2024-08-15T15:24:57-05:00 2023-09-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-10-01 464158433 VALLEY CHILDREN'S HEALTHCARE 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 20392095 0 X WWW.VALLEYCHILDRENS.ORG X 2013 CA TO SUPPORT HEALTH CARE ACTIVITIES AND PROGRAMS AND TO PROVIDE HEALTH CARE SERVICES TO CHILDREN AND ADULTS IN CENTRAL CALIFORNIA WITH DISEASES, DISORDERS AND OTHER HEALTH PROBLEMS OF PEDIATRIC ORIGIN. 9 8 0 8 0 0 1045000 70000 18447746 20182843 19619 139252 0 0 19512365 20392095 0 0 0 0 12112451 13506420 0 0 0 4144477 4622415 16256928 18128835 3255437 2263260 9537984 12768786 3797063 5312988 5740921 7455798 X TO SUPPORT HEALTH CARE ACTIVITIES AND PROGRAMS FOR THE BENEFIT OF, AND TO PROVIDE HEALTH CARE SERVICES TO, CHILDREN AND ADULTS IN CENTRAL CALIFORNIA WITH DISEASES, DISORDERS AND OTHER HEALTH PROBLEMS OF PEDIATRIC ORIGIN, AND TO ENHANCE THE WELL-BEING OF CHILDREN IN THOSE COMMUNITIES THROUGH COMPASSIONATE CARE, EXCELLENCE, AND INNOVATION IN HEALTH CARE SERVICES, RESEARCH, AND EDUCATION. 0 0 2725741 16824818 TO PROVIDE MANAGEMENT SERVICES TO ITS AFFILIATED ENTITIES. 1304017 3358025 TO PROVIDE PROFESSIONAL AND GENERAL LIABILITY INSURANCE SERVICES TO AFFILIATED ENTITIES. 4029758 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 21 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 0 CA X TINA MYCROFT SVP CFO 5593533000 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 TODD SUNTRAPAK CEO/PRESIDENT 36.00 24.00 X X 0 2989322 62300 BILL SMITTCAMP CHAIR 1.30 1.00 X X 0 0 0 MICHAEL HANSON VICE CHAIR 1.30 1.00 X X 0 0 0 SUSAN HENSLEY SECRETARY/TREASURER 0.80 X X 0 0 0 JEANNINE GRECH TRUSTEE (THRU 12/22) 0.80 1.00 X X 0 0 0 BRENDEN SMITH TRUSTEE 1.00 X 0 0 0 JOSE ELGORRIAGA TRUSTEE 0.80 1.30 X 0 0 0 EMILY ROONEY TRUSTEE 0.80 X 0 0 0 DAN ADAMS TRUSTEE 0.80 1.60 X 6000 0 0 JIM YOVINO TRUSTEE 0.80 X 0 0 0 MICHELE WALDRON CFO 30.00 30.00 X 0 1294288 55030 6000 4283610 117330 0 0 1 0 CATALYST MARKETING CO 1466 VAN NESS AVE FRESNO CA 93721 ADVERTISING SERVICES 1728532 CSUF 2555 E RAMON AVE M/S SB73 FRESNO CA 937408034 ADVERTISING SERVICES 985000 AMF MEDIA GROUP PO BOX 888285 LOS ANGELES CA 900888285 ADVERTISING SERVICES 709945 MERGE PO BOX 7043 CAROL STREAM IL 601977043 ADVERTISING SERVICES 121963 MOTIONPOINT CORP PO BOX 4458 HOUSTON TX 772104458 ADVERTISING SERVICES 111738 5 70000 70000 MGMT FEE INC FROM AFFLIATED ORGAN 900099 16824818 16824818 INSURANCE INCOME 900099 3358025 3358025 20182843 139252 139252 20392095 20182843 0 139252 10751842 10751842 666512 666512 1233947 1233947 854119 854119 431162 97068 334094 5816 5816 45710 24570 21140 28000 28000 2725741 2725741 313 313 2845 2845 229286 11876 217410 1136024 1136024 TAXES & LICENSES 11675 11675 5843 350 5493 18128835 4029758 14099077 0 5489805 8518869 821667 884153 3226512 3365764 9537984 12768786 235024 21188 3562039 5291800 3797063 5312988 X 5740921 7455798 5740921 7455798 9537984 12768786 2263260 -548383 0 X 0 1 X 1 1 1 X X X 2 VALLEY CHILDREN'S HOSPITAL 941294954 3 1 0 0 VALLEY CHILDREN'S MEDICAL GROUP 464150987 10 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: THE ORGANIZATION'S SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE ORGANIZATION'S INCOME AND ASSETS THROUGH PARTICIPATION IN BOARD LEADERSHIP AND BOARD