VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-15
- IRS object ID
- 201442279349302574
- Schema version
- 2012v2.1
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-15T15:52:45-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W MARCH LN STE 100 | AddressLine1 |
| City | STOCKTON | City |
| State | CA | State |
| ZIP Code | 952192303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941294954 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 5593533000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELE WALDRON | Name |
| Title | CFO | Title |
| Phone | 5593533000 | Phone |
| Date Signed | 2014-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRACY S PAGLIA | Name |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHELE WALDRON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 645631908 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHILDRENSCENTRALCAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3160 | TotalNbrEmployees |
| Total Nbr Volunteers | 499 | TotalNbrVolunteers |
| Total Gross UBI | 1492688 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 21751379 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12419292 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 493001475 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 506950233 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15550021 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9969173 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12152362 | OtherRevenuePriorYear |
| Other Revenue Current Year | 13563512 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 542455237 | TotalRevenuePriorYear |
| Total Revenue Current Year | 542902210 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 385407 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 251643 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 233968321 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 243834887 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 182439576 | OtherExpensePriorYear |
| Other Expenses Current Year | 195731750 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 416793304 | TotalExpensesPriorYear |
| Total Expenses Current Year | 439818280 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 125661933 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 103083930 | RevenuesLessExpensesCY |
| Total Assets BOY | 824282671 | TotalAssetsBOY |
| Total Assets EOY | 934209103 | TotalAssetsEOY |
| Total Liabilities BOY | 307355485 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 260668503 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 516927186 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 673540600 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 45310795 | Expense |
| Grants | 251643 | Grants |
| Revenue | 161291500 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 299907509 | Expense |
| Grants | 0 | Grants |
| Revenue | 345658733 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 345218304 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 268 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3160 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELE WALDRON CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5593533000 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| TODD SUNTRAPAK | ||||||||||
| CEO | 34.00 | 6.00 | X | X | 682376 | 0 | 71955 | |||
| DR DAVID KRAUSE | ||||||||||
| BOARD CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||||
| BILL SMITTCAMP | ||||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| DR ROBERT KUBO | ||||||||||
| BOARD TREASURER | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| DR LINDA FRALEY | ||||||||||
| BOARD SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||||
| BRUCE ALLBRIGHT | ||||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||||
| KIM RUIZ BECK | ||||||||||
| BOARD MEMBER, EFF 7/18/13 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| GREG COLEMAN | ||||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||||
| DR TIM HANSEN | ||||||||||
| CHIEF OF STAFF, TERMED 1/28/14 | 1.00 | X | 62500 | 0 | 0 | |||||
| NANCY MASICH | ||||||||||
| GUILD COOR. COUNCIL CHR | 1.00 | X | 0 | 0 | 0 | |||||
| JEFF MAYER | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| DAVE NALCHAJIAN | ||||||||||
| FOUNDATION CHAIRMAN OF BOARD | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| DAVE OLSON | ||||||||||
| BOARD MEMBER, TERMED 8/12/13 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| PAT RICCHIUTI | ||||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||||
| RICHARD SHEHADEY | ||||||||||
| FMR FDN CHRMN, TERMED 12/31/12 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| DR CHARLES SMITH | ||||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||||
| RILEY WALTER | ||||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||||
| MICHELE R WALDRON | ||||||||||
| CFO | 38.00 | 2.00 | X | 642381 | 0 | 80004 | ||||
| MICHAEL ARNO | ||||||||||
| COO, EFF 2/25/13, TERMED 4/13/13 | 40.00 | X | 0 | 0 | 0 | |||||
| DAVID CHRISTENSEN | ||||||||||
| VP, MEDICAL AFFAIRS & CMO | 40.00 | 537348 | 0 | 45175 | X | |||||
| BEVERLY HAYDEN-PUGH | ||||||||||
| VP, CHIEF NURSING OFFICER | 40.00 | 384169 | 0 | 81211 | X | |||||
| JESSIE HUDGINS | ||||||||||
| VP, FACILITIES | 40.00 | 381076 | 0 | 70393 | X | |||||
