VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-14
IRS object ID: 201522269349303352
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-14T13:40:04-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3121 W MARCH LN STE 100	AddressLine1
City	STOCKTON	City
State	CA	State
ZIP Code	952192367	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941294954	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY CHILDREN'S HOSPITAL	BusinessNameLine1
Business Name Line2	FKA CHILDREN'S HOSPITAL CENTRAL CA	BusinessNameLine2

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1
City	MADERA	City
State	CA	State
ZIP Code	936368761	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELE WALDRON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5593533000	PhoneNum
Signature	2015-08-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TRACY S PAGLIA	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1
City	MADERA	City
State	CA	State
ZIP Code	936368761	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$624,728,553	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.VALLEYCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	3180	TotalEmployeeCnt
Total Volunteers	479	TotalVolunteersCnt
Total Gross UBI	$1,684,302	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,419,292	PYContributionsGrantsAmt
CY Contributions Grants	$67,879,982	CYContributionsGrantsAmt
PY Program Service Revenue	$506,950,233	PYProgramServiceRevenueAmt
CY Program Service Revenue	$441,288,249	CYProgramServiceRevenueAmt
PY Investment Income	$9,969,173	PYInvestmentIncomeAmt
CY Investment Income	$20,981,798	CYInvestmentIncomeAmt
PY Other Revenue	$13,563,512	PYOtherRevenueAmt
CY Other Revenue	$11,851,088	CYOtherRevenueAmt
PY Total Revenue	$542,902,210	PYTotalRevenueAmt
CY Total Revenue	$542,001,117	CYTotalRevenueAmt
PY Grants And Similar Paid	$251,643	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$393,947	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$243,834,887	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$253,148,976	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$195,731,750	PYOtherExpensesAmt
CY Other Expenses	$177,068,432	CYOtherExpensesAmt
PY Total Expenses	$439,818,280	PYTotalExpensesAmt
CY Total Expenses	$430,611,355	CYTotalExpensesAmt
PY Revenues Less Expenses	$103,083,930	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$111,389,762	CYRevenuesLessExpensesAmt
Total Assets BOY	$934,209,103	TotalAssetsBOYAmt
Total Assets EOY	$1,043,817,916	TotalAssetsEOYAmt
Total Liabilities BOY	$260,668,503	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$270,286,629	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$673,540,600	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$773,531,287	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$22,734,981	ExpenseAmt
Grant	$393,947	GrantAmt
Revenue	$181,029,403	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$302,355,095	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$260,258,846	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$325,090,076	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	293	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3180	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHELE WALDRON CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5593533000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 VALLEY CHILDRENS PLACE	AddressLine1
City	MADERA	City
State	CA	State
ZIP Code	93636	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TODD SUNTRAPAK
CEO	40.00	10.00	Yes (X)	Yes (X)	$703,774	$0	$73,481
DR DAVID KRAUSE
BOARD CHAIR, TERMED 1/24/15	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
BILL SMITTCAMP
VICE CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DR ROBERT KUBO
BOARD TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DR LINDA FRALEY
BOARD SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
BRUCE ALLBRIGHT
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
GREG COLEMAN
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DAVE NALCHAJIAN
FOUNDATION CHAIRMAN OF BOARD	1.00	1.00	Yes (X)		$0	$0	$0
DR TIM HANSEN
CHIEF OF STAFF, TERMED 1/25/14	1.00		Yes (X)		$75,000	$0	$0
RILEY WALTER
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
JEFF MAYER
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
NANCY MASICH
GUILD COOR., TERMED 12/31/13	1.00		Yes (X)		$0	$0	$0
MICHAEL HANSON
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
PAT RICCHIUTI
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DR CHARLES SMITH
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
KIM RUIZ BECK
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
JEANNINE CAMPOS GRECH
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
PAUL MCDOUGAL
FOUNDATION BOARD CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
DR SAHAR BARAYAN
CHIEF OF STAFF, EFFECTIVE 1/28/14	1.00		Yes (X)		$20,000	$0	$257,637
NOREEN WADE
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
MICHELE R WALDRON
CFO	45.00	5.00		Yes (X)	$562,868	$0	$81,158
DAVID CHRISTENSEN
VP, MEDICAL AFFAIRS & CMO	40.00				$565,375	$0	$46,416	Yes (X)
BEVERLY HAYDEN-PUGH
VP, CHIEF NURSING OFFICER	40.00				$392,773	$0	$80,831	Yes (X)
JESSIE HUDGINS
VP, FACILITIES	40.00				$380,277	$0	$70,864	Yes (X)
NATALE PONTICELLO JR
VP, HUMAN RESOURCES, EFF. 1/7/13	40.00				$308,326	$0	$0	Yes (X)
JANE WILLSON
VP, CORPORATE DEVELOPMENT	40.00				$354,820	$0	$45,124	Yes (X)
DAVID SINGH
VP, REV CYCLE MGMT/ANCILLARY	40.00				$334,807	$0	$29,280	Yes (X)
RICK WOLF
VP, GENERAL COUNCIL	40.00				$367,486	$0	$46,179	Yes (X)
KIRK LARSON
VP AND CIO, TERMED 4/4/14	40.00				$318,709	$0	$31,438	Yes (X)
STEPHANIE VANCE
ED, FINANCE, VP EFFECTIVE 1/5/14	40.00				$279,843	$0	$35,200		Yes (X)
RANDALL GUERRERO
ED, CRITICAL CARE (TERMED 4/30/14)	40.00				$255,754	$0	$32,790		Yes (X)
JEFFREY LEFORS
EXECUTIVE DIRECTOR, PROF SVCS + CHG	40.00				$281,292	$0	$39,484		Yes (X)
DANIEL DAVIS
