2024-08-15T15:18:37-05:00 2023-09-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-10-01 941294954 VALLEY CHILDREN'S HOSPITAL VALL 5593533000 9300 VALLEY CHILDRENS PLACE MADERA CA 936368762 TINA MYCROFT SVP AND CFO 5593533000 2024-08-14 1 0 TRACY S PAGLIA P00366884 2099556100 2024-08-14 2022 2024-08-08 14:25:15Z TODD SUNTRAPAK 9300 VALLEY CHILDRENS PLACE MADERA CA 936368762 1280636524 0 X WWW.VALLEYCHILDRENS.ORG X 1949 CA PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN 18 16 3957 277 2296979 2432528 48366824 9460031 1039778586 748650351 31738502 50512885 8555197 12944813 1128439109 821568080 5311220 1218901 0 0 353708857 369980125 0 0 0 415230372 404558073 774250449 775757099 354188660 45810981 2061981246 2141940535 378845445 370211936 1683135801 1771728599 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. 0 0 590418608 1218901 748650351 VALLEY CHILDREN'S HOSPITAL IS CENTRAL CALIFORNIA'S ONLY PEDIATRIC HOSPITAL, FEATURING THE REGION'S ONLY LEVEL IV NICU, A RENOWNED PEDIATRIC CANCER AND BLOOD DISEASES CENTER AND A PIONEERING HEART CENTER. WE WERE THE FIRST CHILDREN'S HOSPITAL WEST OF THE ROCKIES TO EARN THE MAGNET NURSING DESIGNATION - THE HIGHEST NURSING BENCHMARK - AND U.S. NEWS & WORLD REPORT RANKS US ONE OF THE NATION'S TOP CHILDREN'S HOSPITALS IN SEVEN SPECIALTIES. OUR TEAM OF 670 PHYSICIANS AND 3,500 STAFF MEMBERS PROVIDES HIGH-QUALITY CARE TO MORE THAN 1.3 MILLION CHILDREN IN THE REGION. SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY BENEFIT. 590418608 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 312 0 1 3957 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 18 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 CA X X TINA MYCROFT SVP & CFO 5593533000 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 TODD SUNTRAPAK CEO 20.50 39.50 X X 2989322 0 62300 BEVERLY HAYDEN-PUGH SVP/ADVR TO CEO (AS OF 3/23) 24.00 36.00 X 1507867 0 132447 MICHELE R WALDRON SVP, CFO 22.20 37.80 X 1294288 0 55030 NATALE PONTICELLO JR SVP/ADVR TO SVP & CPO (AS OF 3/23) 43.00 17.00 X 1169900 0 98966 DAVID CHRISTENSEN SVP, CPE & PRES VCMG 24.00 36.00 X 1209196 0 52507 JANE WILLSON SVP, CHIEF STRATEGY OFFICER 18.00 42.00 X 706393 0 452480 DAVID HODGE JR VP, MEDICAL GROUP & ANCILLARY OP 35.00 25.00 X 658346 0 128812 KEVIN SHIMAMOTO VP AND ADVISOR TO CIO 10.00 50.00 X 665445 0 104968 DANIELLE BARRY SVP, COO 30.00 30.00 X 673281 0 95684 KAREN DAHL VP, MED AFFAIRS & PHYS DEV 40.00 20.00 X 653115 0 102687 MICHAEL GOLDRING SVP STRATEGIC PARTNERSHIPS 12.00 48.00 X 695477 0 42890 LYNNE ASHBECK SVP, CHIEF COMMUNITY IMPACT OFF 18.00 42.00 X 622039 0 94212 WILLIAM CHALTRAW JR SVP, CHIEF LEGAL OFFICER 12.00 48.00 X 656447 0 52018 JOLIE LIMON VP ACAD AFFAIRS, DIO & CHI 50.00 10.00 X 541229 0 97151 JOEL BROWNELL VP, CHIEF MED INFO OFF. (THRU 9/23) 40.00 20.00 X 532621 0 103839 STEPHANIE VANCE VP, FINANCE 30.00 30.00 X 510109 0 112734 JESSIE HUDGINS VP, FACILITIES & SUPPORT (THRU 1/23) 45.00 15.00 X 517510 0 82203 JOSEPH EGAN VP & CIO 50.00 10.00 X 406743 0 63648 VICKY TILTON VP PATIENT CARE SVCS/CNO (AS OF 3/23) 50.00 10.00 X 422014 0 41522 KELLY BEALL SVP/CHIEF PEOPLE OFFICER (AS OF 3/23) 43.00 17.00 X 314797 0 49482 KELLIE DYER VP SUPPLY, CONSTR & FAC. (AS OF 1/23) 35.00 15.00 X 248345 0 26560 FAISAL RAZZAQI MD CHIEF OF STAFF/BOARD MEMBER 0.50 0.50 X 62500 0 0 MIMI CHAO MD FORMER CHIEF OF STAFF 0.00 X 12500 0 0 DAN ADAMS BOARD TREASURER 0.50 1.80 X X 0 6000 0 JOSE ELGORRIAGA BOARD CHAIR 0.60 1.40 X X 0 0 0 JEANNINE CAMPOS GRECH BOARD CHAIR (THRU 12/22) 1.00 0.80 X X 0 0 0 MICHAEL HANSON BOARD VICE CHAIR 0.50 1.80 X X 0 0 0 DANIELLE PARNAGIAN BOARD SECRETARY 0.50 0.50 X X 0 0 0 RILEY WALTER BOARD MEMBER 0.50 0.50 X 0 0 0 BILL SMITTCAMP BOARD MEMBER 0.50 1.80 X 0 0 0 DAN KOONTZ BOARD MEMBER 0.50 0.50 X 0 0 0 MENDY LAVAL BOARD MEMBER 0.50 0.50 X 0 0 0 SISSY DALENA WOOD BOARD MEMBER 0.50 0.50 X 0 0 0 LISA SMITTCAMP BOARD MEMBER 0.50 0.50 X 0 0 0 VALERIE VUICICH GUILD MEMBER 0.50 0.50 X 0 0 0 SUSAN BYERS BOARD MEMBER 0.50 0.50 X 0 0 0 JARROD MARTINEZ BOARD MEMBER 0.50 0.50 X 0 0 0 THOMAS PAGE MD BOARD MEMBER 0.50 0.50 X 0 0 0 ALLISON KARAHADIAN BOARD MEMBER 0.50 0.50 X 0 0 0 LUZ GONZALEZ MD BOARD MEMBER 0.50 0.50 X 0 0 0 KIM RUIZ BECK BOARD MEMBER (THRU 1/23) 1.00 0.60 X 0 0 0 NICO GENTILE BOARD MEMBER (THRU 11/22) 1.00 X 0 0 0 17069484 6000 2052140 971 1 1 0 VALLEY CHILDREN'S MEDICAL GROUP 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 SUBSPEC PHYSICIAN SERVICES 44685000 QUIRING GENERAL LLC 5118 E CLINTON WAY FRESNO CA 93727 CONSTRUCTION SERVICES 31625706 PEDIATRIC ANESTHESIA ASSOCIATES 6235 N FRESNO ST STE 103 FRESNO CA 93710 ANESTHESIA/CRITICAL CARE 15092527 SPAN CONSTRUCTION 3353 YEAGER DR MADERA CA 93637 CONSTRUCTION SERVICES 6559460 SODEXO INC & ASSOCIATES PO BOX 360170 PITTSBURGH PA 152516170 HOUSEKEEPING SERVICES 5616045 148 6682995 2041225 735811 23507 9460031 PATIENT SERVICES 900099 729393794 729393794 HOME CARE 340B PROGRAM 900099 12767478 12767478 MANAGEMENT SERVICES 541610 6358252 6358252 LAB SERVICES 900099 130827 130827 748650351 45000954 2296979 42703975 991314 991314 1071093 900412 170681 170681 170681 462358692 215084 458040871 12288 4317821 202796 4520617 4520617 347412 114873 232539 232539 CAFETERIA REVENUE 900099 2465351 2465351 10076242 10076242 12541593 821568080 748650351 2296979 61160719 X 905798 905798 313103 313103 16288559 16288559 269024999 204541576 64483423 15544658 11767834 3776824 48730118 34104507 14625611 20391791 14885391 5506400 3227341 143116 3084225 2468197 2468197 259528 259528 140313 140313 3586116 3586116 107623959 107303189 320770 2423314 68134 2355180 120131218 111636040 8495178 8293056 6072837 2220219 8839016 6780012 2059004 734200 232776 501424 263583 58135 205448 10289834 7856893 2432941 36973886 20252153 16721733 6031328 6031328 HOSPITAL FEE PROGRAM 38061845 38061845 PURCHASED SERVICES 33760888 15004771 18756117 BAD DEBT 9601391 9601391 UBI TAXES 150000 150000 11699060 679107 11019953 775757099 590418608 185338491 0 885991 812358 646160966 488908207 777563 968363 111218980 103018092 38534416 58150923 13677924 14738794 13822499 11904486 881108958 436053238 400603378 445055720 461048891 536982420 206266947 251771950 45306074 44683956 123677617 184945266 2061981246 2141940535 96249707 90954979 254735818 246977204 27859920 32279753 378845445 370211936 X 1650610632 1744021434 32525169 27707165 1683135801 1771728599 2061981246 2141940535 X 45810981 45071930 -2290113 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 16930 0 1 341809 358739 0 PART II-B, LINE 1 VALLEY CHILDREN'S HOSPITAL HAS HAD DIRECT CONTACT WITH AND HAS ENCOURAGED OTHERS TO HAVE DIRECT CONTACT WITH LOCAL, STATE AND FEDERAL LEGISLATORS REGARDING CHILDREN'S HEALTH CARE PUBLIC POLICY. THESE CONTACTS HAVE PROVIDED INFORMATION REGARDING THE PROVISION OF HEALTH CARE SERVICES TO CHILDREN, THE ANTICIPATED EFFECT ON CHILDREN'S HEALTH AND VALLEY CHILDREN'S HOSPITAL OF PENDING LEGISLATIVE PROPOSALS, AND REQUESTS FOR ASSISTANCE IN SUPPORTING ACCESS TO CHILDREN'S HEALTH CARE BY MAINTAINING OR INCREASING CURRENT STATE AND FEDERAL FUNDING LEVELS FOR MEDI-CAL AND OTHER PUBLIC PROGRAMS. EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE LESS THAN 1% OF TOTAL HOSPITAL EXPENDITURES. VALLEY CHILDREN'S HOSPITAL HAS MADE NO CONTRIBUTIONS TO ANY POLITICAL CANDIDATE OR ELECTED OFFICIAL. SALARIES RELATED TO LOBBYING $16,930 BROWNSTEIN HYATT FARBER SCHRECK $140,313 ASSOCIATION DUES RELATED TO LOBBYING NACH 31,958 AMERICAN SOCIETY HEALTHCARE ENGINEERING 82 ASSOCIATION OF AMERICAN MEDICAL COLLEGES 351 CALIFORNIA CHAMBER OF COMMERCE 125 CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION 91,822 CALIFORNIA HOSPITAL ASSOCIATION/AMERICAN HOSP ASSOC 26,421 CHILDREN'S SPECIALTY CARE COALITION 3,791 FRESNO CHAMBER OF COMMERCE 275 HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA 