CHILDRENS HOSPITAL OF ORANGE COUNTY: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OF ORANGE COUNTY (EIN 95-2321786)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201131369349304903
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T14:04:24-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 S Grand Ave Suite 2000 | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90071 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952321786 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital of Orange County | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 7149973000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 S Main Street | AddressLine1 |
| City | Orange | City |
| State | CA | State |
| ZIP Code | 928683874 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kerri Ruppert Schiller | Name |
| Title | Senior VP & CFO | Title |
| Date Signed | 2011-05-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2139724000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KIMBERLY C CRIPE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 S MAIN STREET | AddressLine1 |
| City | ORANGE | City |
| State | CA | State |
| ZIP Code | 928683874 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 469338119 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.choc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2719 | TotalNbrEmployees |
| Total Nbr Volunteers | 661 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 12675296 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 63114786 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 393638620 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 399360759 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 667051 | InvestmentIncomePriorYear |
| Investment Income Current Year | 959578 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12661182 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5535802 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 419642149 | TotalRevenuePriorYear |
| Total Revenue Current Year | 468970925 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 163598390 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 164218628 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 230582375 | OtherExpensePriorYear |
| Other Expenses Current Year | 237721998 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 394180765 | TotalExpensesPriorYear |
| Total Expenses Current Year | 401940626 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25461384 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 67030299 | RevenuesLessExpensesCY |
| Total Assets BOY | 250819489 | TotalAssetsBOY |
| Total Assets EOY | 327290574 | TotalAssetsEOY |
| Total Liabilities BOY | 80587911 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 91262264 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 170231578 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 236028310 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 369911214 | Expense |
| Grants | 0 | Grants |
| Revenue | 403335103 | Revenue |
| Description | PROVIDES PEDIATRIC SERVICES FOR THE MEDICAL/SURGICAL CARE OF CHILDREN FROM BIRTH TO AGE 17; 61,467 DAYS OF INPATIENT CARE; 56,366 EMERGENCY ROOM VISITS; 12,479 DISCHARGES; 155,832 PRIMARY AND SPECIALTY CARE VISITS; AND 8,240 SURGERIES PERFORMED DURING THE FISCAL YEAR. SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.CHOC.ORG | Description |
| Total Program Service Expense | 369911214 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 410 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2719 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONALD NOBLE | NamePerson |
| Telephone Number | 7149973000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 S MAIN STREET | AddressLine1 |
| City | ORANGE | City |
| State | CA | State |
| ZIP Code | 928683874 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KIMBERLY C CRIPE | ||||||||
| DIRECTOR/PRESIDENT | 30.0 | X | X | 0 | 1131003 | 27090 | ||
| JEFF ELGHANAYAN | ||||||||
| DIRECTOR/ 2ND VICE CHAIR | 2.0 | X | X | 0 | 0 | 0 | ||
| ED GRIER | ||||||||
| DIRECTOR/ 1ST VICE CHAIR | 2.0 | X | X | 0 | 0 | 0 | ||
| WILLIAM GURTNER | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| MUSTAFA KABEER MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MEREDITH KHACHIGIAN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JAY KEAR | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DOUG MCCOMBS | ||||||||
| DIRECTOR/SECRETARY | 1.0 | X | X | 0 | 0 | 0 | ||
| MARSHALL ROWEN MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RALPH CLAYMAN MD | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| MARK STEVENS | ||||||||
| DIRECTOR/CHAIR | 4.0 | X | X | 0 | 0 | 0 | ||
| MAUREEN ZEHNTNER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JANET DAVIDSON | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| KERRI RUPPERT SCHILLER | ||||||||
| SR. VICE PRESIDENT & CFO | 20.0 | X | 0 | 619500 | 14603 | |||
| DEBRA MATHIAS | ||||||||
| EXEC. VICE PRESIDENT & COO | 31.5 | X | 0 | 586332 | 13601 | |||
| MARIA E MINON MD | ||||||||
| VP MEDICAL AFFAIRS & CMO | 40.0 | 593493 | 0 | 24898 | X | |||
| DANA N BLEDSOE | ||||||||
| VP PATIENT CARE & CNO | 40.0 | 378701 | 0 | 6228 | X | |||
| MARK L HEADLAND | ||||||||
| VP & CHIEF INFORMATION OFFICER | 40.0 | 378057 | 0 | 13521 | X | |||
| SHERREL J HOLLINGSWORTH | ||||||||
| VICE PRESIDENT HR | 40.0 | 240315 | 0 | 11715 | X | |||
| DAVID R SCHINDERLE | ||||||||
| VP FINANCE/HOSPITAL OPERATIONS | 40.0 | 309529 | 0 | 11724 | X | |||
| MATTHEW E NIEDZWIECKI | ||||||||
| VP ANCILLARY & SUPPORT SERVICE | 40.0 | 298260 | 0 | 12545 | X | |||
| MARGARET T CONK | ||||||||
