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CHILDRENS HEALTHCARE OF CALIFORNIA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HEALTHCARE OF CALIFORNIA (EIN 33-0265266)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349305324
Schema version
2010v3.7
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)
Timestamp2012-05-15T14:05:57-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330265266EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HEALTHCARE OF CALIFORNIABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone7149973000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 S Main StreetAddressLine1
CityOrangeCity
StateCAState
ZIP Code928683874ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKERRI RUPPERT SCHILLERName
Titlesenior vp/CFOTitle
Date Signed2012-05-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2139724000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1455 S MAIN STREETAddressLine1
CityORANGECity
StateCAState
ZIP Code928683874ZIPCode
FieldValueIRS element (for citing)
Gross Receipts55233914GrossReceipts
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year500000ContributionsGrantsPriorYear
Contributions Grants Current Year4800000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1845000ProgramServiceRevenuePriorYear
Program Service Revenue CY1815000ProgramServiceRevenueCY
Investment Income Prior Year4039131InvestmentIncomePriorYear
Investment Income Current Year5511165InvestmentIncomeCurrentYear
Other Revenue Prior Year29039OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6413170TotalRevenuePriorYear
Total Revenue Current Year12126165TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4000000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1877966SalariesEtcPriorYear
Salaries Etc Current Year1699846SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year401141TotalFundrsngExpCurrentYear
Other Expense Prior Year2267518OtherExpensePriorYear
Other Expenses Current Year2311577OtherExpensesCurrentYear
Total Expenses Prior Year8145484TotalExpensesPriorYear
Total Expenses Current Year4011423TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1732314RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8114742RevenuesLessExpensesCY
Total Assets BOY91808066TotalAssetsBOY
Total Assets EOY104506012TotalAssetsEOY
Total Liabilities BOY1193811TotalLiabilitiesBOY
Total Liabilities EOY622182TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY90614255NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY103883830NetAssetsOrFundBalancesEOY
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 CHOCO REALTY CORPORATION CRC REAL ESTATE CORPORATIONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3409709Expense
Grants0Grants
Revenue1815000Revenue
DescriptionChildren's Healthcare of California (CHC) supports the Mission of Children's Hospital of Orange County (CHOC) and Children's Hospital at Mission (CHM). CHOC and CHM 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 68,718 days of inpatient care; 71,890 emergency room visits; 9,200 surgeries; 1,263 day health visits and 154,949 clinic visits provided by CHOC and CHM.Description
Total Program Service Expense3409709TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 OrganizationsfalseGrantsToOrganizations
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
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 With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 Number7149973000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 S MAIN STREETAddressLine1
CityORANGECity
StateCAState
ZIP Code928683874ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KIMBERLY C CRIPE
DIRECTOR / PRESIDENT2.0XX1049159073291
JEFF ELGHANAYAN
DIRECTOR1.0X000
WILLAIM GURTNER
DIRECTOR1.0X000
MARSHALL ROWEN MD
DIRECTOR / VICE CHAIR1.0XX000
PATRICK SALAS
DIRECTOR1.0X000
MARK STEVENS
DIRECTOR / CHAIR1.0XX000
MAUREEN ZEHNTNER
DIRECTOR0.5X000
JANET T DAVIDSON
DIRECTOR1.0X000
JAY KEAR
DIRECTOR0.0X000
RALPH CLAYMAN MD
DIRECTOR0.5X000
KERRI RUPPERT SCHILLER
CFO / ASSISTANT SECRETARY3.0X563558099342
DEBRA MATHIAS
Exec. Vice President / COO0.5X517130095474
FieldValueIRS element (for citing)
Total Reportable Comp From Org2129847TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation268107TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KPMG LLP
PO BOX 120001DALLASTX75312ACCOUNTING/AUDIT708357
THE CHARTIS GROUP
DEPART 5925CAROL STREAMIL60122CONSULTING SERVICES206477
HUB INT'L OF CALIFORNIA
6101 West Centiela Avenue STE 210CULVER CITYCA90230INSURANCE SERVICES176251
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations4800000RelatedOrganizations
Total Contributions4800000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT SERVICESDescription
Business Code621990BusinessCode
Total Revenue Column1815000TotalRevenueColumn
Related Or Exempt Function Income1815000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1815000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3035038TotalRevenueColumn
Exclusion$3,035,038ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities45583876Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities43107749Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2476127Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2476127TotalRevenueColumn
Exclusion$2,476,127ExclusionAmount

