2026-05-14T07:06:11-05:00 2025-06-30 135565207 KPMG LLP 550 SOUTH HOPE STREET SUITE 1500 LOS ANGELES CA 90071 990 2024-07-01 952321786 CHILDREN'S HOSPITAL OF ORANGE COUNTY CHIL 7149973000 1201 WEST LA VETA AVENUE ORANGE CA 92868 JAMES ULI EVP & CFO 7149973000 2026-05-07 1 0 HOLLY MOEN P01800653 2139724000 2026-05-12 2024 2025-03-06 01:10:19Z KIMBERLY CRIPE 1201 WEST LA VETA AVENUE ORANGE CA 92868 1734106147 0 X WWW.CHOC.ORG X 1964 CA TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL BEING OF CHILDREN. 14 14 6273 750 512816 0 26053222 34280878 1385126848 1622040758 15022145 24294770 5461243 6976689 1431663458 1687593095 0 3031469 0 0 587403468 637537991 0 0 0 728144413 829936181 1315547881 1470505641 116115577 217087454 2175420283 2432292750 1013282519 941299843 1162137764 1490992907 TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN. 0 0 1320866045 3031469 1621527942 CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) - PROVIDES SPECIALIZED PEDIATRIC SERVICES FOR THE CARE OF CHILDREN. DURING THIS YEAR, THERE WERE 86,338 DAYS OF INPATIENT CARE; 115,251 EMERGENCY ROOM VISITS (INCLUDING PEDIATRIC TRAUMA VISITS); 13,226 SURGERIES; AND 389,979 PRIMARY AND SPECIALTY CARE CLINIC VISITS. OUR CALIFORNIA MEDICAL FOUNDATION PROVIDED 600,206 PEDIATRIC SUBSPECIALTY SERVICE ENCOUNTERS TO PATIENTS THROUGHOUT ORANGE COUNTY AND BEYOND. SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT HTTPS://CHOC.ORG/FILES/FY25_RCHM_COMMUNITY_BENEFIT_REPORT.PDF 1320866045 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 798 0 1 6273 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X MARY NGUYEN 7145094124 1201 WEST LA VETA AVENUE ORANGE CA 92868 JAMES ULI JR EVP & CFO 8.00 32.00 X X 0 1131345 22310 SAM AURIEMMA DIRECTOR 3.00 1.00 X 0 0 0 CHRIS FURMAN DIRECTOR 3.00 1.00 X 0 0 0 JOE KIANI DIRECTOR 2.00 1.00 X 0 0 0 DOUGLAS MCCOMBS CHAIRMAN 4.00 3.00 X X 0 0 0 BRAD MCEACHERN DIRECTOR 2.00 1.00 X 0 0 0 MARIA MINON MD DIRECTOR 2.00 1.00 X 0 0 0 JIM MORRIS VICE CHAIR 3.00 1.00 X X 0 0 0 JOE NUZZOLESE DIRECTOR 2.00 1.00 X 0 0 0 KEN POTROCK DIRECTOR 2.00 1.00 X 0 0 0 LINDA ROSE DIRECTOR 2.00 1.00 X 0 0 0 MARSHALL ROWEN MD DIRECTOR 4.00 1.00 X 0 0 0 KIMBERLY SENTOVICH DIRECTOR 2.00 1.00 X 0 0 0 JASJIT SINGH MD DIRECTOR 2.00 1.00 X 0 0 0 GADDI VASQUEZ DIRECTOR 2.00 1.00 X 0 0 0 KIMBERLY CRIPE PRESIDENT & CEO 8.00 32.00 X 0 2413249 31405 PATRICK FRIAS MD PRESIDENT & CEO 8.00 32.00 X 0 2518676 44864 KERRI RUPPERT SCHILLER EVP & CFO (THRU 04/2025) 14.00 26.00 X 0 1142441 40202 KIMBERLEY MILSTIEN EVP & COO, REGIONAL PRESIDENT 16.00 24.00 X 0 1045450 135453 JAY GABRIEL CHIEF LEGAL OFFICER & SECRETARY 8.00 32.00 X 0 898091 49577 JILL STRICKLAND CHIEF ADMINISTRATIVE OFFICER (CAO) 8.00 32.00 X 0 898556 33381 SANDIP GODAMBE SVP, MEDICAL AFFAIRS & CMO 30.00 10.00 X 965105 0 90332 MICHAEL WEISS VP, POPULATION HEALTH 40.00 0.00 X 718015 0 32344 COLLEEN CUNNINGHAM SVP, PEDIATRICIAN IN CHIEF 40.00 0.00 X 736517 0 7389 JOHN HENDERSON VP, CHIEF INFORMATION OFFICER 40.00 0.00 X 887500 0 28031 CHARLES GOLDEN VP, ASSISTANT CHIEF MEDICAL OFFICER 40.00 0.00 X 637880 0 28935 TERENCE SANGER VP, CHIEF SCIENTIFIC OFFICER 40.00 0.00 X 800560 0 -133818 PAUL VAN DOLAH CTO, FORMER COO 0.00 40.00 X 0 996363 1912 4745577 11044171 412317 1784 1 1 0 PEDIATRIC SUBSPECIALTY FACULTY 1201 W LA VETA AVE ORANGE CA 92868 MEDICAL SERVICES 164807478 MCCARTHY BUILDING CO 20401 SW BIRCH STREET NEWPORT BEACH CA 92660 CONSTRUCTION SERVICES 113056393 UCI MEDICAL CENTER 1500 SOUTH DOUGLASS RD ANAHEIM CA 92806 MEDICAL SERVICES 30092559 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 STAFFING AGENCY 21316467 EPLUS TECHNOLOGY INC 13595 DULLES TECHNOLOGY DRIVE HERDERSON VA 20171 TECHNOLOGY CONSULTING 18575531 235 31819688 2461190 34280878 NET PATIENT SERVICE RE 624100 1373123734 1373123734 PREMIUM REVENUE 624100 124532798 124532798 DRUGS/MEDICAL SUPPLIES 624100 41305639 41305639 OTH OPERATING REVENUES 524298 33309253 33309253 MANAGEMENT/ OCCUPANCY 624100 30743339 30743339 19025995 18513179 512816 1622040758 20135677 20135677 725621 0 725621 725621 725621 50672145 46513052 4159093 4159093 4159093 CAFETERIA 722514 3362770 3362770 PARKING 812930 1078847 1078847 REBATES/REFUNDS & VEND 624100 972338 972338 837113 837113 6251068 1687593095 1621527942 512816 31271459 X 3031469 3031469 4556047 4100442 455605 514167726 462750953 51416773 12796477 11516829 1279648 69164810 62248329 6916481 36852931 33167638 3685293 30350709 27315638 3035071 3141287 2827158 314129 115940 104346 11594 225068 225068 47816 43034 4782 369451265 332506139 36945126 22647063 20382357 2264706 30366149 27329534 3036615 1292316 1163084 129232 1648313 1483482 164831 351338 316204 35134 41446156 37301540 4144616 8508949 7658054 850895 SUPPLIES 198744606 178870145 19874461 QUALITY ASSURANCE FEE 58317331 52485598 5831733 UCI & UCLA AFFILIATION 43061000 38754900 4306100 DUES & SUBSCRIPTIONS 4514883 4063395 451488 15705992 11445777 4260215 1470505641 1320866045 149639596 0 299248907 413066148 106576742 24666718 282410455 285620762 21852203 24720810 21311463 24890125 1761401659 597741249 988882522 1163660410 81872874 25887146 1216000 1216000 372049117 468564631 2175420283 2432292750 218360780 235807000 4310 488307474 473105376 306609955 232387467 1013282519 941299843 X 1055055581 1374276232 107082183 116716675 1162137764 1490992907 2175420283 2432292750 X 217087454 -4624593 116392282 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 225068 225068 0 PART II-B, LINE 1: DURING FISCAL YEAR END JUNE 30, 2025, CHILDREN'S HOSPITAL OF ORANGE COUNTY PAID DUES, A PORTION OF WHICH SUPPORTS LOBBYING PURPOSES TO VARIOUS HEALTHCARE ASSOCIATIONS: CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATION $88,479 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITAL $81,205 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $55,384 TOTAL $225,068 25390469 1200705 150029 147577 26593626 25298304 83979 214404 206218 25390469 23993433 1164199 140672 25298304 21692956 2464552 -164075 23993433 10693187 10980371 302967 283569 21692956 0.97420 0.02580 0 1 1 44657164 44657164 1110900548 286728113 824172435 65517510 16524816 48992694 425621894 291753904 133867990 114704543 2734416 111970127 