CHILDRENS HOSPITAL OF ORANGE COUNTY: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF ORANGE COUNTY (EIN 95-2321786)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201911359349313761
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T19:17:42-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	550 S Hope St Suite 1500	AddressLine1Txt
City	Los Angeles	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90071	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	952321786	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of Orange County	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MIKALYN KLUTH	InCareOfNm
Business Name Control	CHIL	BusinessNameControlTxt
Phone	7149973000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 West La Veta Avenue	AddressLine1Txt
City	Orange	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92868	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KERRI RUPPERT SCHILLER	PersonNm
Person Title	CFO/ASST.SECRATARY	PersonTitleTxt
Phone	7149973000	PhoneNum
Signature	2019-05-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Valerie Ball	PreparerPersonNm
PTIN	P00178114	PTIN
Phone	2139724000	PhoneNum
Preparation	2019-05-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	95488420191355000052	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AFC1CABF2724952AFBFC3879A4882118A11459E7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AFC1CABF2724952AFBFC3879A4882118A11459E7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHOC Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KIMBERLY C CRIPE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 West La Veta Avenue	AddressLine1Txt
City	ORANGE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92868	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$852,106,005	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.choc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1964	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3930	TotalEmployeeCnt
Total Volunteers	1045	TotalVolunteersCnt
Total Gross UBI	$42,008	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$151,940	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$43,421,924	PYContributionsGrantsAmt
CY Contributions Grants	$30,792,187	CYContributionsGrantsAmt
PY Program Service Revenue	$691,827,382	PYProgramServiceRevenueAmt
CY Program Service Revenue	$778,325,430	CYProgramServiceRevenueAmt
PY Investment Income	$6,063,558	PYInvestmentIncomeAmt
CY Investment Income	$12,596,090	CYInvestmentIncomeAmt
PY Other Revenue	$2,757,812	PYOtherRevenueAmt
CY Other Revenue	$2,943,492	CYOtherRevenueAmt
PY Total Revenue	$744,070,676	PYTotalRevenueAmt
CY Total Revenue	$824,657,199	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$75,000,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$291,034,381	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$314,449,773	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$385,621,641	PYOtherExpensesAmt
CY Other Expenses	$416,972,932	CYOtherExpensesAmt
PY Total Expenses	$676,656,022	PYTotalExpensesAmt
CY Total Expenses	$806,422,705	CYTotalExpensesAmt
PY Revenues Less Expenses	$67,414,654	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,234,494	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,108,265,101	TotalAssetsBOYAmt
Total Assets EOY	$1,218,624,994	TotalAssetsEOYAmt
Total Liabilities BOY	$510,450,614	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$593,272,433	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$597,814,487	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$625,352,561	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$733,401,462	ExpenseAmt
Grant	$75,000,000	GrantAmt
Revenue	$778,283,422	RevenueAmt
Desc	CHILDREN'S HOSPITAL OF ORANGE COUNTY - PROVIDES SPECIALIZED PEDIATRIC SERVICES FOR THE CARE OF CHILDREN and young adults. DURING THIS YEAR, THERE WERE 65,577 DAYS OF INPATIENT CARE; 91,787 EMERGENCY ROOM VISITS(INCLUDING PEDIATRIC TRAUMA VISITS); 11,591 SURGERIES; AND 278,448 PRIMARY AND SPECIALTY CARE CLINIC VISITS. OUR CALIFORNIA MEDICAL FOUNDATION PROVIDED 403,928 PEDIATRIC SUBSPECIALTY SERVICE ENCOUNTERS AS WELL AS 202,886 PRIMARY CARE VISITS TO PATIENTS THROUGHOUT ORANGE COUNTY AND BEYOND. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.CHOC.ORG.	Desc
Total Program Service Expenses	$733,401,462	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	528	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3930	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MIKALYN KLUTH	PersonNm
Phone	7145094124	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 WEST LA VETA AVENUE	AddressLine1Txt
City	ORANGE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92868	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Kimberly Cripe
DIRECTOR/PRESIDENT	30.0	10.0	Yes (X)	Yes (X)	$0	$1,598,515	$88,781
Sam Auriemma
Director	1.0	3.0	Yes (X)		$0	$0	$0
Michael Colglazier
Director	2.0	1.0	Yes (X)		$0	$0	$0
Janet T Davidson
Director	1.0	3.0	Yes (X)		$0	$0	$0
Vijay Dhar MD
Director	1.0	1.0	Yes (X)		$0	$0	$0
David Dukes
Director/Chair	4.0	3.5	Yes (X)	Yes (X)	$0	$0	$0
Jeff Elghanayan
Director	1.0	3.5	Yes (X)		$0	$0	$0
Joe Kiani
DIRECTOR	2.0	1.0	Yes (X)		$0	$0	$0
Marshall ROWEN MD
Director	2.0	5.5	Yes (X)		$0	$0	$0
Kim Sentovich
DIRECTOR	2.0	1.5	Yes (X)		$0	$0	$0
DOUGLAS McCombs
DIRECTOR	1.0	2.5	Yes (X)		$0	$0	$0
CHRIS FURMAN
Director/Vice Chair	3.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT HILLYARD MD
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
Thomas phelps
director	1.0	1.5	Yes (X)		$0	$0	$0
Josh D'Amaro
Director	1.0	2.0	Yes (X)		$0	$0	$0
Jay Gabriel
Secretary	35.0	5.0		Yes (X)	$638,268	$0	$221,677
Matthew Gerlach
Exec. Vice President/COO	34.0	6.0		Yes (X)	$0	$844,930	$46,408
Kerri Ruppert Schiller
EVP/CFO/Assistant Secretary	24.0	16.0		Yes (X)	$0	$849,340	$69,399
Marcia Folli
Vice President/CNO	20.0	20.0			$209,154	$209,154	$25,344	Yes (X)
Maria Minon MD
SVP/CMO	38.0	2.0			$783,554	$0	$44,303	Yes (X)
Melanie Patterson
VP Patient Care Svcs, CNO	40.0	0.0			$431,027	$0	$143,297	Yes (X)
Hale Kuhlman
VP, Specialty Physician SRV	40.0	0.0			$417,605	$0	$43,463	Yes (X)
Nick Anas MD
Pediatrician in Chief	40.0	0.0			$804,856	$0	$56,592		Yes (X)
Michael Weiss
VP CHOC Health Alliance	40.0	0.0			$555,264	$0	$182,826		Yes (X)
William Rohde
Vice President Finance	40.0	0.0			$426,670	$0	$148,047		Yes (X)
Thomas Capizzi
Vice President Human Resources	40.0	0.0			$426,578	$0	$79,621		Yes (X)
James Cappon
Chief Quality & Patient Safety	40.0	0.0			$426,389	$0	$32,151		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,119,365	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,501,939	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,181,909	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	570	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PEDIATRIC SUBSPECIALTY FACULTY
1201 West La Veta Ave	ORANGE	CA	92868	MEDICAL DIR & SERV	$80,877,181
CERNER CORPORATION
PO Box 412702	KANSAS CITY	MO	64141	CONSULTING	$10,260,420
RADY CHILDRENS HOSPITAL
3020 Childrens Way MC 5001	SAN DIEGO	CA	92123	MEDICAL SERVICES	$8,803,699
MILES AND KELLEY CONSTRUCTION
1220 N Simon Circle Suite B	ANAHEIM	CA	92806	PURCHASED SERVICES	$11,013,181
CHOC MEDICAL GROUP
1201 West La Veta Ave	ORANGE	CA	92868	MEDICAL DIR & SERV	$5,398,589

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	77	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,762,045	RelatedOrganizationsAmt
Government Grants	$5,006,445	GovernmentGrantsAmt
All Other Contributions	$10,023,697	AllOtherContributionsAmt
Noncash Contributions	$20,000	NoncashContributionsAmt
Total Contributions	$30,792,187	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$654,477,583	$654,477,583
PREMIUM REVENUE	524114	$60,127,747	$60,127,747
DRUGS/MEDICAL SUPPLIES SOLD	446110	$18,481,288	$18,481,288
MGMT/OCCUPANCY SERVICES	561110	$20,276,370	$20,276,370
COVERAGE FEE REVENUE	524298	$5,119,122	$5,119,122

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,843,320	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,801,312	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$42,008	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$778,325,430	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,831,144	TotalRevenueColumnAmt
Exclusion	$8,831,144	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$132,305	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$132,305	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$132,305	TotalRevenueColumnAmt
Exclusion	$132,305	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,218,296	SecuritiesAmt
Other	-$4,544	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$27,448,806	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,769,490	SecuritiesAmt
Other	-$4,544	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,764,946	TotalRevenueColumnAmt
Exclusion	$3,764,946	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$1,769,749	$1,769,749
PARKING	812930	$636,023	$636,023
GIFT SHOP	900099	$229,069	$229,069

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$176,346	TotalRevenueColumnAmt
Exclusion	$176,346	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,811,187	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$824,657,199	TotalRevenueColumnAmt