EXECUTIVE DIRECTOR, ACUTE/PT CARE SU	40.00				$267,588	$0	$35,369		Yes (X)
CHRISTOPHER LONG
EXEC DIR COMM & ADVOCACY	40.00				$238,767	$0	$32,802		Yes (X)
GORDON ALEXANDER
FORMER CEO, TERMED 11/13/11	34.00	6.00			$271,154	$0	$0			Yes (X)
MARTA BOYER
FORMER VP, HR, TERMED 5/4/12	40.00				$252,692	$0	$11,267			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,231,305	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$949,320	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	523	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SPECIALTY MEDICAL GROUP
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	SUBSPEC PHYSICIAN SERVICES	$14,049,997
PEDIATRIC ANETHESIA ASSOCIATION
6235 N FRESNO ST STE 103	FRESNO	CA	93710	ANETHESIA/CRITICAL CARE	$9,111,224
CROTHALL HEALTHCARE INC
1654 MARTHALER LANE	WEST ST PAUL	MN	55118	HOUSEKEEPING SERVICES	$3,459,206
PARKPLACE INTERNATIONAL
DEPT CH 19800	PALATINE	IL	600559800	CONSULTING	$1,371,845
METROPOLITAN BUILDERS
4554 E LAMONA	FRESNO	CA	93703	CONSTRUCTION SERVICES	$1,269,230

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Related Organizations	$46,444,666	RelatedOrganizationsAmt
Government Grants	$20,992,483	GovernmentGrantsAmt
All Other Contributions	$442,833	AllOtherContributionsAmt
Noncash Contributions	$5,400	NoncashContributionsAmt
Total Contributions	$67,879,982	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	900099	$441,127,329	$441,127,329
OUTSIDE LAB SERVICES	900099	$160,920	$160,920

Field	Value	IRS element (for citing)
Total Program Service Revenue	$441,288,249	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,356,890	TotalRevenueColumnAmt
Exclusion	$9,356,890	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$862,720	TotalRevenueColumnAmt
Exclusion	$862,720	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$107,008	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$35,815	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$71,193	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,193	TotalRevenueColumnAmt
Exclusion	$71,193	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$93,182,565	SecuritiesAmt
Other	$31,036	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$82,377,502	SecuritiesAmt
Other	$73,911	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,805,063	SecuritiesAmt
Other	-$42,875	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,762,188	TotalRevenueColumnAmt
Exclusion	$10,762,188	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$541,428	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$240,208	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$301,220	TotalRevenueColumnAmt
Exclusion	$301,220	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE	900099	$2,774,398	$2,774,398
MANAGEMENT SERVICES	541610	$1,684,302		$1,684,302

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,019,975	TotalRevenueColumnAmt
Exclusion	$7,019,975	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,478,675	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$542,001,117	TotalRevenueColumnAmt
Related Or Exempt Func Income	$441,288,249	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,684,302	UnrelatedBusinessRevenueAmt
Exclusion	$31,148,584	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$180,781	TotalAmt
Program Services	$180,781	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$213,166	TotalAmt
Program Services	$213,166	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,741,759	TotalAmt
Management And General	$5,741,759	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$171,916,957	TotalAmt
Program Services	$136,343,174	ProgramServicesAmt
Management And General	$35,573,783	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,827,021	TotalAmt
Program Services	$9,379,497	ProgramServicesAmt
Management And General	$2,447,524	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$49,235,155	TotalAmt
Program Services	$36,878,486	ProgramServicesAmt
Management And General	$12,356,669	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,428,084	TotalAmt
Program Services	$10,874,464	ProgramServicesAmt
Management And General	$3,553,620	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,235,437	TotalAmt
Program Services	$65,610	ProgramServicesAmt
Management And General	$2,169,827	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$603,195	TotalAmt
Management And General	$603,195	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$198,900	TotalAmt
Management And General	$198,900	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,087,856	TotalAmt
Management And General	$2,087,856	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,426,257	TotalAmt
Program Services	$31,020,972	ProgramServicesAmt
Management And General	$405,285	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$823,119	TotalAmt
Program Services	$823,119	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$58,635,489	TotalAmt
Program Services	$52,094,155	ProgramServicesAmt
Management And General	$6,541,334	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,867,369	TotalAmt
Management And General	$4,867,369	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,405,283	TotalAmt
Program Services	$3,501,890	ProgramServicesAmt
Management And General	$903,393	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$536,399	TotalAmt
Program Services	$185,746	ProgramServicesAmt
Management And General	$350,653	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$250,174	TotalAmt
Program Services	$56,949	ProgramServicesAmt
Management And General	$193,225	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,030,433	TotalAmt
Program Services	$6,258,310	ProgramServicesAmt
Management And General	$1,772,123	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,221,356	TotalAmt
Program Services	$13,640,048	ProgramServicesAmt
Management And General	$10,581,308	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,955,141	TotalAmt