| JANE WILLSON | ||||||||||
| VP, CORPORATE DEVELOPMENT | 40.00 | 359190 | 0 | 48576 | X | |||||
| DAVID SINGH | ||||||||||
| VP, REVENUE CYCLE MANAGEMET | 40.00 | 327627 | 0 | 27660 | X | |||||
| RICK WOLF | ||||||||||
| VP, GENERAL COUNCIL | 40.00 | 341029 | 0 | 43234 | X | |||||
| KIRK LARSON | ||||||||||
| VP AND CIO, 11/1/10 - 4/4/14 | 40.00 | 307489 | 0 | 25257 | X | |||||
| RANDALL GUERRERO | ||||||||||
| EXECUTIVE DIRECTOR, CRITICAL CARE | 40.00 | 254539 | 0 | 32148 | X | |||||
| STEPHANIE VANCE | ||||||||||
| EXECUTIVE DIRECTOR, FINANCE | 40.00 | 267192 | 0 | 32567 | X | |||||
| JEFFREY LEFORS | ||||||||||
| EXECUTIVE DIRECTOR, PROF SVCS + CHG | 40.00 | 276630 | 0 | 24790 | X | |||||
| DANIEL DAVIS | ||||||||||
| EXECUTIVE DIRECTOR, ACUTE/PT CARE SUP | 40.00 | 266929 | 0 | 34053 | X | |||||
| CHRISTOPHER LONG | ||||||||||
| EXEC DIR COMM & ADVOCACY | 40.00 | 230002 | 0 | 31534 | X | |||||
| GORDON ALEXANDER | ||||||||||
| FORMER CEO, TERMED 11/13/11 | 34.00 | 6.00 | 932361 | 0 | 0 | X | ||||
| DR DEVONNA KAJI | ||||||||||
| FMR CF OF STAFF, TERMED 1/31/12 | 1.00 | 39.00 | 12500 | 537551 | 27854 | X | ||||
| MARTA BOYER | ||||||||||
| FORMER VP, HR, TERMED 5/4/12 | 40.00 | 697102 | 0 | 41412 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6962440 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 537551 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 717823 | TotalOtherCompensation |
| Number Individuals GT100 K | 492 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SPECIALTY MEDICAL GROUP | |||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | SUBSPEC PHYSICIAN SERVICES | 14958212 |
| PEDIATRIC ANETHESIA ASSOCIATION | |||||
| 6235 N FRESNO ST STE 103 | FRESNO | CA | 93710 | ANETHESIA/CRITICAL CARE | 8474899 |
| CROTHALL HEALTHCARE INC | |||||
| 1654 MARTHALER LANE | WEST ST PAUL | MN | 55118 | HOUSEKEEPING SERVICES | 2517092 |
| ZUMWALT CONSTRUCTION | |||||
| 5520 E LAMONA AVE | FRESNO | CA | 93727 | CONSTRUCTION SERVICES | 1740908 |
| UCSFO - FRESNO MEDICAL EDUCATION | |||||
| 155 N FRESNO ST | FRESNO | CA | 93701 | MEDICAL RESIDENT SERVICES | 1540827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 73 | NumberOfContractorsGT100K |
| Related Organizations | 2210272 | RelatedOrganizations |
| Government Grants | 9596630 | GovernmentGrants |
| All Other Contributions | 612390 | AllOtherContributions |
| Noncash Contributions | 150149 | NoncashContributions |
| Total Contributions | 12419292 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 900099 | 506803501 | 506803501 |
| OUTSIDE LAB SERVICES | 900099 | 146732 | 146732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 506950233 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7733638 | TotalRevenueColumn |
| Exclusion | $7,733,638 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 862719 | TotalRevenueColumn |
| Exclusion | $862,719 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 108885 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 37866 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 71019 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71019 | TotalRevenueColumn |
| Exclusion | $71,019 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 103751389 | Securities |
| Other | 48247 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 102324033 | Securities |
| Other | 102787 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1427356 | Securities |
| Other | -54540 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1372816 | TotalRevenueColumn |
| Exclusion | $1,372,816 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 556057 | GrossSalesOfInventory |
| Cost Of Goods Sold | 265012 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 291045 | TotalRevenueColumn |
| Exclusion | $291,045 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA REVENUE | 900099 | 2707589 | $2,707,589 | |
| MANAGEMENT SERVICES | 541610 | 1492688 | 1492688 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9001171 | TotalRevenueColumn |
| Exclusion | $9,001,171 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 13201448 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 542902210 | TotalRevenueColumn |
| Related Or Exempt Function Income | 506950233 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1492688 | UnrelatedBusinessRevenue |
| Exclusion | $22,039,997 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46240 | Total |
| Program Services | 46240 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205403 | Total |
| Program Services | 205403 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4671988 | Total |
| Management And General | 4671988 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460961 | Total |
| Management And General | 460961 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165351079 | Total |
| Program Services | 131417976 | ProgramServices |
| Management And General | 33933103 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11971409 | Total |
| Program Services | 9378899 | ProgramServices |
| Management And General | 2592510 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47505342 | Total |
| Program Services | 35851652 | ProgramServices |
| Management And General | 11653690 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13874108 | Total |
