CHILDRENS HOSPITAL OF ORANGE COUNTY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF ORANGE COUNTY (EIN 95-2321786)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349306441
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T13:22:26-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	355 S Grand Ave Suite 2000	AddressLine1
City	Los Angeles	City
State	CA	State
ZIP Code	90071	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	952321786	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of Orange County	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DONALD NOBLE	InCareOfName
Name Control	CHIL	NameControl
Phone	7149973000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 West La Veta Avenue	AddressLine1
Address Line2	Suite	AddressLine2
City	Orange	City
State	CA	State
ZIP Code	92868	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KERRI SCHILLER	Name
Title	SENIOR VP/CFO	Title
Phone	7145094038	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2139724000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	CHOC Children's Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KIMBERLY C CRIPE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1201 West La Veta Avenue	AddressLine1
City	ORANGE	City
State	CA	State
ZIP Code	92868	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	584272460	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.choc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1964	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	2962	TotalNbrEmployees
Total Nbr Volunteers	1010	TotalNbrVolunteers
Total Gross UBI	128409	TotalGrossUBI
Net Unrelated Business Txbl Income	22107	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	24244487	ContributionsGrantsPriorYear
Contributions Grants Current Year	21994560	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	495929988	ProgramServiceRevenuePriorYear
Program Service Revenue CY	521014460	ProgramServiceRevenueCY
Investment Income Prior Year	2436624	InvestmentIncomePriorYear
Investment Income Current Year	3629775	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1251846	OtherRevenuePriorYear
Other Revenue Current Year	2154307	OtherRevenueCurrentYear
Total Revenue Prior Year	523862945	TotalRevenuePriorYear
Total Revenue Current Year	548793102	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	27220000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	185063132	SalariesEtcPriorYear
Salaries Etc Current Year	213265927	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	285831348	OtherExpensePriorYear
Other Expenses Current Year	306509163	OtherExpensesCurrentYear
Total Expenses Prior Year	498114480	TotalExpensesPriorYear
Total Expenses Current Year	519775090	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	25748465	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	29018012	RevenuesLessExpensesCY
Total Assets BOY	1011574818	TotalAssetsBOY
Total Assets EOY	1052908254	TotalAssetsEOY
Total Liabilities BOY	534124235	TotalLiabilitiesBOY
Total Liabilities EOY	512692429	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	477450583	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	540215825	NetAssetsOrFundBalancesEOY
Mission Description	TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL-BEING OF CHILDREN.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	473438757	Expense
Revenue	521014460	Revenue
Description	CHILDREN'S HOSPITAL OF ORANGE COUNTY - PROVIDES SPECIALIZED PEDIATRIC SERVICES FOR THE CARE OF CHILDREN. DURING THIS YEAR, THERE WERE 58,087 DAYS OF INPATIENT CARE; 52,338 EMERGENCY ROOM VISITS; 7,916 SURGERIES;1,713 DAY HEALTH VISITS AND 135,957 PRIMARY AND SPECIALTY CARE CLINIC VISITS.OUR CALIFORNIA MEDICAL FOUNDATION PROVIDED 279,511 PEDIATRIC SUBSPECIALTY SERVICE ENCOUNTERS TO PATIENTS THROUGHOUT ORANGE COUNTY AND BEYOND. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.SEE OUR COMPLETE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.CHOC.ORG.	Description
Total Program Service Expense	473438757	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	494	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2962	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DONALD NOBLE	NamePerson
Telephone Number	7145094038	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1201 WEST LA VETA AVENUE	AddressLine1
City	ORANGE	City
State	CA	State
ZIP Code	92868	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
KIMBERLY C CRIPE
Director/President	30.0	10.0	X	X	0	1220673	80318
VIJAY DHAR MD
DIRECTOR	2.0	1.0	X
David Dukes
DIRECTOR/SECRETARY	2.0	1.0	X	X	0	0	0
Tim Ristoff
DIRECTOR	1.0	2.0	X
MARSHALL ROWEN MD
DIRECTOR	1.5	3.0	X
MARK STEVENS
DIRECTOR/CHAIR	4.0	3.0	X	X
Thomas Tierney
DIRECTOR	2.0	1.5	X		0	0	0
Dick Ackerman
DIRECTOR	1.0	1.0	X		0	0	0
Ralph Clayman MD
DIRECTOR	2.0	1.5	X		0	0	0
MICHAEL COGLAZIER
DIRECTOR	1.0	1.0	X		0	0	0
Janet T Davidson
DIRECTOR	2.0	2.5	X		0	0	0
JEFF ELGHANAYAN
DIRECTOR/2ND VICE CHAIR	2.5	3.5	X	X
DOuglas McCombs
DIRECTOR/1ST VICE CHAIR	1.5	1.5	X	X
PHILLIP RICHARDSON MD
DIRECTOR	1.0	1.0	X		0	0	0
DEBRA MATHIAS
EVP/COO	35.0	5.0		X	0	736796	17718
KERRI RUPPERT SCHILLER
CFO/Assistant Secretary	25.0	15.0		X	0	611490	126779
Matthew E Niedzwiecki
VP ANCILLARY/SUPPORT SERVICE	40.0				321617	0	62527	X
Hale Kuhlman
v.p., speciality physician srv	40.0				268680	0	38920	X
Maria Minon MD
VP/CMO	40.0				636621		42338	X
Louise White
VP & CNO	40.0				331784	0	58165	X
Jay Gabriel
GENERAL COUNSEL	40.0				424288	0	81401		X
MARK L HEADLAND
VP/CHIEF INFORMATION OFFICER	40.0				413568	0	34084		X
Waldo Romero
VP FACILITIES DESIGN/CONSTR.	40.0				361944	0	62277		X
Susan Burrows
VP HUMAN RESOURCES	40.0				339234	0	64107		X
JANET LANSING
VP MARKETING/COMMUNICATIONS	40.0				333457	0	33852		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3431193	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2568959	TotalReportableCompFrmRltdOrgs
Total Other Compensation	702486	TotalOtherCompensation
Number Individuals GT100 K	494	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MCCARTHY BUILDING COMPANIES
20401 S W BIRCH STREET SUITE 300	NEWPORT BEACH	CA	92660	General Construction	72800227
PEDIATRIC SUBSPECIALTY FACULTY
455 S MAIN STREET	ORANGE	CA	92868	MEDICAL DIR & SERV	49522717
COMFORCE TECHNICAL SERVICES
PO BOX 9695	UNIONDALE	NY	115559695	TEMP EMPLOYEMENT SER	9066379
MICHAEL L DAVIS
1835 NEWPORT BLVD A109 361	COSTA MESA	CA	92627	CONSTRUCTION INSPECT	1496441
DGWB ADVERTISING
217 N MAIN STREET SUITE 200	SANTA ANA	CA	92701	ADVERTISING SERVICES	1427180

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	259	NumberOfContractorsGT100K
Related Organizations	19230147	RelatedOrganizations
Government Grants	1722413	GovernmentGrants
All Other Contributions	1042000	AllOtherContributions
Total Contributions	21994560	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	440685427	440685427
PREMIUM REVENUE	900099	39294993	39294993
MGMT/OCCUPANCY SERVICES	900099	9829460	9829460
DRUGS/MEDICAL SUPPLIES SOLD	900099	10190131	10190131
COVERAGE FEE REVENUE	900099	4431356	4431356

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16583093	TotalRevenueColumn
Related Or Exempt Function Income	16454684	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	128409	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	521014460	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1405451	TotalRevenueColumn
Exclusion	$1,405,451	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	199566	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	199566	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	199566	TotalRevenueColumn
Exclusion	$199,566	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	37703682	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	35479358	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2224324	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2224324	TotalRevenueColumn
Exclusion	$2,224,324	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA/CATERING SALES	900099	1031730	$1,031,730
GIFT SHOP PROCEEDS	900099	247142	$247,142
PARKING	900099	128877	$128,877

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	546992	TotalRevenueColumn
Exclusion	$546,992	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1954741	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	548793102	TotalRevenueColumn
Related Or Exempt Function Income	520886051	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	128409	UnrelatedBusinessRevenue
Exclusion	$5,784,082	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1566076	Total
Program Services	1566076	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	479954	Total
Program Services	431959	ProgramServices
Management And General	47995	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	170775350	Total
Program Services	153697815	ProgramServices
Management And General	17077535	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4133143	Total
Program Services	3719829	ProgramServices
Management And General	413314	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	24327270	Total