46,551 NATIONAL ASSOCIATION OF EPILEPSY CENTERS 120 TOTAL EXPENDITURES RELATED TO LEGISLATIVE MATTERS $358,739 70118669 70118669 413885161 166741644 247143517 3554557 3553961 596 347587433 237399326 110188107 45963138 28358307 17604831 445055720 LIMITED PARTNERSHIPS 92930080 F HEDGE FUNDS 95946826 F PRIVATE CAPITAL FUNDS 62895044 F 251771950 DISPROPORTIONATE SHARE FUNDS RECEIVABLE 10436424 INSURANCE RECEIVABLE 12671037 PROVIDER FEE RECEIVABLE 159584178 457 TRUST FUNDS 4960090 OTHER 14061503 ADVANCE MED FOUNDATION -18296994 PREPAID LEASE ASSET 1529028 184945266 MALPRACTICE RESERVE 11926436 ACCRUED PENSION LIABILITY 513027 457 LIABILITY 4960090 1732 LIABILITY 56276 WORKERS COMP 4004574 INS LIABILITY 2093971 DC SERP LIABILITY 826882 457F RT LIABILITY 498010 OPERATING LEASE - LONG TERM PORTION 6900487 LAND DEVELOPMENT OBLIGATION 500000 32279753 PART VII, LINE 3: THE OVERALL FINANCIAL OBJECTIVES OF THE HOSPITAL'S INVESTMENT PORTFOLIO ARE TO 1) PRESERVE PRINCIPAL AND MAINTAIN PURCHASING POWER FOR A PORTION OF PORTFOLIO ASSETS IN ORDER TO PROVIDE A SOURCE OF FUNDING FOR STRATEGIC INVESTMENT AND ANNUAL ENDOWMENT DISTRIBUTIONS, AND 2) GROW A PORTION OF PORTFOLIO ASSETS TO IMPROVE THE FINANCIAL WELL-BEING OF VALLEY CHILDREN'S HEALTHCARE AND ITS SUBSIDIARIES. TO ACHIEVE THESE GOALS, THE PORTFOLIO IS INVESTED IN A VARIETY OF INVESTMENT VEHICLES INCLUDING, BUT NOT LIMITED TO, MUTUAL FUNDS, EXCHANGE TRADED FUNDS, SEPARATELY MANAGED ACCOUNTS, COMMINGLED FUNDS, US TREASURY NOTES, LIMITED PARTNERSHIPS, HEDGE FUNDS AND PRIVATE CAPITAL FUNDS CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 137661677 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 23380447 0 0 0 0 0 0 161042124 0 161042124 1 0 1 1 1 0 PART I, LINE 3: THE AMOUNT IN COLUMN F IS BASED ON FAIR MARKET VALUE. PART III ACCOUNTING METHOD: 1 1 1 X 1 X 1 0 1 1 92423 92423 0.00010 515432836 467061411 48371425 0.06310 413069 161209 251860 0.00030 515938328 467222620 48715708 0.06350 2407211 2407211 0.00310 14706137 1659807 13046330 0.01700 1371405 474807 896598 0.00120 966714 966714 0.00130 19451467 2134614 17316853 0.02260 535389795 469357234 66032561 0.08610 1 3178201 128925 239984 -111059 X 1 1 1 1 VALLEY CHILDREN'S HOSPITAL 9300 VALLEY CHILDRENS PLACE MADERA CA 936368761 WWW.VALLEYCHILDRENS.ORG 040000160 X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT X 1 23 1 WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B, LINE 5: FACILITY REPORTING GROUP AIN CONDUCTING THE MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. A VARIETY OF PRIMARY DATA COLLECTION METHODS WERE USED TO OBTAIN COMMUNITY INPUT INCLUDING FOCUS GROUPS, INTERVIEWS, AND SURVEYS. THE COLLECTED DATA WERE USED TO IDENTIFY SIGNIFICANT COMMUNITY NEEDS.FRESNO, KINGS, MADERA, AND TULARE COUNTIESPRIMARY DATA WERE COLLECTED THROUGH SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE SURVEY INCLUDED QUESTIONS TO DESCRIBE THE COMMUNITY, THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH STATUS AND WAS AVAILABLE IN ENGLISH AND SPANISH. COMMUNITY ORGANIZATIONS DISTRIBUTED THE SURVEYS ONLINE AND IN PAPER FORMAT. 4,856 USABLE SURVEYS WERE RECEIVED. COMMUNITY-BASED ORGANIZATIONS AND OTHER GROUPS LED THE FOCUS GROUPS AND INTERVIEWS. COMMUNITY MEMBERS ATTENDED IN-PERSON OR VIRTUALLY ON ZOOM. FIFTY-NINE (59) FOCUS GROUPS ENGAGED 473 PERSONS FROM OCTOBER TO DECEMBER 2021. TARGET POPULATIONS FOR THE FOCUS GROUPS WERE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY. KEY INFORMANTS WERE CHOSEN FOR INTERVIEWS BASED ON THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES. FIFTY (50) KEY INFORMANT INTERVIEWS WERE COMPLETED FROM OCTOBER TO DECEMBER 2021.KERN COUNTYPRIMARY DATA WERE COLLECTED THROUGH INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND SURVEYS WITH COMMUNITY RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THIRTY (30) TELEPHONE INTERVIEWS WERE CONDUCTED FROM OCTOBER TO DECEMBER 2021. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN KERN COUNTY WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. SURVEYS WERE DISTRIBUTED TO ENGAGE COMMUNITY RESIDENTS AND OBTAIN INPUT ON HEALTH AND SOCIAL NEEDS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM SEPTEMBER 13 TO NOVEMBER 15, 2021. DURING THIS TIME, 255 USABLE SURVEYS WERE COLLECTED. THE SURVEYS WERE DISTRIBUTED THROUGH HOSPITAL CHANNELS INCLUDING SOCIAL MEDIA. THE SURVEY WAS ALSO DISTRIBUTED TO COMMUNITY PARTNERS WHO MADE THEM AVAILABLE TO THEIR CLIENTS.MERCED COUNTYTHE ASSESSMENT INCORPORATED PRIMARY RESEARCH THROUGH A COMMUNITY HEALTH SURVEY AND AN ONLINE KEY INFORMANT SURVEY. THE SURVEYS WERE CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE) AND THROUGH ONLINE QUESTIONNAIRES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 300 INDIVIDUALS, AGES 18 AND OLDER, IN MERCED COUNTY. WHEN THE INTERVIEWS WERE COMPLETED, THEY WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION TO APPROPRIATELY REPRESENT MERCED COUNTY AS A WHOLE.AN ONLINE KEY INFORMANT SURVEY SOLICITED INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY VALLEY CHILDREN'S HOSPITAL AND MERCY MEDICAL CENTER MERCED. THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 69 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.PARTICIPATION INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS:- ACE OVERCOMERS- ALL DADS MATTER- BEHAVIORAL HEALTH- CASTLE FAMILY HEALTH CENTERS- CENTRAL CALIFORNIA ALLIANCE FOR HEALTH- CENTRAL OPPORTUNITY CENTER CVOC- COURT APPOINTED SPECIAL ADVOCATES MERCED COUNTY- FAMILY RESOURCE COUNCIL- FIRST 5 MERCED COUNTY- HEAD START PROGRAM MERCED COUNTY OFFICE OF EDUCATION- MERCED CITY SCHOOL DISTRICT- MERCED COUNTY COMMUNITY ACTION AGENCY WIC- MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH- MERCED COUNTY HUMAN SERVICES AGENCY, ALL MOMS MATTER- MERCED COUNTY HUMAN SERVICES AGENCY, EMPLOYMENT AND TRAINING BRANCH- MERCED COUNTY MENTAL HEALTH DEPT.- MERCED COUNTY OFFICE OF EDUCATION, CARING KIDS- MERCED COUNTY OFFICE OF EDUCATION, GROW PROGRAM- MERCED COUNTY OFFICE OF EDUCATION, MIGRANT EDUCATION- MERCED RESCUE MISSION- PEOPLE'S PROMISE- SIERRA VISTA CHILDREN AND FAMILY SERVICES- ST. VINCENT DE PAUL SOCIETY PLANADA- UNIVERSITY OF CALIFORNIA MERCED- VALLEY CRISIS CENTERSTANISLAUS COUNTYTWELVE (12) INTERVIEWS WERE CONDUCTED DURING JANUARY AND FEBRUARY 2022. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH THE HEALTH AND WELLBEING IN STANISLAUS COUNTY, WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITY. ORGANIZATIONS WERE IDENTIFIED BASED ON THE ROLE THEY PLAYED IN THE COMMUNITY. INDIVIDUALS REPRESENTING ORGANIZATIONS THAT DELIVERED HEALTH AND RELATED SOCIAL SERVICES TO THE COMMUNITY AT-LARGE WERE SOLICITED FOR INVOLVEMENT. SOCIAL SERVICE/COMMUNITY SERVING ORGANIZATIONS, INCLUDING HEALTH CARE PROVIDERS (FQHCS), AND THE INDIVIDUALS REPRESENTING THEM, WERE ALSO RECRUITED FOR PARTICIPATION. THE LOCAL PUBLIC HEALTH AGENCY WAS RECRUITED FOR PARTICIPATION AND REPRESENTATIVES FROM THE HOSPITAL WERE INCLUDED.FOCUS GROUP PARTICIPANTS WERE IDENTIFIED FROM THE ORGANIZATIONS SERVING THE COMMUNITY'S MOST VULNERABLE POPULATIONS. IN SOME INSTANCES, WHERE A FOCUS GROUP WAS DIFFICULT TO CONVENE (DUE TO THE PANDEMIC), REPRESENTATIVES THAT WORKED DIRECTLY WITH VULNERABLE POPULATIONS WERE SOLICITED FOR INVOLVEMENT. THREE (3) FOCUS GROUPS ENGAGED 17 PEOPLE AND WERE HELD VIA ZOOM IN MARCH 2022. FOCUS GROUP PARTICIPANTS REPRESENTED COMMUNITY HEALTH WORKERS, STUDENTS, VOLUNTEERS AND OUTREACH WORKERS. KEY INFORMANTS WERE CHOSEN FOR INTERVIEWS BASED ON THEIR KNOWLEDGE OF COMMUNITY HEALTH ISSUES. