2018-05-15T11:06:46-05:00 2017-06-30 KPMG LLP 550 S Hope St Suite 1500 Los Angeles CA 90071 990 2016-07-01 952321786 Children's Hospital of Orange County % DONALD NOBLE CHIL 7149973000 1201 West La Veta Avenue Orange CA 92868 KERRI RUPPERT SCHILLER CFO/Assistant Secret 2018-05-14 true valerie j ball P00178114 2139724000 2018-05-01 2016 2022-09-23 18:48:47Z CHOC Children's Hospital KIMBERLY C CRIPE 1201 West La Veta Avenue ORANGE CA 92868 754596554 false X www.choc.org X 1964 CA TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN. 10 9 3835 876 87054 26859 23317129 43421924 634733133 691827382 9741494 6063558 2810494 2757812 670602250 744070676 35000000 0 0 0 276511731 291034381 0 0 0 339027240 385621641 650538971 676656022 20063279 67414654 1054252640 1108265101 522121075 510450614 532131565 597814487 X TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN. false false 609700347 0 691740328 CHILDREN'S HOSPITAL OF ORANGE COUNTY - PROVIDES SPECIALIZED PEDIATRIC SERVICES FOR THE CARE OF CHILDREN. DURING THIS YEAR, THERE WERE 61,704 DAYS OF INPATIENT CARE; 89,791 EMERGENCY ROOM VISITS(INCLUDING PEDIATRIC TRAUMA VISITS); 12,004 SURGERIES; AND 262,429 PRIMARY AND SPECIALTY CARE CLINIC VISITS. OUR CALIFORNIA MEDICAL FOUNDATION PROVIDED 350,307 PEDIATRIC SUBSPECIALTY SERVICE ENCOUNTERS AS WELL AS 188,375 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. 609700347 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true X 670 0 true 3835 true true true false false false false false false false false false X 10 9 false false true false true true true true true false false true true true true true true true true false CA X DONALD NOBLE 7145094038 1201 WEST LA VETA AVENUE ORANGE CA 92868 KIMBERLY CRIPE DIRECTOR/PRESIDENT 30.0 10.0 X X 0 1529296 81880 Sam Auriemma Director 2.0 2.0 X 0 0 0 Michael Colglazier Director 2.0 1.0 X 0 0 0 DICK ACKERMAN Director - thru 12/16 2.0 1.0 X 0 0 0 Vijay Dhar MD Director 1.0 1.0 X 0 0 0 David Dukes Director/Chair 3.0 4.5 X X 0 0 0 Douglas McCombs Director - thru 12/16 2.0 2.0 X 0 0 0 Thomas Tierney Director - thru 12/16 1.0 1.5 X 0 0 0 JOE KIANI DIRECTOR 2.0 1.0 X 0 0 0 Marshall ROWEN MD Director 2.0 4.5 X 0 0 0 KIM Sentovich DIRECTOR/Vice Chair 2.0 2.5 X X 0 0 0 Janet T Davidson Director 2.0 3.5 X 0 0 0 Jeff Elghanayan Director 1.0 3.5 X 0 0 0 Jay Gabriel Secretary 35.0 5.0 X 624706 0 93634 Matthew Gerlach Exec. Vice President/COO 33.5 6.5 X 0 1006436 198040 Kerri Ruppert Schiller CFO/Assistant Secretary 24.0 16.0 X 0 832951 73542 Maria Minon MD VP/CMO 40.0 0.0 X 794031 0 44254 Hale Kuhlman VP, Specialty Physician SRV 40.0 0.0 X 434120 0 42577 Melanie Patterson VP Patient Care Svcs, CNO 40.0 0.0 X 441401 0 40750 Marcia Folli Vice President/CNO 20.0 20.0 X 216879 216878 26281 Mark Headland VP/Chief Information Officer 40.0 0.0 X 500540 0 39160 Nick Anas MD Pediatrician in Chief 40.0 0.0 X 597327 0 58800 Michael Weiss VP CHOC Health Alliance 40.0 0.0 X 525165 0 26989 William Rohde Vice President Finance 40.0 0.0 X 434408 0 58524 Waldo Romero VP Facilities 40.0 0.0 X 423663 0 28728 4992240 3585561 813159 519 false true false PEDIATRIC SUBSPECIALTY FACULTY 1201 West La Veta Ave ORANGE CA 92868 MEDICAL DIR & SERV 68311663 CERNER CORPORATION PO Box 412702 KANSAS CITY MO 64141 CONSULTING 9207820 RADY CHILDRENS HOSPITAL 3020 Childrens Way MC 5001 SAN DIEGO CA 92123 Purchased SERVICES 7865997 MILES AND KELLEY CONSTRUCTION 1220 N Simon Circle Suite B ANAHEIM CA 92806 PURCHASED SERVICES 6082178 CHOC MEDICAL GROUP 1201 West La Veta Ave ORANGE CA 92868 MEDICAL DIR & SERV 4772733 63 27654407 15767517 0 43421924 NET PATIENT REVENUE 900099 572926012 572926012 PREMIUM REVENUE 900099 62377288 62377288 DRUGS/MEDICAL SUPPLIES SOLD 900099 21061136 21061136 MGMT/OCCUPANCY