1163660410 PROVIDER RECEIVABLES 272683352 REC FROM RELATED PARTIES 33483080 OTHER RECEIVABLES 11989851 BENEFICIAL INTEREST IN CHOC FOUNDATION 32123644 OPERATING LEASE RIGHT OF USE ASSETS 114293053 OTHER ASSETS 3991651 468564631 OPERATING LEASE RIGHT OF USE 109615731 PROVIDER FEE PROGRAM 77717000 PAYABLE TO THIRD-PARTY 20431312 OTHER LIABILITIES 8788116 LT MALPRACTICE LIAB 7931769 PAYABLE TO RELATED PARTIES 5037008 MEDICAL CLAIMS 2866531 232387467 X PART V, LINE 4: THE ENDOWMENT FUND IS USED TO SUPPORT HOSPITAL PROGRAMS ADDRESSING THE NEEDS OF THE UNDERSERVED, SOCIAL SERVICES TO PATIENTS AND FAMILIES IN NEED, AND RESEARCH AND TREATMENT OF CHILDREN'S DISEASES AND DISORDERS. PART X, LINE 2: U.S. GAAP REQUIRES THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2025, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 400.000000000000 1 X 550.000000000000 1 1 0 1 1 235125 0 235125 0.00020 554111107 479574546 74536561 0.05070 554346232 479574546 74771686 0.05090 5756355 965130 4791225 0.00330 33463417 3951641 29511776 0.02010 104960123 31182792 73777331 0.05020 23940865 0 23940865 0.01630 1185797 97489 1088308 0.00070 169306557 36197052 133109505 0.09060 723652789 515771598 207881191 0.14150 159699 0 159699 0.00010 495194 0 495194 0.00030 20547 0 20547 0.00000 675440 675440 0.00040 1 49282960 478634 639486 -160852 X 1 1 1 1 CHILDREN'S HOSPITAL OF ORANGE COUNTY 1201 WEST LA VETA AVENUE ORANGE CA 92868 WWW.CHOC.ORG/ABOUT 060000011 X X X CHILDREN'S HOSPITAL OF ORANGE COUNTY 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 400.000000000000 550.000000000000 X X 1 1 X X X X 1 X HTTPS://WWW.CHOC.ORG/PATIENTS-FAMILY/FINANCIAL-RESOURCES/ X HTTPS://WWW.CHOC.ORG/PATIENTS-FAMILY/FINANCIAL-RESOURCES/ X HTTPS://WWW.CHOC.ORG/PATIENTS-FAMILY/FINANCIAL-RESOURCES/ X X X X X X 1 X 0 X 1 X 0 0 CHILDREN'S HOSPITAL OF ORANGE COUNTY PART V, SECTION B, LINE 5: CHOC AND ITS AFFILIATE, CHILDREN'S HOSPITAL AT MISSION (CHAM) CONDUCTED THE CHNA PROCESS INDEPENDENTLY IN THE FALL OF 2022, WITH INPUT AND DATA FROM NUMEROUS AUTHORITATIVE, PUBLICLY AVAILABLE SOURCES, A SURVEY OF COMMUNITY LEADERS FROM VARIOUS BUSINESSES, SOCIAL SERVICE, AND PUBLIC AGENCIES AND A SURVEY OF THE COMMUNITY-AT-LARGE. THE CHNA REPORT INCLUDES BOTH PRIMARY AND SECONDARY DATA ANALYSES THAT FOCUS ON THE HEALTH AND SOCIAL NEEDS OF THE POPULATION IN EACH CHOC HOSPITAL'S PRIMARY SERVICE AREA. CHILDREN'S HOSPITAL OF ORANGE COUNTY PART V, SECTION B, LINE 6A: CHOC AND CHAM TOGETHER CONDUCTED THE HEALTH NEEDS ASSESSMENTS.SCHEDULE H, PART V, LINES 7A & 10A.THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS PUBLISHED IN 2022 CAN BE FOUND AT THE FOLLOWING URL: HTTPS://CHOC.ORG/FILES/CHOC_2022_CHNA_REPORT.PDFTHE MOST RECENT IMPLEMENTATION PLAN PUBLISHED IN DECEMBER 2022 CAN BE FOUND AT THE FOLLOWING URL: HTTPS://CHOC.ORG/WP-CONTENT/UPLOADS/2023/08/CHNA-IMPLEMENTATION-PLAN_2023.PDFA NEW CHNA WAS APPROVED IN THE 2025 TAX YEAR. WE ARE CONTINUING TO REPORT THE 2022 CHNA ON THE 2024 RETURN, BUT THE NEXT CHNA WAS NONETHELESS TIMELY CONDUCTED IN ACCORDANCE WITH THE "EVERY THREE YEARS" REQUIREMENT (WITH A CHNA CONDUCTED IN 2022 AND 2025). CHILDREN'S HOSPITAL OF ORANGE COUNTY PART V, SECTION B, LINE 11: ADDRESSING HIGH PRIORITY COMMUNITY HEALTH NEEDSCHOC COORDINATES ITS RESPONSE TO ITS MOST RECENT CHNA WITH ITS AFFILIATE, CHILDREN'S HOSPITAL AT MISSION (CHAM). CHOC'S AND CHAM'S MOST RECENT CHNA IDENTIFIED TWO HIGH-PRIORITY HEALTH NEEDS:1) BEHAVORIAL HEALTH: THE CONCERNS INCLUDE MENTAL HEALTH CONDITIONS (DEPRESSION, ANXIETY, STRESS, EATING DISORDERS AND SUICIDAL IDEATION) AND SUBSTANCE USE. 2) ACCESS TO PEDIATRIC HEALTHCARE SERVICES: THE CONCERNS INCLUDE ABILITY TO ACCESS HEALTH CARE SERVICES (PREVENTIVE, MENTAL, AND PRIMARY CARE; SERVICES FOR CHILDREN WITH SIGNFICANT HEALTHCARE NEEDS), AVAILABILITY OF APPOINTMENTS DURING TIMES THAT ARE CONVENIENT FOR PARENTS OR CAREGIVERS, LONG WAIT TIMES AND PROVIDERS NOT TAKING NEW PATIENTS, COMPLEX NAVIGATION SYSTEMS, AND LACK OF ACCESS TO CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (E.G., PROVIDERS WHO SPEAK THE PATIENT'S LANGUAGE AND UNDERSTAND THE PATIENT'S CULTURE). THE AREAS OF FOCUS THE ORGANIZATION IS DEVELOPING STRATEGIC PLANS TO ADDRESS THESE HIGH PRIORITY NEEDS:1) BEHAVORIAL HEALTH: THE AREAS OF FOCUS WOULD BE TO EXPAND ACCESS TO MENTAL HEALTH SERVICES (WHICH INCLUDE CULTURALLY AND LINGUISTICALLY APPROPRIATE THERAPISTS, AND IMPROVE TIMELY AND AFFORDABLE MENTAL HEALTHCARE), EDUCATION ABOUT BEHAVIORAL HEALTH ISSUES WITH A FOCUS ON ENGAGING ADOLESCENTS AND YOUNG ADULTS, AND PERINATAL, PRENATAL, AND PARENTS OF INFANTS, AND PROGRAMS TO PREVENT SUBSTANCE USE OR ADDITION.2) ACCESS TO PEDIATRIC HEALTHCARE SERVICES: THE AREAS OF FOCUS WOULD BE TO EXPAND ACCESS TO PRIMARY HELATHCARE SERVICES, MAKE APPOINTMENTS AVAILABLE DURING TIMES THAT ARE CONVENIENT FOR THE PATIENT, TEAMWORK BETWEEN HEALTHCARE ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS AND TOOLS TO ASSIST PATIENTS AND FAMILITEIS IN NAVIGATING THE HEALTHCARE SYSTEM. 52 1 - ALLEVATO PEDIATRICS 431 S BATAVIA STREET SUITE 203 ORANGE CA 92866 CLINIC 2 - CHOC CLINIC - SPECIALTY CARE 1201 W LA VETA AVENUE ORANGE CA 92868 CLINIC 3 - CHOC CLINIC (SANTA ANA BOYS AND GIRLS CL 100 WEST HIGHLAND SANTA ANA CA 92703 CLINIC 4 - CHOC ENDOCRINE & DIABETES CENTER 520 SUPERIOR AVENUE SUITE 160 NEWPORT BEACH CA 92663 CLINIC 5 - CHOC HEALTH CENTER 26691 PLAZA SUITE 130 MISSION VIEJO CA 92691 CLINIC 6 - CHOC HEALTH CENTER CENTRUM 1120 WEST LA VETA AVENUE SUITE 125 ORANGE CA 92868 CLINIC 7 - CHOC HEALTH CENTER CORONA 854 MAGNOLIA SUITE 101 CORONA CA 92879 CLINIC 8 - CHOC HEALTH CENTER GARDEN GROVE 10602 CHAPMAN AVENUE SUITE 100 GARDEN GROVE CA 92840 CLINIC 9 - CHOC HEALTH CENTER HUNTINGTON BEACH 19582 BEACH BLVD SUITE 380 HUNTINGTON BEACH CA 92648 CLINIC 10 - CHOC HEALTH CENTER MISSION MEDICAL TOWE 26732 CROWN VALLEY PKWY STE 501 MISSION VIEJO CA 92691 CLINIC 11 - CHOC OUTPATIENT HEART CENTER 505 S MAIN STREET SUITE 600 ORANGE CA 92868 OP CLINIC 12 - CHOC OUTPATIENT REHABILITATION SERVICES 3745 W CHAPMAN AVE SUITE 200 ORANGE CA 92868 CLINIC 13 - CHOC PRIMARY CARE CLINIC 3745 W CHAPMAN AVE SUITE 100 ORANGE CA 92868 CLINIC 14 - CHOC SLEEP CENTER 530 S MAIN