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: VALLEY CHILDREN'S HOSPITAL FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: VALLEY CHILDREN'S HOSPITAL COLLABORATED WITH THE FOLLOWING HOSPITAL FACILITIES TO COMPLETE THE CHNA:FRESNO, KINGS, MADERA AND TULARE COUNTIES- SAINT AGNES MEDICAL CENTER AND COMMUNITY REGIONAL MEDICAL CENTER.KERN COUNTY- DIGNITY HEALTH (MERCY AND MEMORIAL HOSPITALS), ADVENTIST HEALTH (BAKERSFIELD, DELANO AND TEHACHAPI VALLEY), KERN MEDICAL, AND KAISER PERMANENTE.MERCED COUNTY- MERCY MEDICAL CENTER MERCED.STANISLAUS COUNTY- SUTTER HEALTH MEMORIAL MEDICAL CENTER. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: VALLEY CHILDREN'S HOSPITAL COLLABORATED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA TO COMPLETE THE CHNA. PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE: WWW.VALLEYCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT PART V, SECTION B, LINE 11 THE 2022 CHNA PROCESS INCLUDED COLLECTION AND ANALYSIS OF DATA SOURCES FOR THE HOSPITAL SERVICE AREA. SECONDARY DATA WERE COLLECTED FROM COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTH CARE, BIRTH CHARACTERISTICS, ACUTE AND CHRONIC CONDITIONS, HEALTH BEHAVIORS, MENTAL HEALTH, AND SUBSTANCE USE. IN ADDITION, VALLEY CHILDREN'S CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS WITH COMMUNITY STAKEHOLDERS AND RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THE COLLECTED DATA WERE USED TO IDENTIFY SIGNIFICANT COMMUNITY NEEDS. GIVEN THE COMMUNITY INPUT SPECIFIC TO CHILD HEALTH, THE MAJOR NEEDS IDENTIFIED FOR CHILDREN THROUGHOUT THE SERVICE AREA INCLUDED THE FOLLOWING:- ACCESS TO HEALTH CARE INCLUDES ACCESS TO PRIMARY CARE, SPECIALTY CARE, PREVENTIVE CARE, AND TRANSPORTATION.- CHRONIC DISEASES INCLUDE PREVENTION, MANAGEMENT, AND TREATMENT OF CHRONIC DISEASES (DIABETES, ASTHMA, CANCER), CAREGIVER SUPPORT FOR CHILDREN EXPERIENCING CHRONIC DISEASES.- ECONOMIC INSECURITY INCLUDES POVERTY, BASIC NEEDS SERVICES, AND FOOD INSECURITY.- HOUSING AND HOMELESSNESS INCLUDE ACCESS TO SAFE AND AFFORDABLE HOUSING, AND ISSUES RELATED TO PERSONS WHO ARE EXPERIENCING HOMELESSNESS, INCLUDING HOUSING AVAILABILITY, SOCIAL SERVICES AND TRANSITIONAL CARE.- MATERNAL AND INFANT HEALTH INCLUDE TEEN PREGNANCY, PRENATAL CARE, LOW-BIRTH WEIGHT BIRTHS,PREMATURE BIRTHS, INFANT MORTALITY, AND BREASTFEEDING.- MENTAL HEALTH INCLUDES ANXIETY AND DEPRESSION, SEVERE MENTAL ILLNESS, ACCESS TO MENTAL HEALTHCARE AND SUPPORTIVE SERVICES, REDUCTION IN STIGMA AND AVAILABILITY OF MENTAL HEALTH CARE BEDS.- OBESITY/NUTRITION/PHYSICAL ACTIVITY INCLUDE ACCESS TO HEALTHY, AFFORDABLE FOOD, INCREASED ACCESS TO OUTDOOR ACTIVITIES.- PREVENTIVE CARE INCLUDES VACCINES, TESTING AND SCREENINGS.- SUBSTANCE USE AND MISUSE INCLUDE TOBACCO USE, VAPING, DRUG MISUSE AND ALCOHOL USE.- VIOLENCE AND INJURY PREVENTION INCLUDE ACCIDENTAL INJURIES, NEIGHBORHOOD SAFETY, REDUCTION IN CRIME, AND CHILD ABUSE.THE CHNA SERVED AS A RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. THE COMMUNITY PRIORITIZATION OF NEEDS WAS ALSO TAKEN INTO CONSIDERATION. VALLEY CHILDREN'S IS ADDRESSING THE FOLLOWING NEEDS:- ACCESS TO HEALTH CARE (INCLUDING PREVENTIVE CARE)- CHRONIC DISEASES (INCLUDING OBESITY, NUTRITION, AND PHYSICAL ACTIVITY)- MATERNAL AND INFANT HEALTH- MENTAL HEALTH- VIOLENCE AND INJURY PREVENTIONACCESS TO CARE (INCLUDING PREVENTIVE CARE):ACCESS TO PRIMARY AND PREVENTIVE CARE FOR AT-RISK CHILDRENPEDIATRIC PHYSICIAN RESIDENTS PARTICIPATING IN VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM PROVIDED PRIMARY AND PREVENTIVE HEALTHCARE SERVICES TO AT-RISK CHILDREN IN FRESNO COUNTY AS PART OF THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS' MOBILE HEALTH UNIT (MHU). DESIGNED TO HELP ENSURE THAT CHILDREN ARE HEALTHY AND READY TO LEARN, THE MHU VISITED 31 DIFFERENT SCHOOLS IN 2023, INCLUDING MANY LOCATED IN RURAL AND LOW-INCOME COMMUNITIES. AS A PART OF THOSE VISITS, 1,164 CHILDHOOD VACCINATIONS WERE ADMINISTERED, AND 331 SPORTS PHYSICALS WERE PERFORMED.AFFORDABLE BROADBAND INTERNET ACCESSACCESS TO AFFORDABLE AND RELIABLE BROADBAND INTERNET SERVICE IS CRITICAL TO ENSURING THAT EVERYONE HAS ACCESS TO QUALITY HEALTH CARE INCLUDING INDIVIDUALS LIVING IN AREAS WHERE HEALTH CARE PROVIDERS AND SERVICES ARE IN SHORT SUPPLY.IN RECOGNITION OF THIS REALITY, VALLEY CHILDREN'S WAS ACTIVELY INVOLVED IN COMMUNITY-BASED EFFORTS TO IMPROVE ACCESS TO BROADBAND INCLUDING SERVING AS A MEMBER OF THE FRESNO COALITION FOR DIGITAL INCLUSION (FCDI) EXECUTIVE POLICY WORKGROUP. ESTABLISHED IN 2022, FCDI BRINGS TOGETHER INSTITUTIONS, LOCAL GOVERNMENT/PUBLIC AGENCIES AND COMMUNITY-BASED ORGANIZATIONS TO COLLABORATE WITH SHARED PURPOSE TOWARD EQUITABLE INTERNET ACCESS. THERE ARE PRESENTLY 29 ORGANIZATIONS AT THE TABLE REPRESENTING THE COUNTY AND CITY OF FRESNO, K-12, HIGHER EDUCATION, HEALTHCARE, HOUSING AND COMMUNITY-BASED ORGANIZATIONS. THE COALITION'S WORK IN 2023 INCLUDED ANALYSIS OF BROADBAND ACCESS GAPS IN FRESNO COUNTY AND ADVOCACY TO ENSURE THAT REGULATORS AND POLICY MAKERS WERE USING THE MOST ACCURATE DATA IN IDENTIFYING AREAS OF GREATEST NEED.ENROLLMENT IN HEALTH INSURANCE VALLEY CHILDREN'S IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM OR VALLEY CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, VALLEY CHILDREN'S STAFF ASSISTED THE FAMILIES WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES.TRANSPORTATIONGIVEN THE CENTRAL VALLEY'S LARGELY RURAL LANDSCAPE AND HIGH CONCENTRATION OF POVERTY, TRANSPORTATION HAS LONG BEEN A CHALLENGE FOR MANY FAMILIES. VALLEY CHILDREN'S CONTINUED TO WORK WITH THE COMMUNITY TO IMPROVE PUBLIC TRANSPORTATION AND ACCESS TO CARE. VALLEY CHILDREN'S SOCIAL WORK DEPARTMENT ASSISTED FAMILIES WITH TRANSPORTATION BY PROVIDING GAS CARDS, TAXI VOUCHERS, AMTRAK TICKETS AND BUS TOKENS. VALLEY CHILDREN'S ALSO SUBSIDIZED BUS AND OTHER PUBLIC TRANSIT SERVICES FROM THE CITY OF FRESNO AND KINGS COUNTY.EXPANDED ACCESS TO PEDIATRIC PRIMARY AND SPECIALTY CAREVALLEY CHILDREN'S MADE CASH CONTRIBUTIONS FOR THE PURCHASE OF CAPITAL-RELATED ITEMS TO BE USED TO INCREASE ACCESS TO HEALTHCARE SERVICES FOR CHILDREN THROUGHOUT THE REGION.CHRONIC DISEASE PREVENTION (INCLUDING OBESITY, NUTRITION AND PHYSICAL ACTIVITY)ADAPTIVE SPORTS PROGRAMVALLEY CHILDREN'S ADAPTIVE SPORTS PROGRAM PROVIDED FREE RECREATIONAL AND ATHLETIC EXPERIENCES FOR CHILDREN, ADOLESCENTS AND YOUNG ADULTS WITH DISABILITIES, REGARDLESS OF WHETHER THEY HAVE BEEN OR ARE CURRENTLY PATIENTS AT VALLEY CHILDREN'S. THE PROGRAM, THE ONLY ONE OF ITS KIND IN CENTRAL CALIFORNIA, IS DESIGNED FOR INDIVIDUALS WITH PHYSICAL IMPAIRMENTS AND CONDITIONS RANGING FROM CEREBRAL PALSY, SPINAL CORD INJURIES AND AMPUTATIONS. DISABLED YOUTH, UP TO AGE 21, WERE ESPECIALLY ENCOURAGED TO ATTEND. IN 2023, APPROXIMATELY 70 CHILDREN PARTICIPATED IN A VARIETY OF ACTIVITIES INCLUDING WHEELCHAIR BASKETBALL, WHEELCHAIR TENNIS, WHEELCHAIR SOCCER, CANOEING/KAYAKING, ROCK CLIMBING, TRACK AND FIELD, AND SNOW AND WATER SKIING.FOOD FOR FAMILIESVALLEY CHILDREN'S DIETARY DEPARTMENT PROVIDED MEAL COUPONS TO BREASTFEEDING MOMS WHOSE INFANTS WERE AT VALLEY CHILDREN'S. ADDITIONALLY, VALLEY CHILDREN'S SOCIAL WORK TEAM PROVIDED PATIENTS' FAMILIES WHO WERE NOT PREPARED FOR A LONG STAY AT THE HOSPITAL WITH MEAL COUPONS WHEN THE NEED WAS DETERMINED. THE SOCIAL WORK TEAM ALSO WORKED CLOSELY WITH THE CALIFORNIA CHILDREN'S SERVICES PROGRAM TO PROVIDE FOOD FOR ELIGIBLE FAMILIES.FOOD SECURITY - CENTRAL CALIFORNIA FOOD BANK PARTNERSHIPIN MARCH 2022, VALLEY CHILDREN'S ENTERED INTO A THREE-YEAR PARTNERSHIP WITH THE CENTRAL CALIFORNIA FOOD BANK TO SUPPORT ACCESS TO HEALTHY AND NUTRITIOUS FOOD FOR CHILDREN AND FAMILIES ACROSS OUR SERVICE AREA. THROUGH THE PARTNERSHIP, VALLEY CHILDREN'S HAS COMMITTED FUNDING OVER THREE YEARS THAT SUPPORTS THE FOLLOWING INTERVENTIONS: A) FOOD DISTRIBUTIONS TO UP TO 70 FAMILIES WITH CHILDREN BEING SERVED BY VALLEY CHILDREN'S HOME CARE. QUALIFYING FAMILIES RECEIVE ONE FOOD BOX PER MONTH, B) FOOD DISTRIBUTIONS TO UP TO 100 FAMILIES EACH YEAR THROUGH A MONTHLY FOOD DISTRIBUTION AT WEST FRESNO MIDDLE SCHOOL, AND C) SUPPORT FOR THE FIRST FRUITS MARKET AT CITY CENTER IN FRESNO THAT