CHOC FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CHOC FOUNDATION (EIN 95-6097416)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-11
- IRS object ID
- 202201319349301810
- Schema version
- 2020v4.2
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T07:59:06-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 SOUTH HOPE STREET SUITE 1500 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90071 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 956097416 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHOC FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHOC | BusinessNameControlTxt |
| Phone | 7149973000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 WEST LA VETA AVENUE | AddressLine1Txt |
| City | ORANGE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92868 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERRI RUPPERT SCHILLER | PersonNm |
| Person Title | EVP/CFO/ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 7149973000 | PhoneNum |
| Signature | 2022-04-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KERRI | PersonFirstNm |
| Person Last | RUPPERT SCHILLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES LANCASTER | PreparerPersonNm |
| PTIN | P00742579 | PTIN |
| Phone | 2139724000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIMBERLY C CRIPE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 WEST LA VETA AVENUE | AddressLine1Txt |
| City | ORANGE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92868 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,412,286 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHOC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SUPPORTING CLINICAL AND NONCLINICAL SVCS MEDICAL EDUCATION, RESEARCH & ALLIED FIELDS OF PEDIATRIC AT CHILDREN'S HOSPITAL OF OC, CHILDREN'S HOSPITAL AT MISSION AND ITS AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 30 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 29 | VotingMembersIndependentCnt |
| Total Employee | 64 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $47,557,591 | PYContributionsGrantsAmt |
| CY Contributions Grants | $35,930,822 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,552,727 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,595,378 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,184,175 | PYOtherRevenueAmt |
| CY Other Revenue | $824,891 | CYOtherRevenueAmt |
| PY Total Revenue | $51,294,493 | PYTotalRevenueAmt |
| CY Total Revenue | $39,351,091 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,344,086 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $21,394,170 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,208,364 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,375,797 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $5,567,456 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,278,513 | PYOtherExpensesAmt |
| CY Other Expenses | $3,313,058 | CYOtherExpensesAmt |
| PY Total Expenses | $37,830,963 | PYTotalExpensesAmt |
| CY Total Expenses | $33,083,025 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,463,530 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,268,066 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $91,223,455 | TotalAssetsBOYAmt |
| Total Assets EOY | $110,874,633 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,978,003 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,220,904 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $88,245,452 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $101,653,729 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CHOC FOUNDATION WAS FORMED TO HELP SUPPORT CLINICAL AND NONCLINICAL SERVICES, MEDICAL EDUCATION, RESEARCH AND ALLIED FIELDS OF PEDIATRICS AT CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHILDREN'S HOSPITAL AT MISSION AND TO SUPPORT ITS AFFILIATES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,217,415 | ExpenseAmt |
| Grant | $21,217,415 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) - PROVIDES SPECIALIZED PEDIATRIC SERVICES FOR THE CARE OF CHILDREN AND YOUNG ADULTS. DURING THIS YEAR, THERE WERE 61,398 DAYS OF INPATIENT CARE; 59,404 EMERGENCY ROOM VISITS; 11,516 SURGERIES; AND 302,299 PRIMARY AND SPECIALTY CARE CLINIC VISITS. FUNDS RAISED HELPS TO OFFSET COST OF SERVICES PROVIDED TO INDIGENT FAMILIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $176,755 | ExpenseAmt |
| Grant | $176,755 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | CHILDREN HOSPITAL AT MISSION (CCMH) - FUNDS SUPPORT AFFILIATED ACUTE CARE PEDIATRIC HOSPITAL. FACILITY PROVIDES PEDIATRIC, NEONATAL AND CARE FOR EMERGENCY SERVICES. THERE WERE 6,791 INPATIENT CARE DAYS, 7,902 EMERGENCY ROOM VISITS; 432 SURGERIES AND 12,566 OUTPATIENT VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,409,444 | ExpenseAmt |
| Desc | CHOC FOUNDATION GENERATES COMMUNITY AWARENESS AND RESOURCES FOR CHOC AND CCMH. THE FOUNDATION SECURES PHILANTHROPIC SUPPORT FOR HEALTH AND WELL BEING OF CHILDREN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $25,803,614 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 64 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 30 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 29 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY NGUYEN | PersonNm |