SERVICES 900099 20174934 20174934 COVERAGE FEE REVENUE 900099 4830747 4830747 10457265 10370211 87054 691827382 5390805 5390805 0 0 118015 118015 0 118015 118015 11186051 12580 10518107 7771 667944 4809 672753 672753 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 1580848 1580848 PARKING 900099 649223 649223 GIFT SHOP 900099 265905 265905 143821 143821 2639797 744070676 691740328 87054 8821370 X 0 0 0 0 1525089 1372580 152509 0 232684494 209416044 23268450 6546753 5892078 654675 34425287 30982759 3442528 15852758 14267482 1585276 20442572 18398315 2044257 1645581 1481023 164558 167996 151196 16800 340870 306783 34087 0 159878 143890 15988 163288344 146959510 16328834 0 13984597 12586137 1398460 0 0 13692507 12323256 1369251 933694 840325 93369 0 995684 896116 99568 15934573 14341116 1593457 0 37701150 33931035 3770115 4109279 3698351 410928 SUPPLIES 83666831 75300148 8366683 PRCHSD SRVCS FRM OT. HOSP. 3643077 3643077 0 DUES & SUBSCRIPTIONS 2255013 2029512 225501 PROVIDER FEES 17987188 17987188 4672807 2752426 1920381 676656022 609700347 66955675 0 100543204 194998305 105547315 101647426 9950820 8449493 136590443 110034016 0 0 0 0 0 0 10593293 12102692 15619048 31651369 1014462432 381515517 636725038 632946915 0 0 113690 154775 0 0 1216000 1216000 37353789 15064110 1054252640 1108265101 80237171 100254975 0 0 291758 178754 346952738 333460910 0 0 0 0 7184570 10072198 0 0 87454838 66483777 522121075 510450614 X 471653269 552331579 59792144 44796756 686152 686152 532131565 597814487 1054252640 1108265101 X 67414654 13391756 -15123488 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 340870 340870 false grants to other organizations for lobbying purposes form 990, schedule c, part II-B, line 1i during fye 06/30/2017, children's hospital of orange county paid dues, a portion of which supports lobbying purposes to various healthcare associations: California Children's Hospital Association $ 21,744 Hospital Association of Southern California $ 19,530 National Association of Children's Hospitals $ 29,580 California Hospital Association $ 270,016 ----------- Total dues paid for lobbying purposes: $ 340,870 7000292 94801 111762 105614 7101241 6423443 576987 -138 0 7000292 5309995 1111818 29620 27991 6423442 4931872 370905 131258 0 124040 5309995 4919888 5159 61328 0 54503 4931872 0.90340 0.09660 false true true 44581250 44581250 643555071 154717981 488837090 15760120 11187633 4572487 278484206 214583162 63901044 32081785 1026741 31055044 632946915 0 DERIVATIVE FINANCIAL INSTRUMEN 46954390 LIABILITY FOR WORKER'S COMP. 7036483 PAYABLE TO ST. JOSEPH HOSPITAL 149483 POSTRETIREMENT BENEFIT OBLIGAT 2728748 PAYABLE TO RELATED PARTIES 201 PAYABLE TO THIRD PARTIES 3749673 OTHER LIABILITIES 5864799 66483777 X 740548800 13391756 -15271691 -1879935 742428735 1641941 1641941 744070676 675014081 675014081 1641941 1641941 676656022 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES 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, 2017, THERE ARE NO UNCERTAIN TAX 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 $ (15,124,488) NET INCOME OF OCMRRG $ (147,203) ==================================================== TOTAL $ (15,271,691) PART XI LINE 4B Reclass of non-operating expenses $ 1,641,942 PART PART XII LINE 4B Reclass of non-operating expenses $ 1,641,942 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. true true X true X true X true true false true true 401944 401944 0.00060 69177047 1057092 68119955 0.10060 69578991 1057092 68521899 0.10120 12005532 912571 11092961 0.01640 20330505 2398962 17931543 0.02650 2446342 2446342 0.00360 3000 3000 34785379 3311533 31473846 0.04650 104364370 4368625 99995745 0.14770 4456531 36384 4420147 0.00650 4456531 36384 4420147 0.00650 true 22206481 124467 209512 -85045 X true true 1 1 Children's Hospital of Orange County 1201 West La Veta Avenue Orange CA 92868 www.choc.org 060000011 X X X Children's Hospital of Orange County 1 false false true X X X X X X X X X 16 true true false true X http://www.choc.org/about X true 16 true See Part V, Section C false true X 200. 