IS AVAILABLE TO LOW-INCOME FAMILIES WITH CHILDREN TO ACCESS NUTRITIOUS FOOD, FREE OF CHARGE, IN A SETTING MUCH LIKE ANY NEIGHBORHOOD GROCERY STORY. REGARDING THE FOOD DISTRIBUTION TO VALLEY CHILDREN'S HOME CARE PATIENTS, HOME CARE STAFF DISTRIBUTED 8,492 POUNDS OF FOOD (THE EQUIVALENT OF 7,076 MEALS) TO 35 FAMILIES INCLUDING 90 CHILDREN IN THE PARTNERSHIP'S FIRST YEAR.REGARDING THE FOOD DISTRIBUTION AT WEST FRESNO MIDDLE SCHOOL, 23,055 POUNDS OF FOOD WERE DISTRIBUTED (THE EQUIVALENT OF 19,213 MEALS) TO 377 FAMILIES INCLUDING 1,382 CHILDREN IN THE FIRST YEAR OF THE PARTNERSHIP.FOOD SECURITY - MERCED PARTNERSHIPIN MERCED COUNTY, VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE PARTNERED WITH COMMUNITY INITIATIVES FOR COLLECTIVE IMPACT AND THE MERCED COUNTY FOOD BANK TO HELP NEEDY FAMILIES ACCESS FOOD AT LOCAL GROCERY STORES. THROUGH THE PARTNERSHIP, VALLEY CHILDREN'S PROVIDERS SCREEN ALL CHILDREN ENROLLED IN MEDI-CAL AND THEIR FAMILIES FOR FOOD INSECURITY AND IF A FAMILY SCREENS POSITIVE FOR FOOD INSECURITY, THE PROVIDERS WILL GIVE THE FAMILY A COUPON THAT CAN BE USED AT ANY GROCERY STORE THAT ACCEPTS FOOD COUPONS TO HELP WITH THE PURCHASE OF STAPLES SUCH AS FRUITS, VEGETABLES AND DAIRY PRODUCTS. PART V, SECTION B, LINE 11 (CONTINUED) BLUE ZONES PROJECT BAKERSFIELDIN 2023, VALLEY CHILDREN'S PROVIDED FINANCIAL SUPPORT FOR THE BLUE ZONES BAKERSFIELD INITIATIVE, SUPPORTED ITS ADVOCACY EFFORTS, AND PARTICIPATED ON THE INITIATIVE'S STEERING COMMITTEE AND SCHOOL WELLNESS COMMITTEE.VALLEY CHILDREN'S HEALTHCARE, THROUGH ITS GUILDS CENTER FOR COMMUNITY HEALTH, JOINED ADVENTIST HEALTH AND OTHER STAKEHOLDERS TO LAUNCH BLUE ZONES PROJECT BAKERSFIELD. BASED ON THE NATIONAL BLUE ZONES PROJECT MODEL, THE BAKERSFIELD PROJECT IS A WELL-BEING IMPROVEMENT INITIATIVE DESIGNED TO MAKE HEALTHIER CHOICES EASIER BY ENCOURAGING CHANGES THAT LEAD TO HEALTHIER OPTIONS. WHEN INDIVIDUALS AND ORGANIZATIONS PARTICIPATE, THEIR SMALL CHANGES CONTRIBUTE TO HUGE BENEFITS: LOWERED HEALTH CARE COSTS, IMPROVED PRODUCTIVITY, AND A HIGHER QUALITY OF LIFE.BLUE ZONES BAKERSFIELD SUPPORTED INTERVENTIONS AND INITIATIVES THAT EMPOWER PEOPLE, INCENTIVIZE PLACES TO ENHANCE THE WAYS THEY PROMOTE HEALTH AND WELLNESS, AND IMPLEMENT POLICY THAT TRANSFORMS THE ENVIRONMENT. BLUE ZONES SUPPORTED COMMUNITY WALKING GROUPS, HOSTING COOKING DEMONSTRATIONS, AND IS WORKING ON A COMPREHENSIVE GRASS ROOTS ENGAGEMENT STRATEGY NEIGHBORHOOD BY NEIGHBORHOOD. BLUE ZONES WORKED WITH SCHOOLS, WORKSITES, GROCERY STORES AND RESTAURANTS, AND FAITH-BASED ORGANIZATIONS TO IMPLEMENT PRACTICES THAT MAKE IT EASIER FOR INDIVIDUALS TO MAKE HEALTHY CHOICES. BLUE ZONES SUPPORTED POLICY CHANGES THAT REDUCE TOBACCO USE, INCREASE THE AVAILABILITY OF HEALTHY FOODS, AND PROMOTE CHANGES TO THE BUILT ENVIRONMENT THAT MAKE IT EASIER AND SAFER FOR RESIDENTS TO TAKE ADVANTAGE OF AMENITIES SUCH AS PARKS, SIDEWALKS, BIKE PATHS, AND PUBLIC TRANSPORTATION.HELP ME GROWHELP ME GROW IS A SYSTEM USED THROUGHOUT THE UNITED STATES TO HELP CHILDREN REACH THEIR OPTIMAL DEVELOPMENT BY KINDERGARTEN. HELP ME GROW PROGRAMS INCLUDE A CENTRALIZED INTAKE AND REFERRAL PROCESS, COMMUNITY OUTREACH TO PROMOTE EARLY INTERVENTION SYSTEMS, TARGETED OUTREACH TO CHILDCARE AND CHILD HEALTH PROVIDERS, AND THE COLLECTION AND ANALYSIS OF DATA TO IMPROVE THE SYSTEM.IN SPRING 2023, VALLEY CHILDREN'S, IN PARTNERSHIP WITH FIRST 5 FRESNO, FIRST 5 KERN, AND FIRST 5 MERCED, ENGAGED THE SERVICES OF A CONSULTANT TO CONDUCT A STUDY REGARDING A POTENTIAL REGIONAL HELP ME GROW INITIATIVE. THE GOAL OF THIS STUDY WAS TO EVALUATE THE BENEFITS OF, AND DEVELOP A PLAN FOR, THE CREATION OF A REGIONAL INITIATIVE THAT PROMOTES COLLABORATION, CAPACITY BUILDING, ENHANCED SCREENING LEVELS, AND IMPROVED SYSTEMS OF CARE FOR ALL CHILDREN. THE STUDY, WHICH WAS COMPLETED IN NOVEMBER 2023, CONCLUDED THAT THERE WAS JUSTIFICATION FOR AND SUPPORT FOR A REGIONAL INITIATIVE AND PROVIDED A BLUE PRINT FOR CREATING A CENTRAL VALLEY HELP ME GROW PROGRAM. VALLEY CHILDREN'S IS CURRENTLY FACILITATING WORK TOWARDS CREATING THAT PROGRAM.EPILEPSY SUPPORT PROGRAMVALLEY CHILDREN'S EPILEPSY PROGRAM CONTINUED ITS COMMUNITY-BASED OUTREACH WORK IN 2023 BY PROVIDING THE FOLLOWING EDUCATION AND TRAINING TO KEY STAKEHOLDERS.- THE PROGRAM PROVIDED TRAINING TO 541 STAFF ACROSS 8 SCHOOL DISTRICTS ON SEIZURE PREPAREDNESS AND SAFETY AND PROVIDED 100 COMFORT CARE BACKPACKS TO SCHOOLS FOR STUDENTS WITH EPILEPSY.- THE PROGRAM FACILITATED 25 SEPARATE SUPPORT GROUPS THAT REACHED 26 TEENS AND 52 PARENTS.- THE PROGRAM'S SOCIAL MEDIA VIDEOS ON SEIZURE RESCUE MEDICATION WERE VIEWED OVER 68,000 TIMES AND WERE USED IN SCHOOL TRAININGS NATIONALLY PROVIDING INSTRUCTION TO SCHOOL STAFF ON HOW TO ADMINISTER EMERGENCY SEIZURE RESCUE MEDICATIONS.- THE PROGRAM PARTICIPATED IN A NUMBER OF COMMUNITY EVENTS THROUGH WHICH IT WAS ABLE TO PROVIDE EDUCATION AND PROMOTE AWARENESS REGARDING EPILEPSY TO OVER 3,800 INDIVIDUALS.- THE PROGRAM'S LEADERSHIP ALSO WAS ACTIVE IN PUBLIC POLICY AT A STATE AND FEDERAL LEVEL INCLUDING PROVIDING IMPORTANT EDUCATION AND INFORMATION TO THE CONGRESSIONAL EPILEPSY CAUCUS AND SERVING ON THE EPILEPSY ALLIANCE AMERICA BOARD OF DIRECTORS.SCHOOLS FOR THRIVING AND HEALTHY STUDENTSVALLEY CHILDREN'S AND THE GUILDS CENTER FOR COMMUNITY HEALTH, IN PARTNERSHIP WITH THE CENTER FOR WELLNESS AND NUTRITION AND NO KID HUNGRY, COMPLETED PHASE II OF SCHOOLS FOR HEALTHY AND THRIVING STUDENTS, WHICH SUPPORTED SCHOOL DISTRICTS IN THEIR EFFORTS TO UPDATE AND FULLY LEVERAGE SCHOOL WELLNESS POLICIES, INCLUDING POLICIES ADDRESSING PHYSICAL ACTIVITY AND NUTRITION.THE FRAMEWORK FOR THE WORK WAS THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL (WSCC), A STUDENT-CENTERED TOOL FOR ADDRESSING HEALTH IN SCHOOLS. OF THE 17 PARTICIPATING SCHOOL DISTRICTS, 4 UPDATED THEIR SCHOOL DISTRICT WELLNESS POLICIES AND 14 UPDATED A WSCC RELATED POLICY.MATERNAL AND INFANT HEALTHCLINICAL PARTNERSHIP PROGRAMVALLEY CHILDREN'S CLINICAL PARTNERSHIP PROGRAM BRINGS TOGETHER INSTITUTIONS FOCUSED ON ENHANCING NEONATAL AND PEDIATRIC CARE, REGARDLESS OF WHETHER THE ILL OR INJURED CHILD BECOMES A VALLEY CHILDREN'S PATIENT. THIS EFFORT HELPED PREVENT CHILDREN FROM BEING TRANSFERRED OR REFERRED UNNECESSARILY TO VALLEY CHILDREN'S, AND HELPED TO QUICKLY IDENTIFY WHEN A CHILD NEEDS ADVANCED PEDIATRIC CARE. WITH IMPROVED COMMUNICATION AND TOOLS, THE PROGRAM DECREASED STRESS FOR PATIENTS AND FAMILIES AND INCREASED PROVIDER CONFIDENCE IN PROVIDING PEDIATRIC CARE, WHILE ENHANCING PERFORMANCE AT VALLEY CHILDREN'S AND THE PARTNERING PROVIDER.THE GOALS OF OUR CLINICAL PARTNERSHIP INCLUDED:- IMPROVED QUALITY AND CONFIDENCE IN PROVIDING PEDIATRIC CARE- MORE CARE DELIVERED CLOSER TO HOME- ENHANCED, COORDINATED CARE- IMPROVED ACCESS TO VALLEY CHILDREN'S HOSPITALISTS, SPECIALISTS, RESOURCES AND NURSING AND ANCILLARY CLINICAL EXPERTISEIN 2023, VALLEY CHILDREN'S SUPPORTED 17 INPATIENT CLINICAL PARTNERS AND, AS A PART OF THAT SUPPORT, CONVENED 22 TRAINING AND EDUCATION EVENTS THAT DREW MORE THAN 750 ATTENDEES. THE AVERAGE INVESTMENT OF TIME FOR EACH HOSPITAL PARTNER WAS MORE THAN 300 HOURS ANNUALLY.SAFE SLEEP FOR INFANTSVALLEY CHILDREN'S CO-LEADS THE CENTRAL VALLEY SAFE SLEEP COALITION, IN CONJUNCTION WITH FIRST 5 FRESNO COUNTY. THE SAFE SLEEP COALITION IS A 9-COUNTY COLLABORATIVE FOCUSES ON PROVIDING CULTURALLY APPROPRIATE RISK REDUCTION EDUCATION AND RESOURCES ON SAFE INFANT SLEEP.IN SEPTEMBER 2023, THE COALITION HELD ITS FIRST LEARNING COLLABORATIVE GEARED TOWARD SAFE SLEEP EDUCATION FOR CHILDCARE CENTER PROVIDERS, LICENSED AND UNLICENSED IN-HOME CHILDCARE PROVIDERS, AND ANY FRIENDS, FAMILY OR NEIGHBORS WHO PROVIDE CARE TO INFANTS UNDER THE AGE OF 1 YEAR. THE FIRST COLLABORATIVE HOSTED OVER 200 LEARNERS FROM ALL 9 CENTRAL VALLEY COUNTIES AND WAS SIMULTANEOUSLY TRANSLATED INTO SPANISH TO PROVIDE MORE EQUITABLE ACCESS