Program Services	$91,278	ProgramServicesAmt
Management And General	$2,863,863	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$18,152,072	$11,894,138	$6,257,934
BAD DEBT	$6,098,578	$6,098,578
HOSPITAL FEE PROGRAM	$4,949,542	$4,949,542
DUES	$1,467,221	$140,126	$1,327,095

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,124,611	TotalAmt
Program Services	$400,047	ProgramServicesAmt
Management And General	$4,724,564	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$430,611,355	TotalAmt
Program Services	$325,090,076	ProgramServicesAmt
Management And General	$105,521,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,866	BOYAmt
EOY	$13,760	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$113,166,000	BOYAmt
EOY	$183,903,715	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$841,900	BOYAmt
EOY	$638,970	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,124,351	BOYAmt
EOY	$57,985,202	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,821,066	BOYAmt
EOY	$6,244,120	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,012,311	BOYAmt
EOY	$8,214,772	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$461,530,461	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$207,877,347	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$258,251,547	BOYAmt
EOY	$253,653,114	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$203,327,625	BOYAmt
EOY	$248,661,417	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$217,453,510	BOYAmt
EOY	$236,186,300	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,543,309	BOYAmt
EOY	$2,828,218	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$72,653,618	BOYAmt
EOY	$45,488,328	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$934,209,103	BOYAmt
EOY	$1,043,817,916	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,927,373	BOYAmt
EOY	$56,821,562	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$150,931,191	BOYAmt
EOY	$146,008,626	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,809,939	BOYAmt
EOY	$67,456,441	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$260,668,503	BOYAmt
EOY	$270,286,629	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$670,379,140	BOYAmt
EOY	$771,171,330	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,161,460	BOYAmt
EOY	$2,359,957	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$673,540,600	BOYAmt
EOY	$773,531,287	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$934,209,103	BOYAmt
EOY	$1,043,817,916	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$111,389,762	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,083,186	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$21,482,261	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$6,305	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,350,398	OtherActivitiesAmt
Total Lobbying Expenditures	$2,356,703	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	VALLEY CHILDREN'S HOSPITAL HAS HAD DIRECT CONTACT WITH AND HAS ENCOURAGED OTHERS TO HAVE DIRECT CONTACT WITH LOCAL, STATE AND FEDERAL LEGISLATORS REGARDING CHILDREN'S HEALTH CARE PUBLIC POLICY. THESE CONTACTS HAVE PROVIDED INFORMATION REGARDING THE PROVISION OF HEALTH CARE SERVICES TO CHILDREN, THE ANTICIPATED EFFECT ON CHILDREN'S HEALTH OF PENDING LEGISLATIVE PROPOSALS, AND REQUESTS FOR ASSISTANCE IN SUPPORTING ACCESS TO CHILDREN'S HEALTH CARE BY MAINTAINING CURRENT STATE AND FEDERAL FUNDING LEVELS FOR MEDI-CAL AND OTHER PUBLIC PROGRAMS. EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE LESS THAN 1% OF TOTAL HOSPITAL EXPENDITURES. VALLEY CHILDREN'S HOSPITAL HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $6,305 ASSOCIATION DUES RELATED TO LOBBYING NACH 22,055 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 42,140 CALIFORNIA HOSPITAL ASSOCIATION 2,260,301 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIF. 25,902 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $2,356,703	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$264,489,427	OtherCostOrOtherBasisAmt
Depreciation	$78,216,526	DepreciationAmt
Book Value	$186,272,901	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,756,225	OtherCostOrOtherBasisAmt
Depreciation	$2,333,523	DepreciationAmt
Book Value	$1,422,702	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$159,361,414	OtherCostOrOtherBasisAmt
Depreciation	$110,026,313	DepreciationAmt
Book Value	$49,335,101	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,396,252	OtherCostOrOtherBasisAmt
Depreciation	$17,300,985	DepreciationAmt
Book Value	$7,095,267	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$253,653,114	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	LIMITED PARTNERSHIPS	Desc
Book Value	$236,186,300	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$236,186,300	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
MALPRACTICE RESERVE	$5,333,379
ACCRUED PENSION LIABILITY	$45,505,622
457 LIABILITY	$2,219,281
1732 LIABILITY	$1,777,433
OTHER	$4,444
WORKERS COMP	$7,348,020
INS LIABILITY	$4,473,980
DC SERP LIABILITY	$794,282

Field	Value	IRS element (for citing)
Total Liability	$67,456,441	TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$308,978,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$274,512,053	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,466,027	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$487,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$251,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$235,928	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$309,532,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$274,763,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,768,955	NetCommunityBenefitExpnsAmt