Program Services	21894543	ProgramServices
Management And General	2432727	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11984134	Total
Program Services	10785721	ProgramServices
Management And General	1198413	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	13908753	Total
Program Services	12517878	ProgramServices
Management And General	1390875	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	792579	Total
Program Services	713321	ProgramServices
Management And General	79258	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	207829	Total
Program Services	187046	ProgramServices
Management And General	20783	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	286601	Total
Program Services	257941	ProgramServices
Management And General	28660	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	92613648	Total
Program Services	83352283	ProgramServices
Management And General	9261365	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8838634	Total
Program Services	7954771	ProgramServices
Management And General	883863	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8879881	Total
Program Services	7991893	ProgramServices
Management And General	887988	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	634328	Total
Program Services	570895	ProgramServices
Management And General	63433	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	649933	Total
Program Services	584940	ProgramServices
Management And General	64993	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8925990	Total
Program Services	8033391	ProgramServices
Management And General	892599	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	25524499	Total
Program Services	22972049	ProgramServices
Management And General	2552450	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8725888	Total
Program Services	7853299	ProgramServices
Management And General	872589	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PRCHSD SRVCS FRM OTR HOSP.	55514415	55514415
SUPPLIES	46785505	42106954	4678551
DUES & SUBSCRIPTIONS	1465627	1319064	146563
RECRUITMENT	189139	170225	18914

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	32565914	Total
Program Services	29242449	ProgramServices
Management And General	3323465	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	519775090	Total
Program Services	473438757	ProgramServices
Management And General	46336333	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	68148796	BOY
EOY	109003634	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	201733579	BOY
EOY	60311263	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	10184726	BOY
EOY	8303119	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	102874643	BOY
EOY	113774764	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2321459	BOY
EOY	8405248	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7766068	BOY
EOY	8918000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	924397374	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	222651346	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	596254896	BOY
EOY	701746028	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	35058	BOY
EOY	35058	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1216000	BOY
EOY	1216000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	21039593	BOY
EOY	41195140	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1011574818	BOY
EOY	1052908254	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	80997492	BOY
EOY	72703698	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	686965	BOY
EOY	720040	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	366161293	BOY
EOY	363848347	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	118989	BOY
EOY	12731653	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	86159496	BOY
EOY	62688691	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	534124235	BOY
EOY	512692429	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	434014107	BOY
EOY	496842415	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	42750324	BOY
EOY	42687258	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	686152	BOY
EOY	686152	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	477450583	BOY
EOY	540215825	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1011574818	BOY
EOY	1052908254	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	29018012	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	13502474	ReconciliationUnrealizedInvest
Reconcilation Other Changes	20244756	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$52,984	OtherActivitiesAmount
Total Lobbying Expenditures IIB	52984	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	grants to other organizations for lobbying purposes	Identifier
Return Reference	form 990, schedule c, part II-B, line 1i	ReturnReference
Explanation	during fye 06/30/2013, children's hospital of orange county paid dues, a portion of which supports lobbying purposes to various healthcare associations including: Hospital association of southern california $22,418 national association of children's hospitals $ 7,334 California Children's Hospital Association $23,232 Total dues paid for lobbying purposes: $52,984	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4919888	BeginningOfYearBalance
Contributions	5159	Contributions
Investment Earnings Or Losses	61328	InvestmentEarningsOrLosses
Other Expenditures	54503	OtherExpenditures
End Of Year Balance	4931872	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4406780	BeginningOfYearBalance
Contributions	584493	Contributions
Investment Earnings Or Losses	-7094	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	64290	OtherExpenditures
End Of Year Balance	4919889	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3691065	BeginningOfYearBalance
Contributions	643580	Contributions
Investment Earnings Or Losses	72135	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	4406780	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3339711	BeginningOfYearBalance
Contributions	351279	Contributions
Investment Earnings Or Losses	1363	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	1288	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	3691065	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3076071	BeginningOfYearBalance
Contributions	262998	Contributions
Investment Earnings Or Losses	11676	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	11034	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	3339711	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.86090	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.13910	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45060833	OtherCostOrOtherBasis
Book Value	45060833	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	622168864	OtherCostOrOtherBasis
Depreciation	92724431	Depreciation
Book Value	529444433	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13720574	OtherCostOrOtherBasis
Depreciation	9091484	Depreciation
Book Value	4629090	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	228197688	OtherCostOrOtherBasis
Depreciation	120014268	Depreciation
Book Value	108183420	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15249415	OtherCostOrOtherBasis
Depreciation	821163	Depreciation
Book Value	14428252	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	701746028	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
DERIVATIVE FINANCIAL INSTRUMENTS	$41,949,105
LIABILITY FOR WORKER'S COMP.	$7,944,115
PAYABLE TO ST. JOSEPH HOSPITAL	$3,046,510
POSTRETIREMENT BENEFIT OBLIGATION	$2,892,496
PAYABLE TO RELATED PARTIES	$4,465
OTHER LIABILITIES	$6,852,000

Field	Value	IRS element (for citing)
Total Of Amounts	62688691	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	573511658	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	13502474	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	780000	DonatedSrvcAndUseOfFacilities
Other Revenues	22092362	OtherRevenues
Revenue Not Rptd F990	36374836	RevenueNotRptdF990
Revenue Subtotal	537136822	RevenueSubtotal
Other Revenues Not Included	11656280	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	11656280	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	548793102	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	508898810	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	780000	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	780000	ExpensesNotRptdF990
Expenses Subtotal	508118810	ExpensesSubtotal
Other Expenses Not Included	11656280	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	11656280	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	519775090	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740:	Accounting principles generally accepted in the United States of America require CHOC's management to evaluate tax positions taken by CHOC and recognize a tax liability if CHOC 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 CHOC and has concluded that as of June 30, 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the combined financial statements.
