FURP.ORG / PUBLIC DATA EXPLORER

VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201602289349306400
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-15T16:16:56-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941294954EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone5593533000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368761ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE WALDRONPersonNm
Person TitleCFOPersonTitleTxt
Phone5593533000PhoneNum
Signature2016-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2016-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELE WALDRONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368761ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$800,923,483GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDRENActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3176TotalEmployeeCnt
Total Volunteers447TotalVolunteersCnt
Total Gross UBI$657,626TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$67,879,982PYContributionsGrantsAmt
CY Contributions Grants$22,658,021CYContributionsGrantsAmt
PY Program Service Revenue$441,288,249PYProgramServiceRevenueAmt
CY Program Service Revenue$582,676,037CYProgramServiceRevenueAmt
PY Investment Income$20,981,798PYInvestmentIncomeAmt
CY Investment Income$15,816,048CYInvestmentIncomeAmt
PY Other Revenue$11,851,088PYOtherRevenueAmt
CY Other Revenue$12,004,445CYOtherRevenueAmt
PY Total Revenue$542,001,117PYTotalRevenueAmt
CY Total Revenue$633,154,551CYTotalRevenueAmt
PY Grants And Similar Paid$393,947PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,811,358CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$253,148,976PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$260,856,264CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$177,068,432PYOtherExpensesAmt
CY Other Expenses$252,415,468CYOtherExpensesAmt
PY Total Expenses$430,611,355PYTotalExpensesAmt
CY Total Expenses$515,083,090CYTotalExpensesAmt
PY Revenues Less Expenses$111,389,762PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$118,071,461CYRevenuesLessExpensesAmt
Total Assets BOY$1,043,817,916TotalAssetsBOYAmt
Total Assets EOY$1,092,469,377TotalAssetsEOYAmt
Total Liabilities BOY$270,286,629TotalLiabilitiesBOYAmt
Total Liabilities EOY$278,947,276TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$773,531,287NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$813,522,101NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$58,690,060ExpenseAmt
Grant$1,811,358GrantAmt
Revenue$322,544,162RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$338,354,308ExpenseAmt
Grant$0GrantAmt
Revenue$259,474,249RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$397,044,368TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document316IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3176EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TODD SUNTRAPAK
CEO40.006.00Yes (X)Yes (X)$821,691$0$178,100
DR DAVID KRAUSE
BOARD CHAIR, TERMED 1/24/151.00Yes (X)Yes (X)$0$0$0
BILL SMITTCAMP
BOARD CHAIR1.002.00Yes (X)Yes (X)$0$0$0
DR CHARLES SMITH
BOARD VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
DR ROBERT KUBO
BOARD TREASURER, TERMED 1/23/161.00Yes (X)Yes (X)$0$0$0
DR LINDA FRALEY
BOARD SECRETARY, TERMED 1/23/161.001.00Yes (X)Yes (X)$0$0$0
BRUCE ALBRIGHT
BOARD MEMBER, TERMED 12/31/151.00Yes (X)$0$0$0
GREG COLEMAN
BOARD MEMBER, TERMED 2/20151.00Yes (X)$0$0$0
RILEY WALTER
BOARD MEMBER1.001.00Yes (X)$0$0$0
JEFF MAYER
BOARD MEMBER, TERMED 12/31/151.00Yes (X)$0$0$0
MICHAEL HANSON
BOARD MEMBER1.00Yes (X)$0$0$0
PAT RICCHIUTI
BOARD MEMBER, TERMED 12/31/151.00Yes (X)$0$0$0
KIM RUIZ BECK
BOARD MEMBER1.001.00Yes (X)$0$0$0
JEANNINE CAMPOS GRECH
BOARD MEMBER1.002.00Yes (X)$0$0$0
NOREEN WADE
BOARD MEMBER, TERMED 1/31/161.00Yes (X)$0$0$0
PAUL MCDOUGAL
FOUNDATION BOARD CHAIRMAN1.001.00Yes (X)$0$0$0
DAVE NALCHAJIAN
BOARD MEMBER1.001.00Yes (X)$0$0$0
DR SAHAR BARAYAN
CHIEF OF STAFF, TERMED 2/20161.00Yes (X)$65,833$0$0
MICHELE R WALDRON
CFO45.007.00Yes (X)$563,434$0$139,083
DAVID CHRISTENSEN
VP, MEDICAL AFFAIRS & CMO40.005.00$598,118$0$105,527Yes (X)
BEVERLY HAYDEN-PUGH
VP, CHIEF NURSING OFFICER40.00$391,165$0$120,759Yes (X)
JESSIE HUDGINS
VP, FACILITIES40.00$370,432$0$107,825Yes (X)
NATALE PONTICELLO JR
VP, HUMAN RESOURCES40.00$342,179$0$43,389Yes (X)
JANE WILLSON
VP, CORPORATE DEVELOPMENT40.00$359,932$0$85,023Yes (X)
DAVID SINGH
VP, ANCILLARY SERVICES40.00$361,410$0$60,226Yes (X)
RICK WOLF
VP, GENERAL COUNCIL, TERMED 8/21/1540.00$370,587$0$80,035Yes (X)
MICHAEL GOLDRING
VP & PND AND PPS40.005.00$377,471$0$3,811Yes (X)
STEPHANIE VANCE
ED, FINANCE, VP40.00$281,729$0$35,812Yes (X)
JOEL BROWNELL MD
VP, CHIEF MEDICAL INFORMATION OFFICER40.00$156,867$0$8,315Yes (X)
KAREN DAHL
VP, QUALITY & PATIENT SAFETY40.00$178,254$0$0Yes (X)
DANIEL DAVIS
VP CLINICAL OPS40.00$270,402$0$40,868Yes (X)
RANDALL GUERRERO
ED, CRITICAL CARE, TERMED 4/30/1440.00$250,875$0$32,051Yes (X)
CHRISTOPHER LONG
EXEC DIR COMM & ADVOCACY40.00$239,810$0$33,738Yes (X)
DAVID HODGE JR
EXECUTIVE DIRECTOR, AMBULATORY SERVICES40.00$220,560$0$33,773Yes (X)
PAUL LILIS
DIRECTOR, PHYSICIAN PRACTICE SERVICES40.00$216,038$0$33,243Yes (X)
ESTELA MORFORD
RN, TRANSPORT40.00$210,888$0$41,265Yes (X)
KIRK LARSON
VP AND CIO, TERMED 4/4/1440.00$294,347$0$46,784Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,942,022TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,229,627TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K549IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VALLEY CHILDREN'S SPECIALTY MEDICAL GROU
9300 VALLEY CHILDRENS PLACEMADERACA93636SUBSPEC PHYSICIAN SERVICES$10,850,000
PEDIATRIC ANETHESIA ASSOCIATION
6235 N FRESNO ST STE 103FRESNOCA93710ANETHESIA/CRITICAL CARE$8,846,191
GL BRUNO ASSOCIATES
855 M STREETFRESNOCA93721CONSTRUCTION SERVICES$2,061,963
FOCUSED SOLUTIONS
PO BOX 3037OMAHANE681030037TEMPORARY EMPLOYEE SERVICES$2,046,878
CROTHALL HEALTHCARE INC
1654 MARTHALER LANEWEST ST PAULMN55118HOUSEKEEPING SERVICES$1,708,807
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K78CntrctRcvdGreaterThan100KCnt
Related Organizations$5,834,455RelatedOrganizationsAmt
Government Grants$16,250,249GovernmentGrantsAmt
All Other Contributions$573,317AllOtherContributionsAmt
Noncash Contributions$90,973NoncashContributionsAmt
Total Contributions$22,658,021TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES900099$580,039,513$580,039,513
MANAGEMENT SERVICES541610$2,386,902$1,729,276$657,626
OUTSIDE LAB SERVICES900099$249,622$249,622
FieldValueIRS element (for citing)
Total Program Service Revenue$582,676,037TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,659,544TotalRevenueColumnAmt
Exclusion$10,659,544ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$862,746TotalRevenueColumnAmt
Exclusion$862,746ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$104,837RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$96,551RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,286RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,286TotalRevenueColumnAmt
Exclusion$8,286ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$171,607,335SecuritiesAmt
Other$55,657OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$167,289,112SecuritiesAmt
Other$80,122OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,318,223SecuritiesAmt
Other-$24,465OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,293,758TotalRevenueColumnAmt
