2024-05-13T10:19:49-05:00 2023-06-30 135565207 KPMG LLP 550 SOUTH HOPE STREET SUITE 1500 LOS ANGELES CA 90071 990 2022-07-01 330265266 CHILDREN'S HEALTHCARE OF CALIFORNIA CHIL 7149973000 1201 WEST LA VETA AVENUE ORANGE CA 92868 KERRI RUPPERT SCHILLER EVP/CFO/ASSISTANT SECRETARY 7145098451 2024-05-13 1 KERRI RUPPERT SCHILLER XXX-XX-XXXX 0 HOLLY MOEN P01800653 2139724000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KIMBERLY C CRIPE 1201 WEST LA VETA AVENUE ORANGE CA 92866 73520275 0 X WWW.CHOC.ORG X 1986 CA SEE SCHEDULE O 8 8 5 0 3598740 614796 10761723 25100000 1600396 1600396 18268265 12812474 592 6617 30630976 39519487 0 0 0 0 3210360 2967778 0 0 828823 5037642 5320457 8248002 8288235 22382974 31231252 482213994 536870554 3263202 3005529 478950792 533865025 X SEE SCHEDULE O 0 0 7044998 0 1600396 CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) SUPPORTS THE MISSION OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND CHILDREN'S HOSPITAL AT MISSION (CCMH). CHOC AND CCMH PROVIDE PEDIATRIC SERVICES TO CHILDREN IN ORANGE COUNTY AND ITS SURROUNDING AREA. THE ACTIVITIES OF CHC HELP TO OFFSET SERVICES TO INDIGENT FAMILIES AND PROVIDE CURRENT STATE OF THE ART MEDICAL EQUIPMENT AND FACILITIES. DURING THE YEAR, THERE WERE 90,331 DAYS OF INPATIENT CARE; 134,060 EMERGENCY ROOM VISITS (INCLUDING PEDIATRIC TRAUMA VISITS); 13,129 SURGERIES AND 350,344 CLINIC VISITS PROVIDED BY CHOC AND CCMH. OUR CALIFORNIA MEDICAL FOUNDATION PROVIDED 509,217 PEDIATRIC SUBSPECIALTY SERVICE ENCOUNTERS, AS WELL AS 278,865 PRIMARY CARE VISITS TO PATIENTS THROUGHOUT ORANGE COUNTY AND BEYOND. 7044998 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 4 0 5 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 8 8 0 0 0 0 0 0 0 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 JANET T DAVIDSON DIRECTOR 3.00 0.50 X 0 0 0 CHRIS FURMAN VICE CHAIR 3.00 4.00 X X 0 0 0 JIM MORRIS DIRECTOR 5.00 4.00 X 0 0 0 KIMBERLY SENTOVICH DIRECTOR 3.00 3.00 X 0 0 0 DOUGLAS MCCOMBS CHAIR 6.00 7.00 X X 0 0 0 JOE KIANI DIRECTOR 3.00 4.00 X 0 0 0 MARIA MINON MD DIRECTOR 2.00 4.00 X 0 0 0 MARSHALL ROWEN MD DIRECTOR 5.00 5.00 X 0 0 0 KIMBERLY C CRIPE PRESIDENT & CEO 4.00 36.00 X 1755275 0 103962 PAUL VAN DOLAH EVP/COO (THRU 5/23) 0.50 39.50 X 896478 0 30198 JAY GABRIEL CHIEF LEGAL OFFICER/SECRETARY 17.50 22.50 X 0 771599 79346 KERRI RUPPERT SCHILLER EVP/CFO/ASSISTANT SECRETARY 10.00 30.00 X 924633 0 75580 SHAHAB DADJOU SVP, STRATEGY & INTEGRATION/CSO 0.00 0.00 X 392881 0 0 3969267 771599 289086 4 1 1 0 KPMG LLP PO BOX 120754 DALLAS TX 75312 AUDITING/CONSULTING 509330 KORN FERRY 1900 AVENUE OF THE STARS SUITE 260 LOS ANGELES CA 90067 CONSULTING 221677 CHARTIS GROUP LLC DEPARTMENT 5925 CAROL STREAM IL 60122 CONSULTING 194513 3 25100000 25100000 MANAGEMENT FEES 621990 1600396 1600396 1600396 12801167 3598740 9202427 34012095 34000788 11307 11307 11307 MISC REVENUE 621990 6617 6617 6617 39519487 1600396 3598740 9220351 2691792 2288023 134590 269179 32541 27660 1627 3254 156851 133323 7843 15685 86594 73605 4330 8659 411705 349949 20585 41171 1937281 1646689 96864 193728 660000 561000 33000 66000 713930 606840 35697 71393 523018 444564 26152 52302 4882 4150 244 488 11661 9912 583 1166 16189 13761 809 1619 838839 713013 41942 83884 LICENSES & TAXES 177431 150816 8872 17743 RECRUITING 22288 18945 1114 2229 OTHER DIRECT EXPENSES 3233 2748 162 323 8288235 7044998 414414 828823 4038390 5771577 182811996 206565773 0 0 0 0 0 0 0 0 0 0 0 0 768759 