Related Or Exempt Func Income	$778,283,422	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$42,008	UnrelatedBusinessRevenueAmt
Exclusion	$15,539,582	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$75,000,000	TotalAmt
Program Services	$75,000,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,706,905	TotalAmt
Program Services	$1,536,215	ProgramServicesAmt
Management And General	$170,690	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$249,514,891	TotalAmt
Program Services	$224,563,402	ProgramServicesAmt
Management And General	$24,951,489	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,402,204	TotalAmt
Program Services	$5,761,984	ProgramServicesAmt
Management And General	$640,220	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,401,833	TotalAmt
Program Services	$35,461,649	ProgramServicesAmt
Management And General	$3,940,184	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,423,940	TotalAmt
Program Services	$15,681,546	ProgramServicesAmt
Management And General	$1,742,394	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,658,362	TotalAmt
Program Services	$20,392,526	ProgramServicesAmt
Management And General	$2,265,836	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,271,553	TotalAmt
Program Services	$1,144,398	ProgramServicesAmt
Management And General	$127,155	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$200,949	TotalAmt
Program Services	$180,854	ProgramServicesAmt
Management And General	$20,095	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,421,539	TotalAmt
Program Services	$1,279,385	ProgramServicesAmt
Management And General	$142,154	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$182,598	TotalAmt
Program Services	$164,338	ProgramServicesAmt
Management And General	$18,260	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$174,246,562	TotalAmt
Program Services	$156,821,905	ProgramServicesAmt
Management And General	$17,424,657	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,430,976	TotalAmt
Program Services	$13,887,878	ProgramServicesAmt
Management And General	$1,543,098	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,396,878	TotalAmt
Program Services	$12,957,190	ProgramServicesAmt
Management And General	$1,439,688	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,048,147	TotalAmt
Program Services	$943,332	ProgramServicesAmt
Management And General	$104,815	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,102,846	TotalAmt
Program Services	$992,561	ProgramServicesAmt
Management And General	$110,285	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,866,183	TotalAmt
Program Services	$14,279,565	ProgramServicesAmt
Management And General	$1,586,618	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,095,329	TotalAmt
Program Services	$33,385,796	ProgramServicesAmt
Management And General	$3,709,533	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,173,646	TotalAmt
Program Services	$3,756,281	ProgramServicesAmt
Management And General	$417,365	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$100,546,768	$90,492,091	$10,054,677
QUALITY ASSURANCE FEE EXPENSE	$16,649,504	$14,984,554	$1,664,950
DUES & SUBSCRIPTIONS	$2,263,614	$2,037,253	$226,361
PURCH SVCS OTHER HOSPITALS	$1,210,293	$1,210,293	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,207,185	TotalAmt
Program Services	$6,486,466	ProgramServicesAmt
Management And General	$720,719	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$806,422,705	TotalAmt
Program Services	$733,401,462	ProgramServicesAmt
Management And General	$73,021,243	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$194,998,305	BOYAmt
EOY	$263,025,367	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$101,647,426	BOYAmt
EOY	$74,727,589	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$110,034,016	BOYAmt
EOY	$151,989,210	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,102,692	BOYAmt
EOY	$12,488,660	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$31,651,369	BOYAmt
EOY	$35,938,559	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,039,056,736	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$418,265,366	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$632,946,915	BOYAmt
EOY	$620,791,370	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$20,735,673	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,216,000	BOYAmt
EOY	$1,216,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,668,378	BOYAmt
EOY	$37,712,566	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,108,265,101	BOYAmt
EOY	$1,218,624,994	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$100,254,975	BOYAmt
EOY	$89,339,400	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$178,754	BOYAmt
EOY	$104,698,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$333,460,910	BOYAmt
EOY	$324,216,743	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,072,198	BOYAmt
EOY	$10,733,238	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,483,777	BOYAmt
EOY	$64,285,052	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$510,450,614	BOYAmt
EOY	$593,272,433	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$552,331,579	BOYAmt
EOY	$575,542,357	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,796,756	BOYAmt
EOY	$49,124,052	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$686,152	BOYAmt
EOY	$686,152	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$597,814,487	BOYAmt
EOY	$625,352,561	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,108,265,101	BOYAmt
EOY	$1,218,624,994	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,234,494	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,376,011	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,927,569	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,421,539	OtherActivitiesAmt
Total Lobbying Expenditures	$1,421,539	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	grants to other organizations for lobbying purposes	FormAndLineReferenceDesc
Explanation	form 990, schedule c, part II-B, line 1i during fye 06/30/2018, children's hospital of orange county paid dues, a portion of which supports lobbying purposes to various healthcare associations: California Children's Hospital Association $ 1,384,875 National Association of Children's Hospitals $ 36,664 ---------------------------------------------------------- Total dues paid for lobbying purposes: $ 1,421,539 The payment to California Children's Hospital was for the 2018 ballot initiative "Children's Hospital Bonds".	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,101,240	BeginningYearBalanceAmt
Contributions	$1,010,740	ContributionsAmt
Investment Earnings Or Losses	$72,655	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$68,653	OtherExpendituresAmt
End Year Balance	$8,115,982	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,000,292	BeginningYearBalanceAmt
Contributions	$94,801	ContributionsAmt
Investment Earnings Or Losses	$111,762	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$105,614	OtherExpendituresAmt
End Year Balance	$7,101,241	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,423,443	BeginningYearBalanceAmt
Contributions	$576,987	ContributionsAmt
Investment Earnings Or Losses	-$138	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
End Year Balance	$7,000,292	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,309,995	BeginningYearBalanceAmt
Contributions	$1,111,818	ContributionsAmt
Investment Earnings Or Losses	$29,620	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$27,991	OtherExpendituresAmt
End Year Balance	$6,423,442	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,931,872	BeginningYearBalanceAmt
Contributions	$370,905	ContributionsAmt
Investment Earnings Or Losses	$131,258	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$124,040	OtherExpendituresAmt
End Year Balance	$5,309,995	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.91550	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.08450	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$44,577,570	OtherCostOrOtherBasisAmt
Book Value	$44,577,570	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$672,716,064	OtherCostOrOtherBasisAmt
Depreciation	$169,651,557	DepreciationAmt
Book Value	$503,064,507	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$16,037,072	OtherCostOrOtherBasisAmt
Depreciation	$11,825,232	DepreciationAmt
Book Value	$4,211,840	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$292,770,020	OtherCostOrOtherBasisAmt
Depreciation	$235,703,383	DepreciationAmt
Book Value	$57,066,637	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$12,956,010	OtherCostOrOtherBasisAmt
Depreciation	$1,085,194	DepreciationAmt
Book Value	$11,870,816	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$620,791,370	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DERIVATIVE FINANCIAL INSTRUMEN	$34,468,479
LIABILITY FOR WORKER'S COMP.	$8,301,907
PAYABLE TO ST. JOSEPH HOSPITAL	$343,696
POSTRETIREMENT BENEFIT OBLIGAT	$2,686,940
PAYABLE TO RELATED PARTIES	$572,652
PAYABLE TO THIRD PARTIES	$11,395,712
OTHER LIABILITIES	$6,515,666

Field	Value	IRS element (for citing)
Total Liability	$64,285,052	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$833,304,009	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,376,011	NetUnrealizedGainsInvstAmt