400. X X X true true X X X X true X See Part V X See Part V X X X X X X true X false X X X X true X false false Schedule H, Part V Additional Information 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 CONTNUUM 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 IS CURRENTLY BUILDING AN INPATIENT CHILDRENS MENTAL HEALTH CENTER. ORANGE COUNTY CURRENTLY HAS ONLY 32 INPATIENT ADOLESCENT PSYCHIATRIC BEDS FOR A POPULATION OF ROUGHLY 3 MILLION, AND NOT A SINGLE BED FOR CHILDREN UNDER THE AGE OF 12. THE NEW CENTER WILL HAVE 18 BEDS IN A SECURED AND HEALING ENVIRONMENT, IN ADDITION TO AN OUTDOOR AREA FOR RECREATION. THE CENTER WILL PROVIDE A SAFE, NURTURING PLACE FOR CHILDREN AGES 3 TO 18, AND SPECIALTY PROGRAMMING FOR CHILDREN YOUNGER THAN 12. THE CENTER WILL BE OPENING IN SPRING 2018. THE OPENING OF THE INPATIENT CENTER WILL AUGMENT 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 GROUP THAT HAS CONTRACTED WITH CHOC TO PROVIDE THE SERVICES HAS GROWN TO A TOTAL OF 199 PHYSICIANS AND OFFERS EXPERTISE AND CARE IN OVER 20 PEDIATRIC MEDICAL SPECIALTIES. IN THE PAST YEAR, THE MEDICAL FOUNDATION HAS ADDED THE FULL TIME EQUIVALENT OF OVER 14 PHYSICIANS. 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 2017, CHOC HAS ADDED SEVERAL PEDIATRIC PRACTICES TO ITS MEDICAL FOUNDATION, WITH MORE TO BE ADDED IN THE NEAR FUTURE. AS OF JUNE 2017, 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, SEA VIEW PEDATRICS (FOUR SITES), SOUTH ORANGE COUNTY PEDATRIC ASSOCIATES (FOUR SITES) AND PEDATRIC AND ADULT MEDICINE. THESE PRACTICE SITES COVER THE MAJORITY OF CHOCS AND CHOC CHILDRENS AT MISSIONS (CCMH) SERVICE AREAS AND PROVIDE BASIC PEDATRIC HEALTH CARE TO UNDERSERVED AREAS WITHIN ORANGE COUNTY. ADDITIONAL PRACTICES ARE SCHEDULED TO BE ADDED IN FY 2018 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 are 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. 33 ORANGE PRIMARY CARE CLINIC 455 SOUTH MAIN STREET 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 455 SOUTH MAIN STREET 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 CLINIC CHOC UROLOGY CENTER 505 S MAIN ST SUITE 100 ORANGE CA 92868 CLINIC PEDIATRIC PSYCHOLOGY 1120 West 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 West LA VETA AVENUE SUITE 125 ORANGE CA 92868 CLINIC CORONA CARDIOLOGY & GASTROENTEROLOGY 260 E ONTARIO AVE SUITE 204 CORONA CA 92882 PHYSICIAN OFFICE FOUNTAIN VALLEY GASTROENTEROLOGY 11100 WARNER AVE SUITE 252 FOUNTAIN VALLEY CA 92708 PHYSICIAN OFFICE IRVINE CARDIOLOGY 16300 SAND CANYON AVE SUITE 811 IRVINE CA 92618 Physician Office CHOC CHILDREN'S MISSION VIEJO CLINIC 27800 MEDICAL CENTER ROAD BLDG 2 MISSION VIEJO CA 92691 CLINIC NEWPORT BEACH OTOLARYNGOLOGY 466 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 Physician Office CHOC CHILDREN'S SPECIALISTS CARDIOLOGY 505 SOUTH MAIN STREET SUITE 200 ORANGE CA 92868 PHYSICIAN OFFICE CHOC CHILDREN'S SPCLST PEDIATRIC SURGERY 505 SOUTH MAIN STREET SUITE 225 ORANGE CA 92868 PHYSICIAN OFFICE CHOC CHILDREN'S ALLERGY 725 West 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 Health Center 845 MAGNOLIA 101 CORONA CA 92879 clinic CHOC Children's SPECLST OTOLARYNGOLOGY 1010 west la veta suite 640 orange CA 92868 physician office CHOC Children's Health Center 19582 Beach Blvd Suite 380 Huntington Beach CA 92648 Clinic 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 15875 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 Orange county pediatric radiology Assoc 1201 w la veta avenue orange CA 92868 Physician office 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. 