FURP.ORG / PUBLIC DATA EXPLORER

VALLEY CHILDRENS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VALLEY CHILDRENS HOSPITAL (EIN 94-1294954)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201212289349303496
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T15:37:51-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941294954EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL CENTRAL CALIFORNIABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone5593533000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1
CityMADERACity
StateCAState
ZIP Code936368761ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELE WALDRONName
TitleCFOTitle
Phone5593533000Phone
Date Signed2012-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHELE WALDRONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1
CityMADERACity
StateCAState
ZIP Code936368761ZIPCode
FieldValueIRS element (for citing)
Gross Receipts754060739GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDRENSCENTRALCAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDRENActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2918TotalNbrEmployees
Total Nbr Volunteers528TotalNbrVolunteers
Total Gross UBI1001231TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year23867645ContributionsGrantsPriorYear
Contributions Grants Current Year21770337ContributionsGrantsCurrentYear
Program Service Revenue Prior Year343754551ProgramServiceRevenuePriorYear
Program Service Revenue CY479173553ProgramServiceRevenueCY
Investment Income Prior Year6102417InvestmentIncomePriorYear
Investment Income Current Year4857119InvestmentIncomeCurrentYear
Other Revenue Prior Year8319875OtherRevenuePriorYear
Other Revenue Current Year7470362OtherRevenueCurrentYear
Total Revenue Prior Year382044488TotalRevenuePriorYear
Total Revenue Current Year513271371TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year239584GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY265040GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year211444448SalariesEtcPriorYear
Salaries Etc Current Year221933180SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year128644288OtherExpensePriorYear
Other Expenses Current Year170720632OtherExpensesCurrentYear
Total Expenses Prior Year340328320TotalExpensesPriorYear
Total Expenses Current Year392918852TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41716168RevenuesLessExpensesPriorYear
Revenues Less Expenses CY120352519RevenuesLessExpensesCY
Total Assets BOY551109623TotalAssetsBOY
Total Assets EOY697990469TotalAssetsEOY
Total Liabilities BOY247720377TotalLiabilitiesBOY
Total Liabilities EOY309774983TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY303389246NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY388215486NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29317109Expense
Grants265040Grants
Revenue162588250Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense273102463Expense
Grants0Grants
Revenue316585303Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Program Service Expense302419572TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096253NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2918NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHELE WALDRON CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5593533000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1
CityMADERACity
StateCAState
ZIP Code93636ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GORDON ALEXANDER
FORMER CEO, TERMED 11/13/1134.00XX421879025128
BRUCE ALBRIGHT
BOARD MEMBER1.00X000
SUSAN BOYD TERM ENDED
FORMER FDN CHAIR, EFFECT. 12/31/101.00X000
GREG COLEMAN
FORMER BOARD CHAIRMAN1.00XX000
DR LINDA FRALEY
BOARD MEMBER1.00X000
RICHARD SHEHADEY
FOUNDATION CHAIRMAN OF BOARD1.00X000
STEPHANIE HOULDING
GUILD COORDINATING COUNCIL CHAIR1.00X000
DR GRACIE ESQUIVEL-AGUILAR RESIG
FORMER BOARD MEMB., EFFECT. 12/31/101.00X000
DR DEVONNA KAJI
CHIEF OF STAFF1.00X6833300
DENNIS KELLER RESIGNED
FORMER BOARD MEMB., EFFECT. 12/31/101.00X000
DAVID KRAUSE
BOARD VICE CHAIRMAN1.00XX000
DR ROBERT KUBO
BOARD MEMBER1.00X000
MENDY LAVAL
BOARD SECRETARY1.00XX000
JEFF MAYER
BOARD CHAIRMAN1.00XX000
DAVE OLSON
BOARD MEMBER1.00X000
PAT RICCHIUTI
BOARD MEMBER1.00X000
DR CHARLES SMITH
BOARD MEMBER1.00X000
BILL SMITTCAMP
BOARD MEMBER1.00X000
MICHELE R WALDRON
CFO38.00X4386600187363
TODD SUNTRAPAK
COO40.00X4349600169094
DAVID CHRISTENSEN
VP, MEDICAL AFFAIRS & CMO40.00432851056000X
BEVERLY HAYDEN-PUGH
VP, CHIEF NURSING OFFICER40.003268870148161X
JESSIE HUDGINS
VP, FACILITIES40.003029910159908X
MARTA BOYER
FORMER VP, HR, TERMED 5/4/1240.003029090164887X
JANE WILLSON
VP, CORPORATE DEVELOPMENT40.003004100133330X
DAVID SINGH
VP, REVENUE CYCLE MANAGEMENT40.00272926021440X
RICK WOLF
VP, GENERAL COUNCIL, EFFECT. 5/29/1140.00257484061136X
WILLIAM F HAUG
STRATEGIC ADVISOR40.00726523081181X
RANDALL GUERRERO
EXECUTIVE DIRECTOR, CRITICAL CARE40.00228589025818X
STEPHANIE VANCE
EXECUTIVE DIRECTOR, FINANCE40.00231149026133X
JEFFREY LEFORS
EXECUTIVE DIRECTOR, PROF SRVCS40.00224352018848X
KAMELA LOO
CHARGE NURSE40.00232294032589X
MARK ZIELAZINSKI
FORMER VP AND CIO, TERMED 3/19/1040.00101459014678X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5304656TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1325694TotalOtherCompensation
Number Individuals GT100 K391NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SPECIALTY MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636SUBSPEC PHYSICIAN SERVICES10315363
PEDIATRIC ANETHESIA ASSOCIATION
6235 N FRESNO ST STE 103FRESNOCA93710ANETHESIA/CRITICAL CARE7177200
CROTHALL HEALTHCARE INC
1654 MARTHALER LANEWEST ST PAULMN55118HOUSEKEEPING SERVICES3865967
MEDQUIST INC
PO BOX 102467ATLANTAGA30368TRANSCRIPTION SERVICES1464587
EMERGENCY PHYSICIANS MEDICAL
3300 DOUGLAS BOULEVARD 200ROSEVILLECA95661EMERGENCY PHYSICIAN SERVICES1263772
FieldValueIRS element (for citing)
Number Of Contractors GT100 K60NumberOfContractorsGT100K
Related Organizations6980041RelatedOrganizations
Government Grants14289786GovernmentGrants
All Other Contributions500510AllOtherContributions
Noncash Contributions162795NoncashContributions
Total Contributions21770337TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES900099478947640478947640
OUTSIDE LAB SERVICES900099225913225913
FieldValueIRS element (for citing)
Total Program Service Revenue479173553TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5801727TotalRevenueColumn
Exclusion$5,801,727ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column863009TotalRevenueColumn
Exclusion$863,009ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real115382Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real78093Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real37289Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37289TotalRevenueColumn
Exclusion$37,289ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities238575447Securities
Other80777Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities240430518Securities
Other33323Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1855071Securities
Other47454Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1807617TotalRevenueColumn
Exclusion-$1,807,617ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory563046GrossSalesOfInventory
Cost Of Goods Sold247434CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column315612TotalRevenueColumn
Exclusion$315,612ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE9000992648218$2,648,218
MANAGEMENT SERVICES54161010012311001231

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3468012TotalRevenueColumn
Exclusion$3,468,012ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7117461TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column513271371TotalRevenueColumn
Related Or Exempt Function Income479173553RelatedOrExemptFunctionIncome
Unrelated Business Revenue1001231UnrelatedBusinessRevenue
Exclusion$11,326,250ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total70601Total
Program Services70601ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total194439Total
Program Services194439ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5582713Total
Management And General5582713ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total416322Total
Management And General416322ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total151310490Total
Program Services119506393ProgramServices
Management And General31804097ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7660113Total
Program Services7052646ProgramServices