| VP BUSINESS DEVELOPMENT | 40.0 | 362153 | 0 | 16550 | X | |||
| ELIZABETH ROWETT | ||||||||
| VP QUALITY & SAFETY | 40.0 | 285033 | 0 | 13169 | X | |||
| JAMES P CAPPON MD | ||||||||
| MEDICAL DIRECTOR | 40.0 | 281701 | 0 | 13601 | X | |||
| WALDO T ROMERO | ||||||||
| VP FACILITIES DESIGN & CONSTR. | 40.0 | 372184 | 0 | 16377 | X | |||
| JAY M GABRIEL | ||||||||
| GENERAL COUNSEL | 40.0 | 437785 | 0 | 13778 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3937211 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2336835 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 209400 | TotalOtherCompensation |
| Number Individuals GT100 K | 328 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMFORCE TECHNICAL SERVICES | |||||
| PO BOX 31001 0893 | PASADENA | CA | 91110 | TEMPORARY STAFFING | 1277344 |
| PEDIATRIC SUBSPECIALTY FACULTY | |||||
| 455 S MAIN STREET 5TH FLOOR | ORANGE | CA | 92868 | MEDICAL DIR & SERV | 6401816 |
| RED CHIP OF NEVADA | |||||
| 18009 SKY PARK CIRCLE | IRVINE | CA | 92614 | MANAGEMENT SERVICES | 1039075 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | NORTH KANSAS CITY | MO | 64117 | SOFTWARE SERVICES | 1554991 |
| SCHALLER ANDERSON OF ARIZONA | |||||
| PO BOX 61628 | PHOENIX | AZ | 85082 | MANAGEMENT SERVICES | 2675128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Related Organizations | 7743810 | RelatedOrganizations |
| Government Grants | 55370976 | GovernmentGrants |
| Total Contributions | 63114786 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | 328941020 | 328941020 |
| PREMIUM REVENUE | 900099 | 29856600 | 29856600 |
| MGMT/OCCUPANCY SERVICES | 900099 | 20113019 | 20113019 |
| DRUGS/MEDICAL SUPPLIES SOLD | 900099 | 8898394 | 8898394 |
| RESEARCH REVENUE | 900099 | 4731685 | 4731685 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6820041 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6820041 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 399360759 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 944273 | TotalRevenueColumn |
| Exclusion | $944,273 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 21756 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 21756 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21756 | TotalRevenueColumn |
| Exclusion | $21,756 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 382499 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 367194 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15305 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15305 | TotalRevenueColumn |
| Exclusion | $15,305 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PROP 10 REVENUE | 900099 | 3974344 | 3974344 | |
| CAFETERIA/CATERING SALES | 900099 | 607536 | $607,536 | |
| PARKING REVENUE | 900099 | 128238 | $128,238 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 803928 | TotalRevenueColumn |
| Exclusion | $803,928 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5514046 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 468970925 | TotalRevenueColumn |
| Related Or Exempt Function Income | 403335103 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,521,036 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1503589 | Total |
| Program Services | 1503589 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131473511 | Total |
| Program Services | 118326160 | ProgramServices |
| Management And General | 13147351 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3042286 | Total |
| Program Services | 2738057 | ProgramServices |
| Management And General | 304229 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18183014 | Total |
| Program Services | 16364713 | ProgramServices |
| Management And General | 1818301 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10016228 | Total |
| Program Services | 9014605 | ProgramServices |
| Management And General | 1001623 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1296629 | Total |
| Program Services | 1166966 | ProgramServices |
| Management And General | 129663 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170996 | Total |
| Program Services | 153896 | ProgramServices |
| Management And General | 17100 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54279133 | Total |
| Program Services | 48851220 | ProgramServices |
| Management And General | 5427913 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10123290 | Total |
| Program Services | 9110961 | ProgramServices |
| Management And General | 1012329 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19041633 | Total |
| Program Services | 17137470 | ProgramServices |
| Management And General | 1904163 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351117 | Total |
| Program Services | 316005 | ProgramServices |
| Management And General | 35112 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324283 | Total |
| Program Services | 291855 | ProgramServices |
| Management And General | 32428 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 916822 | Total |
| Program Services | 825140 | ProgramServices |
| Management And General | 91682 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14247784 | Total |
| Program Services | 12823006 | ProgramServices |
| Management And General | 1424778 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3877036 | Total |
| Program Services | 3489332 | ProgramServices |
| Management And General | 387704 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PRCHSD SRVCS OTRER HOSPITALS | 66789612 | 66789612 | |
| SUPPLIES | 48957483 | 44061735 | 4895748 |
| PROVISION FOR BAD DEBT | 13351022 | 13351022 | |
| OTHER | 3995158 | 3595870 | 399288 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401940626 | Total |
