STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHILDRENS HEALTHCARE OF CALIFORNIA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HEALTHCARE OF CALIFORNIA (EIN 33-0265266)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349306440
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T13:21:15-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1355 S Grand Ave Suite 2000AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330265266EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HEALTHCARE OF CALIFORNIABusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DONALD NOBLEInCareOfName
Name ControlCHILNameControl
Phone7149973000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 West La Veta AvenueAddressLine1
Address Line2SuiteAddressLine2
CityOrangeCity
StateCAState
ZIP Code92868ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKERRI SCHILLERName
TitleSENIOR VP/CFOTitle
Phone7145094038Phone
Date Signed2014-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2139724000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonKIMBERLY C CRIPENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11201 West La Veta AvenueAddressLine1
CityORANGECity
StateCAState
ZIP Code92868ZIPCode
FieldValueIRS element (for citing)
Gross Receipts136539459GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.choc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTHE RECEIPT OF DISTRIBUTIONS AND GRANTS For THE MAKING OF DISTRIBUTIONS AND GRANTS TO CHILDREN'S HOSPITAL OF ORANGE COUNTY AND TO AFFILIATED EXEMPT ORGS. FOR FURTHERANCE OF THEIR OBJECTIVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year30020000ContributionsGrantsPriorYear
Contributions Grants Current Year8700000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1980000ProgramServiceRevenuePriorYear
Program Service Revenue CY1980000ProgramServiceRevenueCY
Investment Income Prior Year3103589InvestmentIncomePriorYear
Investment Income Current Year9582257InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year35103589TotalRevenuePriorYear
Total Revenue Current Year20262257TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year32930027GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2307289SalariesEtcPriorYear
Salaries Etc Current Year2001612SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year536775TotalFundrsngExpCurrentYear
Other Expense Prior Year1795260OtherExpensePriorYear
Other Expenses Current Year3366168OtherExpensesCurrentYear
Total Expenses Prior Year37032576TotalExpensesPriorYear
Total Expenses Current Year6367780TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1928987RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13894477RevenuesLessExpensesCY
Total Assets BOY99948568TotalAssetsBOY
Total Assets EOY112844454TotalAssetsEOY
Total Liabilities BOY784178TotalLiabilitiesBOY
Total Liabilities EOY1843927TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY99164390NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY111000527NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PRIMARY EXEMPT PURPOSE OF CHILDREN'S HEALTHCARE OF CALIFORNIA INCLUDES WITHOUT LIMITATION THE RECEIPT OF DISTRIBUTIONS AND GRANTS FOR THE MAKING OF DISTRIBUTIONS AND GRANTS TO CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND TO AFFILIATED EXEMPT ORGANIZATIONS IN THE FURTHERANCE OF THEIR CHARITABLE OBJECTIVES AND PURPOSES. THESE AFFILIATED ORGANIZATIONS INCLUDE: CHILDREN'S HOSPITAL OF ORANGE COUNTY CHILDREN'S HOSPITAL AT MISSION CHOC FOUNDATION CRC REAL ESTATE CORPORATIONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5562614Expense
Grants1000000Grants
Revenue1980000Revenue
DescriptionCHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) SUPPORTS THE MISSION OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND CHILDREN'S HOSPITAL AT MISSION (CCMH). CHOC AND CCMH PROVIDE PEDIATRIC SERVICES TO CHILDREN IN ORANGE COUNTY AND ITS SURROUNDING AREA. THE ACTIVITIES OF CHC HELP TO OFFSET SERVICES TO INDIGENT FAMILIES AND PROVIDE CURRENT STATE OF THE ART MEDICAL EQUIPMENT AND FACILITIES. DURING THE YEAR, THERE WERE 65,908 DAYS OF INPATIENT CARE; 69,142 EMERGENCY ROOM VISITS; 8,581 SURGERIES; 5,621 OUTPATIENT VISITS; 1,713 DAY HEALTH VISITS AND 135,957 CLINIC VISITS PROVIDED BY CHOC AND CCMH.Description
Total Program Service Expense5562614TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONALD NOBLENamePerson
Telephone Number7145094038TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 WEST LA VETA AVENUEAddressLine1
CityORANGECity
StateCAState
ZIP Code92868ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
KIMBERLY C CRIPE
DIRECTOR/PRESIDENT2.537.5XX1220673080318
MARK STEVENS
Director/Chair1.55.5XX
JEFF ELGHANAYAN
Director/Secretary1.05.0XX
MARSHALL ROWEN MD
DIRECTOr/VICE CHAIR1.53.0XX
JANET T DAVIDSON
DIRECTOR1.03.5X
RALPH CLAYMAN MD
DIRECTOR0.53.0X
Tim Ristoff
Director1.02.0X
Thomas Tierney
Director0.53.0X
KERRI RUPPERT SCHILLER
CFO/ASSISTANT SECRETARY4.036.0X6114900126779
DEBRA MATHIAS
Exec. Vice President/COO0.539.5X736796017718
ELAINE BAUER
Chief Strategy Officer4.036.0468067079007X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3037026TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation303822TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KPMG LLP
PO BOx 120001DALLASTX75312Accounting/audit703146