Management And General607467ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total44286855Total
Program Services33271979ProgramServices
Management And General11014876ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12676687Total
Program Services9466060ProgramServices
Management And General3210627ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2337794Total
Program Services81494ProgramServices
Management And General2256300ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total666712Total
Management And General666712ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total124425Total
Management And General124425ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1038313Total
Management And General1038313ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26195787Total
Program Services25739624ProgramServices
Management And General456163ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total514084Total
Program Services514084ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45247471Total
Program Services38964639ProgramServices
Management And General6282832ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2792056Total
Management And General2792056ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5067354Total
Program Services3479159ProgramServices
Management And General1588195ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total430389Total
Program Services188339ProgramServices
Management And General242050ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total196953Total
Program Services34403ProgramServices
Management And General162550ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8204504Total
Program Services6287752ProgramServices
Management And General1916752ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17378557Total
Program Services10631835ProgramServices
Management And General6746722ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3567117Total
Program Services81490ProgramServices
Management And General3485627ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HOSPITAL FEE PROGRAM3129753331297533
PURCHASED SERVICES17587433102045877382846
BAD DEBT49362804936280
DUES106952389945979578
RECRUITMENT416715208358208357

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1651632Total
Program Services117932ProgramServices
Management And General1533700ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total392918852Total
Program Services302419572ProgramServices
Management And General90499280ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13958BOY
EOY12928EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY66636227BOY
EOY83116020EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY443362BOY
EOY580092EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47075250BOY
EOY48997977EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4398129BOY
EOY4865891EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4210879BOY
EOY12358917EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis395479286LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec148234420LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY234118257BOY
EOY247244866EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY82642915BOY
EOY135169007EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY90980874BOY
EOY148422858EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY868246BOY
EOY998628EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19721526BOY
EOY16223285EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY551109623BOY
EOY697990469EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33468678BOY
EOY82493887EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY163930551BOY
EOY159874416EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50321148BOY
EOY67406680EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY247720377BOY
EOY309774983EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY298209989BOY
EOY383617976EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5179257BOY
EOY4597510EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY303389246BOY
EOY388215486EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY551109623BOY
EOY697990469EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses120352519ReconcilationRevenueExpenses
Reconcilation Other Changes-35526279ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$72,040GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$13,794DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB85834TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2188788OtherCostOrOtherBasis
Book Value2188788BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis247313756OtherCostOrOtherBasis
Depreciation56817826Depreciation
Book Value190495930BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2299393OtherCostOrOtherBasis
Depreciation1929669Depreciation
Book Value369724BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis119737341OtherCostOrOtherBasis
Depreciation76092801Depreciation
Book Value43644540BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23940008OtherCostOrOtherBasis
Depreciation13394124Depreciation
Book Value10545884BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings247244866TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLIMITED PARTNERSHIPSDescription
Book Value148422858BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities148422858TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE RESERVE$2,076,000
ACCRUED PENSION LIABILITY$59,698,478
457 LIABILITY$1,731,972
SB 1732 LIABILITY$1,070,045
OTHER$44,444
CONSTRUCTION RETAINS ACCOUNT$2,785,741
FieldValueIRS element (for citing)
Total Of Amounts67406680TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense11000TotalCommunityBenefitExpense
Net Community Benefit Expense11000NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense273102463TotalCommunityBenefitExpense
Direct Offsetting Revenue316585302DirectOffsettingRevenue
Net Community Benefit Expense-43482839NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense6998678TotalCommunityBenefitExpense
Direct Offsetting Revenue4238110DirectOffsettingRevenue
Net Community Benefit Expense2760568NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense280112141TotalCommunityBenefitExpense
Direct Offsetting Revenue320823412DirectOffsettingRevenue
Net Community Benefit Expense-40711271NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense484530TotalCommunityBenefitExpense
Net Community Benefit Expense484530NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2782197TotalCommunityBenefitExpense
Direct Offsetting Revenue633482DirectOffsettingRevenue
Net Community Benefit Expense2148715NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense68500TotalCommunityBenefitExpense
Net Community Benefit Expense68500NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3335227TotalCommunityBenefitExpense
Direct Offsetting Revenue633482DirectOffsettingRevenue
Net Community Benefit Expense2701745NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense283447368TotalCommunityBenefitExpense
Direct Offsetting Revenue321456894DirectOffsettingRevenue
Net Community Benefit Expense-38009526NetCommunityBenefitExpense
Percent Of Total Expense0.01400PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense334TotalCommunityBuildingExpense
Net Community Building Expense334NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense334TotalCommunityBuildingExpense
Net Community Building Expense334NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,741,859BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare189397AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare241969CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-52572MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeChildrens HospitalChildrensHospital
CHILDREN'S HOSPITAL CENTRAL CALIFORNIA
19300 VALLEY CHILDRENS PLACEMADERACA936368761X
CHILDREN'S HOSPITAL CENTRAL CA HOME CARE
27555 N DEL MAR AVEFRESNOCA93711X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT APPLICABLEBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanationIdentifierIdentifierReturn 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 2011, THE HOSPITAL RECEIVED APPROXIMATELY $68,478,000 IN NET REVENUE THROUGH THE STATE'S HOSPITAL FEE PROGRAM. BECAUSE THIS NET REVENUE RECOGNIZED IN 2011 EXCEEDED THE HOSPITAL'S UNCOMPENSATED MEDI-CAL COSTS IN 2011, THE HOSPITAL IS NOT REPORTING ANY UNCOMPENSATED MEDI-CAL IN 2011. 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 $ 4936280.