TO THIS CRITICAL INFORMATION. COMMUNITY SUPPORT VALLEY CHILDREN'S DONATED DIAPERS TO UNDERSERVED RESIDENTS.MENTAL HEALTHMENTAL HEALTH IS ONE OF THE MOST PRESSING NEEDS FACING CHILDREN IN CALIFORNIA. CHILDREN LIVING IN VALLEY CHILDREN'S SERVICE AREA ARE PARTICULARLY UNDERSERVED DUE TO THE GEOGRAPHY, PROVIDER SHORTAGES AND LIMITED COMMUNITY-BASED SERVICES. IN 2023, VALLEY CHILDREN'S DEMONSTRATED ITS COMMITMENT TO MEETING THE MENTAL HEALTH NEEDS OF CHILDREN IN A NUMBER OF WAYS, INCLUDING THOSE LISTED BELOW.ADVERSE CHILDHOOD EXPERIENCES (ACES)VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE IN MERCED RECEIVED CLOSE TO $622,000 IN GRANT FUNDING FROM THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES TO ADDRESS ACES THROUGH THE PRACTICE GRANT. THE AWARD WAS IN PARTNERSHIP WITH THE OFFICE OF THE CALIFORNIA SURGEON GENERAL, THE POPULATION HEALTH INNOVATION LAB, AND THE UCLA-UCSF ACES AWARE FAMILY RESILIENCE NETWORK, ALSO KNOWN AS UCANN. THE GOALS OF THE GRANT FOCUSED ON STRENGTHENING PARTNERSHIPS BETWEEN PRACTICES, COMMUNITY-BASED ORGANIZATIONS (CBOS), AND MANAGED MEDI-CAL HEALTH PLANS; AS WELL AS DEVELOPING NEW AND SUSTAINABLE SERVICES AND WORKFORCE EXPANSION. VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PARTNERED WITH ACE OVERCOMERS TO HIRE A CARE NAVIGATOR. CARE NAVIGATION SERVICES WERE PROVIDED TO PATIENTS FROM OLIVEWOOD PEDIATRICS AND ACE OVERCOMERS WHO EITHER SCREENED POSITIVE FOR RISK OF TOXIC STRESS OR HAD AN IDENTIFIED SOCIAL NEED, SUCH AS TRANSPORTATION ASSISTANCE.THE CARE NAVIGATOR, IN CONJUNCTION WITH ACE OVERCOMERS AND VALLEY CHILDREN'S, DID EXTENSIVE OUTREACH TO VARIOUS CLINICS AND PRACTICES REGARDING THE IMPORTANCE OF SCREENING AND REFERRAL.IN 2023, VALLEY CHILDREN'S OLIVEWOOD PEDIATRICS PRACTICE SCREENED CHILDREN FOR ACES, AND CONNECTED THOSE WHO SCREENED POSITIVE WITH NECESSARY SERVICES THROUGH CARE NAVIGATION. PART V, SECTION B, LINE 11 (CONTINUED) PARTNERSHIP THROUGH THE PRACTICE GRANT ALSO INCLUDED WORK WITH THE CALIFORNIA CONSORTIUM FOR PREVENTION AND INTERVENTION (CALCPI) TO DEVELOP SOCIAL-EMOTIONAL LEARNING TRAINING MODULES FOR TEACHERS, ADMINISTRATORS, SCHOOL STAFF, SERVICE PROVIDERS, PARENTS, AND EDUCATIONAL STAKEHOLDERS ACROSS MERCED COUNTY. THE MODULES WERE GEARED TOWARD EARLY ELEMENTARY (TK-2ND GRADE), LATE ELEMENTARY (3RD-5TH GRADE), MIDDLE SCHOOL (6TH-8TH GRADE), HIGH SCHOOL (9TH-12TH GRADE), PEER INTERVENTIONISTS, AND COMMUNITY HEALTH WORKERS AND ARE EASILY ACCESSIBLE TO RURAL COMMUNITIES OF MERCED COUNTY. THE COLLABORATION WITH CPI ALSO RESULTED IN ADDITIONAL SUPPORT OF FOSTER YOUTH THROUGH COLLABORATIVE WORK WITH COURT APPOINTED SPECIAL ADVOCATES OF MERCED COUNTY.THROUGH THE GRANT, VALLEY CHILDREN'S HELPED TO IDENTIFY PATIENTS AND FAMILIES AT RISK FOR POOR HEALTH OUTCOMES BECAUSE OF ACES AND TOXIC STRESS; EDUCATE PROVIDERS, STAFF AND COMMUNITY MEMBERS AROUND ACES AND TOXIC STRESS AND HOW TO INTERVENE; CONNECT FAMILIES TO NEEDED RESOURCES; AND BUILD RESILIENCE TO BREAK THE CYCLE.BEHAVIORAL HEALTH SCHOOL LIAISONTHROUGH FUNDING FROM THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS, VALLEY CHILDREN'S HIRED AN ON-SITE BEHAVIORAL HEALTH SCHOOL LIAISON. THE LIAISON COLLABORATED WITH AREA SCHOOL DISTRICTS TO ENSURE THAT CHILDREN PRESENTING TO OUR EMERGENCY DEPARTMENT AND INPATIENT UNITS WITH MENTAL HEALTH NEEDS RECEIVED APPROPRIATE RESOURCES AND SUPPORT WHEN THEY RETURNED TO SCHOOL. THE PARTNERSHIP ENDED IN MAY 2023.YOUTH HEALTH AMBASSADORSIN MAY 2023, THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ANNOUNCED THE CHILD AND YOUTH RESILIENCE CHALLENGE. IN RESPONSE, VALLEY CHILDREN'S PROVIDED IN-KIND SUPPORT TO THE FRESNO COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (FCHIP) AND THEIR YOUTH LEADERSHIP COUNCIL (YLC) IN THE APPLICATION AND PLANNING OF A NOVEL CURRICULUM BY AND FOR YOUNG ADOLESCENTS BUILT AROUND STRESS BUSTERS WAYS TO MANAGE DAY-TO-DAY STRESS AND COUNTER TOXIC STRESS. THE CURRICULUM, TITLED "YOUTH HEALTH AMBASSADORS", IS A PILOT PROGRAM THAT INCLUDES EDUCATION AND COMMUNITY OUTREACH TO BUILD RESILIENCE, AND WAS ONE OF 14 FINALISTS SELECTED FROM OVER 500 APPLICATIONS FROM ACROSS THE US. COMMUNITY-BASED COLLABORATION AND EDUCATION IN SEPTEMBER 2022, VALLEY CHILDREN'S HEALTHCARE WAS SELECTED TO PARTICIPATE WITH 15 OTHER CHILDREN'S HOSPITALS IN A NATIONAL COLLABORATIVE AIMED AT PREVENTING YOUTH SUICIDE THROUGH IMPROVED HOSPITAL SCREENING, INTERNAL SYSTEMS OF CARE AND REGIONAL COMMUNITY COLLABORATIONS AIMED AND REDUCING YOUTH SUICIDE TO ZERO. AS THE COLLABORATIVE LEADERS---CARDINAL HEALTH FOUNDATION AND THE ZERO SUICIDE INITIATIVE---HAVE SAID, "ZERO SUICIDE IS THE ONLY GOAL TO STRIVE TOWARDS." REGIONAL COLLABORATIVES IN WHICH VALLEY CHILDREN'S PARTICIPATED INCLUDED THE FRESNO SUICIDE PREVENTION COLLABORATIVE AND THE MADERA COUNTY SUICIDE EDUCATION AND AWARENESS COLLABORATIVE THAT ADDRESSED ISSUES OF MENTAL HEALTH, HOMELESSNESS AND THE IMPACT ON FAMILIES. ADDITIONALLY, VALLEY CHILDREN'S CONTINUED TO SUPPORT 360ME, AN INITIATIVE THAT IS DESIGNED TO PROVIDE FAMILIES, SCHOOLS AND COMMUNITIES WITH TOOLS AND RESOURCES TO MAKE SURE WE ARE DOING ALL THAT WE CAN TO SAFEGUARD OUR CHILDREN'S PHYSICAL AND MENTAL HEALTH. 360ME INTENTIONALLY HELPS STAKEHOLDERS RECOGNIZE AND UNDERSTAND THE MANY CONNECTIONS BETWEEN MENTAL AND PHYSICAL WELLNESS AND TO REDUCE THE STIGMA SOCIETY INCORRECTLY ASSOCIATES WITH MENTAL HEALTH.VIOLENCE AND INJURY PREVENTIONCHILD ABUSE PREVENTIONVALLEY CHILDREN'S GUILDS CHILD ABUSE PREVENTION AND TREATMENT CENTER'S MISSION IS TO PROVIDE COMPREHENSIVE SERVICES TO CHILDREN, DEPENDENT ADULTS AND THEIR FAMILIES THROUGH A MULTIDISCIPLINARY, TRAUMA-INFORMED PROGRAM, AND TO MEET THE PHYSICAL AND EMOTIONAL NEEDS OF VICTIMS WITH ABUSE CONSIDERATIONS.THE CENTER IS RECOGNIZED IN CENTRAL CALIFORNIA AND AROUND THE STATE AS A LEADER IN ADVOCACY, INJURY PREVENTION AND ACADEMIC TRAINING. THE CENTER PRIDES ITSELF ON WORKING COLLABORATIVELY WITH PREVENTION AND INTERVENTION GROUPS THROUGHOUT THE STATE TO ENSURE THEY ARE ADDRESSING CHILD MALTREATMENT TO THE BEST OF THEIR ABILITY. THE CENTER IS CURRENTLY A MEMBER OF THE CHILD ADVOCACY CENTERS OF CALIFORNIA, CENTRAL CALIFORNIA COALITION OF CHILD ABUSE PREVENTION COUNCILS, AND THE RAY E. HELFER SOCIETY FOR CHILD ABUSE PEDIATRICS.THE GUILDS CHILD ABUSE PREVENTION AND TREATMENT CENTER INCLUDES THE CHILD ADVOCACY CLINIC, WHICH OPERATES FIVE DAYS A WEEK AND SEES APPROXIMATELY 900 CHILDREN EACH YEAR. THE CENTER'S PROVIDERS ALSO ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY FOR EMERGENCY COVERAGE. THE CENTER INCLUDES AN INPATIENT COMPONENT THAT EVALUATES AN ADDITIONAL 100 CHILDREN ANNUALLY IN THE PEDIATRIC EMERGENCY DEPARTMENT, ACUTE-CARE AND PEDIATRIC INTENSIVE CARE UNITS. IN ADDITION TO THE MEDICAL SERVICES OFFERED, THE CENTER HAS A TEAM OF SOCIAL WORKERS AND A LICENSED MENTAL HEALTH CLINICIAN THAT PROVIDE PSYCHO-SOCIAL ASSESSMENT, LINKAGES TO COMMUNITY SERVICES, AND TRAUMA THERAPY.IN 2023, THE CENTER WORKED CLOSELY WITH LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES AND DISTRICT ATTORNEYS' OFFICES IN THEIR INVESTIGATIVE EFFORTS OF CHILD MALTREATMENT. COLLABORATIVE EFFORTS INCLUDED CASE CONSULTATION AND MONTHLY SUSPECT CHILD ABUSE AND NEGLECT MEETINGS FACILITATED BY OUR CHILD ADVOCACY CLINIC IN AN EFFORT TO TRACK, MONITOR, AND ADVOCATE FOR THE HEALTH AND SAFETY OF AT-RISK CHILDREN THROUGHOUT THE VALLEY.FOR PREVENTION EDUCATION, THE CENTER CONTINUED TO COLLABORATE WITH INTERNAL AND EXTERNAL PARTNERS TO PROVIDE EDUCATION TO PARENTS, CAREGIVERS, HEALTHCARE PERSONNEL, TEACHERS AND MANDATED REPORTERS. THESE PARTNERS INCLUDED VALLEY CHILDREN'S TRAUMA DEPARTMENT'S INJURY PREVENTION TEAM AND EMERGENCY DEPARTMENT, SAFE KIDS CENTRAL CALIFORNIA, CHILD ABUSE PREVENTION COUNCILS OF CALIFORNIA, CHILD PROTECTIVE SERVICES, DISTRICT ATTORNEY'S OFFICES, LOCAL LAW ENFORCEMENT