Exclusion$4,293,758ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$595,230GrossSalesOfInventoryAmt
Cost Of Goods Sold$303,147CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$292,083TotalRevenueColumnAmt
Exclusion$292,083ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business900099BusinessCd
Total Revenue Column$2,933,953TotalRevenueColumnAmt
Exclusion$2,933,953ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,770,123TotalRevenueColumnAmt
Exclusion$8,770,123ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,704,076OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$633,154,551TotalRevenueColumnAmt
Related Or Exempt Func Income$582,018,411RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$657,626UnrelatedBusinessRevenueAmt
Exclusion$27,820,493ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,601,251TotalAmt
Program Services$1,601,251ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$210,107TotalAmt
Program Services$210,107ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,006,169TotalAmt
Management And General$8,006,169ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$175,600,685TotalAmt
Program Services$139,894,438ProgramServicesAmt
Management And General$35,706,247ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,611,709TotalAmt
Program Services$9,934,046ProgramServicesAmt
Management And General$2,677,663ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$49,789,682TotalAmt
Program Services$36,848,444ProgramServicesAmt
Management And General$12,941,238ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,848,019TotalAmt
Program Services$11,189,169ProgramServicesAmt
Management And General$3,658,850ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,578,112TotalAmt
Program Services$435,502ProgramServicesAmt
Management And General$2,142,610ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,052,662TotalAmt
Management And General$1,052,662ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$177,500TotalAmt
Management And General$177,500ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,226,652TotalAmt
Management And General$2,226,652ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,042,231TotalAmt
Program Services$36,813,158ProgramServicesAmt
Management And General$229,073ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,047,931TotalAmt
Program Services$5,047,931ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$65,417,377TotalAmt
Program Services$57,026,533ProgramServicesAmt
Management And General$8,390,844ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,266,476TotalAmt
Management And General$5,266,476ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,038,656TotalAmt
Program Services$3,179,556ProgramServicesAmt
Management And General$859,100ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$506,826TotalAmt
Program Services$196,913ProgramServicesAmt
Management And General$309,913ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$361,221TotalAmt
Program Services$119,311ProgramServicesAmt
Management And General$241,910ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,292,063TotalAmt
Program Services$5,676,682ProgramServicesAmt
Management And General$1,615,381ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,924,903TotalAmt
Program Services$14,250,495ProgramServicesAmt
Management And General$11,674,408ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,200,522TotalAmt
Program Services$91,000ProgramServicesAmt
Management And General$2,109,522ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HOSPITAL FEE PROGRAM$56,404,742$56,404,742
PURCHASED SERVICES$19,459,723$12,962,899$6,496,824
BAD DEBT$4,602,808$4,602,808
DUES$1,537,088$141,515$1,395,573

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,277,975TotalAmt
Program Services$417,868ProgramServicesAmt
Management And General$10,860,107ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$515,083,090TotalAmt
Program Services$397,044,368ProgramServicesAmt
Management And General$118,038,722ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,760BOYAmt
EOY$13,436EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$183,903,715BOYAmt
EOY$161,458,720EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$638,970BOYAmt
EOY$452,249EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$57,985,202BOYAmt
EOY$61,304,184EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,244,120BOYAmt
EOY$7,317,968EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,214,772BOYAmt
EOY$5,876,710EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$469,193,966LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$218,182,705LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$253,653,114BOYAmt
EOY$251,011,261EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$248,661,417BOYAmt
EOY$262,720,053EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$236,186,300BOYAmt
EOY$259,885,083EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,828,218BOYAmt
EOY$1,732,043EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$45,488,328BOYAmt
EOY$80,697,670EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,043,817,916BOYAmt
EOY$1,092,469,377EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$56,821,562BOYAmt
EOY$63,824,099EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$146,008,626BOYAmt
EOY$129,040,378EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,456,441BOYAmt
EOY$86,082,799EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$270,286,629BOYAmt
EOY$278,947,276EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$771,171,330BOYAmt
EOY$795,970,464EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,359,957BOYAmt
EOY$17,551,637EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$773,531,287BOYAmt
EOY$813,522,101EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,043,817,916BOYAmt
EOY$1,092,469,377EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$118,071,461ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$47,474,954NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$30,605,693OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$6,518DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$101,216OtherActivitiesAmt
Total Lobbying Expenditures$107,734TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FormAndLineReferenceDesc
ExplanationVALLEY CHILDREN'S HOSPITAL HAS HAD DIRECT CONTACT WITH AND HAS ENCOURAGED OTHERS TO HAVE DIRECT CONTACT WITH LOCAL, STATE AND FEDERAL LEGISLATORS REGARDING CHILDREN'S HEALTH CARE PUBLIC POLICY. THESE CONTACTS HAVE PROVIDED INFORMATION REGARDING THE PROVISION OF HEALTH CARE SERVICES TO CHILDREN, THE ANTICIPATED EFFECT ON CHILDREN'S HEALTH OF PENDING LEGISLATIVE PROPOSALS, AND REQUESTS FOR ASSISTANCE IN SUPPORTING ACCESS TO CHILDREN'S HEALTH CARE BY MAINTAINING CURRENT STATE AND FEDERAL FUNDING LEVELS FOR MEDI-CAL AND OTHER PUBLIC PROGRAMS. EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE LESS THAN 1% OF TOTAL HOSPITAL EXPENDITURES. VALLEY CHILDREN'S HOSPITAL HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $6,518 ASSOCIATION DUES RELATED TO LOBBYING NACH 21,882 CALIFORNIA CHAMBER OF COMMERCE 112 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 55,959 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIF. 23,253 NATIONAL ASSOCIATION FOR HEALTHCARE QUALITY 10 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTER $107,734ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,527,143OtherCostOrOtherBasisAmt