PART III, LINE 4: THERE IS NO FINANCIAL STATEMENT FOOTNOTE ON BAD DEBT. 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 2011 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: NEEDS ASSESSMENT: CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM IS ESTABLISHED BASED ON A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. CONSISTENT WITH STATE LAW, CHILDREN'S HOSPITAL COMPLETES A FORMAL ASSESSMENT OF UNMET PEDIATRIC HEALTH CARE NEEDS IN THE COMMUNITY EVERY THREE YEARS. THE HOSPITAL'S MOST RECENT ASSESSMENT WAS COMPLETED IN AUGUST 2011 AND INCLUDED THE FOLLOWING ACTIVITIES: * REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT - UNDER THE AUSPICES OF THE CENTRAL VALLEY HEALTH POLICY INSTITUTE, CALIFORNIA STATE UNIVERSITY, FRESNO, CHILDREN'S HOSPITAL PARTNERED WITH OTHER HOSPITALS IN A FOUR COUNTY REGION TO CONDUCT AN ASSESSMENT OF HEALTH NEEDS FOR BOTH CHILDREN AND ADULTS. SOURCES OF DATA INCLUDED KEY STAKEHOLDER INTERVIEWS AS WELL PUBLISHED HEALTH STATUS INDICATOR DATA. * SUPPLEMENTAL STAKEHOLDER INTERVIEWS - IN ADDITION TO THE INTERVIEWS CONDUCTED AS PART OF THE NEEDS ASSESSMENT DESCRIBED ABOVE, CHILDREN'S HOSPITAL STAFF CONDUCTED ADDITIONAL INTERVIEWS TO EXPLORE MORE THOROUGHLY THE ISSUES AS THEY RELATE TO CHILDREN. INTERVIEWS WERE CONDUCTED WITH OVER A DOZEN KEY ORGANIZATIONS, INCLUDING COUNTY PUBLIC HEALTH DEPARTMENTS, SCHOOL DISTRICTS, FEDERALLY QUALIFIED HEALTH CENTERS, INDIVIDUAL PEDIATRICIANS, AND A VARIETY OF COMMUNITY-BASED NONPROFIT AGENCIES SERVING LOW INCOME, NEEDY CHILDREN AND FAMILIES. PARTICULAR AREAS OF INTEREST INCLUDED CHRONIC DISEASE MANAGEMENT (ASTHMA, OBESITY, DIABETES), SERVICES FOR CHILDREN WITH, OR AT RISK FOR DEVELOPMENTAL DELAYS, ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, CHILD ABUSE AND UNINTENTIONAL INJURY PREVENTION, MENTAL HEALTH, AND CAPACITY OF COMMUNITY-BASED PROVIDERS TO MANAGE KIDS WITH COMPLEX MEDICAL CONDITIONS.
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 STOCKTON IN THE NORTH TO BAKERSFIELD IN THE SOUTH, AND FROM THE CENTRAL COAST TO THE EASTERN SIERRA. THE SERVICE AREA INCLUDES 10 COUNTIES, COVERS OVER 45,000 SQUARE MILES AND IS HOME TO OVER 1.2 MILLION CHILDREN AGES 0-17. IN 2011, CHILDREN'S HOSPITAL HAD 13,270 INPATIENT CASES, 69,006 EMERGENCY DEPARTMENT VISITS AND A COMBINED 173,714 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL BENEFITS COVERED 75% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 64% OF THE OUTPATIENT VISITS AT CHILDREN'S HOSPITAL. NEARLY 2/3 OF THE HOSPITAL'S INPATIENT POPULATION CONSISTED OF CHILDREN 5 YEARS OF AGE OR YOUNGER AND 2/3 WERE AN ETHNICITY OTHER THAN CAUCASIAN.
PART VI, LINE 6: 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. TOPICS COVERED INCLUDED CARE FOR HIGH RISK NEWBORNS, HYPOTHERMIA, PEDIATRIC TRAUMA AND CHILD MALTREATMENT, PEDIATRIC LABORATORY SKILLS, SHAKEN BABY SYNDROME, TO NAME A FEW. IN 2011, CHILDREN'S HOSPITAL PROVIDED 22 SEPARATE CONTINUING MEDICAL EDUCATION PROGRAMS TO A TOTAL OF 285 PRIMARY CARE PROVIDERS. 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 OBESITY AND DIABETES, ONCOLOGY, GASTROENTEROLOGY AND GENETICS. PROGRAMS WERE PROVIDED AT LOCATIONS THROUGHOUT THE HOSPITAL'S SERVICE AREA, INCLUDING BAKERSFIELD, MADERA, MERCED, MODESTO AND SAN LUIS OBISPO. DEVELOPMENTAL DISABILITIES - CHILDREN'S HOSPITAL PROVIDED EDUCATION TO PROVIDERS AND FAMILIES IN A NUMBER OF WAYS, INCLUDING THROUGH THE HOSTING OF SEVERAL CONFERENCES AND WORKING WITH BIRTHING HOSPITALS IN FRESNO AND TULARE COUNTIES AS PART OF THE HOSPITAL'S NEONATAL STABILIZATION PROJECT. 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 EXPANDED 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 2011 - RECOGNIZING THAT UNINTENTIONAL INJURY IS THE NATION'S LEADING CAUSE OF DEATH IN CHILDREN, CHILDREN'S HOSPITAL OPERATES AN UNINTENTIONAL 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 75 HOSPITAL EMPLOYEE VOLUNTEERS, THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2011: 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.AS THE LEAD AGENCY FOR SAFE KIDS CENTRAL VALLEY, CHILDREN'S HOSPITAL LED THE COALITION OF 9 LOCALLY BASED AGENCIES IN A VARIETY OF PROJECTS TO MEET THE MISSION OF SAFE KIDS IN DECREASING UNINTENTIONAL DEATH AND INJURY TO KIDS AGED 14 AND UNDER. THE PROGRAM PROVIDED EDUCATION TO OVER 12,330 CHILDREN AND FAMILIES AT A HOST OF COMMUNITY BASED VENUES THROUGHOUT THE CENTRAL VALLEY. IN ADDITION, THE HOSPITAL PROVIDED TRAINING AND CONDUCTED OUTREACH TO 1,955 HEALTH CARE, EDUCATION, LAW ENFORCEMENT, AND CHILD WELFARE PROFESSIONALS THROUGH NATIONAL, STATE, REGIONAL, AND LOCAL CONFERENCES AND SEMINARS.IN 2011, CHILDREN'S HOSPITAL INJURY PREVENTION ALSO PROVIDED 23 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 APPLIED FOR AND RECEIVED FUNDING FROM THE CENTRAL VALLEY HEALTH NETWORK TO SERVE 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 IN THE DEVELOPMENT AND IMPLEMENTATION OF KEY WORK PLAN COMPONENTS. AS THE FOUNDER AND NOW A 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 2011. EXAMPLES INCLUDE FORMING A COLLABORATIVE AMONG PEDIATRICIANS AND PAYERS FOR THE PURPOSE OF DESIGNING AND IMPLEMENTING A NEW DELIVERY AND PAYMENT MODEL FOR CHILDHOOD OBESITY TREATMENT AND PREVENTION, AND HOSTING A CONFERENCE FOR PRIMARY CARE PROVIDERS ON OBESITY PREVENTION AND ADVOCACY.CHILDREN'S HOSPITAL ALSO PREPARED AND CONVENED TWO CONTINUING MEDICAL EDUCATION PROGRAMS TITLED "CHILDHOOD OBESITY AND RELATED COMORBIDITIES".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.
CAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
PRIVATE HEALTH NEWS INC
1776 MENTOR AVE SUITE 210CINCINNATIOH452123000591449000CREATION OF E-HEALTH NEWSLETTER
STAYWELL CONTENT SERVICES
PO BOX 759MORRISVILLEPA19067075913403625813395PROVIDE HEALTH INFORMATION VIA CHCC WEBSITE
MARCH OF DIMES
4201W SHAW 105FRESNOCA9372213184636610000MARCH FOR BABIES SPONSOR501(C)(3)
UCSF FOUNDATION
155 N FRESNO STREETFRESNOCA937019432816619600VALLEY VISION SPONSORSHIPGOVERNMENT
UC MERCED FOUNDATION
5200 NORTH LAKE RAODMERCEDCA9534327009385820000MEDICAL EDUCATIONGOVERNMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
NURSING SCHOLARSHIP34926
EDUCATION SCHOLARSHIP - NEONATAL FOCUS23249
CAFETERIA MEALS1126259125FMVMEAL COUPONS FOR PATIENT FAMILIES AS NEEDED
TAXI, BUS AND TRANSIT SERVICES8579127139BOOKSUBSIDATION OF BUS AND TRANSIT SERVICES

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GORDON ALEXANDER
371364035000015515017673074550447007000
MICHELE R WALDRON
36824605023402018001724530149100626023000
TODD SUNTRAPAK
37328303110303057401541840149100604054000
DAVID CHRISTENSEN
347363076539089490404690155310488851000
BEVERLY HAYDEN-PUGH
2765270290840212760140706074550475048000
JESSIE HUDGINS
26539501759002000601487260111820462899000
MARTA BOYER
2620140308090100860161160037270467796000
JANE WILLSON
258558032634092180125875074550433740000
DAVID SINGH
22996603415508805017713037270294366000
RICK WOLF
23264602451503230462260149100318620000
WILLIAM F HAUG
5731380132301021084077454037270807704000
RANDALL GUERRERO
20923601862407290109080149100254407000
STEPHANIE VANCE
1949230194370167890112230149100257282000
JEFFREY LEFORS
197073010032017247015121037270243200000
KAMELA LOO
2274950004799025134074550264883000
MARK ZIELAZINSKI
6674402628908426010950037280116137000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS INCLUDE A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AND A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. WILLIAM HAUG RECEIVED A DISTRIBUTION FROM THE SERP PLAN DURING THE YEAR ENDING 9/30/2011 IN THE AMOUNT OF $2,395,047. NO AMOUNTS WERE PAID OUT OF THE DEFINED COMPENSATION PLAN 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 9/30/2011 ARE AS FOLLOWS: GORDON ALEXANDER - DEFERRED COMPENSATION PLAN $16,500; DEFINED CONTRIBUTION SERP PLAN $9,423 WILLIAM HAUG - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $44,280 MICHELE WALDRON - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $145,174 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $130,094 BEVERLY HAYDEN-PUGH - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $107,931 JESSIE HUDGINS - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $120,365 MARTA BOYER - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $134,211 DAVID CHRISTENSEN - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $32,219 RICK WOLF - DEFERRED COMPENSATION PLAN $0; CHANGE IN SERP ACTUARIAL VALUE $34,549 JANE WILLSON - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $101,789 MARK ZIELAZINSKI - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $0 DAVID SINGH - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $0 STEPHANIE VANCE - DEFERRED COMPENSATION PLAN $16,500; NOT ELIGIBLE FOR SERP JEFFREY LEFORS - DEFERRED COMPENSATION PLAN $16,500; NOT ELIGIBLE FOR SERP
PART I, LINE 5AN EXECUTIVE INCENTIVE PLAN HAS BEEN ESTABLISHED THAT ALLOWS FOR PAYMENT OF INCENTIVES BASED ON BOTH ORGANIZATION-WIDE AND INDIVIDUAL GOALS. SUCH GOALS ARE RELATED TO A VARIETY OF METRICS INCLUDING REVENUE, OPERATIONAL AND QUALITY RESULTS OF THE HOSPITAL AND FOUNDATION. THE INCENTIVE PLAN HAS BEEN APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE REVIEWS THE FORECASTED PAYOUTS AT THE END OF EACH YEAR BASED ON THE FINANCIAL AND OPERATING RESULTS.
PART I, LINE 6SEE EXPLANATION FOR LINE 5, ABOVE

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF MADERABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN946000518IssuerEIN
CUSIP Number556902DN1CUSIPNumber
Date Issued2010-02-04DateIssued
Issue Price39512854IssuePrice
Description Of PurposeTO REFUND SERIES 2006 BONDS ISSUED ON 6/26/06.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds39512854TotalProceeds
Amount In Reserve Fund4363296AmountInReserveFund
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WISHON RADIOLOGY MEDICAL GROUP
ENTITY FOR WHICH DR. CHARLES SMITH, DIRECTOR, IS AN OFFICER848915DR. SMITH PROVIDES MEDICAL DIRECTOR SERVICES AND TELERADIOLOGIST COVERAGE THROUGH WISHON RADIOLOGY MEDICAL GROUP0
PRODUCER'S DAIRY FOODS INC
ENTITY FOR WHICH RICHARD SHEHADEY, DIRECTOR, IS AN OWNER103573PURCHASE OF FOOD PRODUCTS TO BE SOLD IN HOSPITAL CAFETERIA AND FOR PATIENT MEALS0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XPHARMACY FREEZER14000COST
XHCIN EQUIPMENT1146495COST
XFUN CENTERS28500COST
XWHEELCHAIRS13800COST
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2BRUCE ALBRIGHT, DIRECTOR AND JEFF MAYER, DIRECTOR, HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE FORM 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. 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.
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 12C
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 COMPETITIVEFORM 990, PART VI, SECTION B, LINE 15
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 VI, SECTION C, LINE 19
HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:MICHELE WALDRON'S TIME IS DIVIDED AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 38 HRS CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 2 HRS GORDON ALEXANDER'S TIME IS DIVIDED AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 34 HRS CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 6 HRS BRUCE ALLBRIGHT, SUSAN BOYD, DR. ROBERT KUBO, JEFF MAYER, DAVE OLSON, RICHARD SHEHADEY AND BILL SMITTCAMP DIVIDE THEIR TIME AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 1 HR CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 1 HRFORM 990, PART VII, SECTION A, COLUMN B:
CHANGES IN NET ASSETS OR FUND BALANCES:PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -23,116,729. TRADING LOSS INCLUDED IN INVESTMENT INCOME PER AFS -12,373,418. TRANSFER TO ENDOWMENT -36,129. ROUNDING -3. TOTAL TO FORM 990, PART XI, LINE 5: -35,526,279.FORM 990, PART XI, LINE 5:
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE ONEI. DESCRIPTION OF PROGRAM SERVICE ONE NEARLY 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 348 BEDS, 220 PHYSICIANS AND OVER 2,200 FULL-TIME EQUIVALENT 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. THIS COMMUNITY BENEFITS REPORT SUMMARIZES THE CONTRIBUTIONS PROVIDED BY CHILDREN'S HOSPITAL TO ITS COMMUNITY FOR FISCAL YEAR 2011 (OCTOBER 1, 2010 THRU SEPTEMBER 30, 2011). 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 STOCKTON IN THE NORTH TO BAKERSFIELD IN THE SOUTH, AND FROM THE CENTRAL COAST TO THE EASTERN SIERRA. THE SERVICE AREA INCLUDES 10 COUNTIES, COVERS OVER 45,000 SQUARE MILES AND IS HOME TO OVER 1.2 MILLION CHILDREN AGES 0-17. CHILDREN'S HOSPITAL'S PATIENT VOLUME IN 2011, CHILDREN'S HOSPITAL HAD 13,270 INPATIENT CASES, 69,006 EMERGENCY DEPARTMENT VISITS AND A COMBINED 173,714 OUTPATIENT CENTER, DAY SURGERY, RADIOLOGY AND LABORATORY VISITS. MEDI-CAL COVERED 75% OF THE HOSPITAL'S TOTAL INPATIENT DAYS AND 64% OF TOTAL OUTPATIENT VISITS AT THE HOSPITAL. NEARLY 2/3 OF THE HOSPITAL'S INPATIENT POPULATION CONSISTED OF CHILDREN 5 YEARS OF AGE OR YOUNGER AND 2/3 WERE AN ETHNICITY OTHER THAN CAUCASIAN. III. ASSESSING AND UNDERSTANDING COMMUNITY NEEDS CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS PROGRAM IS ESTABLISHED BASED ON A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. CONSISTENT WITH STATE LAW, CHILDREN'S HOSPITAL COMPLETES A FORMAL ASSESSMENT OF UNMET PEDIATRIC HEALTH CARE NEEDS IN THE COMMUNITY EVERY THREE YEARS. THE HOSPITAL'S MOST RECENT ASSESSMENT WAS COMPLETED IN AUGUST 2011 AND INCLUDED THE FOLLOWING ACTIVITIES. FORMAL NEEDS ASSESSMENT PROCESS * REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT - UNDER THE AUSPICES OF THE CENTRAL VALLEY HEALTH POLICY INSTITUTE, CALIFORNIA STATE UNIVERSITY, FRESNO, CHILDREN'S HOSPITAL PARTNERED WITH OTHER HOSPITALS IN A FOUR COUNTY REGION TO CONDUCT AN ASSESSMENT OF HEALTH NEEDS FOR BOTH CHILDREN AND ADULTS. SOURCES OF DATA INCLUDED KEY STAKEHOLDER INTERVIEWS AS WELL PUBLISHED HEALTH STATUS INDICATOR DATA. FOR A COPY OF THE NEEDS ASSESSMENT, VISIT THE FOLLOWING LINK. HTTP://WWW.CSUFRESNO.EDU/CCCHHS/INSTITUTES_PROGRAMS/CVHPI/PUBLICATIONS/ * SUPPLEMENTAL STAKEHOLDER INTERVIEWS - IN ADDITION TO THE INTERVIEWS CONDUCTED AS PART OF THE NEEDS ASSESSMENT DESCRIBED ABOVE, CHILDREN'S HOSPITAL STAFF CONDUCTED ADDITIONAL INTERVIEWS TO EXPLORE MORE THOROUGHLY THE ISSUES AS THEY RELATE TO CHILDREN. INTERVIEWS WERE CONDUCTED WITH OVER A DOZEN KEY ORGANIZATIONS, INCLUDING COUNTY PUBLIC HEALTH DEPARTMENTS, SCHOOL DISTRICTS, FEDERALLY QUALIFIED HEALTH CENTERS, INDIVIDUAL PEDIATRICIANS, AND A VARIETY OF COMMUNITY-BASED NONPROFIT AGENCIES SERVING LOW INCOME, NEEDY CHILDREN AND FAMILIES. PARTICULAR AREAS OF INTEREST INCLUDED CHRONIC DISEASE MANAGEMENT (ASTHMA, OBESITY, DIABETES), SERVICES FOR CHILDREN WITH, OR AT RISK FOR DEVELOPMENTAL DELAYS, ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, CHILD ABUSE AND UNINTENTIONAL INJURY PREVENTION, MENTAL HEALTH, AND CAPACITY OF COMMUNITY-BASED PROVIDERS TO MANAGE KIDS WITH COMPLEX MEDICAL CONDITIONS. IV. A SNAPSHOT OF COMMUNITY HEALTH NEEDS IN 2010 CHILDREN IN CENTRAL CALIFORNIA ARE DISPROPORTIONATELY DISADVANTAGED WHEN COMPARED TO CHILDREN IN OTHER PARTS OF THE STATE AND NATION. CONSIDER THE STATISTICS BELOW COMPARING THE EIGHT CENTRAL VALLEY COUNTIES (FRESNO, KERN, KINGS, MERCED, MADERA, SAN JOAQUIN, STANISLAUS, AND TULARE) TO CALIFORNIA AS A WHOLE. KEEP IN MIND, THESE COUNTIES MAKE UP A MAJORITY OF THE HOSPITAL'S SERVICE AREA.FORM 990 PART III, LINE 4A:
INDICATOR* DESCRIPTION CENTRAL STATEWIDE VALLEY POVERTY PERCENT OF CHILDREN LIVING 25.50 19.9 IN POVERTY, 2009 CHILD ABUSE SUBSTANTIATED CASES OF CHILD 9.35 8.7 MALTREATMENT PER 1,000 POP, 2010 INFANT AVERAGE NUMBER OF INFANT 6.00 5.2 MORTALITY DEATHS PER 1,000 LIVE BIRTHS UNDER ONE YEAR OF AGE FOR THE THREE YEAR PERIOD 2005-2007 LOW BIRTH PERCENT OF BABIES BORN WEIGHING 6.60 6.8 WEIGHT INFANTS LESS THAN 2500 GRAMS IN 2009 PRENATAL PERCENT OF WOMEN RECEIVING 24.60 18.7 CARE INADEQUATE PRENATAL CARE DURING THE FIRST TRIMESTER OF PREGNANCY IN 2009 TEEN BIRTH RATE FOR MOTHERS AGES 56.30 37.1 PREGNANCY 15-19 PER 1000 LIVE BIRTHS, 2007 ASTHMA PERCENT OF CHILDREN AGES 0-17 16.40 13.0 DIAGNOSED WITH ASTHMA, 2007 IMMUNIZATIONS PERCENT OF CHILDREN WHO HAVE 94.80 91.7 RECEIVED ALL REQUIRED IMMUNIZATIONS AT THE TIME THEY ENTERED KINDERGARTEN, 2008 OBESITY PERCENT OF CHILDREN AGES 0-5 16.50 15.7 OVERWEIGHT FOR AGE IN 2009 PERCENT OF CHILDREN AGES 6-19 23.10 23.1 OVERWEIGHT FOR AGE IN 2009 UNINSURED PERCENT OF CHILDREN AGES 12-17 13.50 9.9 WITH NO HEALTH INSURANCE AT LEAST PART OF THE YEAR, 2007