Other Revenue	$6,270,799	OtherRevenueAmt
Revenue Not Reported	$8,646,810	RevenueNotReportedAmt
Revenue Subtotal	$824,657,199	RevenueSubtotalAmt
Total Revenue Per Form990	$824,657,199	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$806,422,705	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$806,422,705	ExpensesSubtotalAmt
Total Expenses Per Form990	$806,422,705	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740:

Accounting principles generally accepted in the United States of America require CHOC's management to evaluate tax positions taken by CHOC and recognize a tax liability if CHOC has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed tax positions taken by CHOC and has concluded that as of June 30, 2018, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the combined financial statements. RECONCILIATION OF REVENUE & EXPENSE PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN CHOC FOUNDATION $6,602,160 NET INCOME OF OCMRRG $(331,361) ================================================= TOTAL $6,270,799

Use of endowment funds

part v, line 4 The endowment fund is used to support hospital programs addressing the needs of the underserved, social services to patients and families in need, and research and treatment of children's diseases and disorders.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$384,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$384,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,721,619	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,185,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,536,102	NetCommunityBenefitExpnsAmt
Total Expense	0.05150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,106,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,185,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,920,620	NetCommunityBenefitExpnsAmt
Total Expense	0.05200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,821,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$539,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,282,083	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,234,496	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,383,137	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,851,359	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,882,072	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,882,072	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,100	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,939,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,922,556	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,016,614	NetCommunityBenefitExpnsAmt
Total Expense	0.03600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,045,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,108,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,937,234	NetCommunityBenefitExpnsAmt
Total Expense	0.08800	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,425,734	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,420,734	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,425,734	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,420,734	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$25,909,307	BadDebtExpenseAmt
Reimbursed By Medicare	$536,207	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$396,227	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$139,980	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of Orange County	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 West La Veta Avenue	AddressLine1Txt
City	Orange	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92868	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.choc.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of Orange County	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.choc.org/about	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H, Part V Additional Information	FormAndLineReferenceDesc
Explanation	Schedule H, Part V, Line 5 CHOC conducted its chna independently in the fall of 2016, with input and data from numerous authoritative, publicly available sources, a survey of community leaders from various businesses, social service and public agencies and a survey of the community-at-large. The chna report includes both primary and secondary data analyses that focus on the health and social needs of the population in each choc hospital's primary service area. SCHEDULE H, PART V, LINE 6a CHILDREN'S HOSPITAL OF ORANGE COUNTY AND CHOC CHILDREN'S AT MISSION TOGETHER CONDUCTED THE HEALTH NEEDS ASSESSMENTS. Schedule H, Part V, Lines 7 & 10a Both the Community Health Needs Assessment and Implementation Strategy can be found at the following url: http://CHOC.org/about by clicking the links labeled "view our community benefit plan"view our community health needs assessment". Schedule H, Part V, Line 11 ADDRESSING HIGH PRIORITY COMMUNITY HEALTH NEEDS CHOCS MOST RECENT CHNA IDENTIFIED FIVE HIGH-PRIORITY NEEDS: MENTAL HEALTH, PEDIATRIC OBESITY, TIMELY ACCESS TO PEDIATRIC SPECIALTIES/SUBSPECIALTIES, PEDIATRICIAN NEEDS AND RESOURCES FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS. IN 2013, CHOC DEVELOPED ITS SEVEN-YEAR STRATEGIC PLAN CHOC 2020. THIS LONG-RANGE PLAN HAS FIVE GOALS, ONE OF WHICH IS CHOCS PEDIATRIC SYSTEM OF CARE". FOR CHOC, THE PEDIATRIC SYSTEM OF CARE INCLUDES ASSURING ACCESS TO THE FULL CONTINUUM OF HEALTHCARE SERVICES ADDRESSING BOTH THE PHYSICAL AND BEHAVIORAL HEALTH OF CHILDREN WE SERVE; CREATING AND IMPLEMENTING PROCESSES FOR THE SEAMLESS TRANSITIONING OF PATIENTS FROM ONE CARE PROVIDER TO THE NEXT; AND, ACTIVELY ENGAGING PATIENTS AND FAMILIES IN TAKING RESPONSIBILITY FOR THEIR HEALTHCARE. THE FIVE HIGH-PRIORITY NEEDS ARE RECOGNIZED IN CHOC 2020 AS CRITICAL ELEMENTS OF THE CHOC PEDIATRIC SYSTEM OF CARE. SPECIFIC INITIATIVES FOR THE HIGH-PRIORITY NEEDS ARE AS FOLLOWS: PEDIATRIC MENTAL HEALTH CHOC CHIDRENS, IN PARTNERSHIP WITH COMMITTED ORGANIZATIONS AND COMMUNITY GROUPS, ASPIRES TO CREATE AN OUTSTANDING MENTAL HEALTH SYSTEM OF CARE FOR ALL CHILDREN, TEENS AND YOUNG ADULTS IN ORANGE COUNTY. OUR GOAL IS TO PROVIDE A COMPREHENSIVE APPROACH TO PEDIATRIC MENTAL ILLNESS. TO FULFILL THIS INITIATIVE, CHOC BUILT AN INPATIENT CHILDRENS MENTAL HEALTH CENTER WHICH OPENED IN APRIL 2018. THE NEW CENTER HAS 18 BEDS IN A SECURED AND HEALING ENVIRONMENT, IN ADDITION TO AN OUTDOOR AREA FOR RECREATION. THE CENTER PROVIDES A SAFE, NURTURING PLACE FOR CHILDREN AGES 3 TO 18, AND SPECIALTY PROGRAMMING FOR CHILDREN YOUNGER THAN 12. THE OPENING OF THE INPATIENT CENTER AUGMENTS MENTAL HEALTH SERVICES ALREADY OFFERED BY CHOC. - IN 2015, CHOC EXPANDED MENTAL HEALTH SERVICES FOR CHOC PATIENTS BEING TREATED FOR SERIOUS/CHRONIC ILLNESSES (THESE CHILDREN ARE MORE LIKELY TO HAVE MENTAL HEALTH PROBLEMS, SUCH AS DEPRESSION AND SEVERE ANXIETY, THAN THEIR HEALTHIER PEERS). - IN 2016, CHCOC OPENED AN INTENSIVE OUTPATIENT PROGRAM TO KEEP STRUGGLING CHILDREN OUT OF THE HOSPITAL AND ASSIST THOSE WHO HAVE BEEN RELEASED. - EXPANDED, ALSO IN 2016, CHOCS OUTPATIENT EATING DISORDERS PROGRAM. OBESITY CHOC HAS CONVENED A MULTI-DISCIPLINARY COALITION OF COMMUNITY MEMBERS TO WORK ON THE ISSUE OF OBESITY. THIS TASK FORCE INCLUDES REPRESENTATIVES FROM THE HEALTH CARE COMMUNITY (PHYSICIANS, DIETICIANS AND PSYCHOLOGISTS), THE UNIVERSITY OF CALIFORNIA IRVINE, ORANGE COUNTY SOCIAL SERVICES AND THE SCHOOL DISTRICTS THROUGHOUT THE COMMUNITY. EFFORTS TO DATE INCLUDE OFFERING CLASSES AND EDUCATIONAL MATERIALS AND A KIDS FIT CLUB. ADEQUATE AND PROPER NUTRITION IS IMPORTANT FOR A CHILDS NORMAL GROWTH AND DEVELOPMENT. CHOC CHILDRENS CLINICAL NUTRITION AND LACTATION SERVICES AIM TO BE A RELIABLE SOURCE OF NUTRITION AND LACTATION INFORMATION FOR OUR PATIENTS, FAMILIES AND COMMUNITY. WE ARE HERE TO HELP PATIENTS WITH GROWTH AND DEVELOPMENT, WHILE GIVING THEM A FOUNDATION FOR LIFELONG HEALTH AND WELLNESS. WE PROVIDE FAMILY-CENTERED, CULTURALLY SENSITIVE CARE THAT IS CUSTOMIZED FOR EVERY INDIVIDUAL, USING EVIDENCE-BASED TECHNIQUES AND BEST PRACTICES WITH A MULTI-DISCIPLINARY APPROACH. PEDIATRIC SPECIALISTS NEEDS CHOC RECOGNIZES THE COMMUNITY NEED FOR ACCESS TO PEDIATRIC SPECIALISTS/SUBSPECIALISTS AND CONTINUES TO BUILD THE RESOURCES AVAILABLE THROUGHOUT THE COMMUNITIES SERVED BY CHOC. CHOCS MEDICAL FOUNDATION WAS CREATED IN 2011, AND SINCE THAT TIME HAS CONTINUED TO GROW TO PROVIDE THE SPECIALTY SERVICES SOUGHT BY THE COMMUNITY AND INDICATED AS A HIGH PRIORITY IN THE MOST RECENTLY COMPLETED COMMUNITY NEEDS ASSESSMENT. THE SPECIALTY PHYSICIAN GROUPS THAT HAVE CONTRACTED WITH CHOC TO PROVIDE THE SERVICES HAS GROWN TO A TOTAL OF 240 PROVIDERS AND OFFERS EXPERTISE AND CARE IN OVER 23 PEDIATRIC MEDICAL SPECIALTIES. IN THE PAST YEAR, THE PHYSICIAN GROUP HAS ADDED THE FULL TIME EQUIVALENT OF OVER 20 PROVIDERS. PEDIATRICIAN NEEDS TO MEET THE GROWING NEED FOR PEDIATRIC CARE, CHOCS STRATEGIC INITIATIVE IS TO CREATE AND BUILD A PEDIATRIC SYSTEM OF CARE. SINCE JANUARY 2016, CHOC HAS BEEN BUILDING A COMMUNITY BASED SYSTEM THAT IS AIMED AT MEETING THIS NEED AS PRIORITIZED IN THE CHNA. FROM THAT TIME UNTIL JUNE 2018, CHOC HAS ADDED SEVERAL PEDIATRIC PRACTICES TO ITS MEDICAL FOUNDATION, WITH MORE TO BE