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 2016, CMS ISSUED FINAL REQUIRED FEDERAL APPROVAL FOR THE FEE FOR SERVICE PORTION OF THE 36 MONTH CALIFORNIA PROVIDER FEE PROGRAM. THIS APPROVAL COVERED THE 12 MONTH PERIOD FROM JULY 1, 2015-June 30, 2016 and the 6 months ended december 31, 2016. IN FISCAL YEAR 2017, CHOC RECOGNIZED REVENUES UNDER these periods OF THE FEE FOR SERVICE PORTION OF THE PROGRAM OF $18,474,000 AND PROVIDER FEES AND OTHER EXPENSES OF $5,235,000. IN ADDITION, CMS ISSUED FINAL APPROVAL IN 2016 OF THE MANAGED CARE PORTION OF THE 36 MONTH PROGRAM FOR THE 12 MONTHS ENDED JUNE 30, 2015. UNDER THIS PORTION OF THE PROGRAM, CHOC RECOGNIZED REVENUES OF $45,362,000 AND PROVIDER FEE AND OTHER EXPENSES OF $12,852,000. THE AMOUNTS WERE RECOGNIZED AS NET PATIENT REVENUE AND OPERATING EXPENSES, RESPECTIVELY, IN THE YEAR ENDED JUNE 30, 2017. 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: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE INVOICED AMOUNT NET OF ANY EXPECTED CONTRACTUAL ADJUSTMENTS AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CHOC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN CHOC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. CHOC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. 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 .2128 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 2016-2017 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 29 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 279 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 84 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 84 BENEFIT SERVICES PROVIDED BY CHOC AND CCMH IN FISCAL YEAR 2017 IS $113.5 MILLION. OF THESE DOLLARS, 68.6% ($77.9 MILLION) SERVED THE ECONOMICALLY DISADVANTAGED. THE ECONOMIC VALUE OF SAVINGS FROM NOT-FOR-PROFIT STATUS IS $41.8 MILLION. THUS, THE HOSPITALS RETURN $2.72 IN COMMUNITY BENEFITS FOR EACH $1 SAVED FROM TAX-EXEMPT STATUS. IN ADDITION TO THE $113.5 MILLION IN BENEFITS PROVIDED FOR BY THE HOSPITALS REFERENCED ABOVE, BOARD MEMBERS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS CONTRIBUTED 49,000 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. X X X X false true false false false false false false false KIMBERLY CRIPE DIRECTOR/PRESIDENT 0 883801 0 370786 0 274709 0 61495 0 20385 0 1611176 0 46284 Jay Gabriel Secretary 411755 0 111028 0 101923 0 67728 0 25906 0 718340 0 54574 0 Matthew Gerlach Exec. Vice President/COO 0 504428 0 167413 0 334595 0 181562 0 16478 0 1204476 0 174966 Maria Minon MD VP/CMO 519944 0 140097 0 133990 0 35067 0 9187 0 838285 0 20695 0 Kerri Ruppert Schiller CFO/Assistant Secretary 0 516920 0 167817 0 148214 0 47660 0 25882 0 906493 0 22838 Mark Headland VP/Chief Information Officer 320407 0 86333 0 93800 0 32929 0 6231 0 539700 0 12455 0 Hale Kuhlman VP, Specialty Physician SRV 274341 0 75370 0 84409 0 26111 0 16466 0 476697 0 10998 0 Melanie Patterson VP Patient Care Svcs, CNO 314596 0 86085 0 40720 0 19430 0 21320 0 482151 0 0 0 Marcia Folli Vice President/CNO 138598 138598 37955 37955 40326 40325 13141 13140 0 0 230020 230018 5535 5535 Nick Anas MD Pediatrician in Chief 471608 0 0 125719 0 34268 0 24532 0 656127 0 18871 0 Michael Weiss VP CHOC Health Alliance 382383 0 93519 0 49263 0 8897 0 18092 0 552154 0 0 0 William Rohde Vice President Finance 280469 0 75217 0 78722 0 47671 0 10853 0 492932 0 39396 0 Waldo Romero VP Facilities 265755 0 75127 0 82781 0 17882 0 10846 0 452391 0 10571 0 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. 