AGENCIES, SEXUAL ASSAULT RESPONSE TEAMS (SART), VICTIM ADVOCACY GROUPS AND COUNTY PUBLIC HEALTH DEPARTMENTS.INJURY PREVENTION PROGRAMUNINTENTIONAL INJURY IS THE NUMBER ONE KILLER OF CHILDREN ACROSS THE UNITED STATES AND AROUND THE WORLD. SAFE KIDS CENTRAL CALIFORNIA IS ONE OF 400 COALITIONS THAT ARE PART OF SAFE KIDS WORLDWIDE, AN EXTENSIVE NETWORK OF COALITIONS AND PARTNERS IN THE UNITED STATES AND AROUND THE WORLD TO REDUCE INJURIES FROM MOTOR VEHICLE, SPORTS, DROWNINGS, FALLS, BURNS, POISONINGS, AND MORE. AS THE LEAD AGENCY FOR SAFE KIDS CENTRAL CALIFORNIA, VALLEY CHILDREN'S IS PROUD TO BE A LEADER IN SUPPORTING PEDIATRIC INJURY PREVENTION EFFORTS THROUGHOUT CENTRAL CALIFORNIA AND IS COMMITTED TO PROVIDING RESOURCES TOWARD THESE EFFORTS. SAFE KIDS CENTRAL CALIFORNIA IS A COALITION OF 30 AGENCIES MADE UP OF HEALTHCARE, LAW ENFORCEMENT, SOCIAL SERVICES, EDUCATION, MEDIA, AND OTHER ORGANIZATIONS THAT ARE DEDICATED TO PREVENTING UNINTENTIONAL INJURY IN CHILDREN.IN 2023, VALLEY CHILDREN'S INJURY PREVENTION PROGRAM RECORDED 3,577 CONTACTS WITH COMMUNITY MEMBERS DURING 16 COMMUNITY-BASED TEACHING EVENTS ON THE FOLLOWING TOPICS: ATV SAFETY, CARBON MONOXIDE POISONING PREVENTION, CHILD PASSENGER SAFETY, CONCUSSIONS, GUN STORAGE SAFETY, HALLOWEEN SAFETY, HOME SAFETY, POISON PREVENTION, RAILROAD SAFETY, SAFE INFANT SLEEP, TEEN DRIVING, TOY SAFETY, VEHICLE SAFETY, VEHICULAR HEAT STROKE PREVENTION AND WATER SAFETY.IN ORDER TO ENSURE THAT CHILDREN WERE SAFE AT HOME, VALLEY CHILDREN'S DISTRIBUTED THE FOLLOWING SAFETY EQUIPMENT TO FAMILIES IN 2023.- 795 BICYCLE HELMETS- 26 GUN SAFETY LOCKS- 105 CAR SEATS AS A RESULT OF 188 CAR SEATS CHECKED AT 5 SEPARATE CAR SEAT CHECK EVENTSDISASTER PREPAREDNESSVALLEY CHILDREN'S DONATED SPACE TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH TO STORE PHARMACEUTICALS TO BE USED IN REGIONAL DISASTERS OR MEDICAL EMERGENCIES.POISON CONTROLTHE CENTRAL CALIFORNIA POISON CONTROL CENTER IS LOCATED ON THE VALLEY CHILDREN'S CAMPUS AND RECEIVED A DONATION OF OFFICE SPACE IN 2023 FROM VALLEY CHILDREN'S. THE CENTER ANSWERS CALLS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND PROVIDES EXPERT ADVICE AND INFORMATION REGARDING EXPOSURE TO POTENTIALLY HARMFUL SUBSTANCES.NEEDS NOT ADDRESSEDSINCE VALLEY CHILDREN'S CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, VALLEY CHILDREN'S WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING ECONOMIC INSECURITY, HOUSING AND HOMELESSNESS, AND SUBSTANCE USE. PART V, SECTION B, LINE 13H: FACILITY REPORTING GROUP - A200% OR LESS FEDERAL POVERTY GUIDELINES (FPG) - FULL CHARITABLE DISCOUNT $0 CHARGES.201%-400% 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.400% - HIGH MEDICAL COST DISCOUNT, INCOME FOR THE LAST 12 MONTHS DOES NOT EXCEED 400% OF FPG AND THEY HAVE NOT RECEIVED A DISCOUNTED RATE FROM THE HOSPITAL AS A RESULT OF THEIR THIRD-PARTY INSURANCE COVERAGE AND THEIR ANNUAL OUT-OF-POCKET MEDICAL EXPENSES. FOR THE PRIOR 12 MONTHS EXCEED 10% OF THEIR FAMILY'S ANNUAL INCOME. NO MORE THAN APPLICABLE MEDI CAL RATES IN EFFECT AT DATE OF SERVICE. WHERE MEDI CAL RATES CANNOT BE DETERMINED 75% DISCOUNT FROM CHARGES.PROMPT PAY DISCOUNT: VALLEY CHILDREN'S WILL EXTEND A 45% PROMPT PAY DISCOUNT TO THOSE SELF-PAY PATIENTS WHO WISH TO PAY THEIR ENTIRE OUTSTANDING BALANCE IMMEDIATELY. INSURED PATIENTS WITH NON-COVERED SERVICES WHICH ARE DEEMED MEDICALLY NECESSARY AND WISH TO PAY THEIR OUTSTANDING BALANCE IMMEDIATELY WILL BE ELIGIBLE FOR A 45% DISCOUNT UPON REQUEST. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.VALLEYCHILDRENS.ORG/PATIENTS-AND-FAMILIES/RECORDS-BILLING/FINANCIAL-AID PART V, LINE 16J, FAP OTHER INFORMATION: ADDITIONALLY THE POLICY IS SENT BY US POSTAL SERVICE TO COMMUNITY AGENCIES TO BE DISTRIBUTED.VALLEY CHILDREN'S MAINTAINS A LIST OF PROVIDERS IN A DOCUMENT SEPARATE FROM THE FINANCIAL ASSISTANCE POLICY. MEMBERS OF THE PUBLIC MAY READILY OBTAIN A COPY FREE OF CHARGE, BOTH ONLINE AND ON PAPER, AS REQUIRED BY IRS NOTICE 2015-46. THE LINK TO THE WEBSITE IS:HTTPS://WWW.VALLEYCHILDRENS.ORG/FIND-A-DOCTOR/FIND-A-DOCTOR PART I, LINE 7: CHARITY CARE AT COST WAS CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE DECISION SUPPORT SYSTEM WAS USED TO CALCULATE COST-TO-CHARGE FOR DETERMINING UNREIMBURSED MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THIS DECISION SUPPORT SYSTEM ADDRESSES ALL PATIENT SEGMENTS (I.E INPATIENT, OUTPATIENT, ETC.). PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,601,391. PART III, LINE 2: COSTING METHODOLOGY:ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES. 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 4: FOOTNOTE DESCRIBING BAD DEBT EXPENSE: SEE PAGE 17-20, NOTE 2 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COST IS CALCULATED USING THE FILED 2023 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: IN ADDITION TO PERFORMING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE FACILITY HAS MADE ITS MOST RECENT FY2022 CHNA AVAILABLE ON ITS PUBLIC WEBSITE AND ASKS FOR PUBLIC COMMENTS TO SOLICIT ADDITIONAL INFORMATION AND INPUT ON COMMUNITY HEALTH NEEDS. FACILITY STAFF ACTIVELY PARTICIPATE IN LOCAL COLLABORATIVE GROUPS THAT CONVENE TO IDENTIFY AND ADDRESS COMMUNITY HEALTH AND WELFARE NEEDS. MEMBERS OF FACILITY STAFF SERVE ON COMMUNITY ORGANIZATION GOVERNING BOARDS AND ADVISORY BODIES TO PUBLIC HEALTH AGENCIES, AND INFORMATION OBTAINED FROM THIS ACTIVE COMMUNITY INVOLVEMENT FACTORS INTO IDENTIFICATION OF COMMUNITY HEALTH NEEDS. PART VI, LINE 3: ENROLLMENT IN HEALTH INSURANCEVALLEY CHILDREN'S IDENTIFIED AND PROVIDED ENROLLMENT ASSISTANCE TO UNINSURED AND UNDER-INSURED PATIENTS WHO QUALIFIED FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM OR VALLEY CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ONCE ELIGIBILITY WAS DETERMINED, VALLEY CHILDREN'S STAFF ASSISTED THE FAMILIES WITH COMPLETING NECESSARY APPLICATIONS AND SUBMITTING THEM TO THE APPROPRIATE AGENCIES. PART VI, LINE 4: VALLEY CHILDREN'S HEALTHCARE IS CENTRAL CALIFORNIA'S ONLY HIGH-QUALITY, COMPREHENSIVE HEALTHCARE NETWORK DEDICATED TO CHILDREN, FROM BEFORE BIRTH TO YOUNG ADULTHOOD, AS WELL AS TO HIGH-RISK PREGNANT WOMEN, OFFERING HIGHLY SPECIALIZED MEDICAL AND SURGICAL SERVICES TO CARE FOR CONDITIONS RANGING FROM COMMON TO THE HIGHLY COMPLEX.VALLEY CHILDREN'S SERVICE AREA IS FOCUSED ON THE SEVEN COUNTIES THAT COLLECTIVELY ACCOUNT FOR MORE THAN 90% OF VALLEY CHILDREN'S INPATIENT AND OUTPATIENT VOLUME. THOSE COUNTIES ARE FRESNO, KERN, KINGS, MADERA, MERCED, STANISLAUS AND TULARE.THE TOTAL POPULATION OF VALLEY CHILDREN'S HOSPITAL'S SEVEN-COUNTY SERVICE AREA COUNTIES IS 3,454,760. DENSITIES RANGED FROM 72.74 PERSONS PER SQUARE MILE IN MADERA COUNTY TO 363.09 PERSONS PER SQUARE MILE IN STANISLAUS COUNTY. THE PERCENTAGE OF CHILDREN AND TEENS, AGES 0 TO 17, RANGED FROM 27.2% IN KINGS COUNTY AND STANISLAUS COUNTY TO 31.0% IN TULARE COUNTY, AS COMPARED TO CALIFORNIA AT 23.0%. THE PERCENTAGE OF ADULTS, AGES 18 TO 64, RANGED FROM 57.9% IN TULARE COUNTY TO 62.8% IN KINGS COUNTY. THE PERCENTAGE OF ADULTS, AGES 65 AND OLDER, RANGED FROM 10.0% IN KINGS COUNTY TO 13.8% IN MADERA COUNTY.AMONG SERVICE AREA COUNTIES, THE HISPANIC OR LATINO POPULATIONS RANGED FROM 46.3% IN STANISLAUS COUNTY TO 64.6% IN TULARE COUNTY. WHITE POPULATIONS RANGED FROM 27.6% IN MERCED COUNTY TO 41.9% IN STANISLAUS COUNTY. ASIAN POPULATIONS RANGED FROM 1.9% IN MADERA COUNTY TO 10.1% IN FRESNO COUNTY. BLACK OR AFRICAN AMERICAN POPULATIONS RANGED FROM 1.3% IN TULARE COUNTY TO 5.8% IN KINGS COUNTY.THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUALLY UPDATES OFFICIAL POVERTY LEVELS. IN 2019, THE FEDERAL POVERTY LEVEL (FPL) WAS AN ANNUAL INCOME OF $12,490 FOR ONE PERSON AND $25,750 FOR A FAMILY OF FOUR. AMONG RESIDENTS OF THE SERVICE AREA COUNTIES, POVERTY RATES RANGED FROM 15.1% IN STANISLAUS COUNTY TO 23.8% IN TULARE