STREET SUITE 100 ORANGE CA 92868 CLINIC 15 - CHOC SPECIALISTS ALLERGY AND IMMUNOLOGY 725 WEST LA VETA SUITE 100 ORANGE CA 92868 PHYSICIAN OFFICE 16 - CHOC SPECIALISTS CARDIOLOGY 505 SOUTH MAIN STREET SUITE 600 ORANGE CA 92868 PHYSICIAN OFFICE 17 - CHOC SPECIALISTS NEUROSURGERY 505 SOUTH MAIN STREET SUITE 300 ORANGE CA 92868 CLINIC 18 - CHOC SPECIALISTS OPTHALMOLOGY 1120 W LA VETA SUITE 100 ORANGE CA 92868 PHYSICIAN OFFICE 19 - CHOC SPECIALISTS OTOLARYNGOLOGY 446 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 PHYSICIAN OFFICE 20 - CHOC SPECIALISTS OTOLARYNGOLOGY 1010 WEST LA VETA SUITE 710 ORANGE CA 92868 PHYSICIAN OFFICE 21 - CHOC SPECIALISTS OTOLARYNGOLOGY 770 PACIFIC COAST HWY SEAL BEACH CA 90740 CLINIC 22 - CHOC SPECIALISTS OTOLARYNGOLOGY 250 E YALE LOOP SUITE 200 IRVINE CA 92604 CLINIC 23 - CHOC SPECIALISTS PEDIATRIC GENERAL AND T 505 SOUTH MAIN STREET SUITE 225 ORANGE CA 92868 PHYSICIAN OFFICE 24 - CHOC SPECIALISTS PHYSICIAN OFFICE 505 SOUTH MAIN STREET SUITE 1200 1250 ORANGE CA 92868 PHYSICIAN OFFICE 25 - CHOC SPECIALISTS PSYCHIATRY 1120 W LA VETA SUITE 830 ORANGE CA 92868 CLINIC 26 - CHOC SPECIALTY CENTER NEWPORT BEACH 500 SUPERIOR AVE SUITE 140 NEWPORT BEACH CA 92868 CLINIC 27 - CLINICA CHOC PARA NINOS 406 S MAIN ST SANTA ANA CA 92701 CLINIC 28 - EDINGER PEDIATRICS 9900 TALBERT AVE SUITE 201 FOUNTAIN VALLEY CA 92708 CLINIC 29 - FETAL CARE CENTER OF SOUTHERN CALIFORNIA 505 S MAIN STREET SUITE 650 ORANGE CA 92868 CLINIC 30 - LOS ALAMITOS PEDIATRICS 10861 CHERRY STREET SUITE 305 LOS ALAMITOS CA 90720 PHYSICIAN OFFICE 31 - ORANGE DOCTORS OF KIDS AND TEENS 1310 W STEWART DR SUITE 506 ORANGE CA 92868 CLINIC 32 - PEDIATRIC AND ADULT MEDICINE 18102 IRVINE BLVD SUITES 103 105 TUSTIN CA 92780 CLINIC 33 - POMONA PEDIATRICS 250 W BONITA AVENUE SUITE 200 POMONA CA 91767 CLINIC 34 - PREMIER PEDIATRICS 15825 LAGUNA CANYON RD SUITE 102 IRVINE CA 92618 PHYSICIAN OFFICE 35 - SEAVIEW PEDIATRICS - ALISO VIEJO 2 JOURNEY SUITE 100 ALISO VIEJO CA 92656 CLINIC 36 - SEAVIEW PEDIATRICS - IRVINE 15785 LAGUNA CANYON ROAD SUITE 120 IRVINE CA 92618 CLINIC 37 - SEAVIEW PEDIATRICS - LAGUNA HILLS 23521 PASEO DE VALENCIA SUITE 200 LAGUNA HILLS CA 92653 CLINIC 38 - SEAVIEW PEDIATRICS - SAN CLEMENTE 1031 AVENIDA PICO SUITE 106 SAN CLEMENTE CA 92673 CLINIC 39 - SOCPA - LADERA RANCH 777 CORPORATE DRIVE SUITE 250 LADERA RANCH CA CA 92694 CLINIC 40 - SOCPA - LAKE FOREST 23321 EL TORO ROAD SUITES F G LAKE FOREST CA 92630 CLINIC 41 - SOCPA - RSM 30212 TOMAS SUITE 220 RANCHO SANTA MARGARI CA 92688 CLINIC 42 - SOCPA - SAN CLEMENTE 1300 AVENIDA VISTA HERMOSA SUITE 200 SAN CLEMENTE CA 92673 CLINIC 43 - TOTAL PEDIATRICS OF ORANGE COUNTY 1640 NEWPORT BLVD SUITE 360 COSTA MESA CA 92627 PHYSICIAN OFFICE 44 - CHOC SPECIALISTS PHYSICIAN OFFICE 505 SOUTH MAIN STREET SUITE 1125 ORANGE CA 92868 PHYSICIAN OFFICE 45 - CHOC NEUROSCIENCE INSTITUTE OP CENTER 505 SOUTH MAIN STREET SUITE 350 ORANGE CA 92868 CLINIC 46 - CHOC PEDIATRIC PSYCHOLOGY 1120 WEST LA VETA AVENUE SUITE 470 ORANGE CA 92868 PHYSICIAN OFFICE 47 - CHOC UROLOGY CENTER 505 S MAIN STREET SUITE 100 ORANGE CA 92868 CLINIC 48 - COMMERCE URGENT CARE 505 S MAIN STREET ORANGE CA 92868 CLINIC 49 - OSO PEDIATRICS 24502 PACIFIC PARK DRIVE ALISO VIEJO CA 92656 CLINIC 50 - SOCPA - IRVINE 114 PACIFICA SUITE 260 IRVINE CA 92618 CLINIC 51 - CAC JAMBOREE CMG 19200 JAMBOREE RD SUITE 2000 IRVINE CA 92612 CLINIC 52 - CHILD PROTECTION PEDIATRICS 555 S MAIN ST 6TH FLOOR ORANGE CA 92868 CLINIC PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY CHOC AND CHAM ANNUALLY AND IS FILED IN ACCORDANCE WITH CALIFORNIA SB697. PART I, LINE 7: THE ORGANIZATION USES THE COST-TO-CHARGE RATIO METHODOLOGY TO DETERMINE THE COST OF CHARITY CARE AND UNREIMBURSED COST OF CARE PROVIDED TO MEDI-CAL PATIENTS. COSTS ARE ACCOUNTED FOR USING AN INTERNAL DECISION SUPPORT SYSTEM. THE COST-TO-CHARGE RATIO FOLLOWS THE METHOD DEFINED BY THE MEDICARE COST REPORT AND IS UPDATED MONTHLY USING THE MOST RECENT ORGANIZATIONAL INFORMATION.SCHEDULE H: PROVIDER FEE PROGRAMTHE STATE OF CALIFORNIA HAS A PROVIDER FEE PROGRAM THAT, COMBINED WITH FEDERAL MATCHING FUNDS, HAS PROVIDED SUPPLEMENTAL MEDI-CAL PAYMENTS TO HOSPITALS IN THE STATE.CHOC RECOGNIZED REVENUES FOR THE FEE-FOR-SERVICE AND MANAGED CARE PORTIONS OF THE FOLLOWING PROGRAMS:1) QAF 7 - 12-MONTH PROGRAM ENDED DECEMBER 31, 2022 - $6,008,2682) QAF 8 - 12-MONTH PROGRAM ENDED DECEMBER 31, 2023 - $5,224,9753) QAF 9 - 12 MONTH PROGRAM ENDED DECEMBER 31,2024 - $139,816,7574) CHSP - $10,765,864TOTAL PROGRAMS REVENUE: $251,815,864CHOC RECOGNIZED TOTAL PROVIDER FEES AND OTHER EXPENSES OF $58,317,331. THE AMOUNTS WERE RECOGNIZED AS NET PATIENT REVENUE AND OPERATING EXPENSES, RESPECTIVELY, IN THE FISCAL YEAR ENDED JUNE 30, 2025. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT IS BEST EXEMPLIFIED BY THE ORGANIZATION'S INCREASED EMPHASIS ON COMMUNITY OUTREACH AND COMMUNITY EDUCATION, WHICH INCLUDES INJURY PREVENTION, SAFETY AND WELLNESS. THE ORGANIZATION HAS 84 DIFFERENT COMMUNITY BENEFIT PROGRAMS CATEGORIZED ACCORDING TO THE CALIFORNIA COMMUNITY BENEFITS LAW, SB697. WITHIN THESE CATEGORIES, THE CATEGORY WHICH MOST CLOSELY CORRELATES TO LINE 3, COMMUNITY SUPPORT, IS HEALTHCARE ACCESS. THROUGH HEALTHCARE ACCESS, THE ORGANIZATION INCREASES ACCESS TO QUALITY PEDIATRIC HEALTHCARE RESOURCES AND INFORMATION TO FAMILIES, ESPECIALLY LOW-INCOME AND MEDICALLY UNDERSERVED, THROUGHOUT ORANGE COUNTY. THIS IS ACCOMPLISHED THROUGH COMMUNITY OUTREACH CLINICS AND EDUCATION. COMMUNITY BENEFIT REPORT HIGHLIGHTS:CHOC IS EXCLUSIVELY COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF CHILDREN THROUGH CLINICAL EXPERTISE, ADVOCACY, OUTREACH, EDUCATION AND RESEARCH. AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, IRVINE, CHOC'S HEALTHCARE SYSTEM INCLUDES TWO STATE-OF-THE-ART PEDIATRIC HOSPITALS IN ORANGE AND MISSION VIEJO, TWO TRAUMA CENTERS, MANY PRIMARY AND SPECIALTY CARE OUTPATIENT CLINICS, A MENTAL HEALTH INPATIENT CENTER, AND FOUR CLINICAL CENTERS OF EXCELLENCE - CHOC HEART, NEUROSCIENCE, ORTHOPAEDIC AND HYUNDAI CANCER INSTITUTES.THE CHOC INSTITUTES PROVIDE COMPREHENSIVE MULTIDISCIPLINARY CARE FOR SOME OF THE MOST SERIOUS PEDIATRIC AND ADOLESCENT ILLNESSES AND