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 Column12126165TotalRevenueColumn
Related Or Exempt Function Income1815000RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,511,165ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total1655193Total
Program Services1406914ProgramServices
Management And General82760ManagementAndGeneral
Fundraising165519Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total44653Total
Program Services37955ProgramServices
Management And General2233ManagementAndGeneral
Fundraising4465Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total354997Total
Program Services301747ProgramServices
Management And General17750ManagementAndGeneral
Fundraising35500Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25163Total
Program Services21389ProgramServices
Management And General1258ManagementAndGeneral
Fundraising2516Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total620000Total
Program Services527000ProgramServices
Management And General31000ManagementAndGeneral
Fundraising62000Fundraising

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)
Total501916Total
Program Services426628ProgramServices
Management And General25096ManagementAndGeneral
Fundraising50192Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total642585Total
Program Services546197ProgramServices
Management And General32130ManagementAndGeneral
Fundraising64258Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3640Total
Program Services3094ProgramServices
Management And General182ManagementAndGeneral
Fundraising364Fundraising

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)
Total143552Total
Program Services122019ProgramServices
Management And General7178ManagementAndGeneral
Fundraising14355Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES AND SUBSCRIPTIONS19400164909701940
TAXES & LICENSES3242761632

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4011423Total
Program Services3409709ProgramServices
Management And General200573ManagementAndGeneral
Fundraising401141Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY175716BOY
EOY125220EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12531011BOY
EOY15384210EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73393BOY
EOY89559EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY78606604BOY
EOY88128357EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY56584BOY
EOY46676EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY364758BOY
EOY731990EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY91808066BOY
EOY104506012EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY803480BOY
EOY520428EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY390331BOY
EOY101754EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1193811BOY
EOY622182EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15004441BOY
EOY18785935EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75609814BOY
EOY85097895EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY90614255BOY
EOY103883830EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91808066BOY
EOY104506012EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8114742ReconcilationRevenueExpenses
Reconcilation Other Changes5154833ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7100000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year500000CurrentTaxYearMinus1Year
Current Tax Year4800000CurrentTaxYear
Total12400000Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7100000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year500000CurrentTaxYearMinus1Year
Current Tax Year4800000CurrentTaxYear
Total12400000Total
FieldValueIRS element (for citing)
Public Support Total17012400000PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3857002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3751479CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4439844CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3846583CurrentTaxYearMinus1Year
Current Tax Year3035038CurrentTaxYear
Total18929946Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4923CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29039CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total33962Total
FieldValueIRS element (for citing)
Total Support31363908TotalSupport
Gross Receipts From Admissions Etc8253154GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.39536PublicSupportPertcentage170
Public Support Pertcent Prior Year0.27950PublicSupportPertcentPriorYear
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
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$101,754Amount
FieldValueIRS element (for citing)
Total Of Amounts101754TotalOfAmounts
Total Revenue12126165TotalRevenue
Total Expenses4011423TotalExpenses
Excess Or Deficit For Year8114742ExcessOrDeficitForYear
Net Unrealized GL On Investments5164742NetUnrealizedGLOnInvestments
Other-$9,908OtherAmount
Total Adjustments5154834TotalAdjustments
Excess Or Deficit Per FS13269576ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17280999TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5164742NetUnrealizedGainsInvestments
Other Revenues-9908OtherRevenues
Revenue Not Rptd F9905154834RevenueNotRptdF990
Revenue Subtotal12126165RevenueSubtotal
Total Revenue Per Form99012126165TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4011423TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4011423ExpensesSubtotal
Total Expenses Per Form9904011423TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
fin 48form 990 schedule d line 10ACCOUNTING 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 (OR ASSET) 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, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
other revenue recorded on books but not on the returnform 990 schedule d part xi, line 8 & PART xii, LINE 2Dvaluation adjustment-ltd. partnership investment ($9,908)

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (3 entries)

Base 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
7108110169688016866005457901871201122450000
KERRI RUPPERT SCHILLER
4194740804040636800806300187120662900000
DEBRA MATHIAS
3962100712570496630767620187120612604000