COUNTY. LOW-INCOME RATES (200% OF FPL OR BELOW) IN THE SERVICE AREA RANGED FROM 37.9% IN STANISLAUS COUNTY TO 50.1% IN TULARE COUNTY. ADULTS, BELOW 200% FPL, RECEIVING FOOD STAMPS, RANGED FROM 11.0% IN KINGS COUNTY TO 32.0% IN FRESNO COUNTY. PARENTS OR GUARDIANS OF ELIGIBLE CHILDREN WHO PARTICIPATED IN THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM RANGED FROM 44.5% IN MADERA COUNTY TO 82.6% IN MERCED COUNTY.THE HEALTHY PEOPLE 2030 OBJECTIVE FOR HEALTH INSURANCE COVERAGE FOR ALL POPULATION GROUPS IS 92.1%. HEALTH INSURANCE COVERAGE FOR ALL POPULATIONS RANGED FROM 91.7% IN FRESNO, MADERA, AND MERCED COUNTIES TO 94.3% IN STANISLAUS COUNTY. HEALTH INSURANCE COVERAGE FOR CHILDREN AND YOUTH, AGES 0 TO 18, RANGED FROM 96.1% IN MADERA COUNTY TO 97.8% IN STANISLAUS COUNTY. CHILDREN AND YOUTH, AGES 0 TO 18, WHO HAD MEDICAID (MEDI-CAL) HEALTH INSURANCE COVERAGE RANGED FROM 43.2% IN STANISLAUS COUNTY TO 70.4% IN TULARE COUNTY. IN 2023, 74.2% OF VALLEY CHILDREN'S INPATIENT AND 73.6% OF OUTPATIENT VISITS WERE COVERED BY MEDICAID.ALL SERVICE AREA COUNTIES HAVE ONE OR MORE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE GOVERNING BOARD OF VALLEY CHILDREN'S HOSPITAL IS COMPRISED OF MEMBERS OF THE COMMUNITY. NONE OF THE GOVERNING BODY MEMBERS ARE COMPENSATED FOR THEIR BOARD SERVICE.THE HOSPITAL FACILITY MAINTAINS AN OPEN MEDICAL STAFF EXCEPT IN RARE INSTANCES WHEN A CLINICAL DEPARTMENT IS "CLOSED" IN ACCORDANCE WITH CALIFORNIA LAW FOR HOSPITAL-BASED SERVICES. AS A NONPROFIT ORGANIZATION, ANY SURPLUS FUNDS ARE INVESTED BACK INTO PROVIDING HEALTH CARE SERVICES AND RESOURCES TO THE COMMUNITY, INCLUDING BUT NOT LIMITED TO NEW PATIENT CARE LOCATIONS AND EQUIPMENT, EXPANDED PROGRAMS AND SERVICES, AND THE TRAINING OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. VALLEY CHILDREN'S PEDIATRIC RESIDENCY PROGRAM IS AFFILIATED WITH THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AND PROVIDES GENERAL AND ADVANCED CLINICAL PEDIATRIC TRAINING. THE PROGRAM PLAYS A CRITICAL ROLE IN MEETING THE PEDIATRIC PHYSICIAN NEEDS OF THE CENTRAL VALLEY.THE RESEARCH PROGRAM AT VALLEY CHILDREN'S HOSPITAL CONSISTS OF NATIONAL MULTI-CENTER CLINICAL TRIALS AND LOCALLY GENERATED, PHYSICIAN-INITIATED RESEARCH STUDIES. OUR FOCUS IS TO PARTICIPATE IN STUDIES THAT ARE TAILORED TO MEET THE VARYING NEEDS OF OUR PATIENT POPULATION. VALLEY CHILDREN'S ONCOLOGY RESEARCH PROGRAM IS A MEMBER OF THE CHILDREN'S ONCOLOGY GROUP, AN INTERNATIONAL NETWORK OF CLINICAL TRIALS, WHICH IS FEDERALLY FUNDED BY THE NATIONAL CANCER INSTITUTE. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 FOODLINK TULARE COUNTY 611 2ND ST EXETER CA 93221 942558802 501(C)(3) 7500 0 SPONSORSHIP MAKE A WISH 351 W CROMWELL AVE STE 112-A FRESNO CA 93711 680027351 501(C)(3) 7500 0 SPONSORSHIP UNITED WAY OF STANISLAUS COUNTY 422 MCHENRY AVE MODESTO CA 95354 941212129 501(C)(3) 7500 0 DONATION BUDDHIST TZU CHI FOUNDATION 3898 N ANN AVE FRESNO CA 93727 942952782 501(C)(3) 10000 0 SPONSORSHIP COURT APPOINTED SPECIAL ADVOCATES 2300 TULARE ST STE 210 FRESNO CA 93706 770401361 501(C)(3) 10000 0 SPONSORSHIP SAN JOAQUIN RIVER PARKWAY 11605 OLD FRIANT RD FRESNO CA 93730 770196692 501(C)(3) 10000 0 SPONSORSHIP WEST FRESNO FAMILY RESOURCE CENTER 1802 E CALIFORNIA AVE FRESNO CA 93706 770577093 501(C)(3) 10000 0 SPONSORSHIP RONALD MCDONALD HOUSE 9161 RANDALL WAY MADERA CA 93636 942864490 501(C)(3) 10000 0 SPONSORSHIP MARJAREE MASON CENTER 1600 M STREET FRESNO CA 93721 941156639 501(C)(3) 10600 0 SPONSORSHIP THE BOYS & GIRLS CLUBS OF FRESNO COUNTY 540 N AUGUSTA AVE FRESNO CA 93701 941149171 501(C)(3) 15000 0 DONATION CATHOLIC CHARITIES DIOCESE OF FRESNO 149 N FULTON ST FRESNO CA 93701 941678938 501(C)(3) 15000 0 DONATION FRESNO MISSION 263 G ST FRESNO CA 93716 941279785 501(C)(3) 25000 0 DONATION PUBLIC HEALTH INSTITUTE 555 12TH ST STE 600 OAKLAND CA 94607 941646278 501(C)(3) 25000 0 SCHOOL HEALTH & WELLNESS CONSORTIUM FRESNO METROPOLITAN MINISTRY 3845 N CLARK STE 101 FRESNO CA 93726 942181848 501(C)(3) 50000 0 SPONSORSHIP VALLEY CHILDREN'S MEDICAL GROUP 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 464150987 501(C)(3) 535698 0 DONATION VALLEY CHILDREN'S HEALTHCARE 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 464158433 501(C)(3) 70000 0 DONATION 16 0 NURSING SCHOLARSHIP 5 12500 EDUCATION SCHOLARSHIP - RESPIRATORY FOCUS 2 2000 CAFETERIA MEALS 13355 82133 FMV MEAL COUPONS FOR PATIENT FAMILIES TAXI, BUS AND TRANSIT SERVICES 11195 176456 BOOK SUBSIDIZATION OF BUS AND TRANSIT SERVICES CANCER SURVIVORSHIP SCHOLARSHIP 34 34000 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 RECEIPIENT COMPLETES THEIR EDUCATION. CANCER SURVIVORSHIP SCHOLARSHIPS ARE DESIGNED TO HELP HOSPITAL PEDIATRIC CANCER SURVIVORS WITH THEIR COLLEGE/VOCATIONAL EDUCATION EXPENSES. A COMMITTEE REVIEWS APPLICATIONS ON AN ANNUAL BASIS AND APPROVES THE SCHOLARSHIP. ALL RECIPIENTS ARE CURRENT OR FORMER PATIENTS OF THE HOSPITAL'S CANCER AND BLOOD DISORDER CENTER. OTHER SERVICES ARE PURCHASED FROM VARIOUS VENDORS AND ARE SUPPLIED TO PATIENTS AND THEIR FAMILIES. THE RECORDS FOR THESE PURCHASED SERVICES ARE MAINTAINED BY THE HOSPITAL. 1 X X X X 0 1 0 0 0 0 0 1 0 TODD SUNTRAPAK CEO 1697554 0 1055670 0 236098 0 28380 0 33920 0 3051622 0 0 0 BEVERLY HAYDEN-PUGH SVP/ADVR TO CEO (AS OF 3/23) 541784 0 306632 0 659451 0 115966 0 16481 0 1640314 0 626884 0 MICHELE R WALDRON SVP, CFO 687772 0 348416 0 258100 0 29403 0 25627 0 1349318 0 0 0 NATALE PONTICELLO JR SVP/ADVR TO SVP & CPO (AS OF 3/23) 434793 0 126255 0 608852 0 96295 0 2671 0 1268866 0 578763 0 DAVID CHRISTENSEN SVP, CPE & PRES VCMG 834988 0 239546 0 134662 0 28380 0 24127 0 1261703 0 0 0 JANE WILLSON SVP, CHIEF STRATEGY OFFICER 450116 0 130971 0 125306 0 444649 0 7831 0 1158873 0 72764 0 DAVID HODGE JR VP, MEDICAL GROUP & ANCILLARY OP 480639 0 120271 0 57436 0 98914 0 29898 0 787158 0 55573 0 KEVIN SHIMAMOTO VP AND ADVISOR TO CIO 431175 0 113303 0 120967 0 97137 0 7831 0 770413 0 68205 0 DANIELLE BARRY SVP, COO 452417 0 123694 0 97170 0 62936 0 32748 0 768965 0 61148 0 KAREN DAHL VP, MED AFFAIRS & PHYS DEV 449135 0 116951 0 87029 0 91696 0 10991 0 755802 0 64717 0 MICHAEL GOLDRING SVP STRATEGIC PARTNERSHIPS 492449 0 145234 0 57794 0 28380 0 14510 0 738367 0 0 0 LYNNE ASHBECK SVP, CHIEF COMMUNITY IMPACT OFF 421891 0 117478 0 82670 0 94212 0 0 0 716251 0 65836 0 WILLIAM CHALTRAW JR SVP, CHIEF LEGAL OFFICER 465919 0 135435 0 55093 0 21720 0 30298 0 708465 0 0 0 JOLIE LIMON VP ACAD AFFAIRS, DIO & CHI 384372 0 99128 0 57729 0 87503 0 9648 0 638380 0 41223 0 JOEL BROWNELL VP, CHIEF MED INFO OFF. (THRU 9/23) 356198 0 92778 0 83645 0 79324 0 24515 0 636460 0 67035 0 STEPHANIE VANCE VP, FINANCE 361498 0 90880 0 57731 0 82836 0 29898 0 622843 0 45688 0 JESSIE HUDGINS VP, FACILITIES & SUPPORT (THRU 1/23) 320280 0 84276 0 112954 0 77569 0 4634 0 599713 0 49123 0 JOSEPH EGAN VP & CIO 318926 0 51934 0 35883 0 25455 0 38193 0 470391 0 0 0 VICKY TILTON VP PATIENT CARE SVCS/CNO (AS OF 3/23 327795 0 69749 0 24470 0 11600 0 29922 0 463536 0 0 0 KELLY BEALL SVP/CHIEF PEOPLE OFFICER (AS OF 3/23 262969 0 30750 0 21078 0 13289 0 36193 0 364279 0 0 0 KELLIE DYER VP SUPPLY, CONSTR & FAC. (AS OF 1/23 209610 0 30525 0 8210 0 17254 0 9306 0 274905 0 0 0 MIMI CHAO MD FORMER CHIEF OF STAFF 12500 0 0 0 0 0 0 0 0 0 12500 0 0 0 PART I, LINE 3 VALLEY CHILDREN'S HOSPITAL RELIED ON A RELATED ORGANIZATION, VALLEY CHILDREN'S HEALTHCARE, TO ESTABLISH THE COMPENSATION AND BENEFITS USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS AND "WRITTEN EMPLOYMENT CONTRACT." PART I, LINE 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), 4) A SPLIT DOLLAR LIFE INSURANCE PROGRAM USED AS A RETENTION TOOL FOR CERTAIN KEY EXECUTIVES. PARTICIPANTS OF THIS PROGRAM FORFEIT ELIGIBILITY FOR THE DCSERP (SEE SCHEDULE L PART V FOR A BROADER DESCRIPTION) AND 5) AN ADDITIONAL DEFERRED COMPENSATION