* DATA SOURCES. - POVERTY: HTTP://WWW.KIDSDATA.ORG/DATA/TOPIC/TABLE/CHILD_POVERTY250.ASPX - CHILD ABUSE: CHILD WELFARE DYNAMIC REPORT SYSTEM, HTTP://CSSR.BERKELEY.EDU/UCB_CHILDWELFARE/REFRATES.ASPX - INFANT MORTALITY: HTTP://WWW.KIDSDATA.ORG/DATA/TOPIC/TABLE/INFANT_MORTALITY.ASPX - LOW BIRTH WEIGHT: CALIFORNIA DEPARTMENT OF HEALTH SERVICES, CENTER FOR HEALTH STATISTICS, CD-ROM PUBLIC USE BIRTH AND DEATH FILES - PRENATAL CARE: CALIFORNIA DEPARTMENT OF HEALTH SERVICES, CENTER FOR HEALTH STATISTICS, CD-ROM PUBLIC USE BIRTH AND DEATH FILES - TEEN BIRTHS: HTTP://WWW.KIDSDATA.ORG/DATA/TOPIC/TABLE/TEEN_BIRTHS.ASPX - ASTHMA: HTTP://WWW.CHIS.UCLA.EDU/ - IMMUNIZATIONS: HTTP://WWW.KIDSDATA.ORG/DATA/TOPIC/TABLE/IMMUNIZATIONS-KINDERGARTENERS. - OBESITY: HTTP://WWW.DHCS.CA.GOV/SERVICES/CHDP/DOCUMENTS/PEDNSS/2009/16B0TO5.PDF - UNINSURED: HTTP://WWW.CHIS.UCLA.EDU/ THE SHORT-TERM AND LONG-TERM IMPLICATIONS OF THESE STATISTICS ARE SIGNIFICANT. FOR CHILDREN AND THEIR FAMILIES, IT MEANS CHRONIC ILLNESS ACCOMPANIED BY FREQUENT VISITS TO PHYSICIAN OFFICES, CLINICS OR HOSPITAL EMERGENCY ROOMS, MISSED DAYS AT SCHOOL, AND MISSED DAYS AT WORK. FOR HEALTH CARE PROVIDERS LIKE CHILDREN'S HOSPITAL, IT MEANS ALREADY SCARCE RESOURCES ARE STRETCHED EVEN THINNER TO ADDRESS SIGNIFICANT HEALTH NEEDS. THE OPPORTUNITY IS FOR HEALTH CARE PROVIDERS AND THE BROADER COMMUNITY TO ADDRESS THESE AND OTHER HEALTH CHALLENGES FACING OUR REGION'S CHILDREN THROUGH COLLABORATION AND COMMON CONCERN. IV. COMMUNITY BENEFITS PROGRAM A COMMUNITY BENEFIT IS GENERALLY DEFINED AS A CLINICAL OR NON-CLINICAL PROGRAM OR SERVICE THAT - PROVIDES TREATMENT AND/OR PROMOTES HEALTH AND HEALING IN RESPONSE TO AN IDENTIFIED COMMUNITY HEALTH NEED OR SERVICE GAP IDENTIFIED THROUGH THE COMMUNITY NEEDS ASSESSMENT PROCESS, - IS INTENDED TO BENEFIT THE COMMUNITY AS OPPOSED TO THE HOSPITAL, AND - RESULTS IN A LOW OR NEGATIVE FINANCIAL MARGIN FOR THE HOSPITAL. 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 2011, CHILDREN'S HOSPITAL DEDICATED IN EXCESS OF $2,681,924 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 2011, THE FIGURE ABOVE DOES NOT INCLUDE THE HOSPITAL'S COSTS ASSOCIATED WITH UNCOMPENSATED MEDI-CAL, WHICH WAS $25,804,563 IN 2011. A SUMMARY OF THE HOSPITAL'S COMMUNITY BENEFITS PROGRAM ACTIVITIES IN 2011 IS PROVIDED BELOW. PLEASE NOTE THAT THESE ACTIVITIES WERE DEVELOPED BASED ON THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2008. THE OUTCOMES OF THE NEEDS ASSESSMENT PROCESS DESCRIBED ABOVE WILL BE USED TO DEVELOP THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM ACTIVITIES FOR 2012-2014. COMMUNITY HEALTH NEEDS 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. SCHOOL NURSES - 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. REFERRING HOSPITALS/COMMUNITY BASED ORGANIZATIONS - 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. TOPICS COVERED INCLUDED CARE FOR HIGH RISK NEWBORNS, HYPOTHERMIA, PEDIATRIC TRAUMA AND CHILD MALTREATMENT, PEDIATRIC LABORATORY SKILLS, SHAKEN BABY SYNDROME, TO NAME A FEW. PRIMARY CARE PHYSICIANS ($23,071) - IN 2011, CHILDREN'S HOSPITAL PROVIDED 22 SEPARATE CONTINUING MEDICAL EDUCATION PROGRAMS TO A TOTAL OF 285 PRIMARY CARE PROVIDERS. 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 OBESITY AND DIABETES, ONCOLOGY, GASTROENTEROLOGY AND GENETICS. PROGRAMS WERE PROVIDED AT LOCATIONS THROUGHOUT THE HOSPITAL'S SERVICE AREA, INCLUDING BAKERSFIELD, MADERA, MERCED, MODESTO AND SAN LUIS OBISPO. DEVELOPMENTAL DISABILITIES - CHILDREN'S HOSPITAL PROVIDED EDUCATION TO PROVIDERS AND FAMILIES IN A NUMBER OF WAYS, INCLUDING THROUGH THE HOSTING OF SEVERAL CONFERENCES AND WORKING WITH BIRTHING HOSPITALS IN FRESNO AND TULARE COUNTIES AS PART OF THE HOSPITAL'S NEONATAL STABILIZATION PROJECT. 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 EXPANDED 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 ($10,000) IN SUPPORT OF HEALTHY MOMS AND HEALTHY BABIES. INJURY PREVENTION 2011 - RECOGNIZING THAT UNINTENTIONAL INJURY IS THE NATION'S LEADING CAUSE OF DEATH IN CHILDREN, CHILDREN'S HOSPITAL OPERATES AN UNINTENTIONAL 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 75 HOSPITAL EMPLOYEE VOLUNTEERS, THE PROGRAM COVERED THE FOLLOWING TOPICS IN 2011: 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. AS THE LEAD AGENCY FOR SAFE KIDS CENTRAL VALLEY, CHILDREN'S HOSPITAL LED THE COALITION OF 9 LOCALLY BASED AGENCIES IN A VARIETY OF PROJECTS TO MEET THE MISSION OF SAFE KIDS IN DECREASING UNINTENTIONAL DEATH AND INJURY TO KIDS AGED 14 AND UNDER. THE PROGRAM PROVIDED EDUCATION TO OVER 12,330 CHILDREN AND FAMILIES AT A HOST OF COMMUNITY BASED VENUES THROUGHOUT THE CENTRAL VALLEY. IN ADDITION, THE HOSPITAL PROVIDED TRAINING AND CONDUCTED OUTREACH TO 1,955 HEALTH CARE, EDUCATION, LAW ENFORCEMENT, AND CHILD WELFARE PROFESSIONALS THROUGH NATIONAL, STATE, REGIONAL, AND LOCAL CONFERENCES AND SEMINARS. IN 2011, CHILDREN'S HOSPITAL INJURY PREVENTION ALSO PROVIDED 23 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 APPLIED FOR AND RECEIVED FUNDING FROM THE CENTRAL VALLEY HEALTH NETWORK TO SERVE 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 IN THE DEVELOPMENT AND IMPLEMENTATION OF KEY WORK PLAN COMPONENTS.