770880 161890 93245 84834 68645 286262833 300450501 8115976 23075588 0 0 0 131206 167590 482213994 536870554 2856266 2554030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 406936 451499 3263202 3005529 X 478950792 533865025 0 0 478950792 533865025 482213994 536870554 X 31231252 23750858 -67877 X 0 1 X 1 0 X X 2 CHILDREN'S HOSPITAL OF ORANGE COUNTY 952321786 3 1 1015008 0 CHILDREN'S HOSPITAL AT MISSION 330528802 3 0 469992 0 2 1485000 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART I, LINE 12 CHC PROVIDED OR PURCHASED FOR THE BENEFIT OF THE CHILDREN'S HOSPITAL OF ORANGE COUNTY AND CHILDREN'S HOSPITAL AT MISSION VARIOUS SERVICES, FACILITIES, AND GOODS. SEE FORM 990 PART IX FOR FURTHER DETAILS. THE TOTAL AMOUNT OF SUPPORT LISTED WAS FOR BOTH SUPPORTED ORGANIZATIONS AND OTHER RELATED EXEMPT ORGANIZATIONS THAT ARE AN INTEGRAL PART OF THE CHILDREN'S HEALTHCARE OF CALIFORNIA HEALTHCARE SYSTEM AND ARE LISTED ON FORM 990 SCHEDULE R PART IV, SECTION A, LINE 1 CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND CHILDREN'S HOSPITAL AT MISSION (CCMH). CHC, CHOC, AND CCMH HAVE THE SAME PRESIDENT & CEO; THE SAME CFO, AND SOME OF THE DIRECTORS ARE THE SAME FOR ALL THREE ORGANIZATIONS. PART IV, SECTION A, LINE 6 CHC ALSO PROVIDES SUPPORT TO CHILDREN'S HOSPITAL AT MISSION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 161890 93245 68645 68645 DUE TO RELATED PARTY 451499 451499 X 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, 2023, 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 3699892 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 17309605 0 0 0 0 0 0 21009497 0 21009497 1 0 1 0 1 0 PART III ACCOUNTING METHOD: X X X X 1 1 0 0 0 0 0 0 0 KIMBERLY C CRIPE PRESIDENT & CEO 1107695 0 410746 0 236834 0 69815 0 34147 0 1859237 0 59568 0 KERRI RUPPERT SCHILLER EVP/CFO/ASSISTANT SECRETARY 626529 0 146330 0 151774 0 46201 0 29379 0 1000213 0 29032 0 PAUL VAN DOLAH EVP/COO (THRU 5/23) 642870 0 147277 0 106331 0 30198 0 0 0 926676 0 29238 0 JAY GABRIEL CHIEF LEGAL OFFICER/SECRETARY 0 534229 0 114164 0 123206 0 36995 0 42351 0 850945 0 21195 SHAHAB DADJOU SVP, STRATEGY & INTEGRATION/CSO 0 0 0 0 392881 0 0 0 0 0 392881 0 0 0 PART I, LINES 4A-B SCHEDULE J: SEVERANCE ARRANGEMENTS, PART I, LINE 4A 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. IN CALENDAR YEAR 2022 SHAHAB DADJOU RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $392,881 AND MATTHEW GERLACH RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $2,434. SCHEDULE J: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE COMPANY ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN EFFECTIVE JANUARY 1, 2010, IN WHICH CERTAIN INDIVIDUALS LISTED ON THE FORM 990, PART VII AND SCHEDULE J ARE PARTICIPANTS. UNDER THE ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) OR SERP, FOR EACH PLAN YEAR THAT BEGINS PRIOR TO THE PARTICIPANT'S CASH DATE, CHOC SHALL CREATE A NEW SERP ACCOUNT ON ITS BOOKS FOR THE PARTICIPANT AND SHALL CREDIT TO SUCH ACCOUNT AT TIMES SPECIFIED. THE PARTICIPANTS OF THE PLAN ARE GENERAL CREDITORS OF THE COMPANY. THE PARTICIPANT'S SERP ACCOUNT SHALL BE UTILIZED SOLELY AS A DEVICE FOR THE MEASUREMENT AND DETERMINATION OF THE AMOUNTS TO BE PAID TO THE PARTICIPANT UNDER THIS PLAN. THE PARTICIPANT IS ENTITLED TO HIS/HER SERP BENEFIT AMOUNT UPON THE EARLIEST OF (1) REMAINING EMPLOYED WITH THE COMPANY TO THE THIRD ANNIVERSARY OF THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE SERP ACCOUNT WAS CREATED; (2) REMAINING EMPLOYED WITH THE COMPANY TO THE PARTICIPANT'S 60TH BIRTHDAY; (3) REMAINING EMPLOYED WITH THE COMPANY TO THE DATE THE PARTICIPANT HAS BOTH ATTAINED AT LEAST AGE 55 AND HAS COMPLETED AT LEAST 10 YEARS OF SERVICE; (4) DISABILITY; (5) INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; (6) VOLUNTARY SEPARATION FROM SERVICE FOR GOOD REASON OR (7) DEATH. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2022: MS. CRIPE ($205,154), MS. SCHILLER ($101,580), MR. GABRIEL ($76,697), AND MR. VAN DOLAH ($102,255). 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. SCHEDULE J: COMPENSATION FOOTNOTES KIMBERLY C. CRIPE IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR CHC, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHOC FOUNDATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. CRIPE DEVOTES APPROXIMATELY 71% OF HER TIME EACH WEEK TO CHILDREN'S HOSPITAL OF ORANGE COUNTY RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON THE OTHER RELATED ORGANIZATIONS' BUSINESS AFFAIRS. KERRI RUPPERT SCHILLER IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR CHC, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHOC FOUNDATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. SCHILLER DEVOTES APPROXIMATELY 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. PAUL VAN DOLAH IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HIS RESPONSIBILITIES FOR CHC, HE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHILDREN'S HOSPITAL AT MISSION AND CRC REAL ESTATE CORPORATION (ALL IRC SECTION 501(C)(3) AFFILIATES). MR. VAN DOLAH DEVOTES APPROXIMATELY 84% OF HIS TIME EACH WEEK TO CHILDREN'S HOSPITAL OF ORANGE COUNTY RESPONSIBILITIES WITH THE BALANCE OF HIS TIME BEING SPENT ON CHILDREN'S HOSPITAL AT MISSION'S BUSINESS AFFAIRS. IN MAY 2023, MR VAN DOLAH TRANSITIONED TO ANOTHER ROLE WITHIN THE ORGANIZATION AS CHIEF TRANSFORMATION OFFICER. HE WAS REPLACED BY MS. KIM MILSTIEN AS CHIEF OPERATING OFFICER. FORM 990, PART I, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION: THE RECEIPT OF DISTRIBUTIONS AND GRANTS TO MAKE DISTRIBUTIONS AND GRANTS TO CHILDREN'S HOSPITAL OF ORANGE COUNTY AND TO AFFILIATED EXEMPT ORGS FOR FURTHERANCE OF THEIR OBJECTIVES. FORM 990, PART III, LINE 1, DESCRIPTION OF THE ORGANIZATION'S MISSION: THE PRIMARY EXEMPT PURPOSE OF CHILDREN'S HEALTHCARE OF CALIFORNIA INCLUDES WITHOUT LIMITATION THE RECEIPT OF DISTRIBUTIONS AND GRANTS FOR THE MAKING OF DISTRIBUTIONS AND GRANTS TO CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND TO AFFILIATED EXEMPT ORGANIZATIONS IN THE FURTHERANCE OF THEIR CHARITABLE OBJECTIVES AND PURPOSES. THESE AFFILIATED ORGANIZATIONS INCLUDE: CHILDREN'S HOSPITAL OF ORANGE COUNTY CHILDREN'S HOSPITAL AT MISSION CHOC FOUNDATION CRC REAL ESTATE CORPORATION PROVIDENCE SPEECH AND HEARING CENTER INFORMATION REGARDING COMMON PAYMASTER CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) ACTS AS A COMMON PAYMASTER, ISSUING FORMS W-2 AND 1099 ON BEHALF OF CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC). CHC HAS 5 EMPLOYEES, HOWEVER BECAUSE OF THE COMMON PAYMASTER ARRANGEMENT, THE FORMS W-2 WERE ISSUED UNDER CHOC'S EMPLOYER IDENTIFICATION NUMBER. FORM 990, PART VI, SECTION B, LINE 11B PROCESS OF REVIEW PRIOR TO FILING, THE TAX RETURN AND RELATED SCHEDULES ARE PROVIDED TO THE CHC EXECUTIVE COMPENSATION COMMITTEE, AN EMPOWERED BOARD COMMITTEE DELEGATED WITH THIS AUTHORITY. THE CHIEF FINANCIAL OFFICER REVIEWS THE MATERIALS WITH