INJURIES. PATIENTS BENEFIT FROM INNOVATIVE AND SPECIALIZED PROGRAMS, SUCH AS THE ADOLESCENT AND YOUNG ADULT CANCER TREATMENT PROGRAM. ONE OF THE ONLY PROGRAMS OF ITS KIND IN THE NATION, IT OFFERS CANCER-SPECIFIC TREATMENT WHILE ALSO ADDRESSING THE UNIQUE PSYCHO-SOCIAL NEEDS OF TEENS AND YOUNG ADULTS.OFFERING ACCESS TO CUTTING-EDGE CLINICAL TRIALS THAT CAN'T BE FOUND ANYWHERE ELSE, CHOC'S RESEARCH INSTITUTE HAS MORE THAN 350 RESEARCH STUDIES IN MORE THAN 30 SPECIALTIES. SCIENTISTS TRANSLATE THE LATEST ADVANCES IN MOLECULAR PROFILING, INCLUDING WHOLE GENOME SEQUENCING, TO MEET THE INDIVIDUALIZED NEEDS OF PATIENTS AT EVERY STAGE OF THEIR YOUNG LIVES, FROM INFANCY THROUGH ADOLESCENCE.DEDICATED TO ENSURING CHILDREN HAVE ACCESS TO THE RIGHT CARE AT THE RIGHT TIME AND PLACE, CHOC'S DIVISION OF POPULATION HEALTH PARTNERS WITH PRIMARY AND SPECIALTY CARE PEDIATRICIANS TO HELP THEM BETTER COORDINATE CARE FOR PATIENTS AND TO IMPROVE OUTCOMES. NEW TOOLS, INCLUDING EVIDENCE-BASED GUIDELINES AND DISEASE-SPECIFIC PATIENT REGISTRIES, AND ENHANCED TECHNOLOGY REDUCE VARIATIONS IN CARE, IMPROVING QUALITY. AN ADVOCATE FOR CHILDREN AND FAMILIES, CHOC IS ADDRESSING THE LACK OF PEDIATRIC MENTAL HEALTH SERVICES IN THE REGION WITH THE CREATION OF A COMPREHENSIVE MODEL OF CARE. THE MENTAL HEALTH INPATIENT CENTER, PROVIDING A SAFE, NURTURING ENVIRONMENT FOR CHILDREN AGES 3 TO 18 AND SPECIALTY PROGRAMMING FOR CHILDREN YOUNGER THAN 12, OPENED IN 2018. IN ADDITION TO INPATIENT SERVICES, CHOC OFFERS OUTPATIENT BEHAVIORAL SERVICES AND LEADS A COUNTY-WIDE TASK FORCE FOCUSED ON ENSURING EVERY CHILD AND ADULT IN ORANGE COUNTY WHO NEED MENTAL HEALTH TREATMENT RECEIVE HIGH QUALITY SERVICES WITHOUT STIGMA OR BARRIERS TO ACCESS. CHOC'S MENTAL HEALTH SYSTEM OF CARE STRIVES TO BE A NATIONAL MODEL, BENEFITTING CHILDREN ACROSS THE UNITED STATES.THE THOMPSON AUTISM CENTER AT CHOC OPENED IN EARLY 2020, EXPANDING THE REGION'S CAPACITY TO SERVE THE INCREASING NUMBER OF CHILDREN WITH AUTISM SPECTRUM DISORDER (ASD) AND RELATED NEURODEVELOPMENTAL CONDITIONS.SEE OUR COMMUNITY BENEFIT REPORTS ON OUR WEBSITE AT HTTPS://CHOC.ORG/FILES/COMMUNITYBENEFITPLANFY2024CHOC.PDF PART III, LINE 2: THE ORGANIZATION CHARGES BAD DEBT FOR (A) THE WRITE-OFF OF PATIENT ACCOUNTS WHERE FAMILIES DID NOT COOPERATE WITH CHOC IN THE COMPLETION OF MEDI-CAL OR CHARITY CARE APPLICATIONS AND WHERE INSUFFICIENT INFORMATION COULD BE OBTAINED REGARDING THE FINANCIAL STATUS OF THE FAMILY, AND (B)A PROVISION FOR OUTSTANDING ACCOUNTS RECEIVABLE FROM SELF-PAY (INCLUDING PENDING MEDI-CAL AND PENDING CHARITY) ACCOUNTS. THE ORGANIZATION APPLIES ITS CHARITY CARE POLICY TO DETERMINE ELIGIBILITY BASED ON FAMILIES' SATISFYING THE APPLICATION REQUIREMENTS AND THE ORGANIZATION'S ELIGIBILITY CRITERIA. THE ORGANIZATION DOES, HOWEVER, HAVE FAMILIES WHO FAIL TO COMPLETE THE REQUIRED PAPERWORK DESPITE THE ORGANIZATION'S EFFORTS TO EDUCATE ALL FAMILIES OF THE CHARITY CARE OPTIONS. IN THESE CASES, AN ASSESSMENT OF CHARITY CARE ELIGIBILITY IS MADE BASED ON KNOWN INFORMATION. PART III, LINE 3: THE HOSPITAL FOLLOWS HFMA STATEMENT 15 AND THEREFORE NO PART OF BAD DEBT, AS DEFINED BY STATEMENT 15, REPRESENTS AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE INVOICED AMOUNT, NET OF ANY EXPECTED CONTRACTUAL ADJUSTMENTS AND DO NOT BEAR INTEREST. THE ORGANIZATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS AT AMOUNTS DIFFERENT FROM THE ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. PATIENT SERVICES REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. CONTRACTUAL ADJUSTMENTS ARISING UNDER REIMBURSEMENT ARRANGEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ARE ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. IMPLICIT PRICE CONCESSIONS ARE TAKEN BASED ON HISTORICAL COLLECTION EXPERIENCE AND REFLECT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT.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 ORGANIZATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS AT AMOUNTS DIFFERENT FROM THE ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. PATIENT SERVICES REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. CONTRACTUAL ADJUSTMENTS ARISING UNDER REIMBURSEMENT ARRANGEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ARE ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. IMPLICIT PRICE CONCESSIONS ARE TAKEN BASED ON HISTORICAL COLLECTION EXPERIENCE AND REFLECT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. PART III, LINE 8: THE ALLOWABLE COST IS BASED ON A COST TO CHARGE RATIO OF .181 AS DETERMINED BY THE ORGANIZATION'S FILED MEDICARE COST REPORT. SHORTFALLS ARE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE DOLLAR VALUE OF BENEFITS PROVIDED BY LEGISLATIVE CATEGORY LINK TO THE DOLLARS IDENTIFIED BY COMMUNITY NEEDS. CHOC REPORTS UNPAID COSTS OF PUBLIC PROGRAMS AS GOVERNMENT PAYOR SHORTFALLS. THE PRINCIPAL MEASURE FOR MONITORING COMMUNITY BENEFIT SERVICES IS THE DOLLAR VALUE OF BENEFITS RETURNED TO THE COMMUNITY PER DOLLAR OF TAX EXEMPTION VALUE RECEIVED. PART III, LINE 9B: 1. IF A PATIENT QUALIFIES FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE PROGRAM (FAP) AND IS MAKING EVERY EFFORT TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, CHOC OR ITS AGENT WILL NOT SEND, NOR INTIMATE THAT IT WILL SEND, THE UNPAID ACCOUNT TO AN OUTSIDE AGENCY IF DOING SO MAY NEGATIVELY IMPACT A PATIENT'S CREDIT. IF CHOC IS FORCED TO SEND THE ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY WILL REFLECT THE REDUCED PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE FAP. AT NO TIME WILL A PATIENT ACCOUNT BE REFERRED TO AN OUTSIDE COLLECTION AGENCY IF THE ACCOUNT IS LESS THAN 150 DAYS FROM ORIGINAL BILLING.2. IN DEALING WITH IDENTIFIED UNINSURED PATIENTS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL, CHOC WILL NOT USE WAGE GARNISHMENTS OR LIENS ON PATIENT'S OR PATIENT FAMILY'S PRIMARY RESIDENCE AS A MEANS OF COLLECTING UNPAID CHOC BILLS. THIS REQUIREMENT DOES NOT PRECLUDE CHOC FROM PURSUING REIMBURSEMENT FROM THIRD PARTY LIABILITY SETTLEMENTS. PART VI, LINE 2: IN ADDITION TO THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, CHOC REGULARLY TRACKS KEY DEMOGRAPHIC CHANGES IN THE PEDIATRIC POPULATION OF ITS COMMUNITY