THE HEAL ZONE PROJECT IS A THREE YEAR (JULY 2011-JUNE 2014), $1 MILLION INITIATIVE FUNDED BY KAISER NORTHERN CALIFORNIA INTENDED TO PROMOTE HEALTHY EATING AND ACTIVE LIVING IN THE CITY OF MADERA THROUGH THE FOLLOWING THREE GOALS. - DECREASING CALORIE CONSUMPTION AND REDUCING THE AVAILABILITY OF SUGARY DRINKS AND UNHEALTHY SNACKS - INCREASING THE CONSUMPTION OF FRUITS AND VEGETABLES - INCREASING PHYSICAL ACTIVITY ADDITIONALLY, AS THE FOUNDER AND NOW A 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 2011. EXAMPLES INCLUDE FORMING A COLLABORATIVE AMONG PEDIATRICIANS AND PAYERS FOR THE PURPOSE OF DESIGNING AND IMPLEMENTING A NEW DELIVERY AND PAYMENT MODEL FOR CHILDHOOD OBESITY TREATMENT AND PREVENTION, AND HOSTING A CONFERENCE FOR PRIMARY CARE PROVIDERS ON OBESITY PREVENTION AND ADVOCACY ($334). CHILDREN'S HOSPITAL ALSO PREPARED AND CONVENED TWO CONTINUING MEDICAL EDUCATION PROGRAMS TITLED "CHILDHOOD OBESITY AND RELATED COMORBIDITIES". POISON CONTROL ($48,195) - THE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE CHILDREN'S HOSPITAL CAMPUS AND RECEIVES A DONATION OF OFFICE SPACE AND SUPPLIES. 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. OTHER ($7,809) - CHILDREN'S PROVIDED SUPPORT TO OTHER PROGRAMS THAT TARGET THE NEEDS OF UNDERSERVED CHILDREN OR BROADER COMMUNITY BASED HEALTH ISSUES INCLUDING CAMP TAYLOR (A SUMMER CAMP FOR CHILDREN WITH CANCER AND THEIR FAMILIES), THE AMERICAN HEART ASSOCIATION, FRESNO CENTER FOR NEW AMERICANS, AND THE AMERICAN RED CROSS. HEALTH CARE WORK FORCE DEVELOPMENT CHILDREN'S IS COMMITTED TO PROMOTING AN ADEQUATE SUPPLY OF HIGHLY TRAINED PROFESSIONALS TO MEET OUR REGION'S FUTURE DEMAND FOR PEDIATRIC HEALTH CARE SERVICES. ACTIVITIES SUPPORTED BY THE HOSPITAL IN 2011 INCLUDED THE FOLLOWING. PHYSICIAN EDUCATION: TO HELP ENSURE AN ADEQUATE SUPPLY OF PHYSICIANS IN CENTRAL CALIFORNIA, CHILDREN'S HOSPITAL SUPPORTED PHYSICIAN EDUCATION IN A NUMBER OF WAYS IN 2011. * CONTRIBUTIONS TO MEDICAL SCHOOLS ($29,600): CHILDREN'S HOSPITAL PROVIDED FINANCIAL SUPPORT TO THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO - FRESNO MEDICAL EDUCATION PROGRAM AND THE UNIVERSITY OF MERCED'S SAN JOAQUIN VALLEY PROGRAM IN MEDICAL EDUCATION PROGRAM. * PEDIATRIC RESIDENCY PROGRAM ($1,736,310) - CHILDREN'S HOSPITAL IS A MAJOR AFFILIATE OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO - FRESNO PEDIATRIC RESIDENCY PROGRAM. STRUCTURED AS A THREE-YEAR FULLY ACCREDITED POST-GRADUATE RESIDENCY, THE TRAINING PROGRAM IS HELPING TO ADDRESS THE CRITICAL SHORTAGE OF BOTH PEDIATRICIANS AND PEDIATRIC SUBSPECIALTY PHYSICIANS IN THE CENTRAL VALLEY BY OFFERING ROTATIONS IN GENERAL PEDIATRICS, PEDIATRIC SURGERY, FAMILY PRACTICE, AND EMERGENCY MEDICINE. IN 2011, 31 MEDICAL RESIDENTS RECEIVED TRAINING AT CHILDREN'S HOSPITAL. * PHARMACY RESIDENCY PROGRAM ($352,433) - CHILDREN'S HOSPITAL SUPPORTED A PHARMACY RESIDENCY PROGRAM IN 2011 THAT PROVIDED TRAINING TO 6 RESIDENTS. HEMATOLOGY CLASS ($7,300) - CHILDREN'S HOSPITAL MADE A DONATION TO CALIFORNIA STATE UNIVERSITY - FRESNO FOR A HEMATOLOGY CLASS TAUGHT. HEALTH CAREERS PROMOTION - CHILDREN'S HOSPITAL CONTINUED TO PROMOTE HEALTH CAREERS THROUGH THE HOSPITAL'S JOB SHADOWING PROGRAM THAT OFFERS HIGH SCHOOL AND COLLEGE STUDENTS THE OPPORTUNITY TO SHADOW HOSPITAL PHYSICIANS, EMPLOYEES, AND VOLUNTEERS. ADDITIONALLY, THE HOSPITAL PARTNERED WITH SUNNYSIDE DOCTORS' ACADEMY, CLOVIS NORTH HIGH SCHOOL, AND THE CENTER FOR ADVANCED RESEARCH AND TECHNOLOGY FOR INTERNSHIP ROTATIONS AT THE HOSPITAL. COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH EDUCATION IS A PARAMOUNT PRIORITY TO THE HOSPITAL, WHICH HAS A LONG-STANDING COMMITMENT TO PROVIDING COMMUNITY WELLNESS AND PREVENTION EDUCATION PROGRAMS. CLASSES WERE OFFERED AT THE HOSPITAL AS WELL AS AT OTHER COMMUNITY VENUES. CLASSES WERE TAUGHT BY CHILDREN'S HOSPITAL PROFESSIONALS WHO HAVE SPENT YEARS STUDYING AND GAINING EXPERIENCE IN THEIR CHOSEN FIELDS. CLASSES WERE OPEN TO THE COMMUNITY AT NO COST. EXAMPLES OF CLASSES OFFERED IN 2011 INCLUDE THE FOLLOWING. ASTHMA BASICS - THIS CLASS PROVIDED INFORMATION ABOUT CONTROLLING ASTHMA; PROPER USE OF MEDICATIONS; PEAK FLOW METERS; METER DOSE INHALERS AND SPACERS; RECOGNIZING EARLY WARNING SIGNS OF ASTHMA; ENVIRONMENTAL CONTROL AND WHAT TRIGGERS AN ASTHMA ATTACK.