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 2016: Ms. Cripe (179,253), Mr. Gabriel (54,574), Dr. Minon (80,345), Ms. Schiller (87,664), Mr. Headland (49,213), Mr. Kuhlman (42,507), Ms. Folli (42,804), DR. ANAS (72,975), MR. ROHDE (39,396) Mr. Romero ($40,881) and Mr. Gerlach ($263,241). 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. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LBP1 2009-06-30 137686600 CONSTRUCT A HOSPITAL false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LBT3 2009-06-30 127800000 CONSTRUCT A HOSPITAL false false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LRT6 2011-11-03 105003490 CONSTRUCT A HOSPITAL false false false A 18415000 0 137890806 10905112 0 0 1838778 0 0 17244250 107849999 0 2013 false true true true B 11775000 0 128231151 0 0 0 1382488 0 0 126850189 0 0 2013 false false true true C 1030000 0 105082386 0 0 0 0 0 0 105081328 0 0 2013 false false true true A false false true true false 0.00161 0.00000 0.00161 false false 0.00000 false true B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false 0 false 0 false true B false true true true Morgan Stanley 30. false false false 0 false true C false true false false 0 false 0 false true A true B true C true PART II, LINE 3 CUMULATIVE INTEREST EARNED ON ISSUE A: $ 204,206 CUMULATIVE INTEREST EARNED ON ISSUE B: $ 431,151 CUMULATIVE INTEREST EARNED ON ISSUE C: $ 78,896 part iv, line 2c Bond A: Rebate computation was performed on 07/15/16 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. 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. FORM 990, PART VI, SECTION A Line 4 - changes to bylaws Changes to bylaws included the following below: the requirement to pursue a strategic alliance with the University of California, Irvine was removed. the authorized number of directors used to be 13 to 17. This has now changed to 9 to 15 the requirement to have a designated number of new UCI representatives on the board has been removed. The Board Committees previously had the right to commit to an expenditure of up to $50,000 in any single transaction or group of related transactions without the prior approval of the board. This authority was removed in its entirety. 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 2016. 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 FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN CHOC FOUNDATION $(15,124,488) Other changes in fund balance $1,000 ================================================================= Line 9 Total Other changes in fund balance $(15,123,488) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:88575844 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:35851446 FORM 990 PART IX LINE 11G DESCRIPTION:MISC PURCHASED SERVICES TOTAL FEES:26428866 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:9796430 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY SERVICES TOTAL FEES:1551128 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:1002834 FORM 990 PART IX LINE 11G DESCRIPTION:JANITORIAL SERVICES TOTAL FEES:72054 FORM 990 PART IX LINE 11G DESCRIPTION:COURIER SERVICES TOTAL FEES:9742 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 CHOC Thrift Stores Inc 455 S MAIN STREET orange CA 92868 330266422 Fund Raising CA 501(c)(3) 9 CHC false ORANGE COUNTY MEDICAL RECIPROCAL INS CO 2999 North 4th Street Suite 250 phoenix AZ 85108 201620666 insurance AZ CHOC c corp -27225 2919944 0.50000 true false false true false true false false false false true true false true false false false false false true ORANGE COUNTY MEDICAL RECIPROCAL INS CO m 590400 PER AGREEMENT PART V, LINE 2, COLUMN(C) OCMRRG PROVIDES MEDICAL PROFESSIONAL LIABILITY AND GENERAL LIABILITY COVERAGE OF UP TO $250,000 PER CLAIM ON A CLAIMS-MADE BASIS TO CHOC.