AND THE UTILIZATION OF KEY SERVICES DELIVERED AND EVALUATES THE PROGRAMS IT PROVIDES TO MEET IDENTIFIED NEEDS. THROUGH CONSTANT CONTACT WITH A VARIETY OF COMMUNITY CONSTITUENTS, CHOC IS ABLE TO LEARN ABOUT EMERGING TRENDS AND NEEDS. IT THEN EVALUATES OPTIONS TO MEET THOSE NEEDS, EITHER ALONE OR IN COLLABORATION WITH OTHERS IN THE COMMUNITY.ALL OF THE PROGRAMS ASSOCIATED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE IN THE REPORT ON THE HOSPITAL'S WEBSITE AT HTTPS://CHOC.ORG/FILES/CHOC_2022_CHNA_REPORT.PDF AS WELL AS A PAPER COPY THAT IS AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. PART VI, LINE 3: PATIENTS ARE INFORMED OF THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE HOSPITAL'S CHARITY CARE POLICY IN OUR FINANCIAL ASSISTANCE AND DISCOUNT PROGRAM POLICY. THIS INFORMATION, EITHER IN FULL OR IN SUMMARY, IS POSTED IN ALL OF THE HIGH TRAFFIC PATIENT AREAS: ADMITTING, EMERGENCY ROOM, CLINIC AND THE BUSINESS OFFICE. THE PATIENTS ARE ALSO INFORMED IF THERE IS A FINANCIAL NEED IDENTIFIED BY THE HOSPITAL FINANCIAL COUNSELORS WHEN SPEAKING TO THE FAMILIES ABOUT THEIR INSURANCE OR LACK OF INSURANCE. PATIENTS ARE PROVIDED A COPY OF THE HOSPITAL'S PATIENT FINANCIAL ASSISTANCE AND DISCOUNT PAYMENT PROGRAM POLICY. FAMILIES ARE ALSO NOTIFIED ON EVERY PATIENT STATEMENT THAT IF THERE IS A FINANCIAL NEED, THEY SHOULD CALL THE DESIGNATED PHONE NUMBER FOR MORE INFORMATION AND ASSISTANCE.FINANCIAL ASSISTANCE COMMUNICATION - AS PART OF THE HOSPITAL'S ONGOING PUBLIC AWARENESS CAMPAIGNS, THE MISSION STATEMENTS (INCLUDING THE FINANCIAL ASSISTANCE POLICY) ARE INCLUDED WHEREVER POSSIBLE ON PROGRAM BROCHURES, FACILITY BROCHURES, MEDICAL EDUCATION INFORMATION, COMMUNITY EDUCATION MATERIALS, CONFERENCE INVITATIONS AND ADMISSION MATERIALS. ADDITIONALLY, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS EMPHASIZED IN PUBLIC RELATIONS AND MEDIA RELATIONS EFFORTS, FOUNDATION CAMPAIGNS, AND SELECTED MARKETING CAMPAIGNS. THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED AS PART OF THE ANNUAL COMMUNITY BENEFIT REPORT. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN ENGLISH AND SPANISH. PART VI, LINE 4: COMMUNITY INFORMATION - THE HOSPITAL SERVES ALL OF ORANGE COUNTY AND A LIMITED, ALTHOUGH SIGNIFICANT, NUMBER OF PATIENTS FROM THE WESTERN RIM OF RIVERSIDE AND SAN BERNARDINO COUNTIES, THE NORTHERN PORTION OF SAN DIEGO COUNTY AND SOUTHEAST AREAS OF LOS ANGELES COUNTY. THE PRIMARY SERVICE AREA IS ORANGE COUNTY AND IS THE SOURCE OF APPROXIMATELY 75% OF ITS PATIENTS. SIGNIFICANT CITIES IN THIS AREA ARE: SANTA ANA, ANAHEIM, FULLERTON, ORANGE, AND GARDEN GROVE. THE SECONDARY SERVICE AREA INCLUDES ALL THE OTHER ORANGE COUNTY CITIES AND UNINCORPORATED AREAS. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS.COMMUNITY CHARACTERISTICSCOMMUNITY CHARACTERISTICS: POPULATION AND SOCIOECONOMIC DATA PROJECTIONS HAVE BEEN COLLECTED FROM A VARIETY OF LOCAL COUNTY AND STATE SOURCES REPRESENTING COMMUNITY DEMOGRAPHIC, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS AND UTILIZATION, AND RESOURCES AVAILABLE IN THE COMMUNITY FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT, THE MOST RECENTLY AVAILABLE. ORANGE COUNTY'S POPULATION IS OVER 3 MILLION MAKING IT THE THIRD MOST POPULOUS COUNTY IN CALIFORNIA. THE MEDIAN AGE IS 38.1, AND CHILDREN UP TO 19 YEARS OF AGE MAKE UP 24% OF THE TOTAL POPULATION. IN THE CHOC SERVICE AREA. 17.1% OF CHILDREN UNDER THE AGE OF 18 LIVE IN POVERTY. IN ORANGE COUNTY, BIPOC (BLACK, INDIGENOUS, PEOPLE OF COLOR) CHILDREN REPRESENT 44% OF THE POPULATION UNDER AGE 18. PART VI, LINE 5: RADY CHILDREN'S HEALTH (RCH) IS THE NOT-FOR-PROFIT, TAX-EXEMPT PARENT CORPORATION OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND CHILDREN'S AT MISSION HOSPITAL (CHAM). THE HOSPITALS ARE THE PRINCIPAL TERTIARY AND QUATERNARY PEDIATRIC HOSPITALS SERVING ORANGE COUNTY AND ARE THE ONLY HOSPITALS EXCLUSIVELY SERVING INFANTS, CHILDREN AND ADOLESCENTS. THE ORGANIZATION IS COMPRISED OF TWO HOSPITALS; A NUMBER OF PRIMARY AND SPECIALTY CLINICS THROUGHOUT ORANGE AND RIVERSIDE COUNTIES, PROGRAMS AND SERVICES; AND FOUR CENTERS OF EXCELLENCE, THE CHOC HEART, NEUROSCIENCE, HYUNDAI CANCER INSTITUTE AND ORTHOPAEDIC INSTITUTES. CHOC ALSO HAS A RESEARCH INSTITUTE PERFORMING BASIC SCIENCE AND CLINICAL RESEARCH. THROUGH ITS JOINT RESIDENCY PROGRAM WITH UC IRVINE, THE ORGANIZATION ALSO TRAINS TOMORROW'S PHYSICIANS. THE COMMUNITY BENEFIT PLAN FOR THE FISCAL YEAR ENDING JUNE 30, 2024, 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: HTTPS://CHOC.ORG/FILES/COMMUNITYBENEFITPLANFY2024CHOC.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 MEDICAL STAFF IF THEY MEET THE FOLLOWING CRITERIA:ONLY PRACTICING PHYSICIANS, DENTISTS, PSYCHOLOGISTS OR PODIATRISTS SHALL BE DEEMED TO POSSESS BASIC QUALIFICATIONS FOR MEMBERSHIP ON THE MEDICAL STAFF, EXCEPT FOR THE HONORARY AND RETIRED STAFF CATEGORIES IN WHICH CASE THESE CRITERIA SHALL ONLY APPLY AS DEEMED INDIVIDUALLY APPLICABLE BY THE MEDICAL STAFF, AND WHO:(A) DOCUMENT THEIR (1) CURRENT LICENSURE, (2) ADEQUATE EXPERIENCE, EDUCATION, AND TRAINING, (3) CURRENT PROFESSIONAL COMPETENCE, (4) GOOD JUDGMENT, AND (5) CURRENT ADEQUATE PHYSICAL AND MENTAL HEALTH STATUS, SO AS TO DEMONSTRATE TO THE SATISFACTION OF THE MEDICAL STAFF THAT THEY ARE PROFESSIONALLY AND ETHICALLY COMPETENT AND THAT PATIENTS TREATED BY THEM CAN REASONABLY EXPECT TO RECEIVE QUALITY MEDICAL CARE.(B) ARE DETERMINED (1) TO ADHERE TO THE ETHICS OF THEIR RESPECTIVE PROFESSIONS, (2) TO BE ABLE TO WORK COOPERATIVELY WITH OTHERS SO AS NOT TO ADVERSELY AFFECT PATIENT CARE, (3) TO KEEP AS CONFIDENTIAL, AS REQUIRED BY LAW, ALL INFORMATION OR RECORDS RECEIVED IN THE PHYSICIAN-PATIENT RELATIONSHIP, AND (4) TO BE WILLING TO PARTICIPATE IN AND PROPERLY DISCHARGE THOSE RESPONSIBILITIES DETERMINED BY THE MEDICAL STAFF AND BE BOUND BY THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS, AND POLICIES.