ADDED IN THE NEAR FUTURE. AS OF JUNE 2018, CHOCS PEDIATRIC SYSTEM OF CARE INCLUDES ORANGE COMMUNITY CLINIC, CLINICA CHOC PARA NINOS-SANTA ANA, SANTA ANA BOYS AND GIRLS CLUB, ASTHMA BREATHMOBILE, GARDEN GROVE CLINIC, CHILDRENS HEALTH CENTER AT CENTRUM, SEA VIEW PEDATRICS (FOUR SITES), SOUTH ORANGE COUNTY PEDATRIC ASSOCIATES (FOUR SITES), PEDATRIC AND ADULT MEDICINE, AND LOS ALAMITOS PEDIATRIC MEDICAL GROUP. THERE ARE 93 PROVIDERS THAT SERVE THE PRACTICE SITES WHICH COVER THE MAJORITY OF CHOCS AND CHOC CHILDRENS AT MISSIONS SERVICE AREAS AND PROVIDE BASIC PEDATRIC HEALTH CARE TO UNDERSERVED AREAS WITHIN ORANGE COUNTY. ADDITIONAL PRACTICES ARE SCHEDULED TO BE ADDED IN FY 2019 AND BEYOND. DEVELOPMENTAL DISABILITIES, SPECIFICALLY AUTISM RECOGNIZING THE PERVASIVENESS OF AUTISM IN THE ORANGE COUNTY PEDIATRIC POPULATION, CHOC HAS ACTIVELY SUPPORTED FOR OC KIDS, AN ORGANIZATION THAT DIAGNOSES AND TREATS CHILDREN UP TO SIX YEARS OF AGE. MORE RECENTLY, CHOC HAS ENGAGED IN A PARTNERSHIP WITH THE CHILDRENS AND FAMILY COMMISSION OF ORANGE COUNTY, THE UNIVERSITY OF CALIFORNIA IRVINE, CHAPMAN UNIVERSITY AND THE THOMPSON CENTER FOR AUTISM (COLUMBIA, MO) TO ESTABLISH THE CENTER FOR AUTISM AND NEURODEVELOPMENT DISORDERS IN SANTA ANA. CHOC IS PROVIDING FINANCIAL SUPPORT FOR AN ADDITIONAL NEURO-DEVELOPMENTAL PEDIATRICIAN, PSYCHOLOGY AND PHYSICAL THERAPY SERVICES TO EXPAND ACCESS TO THE SERVICES FOR A GREATER NUMBER OF ORANGE COUNTY CHILDREN INCLUDING THOSE OVER EIGHT YEARS OLD. THERE WERE NO SIGNIFICANT NEEDS IDENTIFIED BUT NOT ADDRESSED FROM THE MOST RECENTLY CONDUCTED CHNA. Schedule H, Part V, Lines 16A & 16B The FAP and the FAP application AND PLAIN LANGUAGE SUMMARY are available at the following link: https://www.choc.org./patients-family/pay-bill/. They are also included in Appendix A of the Community Benefit Report posted at www.choc.org/about, and by clicking on the link to view our community benefit plan.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	59	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ORANGE PRIMARY CARE CLINIC
1201 W La Veta Ave	ORANGE	CA	92868	clinic
CLINICA CHOC PARA NINOS-SANTA ANA
406 SOUTH MAIN STREET	SANTA ANA	CA	92701	clinic
SANTA ANA BOYS AND GIRLS CLUB
1000 WEST HIGHLAND	SANTA ANA	CA	92703	clinic
ASTHMA BREATHMOBILE
1201 W La Veta Ave	ORANGE	CA	92868	clinic
GARDEN GROVE CLINIC
10602 CHAPMAN AVENUE	GARDEN GROVE	CA	92840	clinic
CHOC CHILDREN'S ENDOCRINE & DIABETES CTR
520 SUPERIOR AVE SUITE 160	NEWPORT BEACH	CA	92663	clinic
CHOC CHILDREN'S HOSPITAL
SPECIALTY CLINICS 455 SOUTH MAIN S	ORANGE	CA	92868	clinics
CHOC UROLOGY CENTER
505 S MAIN ST SUITE 100	ORANGE	CA	92868	clinic
PEDIATRIC PSYCHOLOGY
1120 W LA VETA AVENUE SUITE 470	ORANGE	CA	92868	Physician Office
BLOOD&DONORAPHERESIS
505 SOUTH MAIN STREET SUITE 185	ORANGE	CA	92868	CLINIC
CHOC NEUROLOGY CENTER
1120 W LA VETA AVENUE SUITE 125	ORANGE	CA	92868	CLINIC
Fountain Valley GASTROENTEROLOGY
11100 Warner Ave suite 252	Fountain Valley	CA	92708	Physician Office
Laguna Niguel OUTPATIENT OFFICE
23521 Paseo de Valencia Suite 200	Laguna Hills	CA	92653	Physician Office
CHOC Children's Mission Viejo CLINIC
27800 Medical Center Road BLDG 2	Mission Viejo	CA	92691	CLINIC
Newport Beach OTOLARYNGOLOGY
446 Old Newport Blvd	Newport Beach	CA	92663	CLINIC
CHOC Children's Specialists Cardiology
505 S Main St Suite 200	ORANGE	CA	92868	Physician Office
CHOC Children's Spclst Pediatric Surgery
505 S Main St Suite 225	Orange	CA	92868	Physician Office
CHOC Children's Allergy
725 W La Veta Suite 100	Orange	CA	92868	Physician Office
CHOC Children's Specialists Opthamology
1010 WEST LA VETA SUITE 640	Orange	CA	92868	Physician Office
CHOC Children's Speclst Otolaryngology
1010 W La Veta Suite 640	ORANGE	CA	92868	Physician Office
CHOC Children's Health Center
845 Magnolia Avenue 101	Corona	CA	92879	Clinic
CHOC CHILDREN'S HEALTH CENTER
19582 BEACH BLVD SUITE 380	HUNTINGTON BEACH	CA	92648	CLINIC
CHOC CHILDREN'S SPECLST NB CLINIC
500 SUPERIOR AVE STE 140	NEWPORT BEACH	CA	92868	CLINIC
CHOC CHILDREN'S SPECLST MV CLINIC
26691 PLAZA DR STE 130	MISSION VIEJO	CA	92691	CLINIC
CHOC CHILDREN'S SPECLST UCI CARDIOLOGY
1140 W LA VETA AVE STE 750	ORANGE	CA	92868	CLINIC
CHOC CHILDREN'S SPECLST OTOLARYNGOLOGY
1010 WEST LA VETA SUITE 710	ORANGE	CA	92868	PHYSICIAN OFFICE
CHOC CHILDREN'S SPECLST OTOLARYNGOLOGY
770 PACIFIC COAST HWY STE 100	SEAL BEACH	CA	90740	CLINIC
CHOC CHILDREN'S SPECLST OTOLARYNGOLOGY
250 E YALE LOOP STE 200	IRVINE	CA	92604	CLINIC
CHOC CHILDREN'S SPECLST PHYS OFFICE
505 S MAIN ST STE 1200 1250 EXP	ORANGE	CA	92868	PHYSICIAN OFFICE
Centrum Clinic
1120 W La Veta Ave Suite 125	Orange	CA	92868	Clinic
CCN Los Alamitos Pediatric Medical Group
10861 Cherry Street Suite 305	Los Alamitos	CA	90720	Physician Office
CCN Pomona Pediatrics
250 W Bonita Avenue Suite 200	Pomona	CA	91767	Clinic
Otolaryngology Irvine
250 East Yale Loop Suite 200	Irvine	CA	92606	OP Hospital
GI LB
2801 Atlantic Blvd	Long Beach	CA	90806	OP Hospital
MV Surgery
26730 Crown Valley Parkway	Mission Viejo	CA	92691	Private Office
Radys Murrieta - GI
25485 Medical Center Dr Ste 100	Murrieta	CA	92562	OP Hospital
Murrieta MTU
Murrieta MTU 41350 Guava St	Murrieta	CA	92562	CCS Clinic
Hoag Specialty Ctr
500 Superior Ave Suite 140	Newport Beach	CA	92660	Private Office
Neuro Commerce Tower
505 S Main St Suite 350	Orange	CA	92868	OP Hospital
St Joes Dialysis Ctr
1300 W Palmyra Dr	Orange	CA	92868	OP Hospital
Neurosurgery Office
1010 W LaVeta Suite 710	Orange	CA	92868	Private Office
St Joes OP Pav
1140 W LaVeta Ave	Orange	CA	92868	OP Hospital
Ophthalmology Centrum
1120 W La Veta Ave Suite 100	Orange	CA	92868	Private Office
UCI Downs
101 The City Drive South Pavilion	Orange	CA	92868	OP Hospital
PV OP Specialty Clinic
1770 N Orange Grove Suite 210	Pomona	CA	91767	OP Hospital
Riverside MTU
9390 California Ave	Riverside	CA	92503	CCS Clinic
Autism Ctr Red Hill
2500 Red Hill Ave	Santa Ana	CA	92705	OP Hospital
Oto Office Seal Beach
770 Pacific Coast Highway	Seal Beach	CA	90740	Private Office
Tustin MTU
13601 Browning Ave	Tustin	CA	92780	CCS Clinic
PIH Whittier Specialty Clinic
12291 Washington Blvd Suite 500	Whittier	CA	90606	OP Hospital
CCN SEA VIEW PEDIATRICS
2 JOURNEY STE 100	ALISO VIEJO	CA	92653	PHYSICIAN OFFICE
CCN SEA VIEW PEDIATRICS
23521 PASEO DE VALENCIA STE 200	LAGUNA HILLS	CA	92656	PHYSICIAN OFFICE
CCN SEA VIEW PEDIATRICS
15785 LAGUNA CANYON ROAD STE 120	IRVINE	CA	92618	PHYSICIAN OFFICE
CCN SEA VIEW PEDIATRICS
1031 EAST AVENIDA PICO STE 106	SAN CLEMENTE	CA	92673	PHYSICIAN OFFICE
CCN SOUTH ORANGE COUNTY PEDIATRIC ASSOC
23321 EI TORO ROAD STE FG	LAKE FOREST	CA	92630	PHYSICIAN OFFICE
CCN SOUTH ORANGE COUNTY PEDIATRIC ASSOC
30212 TOMAS STE 220	RANCHO SANTA MARGARITA	CA	92688	PHYSICIAN OFFICE
CCN SOUTH ORANGE COUNTY PEDIATRIC ASSOC
777 CORPORATE DRIVE STE 250	LADERA RANCH	CA	92694	PHYSICIAN OFFICE
CCN SOUTH ORANGE COUNTY PEDIATRIC ASSOC
1300 AVENIDA VISTA HERMOSA STE 20	SAN CLEMENTE	CA	92673	PHYSICIAN OFFICE
CCN PEDIATRIC AND ADULT MEDICINE
18102 IRVINE BLVD 103	TUSTIN	CA	92780	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC CHILDREN'S) AND CHOC CHILDREN'S AT MISSION HOSPITAL (CCMH) ANNUALLY AND IS FILED IN ACCORDANCE WITH CALIFORNIA SB697.
SCHEDULE H, PART I, LINE 7	THE ORGANIZATION USES THE COST-TO-CHARGE RATIO METHODOLOGY TO DETERMINE THE COST OF CHARITY CARE AND UNREIMBURSED COST OF CARE PROVIDED TO MEDI-CAL PATIENTS. COSTS ARE ACCOUNTED FOR USING AN INTERNAL DECISION SUPPORT SYSTEM. THE COST-TO-CHARGE RATIO FOLLOWS THE METHOD DEFINED BY THE MEDICARE COST REPORT AND IS UPDATED MONTHLY USING THE MOST RECENT ORGANIZATIONAL INFORMATION. PROVIDER FEE PROGRAM The State of California has a provider fee program that, combined with federal matching funds, has provided supplemental medi-cal payments to hospitals in the state. IN 2017, CMS issued final required federal approval for the fee for service portion of the 6 month provider fee program ended July 31, 2017. In Fiscal year 2018, choc recognized revenues for this program of $20,120,000 and provider fees and other expenses of $4,789,000. In addition, CMS issued final approval in 2018 of the fee for service portion of the 12 month program ended june 30, 2018. under this portion of the program, ccmh recognized revenues of $50,548,000 and provider fee and other expenses of $11,861,000. the amounts were recognized as net patient revenue and operating expensees respectively, in the year ended june 30, 2018. THE CHNA REPORT IS AVAILABLE AT HTTP://WWW.CHOC.ORG/ABOUT
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: Community support IS BEST EXEMPLIFIED BY THE ORGANIZATION'S INCREASED EMPHASIS ON COMMUNITY OUTREACH AND COMMUNITY EDUCATION, WHICH INCLUDES INJURY PREVENTION, SAFETY AND WELLNESS. The organization has 84 different community benefit programs categorized according to the California community benefits law, SB697. Within these categories, the category which most closely correlates to line 3, community support, is Healthcare Access. Through Healthcare Access, the organization increases access to quality pediatric healthcare resources and information to families, especially low-income and medically underserved, throughout Orange County. This is accomplished through community outreach clinics and education.