Book Value$9,527,143BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$271,506,869OtherCostOrOtherBasisAmt
Depreciation$85,945,236DepreciationAmt
Book Value$185,561,633BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,886,573OtherCostOrOtherBasisAmt
Depreciation$2,477,830DepreciationAmt
Book Value$1,408,743BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,807,267OtherCostOrOtherBasisAmt
Depreciation$111,147,799DepreciationAmt
Book Value$48,659,468BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,466,114OtherCostOrOtherBasisAmt
Depreciation$18,611,840DepreciationAmt
Book Value$5,854,274BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$251,011,261TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLIMITED PARTNERSHIPSDesc
Book Value$259,885,083BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$259,885,083TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
DISPROPORTIONATE SHARE FUNDS RECEIVABLE$15,450,490
INSURANCE RECEIVABLE$6,578,591
PROVIDER FEE RECEIVABLE$27,192,723
457 TRUST FUNDS$1,977,271
RESTRICTED CASH$5,950,273
OTHER$4,329,438
UNAMORTIZED BOND ISSUE COSTS$2,426,757
INVESTMENT IN LLC$1,883,035
PROP 3 RECEIVABLE$14,909,092
FieldValueIRS element (for citing)
Total Book Value Other Assets$80,697,670TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
MALPRACTICE RESERVE$2,762,000
ACCRUED PENSION LIABILITY$68,182,756
457 LIABILITY$1,977,271
1732 LIABILITY$523,511
WORKERS COMP$6,775,660
INS LIABILITY$4,494,340
DC SERP LIABILITY$1,367,261
FieldValueIRS element (for citing)
Total Liability$86,082,799TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$253,273TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$253,273NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$382,756,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410,073,143DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$196,478TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$86,646DirectOffsettingRevenueAmt
Net Community Benefit Expns$109,832NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$383,206,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410,159,789DirectOffsettingRevenueAmt
Net Community Benefit Expns$363,105NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$607,779TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$607,779NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,091,324TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$505,951DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,585,373NetCommunityBenefitExpnsAmt
Total Expense0.01290TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$834,941TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$328,998DirectOffsettingRevenueAmt
Net Community Benefit Expns$505,943NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292,050TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$292,050NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,826,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$834,949DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,991,145NetCommunityBenefitExpnsAmt
Total Expense0.01570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$392,032,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410,994,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,354,250NetCommunityBenefitExpnsAmt
Total Expense0.01640TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$300,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$300,000NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$300,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$300,000NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,546,210BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$226,571ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$289,623CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,052MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtChildrens HospitalChildrensHospitalIndFacility Reporting GroupFacilityReportingGroupCd
VALLEY CHILDREN'S HOSPITAL
19300 VALLEY CHILDRENS PLACEMADERACA936368761WWW.VALLEYCHILDRENS.ORGYes (X)A
VALLEY CHILDREN'S HOME CARE
27555 N DEL MAR AVEFRESNOCA93711WWW.VALLEYCHILDRENS.ORGYes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.VALLEYCHILDRENS.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.VALLEYCHILDRENS.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.VALLEYCHILDRENS.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.VALLEYCHILDRENS.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: VALLEY CHILDREN'S HOSPITAL, - FACILITY 2: VALLEY CHILDREN'S HOME CARE
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: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- BI-ANNUAL BABIES FIRST COORDINATING COUNCIL- BINATIONAL HEALTH WEEK PLANNING COMMITTEES FOR MADERA AND FRESNO COUNTIES - CALIFORNIA BREAST FEEDING COALITION COMMUNICATION COMMITTEE - CALIFORNIA CENTRAL VALLEY COALITION FOR COMPASSIONATE CARE - CALIFORNIA SAFE TEEN DRIVING COMMITTEE- CHILD ABUSE PREVENTION COUNCILS OF CENTRAL CALIFORNIA- CENTRAL CALIFORNIA PERINATAL MENTAL HEALTH COLLABORATIVE - CENTRAL VALLEY CONCUSSION CONSORTIUM- CENTRAL VALLEY HEALTH AND NUTRITION COLLABORATIVE - CENTRAL VALLEY SCHOOL HEALTH ADVISORY PANEL - CHILDHOOD WEIGHT MANAGEMENT TASK FOR FRESNO AND MADERA COUNTIES- COUNTY PEDIATRIC DEATH REVIEW TEAMS - EXCEPTIONAL PARENTS UNLIMITED - FRESNO BABIES FIRST BREASTFEEDING TASK FORCE - FRESNO COUNTY INTERAGENCY TEAM MEMBER- FRESNO COUNTY SEXUAL ASSAULT RESPONSE TEAM- FRESNO HEALTHY COMMUNITIES ACCESS PARTNERS - FRESNO-KINGS-MADERA REGIONAL HEALTH AUTHORITY - HUMAN RIGHTS COMMISSION - INTERAGENCY COUNCIL FOR CHILDREN (FRESNO AND MADERA COUNTIES) - KERN COUNTY MEDICALLY VULNERABLE INFANT PROJECT - KINGS COUNTY MULTI-DISCIPLINARY TEAM- MADERA BREAST FEEDING COALITION- MADERA COUNTY CHILD ABUSE PREVENTION COUNCIL- MADERA COUNTY CHILD FORENSIC INTERVIEW TEAM - MADERA COUNTY INTERAGENCY TEAM MEMBER- MARCH OF DIMES CENTRAL VALLEY DIVISION - MARIPOSA COUNTY INTERAGENCY TEAM MEMBER- MODEL OF CARE PARTNERSHIP OVERSIGHT COMMITTEE, FRESNO COUNTY - RAPHAEL HEALTH MINISTRY OUR LADY OF PERPETUAL HELP CHURCH - RESOURCE CENTER FOR SURVIVORS, FRESNO COUNTY RAPE CRISIS SERVICES- ROMAN CATHOLIC DIOCESE OF FRESNO, HEALTH MINISTRY OFFICE - SAFE KIDS CENTRAL CENTRAL CALIFORNIA - TULARE COUNTY HEALTHY FOR LIFE COLLABORATIVE- UNITED WAY OF FRESNO COUNTY- TEEN PARENT SUPPORT PROGRAM - FIRST 5 FRESNO- TULARE COUNTY HEALTHY FOR LIFE COLLABORATIVE- TULARE COUNTY SEXUAL ASSAULT RESPONSE TEAM- MEXICAN CONSULATE - VENTANILLA DE SALUD PROGRAM- WOMEN'S INITIATIVE UNITED WAY FRESNO COUNTY
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 (EXCLUDING CO-PAYS, INDEMNITY BALANCES, AND SHARE OF COST) 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 16A WEBSITE:WWW.VALLEYCHILDRENS.ORG
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE:WWW.VALLEYCHILDRENS.ORG
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 (EXCLUDING CO-PAYS, INDEMNITY BALANCES, AND SHARE OF COST) 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:CHARITY CARE AT COST WAS CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE DECISION SUPPORT SYSTEM WAS USED TO CALCULATE COST-TO-CHARGE FOR DETERMINING UNREIMBURSED MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THIS DECISION SUPPORT SYSTEM ADDRESSES ALL PATIENT SEGMENTS (I.E INPATIENT, OUTPATIENT, ETC.).