| Program Services | 10471482 | ProgramServices |
| Management And General | 3402626 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1875614 | Total |
| Program Services | 39916 | ProgramServices |
| Management And General | 1835698 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 449930 | Total |
| Management And General | 449930 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181079 | Total |
| Management And General | 181079 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1913760 | Total |
| Management And General | 1913760 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29618148 | Total |
| Program Services | 29146285 | ProgramServices |
| Management And General | 471863 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 509296 | Total |
| Program Services | 509296 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54961549 | Total |
| Program Services | 48817966 | ProgramServices |
| Management And General | 6143583 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3841641 | Total |
| Management And General | 3841641 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4092003 | Total |
| Program Services | 3170459 | ProgramServices |
| Management And General | 921544 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 467579 | Total |
| Program Services | 165858 | ProgramServices |
| Management And General | 301721 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222147 | Total |
| Program Services | 93178 | ProgramServices |
| Management And General | 128969 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8309564 | Total |
| Program Services | 6489940 | ProgramServices |
| Management And General | 1819624 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22113904 | Total |
| Program Services | 13153857 | ProgramServices |
| Management And General | 8960047 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2384074 | Total |
| Program Services | 92229 | ProgramServices |
| Management And General | 2291845 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| HOSPITAL FEE PROGRAM | 38155772 | 38155772 | |
| PURCHASED SERVICES | 17260375 | 11700736 | 5559639 |
| BAD DEBT | 5717949 | 5717949 | |
| DUES | 1234699 | 112273 | 1122426 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2422667 | Total |
| Program Services | 480938 | ProgramServices |
| Management And General | 1941729 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439818280 | Total |
| Program Services | 345218304 | ProgramServices |
| Management And General | 94599976 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13245 | BOY |
| EOY | 13866 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117087017 | BOY |
| EOY | 113166000 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 898869 | BOY |
| EOY | 841900 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55256332 | BOY |
| EOY | 54124351 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5725563 | BOY |
| EOY | 5821066 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3903203 | BOY |
| EOY | 5012311 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 444305804 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 186054257 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 254826801 | BOY |
| EOY | 258251547 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154238769 | BOY |
| EOY | 203327625 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162903837 | BOY |
| EOY | 217453510 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1240746 | BOY |
| EOY | 3543309 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68188289 | BOY |
| EOY | 72653618 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 824282671 | BOY |
| EOY | 934209103 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60933380 | BOY |
| EOY | 58927373 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155549710 | BOY |
| EOY | 150931191 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90872395 | BOY |
| EOY | 50809939 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307355485 | BOY |
| EOY | 260668503 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 511187675 | BOY |
| EOY | 670379140 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5739511 | BOY |
| EOY | 3161460 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 516927186 | BOY |
| EOY | 673540600 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 824282671 | BOY |
| EOY | 934209103 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 103083930 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 17754431 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 35775053 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $52,250 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $5,551 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 57801 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 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. CHILDREN'S HOSPITAL CENTRAL CALIFORNIA HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $5,551 ASSOCIATION DUES RELATED TO LOBBYING NACH 6,459 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 23,240 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIF. 22,551 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $57,801 | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9527143 | OtherCostOrOtherBasis |