(C) WHO MAINTAIN IN FORCE PROFESSIONAL LIABILITY INSURANCE IN NOT LESS THAN THE MINIMUM AMOUNTS JOINTLY DETERMINED BY THE BOARD OF DIRECTORS AND THE MEDICAL EXECUTIVE COMMITTEE, BUT IN NO EVENT LESS THAN $1.0 MILLION PER INCIDENT AND $3.0 MILLION IN THE AGGREGATE IN A POLICY YEAR; PROVIDED, HOWEVER, THAT IN THE EVENT THAT (AND FOR SO LONG AS) SUCH INSURANCE IS NOT AVAILABLE ON COMMERCIALLY REASONABLE TERMS TO PHYSICIANS PRACTICING IN A PARTICULAR SPECIALTY OR SUB-SPECIALTY AREA OF MEDICAL PRACTICE, THE FOREGOING REQUIREMENTS MAY BE MODIFIED OR WAIVED WITH RESPECT TO ALL PHYSICIANS PRACTICING IN SUCH SPECIALTY OR SUB-SPECIALTY AREA, SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS UPON REQUEST OF THE MEDICAL EXECUTIVE COMMITTEE. ADMINISTRATIVE STAFF AND MEMBERS ON A LEAVE OF ABSENCE DO NOT NEED TO SHOW EVIDENCE OF INSURANCE.THE ORGANIZATION APPLIES ITS SURPLUS FUNDS TO IMPLEMENT IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, RESEARCH AND IN CONSTRUCTION PROJECTS RELATED TO THE ENTERPRISE MASTER PLAN (EMP), WHICH INCLUDES CONSTRUCTION OF A NEW AMBULATORY CARE TOWER AND THE BUILD-OUT OF PREVIOUSLY SHELLED FLOORS OF THE PRIMARY HOSPITAL BUILDING. IN RECENT YEARS THE ORGANIZATION HAS CONSTRUCTED AN ALL-PRIVATE ROOM NEONATAL INTENSIVE CARE UNIT, AN AUTISM CENTER, EXPANDED SPECIALTY CLINIC SERVICES, ADDED PRIMARY CARE SERVICES, AND GREATLY EXPANDED BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES. IN THE PAST, THE ORGANIZATION COMPLETED THE CONSTRUCTION OF A STATE-OF-THE-ART $552 MILLION HOSPITAL TOWER ON ITS MAIN CAMPUS IN THE CITY OF ORANGE. CONSTRUCTION OF THE 7 STORY BUILDING STARTED IN 2009 AND OPENED ITS DOORS TO PATIENTS IN 2013. THE NEW TOWER INCLUDES INPATIENT AND OUTPATIENT CARE FOR CHILDREN, WITH EMERGENCY DEPARTMENT, OPERATING ROOMS, A MEDICAL LABORATORY, PATHOLOGY DEPARTMENT AND IMAGING AND RADIOLOGY SERVICES. THE EMERGENCY DEPARTMENT BECAME A DESIGNATED TRAUMA UNIT IN OCTOBER 2014. THERE IS ALSO A LARGE CONFERENCE AREA TO ACCOMMODATE AND SUPPORT SOME OF THE ORGANIZATION'S TEACHING ACTIVITIES. THE CHOC ENDOWMENT FUNDS ARE IN PART USED TO FUND MEDICAL RESEARCH, CLINICAL PROGRAMS AND SERVICES, AND TO RECRUIT AND RETAIN DOCTORS WHO ARE THE BEST IN THEIR FIELDS. PART VI, LINE 6: FOR OVER 50 YEARS, CHOC HAS BEEN STEADFASTLY COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO CHILDREN. AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, IRVINE, OUR REGIONAL PEDIATRIC HEALTHCARE NETWORK INCLUDES A STATE-OF-THE ART 334 BED HOSPITAL IN THE CITY OF ORANGE AND A HOSPITAL-WITHIN-A-HOSPITAL IN MISSION VIEJO. CHOC ALSO OFFERS MANY PRIMARY AND SPECIALTY CARE CLINICS, MORE THAN 89 ADDITIONAL PROGRAMS AND SERVICES, A PEDIATRIC RESIDENCY PROGRAM, AND FOUR CENTERS OF EXCELLENCE - THE CHOC'S HEART, NEUROSCIENCE, ORTHOPAEDIC, AND HYUNDAI CANCER INSTITUTES. THE ECONOMIC VALUE OF THE 84 BENEFIT SERVICES PROVIDED BY CHOC ORANGE IN FISCAL YEAR 2024 WAS $155.2 MILLION. OF THESE DOLLARS, 73.1% ($113.5 MILLION) SERVED ECONOMICALLY DISADVANTAGED INDIVIDUALS. THE ECONOMIC VALUE OF SAVINGS FROM NOT-FOR-PROFIT STATUS IS $40.2 MILLION. THUS, IN FISCAL YEAR 2024, THE HOSPITAL RETURNED $3.86 IN COMMUNITY BENEFITS FOR EACH $1.00 SAVED FROM TAX- EXEMPT STATUS. IN ADDITION TO THE $155.2 MILLION IN BENEFITS PROVIDED BY THE HOSPITAL REFERENCED ABOVE, BOARD MEMBERS, PHYSICIANS, ASSOCIATES AND VOLUNTEERS CONTRIBUTED APPROXIMATELY 61,629 HOURS OF VOLUNTEER SERVICE TO THE COMMUNITY. A SUMMARY OF BENEFIT SERVICES AND VOLUNTEER HOURS BY COMMUNITY FOCUS AREA IS SUMMARIZED ON THE FOLLOWING PAGE. THIS SUMMARY SHOWS PERCENTAGES OF TOTAL BENEFIT DOLLARS AND DOLLARS FOR ECONOMICALLY DISADVANTAGED, AND THE PERCENTAGE OF SERVICES THAT ARE COLLABORATIVE. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 UNITED CEREBRAL PALSY ASSOC OF OC 1201 E DYER ROAD 150 SANTA ANA CA 92705 951856340 501(C)(3) 0 3031469 FMV LOAN FORGIVENESS AFFILIATE SUPPORT 1 0 X X X X 0 1 0 0 0 0 0 0 0 PATRICK FRIAS MD PRESIDENT & CEO 0 1409191 0 657743 0 451742 0 10350 0 34514 0 2563540 0 0 KIMBERLY CRIPE PRESIDENT & CEO 0 1330701 0 790183 0 292365 0 16534 0 14871 0 2444654 0 70483 KERRI RUPPERT SCHILLER EVP & CFO (THRU 04/2025) 0 751917 0 225449 0 165075 0 20570 0 19632 0 1182643 0 30164 KIMBERLEY MILSTIEN EVP & COO, REGIONAL PRESIDENT 0 767424 0 276442 0 1584 0 125688 0 9765 0 1180903 0 0 JAMES ULI JR EVP & CFO 0 794247 0 215496 0 121602 0 10350 0 11960 0 1153655 0 0 SANDIP GODAMBE SVP, MEDICAL AFFAIRS & CMO 668514 0 255953 0 40638 0 60119 0 30213 0 1055437 0 39054 0 PAUL VAN DOLAH CTO, FORMER COO 0 701498 0 189409 0 105456 0 1912 0 0 0 998275 0 28018 JAY GABRIEL CHIEF LEGAL OFFICER & SECRETARY 0 598826 0 180316 0 118949 0 19364 0 30213 0 947668 0 19490 JILL STRICKLAND CHIEF ADMINISTRATIVE OFFICER (CAO) 0 631640 0 171090 0 95826 0 10350 0 23031 0 931937 0 0 JOHN HENDERSON VP, CHIEF INFORMATION OFFICER 579293 0 220295 0 87912 0 4449 0 23582 0 915531 0 71514 0 MICHAEL WEISS VP, POPULATION HEALTH 527269 0 121263 0 69483 0 12767 0 19577 0 750359 0 14253 0 COLLEEN CUNNINGHAM SVP, PEDIATRICIAN IN CHIEF 510342 0 144131 0 82044 0 7389 0 0 0 743906 0 16306 0 CHARLES GOLDEN VP, ASSISTANT CHIEF MEDICAL OFFICER 473766 0 96259 0 67855 0 -1278 0 30213 0 666815 0 66687 0 TERENCE SANGER VP, CHIEF SCIENTIFIC OFFICER 473567 0 127232 0 199761 0 -150276 0 16458 0 666742 0 163772 0 PART I, LINE 4B SCHEDULE J, 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. IN CALENDAR YEAR 2024, THERE WERE NO SEVERANCE PAYMENTS MADE. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC OR THE COMPANY) ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN EFFECTIVE JANUARY 1, 2010, IN WHICH CERTAIN INDIVIDUALS LISTED ON THE FORM 990, PART VII AND SCHEDULE J ARE PARTICIPANTS. UNDER THE ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN), OR SERP, FOR EACH PLAN YEAR THAT BEGINS PRIOR TO THE PARTICIPANT'S CASH DATE, CHOC SHALL CREATE A NEW SERP ACCOUNT ON ITS BOOKS FOR THE PARTICIPANT AND SHALL CREDIT TO SUCH ACCOUNT AT TIMES SPECIFIED. THE PARTICIPANTS OF THE PLAN ARE GENERAL CREDITORS OF THE COMPANY. THE PARTICIPANT'S SERP ACCOUNT SHALL BE UTILIZED SOLELY AS A DEVICE FOR THE MEASUREMENT AND DETERMINATION OF THE AMOUNTS TO BE PAID TO THE PARTICIPANT UNDER THIS PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2024: DR. FRIAS ($398,132), MS. CRIPE ($264,989), MS. SCHILLER ($113,407), MR. ULI JR. ($106,603), MR. VAN DOLAH ($104,384), MS. STRICKLAND ($80,826), MR. GABRIEL ($72,752), DR. GODAMBE ($39,054), MR. WEISS ($53,205), MR. HENDERSON ($71,514), DR. GOLDEN ($66,687), MS. CUNNINGHAM ($60,752), AND DR. SANGER ($198,612). THE COMPANY PROVIDES AN INCENTIVE PLAN TO ALL ELIGIBLE MEMBERS OF MANAGEMENT, INCLUDING CERTAIN INDIVIDUALS LISTED IN PART II OF SCHEDULE J. INCENTIVES ARE EARNED BASED ON ACHIEVEMENT OF ORGANIZATION AND INDIVIDUAL GOALS TYPICALLY RELATED TO QUALITY, PATIENT SAFETY, OPERATING, AND FINANCIAL PERFORMANCE AS WELL AS OTHER SIGNIFICANT CLINICAL, QUALITY, AND STRATEGIC ACHIEVEMENTS. THE COMPANY MAINTAINS A CORPORATE MEMBERSHIP IN A SOCIAL CLUB THAT IS UTILIZED FOR BUSINESS PURPOSES BY ITS EXECUTIVES, INCLUDING CERTAIN INDIVIDUALS LISTED IN PART II OF SCHEDULE J. USE OF THE CLUB AND PAYMENTS TO THE CLUB FOR BUSINESS-RELATED EXPENSES ARE SUBJECT TO THE COMPANY'S WRITTEN POLICIES AND PROCEDURES THAT INCLUDE A REQUIREMENT TO DOCUMENT THE PURPOSE AND ATTENDEES OF THE BUSINESS MEETING PRIOR TO PAYMENT. COMPENSATION FROM AN AFFILIATED ORGANIZATION KIMBERLY C. CRIPE IS COMPENSATED THROUGH THE PARENT COMPANY, HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR THE PARENT COMPANY, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHOC FOUNDATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. CRIPE DEVOTES APPROXIMATELY 48% 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 THE PARENT COMPANY, HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR THE PARENT COMPANY, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHOC FOUNDATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. SCHILLER DEVOTES APPROXIMATELY 42% 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. KIM MILSTEIN IS COMPENSATED THROUGH THE PARENT COMPANY, HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR THE PARENT COMPANY, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHILDREN'S HOSPITAL AT MISSION AND CRC REAL ESTATE CORPORATION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. MILSTIEN DEVOTES APPROXIMATELY 68% OF HIS 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. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UTU2 2019-08-06 107712910 DEFEASE CUSIP # 13033LBP1 0 0 0 B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UZN1 2021-08-03 105675069 DEFEASE CUSIP # 13033LRT6 0 0 0 C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UA40 2021-08-03 103213988 DEFEASE CUSIP # 13033LBT3 0 0 0 D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UP85 2024-03-20 65642478 CONST HEALTH FACILITY 0 0 0 A 20095000 107729808 1146097 106571553 2013 1 0 1 1 B 1655000 105691008 1020677 106034249 2013 1 0 1 1 C 103219184 714086 102500000 2013 1 0 1 1 D 65668489 643054 64999425 2025 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, LINE 14A THE ORIGINAL ISSUANCE DATE OF BOND A IS: 6/30/2009 THE ORIGINAL ISSUANCE DATE OF BOND B IS: 11/3/2011 THE ORIGINAL ISSUANCE DATE OF BOND C IS: 6/30/2009 THE ORIGINAL ISSUANCE DATE OF BOND D IS: 3/20/2024 THE ORIGINAL ISSUANCE DATE OF BOND E IS: 3/20/2024 PART II, LINE 3 THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE PROCEEDS OF THE ISSUE IS THE CUMULATIVE INTEREST EARNED AS FOLLOWS: CUMULATIVE INTEREST EARNED ON ISSUE A $23,648 CUMULATIVE INTEREST EARNED ON ISSUE B $18,887 CUMULATIVE INTEREST EARNED ON ISSUE C $7,890 CUMULATIVE INTEREST EARNED ON ISSUE D $28,737 CUMULATIVE INTEREST EARNED ON ISSUE E $2,823,071 PART IV, LINE 2(C): BOND A ON MARCH 31, 2021 ORRICK, HERRINGTON & SUTCLIFFE DELIVERED AN OPINION STATING THAT ALL GROSS PROCEEDS WERE EXPENDED NO LATER THAN THE DAY SIX MONTHS AFTER THE BONDS WERE ISSUED AND THEREFORE THE ISSUER IS NOT REQUIRED TO PAY REBATE. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UP93 2024-03-20 136173868 CONST HEALTH FACILITY 0 0 0 A 137272705 1172844 80299503 2025 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 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 PROVIDENCE SPEECH AND HEARING CENTER UNLIMITED POSSIBILITIES ALL WAGES AND EMPLOYEE SPECIFIC INFORMATION, INCLUDING VOLUNTEERS, ARE RETAINED WITH CHILDREN'S HOSPITAL OF ORANGE COUNTY. FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS WERE AMENDED TO MAKE RADY CHILDREN'S HEALTH THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) IS THE PARENT COMPNAY, RADY CHILDREN'S HEALTH (RCH). FORM 990, PART VI, SECTION A, LINE 7A PLEASE SEE THE EXPLANATION FOR LINE 7B. FORM 990, PART VI, SECTION A, LINE 7B THE APPROVAL OF THE MEMBER SHALL BE REQUIRED WITH RESPECT TO ANY OF THE FOLLOWING ACTIONS: (1) CHANGING THE PURPOSES AND POWERS OF CHOC; (2) OBLIGATING CHOC TO UNDERTAKE ANY CAPITAL EXPENDITURE IN EXCESS OF $5,000,000; (3) ADOPTING CHOC'S ANNUAL OPERATING AND CAPITAL BUDGETS; (4) ADOPTING A LONG-TERM CAPITAL BUDGET; (5) BUYING, SELLING, LEASING, MORTGAGING, PLEDGING, OR OTHERWISE HYPOTHECATING ANY REAL PROPERTY; (6) INCURRING ANY INDEBTEDNESS IN EXCESS OF $5,000,000; (7) OBLIGATING CHOC TO ACT AS GUARANTOR WITH RESPECT TO ANY DEBT OF ANY PERSON OR OTHER ENTITY; (8) ACCEPTING ANY DONATION WHICH IS CONDITIONED UPON CHOC'S UNDERTAKING ANY UNBUDGETED CAPITAL EXPENDITURE IN EXCESS OF $5,000,000 OR ANY UNBUDGETED EXPENDITURE IN EXCESS OF $5,000,000; (9) ENTERING INTO ANY CONTRACT WHICH INVOLVES THE FOLLOWING: (A) ANY FINANCIAL OBLIGATION ON THE PART OF CHOC IN AN AMOUNT IN EXCESS OF $5,000,000 OR (B) ANY PURPOSE OR ACTIVITY WHICH IS OUTSIDE THE SCOPE OF CHOC'S ORDINARY COURSE OF BUSINESS. (10) INVOLVING CHOC IN ANY MERGER, ACQUISITION, CORPORATE RESTRUCTURING, OR FORMAL AFFILIATION; (11) INVOLVING CHOC AS A MEMBER, SHAREHOLDER, OR PARTNER IN ANY NEW CORPORATION, PARTNERSHIP, OR OTHER LEGAL ENTITY; (12) DISSOLVING CHOC; (13) ENTERING INTO ANY TRANSACTION INVOLVING THE SALE, CONVEYANCE, OF CHOC'S ASSETS; (14) AMENDING CHOC'S ARTICLES OF INCORPORATION; (15) ADOPTING NEW BYLAWS OR AMENDING EXISTING BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS OF REVIEW BEFORE FILING, KNOWLEDGEABLE EXPERIENCED MEMBERS OF MANAGEMENT REVIEW THE TAX RETURN AND RELATED SCHEDULES. MANAGEMENT REVIEWERS ALSO INTERACT THROUGHOUT THE YEAR WITH EXECUTIVES OF THE ORGANIZATION AND MEMBERS OF THE GOVERNING BOARD OF DIRECTORS TO ENHANCE ACCURACY AND COMPLETENESS OF THE RETURNS. FINAL DRAFTS OF THE TAX RETURNS ARE PROVIDED TO MEMBERS OF THE GOVERNING BOARD AT LEAST ONE WEEK