RECONCILIATION OF REVENUE & EXPENSE	CHANGE IN BENEFICIAL INTEREST IN CHOC Foundation for Children - 20,244,756 NET INCOME OF OCMRRG - 1,847,606 ----------- 22,092,362 PART XI AND PART XII, LINE 4B RECLASS OF NON-OPERATING EXPENSES - 11,656,280	PART XI, LINE 2D
Use of 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 v, line 4

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	949569	TotalCommunityBenefitExpense
Net Community Benefit Expense	949569	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	180283370	TotalCommunityBenefitExpense
Direct Offsetting Revenue	176297491	DirectOffsettingRevenue
Net Community Benefit Expense	3985879	NetCommunityBenefitExpense
Percent Of Total Expense	0.00760	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	181232939	TotalCommunityBenefitExpense
Direct Offsetting Revenue	176297491	DirectOffsettingRevenue
Net Community Benefit Expense	4935448	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8400300	TotalCommunityBenefitExpense
Direct Offsetting Revenue	108131	DirectOffsettingRevenue
Net Community Benefit Expense	8292169	NetCommunityBenefitExpense
Percent Of Total Expense	0.01590	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16950032	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1988410	DirectOffsettingRevenue
Net Community Benefit Expense	14961622	NetCommunityBenefitExpense
Percent Of Total Expense	0.02870	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2338721	TotalCommunityBenefitExpense
Net Community Benefit Expense	2338721	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27689053	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2096541	DirectOffsettingRevenue
Net Community Benefit Expense	25592512	NetCommunityBenefitExpense
Percent Of Total Expense	0.04910	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	208921992	TotalCommunityBenefitExpense
Direct Offsetting Revenue	178394032	DirectOffsettingRevenue
Net Community Benefit Expense	30527960	NetCommunityBenefitExpense
Percent Of Total Expense	0.05850	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	3328163	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1500	DirectOffsettingRevenue
Net Community Building Expense	3326663	NetCommunityBuildingExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	3328163	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1500	DirectOffsettingRevenue
Net Community Building Expense	3326663	NetCommunityBuildingExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$18,967,359	BadDebtExpenseAmount
Amount Reimbursed By Medicare	128446	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	268172	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-139726	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of Orange County	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	455 South Main Street	AddressLine1
City	Orange	City
State	CA	State
ZIP Code	92868	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
Childrens Hospital	X	ChildrensHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of Orange County	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	10	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	23	NumberOfOtherFacilities

Other Facilities OtherFacilities (23 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ORANGE PRIMARY CARE CLINIC
455 SOUTH MAIN STREET	ORANGE	CA	92868	clinic
CLINICA CHOC PARA NINOS-SANTA ANA
406 SOUTH MAIN STREET	SANTA ANA	CA	92701	clinic
SANTA ANA BOYS AND GIRLS CLUB
1000 WEST HIGHLAND	SANTA ANA	CA	92703	clinic
ASTHMA BREATHMOBILE
455 SOUTH MAIN STREET	ORANGE	CA	92868	clinic
COSTA MESA CLINIC
136 BROADWAY	COSTA MESA	CA	92627	clinic
GARDEN GROVE CLINIC
10602 CHAPMAN AVENUE	GARDEN GROVE	CA	92840	clinic
CHOC CHILDREN'S ENDOCRINE & DIABETES CTR
520 SUPERIOR AVE SUITE 160	NEWPORT BEACH	CA	92663	clinic
CHOC CHILDREN'S HOSPITAL
SPECIALTY CLINICS 455 SOUTH MAIN S	ORANGE	CA	92868	clinics
CHOC UROLOGY CENTER SUITE 100
505 S MAIN ST	ORANGE	CA	92868	clinic
PEDIATRIC PSYCHOLOGY
1120 W LA VETA AVENUE SUITE 470	ORANGE	CA	92868	CLINIC
BLOOD&DONORAPHERESIS
505 SOUTH MAIN STREET SUITE 185	ORANGE	CA	92868	CLINIC
CHOC NEUROLOGY CENTER
1120 W LA VETA AVENUE SUITE 125	ORANGE	CA	92868	CLINIC
CORONA CARDIOLOGY & GASTROENTEROLOGY
260 E Ontario Avesuite 204	corona	CA	92882	clinic
Fountain Valley GASTROENTEROLOGY
11100 Warner Ave suite 252	Fountain Valley	CA	92708	CLINIC
Irvine CARDIOLOGY
16300 SAND CANYON AVE SUITE 811	IRVINE	CA	92618	CLINIC
Laguna Niguel OUTPATIENT OFFICE
23521 Paseo de Valencia Suite 200	Laguna Hills	CA	92653	CLINIC
Mission Viejo CLINIC
27800 Medical Center Road BLDG 2	Mission Viejo	CA	92691	CLINIC
Newport Beach OTOLARYNGOLOGY
446 Old Newport Blvd	Newport Beach	CA	92663	CLINIC
Children's Specialists Cardiology
505 S Main St Suite 200	ORANGE	CA	92868	CLINIC
Children's Specialists Pediatric Surgery
505 S Main St Suite 225	Orange	CA	92868	CLINIC
Batavia Woods Medical Center
725 W La Veta Suite 100	Orange	CA	92868	CLINIC
Children's Specialists Opthamology
392 S Glassell Suite 100	Orange	CA	92866	CLINIC
Children's Specialists Otolaryngology
1010 W La Veta Suite 640	ORANGE	CA	92868	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE H, PART I, LINE 6A	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC CHILDREN'S) AND CHOC CHILDREN'S AT MISSION HOSPITAL (CCMH) ANNUALLY AND IS FILED IN ACCORDANCE WITH CALIFORNIA SB697.
SCHEDULE H, 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. In fiscal year 2012, the CMS issued final required federal approval for the fee for service portion of a 30 month California Provider Fee Program that, combined with federal matching funds, has been used to provide supplemental Medi-Cal payments to hospitals in the state. In fiscal year 2013, CHOC recognized revenues under this program of $24,911,000 and Provider Fees and other expenses totaling $8,866,000. The CMS also issued final approval in fiscal 2013 for the managed care portion of this 30 month Provider Fee program. The approvals were in May 2013 for the period July 1, 2011 to June 30, 2012 and in June 2013 for the period July 1, 2012 to June 30, 2013. CHOC recognized revenues of $26,368,000 for each of the 12 month periods for a total revenue of $52,736,000 and Provider Fees and other expenses of $9,385,000 for each 12 month period for total expenses of $18,770,000. All of the amounts RELATED TO THE TWO YEAR PERIOD above were recognized as net patient revenue and operating expenses, respectively, in the year ended June 30, 2013 RESULTING IN LESS UNREIMBURSED MEDI-CAL THAN IN PREVIOUS YEARS.
SCHEDULE H, 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 88 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.
