2025-08-14T13:54:47-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2023-10-01 464150987 VALLEY CHILDREN'S MEDICAL GROUP VALL 5593533000 9300 VALLEY CHILDRENS PLACE MADERA CA 936368762 DR DAVID CHRISTENSEN PRESIDENT 5593533000 2025-08-12 1 1 WENDY CAMPOS P00448102 2099556100 2025-08-12 2023 2025-03-06 01:10:19Z DR DAVID CHRISTENSEN 9300 VALLEY CHILDRENS PLACE MADERA CA 936368762 162269889 0 X WWW.VALLEYCHILDRENS.ORG X 2013 CA PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH SERVICES TO CHILDREN. 15 14 143 16 7020830 0 1354389 523448 142471355 160892710 20953 -27672 848135 853731 144694832 162242217 0 0 0 0 13512042 14392529 0 0 0 130597168 148094325 144109210 162486854 585622 -244637 87607409 89033773 11550490 13221491 76056919 75812282 X PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN, REGARDLESS OF THEIR ABILITY TO PAY, AND TO CONTINOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. 0 0 156379185 154681843 SEE SCHEDULE OTHE MISSION OF VALLEY CHILDREN'S HEALTHCARE IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN AND TO CONTINOUSLY IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS WITH HEALTH CONDITIONS OF PEDIATRIC ORIGIN, REGARDLESS OF THEIR ABILITY TO PAY.VALLEY CHILDREN'S MEDICAL GROUP, A CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATION IS ORGANIZED AND OPERATED AS A 1206(L) TAX-EXEMPT MEDICAL FOUNDATION AND IS FORMED FOR THE PURPOSE OF ADVANCING THE MISSION OF THE VALLEY CHILDREN'S HEALTHCARE ENTITIES, BY OWNING AND OPERATING OUTPATIENT LOCATIONS THROUGHOUT CENTRAL CALIFORNIA, CONDUCTING MEDICAL RESEARCH AND EDUCATION, AND PROVIDING PROFESSIONAL PHYSICIAN COVERAGE AND RELATED MANAGEMENT SERVICES. MOREOVER, IN ADDITION TO THE ABOVE, VALLEY CHILDREN'S MEDICAL GROUP TREATS CHILDREN IN AN AREA SUFFERS SEVERE MEDICAL SHORTAGES. FINALLY, OVER 70% OF THE MEDICAL GROUP'S GROSS PATIENT REVENUES ARE FROM PATIENTS COVERED BY MEDI-CAL. 156379185 1 1 0 0 0 0 0 0 0 0 1 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 0 1 0 0 0 1 38 0 1 143 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X KELLY SHIMAMOTO DIRECTOR OF FINANC 5593533000 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 TODD SUNTRAPAK BOARD MEMBER 0.50 59.50 X 0 3203684 66483 MICHELE WALDRON FORMER BOARD MEMBER,EVP & PC TO CEO (AS OF 10/23) 4.80 55.20 X 0 1405362 47171 DAVID CHRISTENSEN MD PRESIDENT 36.00 24.00 X 0 1245480 62371 TINA MYCROFT SVP & CFO (AS OF 10/23) 4.80 55.20 X 0 409219 11082 TERRANCE EVENMO CARDIAC SONOGRAPHER 40.00 0.00 X 252525 0 20421 KELLY SHIMAMOTO DIRECTOR FINANCE & PHYSICIAN NETWORK 40.00 0.00 X 186117 0 23720 STEPHANIE CROCKETT DIRECTOR PRIMARY CARE OPS 40.00 0.00 X 180151 0 20298 DEREK NAUS CARDIAC SONOGRAPHER 40.00 0.00 X 162542 0 14124 LILIANA MELENDEZ NURSE PRACTITIONER 40.00 0.00 X 131287 0 22326 FAISAL RAZZAQI MD CHIEF OF STAFF (THRU 2/24) 0.50 0.50 X 0 75000 0 DAN ADAMS TREASURER 0.50 1.80 X X 0 10000 0 JOSE ELGORRIAGA CHAIR 0.60 1.40 X X 0 0 0 MICHAEL HANSON VICE CHAIR 0.50 1.80 X X 0 0 0 DANIELLE PARNAGIAN SECRETARY 0.50 0.50 X X 0 0 0 CHRISTINE ALMON MD CHIEF OF STAFF (AS OF 3/24) 0.50 0.50 X 0 0 0 ALLISON KARAHADIAN BOARD MEMBER 0.50 0.50 X 0 0 0 SUSAN BYERS BOARD MEMBER 0.50 0.50 X 0 0 0 THOMAS PAGE MD BOARD MEMBER 0.50 0.50 X 0 0 0 JARROD MARTINEZ BOARD MEMBER 0.50 0.50 X 0 0 0 DAN KOONTZ BOARD MEMBER (THRU 8/24) 0.50 0.50 X 0 0 0 LISA SMITTCAMP BOARD MEMBER 0.50 0.50 X 0 0 0 LUZ GONZALEZ MD BOARD MEMBER 0.50 0.50 X 0 0 0 BILL SMITTCAMP BOARD MEMBER (THRU 12/23) 0.50 1.80 X 0 0 0 SISSY DALENA WOOD BOARD MEMBER 0.50 0.50 X 0 0 0 MENDY LAVAL BOARD MEMBER 0.50 0.50 X 0 0 0 VALERIE VUICICH BOARD MEMBER 0.50 0.50 X 0 0 0 RILEY WALTER BOARD MEMBER (THRU 12/23) 0.50 0.50 X 0 0 0 912622 6348745 287996 11 1 1 0 VALLEY