CPR FOR FAMILY AND FRIENDS - OFFERED TO FAMILIES WHO WERE TAKING A CHILD HOME FROM CHILDREN'S HOSPITAL, THIS CLASS PRESENTED INFORMATION ON THE AMERICAN HEART ASSOCIATION'S (AHA) PEDIATRIC CHAIN OF SURVIVAL, SIGNS OF CHOKING, PREVENTION OF SUDDEN INFANT DEATH SYNDROME, AND PREVENTION OF THE MOST COMMON FATAL INJURIES IN INFANTS AND CHILDREN. THE COURSE ALSO PRESENTED INFORMATION ABOUT THE AHA ADULT CHAIN OF SURVIVAL AND SIGNS OF CARDIAC ARREST, HEART ATTACK, STROKE AND CHOKING IN ADULTS. CHILDREN'S HOSPITAL ALSO PROVIDED ACCESS TO EDUCATIONAL INFORMATION VIA ITS WEBSITE, INCLUDE THE FOLLOWING TWO SERVICES. E-HEALTH NEWSLETTER ($9,000) - CHILDREN'S HOSPITAL APPRECIATES HOW DIFFICULT IT IS FOR PARENTS TO KEEP UP WITH ALL THE LATEST CHILD HEALTH AND SAFETY INFORMATION. E-HEALTH NEWSLETTER PROVIDES TRUSTED, CREDIBLE CHILD HEALTH AND SAFETY INFORMATION FROM HOSPITAL PEDIATRIC EXPERTS AS WELL AS OTHER EXPERTS FROM AROUND THE COUNTRY. MOST IMPORTANT, FAMILIES ARE ABLE TO CUSTOMIZE THE INFORMATION TO MEET A CHILD'S HEALTH AND SAFETY INFORMATION NEEDS. HEALTH ENCYCLOPEDIA ($13,395) - THE CHILDREN'S 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 FAMILY ASSISTANCE FAMILY CENTERED CARE IS A CORNERSTONE OF CHILDREN'S HOSPITAL. THE HOSPITAL UNDERSTANDS THAT FAMILIES MUST BE GIVEN SUPPORT AND RESOURCES TO EFFECTIVELY PARTICIPATE IN THEIR CHILD'S CARE. CULTURALLY COMPETENT HEALTH CARE - WITH A SERVICE AREA THAT IS HOME TO OVER 100 DOCUMENTED LANGUAGES AND 37 DISTINCT CULTURES, CHILDREN'S HOSPITAL IS COMMITTED TO MEETING THE NEEDS OF A VERY DIVERSE PATIENT POPULATION. AS IT HAS DONE FOR YEARS, THE HOSPITAL IN 2011 PROVIDED LANGUAGE ASSISTANT 24 HOURS A DAY, SEVEN DAYS A WEEK. CHILDREN'S HOSPITAL ALSO WORKED WITH A VARIETY OF ETHNIC GROUPS TO ENSURE THAT THE HOSPITAL WAS PROVIDING CARE IN AS CULTURALLY SENSITIVE A MANNER AS POSSIBLE. TRANSPORTATION ($127,138) - CHILDREN'S HOSPITAL'S SOCIAL WORK DEPARTMENT ASSISTED FAMILIES WITH TRANSPORTATION BY PROVIDING TAXI VOUCHERS AND BUS TOKENS. IN ADDITION, CHILDREN'S HOSPITAL SUBSIDIZED BUS AND TRANSIT SERVICES FROM FRESNO AND THE KINGS COUNTY RURAL AREAS. PUBLIC TRANSPORTATION HAS BEEN A PROBLEM IN THE CENTRAL VALLEY FOR YEARS AND THUS CHILDREN'S HOSPITAL IS CONTINUING TO WORK WITH THE COMMUNITY TO IMPROVE PUBLIC TRANSPORTATION AND IN TURN IMPROVE ACCESS TO CARE. CAFETERIA MEALS ($59,125) - 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. FAMILY ASSISTANCE FUND ($41,405) - WHEN SUPPORT FOR SERVICES WERE NOT AVAILABLE THROUGH A COMMUNITY PROGRAM OR ANOTHER FUNDING SOURCE, SOCIAL WORKERS WERE ABLE TO ACCESS THESE HOSPITAL FUNDS TO HELP PATIENTS AND FAMILIES OBTAIN ITEMS NEEDED UPON RETURN HOME OR ASSIST WITH TRANSPORTATION FOR FOLLOW UP CARE. ENROLLMENT INTO HEALTH INSURANCE - CHILDREN'S HOSPITAL COMMITS SIGNIFICANT RESOURCES IN HELPING FAMILIES FIND HEALTH INSURANCE COVERAGE FOR THEMSELVES AND THEIR UNINSURED CHILDREN. SERVICES PROVIDED BY THE HOSPITAL INCLUDED FINANCIAL COUNSELORS AS WELL AS A CONTRACTED VENDOR WITH EXPERTISE IN ENROLLMENT SERVICES ($203,309). THROUGH THESE SERVICES, CHILDREN'S HOSPITAL SCREENS UNINSURED AND UNDER-INSURED FAMILIES FOR ELIGIBILITY IN MEDI-CAL, HEALTHY FAMILIES, THE CALIFORNIA CHILDREN'S SERVICES PROGRAM, AS WELL AS THE CHILDREN'S HOSPITAL FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY IS DETERMINED, THE HOSPITAL ASSISTS IN THE COMPLETION OF APPLICATIONS, AND SUBMITS APPLICATIONS TO THE APPROPRIATE PROCESSING OR FUNDING AGENCIES. CHILDREN'S HOSPITAL ALSO SUPPORTED OUTREACH AND ENROLLMENT SERVICES OFFERED THROUGH THE FRESNO HEALTHY COMMUNITIES ACTION PROGRAM ($2,500).
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE TWOCOMMITMENT 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 2011, OF THE HOSPITAL'S 84,322 TOTAL INPATIENT DAYS, 62,777 (75%) WERE COVERED BY MEDI-CAL. THE HOSPITAL HAS HISTORICALLY BEEN ABLE TO NEGOTIATE INCREASES TO ITS MEDI-CAL INPATIENT REIMBURSEMENT. THESE INCREASES, HOWEVER, HAVE NOT OFFSET THE RISING COST OF CARE FOR THESE PATIENTS AND IN RECENT YEARS, ADDITIONAL RATES FREEZES AND CUTBACKS IN GOVERNMENT FUNDING CONTINUE TO PUT PRESSURE ON THE HOSPITAL'S ABILITY TO PROVIDE CARE. IN ADDITION, THE MEDI-CAL OUTPATIENT FEE SCHEDULE REIMBURSEMENT REMAINS SIGNIFICANTLY BELOW COST. 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 2011 OF $25,804,563. 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 USED 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 WAS IMPLEMENTED IN TWO PARTS, WITH PART ONE COVERING THE PERIOD APRIL 1, 2009 THROUGH DECEMBER 31, 2010, AND PART TWO COVERING THE PERIOD JANUARY 1, 2011 THROUGH JUNE 30, 2011. IN 2011, CHILDREN'S HOSPITAL RECOGNIZED $68,478,000 IN PART ONE PROGRAM REVENUE, 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. RECOGNIZED NET REVENUE FROM PART TWO OF THE PROGRAM FALLS WITHIN THE HOSPITAL'S 2012 FISCAL YEAR AND THEREFORE IS NOT INCLUDED HERE. AS THE HOSPITAL'S HOSPITAL FEE PROGRAM REVENUE RECOGNIZED IN 2011 EXCEEDED THE HOSPITAL'S UNCOMPENSATED MEDI-CAL COSTS IN 2011, THE HOSPITAL IS NOT REPORTING ANY UNCOMPENSATED MEDI-CAL IN 2011. FOR DECADES, CALIFORNIA HAS BEEN UNABLE TO REIMBURSE HOSPITALS LIKE CHILDREN'S FOR MEDI-CAL SERVICES AT LEVELS WHICH COVER COSTS. THE FUTURE LOOKS EVEN WORSE GIVEN RECENTLY ENACTED MEDI-CAL FUNDING CUTS AT BOTH THE STATE AND FEDERAL LEVELS, ALONG WITH THE PRESSURE THAT ONGOING GOVERNMENT BUDGET DEFICITS WILL PLAY ON REDUCING MEDI-CAL FUNDING EVEN FURTHER. 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. CHARITY CARE IN KEEPING WITH OUR MISSION, CHILDREN'S HOSPITAL CONTINUES TO ACCEPT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2011, CHILDREN'S HOSPITAL PROVIDED $11,000 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.PART III, LINE 4B:

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CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION
C6980041CASH VALUE
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA
K1001231CASH VALUE
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA
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