| Phone | 7145094124 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 WEST LA VETA AVENUE | AddressLine1Txt |
| City | ORANGE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92868 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY CRIPE | |||||||||
| PRESIDENT & CEO | 5.00 | 35.00 | Yes (X) | Yes (X) | $0 | $1,794,655 | $103,462 | ||
| ADRIENNE MATROS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS AINSWORTH | |||||||||
| DIRECTOR (FROM 11/20) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AMY MORHAIME | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNIKA CHASE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CARY HYDEN | |||||||||
| DIRECTOR/CHAIR | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE BIXBY MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER HARRISON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CURTIS KNAUSS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN HYDEN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL HYMAN | |||||||||
| DIRECTOR/VICE CHAIR | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DELPHINE LEE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC HART | |||||||||
| DIRECTOR (FROM 03/21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HEATHER MADDEN | |||||||||
| DIRECTOR/VICE CHAIR | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HECTOR BARRETO | |||||||||
| DIRECTOR (TO 12/20) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JANE YADA | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JASON KNIGHT MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY FLANNERY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM CONROY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JON STORBECK | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN J HAYES | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LILI DAFTARIAN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MATT LEINART | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MONICA FURMAN | |||||||||
| DIRECTOR/SECRETARY | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NILOOFAR FAKHIMI | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RYAN MOORE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE ARGYROS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVE HOLLEY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TONY BOUTELLE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TUSDI VOPAT | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KERRI RUPPERT SCHILLER | |||||||||
| EVP/CFO/ASSISTANT SECRETARY | 3.00 | 37.00 | Yes (X) | $0 | $903,062 | $73,762 | |||
| DOUGLAS CORBIN | |||||||||
| SR. VP, CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | $708,337 | $0 | $41,949 | Yes (X) | |||
| WAYNE COMBS | |||||||||
| ASSOCIATE VP, OPERATIONS & ADMINISTRATIVE SERVICES | 40.00 | 0.00 | $282,313 | $0 | $33,371 | Yes (X) | |||
| KARA KIPP | |||||||||
| ASSISTANT VP, LEADERSHIP GIVING | 40.00 | 0.00 | $248,622 | $0 | $50,278 | Yes (X) | |||
| PATRICE POIDMORE | |||||||||
| ASSOCIATE VP, CORPORATE & COMMUNITY ENGAGEMENT | 40.00 | 0.00 | $289,583 | $0 | $28,694 | Yes (X) | |||
| ZACHARIAH ABRAMS | |||||||||
| ASSISTANT VP, COMMUNITY ENGAGEMENT | 40.00 | 0.00 | $229,574 | $0 | $8,142 | Yes (X) | |||
| ANTHONY JENNISON | |||||||||
| ASSISTANT VP, INDIVIDUAL GIVING | 40.00 | 0.00 | $268,668 | $0 | $3,410 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,027,097 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,697,717 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $343,068 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CI PARTNERS DIRECT LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 EASTMAN AVE SUITE 202 | AddressLine1Txt |
| City | VENTURA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 930036471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSULTING | ServicesDesc |
| Compensation | $235,360 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,752,661 | FundraisingAmt |
| All Other Contributions | $34,178,161 | AllOtherContributionsAmt |
| Noncash Contributions | $4,017,359 | NoncashContributionsAmt |
| Total Contributions | $35,930,822 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,611,096 | TotalRevenueColumnAmt |
| Exclusion | $2,611,096 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,026,940 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,042,658 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$15,718 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,718 | TotalRevenueColumnAmt |
| Exclusion | -$15,718 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $1,843,428 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,752,661 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $1,018,537 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $824,891 | TotalRevenueColumnAmt |
| Exclusion | $824,891 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,351,091 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,420,269 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,394,170 | TotalAmt |
| Program Services | $21,394,170 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,858 | TotalAmt |
| Program Services | $435,515 | ProgramServicesAmt |
| Management And General | $72,586 | ManagementAndGeneralAmt |