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,602,808.
PART III, LINE 4:FOOTNOTE DESCRIBING BAD DEBT EXPENSE: SEE PAGE 12, 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 2015 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 2015 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 2015. 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 2015, VALLEY CHILDREN'S HOSPITAL HAD 13,704 INPATIENT CASES, 118,298 EMERGENCY DEPARTMENT VISITS AND A COMBINED 224,953 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL BENEFITS COVERED 77% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 75% 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 NEARLY 60% 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 2015, VALLEY CHILDREN'S HOSPITAL PROVIDED CONTINUING MEDICAL EDUCATION PROGRAMS TO OVER 200 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 PREVENTION OF HYPERTENSION, PLASTIC SURGERY, CHILDHOOD CANCER, DOWN SYNDROME 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 - THE HOSPITAL CONTINUED TO PARTICIPATE IN COALITIONS FOCUSED ON IMPROVING CARE COORDINATION FOR INFANTS AND CHILDREN WITH, OR AT RISK FOR, DEVELOPMENTAL DELAYS, INCLUDING KERN COUNTY'S MEDICALLY VULNERABLE INFANT WORK GROUP INITIATIVE, AND FIRST 5 FRESNO'S MODEL OF CARE PARTNERSHIP OVERSIGHT COMMITTEE AND SYSTEMS OF CARE COMMITTEE. ALSO, THE HOSPITAL CONTINUED TO PROVIDE EDUCATION AND TECHNICAL ASSISTANCE OFFERED THROUGH ITS HIGH RISK INFANT FOLLOW UP PROGRAM TO OTHER PROVIDERS AND COMMUNITY BASED AGENCIES REGARDING SCREENING AND ASSESSMENT FOR DEVELOPMENTAL DELAYS IN HIGH RISK INFANTS.LAST, VALLEY CHILDREN'S HOSPITAL MAINTAINED ITS STRONG PARTNERSHIP WITH THE MARCH OF DIMES IN SUPPORT OF HEALTHY MOMS AND HEALTHY BABIES.INJURY PREVENTION 2015 - RECOGNIZING THAT UNINTENTIONAL INJURY IS THE NATION'S LEADING CAUSE OF DEATH IN CHILDREN AGES 1-14, THE HOSPITAL 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. SUPPORTED BY A CAST OF OVER 90 HOSPITAL EMPLOYEE VOLUNTEERS, THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2015: DISTRACTED & RECKLESS TEEN DRIVING, PEDIATRIC TRAUMA, WATER SAFETY, WHEELED SPORTS SAFETY, CHILD PASSENGER SAFETY, THE CHOKING GAME, SPORTS INJURIES, LITHIUM BATTERY INGESTION, AIR POWERED GUN INJURIES, MUNCHAUSEN SYNDROME BY PROXY, AND ABUSIVE HEAD TRAUMA.THE PROGRAM PROVIDED EDUCATION TO THOUSANDS OF CHILDREN AND FAMILIES AT A HOST OF COMMUNITY BASED VENUES THROUGHOUT THE CENTRAL VALLEY. IN ADDITION, THE HOSPITAL PROVIDED TRAINING AND CONDUCTED OUTREACH TO HEALTH CARE, EDUCATION, LAW ENFORCEMENT, AND CHILD WELFARE PROFESSIONALS THROUGH NATIONAL, STATE, REGIONAL, AND LOCAL CONFERENCES AND SEMINARS.THE HOSPITAL INJURY PREVENTION ALSO PROVIDED TELEVISION INTERVIEWS AND PARTICIPATED IN MEDIA EVENTS TO ADDRESS CHILD SAFETY ISSUES. THE HOSPITAL AND SAFE KIDS CENTRAL CALIFORNIA NOW PROVIDE A MONTHLY CHILD SAFETY SEGMENT ON A LOCAL NEWS PROGRAMS BROADCAST THROUGHOUT THE CENTRAL VALLEY. CHILDHOOD WEIGHT MANAGEMENT - VALLEY CHILDREN'S HOSPITAL SERVES AS THE ADVOCACY COORDINATOR FOR THE KAISER HEAL ZONE PROJECT IN THE CITY OF MADERA. IN ITS ROLE AS BOTH ADVOCACY COORDINATOR AND CHAIR OF THE MADERA HEAL ZONE PARTNERSHIP COMMITTEE, THE HOSPITAL PROVIDED CONSIDERABLE SUPPORT OF INCREASED ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY.AS THE FOUNDER AND ONGOING ACTIVE MEMBER OF THE CHILDHOOD OBESITY PREVENTION TASK FORCE OF FRESNO AND MADERA COUNTIES, THE HOSPITAL PLAYED A LEAD ROLE IN SUPPORTING THE TASK FORCE'S ACTIVITIES IN 2015. AN EXAMPLE INCLUDES THE CONTINUED COORDINATION OF THE CHILDHOOD WEIGHT MANAGEMENT PROJECT.THE MISSION OF VALLEY CHILDREN'S HOSPITAL IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF AND IS AN INDEPENDENT NON PROFIT ORGANIZATION GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES WHICH IS THEREFORE ACCOUNTABLE TO OUR COMMUNITY AND ONLY OUR COMMUNITY.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
RONALD MCDONALD HOUSE
9161 RONALD WAYMADERACA93536942864490501(C)(3)$8,500ROOM SPONSORSHIP/GOLF TOURNAMENT SPONSORSHIP
MARCH OF DIMES
4201W SHAW 105FRESNOCA93722131846366501(C)(3)$15,000MARCH FOR BABIES/SIGNATURE CHEFS AUCTION
CSUF FOUNDATION
2345 E SAN RAMONFRESNOCA93748946003272501(C)(3)$11,000SPONSORSHIP
STATE CENTER COMMUNITY COLLEGE
390 W FIR AVE SUTIE 300CLOVISCA93611770190269501(C)(3)$11,500SPONSORSHIP
HOSPITAL COUNCIL OF NORTHERN CALIFORNIA
515 SOUTH FIGEROA STLOS ANGELESCA90071941533644501(C)(3)$5,914COMMUNITY HEALTH NEEDS ASSESSMENT
KRAMES STAYWELL CONTENT SERVICES
PO BOX 759MORRISVILLEPA190670759134036258$8,000PROVIDE HEALTH INFORMATION VIA VHC WEBSITE
FIRSTSOURCE SOLUTIONS USA LLC
5182 RELIABLE PARKWAYCHICAGOIL60686271422188$12,030INSURANCE ENROLLMENT ASSISTANCE
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA936368782464150987501(C)(3)$1,485,462FUNDS TO BUY PRIMARY CARE PRACTICES
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP8$20,063
EDUCATION SCHOLARSHIP - NEONATAL FOCUS2$3,347
CAFETERIA MEALS10574$61,118FMVMEAL COUPONS FOR PATIENT FAMILIES AS NEEDED
TAXI, BUS AND TRANSIT SERVICES542$123,908BOOKSUBSIDIATION OF BUS AND TRANSIT SERVICES
EDUCATION SCHOLARSHIP RESPIRATORY FOCUS1$1,671