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.
Supplemental Nonqualified Retirement PlanChildren'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) 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 2010: Ms. Cripe ($100,765). As stated in previous filings, in December 2008, the CHOC Executive Compensation Committee dissolved the previous non-qualified retirement plan and all assets were disbursed involuntarily to the participants. The following individuals listed on Schedule J received payments from the dissolution of the plan in calendar 2010, which are included as a component of the amount reported on Schedule J, Part II, column B: Ms. Schiller ($11,923).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, CHOCO Realty Corporation, CRC Real Estate Corporation and Children's Hospital at Mission (all 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, CHOCO Realty Corporation, CRC Real Estate Corporation and Children's Hospital at Mission (all 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 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's business affairs.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 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 3 employees, however because of the common paymaster arrangement, the Forms W-2 were issued under CHOC's employer identification number.
PROCESS OF REVIEWFORM 990, PART VI, SECITON B, LINE 11APrior 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. The Form 990 is also a scheduled agenda item at the May 2012 Board of Directors meeting.
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. All comparative salary data is well documented and there are minutes from these meetings that document the members present and voting, the comparative data used and the deliberations and decisions of the committee. The results and recommendations from the committee are shared in a 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 XI, LINE 5OTHER CHANGES IN NET ASSETS OR FUND BALANCESUNREALIZED GAINS: $ 5,164,742 VALUATION ADJUSTMENT IN PARTNERSHIP INVESTMENT: $ (9,908) ------------- TOTAL $ 5,154,834
CHANGES TO BYLAWSPART VI, SECTION A, LINE 4QUALIFICATIONS OF DIRECTORS: Updated the positions for the Board to reflect the mirrored Boards of CHOC/CCMH - Position #1, #2, and #4 will be a Director from the mirrored Boards. The Chief Financial Officer is the only executive with the right to attend Board meetings and participate in discussion without being a member. ADVISORY COMMITTEES: Changed the Audit Committee to Audit and Compliance Committee. AUDIT AND COMPLIANCE COMMITEE: Added compliance responsibilities to this committee. Ensure that the Corporation and its affiliates maintain compliance plans, designed to encourage good stewarship and compliance with applicable federal and state laws. Review and approve annual internal audit and corporate compliance work plans for the Corporation and its affiliates. Review management reports about internal audit and corporate compliance issues of significant concern, and actions to address such issues. CHIEF FINANCIAL OFFICER: The President of the Corporation will appoint the CFO instead of being elected by the Board.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KIMBERLY C. CRIPE TITLE:DIRECTOR / PRESIDENT HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFF ELGHANAYAN TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLAIM GURTNER TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARSHALL ROWEN, M.D. TITLE:DIRECTOR / VICE CHAIR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK STEVENS TITLE:DIRECTOR / CHAIR HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MAUREEN ZEHNTNER TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANET T. DAVIDSON TITLE:DIRECTOR HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAY KEAR TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RALPH CLAYMAN, M.D. TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KERRI RUPPERT SCHILLER TITLE:CFO / ASSISTANT SECRETARY HOURS:37
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBRA MATHIAS TITLE:Exec. Vice President / COO HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S HOSPITAL OF ORANGE COUNTY
455 S MAIN STREETORANGECA92868952321786HEALTH CARECA501(c)(3)3chc
children's hospital at mission
455 S Main StreetOrangeCA92868330528802HEALTH CARECA501(c)(3)3chc
CHOC FOUNDATION
455 S MAIN STREETORANGECA92868956097416Fund RaisingCA501(c)(3)7chc
CHOCO REALTY CORPORATION
455 S MAIN STREETORANGECA92868330011853REAL ESTATECA501(c)(3)11chc
CRC REAL ESTATE CORPORATION
455 S MAIN STREETORANGECA92868330612565REAL ESTATECA501(c)(3)11chc
CHOC Thrift Stores Inc
455 S MAIN STREETORANGECA92868330266422Fund RaisingCA501(c)(3)9chc

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OCMRRGBusinessNameLine1

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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
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 (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CHILDREN'S HOSPITAL AT MISSION
C2400000
CRC REAL ESTATE CORPORATION
C2400000
CHOCO REALTY CORPORATION
D265486600
CHILDREN'S HOSPITAL OF ORANGE COUNTY
D265486600
CHILDREN'S HOSPITAL OF ORANGE COUNTY
K999996
CHILDREN'S HOSPITAL AT MISSION
K500004
CHOC FOUNDATION
K90000
CHOCO REALTY COPORATION
K150000
CRC REAL ESTATE CORPORATION
K75000

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: (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. (K) 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