THE COMMITTEE PRIOR TO FILING THE FINAL RETURN. PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FINAL FORM 990 IS ALSO SHARED ELECTRONICALLY WITH ALL BOARD MEMBERS VIA DIRECTOR'S DESK, A SECURE WEBSITE THAT PROVIDES A CONFIDENTIAL AND SECURE ACCESS TO ALL BOARD AND BOARD COMMITTEE MATERIALS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCING COMPLIANCE OF CONFLICT OF INTEREST POLICY 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 CONFLICT AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN AN INDIVIDUAL BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, EACH COVERED PERSON IS REQUIRED TO SIGN A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS SAID POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE OFFICER AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD OF DIRECTORS;(2)THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF SUCH TRANSACTION;(4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS OF DETERMINING COMPENSATION OF THE CEO AND OTHER OFFICERS AN INDEPENDENT BOARD COMMITTEE OF CHC CHARGED WITH THE DUTIES OF THE COMPENSATION COMMITTEE, WHOSE MEMBERS ARE DISINTERESTED AND INDEPENDENT, IS IN PLACE WITH A WRITTEN COMPENSATION COMMITTEE CHARTER. THIS COMMITTEE ANNUALLY RETAINS AN INDEPENDENT HEALTHCARE COMPENSATION 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 COMPENSATION COMMITTEE MEMBERS, IN PERSON, IN CLOSED SESSIONS WITH NO STAFF MEMBERS PRESENT. THIS ANNUAL REVIEW WAS LAST PERFORMED IN OCTOBER 2023. 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, THE VOTING, THE COMPARATIVE DATA USED, HOW IT WAS OBTAINED, 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 ARE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: VALUATION ADJUSTMENT - INNOVATIVE INST. -67,877. CHILDREN'S HOSPITAL OF ORANGE COUNTY 1201 WEST LA VETA AVENUE ORANGE CA 92868 952321786 HEALTHCARE CA 501(C)(3) LINE 3 CHC 1 CHILDREN'S HOSPITAL AT MISSION 1201 WEST LA VETA AVENUE ORANGE CA 92868 330528802 HEALTHCARE CA 501(C)(3) LINE 3 CHC 1 CHOC FOUNDATION 1201 WEST LA VETA AVENUE ORANGE CA 92868 956097416 FUNDRAISING CA 501(C)(3) LINE 7 CHC 1 CRC REAL ESTATE CORPORATION 1201 WEST LA VETA AVENUE ORANGE CA 92868 330612565 REAL ESTATE CA 501(C)(3) LINE 12B, II CHC 1 PROVIDENCE SPEECH AND HEARING 1201 WEST LA VETA AVENUE ORANGE CA 92868 956154473 HEALTHCARE CA 501(C)(3) LINE 7 CHOC 0 ORANGE COUNTY MEDICAL RECIPROCAL INS CO 7400 E GAINEY CLUB DR 111 SCOTTSDALE AZ 85258 101620666 INSURANCE AZ C 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 CHILDREN'S HOSPITAL AT MISSION S 21500000 CASH TRANSFER CHILDREN'S HOSPITAL AT ORANGE COUNTY L 1015008 MGMT SERVICES CHILDREN'S HOSPITAL AT MISSION L 469992 MGMT SERVICES CHOC FOUNDATION L 40396 MGMT SERVICES CRC REAL ESTATE CORPORATION L 75000 MGMT SERVICES CHILDREN'S HOSPITAL AT ORANGE COUNTY M 411075 MGMT SERVICES CRC REAL ESTATE CORPORATION S 3600000 CASH TRANSFER PART V, LINE 2, COLUMN (C) THE METHODS USED BY CHC TO DETERMINE THE VALUE OF THE AMOUNTS LISTED IN SCHEDULE R PART V LINE 2 COLUMN (C) WERE: (C) CONTRIBUTIONS FROM RELATED ORGANIZATIONS ARE DETERMINED BASED ON THE RECIPIENT CHARITABLE ORGANIZATION'S ANNUAL OPERATIONAL AND CAPITAL NEEDS AND WERE APPROVED BY CHC'S BOARD. (L) MANAGEMENT FEES ARE DEVELOPED INTERNALLY BY MANAGEMENT IN CONJUNCTION WITH THE ANNUAL OPERATING AND CAPITAL BUDGETS BASED ON RESOURCES REQUIRED BY AFFILIATES AND SUPPORTED BY TIME STUDIES, WORK PRODUCTS AND OTHER STATISTICS TO SUPPORT ALLOCATIONS.