| Fundraising | $217,757 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,572,038 | TotalAmt |
| Program Services | $2,395,976 | ProgramServicesAmt |
| Management And General | $668,645 | ManagementAndGeneralAmt |
| Fundraising | $2,507,417 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,347 | TotalAmt |
| Program Services | $56,479 | ProgramServicesAmt |
| Management And General | $15,762 | ManagementAndGeneralAmt |
| Fundraising | $59,106 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,518,681 | TotalAmt |
| Program Services | $653,033 | ProgramServicesAmt |
| Management And General | $182,242 | ManagementAndGeneralAmt |
| Fundraising | $683,406 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,873 | TotalAmt |
| Program Services | $183,985 | ProgramServicesAmt |
| Management And General | $51,345 | ManagementAndGeneralAmt |
| Fundraising | $192,543 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $835,859 | TotalAmt |
| Program Services | $226,425 | ProgramServicesAmt |
| Management And General | $261,493 | ManagementAndGeneralAmt |
| Fundraising | $347,941 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275 | TotalAmt |
| Management And General | $275 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,750 | TotalAmt |
| Management And General | $1,750 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,127 | TotalAmt |
| Management And General | $46,127 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,912 | TotalAmt |
| Program Services | $25,443 | ProgramServicesAmt |
| Management And General | $58,816 | ManagementAndGeneralAmt |
| Fundraising | $374,653 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,027 | TotalAmt |
| Program Services | $37,495 | ProgramServicesAmt |
| Management And General | $37,210 | ManagementAndGeneralAmt |
| Fundraising | $371,322 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,808 | TotalAmt |
| Program Services | $1,294 | ProgramServicesAmt |
| Management And General | $3,508 | ManagementAndGeneralAmt |
| Fundraising | $8,006 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,598 | TotalAmt |
| Program Services | $107,261 | ProgramServicesAmt |
| Management And General | $24,587 | ManagementAndGeneralAmt |
| Fundraising | $121,750 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,143 | TotalAmt |
| Program Services | $223,808 | ProgramServicesAmt |
| Management And General | $223,808 | ManagementAndGeneralAmt |
| Fundraising | $249,527 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,712 | TotalAmt |
| Program Services | -$2,158 | ProgramServicesAmt |
| Management And General | -$1,087 | ManagementAndGeneralAmt |
| Fundraising | $46,957 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,130 | TotalAmt |
| Program Services | $50,533 | ProgramServicesAmt |
| Management And General | $50,533 | ManagementAndGeneralAmt |
| Fundraising | $52,064 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,167 | TotalAmt |
| Program Services | $2,787 | ProgramServicesAmt |
| Management And General | $2,787 | ManagementAndGeneralAmt |
| Fundraising | $5,593 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DUES | $329,427 | $6,968 | $6,968 | $315,491 |
| TAXES AND LICENCES | $23,123 | $4,600 | $4,600 | $13,923 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,083,025 | TotalAmt |
| Program Services | $25,803,614 | ProgramServicesAmt |
| Management And General | $1,711,955 | ManagementAndGeneralAmt |
| Fundraising | $5,567,456 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,720,058 | BOYAmt |
| EOY | $3,141,195 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,494 | BOYAmt |
| EOY | $30,656,343 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,688,605 | BOYAmt |
| EOY | $24,265,618 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,230 | BOYAmt |
| EOY | $117,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,746,596 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $997,085 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $902,641 | BOYAmt |
| EOY | $749,511 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,533,313 | BOYAmt |
| EOY | $45,676,550 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $587,114 | BOYAmt |
| EOY | $6,267,846 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,223,455 | BOYAmt |
| EOY | $110,874,633 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,618,110 | BOYAmt |
| EOY | $1,691,348 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,359,893 | BOYAmt |
| EOY | $7,529,556 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,978,003 | BOYAmt |
| EOY | $9,220,904 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,691,778 | BOYAmt |
| EOY | $24,143,586 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,553,674 | BOYAmt |
| EOY | $77,510,143 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,245,452 | BOYAmt |
| EOY | $101,653,729 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,223,455 | BOYAmt |
| EOY | $110,874,633 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,268,066 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,211,272 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$71,061 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,646,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,196,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,672,332 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,533,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,930,822 | CurrentTaxYearAmt |