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNURSING SCHOLARSHIPS ARE DESIGNED TO HELP EMPLOYEES MEET FINANCIAL NEEDS THAT ARE NOT COVERED BY OTHER TUITION REIMBURSEMENT PROGRAMS. A SCHOLARSHIP COMMITTEE REVIEWS APPLICATIONS BI-ANNUALLY BASED ON CERTAIN CRITERIA. RECIPIENTS ARE CHOSEN BY THE COMMITTEE AND THE CHIEF NURSING OFFICER APPROVES THE SELECTIONS. ALL RECIPIENTS ARE EMPLOYEES OF THE HOSPITAL AND THE HOSPITAL IS MADE AWARE WHEN THE RECIPIENT COMPLETES THEIR EDUCATION. OTHER SERVICES PROVIDED ARE PURCHASED FROM VARIOUS VENDORS AND ARE SUPPLIED TO PATIENTS AND THEIR FAMILIES. THE RECORDS FOR THESE PURCHASED SERVICES ARE MAINTAINED BY THE HOSPITAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TODD SUNTRAPAK
CEO$627,207$0$159,250$0$35,234$0$161,471$0$16,629$0$999,791$0$0$0
MICHELE R WALDRON
CFO$437,685$0$98,315$0$27,434$0$126,611$0$12,472$0$702,517$0$0$0
DAVID CHRISTENSEN
VP, MEDICAL AFFAIRS & CMO$470,137$0$108,987$0$18,994$0$88,898$0$16,629$0$703,645$0$0$0
BEVERLY HAYDEN-PUGH
VP, CHIEF NURSING OFFICER$299,182$0$71,898$0$20,085$0$116,602$0$4,157$0$511,924$0$0$0
JESSIE HUDGINS
VP, FACILITIES$293,010$0$63,780$0$13,642$0$99,510$0$8,315$0$478,257$0$0$0
NATALE PONTICELLO JR
VP, HUMAN RESOURCES$237,586$0$65,358$0$39,235$0$43,389$0$0$0$385,568$0$0$0
JANE WILLSON
VP, CORPORATE DEVELOPMENT$275,023$0$62,639$0$22,270$0$85,023$0$0$0$444,955$0$0$0
DAVID SINGH
VP, ANCILLARY SERVICES$279,810$0$62,520$0$19,080$0$60,226$0$0$0$421,636$0$0$0
RICK WOLF
VP, GENERAL COUNCIL, TERMED 8/21/15$299,666$0$70,442$0$479$0$67,563$0$12,472$0$450,622$0$0$0
MICHAEL GOLDRING
VP & PND AND PPS$344,080$0$25,050$0$8,341$0$0$0$3,811$0$381,282$0$0$0
STEPHANIE VANCE
ED, FINANCE, VP$223,311$0$40,545$0$17,873$0$23,340$0$12,472$0$317,541$0$0$0
JOEL BROWNELL MD
VP, CHIEF MEDICAL INFORMATION OFFICE$156,543$0$50$0$274$0$0$0$8,315$0$165,182$0$0$0
KAREN DAHL
VP, QUALITY & PATIENT SAFETY$127,716$0$50,000$0$538$0$0$0$0$0$178,254$0$0$0
DANIEL DAVIS
VP CLINICAL OPS$228,558$0$36,970$0$4,874$0$28,396$0$12,472$0$311,270$0$0$0
RANDALL GUERRERO
ED, CRITICAL CARE, TERMED 4/30/14$180,872$0$69,137$0$866$0$19,579$0$12,472$0$282,926$0$0$0
CHRISTOPHER LONG
EXEC DIR COMM & ADVOCACY$197,704$0$33,445$0$8,661$0$21,266$0$12,472$0$273,548$0$0$0
DAVID HODGE JR
EXECUTIVE DIRECTOR, AMBULATORY SERVI$190,826$0$29,309$0$425$0$21,301$0$12,472$0$254,333$0$0$0
PAUL LILIS
DIRECTOR, PHYSICIAN PRACTICE SERVICE$184,163$0$24,549$0$7,326$0$16,614$0$16,629$0$249,281$0$0$0
ESTELA MORFORD
RN, TRANSPORT$206,024$0$0$0$4,864$0$37,108$0$4,157$0$252,153$0$0$0
KIRK LARSON
VP AND CIO, TERMED 4/4/14$76,356$0$85,242$0$132,749$0$46,784$0$0$0$341,131$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BPART I, LINES 4A: SEVERANCE PAYMENTS TOTALLING $132,350 WERE MADE TO KIRK LARSON, FORMER VP AND CIO 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, RICK WOLF, KIRK LARSON, MICHAEL GOLDRING, JOEL BROWNELL, KAREN DAHL, STEPHANIE VANCE, RANDALL GUERRERO, DAVID HODGE JR, CHRISTOPHER LONG, AND DANNY DAVIS ARE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. NO AMOUNTS WERE PAID OUT OF THE PLANS 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 9/30/2015 ARE AS FOLLOWS: MICHELE WALDRON - DEFERRED COMPENSATION PLAN $17,500; DCSERP $63,988; CHANGE IN SERP ACTUARIAL VALUE $24,446 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $0; DCSERP $106,835; CHANGE IN SERP ACTUARIAL VALUE $20,855 BEVERLY HAYDEN-PUGH - DEFERRED COMPENSATION PLAN $17,500; DCSERP $46,370; CHANGE IN SERP ACTUARIAL VALUE $25,603 JESSIE HUDGINS - DEFERRED COMPENSATION PLAN $0; DCSERP $42,809; CHANGE IN SERP ACTUARIAL VALUE $17,418 DAVID CHRISTENSEN - DEFERRED COMPENSATION PLAN $17,500; DCSERP $67,675; CHANGE IN SERP ACTUARIAL VALUE $1,843 RICK WOLF - DEFERRED COMPENSATION PLAN $0; DCSERP $43,769; CHANGE IN SERP ACTUARIAL VALUE $0 JANE WILLSON - DEFERRED COMPENSATION PLAN $17,500; DCSERP $42,076; CHANGE IN SERP ACTUARIAL VALUE $9,213 DAVID SINGH - DEFERRED COMPENSATION PLAN $17,500; DCSERP $39,670; CHANGE IN SERP ACTUARIAL VALUE $0 STEPHANIE VANCE - DEFERRED COMPENSATION PLAN $17,500; NOT ELIGIBLE FOR SERP KIRK LARSON - DEFERRED COMPENSATION PLAN $0; DCSERP $37,862; CHANGE IN SERP ACTUARIAL VALUE $0 NATALIE PONTICELLO - DEFERRED COMPENSATION PLAN $0; DCSERP $36,303; NOT ELIGIBLE FOR SERP MICHAEL GOLDRING, JOEL BROWNELL, KAREN DAHL, AND DANIEL DAVIS - NOT ELIGIBLE FOR DCSERP OR SERP
PART I, LINE 5AN 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 FOUNDATION. 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 6SEE EXPLANATION FOR LINE 5, ABOVE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF MADERABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN946000518BondIssuerEIN
CUSIP556902DN1CUSIPNum
Bond Issued2010-02-04BondIssuedDt
Issue Price$39,512,854IssuePriceAmt
PurposeTO REFUND SERIES 2006 BONDS ISSUED ON 6/26/06.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$11,825,000RetiredAmt
Total Proceeds$39,512,854TotalProceedsAmt
In Reserve Fund$3,793,105InReserveFundAmt
Other Spent Proceeds$35,719,749OtherSpentProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropYes (1)ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0.00000ChangeInUseBondFinancedPropPct
Remedial Action Taken0RemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: COUNTY OF MADERA DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2015
PART III, SECTION 8A & 8BCERTAIN OBSOLETE OR BROKEN EQUIPMENT WAS DISPOSED OF. IN SOME CASES, NOMINAL SCRAP PROCEEDS WERE RECEIVED.