Total Expense	0.08200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$620,056	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$620,056	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,768,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$494,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,273,434	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$714,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$371,338	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$343,047	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,998	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,306,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$866,120	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,440,535	NetCommunityBenefitExpnsAmt
Total Expense	0.01990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$318,839,320	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$275,629,830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,209,490	NetCommunityBenefitExpnsAmt
Total Expense	0.10190	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,790,063	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$668,180	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$942,331	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$274,151	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	Childrens HospitalChildrensHospitalInd	Facility Reporting GroupFacilityReportingGroupCd
VALLEY CHILDREN'S HOSPITAL
1	9300 VALLEY CHILDRENS PLACE	MADERA	CA	936368761	WWW.VALLEYCHILDRENS.ORG	Yes (X)	A
VALLEY CHILDREN'S HOME CARE
2	7555 N DEL MAR AVE	FRESNO	CA	93711	WWW.VALLEYCHILDRENS.ORG	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.VALLEYCHILDRENS.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: VALLEY CHILDREN'S HOSPITAL, - FACILITY 2: VALLEY CHILDREN'S HOME CARE
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 3:	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 4:	- 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 12I:	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 14G:	ADDITIONALLY THE POLICY IS SENT BY US POSTAL SERVICE TO COMMUNITY AGENCIES TO BE DISTRIBUTED.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20D:	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 22:	IF A PATIENT DID NOT QUALIFY FOR FULL CHARITABLE DISCOUNT, LOW INCOME DISCOUNT, HIGH MEDICAL COST DISCOUNT OR 25% PROMPT PAY DISCOUNT THEN THEY COULD BE CHARGED GROSS CHARGES FOR THEIR SERVICES.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	CHARITY CARE AT COST WAS CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE DECISION SUPPORT SYSTEM WAS USED TO CALCULATE COST-TO-CHARGE FOR DETERMINING UNREIMBURSED MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THIS DECISION SUPPORT SYSTEM ADDRESSES ALL PATIENT SEGMENTS (I.E INPATIENT, OUTPATIENT, ETC.).
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,098,578.
PART III, LINE 4:	FOOTNOTE DESCRIBING BAD DEBT EXPENSE:THE HOSPITAL ANALYZES ITS COLLECTION HISTORY AND IDENTIFIES TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS FOR PATIENTS WITHOUT THIRD PARTY COVERAGE. THE ALLOWANCE IS RECORDED IN THE PERIOD IN WHICH SERVICES ARE PROVIDED. FOR PATIENTS WITH THIRD-PARTY COVERAGE, THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY, FOR AMOUNTS THAT ARE THE PATIENT'S RESPONSIBILITY, INCLUDING DEDUCTIBLES AND COPAYMENTS. IN ADDITION, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WOULD BE ESTABLISHED FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA TO EVALUATE THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 69 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2014 AND 62 PERCENT AT SEPTEMBER 30, 2013. THE HOSPITAL HAS NOT CHANGED ITS UNINSURED DISCOUNT OR CHARITY CARE POLICIES DURING FISCAL YEARS 2014 OR 2013. THE HOSPITAL DOES NOT MAINTAIN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITEOFFS FROM THIRD-PARTY PAYORS.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 2014 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 2014 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 2013. 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 2014, VALLEY CHILDREN'S HOSPITAL HAD 12,695 INPATIENT CASES, 90,908 EMERGENCY DEPARTMENT VISITS AND A COMBINED 209,229 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL BENEFITS COVERED 76% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 74% 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 ALMOST 2/3 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. 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 2014, 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 2014 - 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 2014: 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 HOSPITAL CHAIRED SAFE KIDS CENTRAL VALLEY AND LED THE COALITION OF 16 LOCALLY BASED AGENCIES IN A VARIETY OF PROJECTS FOCUSED ON DECREASING UNINTENTIONAL DEATH AND INJURY TO KIDS AGED 14 AND UNDER. 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 2014. 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 STATES	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MARCH OF DIMES
4201W SHAW 105	FRESNO	CA	93722	131846366	501(C)(3)	$15,000	MARCH FOR BABIES SPONSOR
EXCEPTIONAL PARENTS UNLIMITED
4440 N FIRST STREET	FRESNO	CA	93726	770263702	501(C)(3)	$30,923	GRANT REIMBURSEMENT FOR LEAN PROJECT/FIESTA SPONSORSHIP
HINDS HOSPICE
1616 W SHAW AVE STE A-5	FRESNO	CA	93711	770071360	501(C)(3)	$6,000	TABLE SPONSORSHIP
UCSF FOUNDATION SPONSORSHIP
155 N FRESNO STREET	FRESNO	CA	93701	946000669	501(C)(3)	$7,500	DONATION
KRAMES STAYWELL CONTENT SERVICES
PO BOX 759	MORRISVILLE	PA	190670759	134036258		$8,000	PROVIDE HEALTH INFORMATION VIA WEBSITE
SOCIOUS INC
2500 S POWER ROAD 118	MESA	AZ	85209	270007008		$21,000	ONLINE FORUM TO PROVIDE HEALTH EDUCATION AND ADVICE
REGENT OF THE UNIVERSITY OF CALIFORNIA - SPONSORSHIP
10920 WILSHIRE BLVD SUITE 1060	LOS ANGELES	CA	90024	956006143	501(C)(3)	$25,000	SPONSOSRHIP GIFT PAYMENT
FIRSTSOURCE SOLUTIONS USA LLC
5182 RELIABLE PARKWAY	CHICAGO	IL	60686	271422188		$38,358	INSURANCE ENROLLMENT ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
NURSING SCHOLARSHIP	7	$17,573