| Program Services | 369911214 | ProgramServices |
| Management And General | 32029412 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1890307 | BOY |
| EOY | 20248476 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38556311 | BOY |
| EOY | 56429948 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12954221 | BOY |
| EOY | 11100757 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78069700 | BOY |
| EOY | 73632451 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3026587 | BOY |
| EOY | 3049843 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5530838 | BOY |
| EOY | 6597778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 247334059 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 104034647 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98721767 | BOY |
| EOY | 143299412 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35058 | BOY |
| EOY | 35058 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12034700 | BOY |
| EOY | 12896851 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250819489 | BOY |
| EOY | 327290574 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49243339 | BOY |
| EOY | 57242822 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1647190 | BOY |
| EOY | 1170491 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29697382 | BOY |
| EOY | 32848951 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80587911 | BOY |
| EOY | 91262264 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133063160 | BOY |
| EOY | 189159012 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36482266 | BOY |
| EOY | 46183146 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 686152 | BOY |
| EOY | 686152 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170231578 | BOY |
| EOY | 236028310 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250819489 | BOY |
| EOY | 327290574 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $34,409 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 34409 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | grants to other organizations for lobbying purposes | Identifier |
| Return Reference | form 990, schedule c, part II-B, line 1f | ReturnReference |
| Explanation | DURING FYE 06/30/2010, CHILDREN'S HOSPITAL OF ORANGE COUNTY PAID DUES, A PORTION OF WHICH SUPPORTS LOBBYING PURPOSES TO VARIOUS HEALTHCARE ASSOCIATIONS INCLUDING: THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $21,202 THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS $13,207 ------- $34,409 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8890767 | BeginningOfYearBalance |
| Contributions | 1680574 | Contributions |
| Investment Earnings Or Losses | 124137 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 120207 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 10575271 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7731850 | BeginningOfYearBalance |
| Contributions | 1223025 | Contributions |
| Investment Earnings Or Losses | -64108 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 8890767 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 441942 | OtherCostOrOtherBasis |
| Book Value | 441942 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 406748 | OtherCostOrOtherBasis |
| Depreciation | 255384 | Depreciation |
| Book Value | 151364 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51691716 | OtherCostOrOtherBasis |
| Depreciation | 18145954 | Depreciation |
| Book Value | 33545762 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 126390085 | OtherCostOrOtherBasis |
| Depreciation | 85379038 | Depreciation |
| Book Value | 41011047 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68403568 | OtherCostOrOtherBasis |
| Depreciation | 254271 | Depreciation |
| Book Value | 68149297 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 143299412 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATION | $231,005 |
| LT WORKERS COMPENSATION | $7,756,773 |
| POST-RETIREMENT BEN OBLIGATION | $3,145,844 |
| EXECUTIVE FLEX BENEFIT PLAN | $1,333,805 |
| DUE TO ST. JOSEPH HOSPITAL | $2,655,356 |
| DUE TO RELATED PARTIES | $1,293,230 |
| DUE TO CHOCO REALTY CORP | $14,305,938 |
| OTHER LIABILITIES | $2,127,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32848951 | TotalOfAmounts |
| Total Revenue | 468970925 | TotalRevenue |
| Total Expenses | 401940626 | TotalExpenses |
| Excess Or Deficit For Year | 67030299 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 460781 | NetUnrealizedGLOnInvestments |
| Other | $1,143,333 | OtherAmount |
| Total Adjustments | 1604114 | TotalAdjustments |
| Excess Or Deficit Per FS | 68634413 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 470575039 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 460781 | NetUnrealizedGainsInvestments |
| Other Revenues | 1143333 | OtherRevenues |
| Revenue Not Rptd F990 | 1604114 | RevenueNotRptdF990 |
| Revenue Subtotal | 468970925 | RevenueSubtotal |
| Total Revenue Per Form990 | 468970925 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 401940626 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 401940626 | ExpensesSubtotal |
| Total Expenses Per Form990 | 401940626 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIN 48 | FORM 990, SCHEDULE D, PART X | EFFECTIVE JULY 01, 2007, CHOC ADOPTED THE PROVISIONS OF FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109 (FIN 48). CHOC'S ADOPTION OF FIN 48 DID NOT RESULT IN ANY MATERIAL IMPACT ON ITS COMBINED FINANCIAL STATEMENTS. |
| PART XI, LINE 8 AND PART XII, LINE 2D | CHANGE IN BENEFICIAL INTEREST IN CHOC FOUNDATION 1,154,181 ADJUSTMENT FOR INCOME FROM INVESTMENT PARTNERSHIPS -10,848 --------- TOTAL 1,143,333 | |