| Total | $179,979,528 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,646,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,196,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,672,332 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,533,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,930,822 | CurrentTaxYearAmt |
| Total | $179,979,528 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $28,586,573 | SubstantialContributorsTotAmt |
| Public Support Total170 | $151,392,955 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $685,470 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $837,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,524,336 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,522,319 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,611,096 | CurrentTaxYearAmt |
| Total | $7,181,171 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,601,070 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,486,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,376,214 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,153,478 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,843,428 | CurrentTaxYearAmt |
| Total | $11,460,825 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $198,621,524 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.76220 | PublicSupportCY170Pct |
| Public Support PY170 | 0.73380 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $65,006,824 | BeginningYearBalanceAmt |
| Contributions | $5,405,046 | ContributionsAmt |
| Investment Earnings Or Losses | $9,662,669 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,214,009 | OtherExpendituresAmt |
| End Year Balance | $78,860,530 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,131,994 | BeginningYearBalanceAmt |
| Contributions | $17,023,243 | ContributionsAmt |
| Investment Earnings Or Losses | $1,758,020 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $906,433 | OtherExpendituresAmt |
| End Year Balance | $65,006,824 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,523,863 | BeginningYearBalanceAmt |
| Contributions | $2,656,275 | ContributionsAmt |
| Investment Earnings Or Losses | $3,007,201 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,055,345 | OtherExpendituresAmt |
| End Year Balance | $47,131,994 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $39,537,672 | BeginningYearBalanceAmt |
| Contributions | $1,351,071 | ContributionsAmt |
| Investment Earnings Or Losses | $2,355,682 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $720,562 | OtherExpendituresAmt |
| End Year Balance | $42,523,863 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,329,250 | BeginningYearBalanceAmt |
| Contributions | $4,389,756 | ContributionsAmt |
| Investment Earnings Or Losses | $3,471,548 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $652,882 | OtherExpendituresAmt |
| End Year Balance | $39,537,672 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.28497 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.71503 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $459,686 | OtherCostOrOtherBasisAmt |
| Depreciation | $202,585 | DepreciationAmt |
| Book Value | $257,101 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,286,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $794,500 | DepreciationAmt |
| Book Value | $492,410 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $749,511 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CHARITABLE REMAINDER TRUSTS | $516,053 |
| OPERATING LEASE RIGHT OF USE ASSETS | $5,751,793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,267,846 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE RIGHT OF USE LIAB | $6,122,489 |
| PAYABLE TO RELATED ORGANIZATIONS | $1,407,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,529,556 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $46,491,302 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,211,272 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $7,211,272 | RevenueNotReportedAmt |
| Revenue Subtotal | $39,280,030 | RevenueSubtotalAmt |
| Other Revenues Not Included | $71,061 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $71,061 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $39,351,091 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $33,083,025 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $33,083,025 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,083,025 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INTENDED USE OF ORGANIZATION'S ENDOWMENT FUNDS: 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, 2021, 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. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 71,061. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHOC FOLLIES | Event1Nm |