| Book Value | 9527143 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 264754640 | OtherCostOrOtherBasis |
| Depreciation | 70947059 | Depreciation |
| Book Value | 193807581 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2299393 | OtherCostOrOtherBasis |
| Depreciation | 2188936 | Depreciation |
| Book Value | 110457 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 143335072 | OtherCostOrOtherBasis |
| Depreciation | 96934027 | Depreciation |
| Book Value | 46401045 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24389556 | OtherCostOrOtherBasis |
| Depreciation | 15984235 | Depreciation |
| Book Value | 8405321 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 258251547 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIMITED PARTNERSHIPS | Description |
| Book Value | 217453510 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 217453510 | TotalOfBookValueSecurities |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED BOND ISSUE COSTS | 3247225 |
| DISPROPORTIONATE SHARE FUNDS RECEIVABLE | 12744432 |
| INSURANCE RECEIVABLE | 8452184 |
| PROVIDER FEE RECEIVABLE | 39720602 |
| 457 TRUST FUNDS | 1988484 |
| RESTRICTED CASH | 4800177 |
| OTHER | 645087 |
| OTHER RECEIVABLE | 1055427 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 72653618 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MALPRACTICE RESERVE | $5,333,379 |
| ACCRUED PENSION LIABILITY | $31,674,522 |
| 457 LIABILITY | $1,988,484 |
| 1732 LIABILITY | $790,029 |
| OTHER | $17,778 |
| WORKERS COMP | $6,805,040 |
| INS LIABILITY | $3,972,960 |
| DC SERP LIABILITY | $227,747 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 50809939 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 90000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 90000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 317413514 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 339668492 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -22254978 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5455752 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2836266 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2619486 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 322959266 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 342504758 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -19545492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 565012 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 565012 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2636265 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 598828 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2037437 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 635261 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 405524 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 229737 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 128588 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 128588 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3965126 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1004352 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2960774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 326924392 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 343509110 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -16584718 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01300 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,872,893 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 317143 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 629948 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -312805 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Website AddressWebsiteAddress | Childrens HospitalChildrensHospital | Facility Reporting GroupFacilityReportingGroup |
|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | |||||||
| 1 | 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 936368761 | WWW.CHILDRENSCENTRALCAL.ORG | X | A |
| CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | |||||||
| 2 | 7555 N DEL MAR AVE | FRESNO | CA | 93711 | WWW.CHILDRENSCENTRALCAL.ORG | X | A |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (24 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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.). 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. IN 2013, THE HOSPITAL RECEIVED APPROXIMATELY $71,721,000 IN NET REVENUE THROUGH THE STATE'S HOSPITAL FEE PROGRAM. BECAUSE THIS NET REVENUE RECOGNIZED IN 2013 EXCEEDED THE HOSPITAL'S UNCOMPENSATED MEDI-CAL COSTS IN 2013, THE HOSPITAL IS NOT REPORTING ANY UNCOMPENSATED MEDI-CAL IN 2013. WHILE THE PROGRAM'S PAYMENTS HAVE PLAYED AN IMPORTANT ROLE IN OFFSETTING SOME OF THE HOSPITAL'S LOSSES, THE PROGRAM'S LIMITED DURATION MEANS THAT IT WILL NOT SERVE AS A LONG-TERM SOLUTION TO THE HOSPITAL'S CHRONIC MEDI-CAL PAYMENT SHORTFALLS. | ||
| 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 $ 5717949. | ||