SCHEDULE H, PART III, LINE 1	HFMA Statement no. 115, which requires bad debt to be recognized as a reduction from net patient revenue has been adopted as an accounting standard in the U.S and IS effective with CHOC's 2012 Form 990. SCHEDULE H, 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. SCHEDULE H, 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. SCHEDULE H, PART III, LINE 4 AUDITED FINANCIAL STATEMENT FOOTNOTE: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE INVOICED AMOUNT NET OF ANY EXPECTED CONTRACTUAL ADJUSTMENTS AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CHOC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN CHOC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. CHOC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. CHOC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS ON A MONTHLY BASIS AS WELL AS AGE OF ACCOUNTS AND OTHER FACTORS. PAST-DUE BALANCES OVER 90 DAYS AND OVER A SPECIFIED AMOUNT ARE REVIEWED INDIVIDUALLY FOR COLLECTABILITY. THERE ARE OTHER FACTORS THAT CAN IMPACT COLLECTIONS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF CO-PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS REMOTE, BUT IN NO CASE BEYOND ONE YEAR FROM DATE OF SERVICE.
SCHEDULE H, PART III, LINE 8	THE ALLOWABLE COST IS BASED ON A COST TO CHARGE RATIO OF .2382. 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. SCHEDULE H, PART III, LINE 9B THE HOSPITAL'S WRITTEN BAD-DEBT COLLECTION POLICY STATES THE FOLLOWING: 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. SCHEDULE H, PART V, LINE 3 The Community Benefits Key Informant Survey, which was conducted in September 2010 and updated in 2013, targeted local health care leaders to determine community opinions on the health needs in Orange County, as well as the barriers faced by patients in accessing health care. Those who completed the survey included 21 persons from Health Provider Community Benefit Organizations, 14 from County or City Governments, 13 from hospitalS, 11 from Community Clinics/ FQHC's, and 8 from Health Advocacy/Education Organizations. The SURVEY also included health care providers, educators, and researchers. SCHEDULE H, PART V, LINE 4 The september 2010 Health Needs Assessment was conducted in collaboration with nine Orange County not-for-profit hospitals, including Hoag Memorial Hospital Presbyterian, St. Joseph Hospital, Mission Hospital, St. Jude Hospital, Kaiser Foundation Hospital, University of California Irvine Medical Center, CHOC Children's (Orange) and CHOC Children's at Mission Hospital. SCHEDULE H, PART V, LINE 5 THE CHNA REPORT IS AVAILABLE AT HTTP://WWW.CHOC.ORG/ABOUT/ SCHEDULE H, PART V, LINE 7 One of the seven areas of high priority need identified in the CHNA was "Child Health and Academic Achievement". CHOC's core mission is the provision of health care to the pediatric population; while CHOC did not explicitly develop plans to address child health and academic achievement, per se, CHOC does provide services that impact a child's academic achievement. SCHEDULE H, PART V, LINE 20D, OTHER The maximum amounts that may be charged to FAP-eligible individuals for emergency or other medically necessary services are determined by a blended Medi-Cal rate. This rate is the percentage of charges based on the contracted Medi-Cal reimbursement rate plus the additional disproportionate share (DSH) reimbursement received by the facility. The total reimbursement is compared to gross charges and the percentage of overall reimbursement is the maximum charged to FAP-eligible individuals. SCHEDULE H PART VI LINE 2 NEEDS ASSESSMENT: 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 WWW.CHOC.ORG AS WELL AS A PAPER COPY THAT IS AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. SCHEDULE H PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED OF THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE HOSPITAL'S CHARITY CARE POLICY IN OUR FINANCIAL ASSISTANCE AND DISCOUNT PROGRAM POLICY. THIS INFORMATION, EITHER IN FULL OR IN SUMMARY, IS POSTED IN ALL OF THE HIGH TRAFFIC PATIENT AREAS: ADMITTING, EMERGENCY ROOM, CLINIC AND THE BUSINESS OFFICE. THE PATIENTS ARE ALSO INFORMED IF THERE IS A FINANCIAL NEED IDENTIFIED BY THE HOSPITAL FINANCIAL COUNSELORS WHEN SPEAKING TO THE FAMILIES ABOUT THEIR INSURANCE OR LACK OF INSURANCE. PATIENTS ARE PROVIDED A COPY OF THE HOSPITAL'S PATIENT FINANCIAL ASSISTANCE AND DISCOUNT PAYMENT PROGRAM POLICY. FAMILIES ARE ALSO NOTIFIED ON EVERY PATIENT STATEMENT THAT IF THERE IS A FINANCIAL NEED THEY SHOULD CALL THE DESIGNATED PHONE NUMBER FOR MORE INFORMATION AND ASSISTANCE. FINANCIAL ASSISTANCE COMMUNICATION - AS PART OF THE HOSPITALS' ONGOING PUBLIC AWARENESS CAMPAIGNS, THE MISSION STATEMENTS (INCLUDING THE FINANCIAL ASSISTANCE POLICY) ARE INCLUDED WHEREVER POSSIBLE ON PROGRAM BROCHURES, FACILITY BROCHURES, MEDICAL EDUCATION INFORMATION, COMMUNITY EDUCATION MATERIALS, CONFERENCE INVITATIONS AND ADMISSION MATERIALS. ADDITIONALLY, THE HOSPITALS' FINANCIAL ASSISTANCE POLICY IS EMPHASIZED IN PUBLIC RELATIONS AND MEDIA RELATIONS EFFORTS, FOUNDATION CAMPAIGNS, AND SELECTED MARKETING CAMPAIGNS. THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED AS PART OF THE ANNUAL COMMUNITY BENEFIT REPORT. SCHEDULE H, 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 COUNTY, THE NORTHERN PORTION OF SAN DIEGO COUNTY AND SOUTHEAST AREAS OF LOS ANGELES COUNTY. THE PRIMARY SERVICE AREA IS THE CENTRAL-NORTHERN PORTION OF ORANGE COUNTY, AND IS THE SOURCE OF APPROXIMATELY 73% 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 CHARACTERISTICS - POPULATION AND SOCIOECONOMIC DATA PROJECTIONS FOR 2013 ARE PROVIDED BY CLARITAS, A THIRD-PARTY VENDOR THAT MAKES PROJECTIONS BASED ON DEMOGRAPHIC ANALYSIS OF ORANGE COUNTY, INCLUDING THE COMBINED SERVICE AREAS OF BOTH HOSPITALS CHOC AND CCMH. TOTAL POPULATION OF THE COUNTY WAS 3.12 MILLION, ACCORDING TO 2013 ESTIMATES, MAKING