SCHEDULE H, PART III, LINE 2	THE ORGANIZATION CHARGES BAD DEBT FOR (A) THE WRITE-OFF OF PATIENT ACCOUNTS WHERE FAMILIES DID NOT COOPERATE WITH CHOC IN THE COMPLETION OF MEDI-CAL OR CHARITY CARE APPLICATIONS AND WHERE INSUFFICIENT INFORMATION COULD BE OBTAINED REGARDING THE FINANCIAL STATUS OF THE FAMILY, AND (B) A PROVISION FOR OUTSTANDING ACCOUNTS RECEIVABLE FROM SELF-PAY (INCLUDING PENDING MEDI-CAL AND PENDING CHARITY) ACCOUNTS. THE ORGANIZATION APPLIES ITS CHARITY CARE POLICY TO DETERMINE ELIGIBILITY BASED ON FAMILIES' SATISFYING THE APPLICATION REQUIREMENTS AND THE ORGANIZATION'S ELIGIBILITY CRITERIA. THE ORGANIZATION DOES, HOWEVER, HAVE FAMILIES WHO FAIL TO COMPLETE THE REQUIRED PAPERWORK DESPITE THE ORGANIZATION'S EFFORTS TO EDUCATE ALL FAMILIES OF THE CHARITY CARE OPTIONS. IN THESE CASES, AN ASSESSMENT OF CHARITY CARE ELIGIBILITY IS MADE BASED ON KNOWN INFORMATION. SCHEDULE H, PART III, LINE 3 THE HOSPITAL FOLLOWS HFMA STATEMENT 15 AND THEREFORE NO PART OF BAD DEBT, AS DEFINED BY STATEMENT 15, REPRESENTS AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. SCHEDULE H, PART III, LINE 4 AUDITED FINANCIAL STATEMENT FOOTNOTE: See audited financial statements, page 7 for the financial statement footnote related to accounts receivable and the allowance for doubtful accounts. CHOC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS ON A MONTHLY BASIS AS WELL AS AGE OF ACCOUNTS AND OTHER FACTORS. PAST-DUE BALANCES OVER 90 DAYS AND OVER A SPECIFIED AMOUNT ARE REVIEWED INDIVIDUALLY FOR COLLECTABILITY. THERE ARE OTHER FACTORS THAT CAN IMPACT COLLECTIONS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF CO-PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS REMOTE, BUT IN NO CASE BEYOND ONE YEAR FROM DATE OF SERVICE.
SCHEDULE H, PART III, LINE 8	THE ALLOWABLE COST IS BASED ON A COST TO CHARGE RATIO OF .2001 AS DETERMINED BY THE ORGANIZATION'S FILED MEDICARE COST REPORT. SHORTFALLS ARE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE DOLLAR VALUE OF BENEFITS PROVIDED BY LEGISLATIVE CATEGORY LINK TO THE DOLLARS IDENTIFIED BY COMMUNITY NEEDS. CHOC REPORTS UNPAID COSTS OF PUBLIC PROGRAMS AS GOVERNMENT PAYOR SHORTFALLS. THE PRINCIPAL MEASURE FOR MONITORING COMMUNITY BENEFIT SERVICES IS THE DOLLAR VALUE OF BENEFITS RETURNED TO THE COMMUNITY PER DOLLAR OF TAX EXEMPTION VALUE RECEIVED. SCHEDULE H, PART III, LINE 9B THE HOSPITAL'S WRITTEN BAD-DEBT COLLECTION POLICY STATES THE FOLLOWING: 1. IF A PATIENT QUALIFIES FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE PROGRAM (FAP) AND IS MAKING EVERY EFFORT TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, CHOC OR ITS AGENT WILL NOT SEND, NOR INTIMATE THAT IT WILL SEND, THE UNPAID ACCOUNT TO AN OUTSIDE AGENCY IF DOING SO MAY NEGATIVELY IMPACT A PATIENT'S CREDIT. IF CHOC IS FORCED TO SEND THE ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY WILL REFLECT THE REDUCED PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE FAP. AT NO TIME WILL A PATIENT ACCOUNT BE REFERRED TO AN OUTSIDE COLLECTION AGENCY IF THE ACCOUNT IS LESS THAN 150 DAYS FROM ORIGINAL BILLING. 2. IN DEALING WITH IDENTIFIED UNINSURED PATIENTS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL, CHOC WILL NOT USE WAGE GARNISHMENTS OR LIENS ON PATIENT'S OR PATIENT FAMILY'S PRIMARY RESIDENCE AS A MEANS OF COLLECTING UNPAID CHOC BILLS. THIS REQUIREMENT DOES NOT PRECLUDE CHOC FROM PURSUING REIMBURSEMENT FROM THIRD PARTY LIABILITY SETTLEMENTS. SCHEDULE H PART VI LINE 2 NEEDS ASSESSMENT: IN ADDITION TO THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, CHOC REGULARLY TRACKS KEY DEMOGRAPHIC CHANGES IN THE PEDIATRIC POPULATION OF ITS COMMUNITY AND THE UTILIZATION OF KEY SERVICES DELIVERED, AND EVALUATES THE PROGRAMS IT PROVIDES TO MEET IDENTIFIED NEEDS. THROUGH CONSTANT CONTACT WITH A VARIETY OF COMMUNITY CONSTITUENTS, CHOC IS ABLE TO LEARN ABOUT EMERGING TRENDS AND NEEDS. IT THEN EVALUATES OPTIONS TO MEET THOSE NEEDS, EITHER ALONE OR IN COLLABORATION WITH OTHERS IN THE COMMUNITY. All OF THE PROGRAMS ASSOCIATED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE IN THE REPORT ON THE HOSPITAL'S WEBSITE AT WWW.CHOC.ORG AS WELL AS A PAPER COPY THAT IS AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. SCHEDULE H PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED OF THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE HOSPITAL'S CHARITY CARE POLICY IN OUR FINANCIAL ASSISTANCE AND DISCOUNT PROGRAM POLICY. THIS INFORMATION, EITHER IN FULL OR IN SUMMARY, IS POSTED IN ALL OF THE HIGH TRAFFIC PATIENT AREAS: ADMITTING, EMERGENCY ROOM, CLINIC AND THE BUSINESS OFFICE. THE PATIENTS ARE ALSO INFORMED IF THERE IS A FINANCIAL NEED IDENTIFIED BY THE HOSPITAL FINANCIAL COUNSELORS WHEN SPEAKING TO THE FAMILIES ABOUT THEIR INSURANCE OR LACK OF INSURANCE. PATIENTS ARE PROVIDED A COPY OF THE HOSPITAL'S PATIENT FINANCIAL ASSISTANCE AND DISCOUNT PAYMENT PROGRAM POLICY. FAMILIES ARE ALSO NOTIFIED ON EVERY PATIENT STATEMENT THAT IF THERE IS A FINANCIAL NEED THEY SHOULD CALL THE DESIGNATED PHONE NUMBER FOR MORE INFORMATION AND ASSISTANCE. FINANCIAL ASSISTANCE COMMUNICATION - AS PART OF THE HOSPITAL'S ONGOING PUBLIC AWARENESS CAMPAIGNS, THE MISSION STATEMENTS (INCLUDING THE FINANCIAL ASSISTANCE POLICY) ARE INCLUDED WHEREVER POSSIBLE ON PROGRAM BROCHURES, FACILITY BROCHURES, MEDICAL EDUCATION INFORMATION, COMMUNITY EDUCATION MATERIALS, CONFERENCE INVITATIONS AND ADMISSION MATERIALS. ADDITIONALLY, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS EMPHASIZED IN PUBLIC RELATIONS AND MEDIA RELATIONS EFFORTS, FOUNDATION CAMPAIGNS, AND SELECTED MARKETING CAMPAIGNS. THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED AS PART OF THE ANNUAL COMMUNITY BENEFIT REPORT. The Financial Assistance Policy is available in english and spanish. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION - THE HOSPITAL SERVES ALL OF ORANGE COUNTY AND A LIMITED, ALTHOUGH SIGNIFICANT, NUMBER OF PATIENTS FROM THE WESTERN RIM OF RIVERSIDE AND SAN BERNARDINO COUNTIES, THE NORTHERN PORTION OF SAN DIEGO COUNTY AND SOUTHEAST AREAS OF LOS ANGELES COUNTY. THE PRIMARY SERVICE AREA IS THE CENTRAL-NORTHERN PORTION OF ORANGE COUNTY, AND IS THE SOURCE OF APPROXIMATELY 72% OF ITS PATIENTS. SIGNIFICANT CITIES IN THIS AREA ARE: SANTA ANA, ANAHEIM, FULLERTON, ORANGE, AND GARDEN GROVE. THE SECONDARY SERVICE AREA INCLUDES ALL THE OTHER ORANGE COUNTY CITIES AND UNINCORPORATED AREAS. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS. COMMUNITY CHARACTERISTICS POPULATION AND SOCIOECONOMIC DATA PROJECTIONS FOR 2017-2018 have been collected from a variety of local county and state sources representing DEMOGRAPHIC ANALYSIS OF ORANGE COUNTY, INCLUDING THE COMBINED SERVICE AREAS OF BOTH HOSPITALS CHOC AND CCMH. TOTAL POPULATION OF THE COUNTY WAS 3.2 MILLION, ACCORDING TO 2016 ESTIMATES, MAKING IT THE THIRD LARGEST COUNTY IN CALIFORNIA. THE MEDIAN AGE IS 36.4, AND CHILDREN UP TO 18 YEARS OF AGE MAKE UP 25% OF THE TOTAL POPULATION. THE LARGEST RACE/ETHNICITY SUBGROUP IS WHITE, AT 43%. LATINOS/HISPANICS ARE 34% OF THE POPULATION. ASIANS/PACIFIC ISLANDERS ARE 19% OF THE TOTAL, AND THE AFRICAN AMERICAN POPULATION REPRESENTS APPROXIMATELY 2% OF THE TOTAL ORANGE COUNTY POPULATION. SOCIOECONOMIC PROFILE THE U.S. CENSUS AMERICAN COMMUNITY SURVEY FOR 2016 INDICATED THAT 17.6% OF CHILDREN UNDER THE AGE OF 18 IN ORANGE COUNTY, 23% IN CALIFORNIA, AND 22.0% IN THE U.S. WERE BELOW THE POVERTY LEVEL. THE U.S. BUREAU OF THE CENSUS ESTIMATED THAT IN 2016, THE COUNTY'S MEDIAN HOUSEHOLD INCOME is $74,163. The percentage of the hospital's patients who are uninsured or Medicaid recipients was 62.1%. THERE ARE 31 OTHER HOSPITALS SERVING THE COMMUNITY.