| SCHEDULE D, PART V, LINE 4 | THE ENDOWMENT FUND IS USED FOR HOSPITAL PROGRAMS AND CHARITY CARE INCLUDING RESEARCH AND TREATMENT OF CHILDREN'S DISEASES AND DISORDERS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 451571 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 451571 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 176549506 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119774892 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 56774614 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14610 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 177001077 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119774892 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57226185 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14730 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6236332 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 143288 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6093044 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01570 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8639966 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3939207 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4700759 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01200 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2298014 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2298014 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17174312 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4082495 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13091817 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03360 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 194175389 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 123857387 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 70318002 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.18090 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 87 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2881002 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 66153 | DirectOffsettingRevenue |
| Net Community Building Expense | 2814849 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 87 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2881002 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 66153 | DirectOffsettingRevenue |
| Net Community Building Expense | 2814849 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,201,308 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 36000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 54670 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -18670 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | Childrens HospitalChildrensHospital | OtherOther |
|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | ||||||
| 455 SOUTH MAIN STREET | ORANGE | CA | 92868 | X | X | |
| 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 | ||
| COSTA MESA CLINIC | ||||||
| 136 BROADWAY | COSTA MESA | CA | 92627 | CLINIC | ||
| GARDEN GROVE CLINIC | ||||||
| 10602 CHAPMAN AVENUE | GARDEN GROVE | CA | 92840 | clinic | ||
| HEALTHY TOMORROWS MOBILE VANS | ||||||
| 455 SOUTH MAIN STREET | ORANGE | CA | 92868 | CLINIC | ||
| CHOC CHILDREN'S ENDOCRINE & DIABETES CTR | ||||||
| 520 SUPERIOR AVE SUITE 160 | NEWPORT BEACH | CA | 92663 | CLINIC | ||
| CHOC CHILDREN'S HOSPITAL | ||||||
| SPECIALTY CLINICS 455 SOUTH MAIN S | ORANGE | CA | 92868 | CLINICS | ||
| CHOC UROLOGY CENTER | ||||||
| 505 S MAIN ST | ORANGE | CA | 92868 | CLINIC | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | THE ORGANIZATION USES THE FEDERAL POVERTY GUIDLINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. IN DOING SO, THE ORGANIZATION FOLLOWS METHODOLOGIES RECOMMENDED BY THE AMERICAN HOSPITAL ASSOCIATION. | IncomeBasedCriteria |
| Annual Community Benefit Expln | 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 (CHOC MISSION)ANNUALLY AND IS FILED IN ACCORDANCE WITH CALIFORNIA SB697. | AnnualCommunityBenefitExpln |
| Costing Method Used | 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. PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT EXPENSE AS AN OPERATING EXPENSE IN ACCORDANCE WITH US GAAP. HFMA STATEMENT NO. 15, WHICH REQUIRES BAD DEBT TO BE RECOGNIZED AS A REDUCTION FROM NET PATIENT REVENUE, HAS NOT YET BEEN ADOPTED AS AN ACCOUNTING STANDARD IN THE US. | CostingMethodUsed |
| Subsidized Health Services Expln | THE ORGANIZATION DID NOT INCLUDE SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE TABLE IN PART I, LINE 7G. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $13,351,022. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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. AS A CHILDREN'S HOSPITAL, CHOC IS IN THE UNUSUAL CIRCUMSTANCE OF TREATING PATIENTS WHERE A MAJORITY COULD QUALIFY FOR SOME TYPE OF GOVERNMENT ASSISTANCE OR CHARITY CARE. 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. 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. 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 INCREASE 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 CASES BEYOND ONE YEAR FROM DATE OF SERVICE. | BadDebtFootnote |
| Shortfall As Community Benefit | THE ALLOWABLE COST IS BASED ON A COST TO CHARGE RATIO OF 0.23987. 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | THE HOSPITAL'S WRITTEN BAD-DEBT COLLECTION POLICY STATES THE FOLLOWING: 1. IF A PATIENT QUALIFIES FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE PROGRAM 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 FINANCIAL ASSISTANCE PROGRAM. 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. | DebtCollectionPolicy |
| Number Of Facility Type Expln | OTHER FACILITIES CONSIST OF 10 CLINICS. | NumberOfFacilityTypeExpln |