PLAN BENEFITTING CERTAIN KEY EXECUTIVES. TODD SUNTRAPAK, DAVID HODGE JR, DANIELLE BARRY, LYNNE ASHBECK, STEPHANIE VANCE, VICKY TILTON, JOSEPH EGAN AND KELLIE DYER WERE ELIGIBLE TO CONTRIBUTE TO THE DEFERRED COMPENSATION PLAN, BUT NO CONTRIBUTIONS WERE MADE. $826,153 WAS PAID OUT OF THE DCSERP PLAN DURING THE YEAR. DCSERP PAYOUT AND EMPLOYER ACCRUAL TO THE DCSERP FOR CALENDAR YEAR 2022 ARE AS FOLLOWS: BEVERLY HAYDEN-PUGH - DCSERP PAYOUT $87,591; ACCRUAL $87,586 JESSIE HUDGINS - DCSERP PAYOUT $49,123; ACCRUAL $49,336 JANE WILLSON - DCSERP PAYOUT $72,764; ACCRUAL $72,760 STEPHANIE VANCE - DCSERP PAYOUT $45,688; ACCRUAL $54,456 NATALIE PONTICELLO - DCSERP PAYOUT $67,188; ACCRUAL $67,915 KAREN DAHL - DCSERP PAYOUT $64,717; ACCRUAL $69,447 KEVIN SHIMAMOTO - DCSERP PAYOUT $68,205; ACCRUAL $68,908 DANIELLE BARRY - DCSERP PAYOUT $61,148; ACCRUAL $51,336 JOEL BROWNELL - DCSERP PAYOUT $67,035; ACCRUAL $56,744 DAVID HODGE - DCSERP PAYOUT $55,573; ACCRUAL $69,638 LYNNE ASHBECK - DCSERP PAYOUT $65,836; ACCRUAL $65,832 JOLIE LIMON - DCSERP PAYOUT $41,223; ACCRUAL $59,123 MICHAEL GOLDRING, WILLIAM CHALTRAW, JR, DAVID CHRISTENSEN, TODD SUNTRAPAK, MICHELE WALDRON, DANIELLE BARRY, KELLY BEALL, AND VICKY TILTON PARTICIPATE IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM IN LIEU OF THE DCSERP. BEVERLY HAYDEN-PUGH AND NATALIE PONTICELLO PARTICIPATE IN A 457F RABBI TRUST DEFERRED COMPENSATION PLAN. THE FOLLOWING AMOUNTS PAID DURING THE 2022 CALENDAR YEAR: BEVERLY HAYDEN-PUGH - $539,293 NATALIE PONTICELLO - $511,576 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS FROZEN IN 2011. NO NEW PARTICIPANTS WERE ALLOWED TO ENTER THE PLAN AND EXISTING PARTICIPANTS NO LONGER ACCRUED BENEFITS. JANE WILLSON, THE REMAINING ACTIVE PLAN PARTICIPANT, RECEIVED THE FINAL BENEFIT PAYMENT DUE FROM THE PLAN IN THE AMOUNT OF $343,609 DURING THE CALENDAR YEAR 2022. PART I, LINE 7 AN INCENTIVE PLAN HAS BEEN ESTABLISHED THAT ALLOWS FOR PAYMENT OF INCENTIVES BASED ON NETWORK WIDE GOALS TO QUALIFYING INDIVIDUALS. SUCH GOALS ARE RELATED TO A VARIETY OF METRICS INCLUDING OPERATIONAL AND QUALITY RESULTS OF THE HOSPITAL AND ITS RELATED ENTITIES. THE INCENTIVE PLAN HAS BEEN APPROVED BY THE COMPENSATION COMMITTEE OF THE VALLEY CHILDREN'S HEALTHCARE BOARD OF TRUSTEES. THE COMMITTEE REVIEWS AND APPROVES THE PLAN GOALS AT THE BEGINNING OF THE PLAN YEAR AND ACHIEVEMENT OF THESE GOALS, AND FORECASTED PAYOUTS, AT THE END OF EACH YEAR. TODD SUNTRAPAK OFFICER SPLIT INTEREST INSURANCE X 11109107 11477905 0 1 1 MICHELE WALDRON OFFICER SPLIT INTEREST INSURANCE X 9721634 10021972 0 1 1 DAVID CHRISTENSEN KEY EMPLOYEE SPLIT INTEREST INSURANCE X 5282545 5457914 0 1 1 WILLIAM CHALTRAW KEY EMPLOYEE SPLIT INTEREST INSURANCE X 2122641 2193108 0 1 1 MICHAEL GOLDRING HIGHEST COMPENSATED EMPLOYEE SPLIT INTEREST INSURANCE X 5498581 5681122 0 1 1 TODD SUNTRAPAK OFFICER SEE BELOW STATEMENT 2 X 5000000 4730020 0 1 1 DANIELLE BARRY KEY EMPLOYEE SPLIT INTEREST INSURANCE X 5061842 5126537 0 1 1 KELLY BEALL KEY EMPLOYEE SPLIT INTEREST INSURANCE X 5657652 5729962 0 1 1 VICKY TILTON KEY EMPLOYEE SPLIT INTEREST INSURANCE X 4494584 4552029 0 1 1 WILLIAM CHALTRAW KEY EMPLOYEE SPLIT INTEREST INSURANCE X 3140219 3180354 0 1 1 58150923 PART II, COLUMN C: STATEMENT 1: - THE HOSPITAL HAS ENTERED INTO LIFE INSURANCE-BASED ARRANGEMENTS WITH CERTAIN KEY EXECUTIVES. THE PURPOSE OF THESE ARRANGEMENTS IS TO RETAIN THE EXECUTIVES FOR A SPECIFIED PERIOD OF TIME AND THEREFORE ACCESS TO THIS BENEFIT IS SUBJECT TO EXTENDED VESTING REQUIREMENTS. THE HOSPITAL FULLY FUNDED THE PREMIUMS ON THE ASSOCIATED LIFE INSURANCE POLICIES AT IMPLEMENTATION AND THERE ARE NO ADDITIONAL FUNDING REQUIREMENTS. UNDER THE ARRANGEMENTS, THE HOSPITAL WILL ACCRUE INVESTMENT RETURNS AND INTEREST ON THE PREMIUMS PAID FOR THE LIFE INSURANCE POLICIES. UPON THE DEATH OF A COVERED EXECUTIVE, THE HOSPITAL WILL BE REPAID THE INVESTMENT AND ACCRUED RETURNS AND ANY REMAINING EXCESS PROCEEDS WILL BE DONATED TO THE HOSPITAL TO BE USED TO SERVE THE COMMUNITY AND OTHERWISE FULFILL ITS MISSION. THE VALUE OF THIS DONATION AS OF 9/30/23 IS ESTIMATED TO BE IN EXCESS OF $78.9M.STATEMENT 2: LOAN FOR RESIDENCE AS A RETENTION INCENTIVE IN LIEU OF OTHER COMPENSATION. ANNUAL LOAN FORGIVENESS REPRESENTS TAXABLE INCOME REPORTED IN SCHEDULE J PART II B (III) AS OTHER REPORTABLE COMPENSATION. FORM 990, PART VI, SECTION A, LINE 2 LISA SMITTCAMP AND BILL SMITTCAMP HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE AMENDED AND RESTATED BYLAWS OF VALLEY CHILDREN'S HOSPITAL, EFFECTIVE 10/17/13, ESTABLISHED VALLEY CHILDREN'S HEALTHCARE AS THE SOLE MEMBER OF THE CORPORATION. CERTAIN MEMBER RIGHTS, INCLUDING THE RIGHT TO APPROVE, FIX THE NUMBER, ELECT, AND REMOVE ELECTED TRUSTEES, ARE INCLUDED IN THESE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A SEE ANSWER FOR LINE 6 ABOVE FORM 990, PART VI, SECTION A, LINE 7B SEE ANSWER FOR LINE 6 ABOVE FORM 990, PART VI, SECTION B, LINE 11B 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. IN ADDITION, A MEETING IS HELD TO REVIEW THE FORM 990 AND PROVIDE FOR ADDITIONAL TIME TO ANSWER QUESTIONS. 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 VALLEY CHILDREN'S HEALTHCARE 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 NETWORK AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO CEO, OFFICER, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE CEO'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE FORM 990, PART VI, SECTION C, LINE 19 A COPY OF VALLEY CHILDREN'S HOSPITAL'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF VALLEY CHILDREN'S HOSPITAL IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE ANNUAL FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION B, LINE 16B: WHILE THERE IS NO WRITTEN POLICY OR PROCEDURE FOR THE ARRANGEMENT, ANY JOINT VENTURE IS REVIEWED BY LEGAL COUNSEL WHO CONSIDERS THE IMPACTS OF THE TAX-EXEMPT STATUS OF THE ORGANIZATION. FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 85,242,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,242,832. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 22,060,357. MANAGEMENT AND GENERAL EXPENSES 70,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,130,557. CONSULTING & MANAGEMENT FEES - ON PARENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 250,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,570. FORM 990, PART XI, LINE 9: GAIN ON SALE OF ASSETS 6,866. PASS-THROUGH INVESTMENT INCOME -2,296,979. HERNDON TEMPERANCE LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 812808671 REAL PROPERTY CA 732318 6821021 VALLEY CHILDREN'S HOSPITAL VALLEY CHILDREN'S HEALTHCARE FOUNDATION 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 942797447 PHILANTHROPY/FUNDRAISING FOR VALLEY CHILDREN'S HEALTHCARE & RELATED ENTITIES CA 501(C)(3) LINE 7 VALLEY CHILDREN'S HEALTHCARE 0 VALLEY CHILDREN'S MEDICAL GROUP 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 464150987 HEALTH CARE CA 501(C)(3) LINE 10 VALLEY CHILDREN'S HEALTHCARE 1 VALLEY CHILDREN'S HEALTHCARE 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 464158433 HEALTH CARE CA 501(C)(3) LINE 12C, III-FI N/A 0 FOWLER BUSINESS & PROFESSIONAL PARK LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 471813772 REAL ESTATE INVESTMENT CA N/A RELATED 452532 16481218 1 1 0.50000 COMPASS HEALTH ADMINISTRATORS LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 822891309 BENEFIT ADMIN CA N/A 0 0 VALLEY CHILDREN'S HOLDINGS I LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 371872422 HEALTHCARE CA N/A C 0 FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 301030354 PROPERTY OWNERS ASSOCIATION CA FOWLER BUSINESS & PROFESSIONAL PARK LLC C 2960 0.50000 0 0 1 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 VALLEY CHILDREN'S MEDICAL GROUP B 535698 COST VALLEY CHILDREN'S MEDICAL GROUP M 59666435 COST