Avesta Consulting Group
12 Miradoe 5IRVINECA92612Consulting services298571
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations8700000RelatedOrganizations
Total Contributions8700000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT SERVICESDescription
Business Code621990BusinessCode
Total Revenue Column1980000TotalRevenueColumn
Related Or Exempt Function Income1980000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1980000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2292436TotalRevenueColumn
Exclusion$2,292,436ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities123567023Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities116277202Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7289821Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7289821TotalRevenueColumn
Exclusion$7,289,821ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20262257TotalRevenueColumn
Related Or Exempt Function Income1980000RelatedOrExemptFunctionIncome
Exclusion$9,582,257ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000000Total
Program Services1000000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1378782Total
Program Services1171964ProgramServices
Management And General68940ManagementAndGeneral
Fundraising137878Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total363951Total
Program Services309358ProgramServices
Management And General18198ManagementAndGeneral
Fundraising36395Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total37512Total
Program Services31885ProgramServices
Management And General1876ManagementAndGeneral
Fundraising3751Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total166411Total
Program Services141449ProgramServices
Management And General8321ManagementAndGeneral
Fundraising16641Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total54956Total
Program Services46712ProgramServices
Management And General2748ManagementAndGeneral
Fundraising5496Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total592288Total
Program Services503445ProgramServices
Management And General29614ManagementAndGeneral
Fundraising59229Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22636Total
Program Services19240ProgramServices
Management And General1132ManagementAndGeneral
Fundraising2264Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total645383Total
Program Services548576ProgramServices
Management And General32269ManagementAndGeneral
Fundraising64538Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total467420Total
Program Services397307ProgramServices
Management And General23371ManagementAndGeneral
Fundraising46742Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1478654Total
Program Services1256856ProgramServices
Management And General73933ManagementAndGeneral
Fundraising147865Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3049Total
Program Services2592ProgramServices
Management And General152ManagementAndGeneral
Fundraising305Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total129514Total
Program Services110087ProgramServices
Management And General6476ManagementAndGeneral
Fundraising12951Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES AND SUBSCRIPTIONS205021742710252050
RECRUITING65005525325650
TAXES & LICENSES2221911120

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6367780Total
Program Services5562614ProgramServices
Management And General268391ManagementAndGeneral
Fundraising536775Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY113442BOY
EOY7331692EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11250708BOY
EOY9693442EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY84768BOY
EOY64496EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY87746549BOY
EOY95667510EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY43243BOY
EOY38147EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY709858BOY
EOY49167EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY99948568BOY
EOY112844454EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY664526BOY
EOY1744810EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY119652BOY
EOY99117EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY784178BOY
EOY1843927EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14454229BOY
EOY19786049EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY84710161BOY
EOY91214478EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99164390BOY
EOY111000527EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99948568BOY
EOY112844454EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13894477ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-2053244ReconciliationUnrealizedInvest
Reconcilation Other Changes-5096ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7100000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years500000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4800000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30020000CurrentTaxYearMinus1Year
Current Tax Year8700000CurrentTaxYear
Total51120000Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7100000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years500000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4800000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30020000CurrentTaxYearMinus1Year