CHILDREN'S SPECIALTY MEDICAL GROU 9300 VALLEY CHILDRENS PLACE MADERA CA 936368782 PHYSICIAN SERVICES 119806017 VALLEY CHILDREN'S PRIMARY CARE GROUP 9300 VALLEY CHILDRENS PLACE MADERA CA 936368782 PHYSICIAN SERVICES 16270000 VALLEY CHILDREN'S HOSPITAL 9300 VALLEY CHILDRENS PLACE MADERA CA 936368782 MANAGEMENT SERVICES 4680537 VALLEY CHILDREN'S HEALTHCARE 9300 VALLEY CHILDRENS PLACE MADERA CA 936368782 MANAGEMENT SERVICES 2550791 PEDIATRIC ANESTHESIA ASSOCIATES 6235 N FRESNO ST STE 103 FRESNO CA 93710 PHYSICIAN SERVICES 1362775 11 440356 27114 55978 523448 PHYSICIAN COVERAGE REVENUE 621300 92253507 92253507 SPECIALTY PRACTICES 621300 61202705 61202705 MANAGEMENT SERVICES 541610 6210867 6210867 PROGRAM RELATED RENTAL INCOME 541610 1225578 1225578 PRIMARY CARE 621300 53 53 160892710 27672 -27672 -27672 -27672 ADMINISTRATIVE SERVICES 541610 809963 809963 PURCHASE DISCOUNTS 621300 43768 43768 853731 162242217 154681843 7020830 16096 X 11383136 7854574 3528562 368038 258232 109806 1780752 1181689 599063 860603 559437 301166 26354 26354 32044 32044 22862 22862 137285700 136127136 1158564 242397 242397 3088771 2951650 137121 57801 18142 39659 2254551 2254084 467 212820 192870 19950 10 10 2716237 2659967 56270 279182 278920 262 PURCHASED SERVICES 1169124 1108165 60959 DUES AND SUBSCRIPTIONS 20882 17382 3500 685590 674540 11050 162486854 156379185 6107669 0 2371931 2917998 28738547 31841444 422869 464563 311724 389485 72628534 20945849 54162063 51682685 1600275 1737598 87607409 89033773 4079991 4564282 7470499 8657209 11550490 13221491 X 75326771 75335361 730148 476921 76056919 75812282 87607409 89033773 -244637 0 X 0 1 X 1 1 1 X 3489118 1839345 6186968 1354389 523448 13393268 113102579 108942863 117608288 136753688 154681843 631089261 116591697 110782208 123795256 138108077 155205291 644482529 0 0 0 644482529 55 55 55 55 47656 118768 74605 53915 43768 338712 116639353 110900976 123869861 138162047 155249059 644821296 0.99950 0.99940 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - PRIMARILY RELATED TO PURCHASE DISCOUNTS - 2019 AMOUNT: $ 47,656. 2020 AMOUNT: $ 118,768. 2021 AMOUNT: $ 74,605. 2022 AMOUNT: $ 53,915. 2023 AMOUNT: $ 43,768. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12115846 12115846 42868277 8880489 33987788 1818161 1786914 31247 12075833 8520567 3555266 3750417 1757879 1992538 51682685 INVESTMENT IN SMG 7417183 OPERATING LEASE LIABILITY 963176 INVESTMENT IN PCG 276850 8657209 0 1 0 0 0 0 0 0 0 TODD SUNTRAPAK BOARD MEMBER 0 1696750 0 598969 0 907965 0 30180 0 36303 0 3270167 0 0 MICHELE WALDRON FORMER BOARD MEMBER,EVP & PC TO CEO (AS OF 10/23) 0 506380 0 476624 0 422358 0 30180 0 16991 0 1452533 0 0 DAVID CHRISTENSEN MD PRESIDENT 0 854764 0 177845 0 212871 0 30180 0 32191 0 1307851 0 0 TINA MYCROFT SVP & CFO (AS OF 10/23) 0 267848 0 99658 0 41713 0 0 0 11082 0 420301 0 0 TERRANCE EVENMO CARDIAC SONOGRAPHER 252525 0 0 0 0 0 6433 0 13988 0 272946 0 0 0 KELLY SHIMAMOTO DIRECTOR FINANCE & PHYSICIAN NETWORK 161242 0 14464 0 10411 0 9732 0 13988 0 209837 0 0 0 STEPHANIE CROCKETT DIRECTOR PRIMARY CARE OPS 162386 0 14564 0 3201 0 6310 0 13988 0 200449 0 0 0 DEREK NAUS CARDIAC SONOGRAPHER 162542 0 0 0 0 0 5650 0 8474 0 176666 0 0 0 LILIANA MELENDEZ NURSE PRACTITIONER 131287 0 0 0 0 0 2521 0 19805 0 153613 0 0 0 PART I, LINE 3 THE ORGANIZATION 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 VALLEY CHILDREN'S HOSPITAL, A RELATED ORGANIZATION, HAS THREE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS INCLUDING 1) A NONCONTRIBUTORY, NONQUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (DCSERP), 2) A SPLIT DOLLAR LIFE INSURANCE PROGRAM USED AS A RETENTION TOOL FOR CERTAIN KEY EXECUTIVES. PARTICIPANTS OF THIS PROGRAM FORFEIT ELIGIBILITY FOR THE DCSERP AND 3) AN ADDITIONAL DEFERRED COMPENSATION PLAN BENEFITTING CERTAIN KEY EXECUTIVES (457F RT). DAVID CHRISTENSEN, TODD SUNTRAPAK, AND MICHELE WALDRON PARTICIPATE IN THE SPLIT-DOLLAR LIFE INSURANCE PROGRAM. 