| Needs Assessment | THE HOSPITAL PLAYS A LEADERSHIP ROLE IN THE ORANGE COUNTY HEALTH NEEDS ASSESSMENT (OCHNA). OCHNA IS A COMMUNITY-BASED, NOT-FOR-PROFIT PROJECT CREATED AND DESIGNED TO MEET THE REQUIREMENTS OF SB697 FOR ALL HEALTHCARE ASSOCIATION OF SOUTHERN CALIFORNIA (HASC) MEMBER HOSPITALS IN ORANGE COUNTY,TO PRODUCE A COMPREHENSIVE, COUNTYWIDE ANALYSIS OF HEALTH NEEDS AND SERVICES. THE OCHNA PROJECT IS A COLLABORATIVE EFFORT AND IS JOINTLY FUNDED BY THE COUNTY OF ORANGE HEALTHCARE AGENCY AND 27 FOR-PROFIT AND NOT-FOR-PROFIT HOSPITALS, AND OTHER ORGANIZATIONS AND PROVIDERS. ITS GOAL IS TO ACHIEVE MAXIMUM, VALID AND RELIABLE INFORMATION THAT COULD BE ANALYZED BY ZIP CODE, IN ORDER TO PROVIDE HOSPITALS WITH DATA SIGNIFICANT TO THEIR SERVICE AREAS. IN ADDITION, THIS PROCESS IS THE BASIS OF THE COUNTYWIDE REPORT THAT WAS MADE AVAILABLE TO THE LARGER COMMUNITY OF HEALTH AND HUMAN SERVICES PROVIDERS. OCHNA STARTED DATA COLLECTION FOR ITS HEALTH ASSESSMENT IN 1997. THE LATEST SURVEY RESULTS FOR ORANGE COUNTY WERE FOR 2007 AND PUBLISHED IN THE "HEALTH NEEDS ASSESSMENT 2008. OCHNA IS AN ONGOING PROCESS WITH PARTICIPATION AND SUPPORT FROM HEALTHCARE PROVIDERS AND GOVERNMENT AGENCIES. THE HOSPITAL'S EXECUTIVE MANAGEMENT UTILIZED THE OCHNA HEALTH NEEDS FINDINGS TO DEVELOP THE HOSPITALS' GOALS FOR MEETING THE NEEDS INDENTIFIED IN SIX BROAD AREAS: HEALTHCARE ACCESS - INCREASE ACCESS TO QUALITY PEDIATRIC HEALTHCARE RESOURCES AND INFORMATION TO FAMILIES, ESPECIALLY LOW-INCOME AND MEDICALLY UNDERSERVED, THROUGHOUT ORANGE COUNTY. BEHAVIORAL HEALTH ACCESS - ENHANCE THE COMMUNITY'S ACCESS TO BEHAVIORAL HEALTH INFORMATION AND SERVICES, TARGETING THE UNDERSERVED. DISEASE PREVENTION - INCREASE AWARENESS OF DISEASE PREVENTION AND PROMOTE EARLY INTERVENTION OF MAJOR DISEASES THAT AFFECT THE COMMUNITY. INFORMATION RESOURCE - PROVIDE THE COMMUNITY WITH RESOURCES FOR INFORMATION AND EDUCATION OF HEALTH RISK BEHAVIORS. INJURY PREVENTION - ACTIVELY CONTRIBUTE TO REDUCING THE NUMBER OF UNINTENTIONAL INJURIES TO YOUNG CHILDREN, ESPECIALLY TARGETING LOW-INCOME, DIVERSE AND MEDICALLY UNDERSERVED POPULATIONS. COMMUNITY ACTION - ACTIVELY RECRUITS, RECOGNIZE AND ADVOCATE FOR THE IMPORTANCE OF VOLUNTEER LEADERSHIP AND COMMUNITY ASSISTANCE IN PROVIDING CARE FOR CHILDREN. | NeedsAssessment |
| Patient Education 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 HOSPITALS' 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 HOSPITALS' 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. | PatientEducationAssistance |
| Community Information | The Hospital serves all of Orange County and a limited, although significant, number of patients from the western rim of Riverside County, 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 71% 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. Community Characteristics: population and socioeconomic data projections for 2010 are provided by Claritas, a third-party vendor that makes projections based on demographic analysis of Orange County, including the combined service areas of both hospitals CHOC and CHM. Total Population of the County was 3.10 million, according to 2010 estimates, making it the third largest county in California. The median age is 36.1, and children up to 17 years of age make up 25% of the total population. The largest race/ethnicity subgroup is White, at 45%. Latinos/Hispanics are 34% of the population. Asians/Pacific Islanders are 17% 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 2005-07 indicated that 12.0% (92,520) of children under the age of 18 in Orange County, 17.7% in California, and 18.0% in the U.S. were below the poverty level. This survey also indicated that 9.7% (288,346) of the Orange County population of all ages were living below the poverty level. The U.S. Bureau of the Census estimated that in 2009, the County's median household income was $70,751. There are 41 other hospitals serving the community: Anaheim General Hospital - Anaheim, California Anaheim General Hospital - Buena Park, California Anaheim Regional Medical Center - Anaheim, California Brea Community Hospital (closed) - Brea, California Chapman Medical Center - Orange, California Coastal Communities Hospital - Santa Ana, California College Hospital Costa Mesa - Costa Mesa, California Fountain Valley Regional Hospital and Medical Center - Fountain Valley, California Garden Grove Hospital and Medical Center - Garden Grove, California HealthBridge Children's Rehabilitation Hospital - Orange, California Hoag Memorial Hospital Presbyterian - Newport Beach, California Huntington Beach Hospital and Medical Center - Huntington Beach, California Irvine Regional Medical Center and Hospital - Irvine, California John Douglas French Center - Los Alamitos, California Kaiser Foundation Hospital - Anaheim, California Kindred Hospital - Brea - Brea, California Kindred Hospital - Santa Ana - Santa Ana, California Kindred Hospital - Westminster - Westminster, California La Palma Intercommunity Hospital - La Palma, California Los Alamitos Medical Center - Los Alamitos, California Martin Luther Hospital Medical Center - Anaheim, California Mission Hospital Regional Medical Center - Mission Viejo, California Orange County Community Hospital - Buena Park, California Orange Coast Memorial Medical Center - Fountain Valley, California Pacifica Hospital - Long Beach, California Placentia-Linda Community Hospital - Placentia, California Saddleback Memorial Medical Center - Laguna Hills, California San Clemente Hospital and Medical Center - San Clemente, California South Coast Medical Center - Laguna Beach, California Specialty Hospital of Sothern California - Santa Ana, California St. Joseph Hospital - Orange, California St. Jude Medical Center - Fullerton, California Santa Ana Hospital Medical Center - Santa Ana, California Tustin Hospital Medical Center - Tustin, California Tustin Rehabilitation Hospital - Tustin, California University of California, Irvine Medical Center - Orange, California Vencor Hospital - Westminster, California Vencor Hospital--Brea - Brea, California West Anaheim Medical Center - Anaheim, California Western Medical Center - Anaheim, California Western Medical Center - Santa Ana, California | CommunityInformation |