EDUCATION SCHOLARSHIP - NEONATAL FOCUS	2	$3,347
CAFETERIA MEALS	11980		$69,245	FMV	MEAL COUPONS FOR PATIENT FAMILIES AS NEEDED
TAXI, BUS AND TRANSIT SERVICES	573		$121,327	BOOK	SUBSIDIATION OF BUS AND TRANSIT SERVICES
EDUCATION SCHOLARSHIP RESPIRATORY FOCUS	1	$1,674

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TODD SUNTRAPAK
CEO	$552,982	$0	$119,790	$0	$31,002	$0	$56,800	$0	$16,681	$0	$777,255	$0	$0	$0
DR SAHAR BARAYAN
CHIEF OF STAFF, EFFECTIVE 1/28/14	$20,000	$0	$0	$0	$0	$0	$0	$257,637	$0	$0	$20,000	$257,637	$0	$0
MICHELE R WALDRON
CFO	$426,167	$0	$126,493	$0	$10,208	$0	$68,647	$0	$12,511	$0	$644,026	$0	$0	$0
DAVID CHRISTENSEN
VP, MEDICAL AFFAIRS & CMO	$447,090	$0	$108,725	$0	$9,560	$0	$29,735	$0	$16,681	$0	$611,791	$0	$0	$0
BEVERLY HAYDEN-PUGH
VP, CHIEF NURSING OFFICER	$305,765	$0	$76,079	$0	$10,929	$0	$76,661	$0	$4,170	$0	$473,604	$0	$0	$0
JESSIE HUDGINS
VP, FACILITIES	$284,260	$0	$73,985	$0	$22,032	$0	$62,524	$0	$8,340	$0	$451,141	$0	$0	$0
NATALE PONTICELLO JR
VP, HUMAN RESOURCES, EFF. 1/7/13	$256,642	$0	$50,000	$0	$1,684	$0	$0	$0	$0	$0	$308,326	$0	$0	$0
JANE WILLSON
VP, CORPORATE DEVELOPMENT	$279,247	$0	$62,999	$0	$12,574	$0	$45,124	$0	$0	$0	$399,944	$0	$0	$0
DAVID SINGH
VP, REV CYCLE MGMT/ANCILLARY	$259,309	$0	$65,776	$0	$9,722	$0	$29,280	$0	$0	$0	$364,087	$0	$0	$0
RICK WOLF
VP, GENERAL COUNCIL	$294,296	$0	$72,719	$0	$471	$0	$33,668	$0	$12,511	$0	$413,665	$0	$0	$0
KIRK LARSON
VP AND CIO, TERMED 4/4/14	$254,712	$0	$63,628	$0	$369	$0	$23,098	$0	$8,340	$0	$350,147	$0	$0	$0
STEPHANIE VANCE
ED, FINANCE, VP EFFECTIVE 1/5/14	$211,060	$0	$41,809	$0	$26,974	$0	$22,689	$0	$12,511	$0	$315,043	$0	$0	$0
RANDALL GUERRERO
ED, CRITICAL CARE (TERMED 4/30/14)	$205,301	$0	$39,044	$0	$11,409	$0	$20,279	$0	$12,511	$0	$288,544	$0	$0	$0
JEFFREY LEFORS
EXECUTIVE DIRECTOR, PROF SVCS + CHG	$220,806	$0	$41,181	$0	$19,305	$0	$31,144	$0	$8,340	$0	$320,776	$0	$0	$0
DANIEL DAVIS
EXECUTIVE DIRECTOR, ACUTE/PT CARE SU	$225,997	$0	$36,724	$0	$4,867	$0	$22,858	$0	$12,511	$0	$302,957	$0	$0	$0
CHRISTOPHER LONG
EXEC DIR COMM & ADVOCACY	$197,704	$0	$33,014	$0	$8,049	$0	$20,291	$0	$12,511	$0	$271,569	$0	$0	$0
GORDON ALEXANDER
FORMER CEO, TERMED 11/13/11	$0	$0	$0	$0	$271,154	$0	$0	$0	$0	$0	$271,154	$0	$0	$0
MARTA BOYER
FORMER VP, HR, TERMED 5/4/12	$0	$0	$0	$0	$252,692	$0	$11,267	$0	$0	$0	$263,959	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 4A-B	PART I, LINES 4A: SEVERANCE PAYMENTS TOTALLING $271,154 AND $252,692 WERE MADE TO GORDON ALEXANDER, FORMER CEO AND MARTA BOYER, FORMER VP OF HUMAN RESOURCES, RESPECTIVELY, 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 AND DANNY DAVIS ARE ELIGIBLE TO CONTRIBUTE TO THE DEFINED CONTRIBUTION 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 9/30/2014 ARE AS FOLLOWS: MICHELE WALDRON - DEFERRED COMPENSATION PLAN $17,500; DCSERP $29,058; CHANGE IN SERP ACTUARIAL VALUE $23,773 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $8,750; DCSERP $43,135; CHANGE IN SERP ACTUARIAL VALUE $20,531 BEVERLY HAYDEN-PUGH - DEFERRED COMPENSATION PLAN $17,500; DCSERP $13,186; CHANGE IN SERP ACTUARIAL VALUE $25,693 JESSIE HUDGINS - DEFERRED COMPENSATION PLAN $17,500; DCSERP $11,539; CHANGE IN SERP ACTUARIAL VALUE $16,617 MARTA BOYER - DEFERRED COMPENSATION PLAN $0; DCSERP $0; CHANGE IN SERP ACTUARIAL VALUE $0 DAVID CHRISTENSEN - DEFERRED COMPENSATION PLAN $17,500; DCSERP $35,419; CHANGE IN SERP ACTUARIAL VALUE $1,805 RICK WOLF - DEFERRED COMPENSATION PLAN $8,750; DCSERP $15,939; CHANGE IN SERP ACTUARIAL VALUE $1,669 JANE WILLSON - DEFERRED COMPENSATION PLAN $17,500; DCSERP $35,679; CHANGE IN SERP ACTUARIAL VALUE $9,053 DAVID SINGH - DEFERRED COMPENSATION PLAN $17,500; DCSERP $11,653; CHANGE IN SERP ACTUARIAL VALUE $0 STEPHANIE VANCE - DEFERRED COMPENSATION PLAN $17,500; NOT ELIGIBLE FOR DCSERP OR SERP KIRK LARSON - DEFERRED COMPENSATION PLAN $8,750; DCSERP $15,350; CHANGE IN SERP ACTUARIAL VALUE $0 JEFFREY LEFORS- DEFERRED COMPENSATION PLAN $17,500; NOT ELIGIBLE FOR DCSERP OR SERP RANDALL GUERRERO - DEFERRED COMPENSATION PLAN $10,000; NOT ELIGIBLE FOR DCSERP OR SERP NATALIE PONTICELLO - NOT ELIGIBLE FOR DEFERRED COMPENSATION PLAN, DCSERP OR SERP
PART I, LINE 5	AN EXECUTIVE INCENTIVE PLAN HAS BEEN ESTABLISHED THAT ALLOWS FOR PAYMENT OF INCENTIVES BASED ON BOTH ORGANIZATION-WIDE AND INDIVIDUAL GOALS. SUCH GOALS ARE RELATED TO A VARIETY OF METRICS INCLUDING REVENUE, OPERATIONAL AND QUALITY RESULTS OF THE HOSPITAL AND 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 6	SEE EXPLANATION FOR LINE 5, ABOVE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF MADERA	BusinessNameLine1

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$39,512,854	TotalProceedsAmt
In Reserve Fund	$3,907,773	InReserveFundAmt
Other Spent Proceeds	$35,605,081	OtherSpentProceedsAmt
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III, SECTION 8A & 8B	FormAndLineReferenceDesc
Explanation	CERTAIN OBSOLETE OR BROKEN EQUIPMENT WAS DISPOSED OF. IN SOME CASES, NOMINAL SCRAP PROCEEDS, AGGREGATING $132, WERE RECEIVED. PART IV, SECTION 2 PROCEEDS USED TO REDEEM SERIES 2006 CERTIFICATES MET THE 6 MONTH EXCEPTION TO REBATE. HOWEVER, RESERVE FUND PROCEEDS ARE BEING TREATED AS SUBJECT TO REBATE.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WISHON RADIOLOGY MEDICAL GROUP	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	ENTITY FOR WHICH DR. CHARLES SMITH, DIRECTOR, IS AN OFFICER	RelationshipDescriptionTxt
Transaction	$338,706	TransactionAmt
Transaction	DR. SMITH PROVIDES MEDICAL DIRECTOR SERVICES AND TELERADIOLOGIST COVERAGE THROUGH WISHON RADIOLOGY MEDICAL GROUP	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART III, LINE 4A:	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE ONE I. DESCRIPTION OF PROGRAM SERVICE ONE 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 OUR FUTURE. 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, 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. THE SERVICE AREA INCLUDES 11 COUNTIES AND IS HOME TO OVER 1.3 MILLION CHILDREN AGES 0-20. VALLEY CHILDREN'S HOSPITAL'S PATIENT VOLUME IN 2014, VALLEY CHILDREN'S HOSPITAL HAD 12,695 INPATIENT CASES, 90,908 EMERGENCY DEPARTMENT VISITS AND A COMBINED 209,229 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL COVERED 76% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 74% 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 ALMOST 2/3 WERE AN ETHNICITY OTHER THAN CAUCASIAN.
