Civic Intelligence

Valley Children'S Medical Group

EIN 46-4150987 • 501(c)3 • Madera, CA

Profile

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.

9300 Valley Childrens PlaceMadera, CA 93636-8762

www.valleychildrens.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

36th percentile

0.15x

Higher debt load relative to assets than 36% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

15th percentile

0.08x

Higher debt load relative to revenue than 15% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

32nd percentile

-0.2%

Higher net margin than 32% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$3,270,167

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

30th percentile

1.6%

Faster asset growth than 30% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

60th percentile

12%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$89,033,773

Up $1,426,364 (+1.6%) from 2023

Liabilities

Up

$13,221,491

Up $1,671,001 (+14%) from 2023

Net Assets

Down

$75,812,282

Down $244,637 (-0.3%) from 2023

Revenue

Up

$162,242,217

Up $17,547,385 (+12%) from 2023

Expenses

Up

$162,486,854

Up $18,377,644 (+13%) from 2023

Net Income

Down

-$244,637

Down $830,259 (-142%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50MAssets 2013: $1Liabilities 2013: $02013Assets 2015: $1,257,564Liabilities 2015: -$266,235Net Assets 2015: $1,523,7992015Assets 2016: $18,351,066Liabilities 2016: $4,894,546Net Assets 2016: $13,456,5202016Assets 2017: $35,445,875Liabilities 2017: $9,160,151Net Assets 2017: $26,285,7242017Assets 2018: $88,827,420Liabilities 2018: $28,055,933Net Assets 2018: $60,771,4872018Assets 2019: $81,240,622Liabilities 2019: $9,550,772Net Assets 2019: $71,689,8502019Assets 2020: $80,934,717Liabilities 2020: $8,906,554Net Assets 2020: $72,028,1632020Assets 2021: $80,423,353Liabilities 2021: $8,092,799Net Assets 2021: $72,330,5542021Assets 2022: $86,689,693Liabilities 2022: $11,218,396Net Assets 2022: $75,471,2972022Assets 2023: $87,607,409Liabilities 2023: $11,550,490Net Assets 2023: $76,056,9192023Assets 2024: $89,033,773Liabilities 2024: $13,221,491Net Assets 2024: $75,812,2822024

Highlighted filing

2024

Assets$89,033,773
Liabilities$13,221,491
Net Assets$75,812,282

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0-$50MRevenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2015: $20,298,539Expenses 2015: $18,774,740Net Income 2015: $1,523,7992015Revenue 2016: $59,636,350Expenses 2016: $47,703,629Net Income 2016: $11,932,7212016Revenue 2017: $101,510,260Expenses 2017: $88,410,805Net Income 2017: $13,099,4552017Revenue 2018: $139,485,244Expenses 2018: $104,675,063Net Income 2018: $34,810,1812018Revenue 2019: $129,298,452Expenses 2019: $118,989,862Net Income 2019: $10,308,5902019Revenue 2020: $123,073,790Expenses 2020: $122,592,893Net Income 2020: $480,8972020Revenue 2021: $117,171,831Expenses 2021: $116,869,040Net Income 2021: $302,7912021Revenue 2022: $129,974,948Expenses 2022: $126,834,205Net Income 2022: $3,140,7432022Revenue 2023: $144,694,832Expenses 2023: $144,109,210Net Income 2023: $585,6222023Revenue 2024: $162,242,217Expenses 2024: $162,486,854Net Income 2024: -$244,6372024

Highlighted filing

2024

Revenue$162,242,217
Expenses$162,486,854
Net Income-$244,637

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 12, 2025
Return Version
2023v6.0
Gross Receipts
$162,269,889
Mission and Program Overview

Mission

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.

Provide high quality, comprehensive health services to children.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$54,162,063$51,682,685▼ $2,479,378
Accounts Receivable$28,738,547$31,841,444▲ $3,102,897
Cash and Non-Interest-Bearing Accounts$2,371,931$2,917,998▲ $546,067
Intangible Assets$1,600,275$1,737,598▲ $137,323
Inventories for Sale or Use$422,869$464,563▲ $41,694
Prepaid Expenses and Deferred Charges$311,724$389,485▲ $77,761
Total Assets$87,607,409$89,033,773▲ $1,426,364
Liabilities
Other Liabilities$7,470,499$8,657,209▲ $1,186,710
Accounts Payable and Accrued Expenses$4,079,991$4,564,282▲ $484,291
Total Liabilities$11,550,490$13,221,491▲ $1,671,001
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$75,326,771$75,335,361▲ $8,590
Net Assets With Donor Restrictions$730,148$476,921▼ $253,227
Total Net Assets Fund Balance$76,056,919$75,812,282▼ $244,637
Total Liabilities and Net Assets / Fund Balance$87,607,409$89,033,773▲ $1,426,364