| 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 62 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2013 AND 60 PERCENT AT SEPTEMBER 30, 2012. THE HOSPITAL HAS NOT CHANGED ITS UNINSURED DISCOUNT OR CHARITY CARE POLICIES DURING FISCAL YEARS 2013 OR 2012. 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 2013 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: CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM IS BASED ON A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CONSISTENT WITH STATE AND FEDERAL LAW, CHILDREN'S HOSPITAL COMPLETES A FORMAL CHNA AT LEAST ONCE EVERY THREE YEARS. CHILDREN'S HOSPITAL'S 2013 COMMUNITY BENEFITS PROGRAM IS BUILT UPON THE OUTCOMES OF A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDED THE FOLLOWING ACTIVITIES:JOINT NEEDS ASSESSMENT -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, 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.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 CHILDREN'S HOSPITAL COULD ESTABLISH PRIORITIES AND ACTIONS. THE ONE GAP THAT 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, CHILDREN'S HOSPITAL'S PRIMARY SERVICE AREA EXTENDS FROM MODESTO IN THE NORTH TO BAKERSFIELD IN THE SOUTH, AND FROM THE CENTRAL COAST TO THE SIERRA NEVADA. THE SERVICE AREA INCLUDES 9 COUNTIES AND IS HOME TO OVER 1 MILLION CHILDREN AGES 0-17. IN 2013, CHILDREN'S HOSPITAL HAD 12,850 INPATIENT CASES, 90,385 EMERGENCY DEPARTMENT VISITS AND A COMBINED 189,719 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL BENEFITS COVERED 73% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 70% OF THE OUTPATIENT VISITS AT 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: 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 - 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, 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, 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 2013, CHILDREN'S HOSPITAL PROVIDED 45 SEPARATE CONTINUING MEDICAL EDUCATION PROGRAMS TO OVER 200 PRIMARY CARE PHYSICIANS. PEDIATRIC SUBSPECIALTY PHYSICIANS FROM CHILDREN'S 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 SUDDEN CARDIAC DEATHS IN ADOLESCENTS, MANAGEMENT OF EPILEPSY, TREATMENT OF VALLEY FEVER, MANAGEMENT OF DIABETES, AND DIAGNOSIS OF BLEEDING DISORDERS. 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, CHILDREN'S HOSPITAL MAINTAINED ITS STRONG PARTNERSHIP WITH THE MARCH OF DIMES IN SUPPORT OF HEALTHY MOMS AND HEALTHY BABIES.INJURY PREVENTION 2013 - 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. SUPPORTED BY A CAST OF OVER 90 HOSPITAL EMPLOYEE VOLUNTEERS, THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2013: DISTRACTED & RECKLESS TEEN DRIVING, PEDIATRIC TRAUMA, WATER SAFETY, WHEELED SPORTS SAFETY, CHILD PASSENGER SAFETY, THE CHOKING GAME, SPORTS INJURIES, LITHIUM (BUTTON) BATTERY INGESTION, CHILD MALTREATMENT, MUNCHAUSEN SYNDROME BY PROXY, AND ABUSIVE HEAD TRAUMA.CHILDREN'S 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.CHILDREN'S HOSPITAL INJURY PREVENTION 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. OBESITY PREVENTION - 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, CHILDREN'S 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, CHILDREN'S HOSPITAL PLAYED A LEAD ROLE IN SUPPORTING THE TASK FORCE'S ACTIVITIES IN 2013. AN EXAMPLE INCLUDES DEVELOPMENT AND IMPLEMENTATION OF A CHILDHOOD WEIGHT MANAGEMENT PROJECT.THE MISSION OF 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 | ||
| CA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
| SEE BELOW | PART V, LINE 8 FACILITY REPORTING GROUP A | |
| 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, 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 1 -- CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | PART V, SECTION B, LINE 3: |
| - 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 1 -- CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | PART V, SECTION B, LINE 4: |
| 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 1 -- CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | PART V, SECTION B, LINE 12H: |
| ADDITIONALLY THE POLICY IS SENT BY US POSTAL SERVICE TO COMMUNITY AGENCIES TO BE DISTRIBUTED. | FACILITY 1 -- CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | PART V, SECTION B, LINE 14G: |
| 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 1 -- CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | PART V, SECTION B, LINE 20D: |
| 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. | FACILITY 1 -- CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | PART V, SECTION B, LINE 22: |
| 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, 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 2 -- CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | PART V, SECTION B, LINE 3: |
| - 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 2 -- CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | PART V, SECTION B, LINE 4: |
| 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 2 -- CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | PART V, SECTION B, LINE 12H: |
| ADDITIONALLY THE POLICY IS SENT BY US POSTAL SERVICE TO COMMUNITY AGENCIES TO BE DISTRIBUTED. | FACILITY 2 -- CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | PART V, SECTION B, LINE 14G: |
| 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 2 -- CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | PART V, SECTION B, LINE 20D: |