IT THE THIRD LARGEST COUNTY IN CALIFORNIA. THE MEDIAN AGE IS 36.8, AND CHILDREN UP TO 17 YEARS OF AGE MAKE UP 23.8% OF THE TOTAL POPULATION. THE LARGEST RACE/ETHNICITY SUBGROUP IS WHITE, AT 43%. LATINOS/HISPANICS ARE 34% OF THE POPULATION. ASIANS/PACIFIC ISLANDERS ARE 19% OF THE TOTAL, AND THE AFRICAN AMERICAN POPULATION REPRESENTS APPROXIMATELY 2% OF THE TOTAL ORANGE COUNTY POPULATION. SOCIOECONOMIC PROFILE THE U.S. CENSUS AMERICAN COMMUNITY SURVEY FOR 2012 INDICATED THAT 17.9% OF CHILDREN UNDER THE AGE OF 18 IN ORANGE COUNTY, 23.8% IN CALIFORNIA, AND 22.6% IN THE U.S. WERE BELOW THE POVERTY LEVEL. THIS SURVEY ALSO INDICATED THAT 12.9% OF THE ORANGE COUNTY POPULATION OF ALL AGES WERE LIVING BELOW THE POVERTY LEVEL. THE U.S. BUREAU OF THE CENSUS ESTIMATED THAT IN 2012, THE COUNTY'S MEDIAN HOUSEHOLD INCOME WAS $71,983. The percentage of the hospital's patients who are uninsured or Medicaid recipients was 59.6%. THERE ARE 31 OTHER HOSPITALS SERVING THE COMMUNITY: ANAHEIM GENERAL HOSPITAL - ANAHEIM, CALIFORNIA ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM, CALIFORNIA CHAPMAN MEDICAL CENTER - ORANGE, CALIFORNIA CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO, CALIFORNIA COASTAL COMMUNITIES HOSPITAL - SANTA ANA, CALIFORNIA COLLEGE HOSPITAL COSTA MESA - COSTA MESA, CALIFORNIA FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER - FOUNTAIN VALLEY, CALIFORNIA GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE, CALIFORNIA HEALTHBRIDGE CHILDREN'S REHABILITATION HOSPITAL - ORANGE, CALIFORNIA HOAG MEMORIAL HOSPITAL PRESBYTERIAN - NEWPORT BEACH, CALIFORNIA HOAG ORTHOPEDIC INSTITUTE - IRVINE - IRVINE, CALIFORNIA HUNTINGTON BEACH HOSPITAL AND MEDICAL CENTER - HUNTINGTON BEACH, CALIFORNIA KAISER FOUNDATION HOSPITAL - ANAHEIM, CALIFORNIA KINDRED HOSPITAL - BREA - BREA, CALIFORNIA KINDRED HOSPITAL - WESTMINSTER - WESTMINSTER, CALIFORNIA LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA, CALIFORNIA LOS ALAMITOS MEDICAL CENTER - LOS ALAMITOS, CALIFORNIA MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIE
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC) IS THE NOT-FOR-PROFIT, TAX-EXEMPT PARENT CORPORATION OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC CHILDREN'S) AND CHOC CHILDREN'S AT MISSION HOSPITAL (CCMH). THE HOSPITALS ARE THE PRINCIPAL TERTIARY AND QUATERNARY PEDIATRIC HOSPITALS SERVING ORANGE COUNTY AND ARE THE ONLY HOSPITALS EXCLUSIVELY SERVING INFANTS, CHILDREN AND ADOLESCENTS. THE ORGANIZATION IS COMPRISED OF TWO HOSPITALS; SEVERAL PRIMARY AND SPECIALTY CLINICS, PROGRAMS AND SERVICES; AND FOUR CENTERS OF EXCELLENCE, THE CHOC HEART, NEUROSCIENCE, 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, 2013, DESCRIBES THE BENEFIT PLANNING PROCESS, THE BENEFITS PROVIDED, AND THE ECONOMIC VALUE OF THE BENEFITS. COMMUNITY BENEFITS ARE FREE OR SUBSIDIZED PROGRAMS AND SERVICES PROVIDED TO MEET IDENTIFIED COMMUNITY NEEDS AND TO SERVE THE PUBLIC INTEREST. THE ORGANIZATION'S COMMUNITY BENEFIT PLAN IS AVAILABLE ONLINE AT: HTTP://WWW.CHOC.ORG/ABOUT/COMMUNITYBENEFITPLAN.PDF. THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. CLINICAL PRIVILEGES ARE GRANTED TO ALL QUALIFIED PHYSICIANS AS MEMBERS OF THE MEDICAL STAFF. MEDICAL STAFF MEMBERS PROVIDE PATIENT CARE AND HAVE ACCESS TO HOSPITAL RESOURCES (INCLUDING EQUIPMENT, FACILITIES AND PERSONNEL) WHICH ARE NECESSARY TO EFFECTIVELY EXERCISE THEIR PRIVILEGES. PHYSICIANS ARE QUALIFIED TO BE MEMBERS OF THE 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. (D) IF BOARD CERTIFICATION IS AVAILABLE IN THEIR RESPECTIVE SPECIALTIES, ARE BOARD CERTIFIED OR BOARD ADMISSIBLE, OR IN THE ALTERNATIVE, CAN DEMONSTRATE TO THE REASONABLE SATISFACTION OF THE MEDICAL EXECUTIVE COMMITTEE, A COMPARABLE LEVEL OF TRAINING, EXPERIENCE AND SKILL. LIMITED privileges ARE PROVIDED TO PHYSICIANS LICENSED BY THE STATE OF CALIFORNIA WHO ARE ENROLLED IN AN ACCREDITED PEDIATRIC RESIDENCY TRAINING PROGRAM AND WHO ARE PROVIDING MEDICAL HEALTH-RELATED SERVICES TO PATIENTS INDEPENDENT OF THE HOSPITAL RESIDENCY PROGRAM. THE ORGANIZATION APPLIES ITS SURPLUS FUNDS TO IMPLEMENT IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. DURING THE REPORTING YEAR ENDED JUNE 30, 2013, 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. 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.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: CHOC HAS EVOLVED FROM A COMMUNITY HOSPITAL TO A WORLD-CLASS, INTEGRATED PEDIATRIC HEALTH CARE SYSTEM AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA, IRVINE (UC IRVINE). THE ORGANIZATION IS STEADFASTLY COMMITTED TO THE TENS OF THOUSANDS OF CHILDREN AND FAMILIES WHO DEPEND ON CHOC FOR CARE, AS WELL AS LEADING THE CHARGE IN ADVANCING PEDIATRIC MEDICINE ON A NATIONAL LEVEL. CHOC'S NEW BRAND IDENTITY - CHOC CHILDREN'S - ASSERTS THE INSTITUTION'S POSITION IN THE COMMUNITY AND NATIONALLY. CHOC'S LEGAL NAME (CHILDREN'S HOSPITAL OF ORANGE COUNTY) WILL REMAIN. THE ECONOMIC VALUE OF THE 88 BENEFIT SERVICES PROVIDED BY CHOC AND CCMH IN FISCAL YEAR 2013 IS $41.6 MILLION. OF THESE DOLLARS, 31.3% ($13 MILLION) SERVED THE ECONOMICALLY DISADVANTAGED. THE ECONOMIC VALUE OF SAVINGS FROM NOT-FOR-PROFIT STATUS IS $ 22.6 MILLION. THUS, THE HOSPITALS RETURN $1.85 IN COMMUNITY BENEFITS FOR EACH $1 SAVED FROM TAX-EXEMPT STATUS. IN ADDITION TO THE $41.6 MILLION IN BENEFITS PROVIDED FOR BY THE HOSPITALS REFERENCED ABOVE, BOARD MEMBERS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS CONTRIBUTED 43,000 HOURS OF VOLUNTEER SERVICE TO THE COMMUNITY. SCHEDULE H PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED ANNUALLY IN THE STATE OF CALIFORNIA.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KIMBERLY C CRIPE
Director/President	0	751203	0	236120	0	233350	0	57454	0	22864	0	1300991	0	78602
DEBRA MATHIAS
EVP/COO	0	436877	0	117998	0	181921	0	6145	0	11573	0	754514	0	80355
KERRI RUPPERT SCHILLER