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 BYLAWS OF VALLEY CHILDREN MEDICAL GROUP, EFFECTIVE 1/23/14, 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 DIRECTORS OF THE CORPORATION 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, AS WELL AS HIGHLIGHTS OF KEY SECTIONS OF THE FORM 990, ARE 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 MANAGEMENT. 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 VALLEY CHILDREN'S MEDICAL GROUP MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE MEDICAL GROUP'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH DIRECTOR TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS. THE EXECUTIVE COMMITTEE REVIEWS DISCLOSED INTERESTS TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKES RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. IF A CONFLICT WERE TO EXISTS, IT WOULD BE DOCUMENTED AND THE BOARD MEMBER WOULD BE EXCUSED AND WOULD NOT PARTICIPATE IN THE VOTE FOR THAT ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS AND SUPPORT STAFF OF VALLEY CHILDREN'S MEDICAL GROUP ARE EMPLOYED BY THE HOSPITAL. AS SUCH, VALLEY CHILDREN'S MEDICAL GROUP DOES NOT HAVE EMPLOYEES THAT IT PAYS DIRECTLY. AS PROVIDED BY 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 PRESIDENT, 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 PRESIDENT'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 MEDICAL GROUP'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF VALLEY CHILDREN'S MEDICAL GROUP 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 IX, LINE 11G PROFESSIONAL FEES - HOSPITAL BASED SPECIALTY PRACTICES: PROGRAM SERVICE EXPENSES 912,755. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 912,755. PROFESSIONAL FEES - REGIONAL SPECIALTY CARE PRACTICES: PROGRAM SERVICE EXPENSES 430,295. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 430,295. PROFESSIONAL FEES - COVERAGE AT OTHER HOSPITALS: PROGRAM SERVICE EXPENSES 3,045,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,045,616. PROFESSIONAL FEES - GME/CALL/MEDICAL DIRECTOR COVERAGE: PROGRAM SERVICE EXPENSES 4,773,533. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,773,533. PROFESSIONAL FEES - VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP FUNDING: PROGRAM SERVICE EXPENSES 104,431,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,431,850. PROFESSIONAL FEES - VALLEY CHILDREN'S PRIMARY CARE GROUP FUNDING: PROGRAM SERVICE EXPENSES 17,031,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,031,396. PROFESSIONAL FEES - TEMPORARY STAFF: PROGRAM SERVICE EXPENSES 52,891. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,891. VALLEY CHILDRENS HOSPITAL SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 5,448,800. MANAGEMENT AND GENERAL EXPENSES 1,158,564. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,607,364. 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 HEALTHCARE 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 464158433 HEALTHCARE CA 501(C)(3) LINE 12C, III-FI N/A 0 VALLEY CHILDREN'S HOSPITAL 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 941294954 HEALTHCARE CA 501(C)(3) LINE 3 VALLEY CHILDREN'S HEALTHCARE 0 FOWLER BUSINESS & PROFESSIONAL PARK LLC 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 471813772 REAL ESTATE INVESTMENT CA N/A 0 0 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 INVESTING CA N/A C 0 FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 301030354 PROPERTY OWNERS ASSOCIATION CA N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0