| 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. | FACILITY 2 -- CHILDREN'S HOSPITAL CENTRAL CA HOME CARE | PART V, SECTION B, LINE 22: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCH OF DIMES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4201W SHAW 105 | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93722 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 131846366 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 10740 | AmountOfCashGrant |
| Purpose Of Grant | MARCH FOR BABIES SPONSOR | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|
| NURSING SCHOLARSHIP | 6 | 14699 | |||
| EDUCATION SCHOLARSHIP - NEONATAL FOCUS | 2 | 3347 | |||
| CAFETERIA MEALS | 11441 | 64184 | FMV | MEAL COUPONS FOR PATIENT FAMILIES AS NEEDED | |
| TAXI, BUS AND TRANSIT SERVICES | 655 | 123173 | BOOK | SUBSIDIATION OF BUS AND TRANSIT SERVICES |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 1 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TODD SUNTRAPAK | ||||||||||||||
| CEO | 552849 | 0 | 102354 | 0 | 27173 | 0 | 55940 | 0 | 16015 | 0 | 754331 | 0 | 0 | 0 |
| MICHELE R WALDRON | ||||||||||||||
| CFO | 517760 | 0 | 103021 | 0 | 21600 | 0 | 67992 | 0 | 12012 | 0 | 722385 | 0 | 0 | 0 |
| DAVID CHRISTENSEN | ||||||||||||||
| VP, MEDICAL AFFAIRS & CMO | 415463 | 0 | 112325 | 0 | 9560 | 0 | 29160 | 0 | 16015 | 0 | 582523 | 0 | 0 | 0 |
| BEVERLY HAYDEN-PUGH | ||||||||||||||
| VP, CHIEF NURSING OFFICER | 298641 | 0 | 71723 | 0 | 13805 | 0 | 77207 | 0 | 4004 | 0 | 465380 | 0 | 0 | 0 |
| JESSIE HUDGINS | ||||||||||||||
| VP, FACILITIES | 293010 | 0 | 74534 | 0 | 13532 | 0 | 62385 | 0 | 8008 | 0 | 451469 | 0 | 0 | 0 |
| JANE WILLSON | ||||||||||||||
| VP, CORPORATE DEVELOPMENT | 287997 | 0 | 70019 | 0 | 1174 | 0 | 44572 | 0 | 4004 | 0 | 407766 | 0 | 0 | 0 |
| DAVID SINGH | ||||||||||||||
| VP, REVENUE CYCLE MANAGEMET | 251999 | 0 | 66264 | 0 | 9364 | 0 | 27660 | 0 | 0 | 0 | 355287 | 0 | 0 | 0 |
| RICK WOLF | ||||||||||||||
| VP, GENERAL COUNCIL | 289269 | 0 | 51299 | 0 | 461 | 0 | 31222 | 0 | 12012 | 0 | 384263 | 0 | 0 | 0 |
| KIRK LARSON | ||||||||||||||
| VP AND CIO, 11/1/10 - 4/4/14 | 251786 | 0 | 54796 | 0 | 907 | 0 | 17249 | 0 | 8008 | 0 | 332746 | 0 | 0 | 0 |
| RANDALL GUERRERO | ||||||||||||||
| EXECUTIVE DIRECTOR, CRITICAL CARE | 200301 | 0 | 38485 | 0 | 15753 | 0 | 20136 | 0 | 12012 | 0 | 286687 | 0 | 0 | 0 |
| STEPHANIE VANCE | ||||||||||||||
| EXECUTIVE DIRECTOR, FINANCE | 208992 | 0 | 40603 | 0 | 17597 | 0 | 20555 | 0 | 12012 | 0 | 299759 | 0 | 0 | 0 |
| JEFFREY LEFORS | ||||||||||||||
| EXECUTIVE DIRECTOR, PROF SVCS + CHG | 216458 | 0 | 42091 | 0 | 18081 | 0 | 24790 | 0 | 0 | 0 | 301420 | 0 | 0 | 0 |
| DANIEL DAVIS | ||||||||||||||
| EXECUTIVE DIRECTOR, ACUTE/PT CARE SU | 225992 | 0 | 40417 | 0 | 520 | 0 | 22041 | 0 | 12012 | 0 | 300982 | 0 | 0 | 0 |
| CHRISTOPHER LONG | ||||||||||||||
| EXEC DIR COMM & ADVOCACY | 188696 | 0 | 33258 | 0 | 8048 | 0 | 19522 | 0 | 12012 | 0 | 261536 | 0 | 0 | 0 |
| GORDON ALEXANDER | ||||||||||||||
| FORMER CEO, TERMED 11/13/11 | 0 | 0 | 227361 | 0 | 705000 | 0 | 0 | 0 | 0 | 0 | 932361 | 0 | 0 | 0 |
| DR DEVONNA KAJI | ||||||||||||||
| FMR CF OF STAFF, TERMED 1/31/12 | 12500 | 537551 | 0 | 0 | 0 | 0 | 0 | 21250 | 0 | 6604 | 12500 | 565405 | 0 | 0 |
| MARTA BOYER | ||||||||||||||
| FORMER VP, HR, TERMED 5/4/12 | 149941 | 0 | 73767 | 0 | 473394 | 0 | 39744 | 0 | 1668 | 0 | 738514 | 0 | 272393 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINES 4A-B | PART I, LINES 4A-B: PART I, LINES 4A: SEVERANCE PAYMENTS TOTALLING $705,000 AND $185,308 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). CHRIS LONG 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 AND THE CHANGE IN ACTUARIAL VALUE OF SERP BENEFITS FOR THE YEAR ENDING 9/30/2013 ARE AS FOLLOWS: MICHELE WALDRON - DEFERRED COMPENSATION PLAN $17,000; CHANGE IN SERP ACTUARIAL VALUE $24,602 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $8,500; CHANGE IN SERP ACTUARIAL VALUE $20,956 BEVERLY HAYDEN-PUGH - DEFERRED COMPENSATION PLAN $17,000; CHANGE IN SERP ACTUARIAL VALUE $27,339 JESSIE HUDGINS - DEFERRED COMPENSATION PLAN $8,500; CHANGE IN SERP ACTUARIAL VALUE $17,576 MARTA BOYER - DEFERRED COMPENSATION PLAN $8,500; CHANGE IN SERP ACTUARIAL VALUE $0 DAVID CHRISTENSEN - DEFERRED COMPENSATION PLAN $17,000; CHANGE IN SERP ACTUARIAL VALUE $1,860 RICK WOLF - DEFERRED COMPENSATION PLAN $8,500; CHANGE IN SERP ACTUARIAL VALUE $1,669 JANE WILLSON - DEFERRED COMPENSATION PLAN $8,500; CHANGE IN SERP ACTUARIAL VALUE $9,487 DAVID SINGH - DEFERRED COMPENSATION PLAN $17,000; CHANGE IN SERP ACTUARIAL VALUE $0 STEPHANIE VANCE - DEFERRED COMPENSATION PLAN $17,000; NOT ELIGIBLE FOR SERP KIRK LARSON - DEFERRED COMPENSATION PLAN $8,500; CHANGE IN SERP ACTUARIAL VALUE $0 JEFFREY LEFORS- DEFERRED COMPENSATION PLAN $17,000; NOT ELIGIBLE FOR SERP RANDALL GUERRERO - DEFERRED COMPENSATION PLAN $15,000; NOT ELIGIBLE FOR 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
Form990 Schedule K Part I Form990ScheduleKPartI
| 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) |
|---|---|---|
| Issuer EIN | 946000518 | IssuerEIN |
| CUSIP Number | 556902DN1 | CUSIPNumber |
| Date Issued | 2010-02-04 | DateIssued |
| Issue Price | 39512854 | IssuePrice |
| Description Of Purpose | TO REFUND SERIES 2006 BONDS ISSUED ON 6/26/06. | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 39512854 | TotalProceeds |
| Amount In Reserve Fund | 4039688 | AmountInReserveFund |
| Other Spent Proceeds | 35473166 | OtherSpentProceeds |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 1 | ChangeInUseBondFinancedProp |