| Gross Receipts Event1 | $907,501 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $819,610 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $87,891 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $3,950 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $400 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $0 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $30,288 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $53,253 | OtherDirectExpensesEvent1Amt |
| Event2 | GUILDS | Event2Nm |
| Gross Receipts Event2 | $1,071,474 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $785,184 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $286,290 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $33,998 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $33,787 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $48,451 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $72,228 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $97,826 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $1,617,114 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $147,867 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $1,469,247 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $125,034 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $16,979 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $0 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $15,005 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $487,338 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $3,596,089 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,752,661 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $1,843,428 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $162,982 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $51,166 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $48,451 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $117,521 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $638,417 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $1,018,537 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $824,891 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | ||||||||
| 1201 W LA VETA AVE | ORANGE | CA | 92868 | 952321786 | 501 (C)(3) | $21,217,415 | N/A | HOSPITAL OPERATIONS |
| CHILDREN'S HOSPITAL AT MISSION | ||||||||
| 1201 W LA VETA AVE | ORANGE | CA | 92868 | 330528802 | 501 (C)(3) | $176,755 | N/A | HOSPITAL OPERATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS CHOC FOUNDATION RECEIVES CONTRIBUTIONS ON BEHALF OF CHILDREN'S HOSPITAL OF ORANGE COUNTY AND CHILDREN'S HOSPITAL AT MISSION, BOTH AFFILIATED 501(C)(3) ORGANIZATIONS. DONATIONS ARE GENERALLY RESTRICTED OR DESIGNATED BY DONORS FOR VARIOUS PURPOSES AT INCEPTION. THE FUNDS ARE THEN DISTRIBUTED TO THE APPROPRIATE ORGANIZATION ACCORDING TO DONOR STIPULATIONS FOR MEDICAL PROGRAMS OR FOR THE NEW TOWER CONSTRUCTION AS DESIGNATED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY CRIPE | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,106,414 | $0 | $397,073 | $0 | $291,168 | $0 | $68,315 | $0 | $35,147 | $0 | $1,898,117 | $0 | $49,744 |
| KERRI RUPPERT SCHILLER | ||||||||||||||
| EVP/CFO/ASSISTANT SECRETARY | $0 | $603,953 | $0 | $147,954 | $0 | $151,155 | $0 | $44,383 | $0 | $29,379 | $0 | $976,824 | $0 | $23,456 |
| DOUGLAS CORBIN | ||||||||||||||
| SR. VP, CHIEF DEVELOPMENT OFFICER | $462,529 | $0 | $122,292 | $0 | $123,516 | $0 | $26,399 | $0 | $15,550 | $0 | $750,286 | $0 | $16,252 | $0 |
| PATRICE POIDMORE | ||||||||||||||
| ASSOCIATE VP, CORPORATE & COMMUNITY | $240,944 | $0 | $44,706 | $0 | $3,933 | $0 | $14,093 | $0 | $14,601 | $0 | $318,277 | $0 | $0 | $0 |
| WAYNE COMBS | ||||||||||||||
| ASSOCIATE VP, OPERATIONS & ADMINISTR | $238,308 | $0 | $44,005 | $0 | $0 | $0 | $3,983 | $0 | $29,388 | $0 | $315,684 | $0 | $0 | $0 |
| KARA KIPP | ||||||||||||||
| ASSISTANT VP, LEADERSHIP GIVING | $208,743 | $0 | $39,879 | $0 | $0 | $0 | $7,946 | $0 | $42,332 | $0 | $298,900 | $0 | $0 | $0 |
| ANTHONY JENNISON | ||||||||||||||
| ASSISTANT VP, INDIVIDUAL GIVING | $230,616 | $0 | $38,052 | $0 | $0 | $0 | $3,410 | $0 | $0 | $0 | $272,078 | $0 | $0 | $0 |
| ZACHARIAH ABRAMS | ||||||||||||||
| ASSISTANT VP, COMMUNITY ENGAGEMENT | $188,166 | $0 | $34,475 | $0 | $6,933 | $0 | $7,904 | $0 | $238 | $0 | $237,716 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CHOC FOUNDATION RELIES ON CHC, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. CHC'S PROCESS INCLUDES: A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS / STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PLEASE REFER TO THE SCHEDULE O DISCLOSURE FOR PART VI, LINE 15 FOR ADDITIONAL DETAIL. |
| PART I, LINE 4B | 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 INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING THE YEAR: MS. CRIPE ($216,367), MS. SCHILLER ($103,710), AND MR. CORBIN ($76,764). |
| COMPENSATION FROM AN AFFILIATED ORGANIZATION | KIMBERLY 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 13% OF HER TIME EACH WEEK TO CHOC FOUNDATION 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 10% OF HER TIME EACH WEEK TO CHOC FOUNDATION RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON THE OTHER RELATED ORGANIZATIONS' BUSINESS AFFAIRS. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 9 | ContributionCnt |