FORM 990, PART III, LINE 4A	III. COMMUNITY BENEFITS PROGRAM ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION'S 2012 GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT, 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. FOR FY 2014, VALLEY CHILDREN'S HOSPITAL DEDICATED IN EXCESS OF $43,209,000 IN COMMUNITY BENEFITS THAT CONTINUE THE HOSPITAL'S LONG TRADITION OF BEING AN ACTIVE AND INTEGRAL PART OF CENTRAL CALIFORNIA. A SUMMARY OF THE HOSPITAL'S COMMUNITY BENEFITS PROGRAM ACTIVITIES IN 2014: - COMMUNITY HEALTH EDUCATION * CHILDREN'S HEALTH CONNECT VALLEY CHILDREN'S HOSPITAL OFFERED TO THE COMMUNITY AN ON-LINE FORUM WHERE USERS WERE ABLE TO JOIN GROUPS AND DISCUSSIONS, VIEW EDUCATIONAL VIDEOS, ASK QUESTIONS, HEAR EXPERT ADVICE AND SHARE PERSONAL STORIES. * HEALTH ENCYCLOPEDIA VALLEY CHILDREN'S HOSPITAL 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. - HEALTH CARE SUPPORT SERVICES HEALTH CARE SUPPORT SERVICES WERE PROVIDED BY THE HOSPITAL TO HELP ADDRESS THE HEALTH CARE NEEDS OF CHILDREN AND THEIR FAMILIES WHILE AT THE HOSPITAL, AT HOME, AND IN THE COMMUNITY. * CAFETERIA MEALS MEAL COUPONS WERE PROVIDED TO BREAST-FEEDING MOMS WHOSE INFANTS WERE IN THE HOSPITAL. SOCIAL WORKERS ALSO PROVIDED PATIENTS' FAMILIES WITH MEAL COUPONS WHEN THEY ARRIVED AND WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL. * CANCER SURVIVORSHIP PROGRAM THE CHILDHOOD CANCER SURVIVORSHIP PROGRAM AT VALLEY CHILDREN'S HOSPITAL 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. * 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. A. SCHOOL NURSES - 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. B. HOSPITALS/COMMUNITY BASED ORGANIZATIONS - VALLEY CHILDREN'S HOSPITAL PROVIDED SIGNIFICANT OUTREACH EDUCATION TO HOSPITALS 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 TRACKING OF CHILDREN. * CHILD ABUSE PREVENTION MORE THAN 3 MILLION AMERICAN CHILDREN ARE REPORTED AS ABUSED OR NEGLECTED EVERY YEAR. THAT'S JUST WHAT'S REPORTED - IMAGINE HOW MANY CASES NEVER REACH AN AGENCY. ON ANY GIVEN DAY, THREE TO FIVE PERCENT OF CHILDREN'S HOSPITAL'S INPATIENT POPULATION IS HERE BECAUSE OF ABUSE OR NEGLECT. THE NUMBER OF CHILDREN BEING TREATED AT THE HOSPITAL FOR CHILD ABUSE HAS INCREASED FROM 22 IN 2000 TO OVER 923 IN 2014. THE HOSPITAL HAS OPERATED THE SCAN (SUSPECTED CHILD ABUSE AND NEGLECT) TEAM IN PLACE SINCE 1999. THIS IS A MULTI-DISCIPLINARY TEAM THAT INCLUDES PHYSICIANS, NURSES, SOCIAL WORKERS, LAW ENFORCEMENT, CHILD WELFARE, PUBLIC HEALTH AND OTHER INDIVIDUALS AND GROUPS (AS NECESSARY). IT'S DESIGNED TO HELP IDENTIFY AND ACT UPON SUSPECTED CASES OF ABUSE. THE HOSPITAL'S GUILD'S CHILD ABUSE PREVENTION AND TREATMENT CENTER ADDRESSES ABUSE IN A DIFFERENT WAY. THE CENTER OPERATES A CLINIC ONE DAY A WEEK AND SEES FOLLOW-UP PATIENTS AND OUTSIDE REFERRALS. STAFF ARE TRAINED IN BOTH THE PHYSICAL AND PSYCHO-SOCIAL ASPECTS OF CHILD ABUSE. THEIR FOCUS IS SPECIFICALLY ON ELEMENTS OF ABUSE, NEGLECT AND ENDANGERMENT - NOT COMPLETELY ON INJURY TREATMENT. ANOTHER AMBITIOUS ELEMENT OF THE DEPARTMENT IS PREVENTION. IN 2014, STAFF PARTNERED WITH ORGANIZATIONS LIKE THE CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, COMPREHENSIVE YOUTH SERVICES, CHILD WELFARE SERVICES, EXCEPTIONAL PARENTS UNLIMITED AND COUNTY HEALTH DEPARTMENTS TO PROVIDE EDUCATION, TRAINING AND TECHNICAL ASSISTANCE TO PARENTS AND CAREGIVERS. THERE ARE MANY AGENCIES IN THE HOSPITAL'S SERVICE AREA THAT ADDRESS THIS HORRIFYING PROBLEM AND DO THEIR BEST TO HELP KIDS EVERY DAY. CHILDREN'S HOSPITAL IS A REGIONAL POWERHOUSE WHEN IT COMES TO PEDIATRIC CARE, AND IT WORKS VERY HARD TO LEVERAGE THAT STRENGTH IN CHILD ABUSE PREVENTION. THE HOSPITAL HAS LOFTY GOALS, AND IT WANTS TO MAKE SURE THAT IF CHILDREN ARE HARMED, CHILDREN'S HOSPITAL - AND EVERYTHING IT HAS TO OFFER - WILL BE THERE TO TREAT AND DEFEND THEM. * DISASTER PREPAREDNESS THE HOSPITAL DONATED STORAGE SPACE TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH TO STORE PHARMACEUTICALS TO BE USED IN REGIONAL DISASTERS OR MEDICAL EMERGENCIES. * 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, CHILDREN'S HOSPITAL CONTINUED TO SUPPORT THE MARCH OF DIMES' EFFORTS AT REDUCING PREMATURE BIRTHS AND PROMOTING HEALTHY MOMS AND HEALTHY BABIES THROUGH FUNDRAISING AND ADVOCACY. * ENROLLMENT INTO HEALTH INSURANCE VALLEY CHILDREN'S HOSPITAL COMMITTED SIGNIFICANT RESOURCES TO HELP FAMILIES FIND HEALTH INSURANCE COVERAGE FOR THEMSELVES AND THEIR UNINSURED CHILDREN, INCLUDING FINANCIAL COUNSELORS AS WELL AS A CONTRACTED VENDOR WITH EXPERTISE IN ENROLLMENT SERVICES. WITH THESE RESOURCES, THE HOSPITAL IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM, OR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, THE HOSPITAL AND/OR THE CONTRACTED VENDOR ASSISTED THE FAMILY WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES. VALLEY CHILDREN'S HOSPITAL ALSO SUPPORTED OUTREACH AND ENROLLMENT SERVICES OFFERED THROUGH THE FRESNO HEALTHY COMMUNITIES ACTION PROGRAM. * FAMILY ASSISTANCE FUND WHEN SUPPORT FOR SERVICES WERE NOT AVAILABLE THROUGH A COMMUNITY PROGRAM OR ANOTHER FUNDING SOURCE, HOSPITAL SOCIAL WORKERS WERE ABLE TO ACCESS THESE FUNDS TO HELP PATIENTS AND FAMILIES OBTAIN ITEMS NEEDED UPON RETURN HOME OR TO ASSIST WITH TRANSPORTATION FOR FOLLOW UP CARE. * INJURY PREVENTION RECOGNIZING THAT UNINTENTIONAL INJURY IS THE NATION'S LEADING CAUSE OF DEATH IN CHILDREN AGES 1-14, CHILDREN'S 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.