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) IS THE NOT-FOR-PROFIT, TAX-EXEMPT PARENT CORPORATION OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC CHILDREN'S) AND CHOC CHILDREN'S AT MISSION HOSPITAL (CCMH). THE HOSPITALS ARE THE PRINCIPAL TERTIARY AND QUATERNARY PEDIATRIC HOSPITALS SERVING ORANGE COUNTY AND ARE THE ONLY HOSPITALS EXCLUSIVELY SERVING INFANTS, CHILDREN AND ADOLESCENTS. THE ORGANIZATION IS COMPRISED OF TWO HOSPITALS; A NUMBER OF PRIMARY AND SPECIALTY CLINICS THROUGHOUT ORANGE AND RIVERSIDE COUNTIES, PROGRAMS AND SERVICES; AND FOUR CENTERS OF EXCELLENCE, THE CHOC HEART, NEUROSCIENCE, hyundai cancer institute AND ORTHOPAEDIC INSTITUTES. CHOC ALSO HAS A RESEARCH INSTITUTE PERFORMING BASIC SCIENCE AND CLINICAL RESEARCH. THROUGH ITS JOINT RESIDENCY PROGRAM WITH UC IRVINE, THE ORGANIZATION ALSO TRAINS TOMORROW'S PHYSICIANS. THE COMMUNITY BENEFIT PLAN FOR THE FISCAL YEAR ENDING JUNE 30, 2017, DESCRIBES THE BENEFIT PLANNING PROCESS, THE BENEFITS PROVIDED, AND THE ECONOMIC VALUE OF THE BENEFITS. COMMUNITY BENEFITS ARE FREE OR SUBSIDIZED PROGRAMS AND SERVICES PROVIDED TO MEET IDENTIFIED COMMUNITY NEEDS AND TO SERVE THE PUBLIC INTEREST. THE ORGANIZATION'S COMMUNITY BENEFIT PLAN IS AVAILABLE ONLINE AT: HTTP://WWW.CHOC.ORG/ABOUT. THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. CLINICAL PRIVILEGES ARE GRANTED TO ALL QUALIFIED PHYSICIANS AS MEMBERS OF THE MEDICAL STAFF. MEDICAL STAFF MEMBERS PROVIDE PATIENT CARE AND HAVE ACCESS TO HOSPITAL RESOURCES (INCLUDING EQUIPMENT, FACILITIES AND PERSONNEL) WHICH ARE NECESSARY TO EFFECTIVELY EXERCISE THEIR PRIVILEGES. PHYSICIANS ARE QUALIFIED TO BE MEMBERS OF THE MEDICAL STAFF IF THEY MEET THE FOLLOWING CRITERIA: ONLY PRACTICING PHYSICIANS, DENTISTS, PSYCHOLOGISTS OR PODIATRISTS SHALL BE DEEMED TO POSSESS BASIC QUALIFICATIONS FOR MEMBERSHIP ON THE MEDICAL STAFF, EXCEPT FOR THE HONORARY AND RETIRED STAFF CATEGORIES IN WHICH CASE THESE CRITERIA SHALL ONLY APPLY AS DEEMED INDIVIDUALLY APPLICABLE BY THE MEDICAL STAFF, AND WHO: (A) DOCUMENT THEIR (1) CURRENT LICENSURE, (2) ADEQUATE EXPERIENCE, EDUCATION, AND TRAINING, (3) CURRENT PROFESSIONAL COMPETENCE, (4) GOOD JUDGMENT, AND (5) CURRENT ADEQUATE PHYSICAL AND MENTAL HEALTH STATUS, SO AS TO DEMONSTRATE TO THE SATISFACTION OF THE MEDICAL STAFF THAT THEY ARE PROFESSIONALLY AND ETHICALLY COMPETENT AND THAT PATIENTS TREATED BY THEM CAN REASONABLY EXPECT TO RECEIVE QUALITY MEDICAL CARE. (B) ARE DETERMINED (1) TO ADHERE TO THE ETHICS OF THEIR RESPECTIVE PROFESSIONS, (2) TO BE ABLE TO WORK COOPERATIVELY WITH OTHERS SO AS NOT TO ADVERSELY AFFECT PATIENT CARE, (3) TO KEEP AS CONFIDENTIAL, AS REQUIRED BY LAW, ALL INFORMATION OR RECORDS RECEIVED IN THE PHYSICIAN-PATIENT RELATIONSHIP, AND (4) TO BE WILLING TO PARTICIPATE IN AND PROPERLY DISCHARGE THOSE RESPONSIBILITIES DETERMINED BY THE MEDICAL STAFF AND BE BOUND BY THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS, AND POLICIES. (C) WHO MAINTAIN IN FORCE PROFESSIONAL LIABILITY INSURANCE IN NOT LESS THAN THE MINIMUM AMOUNTS JOINTLY DETERMINED BY THE BOARD OF DIRECTORS AND THE MEDICAL EXECUTIVE COMMITTEE, BUT IN NO EVENT LESS THAN $1.0 MILLION PER INCIDENT AND $3.0 MILLION IN THE AGGREGATE IN A POLICY YEAR; PROVIDED, HOWEVER, THAT IN THE EVENT THAT (AND FOR SO LONG AS) SUCH INSURANCE IS NOT AVAILABLE ON COMMERCIALLY REASONABLE TERMS TO PHYSICIANS PRACTICING IN A PARTICULAR SPECIALTY OR SUB-SPECIALTY AREA OF MEDICAL PRACTICE, THE FOREGOING REQUIREMENTS MAY BE MODIFIED OR WAIVED WITH RESPECT TO ALL PHYSICIANS PRACTICING IN SUCH SPECIALTY OR SUB-SPECIALTY AREA, SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS UPON REQUEST OF THE MEDICAL EXECUTIVE COMMITTEE. ADMINISTRATIVE STAFF AND MEMBERS ON A LEAVE OF ABSENCE DO NOT NEED TO SHOW EVIDENCE OF INSURANCE. THE ORGANIZATION APPLIES ITS SURPLUS FUNDS TO IMPLEMENT IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. DURING THE REPORTING YEAR ENDED JUNE 30, 2013, THE ORGANIZATION COMPLETED THE CONSTRUCTION OF A STATE-OF-THE-ART $552 MILLION HOSPITAL TOWER ON ITS MAIN CAMPUS IN THE CITY OF ORANGE. CONSTRUCTION OF THE 7 STORY BUILDING STARTED IN 2009 AND OPENED ITS DOORS TO PATIENTS IN 2013. THE NEW TOWER INCLUDES INPATIENT AND OUTPATIENT CARE FOR CHILDREN, WITH EMERGENCY DEPARTMENT, OPERATING ROOMS, A MEDICAL LABORATORY, PATHOLOGY DEPARTMENT AND IMAGING AND RADIOLOGY SERVICES. The emergency department became a designated trauma unit in October 2014. THERE IS ALSO A LARGE CONFERENCE AREA TO ACCOMMODATE AND SUPPORT SOME OF THE ORGANIZATION'S TEACHING ACTIVITIES. THE CHOC ENDOWMENT FUNDS ARE IN PART USED TO FUND MEDICAL RESEARCH, CLINICAL PROGRAMS AND SERVICES, AND TO RECRUIT AND RETAIN DOCTORS WHO ARE THE BEST IN THEIR FIELDS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: FOR OVER 50 YEARS, CHOC CHILDREN'S HAS BEEN STEADFASTLY COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO CHILDREN. AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, IRVINE, OUR REGIONAL PEDIATRIC HEALTHCARE NETWORK INCLUDES A STATE-OF-THE ART 334 BED HOSPITAL IN THE CITY OF ORANGE AND A HOSPITAL-WITHIN-A-HOSPITAL IN MISSION VIEJO. CHOC ALSO OFFERS MANY PRIMARY AND SPECIALTY CARE CLINICS, MORE THAN 89 ADDITIONAL PROGRAMS AND SERVICES, A PEDIATRIC RESIDENCY PROGRAM, AND FOUR CENTERS OF EXCELLENCE - THE CHOC CHILDREN'S HEART, NEUROSCIENCE, ORTHOPAEDIC, AND HYUNDAI CANCER INSTITUTES. THE ECONOMIC VALUE OF THE 89 BENEFIT SERVICES PROVIDED BY CHOC AND CCMH IN FISCAL YEAR 2018 IS $84.5 MILLION. OF THESE DOLLARS, 64.6% (54.6 Million) SERVED THE ECONOMICALLY DISADVANTAGED. THE ECONOMIC VALUE OF SAVINGS FROM NOT-FOR-PROFIT STATUS IS $43.4 MILLION. THUS, THE HOSPITALS RETURN $1.95 IN COMMUNITY BENEFITS FOR EACH $1 SAVED FROM TAX-EXEMPT STATUS. IN ADDITION TO THE $84.5 MILLION IN BENEFITS PROVIDED FOR BY THE HOSPITALS REFERENCED ABOVE, BOARD MEMBERS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS CONTRIBUTED 57,000 HOURS OF VOLUNTEER SERVICE TO THE COMMUNITY. SCHEDULE H PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED ANNUALLY IN THE STATE OF CALIFORNIA.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HEALTHCARE OF CALIFORNIA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 West La Veta Avenue	AddressLine1Txt
City	ORANGE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92868	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	330265266	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$75,000,000	CashGrantAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc
Purpose Of Grant	SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS - PART I, LINE 2	FormAndLineReferenceDesc
Explanation	The grant from CHOC to CHC was in accordance with the bylaws of both organizations.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kimberly Cripe
DIRECTOR/PRESIDENT	$0	$957,940	$0	$352,837	$0	$287,738	$0	$62,556	$0	$26,225	$0	$1,687,296	$0	$43,791
Marcia Folli
Vice President/CNO	$141,558	$141,558	$27,210	$27,210	$40,386	$40,386	$12,660	$12,660	$12	$12	$221,826	$221,826	$4,879	$4,879
Jay Gabriel
Secretary	$441,138	$0	$89,293	$0	$107,837	$0	$189,487	$0	$32,190	$0	$859,945	$0	$179,995	$0
Matthew Gerlach
Exec. Vice President/COO	$0	$547,187	$0	$136,304	$0	$161,439	$0	$27,967	$0	$18,441	$0	$891,338	$0	$21,747
Maria Minon MD
SVP/CMO	$536,125	$0	$112,600	$0	$134,829	$0	$33,042	$0	$11,261	$0	$827,857	$0	$18,342	$0
Kerri Ruppert Schiller
EVP/CFO/Assistant Secretary	$0	$553,886	$0	$140,832	$0	$154,622	$0	$37,638	$0	$31,761	$0	$918,739	$0	$21,706
Melanie Patterson
VP Patient Care Svcs, CNO	$325,332	$0	$56,305	$0	$49,390	$0	$117,060	$0	$26,237	$0	$574,324	$0	$99,610	$0