Current Tax Year8700000CurrentTaxYear
Total51120000Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total6266905AmountsSubstContributorsTotal
Public Support Total17044853095PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4439844CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3846583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3035038CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1891828CurrentTaxYearMinus1Year
Current Tax Year2292436CurrentTaxYear
Total15505729Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29039CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total29039Total
FieldValueIRS element (for citing)
Total Support66654768TotalSupport
Gross Receipts From Admissions Etc9450000GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.67292PublicSupportPertcentage170
Public Support Pertcent Prior Year0.64980PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$99,117Amount
FieldValueIRS element (for citing)
Total Of Amounts99117TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt18203918TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2053243NetUnrealizedGainsInvestments
Other Revenues-5096OtherRevenues
Revenue Not Rptd F990-2058339RevenueNotRptdF990
Revenue Subtotal20262257RevenueSubtotal
Total Revenue Per Form99020262257TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6367780TotExpensesEtcAuditedFinclStmt
Expenses Subtotal6367780ExpensesSubtotal
Total Expenses Per Form9906367780TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION 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 THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
OTHER CHANGES IN NET ASSETSvaluation adjustment-ltd. partnership investment $(5,096)PART XI, LINE 2D

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHOC FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 S MAIN STREETAddressLine1
CityORANGECity
StateCAState
ZIP Code92868ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient956097416EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1000000AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING THE USE OF GRANT FUNDS:Identifier
Return ReferenceFORM 990, SCHEDULE I, PART I, LINE 2ReturnReference
ExplanationThe CHC Finance Committee recommends to the CHC Board of Directors and to the boards of affiliated tax-exempt corporations, plans for securing capital and operating funds in accordance with the annual approved operating and capital budgets for each Corporation or an adopted Plan of Finance. CHC receives funds from its tax-exempt affiliates in accordance to the bylaws of the corporation.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KIMBERLY C CRIPE
DIRECTOR/PRESIDENT75120302361200233350057454022864013009910786020
KERRI RUPPERT SCHILLER
CFO/ASSISTANT SECRETARY4567400101469053281010391502286407382690794350
DEBRA MATHIAS
Exec. Vice President/COO436877011799801819210614501157307545140803550
ELAINE BAUER
Chief Strategy Officer35860506980303965906341401559305470740370430

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Severance Arrangements, PART I, LINE 4AThe 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. One executive listed on Schedule J,part II, received severance payments in calender year 2012. The payment was received by Debra Mathias ($125,969).
Supplemental Nonqualified Retirement Planthe 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 individual received payments from the Plan during calendar year 2012: Ms. Cripe ($149,013).Part I, Line 4B
Compensation FootnotesKimberly 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 63% 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. DEBRA MATHIAS 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 AND CHILDREN'S HOSPITAL AT MISSION (BOTH IRC SECTION 501(C)(3) AFFILIATES). MS. MATHIAS DEVOTES APPROXIMATELY 88% OF HER TIME EACH WEEK TO CHILDREN'S HOSPITAL OF ORANGE COUNTY RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON CHILDREN'S HOSPITAL AT MISSION BUSINESS AFFAIRS. ELAINE BAUER IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR CHC, SHE ALSO SERVES AS THE CHIEF STRATEGY OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY AND CHILDREN'S HOSPITAL AT MISSION (BOTH IRC SECTION 501(C)(3) AFFILIATES). MS. BAUER DEVOTES APPROXIMATELY 90% OF HER TIME EACH WEEK TO CHILDREN'S HOSPITAL OF ORANGE COUNTY AND CHILDREN'S HOSPITAL AT MISSION BUSINESS AFFAIRS.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonVAN DOLAH AND ASSOCIATESNamePerson
FieldValueIRS element (for citing)
RelationshipPAUL VAN DOLAH, OFFICERRelationship
Amount Of Transaction143188AmountOfTransaction
Description Of TransactionMANAGEMENT FEESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INFORMATION REGARDING COMMON PAYMASTERform 990, part I, line 5, and Part V, line 2Children's Hospital of Orange County (CHOC) acts as a common paymaster, issuing forms W-2 and 1099 on behalf of Children's Healthcare of California (CHC). CHC has 4 employees, however because of the common paymaster arrangement, the Forms W-2 were issued under CHOC's employer identification number. Governing body members form 990, part VI, line 7a In accordance with an affiliation agreement with the University of California, Irvine (University), two directors are representatives of and are appointed by the University.