FORM 990, PART III, LINE 4A	SUPPORTED BY A CAST OF OVER 90 HOSPITAL EMPLOYEE VOLUNTEERS, THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2014: DISTRACTED & RECKLESS TEEN DRIVING, PEDIATRIC TRAUMA, WATER SAFETY, WHEELED SPORTS SAFETY, CHILD PASSENGER SAFETY, THE CHOKING GAME, SPORTS INJURIES, LITHIUM (BUTTON) BATTERY INGESTION, AIR POWERED GUN INJURIES, TOY SAFETY, CHILD MALTREATMENT, 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 PROGRAM ALSO PROVIDED TELEVISION INTERVIEWS AND MEDIA EVENTS TO ADDRESS CHILD SAFETY ISSUES. THE HOSPITAL NOW PROVIDES A MONTHLY CHILD SAFETY SEGMENT ON TWO LOCAL NEWS PROGRAMS BROADCAST THROUGHOUT THE CENTRAL VALLEY. VALLEY CHILDREN'S HOSPITAL ALSO CHAIRED SAFE KIDS CENTRAL VALLEY, LEADING THE COALITION OF 16 LOCALLY BASED AGENCIES IN A VARIETY OF PROJECTS FOCUSED ON DECREASING UNINTENTIONAL DEATH AND INJURY TO KIDS AGED 14 AND UNDER. * LITERACY PROGRAM LITERACY, WHICH IS DEFINED AS THE ABILITY TO READ AND WRITE, IS ESSENTIAL TO FULLY DEVELOPING A SENSE OF WELL-BEING AND CITIZENSHIP. EXPERTS ESTIMATE THAT NEARLY 40 PERCENT OF U.S. 4TH GRADERS DO NOT ACHIEVE BASIC LEVELS OF READING PROFICIENCY. 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 COMMUNITY. STUDIES SHOW THE EASIEST WAY TO INCREASE LITERACY AMONG PRE-SCHOOL AND SCHOOL AGE CHILDREN IS TO SIMPLY READ TO THEM. TO MAKE A MEANINGFUL CONTRIBUTION TO LITERACY IN OUR COMMUNITY, VALLEY CHILDREN'S HOSPITAL'S LITERACY PROGRAM PROMOTES AND ENCOURAGES CHILDREN AND THEIR FAMILIES TO BECOME LIFELONG READERS. THE HOSPITAL'S "BESIDES BOOK BUDDIES" INITIATIVE SPECIFICALLY FOCUSES ON DEVELOPING READING READINESS AND EARLY READING SKILLS FOR OUR YOUNG PATIENTS. HOSPITAL VOLUNTEERS BRING BOOKS TO THE CHILDREN, READ THEM STORIES AND ENGAGE THEM IN ACTIVITIES THAT COORDINATE WITH THE STORIES. SEPARATE FROM "BESIDES BOOK BUDDIES", HOSPITAL VOLUNTEERS VISIT OUTPATIENT PRACTICE WAITING ROOMS TO READ TO CHILDREN, SHOWING PARENTS AND CHILDREN THE PLEASURES AND TECHNIQUES OF LOOKING AT BOOKS TOGETHER. ADDITIONALLY, BOOKS ARE AVAILABLE IN HOSPITAL CLINICS AND DEPARTMENTS, AND FAMILIES ARE ENCOURAGED TO TAKE THEM HOME TO USE WITH THEIR CHILDREN. IN 2014, VALLEY CHILDREN'S HOSPITAL DISTRIBUTED ALMOST 8,000 BOOKS TO PATIENTS AND FAMILIES. * CHILDHOOD WEIGHT MANAGEMENT VALLEY CHILDREN'S HOSPITAL SUPPORTED A NUMBER OF EFFORTS AIMED AT ADDRESSING THE ISSUE OF CHILDHOOD OBESITY IN OUR COMMUNITY. THE HOSPITAL CONTINUED TO SERVE AS THE ADVOCACY COORDINATOR FOR THE KAISER HEAL ZONE PROJECT IN THE CITY OF MADERA BY FACILITATING ADVOCACY IN SUPPORT OF INCREASED ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY. ADDITIONALLY, AS THE FOUNDER AND CHAIR OF THE CHILDHOOD WEIGHT MANAGEMENT TASK FORCE FOR FRESNO AND MADERA COUNTIES, VALLEY CHILDREN'S HOSPITAL PLAYED A LEAD ROLE IN SUPPORTING THE TASK FORCE'S ACTIVITIES IN 2014. * POISON CONTROL THE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE VALLEY CHILDREN'S HOSPITAL CAMPUS AND, AS IN YEARS PAST, RECEIVED A DONATION OF OFFICE SPACE IN 2014. THE CENTRAL CALIFORNIA DIVISION OF THE CALIFORNIA POISON CONTROL CENTER ANSWERS CALLS FROM THROUGHOUT THE REGION AND PROVIDES EXPERT ADVICE AND INFORMATION REGARDING EXPOSURE TO POTENTIALLY HARMFUL SUBSTANCES. THE PHONES ARE STAFFED 24 HOURS A DAY, 7 DAYS A WEEK. IN ADDITION TO PROVIDING EMERGENCY TELEPHONE ADVICE REGARDING POISON EXPOSURES, THE POISON CONTROL CENTER OPERATES SEVERAL PROGRAMS CRITICAL TO A CULTURALLY DIVERSE, AGRICULTURALLY BASED COMMUNITY LIKE THE CENTRAL VALLEY. THE CENTER HAS BEEN EXPRESSLY RESPONSIVE TO THE GROWING AND LARGELY UNDERSERVED LATINO POPULATION BY DEVELOPING SPECIALIZED TEACHING TOOLS AND PROGRAM INTERVENTIONS IN SPANISH, AND PROVIDING CUSTOMIZED TRAININGS FOR COMMUNITY HEALTH WORKERS IN SPANISH. ALSO, THE CENTER CONTRACTS WITH THE STATE DEPARTMENT OF PESTICIDE REGULATION (DPR) TO ASSIST PHYSICIANS IN COMPLYING WITH MANDATORY REPORTING REQUIREMENTS FOR PESTICIDE EXPOSURES. THE POISON CONTROL CENTER ALSO PROVIDES THE STATE DPR WITH CASE DATA AND INFORMATION ON THE HEALTH ISSUES RELATED TO PESTICIDE EXPOSURE IN CALIFORNIA. * REINTEGRATION VALLEY CHILDREN'S HOSPITAL SUPPORTS A NUMBER OF PROGRAMS OR INITIATIVES DESIGNED TO HELP CHILDREN WHO SUFFER FROM PERMANENT OR LONG-TERM DISABILITIES REINTEGRATE AS EASILY AS POSSIBLE INTO REGULAR DAILY ACTIVITIES. VALLEY CHILDREN'S HOSPITAL'S ADAPTIVE SPORTS PROGRAM PROVIDES RECREATIONAL AND ATHLETIC EXPERIENCES FOR CHILDREN WITH DISABILITIES. EXPERIENCES OFFERED IN 2014 INCLUDED WATER SKIING, ROCK CLIMBING, ICE HOCKEY, BASKETBALL, KAYAKING, WHEEL CHAIR RACING, AND TRACK AND FIELD. OPEN TO AGES UP TO 21 YEARS OF AGE, THE 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. SINCE ITS INCEPTION IN 2008, THE PROGRAM HAS SERVED OVER 300 DISABLED CHILDREN. * RONALD MCDONALD HOUSE VALLEY CHILDREN'S HOSPITAL OWNS THE LAND ON WHICH THE RONALD MCDONALD HOUSE (RMH) OF CENTRAL CALIFORNIA IS LOCATED AND LEASES THE LAND TO THE RMH FOR $1 PER YEAR. THE LEASE ARRANGEMENT HELPS MAKE IT POSSIBLE FOR THE RMH TO OFFER ITS SERVICES TO FAMILIES WHOSE CHILDREN ARE BEING TREATED AT THE HOSPITAL. * TRANSPORTATION ACCESS TO PUBLIC TRANSPORTATION HAS BEEN A PROBLEM IN THE CENTRAL VALLEY FOR YEARS AND THUS VALLEY CHILDREN'S HOSPITAL CONTINUES TO WORK WITH THE COMMUNITY TO IMPROVE PUBLIC TRANSPORTATION AND ACCESS TO CARE. VALLEY CHILDREN'S HOSPITAL'S SOCIAL WORK DEPARTMENT ASSISTED FAMILIES WITH TRANSPORTATION BY PROVIDING TAXI VOUCHERS AND BUS TOKENS AND THE HOSPITAL SUBSIDIZED BUS AND TRANSIT SERVICES FROM FRESNO AND THE KINGS COUNTY RURAL AREAS.