PRIOR TO FILING FOR FINAL REVIEW AND THEIR COMMENTS, IF ANY, ARE INCORPORATED INTO THE FINAL RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST COMPLIANCE THE CHIEF COMPLIANCE OFFICER IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICT OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E., BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN AN INDIVIDUAL BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, EACH COVERED PERSON IS REQUIRED TO SIGN A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS SAID POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3)AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE OFFICER AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD OF DIRECTORS; (2)THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION DETERMINATION AN INDEPENDENT BOARD COMMITTEE OF THE ORGANIZATION CHARGED WITH THE DUTIES OF THE EXECUTIVE COMPENSATION COMMITTEE, WHOSE MEMBERS ARE DISINTERESTED AND INDEPENDENT, IS IN PLACE WITH A WRITTEN COMMITTEE CHARTER. THIS COMMITTEE ANNUALLY RETAINS AN INDEPENDENT HEALTHCARE COMPENSATION CONSULTING FIRM TO PROVIDE RELEVANT COMPARABILITY DATA AND OTHER COMPENSATION STUDIES. THE CEO, OFFICERS AND EXECUTIVE MANAGEMENT SALARIES, INCENTIVES AND BENEFITS, AS WELL AS OVERALL COMPENSATION PHILOSOPHY AND POLICIES, ARE DISCUSSED WITH THE INDEPENDENT CONSULTANT REPRESENTATIVES AND THE EXECUTIVE COMPENSATION COMMITTEE MEMBERS, IN PERSON OR VIRTUALLY, IN CLOSED SESSIONS WITH NO STAFF MEMBERS PRESENT. THIS ANNUAL REVIEW WAS LAST PERFORMED IN OCTOBER 2024. ALL COMPARATIVE MARKET DATA, SUCH AS ANNUAL COMPENSATION SURVEY COMPRISED OF A PEER GROUP OF COMPARABLY SIZED PEDIATRIC HOSPITALS, IS WELL DOCUMENTED AND THERE ARE MINUTES FROM THESE MEETINGS THAT DOCUMENT THE MEMBERS PRESENT AND VOTING, THE COMPARATIVE DATA USED AND HOW IT WAS OBTAINED AND THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE. THE RESULTS AND RECOMMENDATIONS FROM THE COMMITTEE ARE SHARED IN AN EXECUTIVE SESSION WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE POLICY FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE FOR PUBLIC INSPECTION. FORM 990 AND THE COPY OF AUDITED FINANCIAL STATEMENTS ATTACHED TO IT ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 180,339,393. MANAGEMENT AND GENERAL EXPENSES 20,037,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200,377,103. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 44,101,204. MANAGEMENT AND GENERAL EXPENSES 4,900,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,001,338. COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 6,257,287. MANAGEMENT AND GENERAL EXPENSES 695,254. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,952,541. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 68,605,905. MANAGEMENT AND GENERAL EXPENSES 7,622,878. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,228,783. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 30,279,563. MANAGEMENT AND GENERAL EXPENSES 3,364,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,643,959. JANITORIAL SERVICES: PROGRAM SERVICE EXPENSES 110,375. MANAGEMENT AND GENERAL EXPENSES 12,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,639. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 2,811,392. MANAGEMENT AND GENERAL EXPENSES 312,377. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,123,769. COURIER SERVICES: PROGRAM SERVICE EXPENSES 1,020. MANAGEMENT AND GENERAL EXPENSES 113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,133. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF CHOC FOUNDATION -491,032. RESTRICTED INVESTMENT INCOME 2,105,097. RESTRICTED CONTRIBUTIONS NET OF RELEASES 14,095,046. CAPITAL CONTRIBUTIONS 111,087,022. UNRELEASED CONTRIBUTIONS -10,403,851. CHILDREN'S HEALTH PLAN OF CALIFORNIA 1201 WEST LA VETA AVENUE ORANGE CA 92868 474876858 SUPPORT AFFILIATES CA 501(C)(3) LINE 12B, II RCH 0 CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) 1201 WEST LA VETA AVENUE ORANGE CA 92868 330265266 HEALTHCARE CA 501(C)(3) LINE 12A, I N/A 0 CHILDREN'S HOSPITAL AT MISSION 1201 WEST LA VETA AVENUE ORANGE CA 92868 330528802 HEALTHCARE CA 501(C)(3) LINE 3 RCH 0 CHOC FOUNDATION 1201 WEST LA VETA AVENUE ORANGE CA 92868 956097416 FUNDRAISING CA 501(C)(3) LINE 7 RCH 0 CRC REAL ESTATE CORPORATION 1201 WEST LA VETA AVENUE ORANGE CA 92868 330612565 REAL ESTATE CA 501(C)(3) LINE 12B, II RCH 0 PROVIDENCE SPEECH AND HEARING CENTER 1301 W PROVIDENCE AVENUE ORANGE CA 92868 956154473 HEALTHCARE CA 501(C)(3) LINE 7 CHOC 1 UNITED CEREBRAL PALSY ASSOC OF OC 1201 E DYER ROAD 150 SANTA ANA CA 92705 951856340 HEALTHCARE CA 501(C)(3) LINE 10 CHOC 1 RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 330278018 SUPPORT RCHSD CA 501(C)(3) LINE 12A, I RCHSD 0 RADY CHILDREN'S HOSPITAL - SAN DIEGO 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 951691313 HOSPITAL CA 501(C)(3) LINE 3 RCH 0 RADY CHILDREN'S HOSPITAL FOUNDATION - SAN DIEGO 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 330170626 FUNDRAISING CA 501(C)(3) LINE 7 RCH 0 RADY CHILDREN'S HOSPITAL RESEARCH CENTER 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 953814185 RESEARCH CA 501(C)(3) LINE 12A, I RCH 0 RADY CHILDREN'S HEALTH FKA RADY CHILDREN'S HOSPITAL AND HEALTH CENTER 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 953545901 SUPPORT AFFILIATES CA 501(C)(3) LINE 12B, II 0 ORANGE COUNTY MEDICAL RECIPROCAL INSURANCE COMPANY A RISK RETENTION GROUP 7400 E GAINEY CLUB DR 111 SCOTTSDALE AZ 85258 201620666 INSURANCE AZ C 109820 4139990 0.50000 0 CHILDREN'S HOSPITAL INSURANCE LIMITED CANONS COURT 23 VICTORIA STREET HAMILTON BD HM 12 CAPTIVE INSURANCE BD CHIRP C 0 CHILDREN'S HOSPITAL INTEGRATED RISK PROTECTIVE LIMITED DORCHESTER HOUSE PO BOX 2020 HAMILTON BD HM HY CAPTIVE INSURANCE BD RCH C 0 CRUT (1) 3020 CHILDRENS WAY MC 5133 SAN DIEGO CA 92123 CRUT CA RCH T 0 RADY CHILDREN'S PHYSICIAN MGMT SERVICES INC 3860 CALLE FORTUNADA SUITE 200 SAN DIEGO CA 92123 330670694 MANAGEMENT SVCS CA RCH C 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 1 1 1 UNITED CEREBRAL PALSY ASSOC OF OC B 3031469 LOAN FORGIVENESS UNITED CEREBRAL PALSY ASSOC OF OC O 4960413 IS UNITED CEREBRAL PALSY ASSOC OF OC Q 532963 2091-200 AP