COMMITTEE MEMBERSHIP. THE FINANCE AND INVESTMENT COMMITTEES FOR THE ORGANIZATION INCLUDE MEMBERSHIP FROM THE SUPPORTED ORGANIZATIONS. IN ADDITION, THE SUPPORTED ORGANIZATIONS ACTIVELY PARTICIPATE IN THE ANNUAL BUDGET PREPARATION, REVIEW AND APPROVAL PROCESS, AS WELL AS MONITORING THE SUPPORTED ORGANIZATION'S FINANCIAL PROGRESS. PART IV, SECTION E, LINE 3A: THE PARENT OF THE SUPPORTED ORGANIZATION DOES HAVE THE POWER TO APPOINT OR ELECT A MAJORITY OF THE OFFICERS, DIRECTORS OR TRUSTEES OF EACH OF THE SUPPORTED ORGANIZATIONS. SUCH POWER IS A RESERVED POWER OF THE PARENT OF EACH SUPPORTED ORGANIZATION, AS REFLECTED IN EACH SUPPORTED ORGANIZATIONS BYLAWS. PART IV, SECTION E, LINE 3B: THE PARENT OF THE SUPPORTED ORGANIZATION DOES EXERCISE A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION. SUCH DIRECTION IS EXERCISED THROUGH A RESERVED POWER HELD BY THE PARENT OF THE SUPPORTED ORGANIZATION THAT THE PARENT OF THE SUPPORTED ORGANIZATION HAS THE POWER TO, "ESTABLISH AND APPROVE ANY PROGRAMS, POLICIES OR PROCEDURES RELATING TO OPERATIONAL MATTERS OF THE HEALTH SYSTEM, INCLUDING WITHOUT LIMITATION QUALITY OF CARE OBJECTIVES, FINANCE, LONG-RANGE FINANCIAL AND STRATEGIC PLANS AND INTERNAL AUDITS FOR THE FURTHERANCE OF CONSISTENCY AMONG THE HEALTH SYSTEM'S AFFILIATES." RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO VALLEY CHILDREN'S HOSPITAL 906793 PROFESSIONAL & GENL LIAB RESERVE 3608036 OTHER LIABILITY 776971 5291800 X X X X 0 1 0 0 0 0 0 0 0 TODD SUNTRAPAK CEO/PRESIDENT 0 1697554 0 1055670 0 236098 0 28380 0 33920 0 3051622 0 0 MICHELE WALDRON CFO 0 687772 0 348416 0 258100 0 29403 0 25627 0 1349318 0 0 PART I, LINE 3 VALLEY CHILDREN'S HEALTHCARE ESTABLISHED 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 VALLEY CHILDREN'S HOSPITAL, A RELATED ORGANIZATION, HAS FIVE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDING A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES, A NON-CONTRIBUTORY, NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EXEC RETIREMENT PLAN (DC SERP), A SPLIT-DOLLAR LIFE INSURANCE PROGRAM AVAILABLE TO KEY EXECUTIVES, AND AN ADDITIONAL DEFERRED COMPENSATION PLAN BENEFITTING CERTAIN KEY EXECUTIVES. TODD SUNTRAPAK PARTICIPATES IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM. 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 HEALTHCARE BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN 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 VALLEY CHILDREN'S HEALTHCARE 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. HEALTHCARE SUPPORT STAFFS ARE EMPLOYED BY VALLEY CHILDREN'S HOSPITAL AND ARE THEREFORE SUBJECT TO THE HOSPITAL'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS AND SUPPORT STAFFS ARE EMPLOYED BY THE HOSPITAL. AS SUCH, HEALTHCARE DOES NOT HAVE EMPLOYEES THAT IT PAYS DIRECTLY. 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 THIS 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, OFFICERS, 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 ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE HOSPITAL PREPARES CONSOLIDATED ANNUAL FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO SUBMITTAL TO RELEVANT STATE AGENCIES. 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. 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