| Noncash Contributions Rpt F990 | $158,768 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVERAGE MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Real Estate Residential RealEstateResidentialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,196,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | COVID PPE | 2 | $485,684 | RETAIL PRICE |
| Yes (X) | OTHER | 10 | $176,907 | RETAIL PRICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER LISTED IN PART I, LINE 9 COLUMN (B) WAS DETERMINED BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 5-PART V, LN 2 INFORMATION REGARDING COMMON PAYMASTER | FORM 990, PART I, LINE 5 AND PART V, LINE 2 CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) ACTS AS A COMMON PAYMASTER, ISSUING FORMS W-2 AND 1099 ON BEHALF OF CHOC FOUNDATION. CHOC FOUNDATION HAS 57 EMPLOYEES, HOWEVER BECAUSE OF THE COMMON PAYMASTER ARRANGEMENT RESULTING IN THE FORMS W-2 BEING ISSUED UNDER CHOC'S EMPLOYER IDENTIFICATION NUMBER, THERE ARE NO W-2S ISSUED DIRECTLY BY CHOC FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF CHOC FOUNDATION IS CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC). |
| FORM 990, PART VI, SECTION A, LINE 7A | PERSONS WHO MAY ELECT MEMBER OF THE GOVERNING BODY DIRECTORS OF CHOC FOUNDATION SHALL BE ELECTED ANNUALLY BY THE MEMBER, BASED ON THE NOMINATION(S) PROVIDED BY CHOC FOUNDATION'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE GOVERNING BODY'S DECISIONS SUBJECT TO APPROVAL THE APPROVAL OF THE MEMBER SHALL BE REQUIRED WITH RESPECT TO ANY OF THE FOLLOWING ACTIONS: (1) CHANGING THE PURPOSES AND POWERS OF CHOC FOUNDATION; (2) OBLIGATING CHOC FOUNDATION TO UNDERTAKE ANY CAPITAL EXPENDITURE IN EXCESS OF $1,000,000; (3) ADOPTING CHOC FOUNDATION'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 FOUNDATION TO ACT AS GUARANTOR WITH RESPECT TO ANY DEBT OF ANY PERSON OR OTHER ENTITY; (8) ACCEPTING ANY DONATION WHICH IS CONDITIONED UPON CHOC FOUNDATION'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 ANY OF THE FOLLOWING: (A) ANY FINANCIAL OBLIGATION ON THE PART OF CHOC FOUNDATION IN AN AMOUNT IN EXCESS OF $5,000,000, (B) ANY PURPOSE OR ACTIVITY WHICH IS OUTSIDE THE SCOPE OF CHOC FOUNDATION'S ORDINARY COURSE OF BUSINESS, OR (C) A TERM IN EXCESS OF FIVE YEARS (UNLESS THE CONTRACT IS TERMINABLE AT WILL); (10) INVOLVING CHOC FOUNDATION IN ANY MERGER, ACQUISITION, CORPORATE RESTRUCTURING, OR FORMAL AFFILIATION; (11) INVOLVING CHOC FOUNDATION AS A MEMBER, SHAREHOLDER, OR PARTNER IN ANY NEW CORPORATION, PARTNERSHIP, OR OTHER LEGAL ENTITY; (12) DISSOLVING CHOC FOUNDATION; (13) ENTERING INTO ANY TRANSACTION INVOLVING THE SALE, LEASE, CONVEYANCE, EXCHANGE, TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF CHOC FOUNDATION'S ASSETS; (14) AMENDING CHOC FOUNDATION'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 11B | PROCESS OF REVIEW PRIOR TO FILING, THE TAX RETURN AND RELATED SCHEDULES ARE PROVIDED TO THE EXECUTIVE COMPENSATION COMMITTEE, AN EMPOWERED BOARD COMMITTEE DELEGATED WITH THIS AUTHORITY. THE CHIEF FINANCIAL OFFICER REVIEWS THE MATIERIALS WITH THE COMMITTEE PRIOR TO FILING THE 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 WEB SITE THAT PROVIDES A CONFIDENTIAL AND SECURE ACCESS FOR ALL BOARD MATERIALS TO OUR BOARD MEMBERS |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS OF DETERMINING COMPENSATION OF THE CEO AND OFFICERS 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). 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 CONTACTED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST MAY INCLUDE BUT ARE 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 CONFLICT, THE SUBSTANCE OF THE TRANSACTION OR THE ARRANGEMENT BEING CONSIDERED; (3)THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF SUCH TRANSACTION; (4)IF APPLICABLE ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; AND (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 2021. 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 CHC BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DISCLOSURE COPY - FORM 990, PART VI, SECTION C, LINE 19 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. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -71,061. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) | |||||||||||
| 1201 WEST LA VETA AVENUE | ORANGE | CA | 92868 | 330265266 | HEALTHCARE | CA | 501(C)(3) | LINE 7 | N/A | 0 | |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | |||||||||||
| 1201 WEST LA VETA AVENUE | ORANGE | CA | 92868 | 952321786 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | 0 | CHC | |
| CHILDREN'S HOSPITAL AT MISSION | |||||||||||
| 1201 WEST LA VETA AVENUE | ORANGE | CA | 96868 | 330528802 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | 0 | CHC | |
| CRC REAL ESTATE CORPORATION | |||||||||||
| 1201 WEST LA VETA AVENUE | ORANGE | CA | 92868 | 330612565 | REAL ESTATE | CA | 501(C)(3) | LINE 11 | 0 | CHC | |
| PROVIDENCE SPEECH AND HEARING CENTER | |||||||||||
| 1301 PROVIDENCE AVENUE | ORANGE | CA | 92868 | 956154473 | HEALTHCARE | CA | 501(C)(3) | LINE 7 | 0 | CHOC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORANGE COUNTY MEDICAL RECIPROCAL INS CO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2999 NORTH 4TH STREET SUITE 250 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201620666 | EIN |
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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