Hale Kuhlman
VP, Specialty Physician SRV	$279,271	$0	$53,620	$0	$84,714	$0	$25,033	$0	$18,430	$0	$461,068	$0	$9,642	$0
Nick Anas MD
Pediatrician in Chief	$519,237	$0	$139,922	$0	$145,697	$0	$25,986	$0	$30,606	$0	$861,448	$0	$16,637	$0
Michael Weiss
VP CHOC Health Alliance	$391,724	$0	$75,011	$0	$88,529	$0	$161,633	$0	$21,193	$0	$738,090	$0	$154,989	$0
William Rohde
Vice President Finance	$291,710	$0	$52,958	$0	$82,002	$0	$135,153	$0	$12,894	$0	$574,717	$0	$127,207	$0
Thomas Capizzi
Vice President Human Resources	$326,323	$0	$55,694	$0	$44,561	$0	$67,446	$0	$12,175	$0	$506,199	$0	$61,169	$0
James Cappon
Chief Quality & Patient Safety	$371,328	$0	$35,193	$0	$19,868	$0	$1,249	$0	$30,902	$0	$458,540	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SEVERANCE ARRANGEMENTS,PART I, LINE 4A	Part I, Line 4a Some of the organization's personnel listed on form 990 Part VII and Schedule J participate in a separation arrangement that provides for a portion of the employee's annual salary based on their position in the organization. For the senior executive level, the amount is based on years of service up to a maximum number of months. Unpaid severance under the separation agreements for current key employees were reported at their full value in a previous tax year. No payments were made in 2017.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	Part I, Line 4b Children's Hospital of Orange County (CHOC or the Company) established a nonqualified deferred compensation plan effective January 1, 2010 in which certain individuals listed on the form 990, Part VII and Schedule J are participants. Under the established Supplemental Executive Retirement Plan (the Plan), OR SERP, for each Plan year that begins prior to the participant's cash date, CHOC shall create a new SERP account on its books for the Participant and shall credit to such account at times specified. The participants of the plan are general creditors of the company. The participant's SERP account shall be utilized solely as a device for the measurement and determination of the amounts to be paid to the participant under this plan. The participant is entitled to his/her SERP benefit amount upon the earliest of (1) remaining employed with the Company to the third anniversary of the first day of the Plan Year for which the SERP account was created; (2) remaining employed with the Company to the Participant's 60th birthday; (3) remaining employed with the Company to the date the Participant has both attained at least age 55 and has completed at least 10 years of service; (4) disability; (5) involuntary separation from service without reasonable cause; (6) voluntary separation from service for good reason or (7) death. The following individuals received payments from the Plan during calendar year 2017: FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2017: MS. CRIPE ($189,761), MS. SCHILLER ($93,078), MS. FOLLI ($42,287), DR. MINON ($81,107), MS. PATTERSON ($8,441), MR. KUHLMAN ($41,782), DR. ANAS ($79,468), MR. WEISS ($37,893), MR. ROHDE ($42,383) AND MR GERLACH ($94,236)
Compensation from an affiliated organization	Kimberly C. Cripe is compensated through Children's HealthCare of California (CHC), however, in addition to her responsibilities for CHC, she also serves as an officer of Children's Hospital of Orange County, CHOC Foundation, CRC Real Estate Corporation and Children's Hospital at Mission (all IRC Section 501(c)(3) affiliates). Ms. Cripe devotes approximately 75% of her time each week to Children's Hospital of Orange County responsibilities with the balance of her time being spent on the other related organizations' business affairs. Kerri Ruppert Schiller is compensated through Children's HealthCare of California (CHC), however, in addition to her responsibilities for CHC, she also serves as an officer of Children's Hospital of Orange County, CHOC Foundation, CRC Real Estate Corporation and Children's Hospital at Mission (all IRC Section 501(c)(3) affiliates). Ms. Schiller devotes approximately 60% of her time each week to Children's Hospital of Orange County responsibilities with the balance of her time being spent on the other related organizations' business affairs. Matthew Gerlach IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HIS RESPONSIBILITIES FOR CHC, HE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHILDREN'S HOSPITAL AT MISSION AND CRC REAL ESTATE CORPORATION (ALL IRC SECTION 501(C)(3) AFFILIATES). MR. Gerlach DEVOTES APPROXIMATELY 85% OF HIS TIME EACH WEEK TO CHILDREN'S HOSPITAL OF ORANGE COUNTY RESPONSIBILITIES WITH THE BALANCE OF HIS TIME BEING SPENT ON CHILDREN'S HOSPITAL AT MISSION'S BUSINESS AFFAIRS. Marcia Folli is compensated through Children's Hospital at Mission; however, in addition to her responsibilities for Children's Hospital at Mission, she also serves as V.P. of Ancillary Services at Children's Hospital of Orange County, an IRC Section 501(c)(3) affiliate. Ms. Folli devotes approximately 50% of her time each week to Children's Hospital of Orange County with the balance of her time being spent on Children's Hospital at Mission business affairs.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A	521643828	13033LBP1	2009-06-30	$137,686,600	CONSTRUCT A HOSPITAL	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13033LBT3	2009-06-30	$127,800,000	CONSTRUCT A HOSPITAL	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C	521643828	13033LRT6	2011-11-03	$105,003,490	CONSTRUCT A HOSPITAL	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$21,630,000	$0	$138,023,139	$10,971,276	$0	$0	$1,838,778	$0	$0	$17,244,250	$107,849,999	$0	2013	false	Yes (true)	Yes (true)	Yes (true)
B	$15,025,000	$0	$128,231,179	$0	$0	$0	$1,382,488	$0	$0	$126,850,189	$0	$0	2013	false	false	Yes (true)	Yes (true)
C	$1,545,000	$0	$105,083,835	$0	$0	$0	$0	$0	$0	$105,081,328	$0	$0	2013	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00161	0.00000	0.00161	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0			false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0			false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Exception To RebateExceptionToRebateInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
MORGAN STANLEY
B	false		Yes (true)	Yes (true)	false	0	false	Yes (true)	Yes (true)	30.	false	false
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 3	CUMULATIVE INTEREST EARNED ON ISSUE A: $ 336,539 CUMULATIVE INTEREST EARNED ON ISSUE B: $ 431,179 CUMULATIVE INTEREST EARNED ON ISSUE C: $ 80,345
part iv, line 2c	Bond A: Rebate computation was performed on 07/17/18

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Airline tickets	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$20,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Retail Price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I, Column B	FormAndLineReferenceDesc
Explanation	The number listed in part I, Line 9, Column (B) was determined based on the number of contributors.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 5 AND PART V, LINE 2	INFORMATION REGARDING CHOC AS THE COMMON PAYMASTER: Children's Hospital of Orange County is the common paymaster of the following: CHILDREN'S HEALTHCARE OF CALIFORNIA CHILDREN'S HOSPITAL AT MISSION CHOC FOUNDATION All wages and employee specific information, including volunteers, are retained with Children's Hospital of Orange County. form 990, Part I, Line 7b Part I, Line 7b includes Section 512(a)(7) qualified transportation fringe benefit amounts that are not revenue and therefore not reported on form 990.