| Community Building Activities | COMMUNITY SUPPORT IS DEFINED AS THOSE ACTIVITIES SUPPORTING COMMUNITY LEADERSHIP. THE ORGANIZATION HAS 91 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 COMMUNITY LEADERSHIP. THE VALUE OF THESE COMMUNITY BENEFITS INCLUDES ONLY FREE, DISCOUNTED, SUBSIDIZED, OR NEGATIVE MARGIN SERVICES, AND THE UNPAID COST OF PUBLIC PROGRAMS. THESE COSTS ARE HOSPITAL COSTS ONLY, EXCLUDING FUNDS RECEIVED FROM ANY OTHER SOURCE. UNPAID COST OF PUBLIC PROGRAMS IS CALCULATED USING THE COST-TO-CHARGE RATIO FOR THE HOSPITAL. COSTS FOR ALL SERVICES, EXCEPT UNPAID COSTS, INCLUDE INDIRECT COSTS. EMPLOYEE BENEFITS ARE INCLUDED FOR PAID STAFF-HOUR COSTS. | CommunityBuildingActivities |
| Other Information | 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 (CHOC MISSION, OR CHM). 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; SEVERAL PRIMARY AND SPECIALTY CLINICS, PROGRAMS AND SERVICES; AND FOUR CENTERS OF EXCELLENCE, THE CHOC HEART, NEUROSCIENCE, ONCOLOGY AND ORTHOPAEDIC INSTITUTES. CHOC ALSO HAS A RESEARCH INSTITUTE PERFORMING BASIC SCIENCE AND CLINICAL RESEARCH. THROUGH ITS RESIDENCY PROGRAM, THE ORGANIZATION ALSO TRAINS TOMORROW'S PHYSICIANS. THE COMMUNITY BENEFIT PLAN FOR THE FISCAL YEAR ENDING JUNE 30, 2010, 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/COMMUNITYBENEFITPLAN.PDF. 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 MEDIC AL 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. 4 (D) IF BOARD CERTIFICATION IS AVAILABLE IN THEIR RESPECTIVE SPECIALTIES, ARE BOARD CERTIFIED OR BOARD ADMISSIBLE, OR IN THE ALTERNATIVE, CAN DEMONSTRATE TO THE REASONABLE SATISFACTION OF THE MEDICAL EXECUTIVE COMMITTEE, A COMPARABLE LEVEL OF TRAINING, EXPERIENCE AND SKILL. LIMITED PRIVEDGES ARE PROVIDED TO PHYSICIANS LICENSED BY THE STATE OF CALIFORNIA WHO ARE ENROLLED IN AN ACCREDITED PEDIATRIC RESIDENCY TRAINING PROGRAM AND WHO ARE PROVIDING MEDICAL HEALTH-RELATED SERVICES TO PATIENTS INDEPENDENT OF THE HOSPITAL RESIDENCY PROGRAM. THE ORGANIZATION APPLIES ITS SURPLUS FUNDS TO IMPLEMENT IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. THE ORGANIZATION IS CURRENTLY EMBARKING ON 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 WILL OPEN ITS DOORS TO PATIENTS IN 2013. THE NEW TOWER SHALL INCLUDE INPATIENT AND OUTPATIENT CARE FOR CHILDREN, WITH EMERGENCY DEPARTMENT, OPERATING ROOMS, A MEDICAL LABORATORY, PATHOLOGY DEPARTMENT AND IMAGING AND RADIOLOGY SERVICES. THERE SHALL ALSO BE A LARGE CONFERENCE AREA TO ACCOMMODATE SOME OF THE ORGANIZATION'S TEACHING RESPONSIBILITIES. THE TOWER FLY-THROUGH IS AVAILABLE AT HTTP://WWW.CHOC.ORG/VIDEO/INDEX.CFM?ID=46 THE CHOC ENDOWMENT FUNDS ARE USED TO FUND MEDICAL RESEARCH, CLINICAL PROGRAMS AND SERVICES, AND TO RECRUIT AND RETAIN DOCTORS WHO ARE THE BEST IN THEIR FIELDS. | OtherInformation |
| Affiliated Health Care System | PART VI LINE 7 - AFFILIATED HEALTH CARE SYSTEM: CHOC HAS EVOLVED FROM A COMMUNITY HOSPITAL TO A WORLD-CLASS, INTEGRATED PEDIATRIC HEALTH CARE SYSTEM AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, IRVINE (UC IRVINE). THE ORGANIZATION IS STEADFASTLY COMMITTED TO THE TENS OF THOUSANDS OF CHILDREN AND FAMILIES WHO DEPEND ON CHOC FOR CARE, AS WELL AS LEADING THE CHARGE IN ADVANCING PEDIATRIC MEDICINE ON A NATIONAL LEVEL. CHOC'S NEW BRAND IDENTITY - CHOC CHILDREN'S - ASSERTS THE INSTITUTION'S POSITION IN THE COMMUNITY AND NATIONALLY. CHOC'S LEGAL NAME (CHILDREN'S HOSPITAL OF ORANGE COUNTY) WILL REMAIN. THE ECONOMIC VALUE OF THE 91 BENEFIT SERVICES PROVIDED BY CHOC AND CHOC MISSION IN FISCAL YEAR 2010 IS $82 MILLION. OF THESE DOLLARS, 81.1% ($67 MILLION) SERVED THE ECONOMICALLY DISADVANTAGED. THE ECONOMIC VALUE OF SAVINGS FROM NOT-FOR-PROFIT STATUS IS $4.9 MILLION. THUS, THE HOSPITALS RETURN $16.95 IN COMMUNITY BENEFITS FOR EACH $1 SAVED FROM TAX-EXEMPT STATUS. IN ADDITION TO THE $82 MILLION IN BENEFITS PROVIDED FOR BY THE HOSPITALS REFERENCED ABOVE, BOARD MEMBERS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS CONTRIBUTED 58,319 HOURS OF VOLUNTEER SERVICE TO THE COMMUNITY. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY C CRIPE | |||||||||||||
| 0 | 712995 | 0 | 207305 | 0 | 210703 | 0 | 14743 | 0 | 12347 | 0 | 1158093 | 0 | 0 |
| KERRI RUPPERT SCHILLER | |||||||||||||
| 0 | 405686 | 0 | 101481 | 0 | 112333 | 0 | 7393 | 0 | 7210 | 0 | 634103 | 0 | 0 |
| DEBRA MATHIAS | |||||||||||||
| 0 | 378088 | 0 | 98285 | 0 | 109959 | 0 | 1254 | 0 | 12347 | 0 | 599933 | 0 | 0 |
| MARIA E MINON MD | |||||||||||||
| 411689 | 0 | 65155 | 0 | 116649 | 0 | 15953 | 0 | 8945 | 0 | 618391 | 0 | 0 | 0 |
| MARGARET T CONK | |||||||||||||
| 248965 | 0 | 46253 | 0 | 66935 | 0 | 15633 | 0 | 917 | 0 | 378703 | 0 | 0 | 0 |
| DANA N BLEDSOE | |||||||||||||
| 264088 | 0 | 45086 | 0 | 69527 | 0 | 6153 | 0 | 75 | 0 | 384929 | 0 | 0 | 0 |
| MARK L HEADLAND | |||||||||||||
| 259556 | 0 | 52624 | 0 | 65877 | 0 | 9030 | 0 | 4491 | 0 | 391578 | 0 | 0 | 0 |
| SHERREL J HOLLINGSWORTH | |||||||||||||
| 176022 | 0 | 6232 | 0 | 58061 | 0 | 3982 | 0 | 7733 | 0 | 252030 | 0 | 0 | 0 |
| DAVID R SCHINDERLE | |||||||||||||
| 252012 | 0 | 8202 | 0 | 49315 | 0 | 4499 | 0 | 7225 | 0 | 321253 | 0 | 0 | 0 |
| ELIZABETH ROWETT | |||||||||||||