| Prcntge Bond Financed Prop | 0.00000 | PrcntgeBondFinancedProp |
| Remedial Action Taken | 0 | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 1 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART III, SECTION 8A & 8B | 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. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| WISHON RADIOLOGY MEDICAL GROUP | |||
| ENTITY FOR WHICH DR. CHARLES SMITH, DIRECTOR, IS AN OFFICER | 268596 | DR. SMITH PROVIDES MEDICAL DIRECTOR SERVICES AND TELERADIOLOGIST COVERAGE THROUGH WISHON RADIOLOGY MEDICAL GROUP | 0 |
| PRODUCER'S DAIRY FOODS INC | |||
| ENTITY FOR WHICH RICHARD SHEHADEY, DIRECTOR, IS AN OWNER | 115877 | PURCHASE OF FOOD PRODUCTS TO BE SOLD IN HOSPITAL CAFETERIA AND FOR PATIENTS | 0 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 140000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | WHEELCHAIR | 1 | 100 | COST |
| X | COUGH ASSIST MACHINE | 1 | 2295 | COST |
| X | FUN CENTER | 1 | 4250 | COST |
| X | GLIDER CHAIR | 1 | 3004 | COST |
| X | PRECOR EFX ELIPTICAL | 1 | 500 | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BRUCE ALLBRIGHT, DIRECTOR AND JEFF MAYER, DIRECTOR, HAVE A BUSINESS RELATIONSHIP. IN ADDITION, GREG COLEMAN, DIRECTOR AND PAT RICCHIUTI, DIRECTOR, HAVE A BUSINESS RELATIONSHIP. PAT RICCUTTI, DIRECTOR AND BILL SMITTCAMP, VICE CHAIRMAN, ALSO HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 4 | IN 2013 CHILDREN'S HOSPITAL AMENDED ITS ARTICLES OF INCORPORATION (8/13) TO ESTABLISH CHILDREN'S HEALTH CENTRAL CALIFORNIA ("CHILDREN'S HEALTH") AS SOLE CORPORATE MEMBER PENDING APPROVAL BY CHILDREN'S HEALTH. CHILDREN'S HEALTH AWAITS RESPONSE ON ITS APPLICATION FOR 501(C)(3) TAX EXEMPT STATUS. | |
| 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 FINANCE COMMITTEE 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 CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 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 35,843,674. TRANSFER TO ENDOWMENT -68,620. ROUNDING -1. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990 PART III, LINE 4A: | 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. CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 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 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 CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM. EXCELLENCE - WE DEPEND ON EXCEPTIONAL PEOPLE TO PROVIDE EXCEPTIONAL QUALITY HEALTH CARE AND SERVICES THROUGHOUT 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 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, 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, 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 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, CHILDREN'S HOSPITAL'S PRIMARY SERVICE AREA EXTENDS FROM MODESTO IN THE NORTH TO BAKERSFIELD IN THE SOUTH, AND FROM THE CENTRAL COAST TO THE SIERRA NEVADA. THE SERVICE AREA INCLUDES 9 COUNTIES AND IS HOME TO OVER 1 MILLION CHILDREN AGES 0-17. CHILDREN'S HOSPITAL'S PATIENT VOLUME IN 2013, CHILDREN'S HOSPITAL HAD 12,850 INPATIENT CASES, 90,385 EMERGENCY DEPARTMENT VISITS AND A COMBINED 189,719 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL COVERED 73% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 70% 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. | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE ONE |
| 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 2013, CHILDREN'S HOSPITAL DEDICATED IN EXCESS OF $3,009,516 IN COMMUNITY BENEFITS THAT CONTINUE THE HOSPITAL'S LONG TRADITION OF BEING AN ACTIVE AND INTEGRAL PART OF CENTRAL CALIFORNIA. DUE TO THE HOSPITAL'S RECEIPT OF HOSPITAL FEE PROGRAM REVENUE IN 2013, THE FIGURE ABOVE DOES NOT INCLUDE THE HOSPITAL'S COSTS ASSOCIATED WITH UNCOMPENSATED MEDI-CAL, WHICH WAS $49,466,512 IN 2013. A SUMMARY OF THE HOSPITAL'S COMMUNITY BENEFITS PROGRAM ACTIVITIES IN 2013: - COMMUNITY HEALTH EDUCATION ($29,000) * CHILDREN'S HEALTH CONNECT 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 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 ($512,963) 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 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 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 - 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, 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 - 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 1,000 IN 2013. 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 2013, 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 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 MEDICAL, 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. 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. | ||