CFO/Assistant Secretary	0	456740	0	101469	0	53281	0	103915	0	22864	0	738269	0	79435
Matthew E Niedzwiecki
VP ANCILLARY/SUPPORT SERVICE	235643	0	53528	0	32446	0	46468	0	16059	0	384144	0	39241	0
Jay Gabriel
GENERAL COUNSEL	317869	0	65438	0	40981	0	58572	0	22829	0	505689	0	47725	0
MARK L HEADLAND
VP/CHIEF INFORMATION OFFICER	279667	0	51277	0	82624	0	27980	0	6104	0	447652	0	51042	0
Waldo Romero
VP FACILITIES DESIGN/CONSTR.	266622	0	55913	0	39409	0	50609	0	11668	0	424221	0	41995	0
Hale Kuhlman
v.p., speciality physician srv	215483	0	35077	0	18120	0	22861	0	16059	0	307600	0	0	0
Susan Burrows
VP HUMAN RESOURCES	250174	0	53667	0	35393	0	47641	0	16466	0	403341	0	37187	0
JANET LANSING
VP MARKETING/COMMUNICATIONS	222871	0	41135	0	69451	0	22218	0	11634	0	367309	0	18132	0
Maria Minon MD
VP/CMO	436368		87107		113146		34200		8138		678959		34260
Louise White
VP & CNO	260532	0	38802	0	32450	0	46497	0	11668	0	389949	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE ARRANGEMENTS,PART I, LINE 4A	Part I, Line 4a	Some of the organization's personnel listed on form 990 Part VII and Schedule J participate in a separation arrangement that provides for a portion of the employee's annual salary based on their position in the organization. For the senior executive level, the amount is based on years of service up to a maximum number of months. Unpaid severance under the separation agreements for current key employees were reported at their full value in a previous tax year. One executive listed on schedule J, part II, received severance payments in calender 2012. the payment was received by Debra Mathias ($125,969).
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	Part I, Line 4b	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 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 calendar year 2012: Ms. Cripe ($149,013), Dr. Minon ($64,921), Mr. Headland ($41,299), and Ms. Lansing ($33,912).
Compensation from an affiliated organization		Kimberly C. Cripe is compensated through Children's HealthCare of California (CHC), however, in addition to her responsibilities for CHC, she also serves as an officer of Children's Hospital of Orange County, CHOC Foundation, CRC Real Estate Corporation and Children's Hospital at Mission (all IRC Section 501(c)(3) affiliates). Ms. Cripe devotes approximately 75% of her time each week to Children's Hospital of Orange County responsibilities with the balance of her time being spent on the other related organizations' business affairs. Kerri Ruppert Schiller is compensated through Children's HealthCare of California (CHC), however, in addition to her responsibilities for CHC, she also serves as an officer of Children's Hospital of Orange County, CHOC Foundation, CRC Real Estate Corporation and Children's Hospital at Mission (all IRC Section 501(c)(3) affiliates). Ms. Schiller devotes approximately 63% of her time each week to Children's Hospital of Orange County responsibilities with the balance of her time being spent on the other related organizations' business affairs. DEBRA MATHIAS IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR CHC, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY AND CHILDREN'S HOSPITAL AT MISSION (BOTH IRC SECTION 501(C)(3) AFFILIATES). MS. MATHIAS DEVOTES APPROXIMATELY 88% OF HER TIME EACH WEEK TO CHILDREN'S HOSPITAL OF ORANGE COUNTY RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON CHILDREN'S HOSPITAL AT MISSION BUSINESS AFFAIRS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A	521643828	13033LBP1	2009-06-30	137686600	CONSTRUCT A HOSPITAL	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13033LBT3	2009-06-30	127800000	CONSTRUCT A HOSPITAL	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C	521643828	13033LRT6	2011-11-03	105003490	CONSTRUCT A HOSPITAL	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	137800764	10852054	12342642	1838778	17244250	107849999	2013	false	true	false	true
B	128231052	0	15470246	1382488	126850189	0	2013	false	false	false	true
C	105081393	0	7460489	0	105081328	0	2013	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	false	false	false	false	true
B	false	false	true	true	false	false	false	false	true
C	false	false	true	true	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
0
A	false	false	false	true	false	false	false	0	false	true
MORGAN STANLEY
B	false	false	false	true	true	true	false	0	false	true	30.	false	false
0
C	false	false	false	true	false	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART II, LINE 3	0	CUMULATIVE INTEREST EARNED ON ISSUE A: 114,164 CUMULATIVE INTEREST EARNED ON ISSUE B: 431,052 CUMULATIVE INTEREST EARNED ON ISSUE C: 77,903
part iv, line 2c	0	date rebate computation was performed: report dated 8/27/13 as of 6/30/13.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MORAN ROWEN AND DORSEY INC
MARSHALL ROWEN M.D., BOD	260000	MEDICAL SERVICES	false
Allied Anesthesia
PHILLIP RICHARDSON, M.D.	479954	MEDICAL SERVICES	false
PEDIATRIC SUBSPECIALTY FACULTY INC
VIJAY DHAR M.D.	49522717	SEE PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART IV	Identifier
Return Reference	BUSINESS TRANSACTION WITH INTERESTED PERSON	ReturnReference
Explanation	Dr. Vijay Dahr, a board member of the hospital, is also an officer of Pediatric Subspecialty Faculty, Inc. (PSF). PSF provides professional and administrative services to CHOC's medical and research foundation and to the hospital. CHOC's medical and research foundation includes 21 medical and surgical sub-specialties and operates as a division of CHOC.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART I, LINE 5 AND PART V, LINE 2	INFORMATION REGARDING CHOC AS THE COMMON PAYMASTER: Children's Hospital of Orange County is the common paymaster of the following: CHILDREN'S HEALTHCARE OF CALIFORNIA CHILDREN'S HOSPITAL AT MISSION CHOC FOUNDATION All wages and employee specific information, including volunteers, are retained with Children's Hospital of Orange County.