| 190966 | 0 | 37330 | 0 | 56737 | 0 | 4224 | 0 | 8945 | 0 | 298202 | 0 | 0 | 0 |
| JAMES P CAPPON MD | |||||||||||||
| 248930 | 0 | 17492 | 0 | 15279 | 0 | 1254 | 0 | 12347 | 0 | 295302 | 0 | 0 | 0 |
| WALDO T ROMERO | |||||||||||||
| 249912 | 0 | 52604 | 0 | 69668 | 0 | 4423 | 0 | 11954 | 0 | 388561 | 0 | 0 | 0 |
| MATTHEW E NIEDZWIECKI | |||||||||||||
| 214925 | 0 | 24200 | 0 | 59135 | 0 | 1149 | 0 | 11396 | 0 | 310805 | 0 | 0 | 0 |
| JAY M GABRIEL | |||||||||||||
| 298990 | 0 | 58906 | 0 | 79889 | 0 | 1469 | 0 | 12309 | 0 | 451563 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Severance Arrangements, 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. Two executives listed on Schedule J, Part II received severance payments in Fiscal Year 2010. The payments were received by David R. Schinderle ($50,549) and Margaret T. Conk ($78,350). | |
| Supplemental Nonqualified Retirement Plan | Children's Hospital of Orange County (CHOC) established a nonqualified deferred compensation plan in 2002 in which certain individuals listed on the Form 990, Part VII and Schedule J are participants. Under the plan, a grantor trust was established for which CHOC is the grantor. The principal of the trust and any earnings thereon are held separate and apart from other funds of CHOC and are to be used exclusively for the uses and purposes of plan participants and CHOC's general creditors. The company established a capital accumulation account on its books for each plan participant for each election of benefits accrued under the plan. The capital accumulation account is utilized solely as a device for the measurement and determination of the amounts to be paid to the participants under the plan. The participant is a general unsecured creditor of the company for the payment of capital accumulation account benefits. CHOC contributed to the trust such money or other assets in the amounts and at the times determined in its sole discretion. The participant is entitled to his/her capital accumulation account benefit under the earliest of (1) remaining employed by the company to the deferred vesting for the account; (2) disability; (3) 24 months following involuntary separation from service without reasonable cause; or (4) following a voluntary separation from service if certain non-compete stipulations are met. In December 2008, the CHOC compensation committee dissolved this plan and all assets were disbursed involuntarily to the participants. The following individuals received payments from the dissolution of this supplemental non-qualified retirement plan during calendar year 2009: Kimberly C. Cripe ($159,223), Kerri Ruppert Schiller ($79,208), Ms. Conk ($43,074), Ms. Bledsoe ($51,188), Mr. Headland ($47,512), Ms. Hollingsworth ($39,878), Mr. Schinderle ($33,147), Ms. Rowett ($35,388), Mr. Gabriel ($59,736), Dr. Minon ($91,430), Mr. Niedzwiecki ($43,283), Mr. Romero ($51,508). | Part I, Line 4B |
| 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, 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 50% 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 79% 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 L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Moran Rowen and Dorsey Inc | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Marshall Rowen M.D., BOD | Relationship |
| Amount Of Transaction | 260000 | AmountOfTransaction |
| Description Of Transaction | Medical Services | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| form 990, PART I, LINE 5 AND PART V, LINE 2 | INFORMATION REGARDING CHOC AS THE COMMON PAYMASTER: Children's Hospital of Orange County is the common paymaster of the following: CHILDREN'S HEALTHCARE OF CALIFORNIA CHILDREN'S HOSPITAL AT MISSION CHOC FOUNDATION All wages and employee specific information, including volunteers, are retained with Children's Hospital of Orange County. |
| FORM 990, PART III, LINE 4A | Community Benefit Report Highlights: CHOC is dedicated to providing the highest quality tertiary, quaternary inpatient care as well as specialty and primary care to children in a family centered environment. Access to quality pediatric healthcare resources and information to families, including low-income and medically underserved, throughout Orange and contiguous counties, is accomplished by offering: (1) Pediatric Intensive Care Unit (PICU). The 30 bed PICU at CHOC is staffed by intensivists and clinician staff and is equipped with advanced computerized monitoring systems and offers care to critically ill or injured children with life-threatening disorders. (2) Oncology Unit staffed by specialists trained to treat the complex conditions that accompany pediatric cancers. This includes a 28-bed hematology/oncology unit and a 12-bed oncology intensive care unit (OICU). The unit offers the latest in medical and surgical oncology including chemotherapy, radiotherapy and blood and marrow transplantation. CHOC also opened a 22 chair outpatient infusion center in 2008. (3) CHOC's neonatal intensive care unit (NICU) takes care of infants who need critical care (most often premature babies suffering from respiratory and circulatory problems as well as congenital anomalies requiring surgery) that can be admitted to the NICU within minutes of birth. The 54-bed NICU at CHOC includes two eight-bed nurseries, two nine-bed nurseries, six isolation rooms, 12 beds that provide private rooming and a two-bed extracorporeal membrane oxygenation (ECMO) unit. CHOC's ECMO unit is the only one of its kind in Orange County and one of only 72 in the United States. CHOC also has Southern California's only ECMO transport unit. CHOC designated a small baby unit of 12 beds in March 2010. The unit cares for babies