COMMUNITY BENEFIT REPORT HIGHLIGHTS:	CHOC Children's is realizing its vision to become the leading destination for children's health by providing exceptional and innovative care. Affiliated with the University of California, Irvine, its quaternary and tertiary health care system includes two hospitals, with a combined bed count of 333, and several primary and specialty health care centers located throughout Orange County and the Inland Empire. In addition, CHOC has Orange County's only trauma center dedicated exclusively to children. Its staff, as well as community educators, are committed to creating a safe environment for families in Orange County with an injury prevention program that addresses, through safety tips and education, the most common causes of childhood injury. Four regionally recognized centers of excellence, the CHOC Children's Neuroscience, Orthopedic, Heart and Hyundai Cancer Institutes provide advanced diagnostics and treatment for some of the most serious pediatric and adolescent illnesses. The institutes and their team of clinical experts push the boundaries of what is possible in advancing care and bringing hope to children and families. A recent example: a CHOC Childrens Heart Institute cardiologist reached a major milestone in pediatric care when he joined an elite group of physicians in the world who have Implanted the Micra Transcatheter Pacing System (TPS), considered the Worlds smallest and leadless pacemaker. CHOC's patient is the smallest and youngest patient- quite possibly the only child to receive the device. CHOC's Research Institute has more than 350 studies in more than 30 specialties to provide patients-worldwide- with access to leading- edge treatments and cures. Most recently, CHOC became one of the few centers in the world to offer treatment for Batten disease, a rare genetic brain condition previously considered a death sentence for children. CHOC scientists translate the latest advances in molecular profiling, including whole genome sequencing, to meet the individual needs of patients at every stage of their lives, from infancy to adolescence. Dedicated to ensuring the community's children have access to the right care at the right time and place, CHOC's division of population health partners with primary and specialty care pediatricians to help them better coordinate care for patients, and improve outcomes. New tools, including evidence-based guidelines and disease-specific patient registries, and enhanced technology reduce variations in care, improving quality. In a pilot program focused on children with asthma, CHOC demonstrated a year-over-year reduction in emergency department visits 18 percent for patients in its largest primary care practice. An advocate for children and families, CHOC is addressing the lack of pediatric mental health services in the region with the creation of a comprehensive model of care. An inpatient mental health center, providing a safe, nurturing environment for children ages 3 to 18 and specialty programming for children younger than 12, is set to open in April 2018. In addition to inpatient services, CHOC is expanding outpatient behavioral services and leading a county-wide task force focused on ensuring every child and adult in Orange County who need mental health treatment receive high quality services without stigma or barriers to access. CHOC's mental health system of care strives to be a national model, benefitting children across the United states. See our community benefit reports on our website at www.choc.org LINES 6 & 7A - ORGANIZATION MEMBER INFORMATION THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) IS CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC). LINE 7B - ORGANIZATION MEMBER INFORMATION THE APPROVAL OF THE MEMBER SHALL BE REQUIRED WITH RESPECT TO ANY OF THE FOLLOWING ACTIONS: (1) CHANGING THE PURPOSES AND POWERS OF CHOC; (2) OBLIGATING CHOC TO UNDERTAKE ANY CAPITAL EXPENDITURE IN EXCESS OF $5,000,000; (3) ADOPTING CHOC'S ANNUAL OPERATING AND CAPITAL BUDGETS; (4) ADOPTING A LONG-TERM CAPITAL BUDGET; (5) BUYING, SELLING, LEASING, MORTGAGING, PLEDGING, OR OTHERWISE HYPOTHECATING ANY REAL PROPERTY; (6) INCURRING ANY INDEBTEDNESS IN EXCESS OF $5,000,000; (7) OBLIGATING CHOC TO ACT AS GUARANTOR WITH RESPECT TO ANY DEBT OF ANY PERSON OR OTHER ENTITY; (8) ACCEPTING ANY DONATION WHICH IS CONDITIONED UPON CHOC'S UNDERTAKING ANY UNBUDGETED CAPITAL EXPENDITURE IN EXCESS OF $5,000,000 OR ANY UNBUDGETED EXPENDITURE IN EXCESS OF $5,000,000; (9) ENTERING INTO ANY CONTRACT WHICH INVOLVES THE FOLLOWING: (A) ANY FINANCIAL OBLIGATION ON THE PART OF CHOC IN AN AMOUNT IN EXCESS OF $5,000,000 or (B) ANY PURPOSE OR ACTIVITY WHICH IS OUTSIDE THE SCOPE OF CHOC'S ORDINARY COURSE OF BUSINESS. (10) INVOLVING CHOC IN ANY MERGER, ACQUISITION, CORPORATE RESTRUCTURING, OR FORMAL AFFILIATION; (11) INVOLVING CHOC AS A MEMBER, SHAREHOLDER, OR PARTNER IN ANY NEW CORPORATION, PARTNERSHIP, OR OTHER LEGAL ENTITY; (12) DISSOLVING CHOC; (13) ENTERING INTO ANY TRANSACTION INVOLVING THE SALE, CONVEYANCE, EXCHANGE, TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF CHOC'S ASSETS; (14) AMENDING CHOC'S ARTICLES OF INCORPORATION; (15) ADOPTING NEW BYLAWS OR AMENDING EXISTING BYLAWS.
PART VI, LINE 4	CHANGES TO BYLAWS INCLUDED THE FOLLOWING BELOW: The board may by resolution adopted by a majority of the number of directors now fix the compensation of the Directors for serving on the board or on any committee; The advisory committee shall no longer consist of a Governance and Nominating Committee nor a planning committee. The Executive Committee shall now nominate Directors as required. Previously nominated by the Governance and Nominating Committee. The title of Executive Vice President and Chief Operating Officer has been updated to Chief Operating Officer (COO). The title of Senior Vice President and Chief Financial Officer has been updated to Chief Financial OFficer (CFO). The President and CEO shall now be a member of all Board Committees and Advisory Committees other than the Executive Compensation, and the Audit and compliance committees.
FORM 990, PART VI, SECTION B	LINE 11b - REVIEW OF FORM 990: PRIOR TO FILING, THE TAX RETURN AND RELATED SCHEDULES ARE PROVIDED TO THE CHOC EXECUTIVE COMPENSATION COMMITTEE, AN EMPOWERED BOARD COMMITTEE DELEGATED WITH THIS AUTHORITY. THE CHIEF FINANCIAL OFFICER REVIEWS THE REPORT WITH THE COMMITTEE PRIOR TO FILING THE FINAL RETURN. PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FINAL FORM 990 IS ALSO SENT ELECTRONICALLY TO ALL BOARD MEMBERS VIA DIRECTOR'S DESK, A SECURE WEB SITE THAT PROVIDES A CONFIDENTIAL AND SECURE ACCESS FOR ALL BOARD MATERIALS TO OUR BOARD MEMBERS. LINE 12C - CONFLICT OF INTEREST COMPLIANCE: THE CHIEF COMPLIANCE OFFICER IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICT OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E., BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN AN INDIVIDUAL BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, EACH COVERED PERSON IS REQUIRED TO SIGN A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS SAID POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE OFFICER AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD OF DIRECTORS; (2)THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE iNVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. LINE 15 - COMPENSATION DETERMINATION: An independent Board Committee of THE ORGANIZATION charged with the duties of the compensation committee, whose members are disinterested and independent, is in place with a written compensation committee charter. This Committee annually retains an independent healthcare compensation firm to provide relevant comparability data and other compensation studies. The CEO, officers and executive management salaries and incentives, as well as overall compensation philosophy and policies, are discussed with the independent consultant representatives and the compensation committee members, in person, in closed sessions with no staff members present. This review was last performed in October of this year. All comparative salary data, such as annual compensation survey comprising of a peer group of comparably-sized pediatric hospitals, is well documented and there are minutes from these meetings that document the members present and voting, the comparative data used and how it was obtained and the deliberations and decisions of the committee. The results and recommendations from the committee are shared in an executive session with the Board of Directors.
FORM 990, PART VI, SECTION C	line 19 - disclosure policy FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. FORM 990 AND THE COPY OF AUDITED FINANCIAL STATEMENTS ATTACHED TO IT ARE MADE AVAILABLE UPON REQUEST.
RECONCILIATION OF NET ASSETS	CHANGE IN BENEFICIAL INTEREST IN CHOC FOUNDATION $ 6,602,160 Net Income from OCMRG $ (331,361) CHANGE IN NET ASSETS FROM OCMRG $ 656,770 ------------- $ 6,927,569
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:93184573
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:34035741
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:1377562
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:31609499
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:12243336
FORM 990 PART IX LINE 11G	DESCRIPTION:JANITORIAL SERVICES TOTAL FEES:76597
FORM 990 PART IX LINE 11G	DESCRIPTION:SECURITY SERVICES TOTAL FEES:1712448
FORM 990 PART IX LINE 11G	DESCRIPTION:COURIER SERVICES TOTAL FEES:6806

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HEALTHCARE OF CALIFORNIA(CHC)
1201 West La Veta Avenue	ORANGE	CA	92868	330265266	HEALTH CARE	CA	501(c)(3)	7	NA	false
Children's Hospital at Mission
1201 West La Veta Avenue	ORANGE	CA	92868	330528802	HEALTH CARE	CA	501(c)(3)	3	CHC	false
CHOC FOUNDATION
1201 West La veta avenue	ORANGE	CA	92868	956097416	Fund Raising	CA	501(c)(3)	7	CHC	false
CRC REAL ESTATE CORPORATION
1201 West la veta avenue	ORANGE	CA	92868	330612565	REAL ESTATE	CA	501(c)(3)	11	CHC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE COUNTY MEDICAL RECIPROCAL INS CO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2999 North 4th Street Suite 250	AddressLine1Txt
City	phoenix	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85108	ZIPCd

Field	Value	IRS element (for citing)
EIN	201620666	EIN
Primary Activities	insurance	PrimaryActivitiesTxt
Legal Domicile State	AZ	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	na	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	c corp	EntityTypeTxt
Share Of Total Income	$77,700	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,977,521	ShareOfEOYAssetsAmt
Ownership	0.50000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE COUNTY MEDICAL RECIPROCAL INS CO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	m	TransactionTypeTxt
Involved	$541,140	InvolvedAmt
Method Of Amount Determination	PER AGREEMENT	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 2, COLUMN(C)	FormAndLineReferenceDesc
Explanation	OCMRRG PROVIDES MEDICAL PROFESSIONAL LIABILITY AND GENERAL LIABILITY COVERAGE OF UP TO $250,000 PER CLAIM ON A CLAIMS-MADE BASIS TO CHOC medical foundation.	ExplanationTxt