PROCESS OF REVIEWFORM 990, PART VI, SECITON B, LINE 11bPrior to filing, the tax return and related schedules are provided to the CHC 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.
MONITORING AND ENFORCING COMPLIANCE OF CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CThe 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 conflict 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.
PROCESS OF DETERMINING COMPENSATION OF THE CEO AND OTHER OFFICERSFORM 990, PART VI, SECTION B, LINE 15An independent Board Committee of CHC 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 2013. 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.
DISCLOSURE POLICYFORM 990, PART VI, SECTION C, LINE 19While federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request.
FORM 990, PART IX, LINE 11Gother fees for servicesTOTAL PROGRAM MANAGEMENT FUNDRAISING SERVICE Physician alignment 471,044 400,388 23,552 47,104 Strategic planning 556,927 473,388 27,846 55,693 Marketing 180,000 153,000 9,000 18,000 other 270,682 230,080 13,534 27,068
FORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS OR FUND BALANCESVALUATION ADJUSTMENT IN PARTNERSHIP INVESTMENT: $ (5,096)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHILDREN'S HOSPITAL OF ORANGE COUNTY
1201 West La Veta AvenueORANGECA92868952321786HEALTH CARECA501(C)(3)3chctrue
children's hospital at mission
1201 West La Veta AvenueOrangeCA92868330528802HEALTH CARECA501(C)(3)3chctrue
CHOC FOUNDATION
455 S MAIN STREETORANGECA92868956097416Fund RaisingCA501(C)(3)7chctrue
CRC REAL ESTATE CORPORATION
455 S MAIN STREETORANGECA92868330612565REAL ESTATECA501(C)(3)11chctrue
CHOC Thrift Stores Inc
455 S MAIN STREETORANGECA92868330266422Fund RaisingCA501(C)(3)9chctrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Orange County MEDICAL RECIPROCAL INS COBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12999 North 4th Street Suite 250AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85108ZIPCode
FieldValueIRS element (for citing)
EIN201620666EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile StateAZLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHOCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHOC FOUNDATION
B1000000SEE PART VII
CHILDREN'S HOSPITAL AT MISSION
C6100000SEE PART VII
CRC REAL ESTATE CORPORATION
C2600000SEE PART VII
CHILDREN'S HOSPITAL OF ORANGE COUNTY
D265486600SEE PART VII
CHILDREN'S HOSPITAL OF ORANGE COUNTY
L1314996SEE PART VII
CHILDREN'S HOSPITAL AT MISSION
L500000SEE PART VII
CHOC FOUNDATION
L90000SEE PART VII
CRC REAL ESTATE CORPORATION
L75000SEE PART VII

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Identifierpart v, line 2, column (c)Identifier
ExplanationTHE METHODS USED BY CHC TO DETERMINE THE VALUE OF THE AMOUNTS LISTED IN SCHEDULE R PART V LINE 2 COLUMN (C) WERE: (B) contributions TO related organizations are determined based on chc'S annual BUDGET and were approved by CHC's board. (C) contributions from related organizations are determined based on the recipient charitable organization's annual operational and capital needs and were approved by CHC's board. (D) LOANS WITH RELATED EXEMPT ORGANIZATIONS ARE DETERMINED BASED ON THE RECIPIENT CHARITABLE ORGANIZATION'S OPERATIONAL NEEDS AND ARE APPROVED BY CHC'S BOARD. (L) Management fees are developed internally by management in conjunction with the annual operating and capital budgets based on resources required by affiliates and supported by time studies, work products and other statistics to support allocations.Explanation