PART IV, SECTION 2PROCEEDS USED TO REDEEM SERIES 2006 CERTIFICATES MET THE 6 MONTH EXCEPTION TO REBATE. HOWEVER, RESERVE FUND PROCEEDS ARE BEING TREATED AS SUBJECT TO REBATE.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (7 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)CISCO TELECONFERENCE1$45,182COST
Yes (X)WOOD CARVED CAROUSEL PIECES1$26,000COST
Yes (X)XBOX ONE MACHINES1$10,500COST
Yes (X)M75 PATIENT CARE SIMULATOR1$4,500COST
Yes (X)DENTAL MACHINE1$2,192COST
Yes (X)GPK UPPERTONE1$1,600COST
Yes (X)RADIO SET1$999COST
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART III, LINE 4A:STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE ONE I. DESCRIPTION OF PROGRAM SERVICE ONE OVER 60 YEARS AGO, OUR FOUNDING MOTHERS HAD A DREAM TO CARE FOR CHILDREN IN A HOSPITAL AS SPECIAL AS ITS PATIENTS. VALLEY CHILDREN'S HOSPITAL HAS FLOURISHED EVER SINCE, CARING FOR HUNDREDS OF THOUSANDS OF CHILDREN. OUR MISSION GUIDES US AS WE TRAVEL THE ROAD TO OUR FUTURE ALONGSIDE STAFF, PHYSICIANS, CHILDREN, FAMILIES, OUR COMMUNITY AND OUR PARTNERS THROUGHOUT THE REGION. MISSION THE MISSION OF VALLEY CHILDREN'S HOSPITAL IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. VISION OUR VISION CAPTURES THE PATH WE'VE TRAVELED AND SHOWCASES OUR COMMITMENT AND PASSION TO BE THE BEST. OUR CLEAR FOCUS IS TO CONTINUE TO PROVIDE THE BEST CARE AND THE BEST QUALITY PEDIATRIC SERVICES AVAILABLE ANYWHERE WITH A VISION TO BECOME THE NATION'S BEST CHILDREN'S HOSPITAL. CORE VALUES THE FOLLOWING CORE ORGANIZATIONAL VALUES GUIDE THE INVESTMENTS AND SUPPORT PROVIDED BY VALLEY CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM. EXCELLENCE - WE DEPEND ON EXCEPTIONAL PEOPLE TO PROVIDE EXCEPTIONAL QUALITY HEALTH CARE AND SERVICES THROUGHOUT VALLEY CHILDREN'S HOSPITAL. WE SET HIGH STANDARDS AND WE SUPPORT EACH OTHER AS WE STRIVE TO ACHIEVE THEM. WE INVEST IN EACH OTHER AND WE VALUE THE INDIVIDUAL AND CULTURAL DIFFERENCES THAT MAKE US STRONG. WE ARE PROUD OF OUR SUPERIOR SERVICES AS MEASURED BY QUALITY OUTCOMES. COMPASSIONATE CARE - WE TREAT EVERY CHILD, EVERY FAMILY, EACH OTHER, OUR VISITORS AND OUR VENDORS WITH RESPECT, KINDNESS, HOPE, JOY AND GOOD HUMOR. WE DISPLAY OUR HELPFUL, HEALING, FAMILY-CENTERED SPIRIT AT EVERY OPPORTUNITY. WE RECOGNIZE THE IMPORTANCE OF PLAYFULNESS IN HUMAN INTERACTION AND IN THE HEALTH OF CHILDREN. WE LOOK FOR WAYS TO EASE SUFFERING AND PROVIDE COMFORT. INTEGRITY - WE ARE HONEST, ETHICAL AND RESPONSIBLE IN OUR WORK AND IN THE WAY WE DEAL WITH OTHERS. WE KEEP OUR PROMISES AND ADMIT OUR MISTAKES. WE KNOW OURSELVES AND WE AVOID HIDDEN AGENDAS. BY THE WAY WE LIVE OUR LIVES EVERYDAY, WE ARE WORTHY OF THE TRUST PEOPLE PLACE IN US. INNOVATION - WE EMBRACE CHANGE, CREATIVITY, CONTINUOUS LEARNING AND PERSONAL GROWTH. WE INCORPORATE NEW IDEAS, TECHNOLOGY AND METHODS TO IMPROVE THE HEALTH CARE AND SERVICES WE PROVIDE. WE ANTICIPATE FUTURE TRENDS AND WE CREATE STRATEGIC PLANS TO INSURE FUTURE GROWTH AND CONTINUED VITALITY. COLLABORATION - WE BUILD ENDURING INTERNAL AND EXTERNAL RELATIONSHIPS, JOINING WITH COLLEAGUES ACROSS ORGANIZATIONAL BOUNDARIES TO IMPROVE THE CARE AND SERVICES WE PROVIDE. WE ENCOURAGE AND REWARD BOTH INDIVIDUAL AND TEAM ACHIEVEMENTS. WE PUT THE COMMON GOOD AHEAD OF NARROW INTERESTS. STEWARDSHIP - WE ARE RESOURCEFUL, ADAPTABLE AND RESILIENT. WE HAVE A "CAN DO" ATTITUDE THAT GETS THE JOB DONE. WE ARE FISCALLY RESPONSIBLE AND EFFICIENT WITH OUR TIME. WE PROTECT OUR RESERVES AND MANAGE OUR OPERATING COSTS IN ORDER TO INVEST IN THE NEXT GENERATION OF KIDS. WE ARE EACH PERSONALLY DEDICATED TO MAKING VALLEY CHILDREN'S HOSPITAL BETTER BECAUSE WE WERE HERE. COMMITMENT TO THE COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION GOVERNED BY ITS OWN BOARD OF TRUSTEES, VALLEY CHILDREN'S HOSPITAL IS SOLELY COMMITTED TO ADDRESSING THE MEDICAL NEEDS OF OUR REGION'S SICKEST CHILDREN. WITH 356 BEDS AT SEPTEMBER 30, 2015, 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 2015, VALLEY CHILDREN'S HOSPITAL HAD 13,704 INPATIENT CASES, 118,298 EMERGENCY DEPARTMENT VISITS AND A COMBINED 224,953 OUTPATIENT CENTER, REGIONAL SPECIALTY CARE CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL COVERED 77% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 75% 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 60% WERE AN ETHNICITY OTHER THAN CAUCASIAN.