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$33,987,788$8,880,489$42,868,277
Land$12,115,846-$12,115,846
Equipment$3,555,266$8,520,567$12,075,833
Other Land Buildings$1,992,538$1,757,879$3,750,417
Leasehold Improvements$31,247$1,786,914$1,818,161
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Terrance EvenmoCardiac SonographerFT$252,525$20,421$272,946
Kelly Shimamoto DirectorFinance & Physician NetworkFT$161,242$48,595$209,837
Stephanie CrockettDirector Primary Care OpsFT$162,386$38,063$200,449
Derek NausCardiac SonographerFT$162,542$14,124$176,666
Liliana MelendezNurse PractitionerFT$131,287$22,326$153,613
Faisal Razzaqi MdChief of Staff (thru 2/24)--$75,000$75,000
Dan AdamsTreasurer--$10,000$10,000

Board Members and Trustees

NameTitle
Jose ElgorriagaChair
David Christensen MdPresident
Michael HansonVice Chair
Allison KarahadianBoard Member
Jarrod MartinezBoard Member
Lisa SmittcampBoard Member
Luz Gonzalez MdBoard Member
Mendy LavalBoard Member
Sissy Dalena WoodBoard Member
Susan ByersBoard Member
Thomas Page MdBoard Member
Todd SuntrapakBoard Member
Valerie VuicichBoard Member
Bill SmittcampBoard Member (thru 12/23)
Riley WalterBoard Member (thru 12/23)
Dan KoontzBoard Member (thru 8/24)
Christine Almon MdChief of Staff (as of 3/24)
Michele Waldron Former BoardMember,evp & Pc to CEO (as of 10/23)
Danielle ParnagianSecretary
Tina MycroftSVP & CFO (as of 10/23)

Highest Paid Contractors

ContractorServicesLocationCompensation
Valley Children's Specialty Medical GrouPhysician Services9300 VALLEY CHILDRENS PLACE, Madera, CA 93636-8782$119,806,017
Valley Children's Primary Care GroupPhysician Services9300 VALLEY CHILDRENS PLACE, Madera, CA 93636-8782$16,270,000
Valley Children's HospitalManagement Services9300 VALLEY CHILDRENS PLACE, Madera, CA 93636-8782$4,680,537
Valley Children's HealthcareManagement Services9300 VALLEY CHILDRENS PLACE, Madera, CA 93636-8782$2,550,791
Pediatric Anesthesia AssociatesPhysician Services6235 N FRESNO ST STE 103, Fresno, CA 93710$1,362,775
Revenue and Support

Revenue Composition

Contributions and Grants
$523,448
Program Service Revenue
$160,892,710
Investment Income
$-27,672
Other Revenue
$853,731
All Other Contributions
$55,978
Change in Net Assets
$-244,637
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$148,094,325
Salaries, Compensation, and Employee Benefits$14,392,529
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$136,127,136$1,158,564-$137,285,700
Other Salaries and Wages$7,854,574$3,528,562-$11,383,136
Office Expenses$2,951,650$137,121-$3,088,771
Depreciation Depletion$2,659,967$56,270-$2,716,237
Occupancy$2,254,084$467-$2,254,551
Other Employee Benefits$1,181,689$599,063-$1,780,752
Payroll Taxes$559,437$301,166-$860,603
All Other Expenses$674,540$11,050-$685,590
Pension Plan Contributions$258,232$109,806-$368,038
Insurance$278,920$262-$279,182
Advertising$242,397--$242,397
Travel$192,870$19,950-$212,820
Information Technology$18,142$39,659-$57,801
Fees for Services Legal-$32,044-$32,044
Fees for Services Management-$26,354-$26,354
Fees for Services Accounting-$22,862-$22,862
Other Expenses$17,382$3,500-$20,882
Interest-$10-$10
Total Functional Expenses$156,379,185$6,107,669$0$162,486,854
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Investment in Smg$7,417,183
Operating Lease Liability$963,176
Investment in Pcg$276,850
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
VALLEY CHILDREN'S MEDICAL GROUP
EIN
46-4150987
Phone
5593533000
Address
9300 VALLEY CHILDRENS PLACE, MADERA, CA 93636-8762

Signing Officer

Name
Dr David Christensen
Title
President
Phone
5593533000
Signed
2025-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr David Christensen
Formed
2013
Legal Domicile
CA
Voting Board Members
15
Independent Board Members
14
Employees
143
Volunteers
16

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
3121 W MARCH LN STE 200, STOCKTON, CA 95219-2367
Preparer
Wendy Campos
Phone
2099556100
Supplemental Narrative

Additional Explanations

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.

Raw XML AppendixShowing 400 of 938 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt4CARDIAC SONOGRAPHER
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR PRIMARY CARE OPS
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IRS990/Form990PartVIISectionAGrp/TitleTxt18BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt20BOARD MEMBER
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IRS990/MissionDesc0PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO CHILDREN, REGARDLESS OF THEIR ABILITY TO PAY, AND TO CONTINOUSLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN.
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