| SUPPORTED BY A CAST OF OVER 90 HOSPITAL EMPLOYEE VOLUNTEERS, THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2013: 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. 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, CHILDREN'S HOSPITAL'S LITERACY PROGRAM PROMOTES AND ENCOURAGES CHILDREN AND THEIR FAMILIES TO BECOME LIFELONG READERS. THE HOSPITAL'S "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 "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 2013, CHILDREN'S HOSPITAL DISTRIBUTED ALMOST 5,800 BOOKS TO PATIENTS AND FAMILIES. * OBESITY PREVENTION 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. SPECIFIC ACTIVITIES INCLUDED COORDINATING A COMMUNITY AWARENESS CAMPAIGN IN APRIL 2013 AND FACILITATING THE ADOPTION OF RESOLUTIONS BY THE MADERA CITY COUNCIL, THE MADERA COUNTY BOARD OF SUPERVISORS, AND THE MADERA UNIFIED SCHOOL DISTRICT BOARD OF TRUSTEES IN SUPPORT OF THE HEAL ZONE. ADDITIONALLY, AS THE FOUNDER AND CHAIR OF THE CHILDHOOD WEIGHT MANAGEMENT TASK FORCE FOR FRESNO AND MADERA COUNTIES, CHILDREN'S HOSPITAL PLAYED A LEAD ROLE IN SUPPORTING THE TASK FORCE'S ACTIVITIES IN 2013. ONE KEY ACTIVITY THIS PAST YEAR WAS THE DEVELOPMENT AND IMPLEMENTATION OF CHILDHOOD WEIGHT MANAGEMENT PILOT PROJECT, THE PURPOSE OF WHICH IS TO TEST A NEW MODEL FOR DELIVERING AND FINANCING CHILDHOOD WEIGHT MANAGEMENT SERVICES IN THE PRIMARY CARE PHYSICIAN OFFICE. THE PROJECT WILL RUN FOR 12 MONTHS (ENDING IN EARLY 2015), INCLUDES FIVE PRIMARY CARE PROVIDER SITES AND THE TWO MEDI-CAL MANAGED CARE PLANS IN FRESNO AND MADERA COUNTIES, AND WILL SERVE APPROXIMATELY 100 OVERWEIGHT CHILDREN AGES 2-12. * POISON CONTROL THE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE CHILDREN'S HOSPITAL CAMPUS AND, AS IN YEARS PAST, RECEIVED A DONATION OF OFFICE SPACE IN 2013. 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 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. CHILDREN'S HOSPITAL'S ADAPTIVE SPORTS PROGRAM PROVIDES RECREATIONAL AND ATHLETIC EXPERIENCES FOR CHILDREN WITH DISABILITIES. EXPERIENCES OFFERED IN 2013 INCLUDED WATER SKIING, ROCK CLIMBING, ICE HOCKEY, BASKETBALL, KAYAKING, WHEEL CHAIR RACING, TRACK AND FIELD, AND ZIP-LINING. 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. CHILDREN'S HOSPITAL ALSO WORKS TO ENSURE A SMOOTH TRANSITION FOR CHILDREN RETURNING TO SCHOOL BY COORDINATING A SERIES OF VISITS WITH SCHOOL STAFF AND STUDENTS. IN 2013, VISITS INCLUDED A TOUR OF THE CAMPUS TO REORIENT CHILDREN TO THE SCHOOL AND TO IDENTIFY AND ADDRESS ANY POTENTIAL ACCESS ISSUES. VISITS ALSO INCLUDED CONFERENCES WITH SCHOOL STAFF TO MAKE SURE THEY WERE AWARE OF THE CHILDREN'S DISABILITIES AND TO ENSURE STAFF COULD ACCOMMODATE THE CHILDREN'S HEALTH CARE NEEDS AS BEST AS POSSIBLE. ADDITIONALLY, THE HOSPITAL CONVENED "CIRCLE OF FRIENDS" MEETINGS BETWEEN CHILDREN AND THEIR FRIENDS TO GIVE THEM A CHANCE TO SEE AND TALK ABOUT THE CHILDREN'S DISABILITIES. * RONALD MCDONALD HOUSE 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 CHILDREN'S HOSPITAL CONTINUES TO WORK WITH THE COMMUNITY TO IMPROVE PUBLIC TRANSPORTATION AND ACCESS TO CARE. 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. ADDITIONALLY, HOSPITAL STAFF PARTICIPATED IN A TRANSPORTATION ASSESSMENT FOR FRESNO COUNTY TO IDENTIFY BARRIERS FOR FAMILIES NEEDING PUBLIC TRANSPORTATION PARTICULARLY AFTER HOURS AND FROM RURAL COMMUNITIES. | ||
| PART III, LINE 4B: | COMMITMENT TO MEDI-CAL - 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 2013, 73% 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 2013 OF $49,466,512. 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. CALIFORNIA'S PROGRAM HAS BEEN IMPLEMENTED IN THREE PHASES, WITH PHASE ONE COVERING THE PERIOD APRIL 1, 2009 THROUGH DECEMBER 31,2010, PHASE TWO COVERING THE PERIOD JANUARY 1, 2011 THROUGH JUNE 30, 2011, AND PHASE THREE COVERING THE 30 MONTH PERIOD FROM JULY 1, 2011 THROUGH DECEMBER 31, 2013. IN 2013, CHILDREN'S HOSPITAL RECOGNIZED PROGRAM REVENUE OF $71,721,490, 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. THE NET REVENUE RECOGNIZED IN 2013 INCLUDES TWELVE MONTHS OF FEE-FOR-SERVICE PROGRAM NET REVENUE AND EIGHTEEN MONTHS OF NET REVENUE RELATED TO THE MANAGED CARE PORTION OF THE PROGRAM. AS THE HOSPITAL'S HOSPITAL FEE PROGRAM REVENUE RECOGNIZED IN 2013 EXCEEDED THE HOSPITAL'S UNCOMPENSATED MEDI-CAL COSTS IN 2013, THE HOSPITAL IS NOT REPORTING ANY UNCOMPENSATED MEDI-CAL IN 2013. CHARITY CARE - IN KEEPING WITH OUR MISSION, CHILDREN'S HOSPITAL CONTINUES TO ACCEPT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2013, CHILDREN'S HOSPITAL PROVIDED $90,000 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, 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. | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE TWO |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION | |||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 942797447 | PHILANTHROPY/FUNDRAISING FOR THE HOSPITAL | CA | 501(C)(3) | 11 TYPE I | N/A | 0 | |
| CHILDREN'S HEALTH CENTRAL CALIFORNIA MEDICAL FOUNDATION | |||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 464150987 | HEALTH CARE | CA | 501(C)(3) | LINE 9 | 0 | CHILDREN'S HEALTH CENTRAL CALIFORNIA | |
| CHILDREN'S HEALTH CENTRAL CALIFORNIA | |||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 464158433 | HEALTH CARE | CA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 93636 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770450620 | EIN |
| Primary Activity | MEDICAL GROUP | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 46250813 | ShareOfTotalIncome |
| Share Of EOY Assets | 9803890 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION | ||
| C | 2210272 | CASH VALUE |
| SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA | ||
| L | 1492863 | CASH VALUE |
| SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA | ||
| M | 15113170 | CASH VALUE |