FORM 990, PART III, LINE 4A	CHOC IS DEDICATED TO PROVIDING THE HIGHEST QUALITY TERTIARY, QUATERNARY INPATIENT CARE AS WELL AS SPECIALTY AND PRIMARY CARE TO CHILDREN IN A FAMILY CENTERED ENVIRONMENT. ACCESS TO QUALITY PEDIATRIC HEALTHCARE RESOURCES AND INFORMATION TO FAMILIES, INCLUDING LOW-INCOME AND MEDICALLY UNDERSERVED, THROUGHOUT ORANGE AND CONTIGUOUS COUNTIES, IS ACCOMPLISHED BY OFFERING: (1) PEDIATRIC INTENSIVE CARE UNIT (PICU). THE 30 BED PICU AT CHOC IS STAFFED BY INTENSIVISTS AND CLINICIAN STAFF AND IS EQUIPPED WITH ADVANCED COMPUTERIZED MONITORING SYSTEMS AND OFFERS CARE TO CRITICALLY ILL OR INJURED CHILDREN WITH LIFE-THREATENING DISORDERS. (2) ONCOLOGY UNIT STAFFED BY SPECIALISTS TRAINED TO TREAT THE COMPLEX CONDITIONS THAT ACCOMPANY PEDIATRIC CANCERS, WHICH INCLUDES A 28-BED HEMATOLOGY/ONCOLOGY UNIT. THE UNIT OFFERS THE LATEST IN MEDICAL AND SURGICAL ONCOLOGY INCLUDING CHEMOTHERAPY, RADIOTHERAPY AND BLOOD AND MARROW TRANSPLANTATION. IN ADDITION, CHOC OFFERS A 22 CHAIR OUTPATIENT INFUSION CENTER. (3) CHOC'S NEONATAL INTENSIVE CARE UNIT (NICU) TAKES CARE OF INFANTS WHO NEED CRITICAL CARE (MOST OFTEN PREMATURE BABIES SUFFERING FROM RESPIRATORY AND CIRCULATORY PROBLEMS AS WELL AS CONGENITAL ANOMALIES REQUIRING SURGERY) THAT CAN BE ADMITTED TO THE NICU WITHIN MINUTES OF BIRTH. THE 66-BED NICU AT CHOC INCLUDES TWO EIGHT-BED NURSERIES, TWO NINE-BED NURSERIES, SIX ISOLATION ROOMS, 12 BEDS THAT PROVIDE PRIVATE ROOMING, A TWO-BED EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) UNIT AND A 12-BED MOTHER-BABY UNTI WITHIN SAINT JOSEPH HOSPITAL OF ORANGE. CHOC'S ECMO UNIT IS THE ONLY ONE OF ITS KIND IN ORANGE COUNTY AND ONE OF ONLY 72 IN THE UNITED STATES. CHOC ALSO HAS SOUTHERN CALIFORNIA'S ONLY ECMO TRANSPORT UNIT. CHOC HAS A DESIGNATED SMALL BABY UNIT OF 12 BEDS THAT CARES FOR BABIES THAT WEIGH LESS THAN 1,000 GRAMS AT BIRTH OR 27 WEEKS OR LESS GESTATION PERIOD. (4) CHOC'S CARDIOVASCULAR INTENSIVE CARE UNIT (CVICU) MEETS THE GROWING NEED FOR SPECIALIZED HEART SERVICES IN ORANGE COUNTY. THIS 12-BED UNIT INCLUDES TWO SPECIAL PROCEDURE TREATMENT ROOMS THAT ENABLE PHYSICIANS TO PERFORM SURGERY ON CHILDREN WHO OTHERWISE COULD NOT BE TRANSPORTED OUT OF THE UNIT AND INTO THE OPERATING ROOMS. ALL OF THE CVICU ROOMS ARE OUTFITTED WITH TECHNOLOGY TO MONITOR CHILDREN AFTER COMPLEX OPERATIONS AND SURGICAL PROCEDURES. (5) IN MARCH 2013, CHOC COMPLETED AND OPENED SERVICES IN A NEW STATE-OF-THE-ART PATIENT TOWER. ALL INPATIENT AND OUTPATIENT ANCILLARY SERVICES PREVIOUSLY PURCHASED FROM SAINT JOSEPH HOSPITAL OF ORANGE ARE NOW AVAILABLE WITHIN CHOC'S FACILITIES. THE SERVICES INCLUDE FULL CLINICAL LABORATORY SERVICES, AN EMERGENCY DEPARTMENT DEDICATED SOLELY TO PEDIATRIC CARE, FULL IMAGING SERVICES AND SURGICAL SERVICES, INCLUDING CATH LAB AND FULL CARDIAC CARE. THESE DEDICATED SERVICES HAVE GREATLY ENHANCED THE TOTAL CARE GIVEN TO CHOC'S PATIENTS. (6) THE CHOC CANCER, NEUROSCIENCE, HEART AND ORTHOPAEDIC INSTITUTES OFFER INNOVATIVE ADVANCED MODELS OF CARE IN THE EVALUATION, MANAGEMENT AND TREATMENT OF THE MOST COMPLEX PEDIATRIC AND ADOLESCENT CONDITIONS. CHOC PROVIDES AND ENHANCES THE COMMUNITY'S ACCESS TO BEHAVIORAL HEALTH INFORMATION AND SOCIAL AND EMOTIONAL SERVICES, TARGETING THE UNDERSERVED. CHOC OFFERS OUTPATIENT SPECIALTY CARE IN MULTIPLE SPECIALTIES THROUGH CLINICS IN ORANGE AND NEWPORT BEACH. CHOC ACTIVELY SUPPORTS COMMUNITY ACTION AND LEADERSHIP. CHOC ACTIVELY RECRUITS, RECOGNIZES AND ADVOCATES FOR THE IMPORTANCE OF VOLUNTEER LEADERSHIP AND COMMUNITY ASSISTANCE IN PROVIDING CARE FOR CHILDREN. CHOC PROVIDES COMMUNITY-WIDE EDUCATION AND HEALTH INFORMATION RESOURCES AND INJURY PREVENTION. IN ADDITION, CHOC OFFERS SERVICES THROUGH ITS OUTREACH CLINICS THAT SERVE SURROUNDING COMMUNITIES TO PROVIDE PREVENTATIVE AND PRIMARY CARE IN LOW-INCOME, HIGH RISK AREAS WHERE CHILDREN HAVE LIMITED ACCESS TO CARE. CHOC'S OUTREACH CLINICS INCLUDE THE CHOC ORANGE COMMUNITY CLINIC, CLINICA PARA NIOS IN SANTA ANA, THE CHOC CLINIC AT SANTA ANA BOYS AND GIRLS CLUB, CHOC COSTA MESA CLINIC AND CHOC GARDEN GROVE CLINIC. CHOC ALSO PROVIDES CARE THROUGH MOBILE CLINICS, INCLUDING BREATH MOBILES AND ASTHMA CARE. SEE OUR COMMUNITY BENEFITS REPORT ON OUR WEBSITE AT WWW.CHOC.ORG.	COMMUNITY BENEFIT REPORT HIGHLIGHTS:
LINES 6 & 7A - ORGANIZATION MEMBER INFORMATION	THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) IS CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC). LINE 7B - ORGANIZATION MEMBER INFORMATION THE APPROVAL OF THE MEMBER SHALL BE REQUIRED WITH RESPECT TO ANY OF THE FOLLOWING ACTIONS: (1) CHANGING THE PURPOSES AND POWERS OF CHOC; (2) OBLIGATING CHOC TO UNDERTAKE ANY CAPITAL EXPENDITURE IN EXCESS OF $5,000,000; (3) ADOPTING CHOC'S ANNUAL OPERATING AND CAPITAL BUDGETS; (4) ADOPTING A LONG-TERM CAPITAL BUDGET; (5) BUYING, SELLING, LEASING, MORTGAGING, PLEDGING, OR OTHERWISE HYPOTHECATING ANY REAL PROPERTY; (6) INCURRING ANY INDEBTEDNESS IN EXCESS OF $5,000,000; (7) OBLIGATING CHOC TO ACT AS GUARANTOR WITH RESPECT TO ANY DEBT OF ANY PERSON OR OTHER ENTITY; (8) ACCEPTING ANY DONATION WHICH IS CONDITIONED UPON CHOC'S UNDERTAKING ANY UNBUDGETED CAPITAL EXPENDITURE IN EXCESS OF $2,000,000 OR ANY UNBUDGETED EXPENDITURE IN EXCESS OF $2,000,000; (9) ENTERING INTO ANY CONTRACT WHICH INVOLVES ANY OF THE FOLLOWING: (A) ANY FINANCIAL OBLIGATION ON THE PART OF CHOC IN AN AMOUNT IN EXCESS OF $5,000,000, (B) ANY PURPOSE OR ACTIVITY WHICH IS OUTSIDE THE SCOPE OF CHOC'S ORDINARY COURSE OF BUSINESS, OR (C) A TERM IN EXCESS OF FIVE YEARS (UNLESS THE CONTRACT IS TERMINABLE AT WILL); (10) INVOLVING CHOC IN ANY MERGER, ACQUISITION, CORPORATE RESTRUCTURING, OR FORMAL AFFILIATION; (11) INVOLVING CHOC AS A MEMBER, SHAREHOLDER, OR PARTNER IN ANY NEW CORPORATION, PARTNERSHIP, OR OTHER LEGAL ENTITY; (12) DISSOLVING CHOC; (13) ENTERING INTO ANY TRANSACTION INVOLVING THE SALE, LEASE, CONVEYANCE, EXCHANGE, TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF CHOC'S ASSETS; (14) AMENDING CHOC'S ARTICLES OF INCORPORATION; (15) ADOPTING NEW BYLAWS OR AMENDING EXISTING BYLAWS, IN THE EVENT THAT SUCH ACTION WOULD AFFECT ANY OF THE MEMBER'S RIGHTS UNDER THE BYLAWS OR AS PROVIDED BY APPLICABLE LAW.
