDRENS PLACE	mADERA	CA	93636	464150987	HEALTH CARE	CA	501(c)(3)	Line 9	VALLEY CHILDREN'S HEALTHCARE	Yes (1)
Valley CHILDREN'S HEALThcare
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	464158433	Health Care	CA	501(c)(3)	Line 11b, II		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Mondrian International Fixed Income Fund LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1105 N Market Street Ste 1118	AddressLine1Txt
City	Wilmington	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19801	ZIPCd

Field	Value	IRS element (for citing)
EIN	201575121	EIN
Primary Activities	investment	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	unrelated	PredominantIncomeTypeTxt
Share Of Total Income	$777,586	ShareOfTotalIncomeAmt
Share Of EOY Assets	$31,520,392	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.65880	OwnershipPct

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionTypeTxt
Involved	$11,861,254	InvolvedAmt
Method Of Amount Determination	CASH VALUE	MethodOfAmountDeterminationTxt