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 2014, 76% OF HOSPITAL INPATIENT DAYS WERE COVERED BY MEDI-CAL. THE COMBINED NET EFFECT OF TOTAL MEDI-CAL REIMBURSEMENT AND DISPROPORTIONATE SHARE FUNDING IN RELATION TO THE COST OF THESE SERVICES RESULTED IN A NET LOSS TO THE HOSPITAL IN 2014 OF $43,769,692. 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 CHILDREN'S HOSPITAL CENTRAL CALIFORNIA, 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 2014, VALLEY CHILDREN'S HOSPITAL RECOGNIZED PROGRAM REVENUE OF $9,303,665, 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 2014, CHILDREN'S HOSPITAL PROVIDED $67,000 IN CHARITY CARE. THE AMOUNT REPRESENTS COSTS ASSOCIATED WITH PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES IN RELATION TO THE COST OF THESE SERVICES. CHARITY CARE INCLUDES COUNTY INDIGENT AND FREE CARE, WHICH IS BASED ON THE PATIENT'S INABILITY TO PAY FOR SERVICES. IN ORDER TO ASSIST FAMILIES WITH ONGOING CARE NEEDS, VALLEY CHILDREN'S HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES PATIENT FAMILIES TO APPLY FOR APPROPRIATE GOVERNMENT FUNDING IN CONJUNCTION WITH APPLYING FOR FINANCIAL ASSISTANCE (CHARITY CARE). AS A RESULT, MANY FAMILIES QUALIFY FOR GOVERNMENT PROGRAMS AND DO NOT ULTIMATELY REQUIRE CHARITY CARE. THE HOSPITAL'S CHARITY CARE AMOUNT IS SEPARATE FROM AND DOES NOT INCLUDE THE COMMUNITY BENEFIT ACTIVITIES AND EXPENSES NOTED IN PREVIOUS SECTIONS.
FORM 990, PART VI, SECTION A, LINE 2	GREG COLEMAN, DIRECTOR AND PAT RICCHIUTI, DIRECTOR, HAVE A BUSINESS RELATIONSHIP. IN ADDITION, PAT RICCUTTI, DIRECTOR AND BILL SMITTCAMP, VICE CHAIRMAN, ALSO HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3	THE HOSPITAL HIRED KEVIN SHIMAMOTO DURING THE YEAR TO ACT AS THE INTERIM CHIEF INFORMATION OFFICER. DUTIES INCLUDED COMPLETE OVERSIGHT AND MANAGEMENT OF THE HOSPITAL'S INFORMATION TECHNOLOGY DEPARTMENT.
FORM 990, PART VI, SECTION A, LINE 6	THE AMENDED AND RESTATED BYLAWS OF VALLEY CHILDREN'S HOSPITAL, EFFECTIVE 10/17/13, ESTABLISHED VALLEY CHILDREN'S HEALTHCARE AS THE SOLE MEMBER OF THE CORPORATION. CERTAIN MEMBER RIGHTS, INCLUDING THE RIGHT TO APPROVE, FIX THE NUMBER, ELECT, AND REMOVE ELECTED TRUSTEES, ARE INCLUDED IN THESE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7A	SEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION A, LINE 7B	SEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. THE CFO PRESENTS HIGHLIGHTS OF KEY SECTIONS OF THE FORM 990 AT THE BOARD OF TRUSTEES MEETING THAT IS HELD BEFORE THE FILING DATE AND ANSWERS QUESTIONS OR ADDRESSES ANY CONCERNS AT THIS MEETING. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE HOSPITAL'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. THE HOSPITAL MAINTAINS A SEPARATE BUT SIMILAR POLICY GOVERNING INDIVIDUALS EMPLOYED IN COVERED POSITIONS.
FORM 990, PART VI, SECTION B, LINE 15	AS PROVIDED BY THE HOSPITAL BYLAWS, A COMPENSATION COMMITTEE HAS BEEN ESTABLISHED THAT CONSISTS OF A CHAIR AND AT LEAST THREE MEMBERS OF THE BOARD OF TRUSTEES. THE PRIMARY ROLE OF THE COMMITTEE IS TO ENSURE THAT COMPENSATION IS REASONABLY RELATED TO THE DUTIES PERFORMED FOR THE HOSPITAL AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO CEO, OFFICER, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE CEO'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE
FORM 990, PART VI, SECTION C, LINE 19	A COPY OF VALLEY CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF VALLEY CHILDREN'S HOSPITAL IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE 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 -21,482,262. ROUNDING 1.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
VALLEY CHILDREN'S HEALTHCARE FOUNDATION
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	942797447	PHILANTHROPY/FUNDRAISING FOR THE HOSPITAL	CA	501(C)(3)	LINE 7	N/A	0
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	464150987	HEALTH CARE	CA	501(C)(3)	LINE 9		0	VALLEY CHILDREN'S HEALTHCARE
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACE	MADERA	CA	93636	464158433	HEALTH CARE	CA	501(C)(3)	LINE 11B, II	N/A	0

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY CHILDREN'S HEALTHCARE FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$46,444,666	InvolvedAmt
Method Of Amount Determination	CASH VALUE	MethodOfAmountDeterminationTxt