FORM 990, PART VI, SECTION B	LINE 11b - REVIEW OF FORM 990: PRIOR TO FILING, THE TAX RETURN AND RELATED SCHEDULES ARE PROVIDED TO THE CHOC EXECUTIVE COMPENSATION COMMITTEE, AN EMPOWERED BOARD COMMITTEE DELEGATED WITH THIS AUTHORITY. THE CHIEF FINANCIAL OFFICER REVIEWS THE REPORT WITH THE COMMITTEE PRIOR TO FILING THE FINAL RETURN. PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FINAL FORM 990 IS ALSO SENT ELECTRONICALLY TO ALL BOARD MEMBERS VIA DIRECTOR'S DESK, A SECURE WEB SITE THAT PROVIDES A CONFIDENTIAL AND SECURE ACCESS FOR ALL BOARD MATERIALS TO OUR BOARD MEMBERS. LINE 12C - CONFLICT OF INTEREST COMPLIANCE: THE COMPLIANCE OFFICER IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICT OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E., BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN AN INDIVIDUAL BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, EACH COVERED PERSON IS REQUIRED TO SIGN A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS SAID POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE OFFICER AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD OF DIRECTORS; (2)THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE iNVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. LINE 15 - COMPENSATION DETERMINATION: An independent Board Committee of THE ORGANIZATION charged with the duties of the compensation committee, whose members are disinterested and independent, is in place with a written compensation committee charter. This Committee annually retains an independent healthcare compensation firm to provide relevant comparability data and other compensation studies. The CEO, officers and executive management salaries and incentives, as well as overall compensation philosophy and policies, are discussed with the independent consultant representatives and the compensation committee members, in person, in closed sessions with no staff members present. This review was last performed in 2013. All comparative salary data, such as annual compensation survey comprising 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	FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. FORM 990 AND THE COPY OF AUDITED FINANCIAL STATEMENTS ATTACHED TO IT ARE MADE AVAILABLE UPON REQUEST.	line 19 - disclosure policy
FORM 990, PART IX, LINE 11G	TOTAL PROGRAM MANAGEMENT SERVICE Physician Services 54,289,765 48,860,789 5,428,976 Medical Services 17,161,963 15,445,766 1,764,191 Collection Agency fees 1,168,296 1,051,467 116,829 Misc Purchased Services 15,318,040 13,786,237 1,531,803 Other Professional Fees 4,290,699 3,861,630 429,069 Janitorial services 33,837 30,454 3,383 Security Services 297,037 267,334 29,703 Courier Services 54,010 48,605 5,405	OTHER FEES FOR SERVICES
RECONCILIATION OF NET ASSETS	CHANGE IN BENEFICIAL INTEREST IN CHOC FOUNDATION $ 20,244,756	FORM 990, PART XI, LINE 5

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CHILDREN'S HEALTHCARE OF CALIFORNIA(CHC)
1201 West La Veta Avenue	ORANGE	CA	92868	330265266	HEALTH CARE	CA	501(c)(3)	7	NA	false
Children's Hospital at Mission
1201 West La Veta Avenue	ORANGE	CA	92868	330528802	HEALTH CARE	CA	501(c)(3)	3	CHC	false
CHOC FOUNDATION
455 S MAIN STREET	ORANGE	CA	92868	956097416	Fund Raising	CA	501(c)(3)	7	CHC	false
CRC REAL ESTATE CORPORATION
455 S MAIN STREET	ORANGE	CA	92868	330612565	REAL ESTATE	CA	501(c)(3)	11	CHC	false
CHOC Thrift Stores Inc
455 S MAIN STREET	orange	CA	92868	330266422	Fund Raising	CA	501(c)(3)	9	CHC	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE COUNTY MEDICAL RECIPROCAL INS CO	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2999 North 4th Street Suite 250	AddressLine1
City	phoenix	City
State	AZ	State
ZIP Code	85108	ZIPCode

Field	Value	IRS element (for citing)
EIN	201620666	EIN
Primary Activity	insurance	PrimaryActivity
Legal Domicile State	AZ	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	na	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	c corp	TypeOfEntity
Share Of Total Income	54452	ShareOfTotalIncome
Share Of EOY Assets	3049467	ShareOfEOYAssets
Percentage Ownership	0.50000	PercentageOwnership
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE COUNTY MEDICAL RECIPROCAL INS CO	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	K	TransactionType
Amount Involved	948657	AmountInvolved
Method Of Amt Determination	PER AGREEMENT	MethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	PART V, LINE 2, COLUMN(C)	Identifier
Explanation	OCMRRG PROVIDES MEDICAL PROFESSIONAL LIABILITY AND GENERAL LIABILITY COVERAGE OF UP TO $250,000 PER CLAIM ON A CLAIMS-MADE BASIS TO CHOC.	Explanation