FORM 990, PART III, LINE 4AIII. COMMUNITY BENEFITS PROGRAM ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, COMMUNITY BENEFITS ARE GENERALLY DEFINED AS THOSE ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS, AND MEET AT LEAST ONE OF THE FOLLOWING OBJECTIVES: - IMPROVE ACCESS TO HEALTH CARE SERVICES - ENHANCE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR PRIVATE, COMMUNITY-BASED EFFORTS ALSO INCLUDED IN THE DEFINITION IS THE PROVISION OF CHARITY CARE AND THE UNREIMBURSED COST OF PROVIDING HEALTH CARE SERVICES TO THOSE ENROLLED IN PUBLIC PROGRAMS, INCLUDING MEDI-CAL. IN FY 2015, 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 2015: *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 21,800 CONTACTS WITH CHILDREN, PARENTS, HEALTH CARE PROFESSIONALS AND OTHERS AT 315 DIFFERENT COMMUNITY, MEDIA AND PROFESSIONAL EVENTS. THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2015: ABUSIVE HEAD TRAUMA, AIR POWERED GUN INJURIES, CHILD PASSENGER SAFETY, THE CHOKING GAME, DISTRACTED & RECKLESS TEEN DRIVING, LITHIUM BATTERY INGESTION, MUNCHAUSEN SYNDROME BY PROXY, PEDIATRIC TRAUMA, SAFE TO SLEEP, SPORTS INJURIES, TEEN DEPRESSION & SUICIDE PREVENTION, TOY SAFETY, AND WHEELED SPORTS SAFETY. 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 OTHER AREAS OF PEDIATRIC MALTREATMENT, AND THE PREVENTION OF HUMAN TRAFFICKING OF CHILDREN. REINTEGRATION VALLEY CHILDREN'S ADAPTIVE SPORTS PROGRAM PROVIDES RECREATIONAL AND ATHLETIC EXPERIENCES FOR THOSE WITH DISABILITIES. OPEN TO ALL AGES, THE FREE PROGRAM IS THE ONLY ONE OF ITS KIND IN THE CENTRAL VALLEY. 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 2015 INCLUDED WATER 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 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 4AIN ADDITION TO THE SUPPORT PROVIDED BY VALLEY CHILDREN'S, VALLEY CHILDREN'S PARTNERS 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 RESEARCH SHOWS THAT PROFICIENCY IN READING BY THE END OF THE THIRD GRADE ENABLES STUDENTS TO SHIFT FROM LEARNING-TO-READ TO READING-TO-LEARN, AND TO MASTERING THE MORE COMPLEX SUBJECT MATTER THEY ENCOUNTER IN THE FOURTH GRADE CURRICULUM. READING DIFFICULTIES AND ILLITERACY CONTRIBUTE TO INCREASED SCHOOL ABSENTEEISM, SCHOOL DROP-OUTS, JUVENILE DELINQUENCY, INCREASED CRIME, TEEN PREGNANCY, DRUG USE AND OTHER PROBLEMS THAT IMPACT OUR CHILDREN AND OUR COMMUNITY. STUDIES SHOW THE EASIEST WAY TO INCREASE LITERACY AMONG PRE-SCHOOL AND SCHOOL AGE CHILDREN IS SIMPLY TO READ TO THEM. TO MAKE A MEANINGFUL CONTRIBUTION TO LITERACY IN OUR COMMUNITY, VALLEY CHILDREN'S LITERACY PROGRAM PROMOTES AND ENCOURAGES CHILDREN AND THEIR FAMILIES TO BECOME LIFELONG READERS. ALSO IN 2015, VALLEY CHILDREN'S WAS AN ACTIVE PARTICIPANT IN A TALK READ SING CAMPAIGN LAUNCHED THROUGH THE CHILDREN'S MOVEMENT OF FRESNO COUNTY. VALLEY CHILDREN'S STAFF PARTICIPATED IN LITERACY EVENTS AT THE NEW FOWLER PUBLIC LIBRARY, AND THE CALWA COMMUNITY CENTER. VALLEY CHILDREN'S STAFF ALSO CO-CHAIRED THE TALK READ SING CAMPAIGN LOCALLY. 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 SUPPORTED A NUMBER OF INITIATIVES AIMED AT ADDRESSING CHILDHOOD WEIGHT ISSUES IN THE CENTRAL VALLEY. VALLEY CHILDREN'S SUPPORTED MADERA UNIFIED SCHOOL DISTRICT'S (MUSD) EFFORT TO REVISE ITS WELLNESS POLICY BY PARTICIPATING IN PLANNING SESSIONS AND ADVOCATING BEFORE THE MUSD BOARD OF TRUSTEES. ADDITIONALLY, AS THE FOUNDER AND CHAIR OF THE CHILDHOOD WEIGHT MANAGEMENT TASK FORCE (TASK FORCE) FOR FRESNO AND MADERA COUNTIES, VALLEY CHILDREN'S PLAYED A LEAD ROLE IN SUPPORTING THE TASK FORCE'S ACTIVITIES IN 2015. PILOT PROJECT - ONE OF THE TASK FORCE'S KEY ACTIVITIES WAS THE COMPLETION OF THE CHILDHOOD WEIGHT MANAGEMENT PILOT PROJECT, THE PURPOSE OF WHICH WAS TO TEST A NEW MODEL FOR DELIVERING AND FINANCING CHILDHOOD WEIGHT MANAGEMENT SERVICES IN THE PRIMARY CARE PHYSICIAN OFFICE. THE PROJECT INCLUDED FOUR PRIMARY CARE PROVIDER SITES AND TWO MEDI-CAL MANAGED CARE PLANS IN FRESNO AND MADERA COUNTIES, AND SERVED 22 CHILDREN, AGES 2 - 12, WHO WERE OVERWEIGHT OR OBESE. PATIENTS ENROLLED IN THE PROJECT VISITED THEIR PHYSICIAN FIVE TIMES OVER A 12 MONTH PERIOD, INCLUDING THE INITIAL VISIT, A TWO WEEK FOLLOW UP VISIT, AND VISITS AT THREE MONTHS, SIX MONTHS, AND 12 MONTHS. ADDITIONALLY, PATIENTS AND THEIR FAMILIES WERE ASSIGNED A COMMUNITY HEALTH WORKER WHO WAS RESPONSIBLE FOR HELPING TO MANAGE THE PATIENT'S CARE IN BETWEEN THE PHYSICIAN VISITS. LAST, PATIENTS WERE CONNECTED WITH A REGISTERED DIETICIAN WHO PROVIDED EDUCATION AND DIRECTION REGARDING DIET AND NUTRITION. FACULTY AT CALIFORNIA STATE UNIVERSITY, FRESNO ARE PREPARING AN ANALYSIS OF THE PILOT PROJECT THAT WILL BE USED TO ENHANCE PREVENTION AND TREATMENT EFFORTS MOVING FORWARD. PARENT SURVEY - VALLEY CHILDREN'S AND THE CALIFORNIA HEALTH COLLABORATIVE COORDINATED THE PREPARATION OF A REPORT BY CALIFORNIA STATE UNIVERSITY, FRESNO, SUMMARIZING THE RESULTS OF A 2014 CHILDHOOD WEIGHT MANAGEMENT PARENT SURVEY. THE PURPOSE OF THE PARENT SURVEY, WHICH WAS FACILITATED BY VALLEY CHILDREN'S, WAS TO GAUGE