that weigh less than 1,000 grams at birth or 27 weeks or less gestation period. (4) CHOC's cardiovascular intensive care unit (CVICU) meets the growing need for specialized heart services in Orange County. This 12-bed unit was opened in October 2007. It includes two special procedure treatment rooms that enable physicians to perform surgery on children who otherwise could not be transported out of the unit. All of the CVICU rooms are outfitted with technology to monitor children after complex operations and surgical procedures. (5) The CHOC Cancer, Neuroscience, Heart and Orthopaedic Institutes offer innovative advanced models of care in the evaluation, management and treatment of the most complex pediatric and adolescent conditions. CHOC provides and enhances the community's access to behavioral health information and social and emotional services, targeting the underserved. CHOC offers outpatient specialty care in multiple specialties through clinics in Orange and Newport Beach. CHOC actively supports community action and leadership. CHOC actively recruits, recognizes and advocates for the importance of volunteer leadership and community assistance in providing care for children. CHOC provides community-wide education and health information access using programs including disease prevention education, information resources and injury prevention. In addition, CHOC offers services through its outreach clinics that serve surrounding communities to provide preventative and primary care in low-income, high risk areas where children have limited access to care. CHOC's outreach clinics include the CHOC Orange Community Clinic, Clinica Para Ninos in Santa Ana, the CHOC Clinic at Santa Ana Boys and Girls Club, CHOC Costa Mesa Clinic and CHOC Garden Grove Clinic. CHOC also provides care through mobile clinics, including Breathmobiles and Asthma care. See our Community Benefits Report on our website at www.choc.org |
| FORM 990, PART VI, SECTION A | LINE 4 - CHANGES TO ORGANIZATION'S DOCUMENTS: As of August 2009, the BY-Laws of Children's Hospital of Orange County (CHOC) were changed to add a Quality Committee composed of Directors, the Chief Medical Officer, Medical Staff Members, including the Medical director for Quality and Patient Safety and an officer of the Medical Staff, a quality expert from outside the healthcare industry, and CHOC management personnel, as determined and appointed by the Board or the Chair of the Board. The Committee shall assist the Board of Directors in consistently improving care, treatment, and services that address the needs of patients, families and the community. 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 $2,000,000 OR ANY UNBUDGETED EXPENDITURE IN EXCESS OF $2,000,000; (9) ENTERING INTO ANY CONTRACT WHICH INVOLVES ANY OF THE FOLLOWING: (A) ANY FINANCIAL OBLIGATION ON THE PART OF CHOC IN AN AMOUNT IN EXCESS OF $5,000,000, (B) ANY PURPOSE OR ACTIVITY WHICH IS OUTSIDE THE SCOPE OF CHOC'S ORDINARY COURSE OF BUSINESS, OR (C) A TERM IN EXCESS OF FIVE YEARS (UNLESS THE CONTRACT IS TERMINABLE AT WILL); (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, LEASE, 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, IN THE EVENT THAT SUCH ACTION WOULD AFFECT ANY OF THE MEMBER'S RIGHTS UNDER THE BYLAWS OR AS PROVIDED BY APPLICABLE LAW. |
| FORM 990, PART VI, SECTION B | LINE 11A - REVIEW OF FORM 990: Prior to filing, the tax return and related schedules are provided to the CHOC executive review 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. The final return is provided to the board of directors at its May meeting. LINE 12C - CONFLICT OF INTEREST COMPLIANCE: The 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 executive 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 an executive session with the Board of Directors. |
| FORM 990, PART VI, SECTION C | LINE 19 - DISCLOSURE POLICY WHILE 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. |
| Schedule R, 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTHCARE OF CALIFORNIA | ||||||||||
| 455 S MAIN STREET | ORANGE | CA | 928683874 | 330265266 | HEALTH CARE | CA | 501(C)(3) | 3 | NA | |
| Children's Hospital at Mission | ||||||||||
| 455 S MAIN STREET | ORANGE | CA | 928683874 | 330528802 | HEALTH CARE | CA | 501(C)(3) | 3 | N/A | |
| CHOC FOUNDATION | ||||||||||
| 455 S MAIN STREET | ORANGE | CA | 928683874 | 956097416 | Fund Raising | CA | 501(C)(3) | 7 | N/A | |
| CHOCO REALTY CORPORATION | ||||||||||
| 455 S MAIN STREET | ORANGE | CA | 928683874 | 330011853 | REAL ESTATE | CA | 501(C)(3) | 11 | N/A | |
| CRC REAL ESTATE CORPORATION | ||||||||||
| 455 S MAIN STREET | ORANGE | CA | 928683874 | 330612565 | REAL ESTATE | CA | 501(C)(3) | 11 | N/A | |
| CHOC Thrift Stores Inc | ||||||||||
| 455 S MAIN STREET | orange | CA | 928683874 | 330266422 | Fund Raising | CA | 501(C)(3) | 9 | na | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ocmrrg | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2999 North 4th Street Suite 250 | AddressLine1 |
| City | phoenix | City |
| State | AZ | State |
| ZIP Code | 85108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201620666 | EIN |
| Primary Activity | insurance | PrimaryActivity |
| Legal Domicile State | AZ | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | na | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | c corp | TypeOfEntity |
| Share Of Total Income | 60080 | ShareOfTotalIncome |
| Share Of EOY Assets | 1896316 | ShareOfEOYAssets |
| Percentage Ownership | 0.50000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCMRRG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | l | TransactionType |
| Amount Involved | 1031271 | AmountInvolved |