PARENTS' ATTITUDES AND PRACTICES REGARDING NUTRITION AND PHYSICAL ACTIVITY. FIFTEEN DIFFERENT COMMUNITY-BASED AGENCIES DISTRIBUTED SURVEYS TO CLIENTS IN BOTH ENGLISH AND SPANISH, WITH 1,353 PARENTS RETURNING COMPLETED SURVEYS. THE TASK FORCE IS USING THE SURVEY RESULTS TO DEVELOP ADDITIONAL ACTIVITIES AND INTERVENTIONS FOCUSED ON CHILDHOOD OBESITY PREVENTION. DEVELOPMENTAL DISABILITIES VALLEY CHILDREN'S PARTICIPATED IN COALITIONS FOCUSED ON IMPROVING CARE COORDINATION FOR INFANTS AND CHILDREN WITH, OR AT RISK FOR, DEVELOPMENTAL DELAYS, INCLUDING KERN COUNTY'S MEDICALLY VULNERABLE INFANT WORK GROUP INITIATIVE AND FIRST 5 FRESNO'S MODEL OF CARE PARTNERSHIP OVERSIGHT COMMITTEE AND SYSTEMS OF CARE COMMITTEE. IN 2015, VALLEY CHILDREN'S ORGANIZED AND CONVENED A WORKSHOP OF OVER 50 STAKEHOLDERS THROUGHOUT CENTRAL CALIFORNIA TO IDENTIFY THE MAJOR BARRIERS AND OPPORTUNITIES FOR IMPROVING ACCESS TO DEVELOPMENTAL SERVICES FOR CHILDREN. AS FOLLOW UP TO THE WORK SHOP, VALLEY CHILDREN'S IS WORKING WITH COMMUNITY STAKEHOLDERS TO COORDINATE INITIATIVES THAT WILL INCREASE THE PERCENT OF YOUNG CHILDREN RECEIVING THE RECOMMENDED SCHEDULE OF DEVELOPMENTAL SCREENINGS. INJURY PREVENTION VALLEY CHILDREN'S CHAIRED SAFE KIDS CENTRAL CALIFORNIA, LEADING THIS COALITION OF 40 LOCALLY BASED AGENCIES IN A VARIETY OF PROJECTS FOCUSED ON DECREASING UNINTENTIONAL DEATH AND INJURY TO KIDS AGED 14 AND UNDER. ONE PROJECT SPONSORED A MONTHLY CHILD SAFETY SEGMENT ON KSEE 24 CENTRAL VALLEY TODAY, A LOCAL NEWS/COMMUNITY AFFAIRS PROGRAM. 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 2015, 77% OF HOSPITAL INPATIENT DAYS WERE COVERED BY MEDI-CAL. THE COMBINED NET EFFECT OF TOTAL MEDI-CAL REIMBURSEMENT AND DISPROPORTIONATE SHARE FUNDING IN RELATION TO THE COST OF THESE SERVICES RESULTED IN A NET LOSS TO THE HOSPITAL IN 2015 OF $66,875,895. 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 2015, VALLEY CHILDREN'S HOSPITAL RECOGNIZED PROGRAM REVENUE OF $94,154,152, 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 2015, CHILDREN'S HOSPITAL PROVIDED $253,273 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 2PAT RICCUTTI, DIRECTOR AND BILL SMITTCAMP, CHAIRMAN, HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE AMENDED AND RESTATED BYLAWS OF VALLEY CHILDREN'S HOSPITAL, EFFECTIVE 10/17/13, ESTABLISHED VALLEY CHILDREN'S HEALTHCARE AS THE SOLE MEMBER OF THE CORPORATION. CERTAIN MEMBER RIGHTS, INCLUDING THE RIGHT TO APPROVE, FIX THE NUMBER, ELECT, AND REMOVE ELECTED TRUSTEES, ARE INCLUDED IN THESE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7ASEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION A, LINE 7BSEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE HOSPITAL'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. THE HOSPITAL MAINTAINS A SEPARATE BUT SIMILAR POLICY GOVERNING INDIVIDUALS EMPLOYED IN COVERED POSITIONS.
FORM 990, PART VI, SECTION B, LINE 15AS PROVIDED BY THE 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 B, LINE 16B: VALLEY CHILDREN'S HOSPITAL ANALYZES JOINT VENTURE AND OTHER RELATED OPPORTUNITIES AND ENSURES THAT ALL WRITTEN AGREEMENTS INCLUDE LANGUAGE THAT REQUIRES NONPROFIT COMPLIANCE. ALL NEW VENTURES MUST BE REVIEWED AND APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES. THE ORGANIZATION IS IN THE PROCESS OF CREATING A WRITTEN POLICY RELATED TO THESE ACTIVITIES.
FORM 990, PART VI, SECTION C, LINE 19A COPY OF VALLEY CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF VALLEY CHILDREN'S HOSPITAL IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE HOSPITAL PREPARES ANNUAL FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO SUBMITTAL TO RELEVANT STATE AGENCIES.
FORM 990, PART XI, LINE 9:PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -30,605,693.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
VALLEY CHILDREN'S HEALTHCARE FOUNDATION
9300 VALLEY CHILDRENS PLACEMADERACA93636942797447PHILANTHROPY/FUNDRAISING FOR VALLEY CHILDREN'S HEALTHCARE & RELATED ENTITIESCA501(C)(3)LINE 7VALLEY CHILDREN'S HEALTHCARE0
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636464150987HEALTH CARECA501(C)(3)LINE 9VALLEY CHILDREN'S HEALTHCARE0
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACEMADERACA93636464158433HEALTH CARECA501(C)(3)LINE 11B, II0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MONDRIAN INTERNATIONAL FIXED INCOME FUND LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 N MARKET STREET STE 1118AddressLine1Txt
CityWILMINGTONCityNm
State AbbreviationDEStateAbbreviationCd
ZIP19801ZIPCd
FieldValueIRS element (for citing)
EIN201575121EIN
Primary ActivitiesINVESTMENTPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeUNRELATEDPredominantIncomeTypeTxt
Share Of Total Income$1,170,249ShareOfTotalIncomeAmt
Share Of EOY Assets$33,247,121ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.56240OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
VALLEY CHILDREN'S HEALTHCARE FOUNDATION
C$5,834,455CASH VALUE
VALLEY CHILDREN'S MEDICAL GROUP
I$135,971BOOK VALUE
VALLEY CHILDREN'S MEDICAL GROUP
B$1,485,462CASH VALUE