VALLEY CHILDRENS HEALTHCARE FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY CHILDRENS HEALTHCARE FOUNDATION (EIN 94-2797447)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201322269349304122
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T18:26:28-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 WEST MARCH LANE SUITE 100 | AddressLine1 |
| City | STOCKTON | City |
| State | CA | State |
| ZIP Code | 952192303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942797447 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | THEC | NameControl |
| Phone | 5593533000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 936368761 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELE WALDRON | Name |
| Title | CFO | Title |
| Phone | 5593533000 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRACY S PAGLIA | Name |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHELE WALDRON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 936368761 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12703823 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO GENERATE FUNDS TO SUPPORT THE GOALS OF CHILDREN'S HOSPITAL CENTRAL CALIFORNIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 31 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 27 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11840725 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9370598 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 939441 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2024514 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 152150 | OtherRevenuePriorYear |
| Other Revenue Current Year | 287241 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12932316 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11682353 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6980041 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2651665 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1452535 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1454306 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 283027 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 255435 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1743316 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 574166 | OtherExpensePriorYear |
| Other Expenses Current Year | 701102 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9289769 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5062508 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3642547 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6619845 | RevenuesLessExpensesCY |
| Total Assets BOY | 43094464 | TotalAssetsBOY |
| Total Assets EOY | 53166103 | TotalAssetsEOY |
| Total Liabilities BOY | 316145 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 598081 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 42778319 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 52568022 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION IS A CHARITABLE TAX-EXEMPT ORGANIZATION BENEFITING CHILDREN'S HOSPITAL CENTRAL CALIFORNIA. THE FOUNDATION'S MISSION IS TO GENERATE FUNDS TO SUPPORT THE GOALS OF THE HOSPITAL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2651665 | Expense |
| Grants | 2651665 | Grants |
| Revenue | 0 | Revenue |
| Description | SEE SCHEDULE O. | Description |
| Total Program Service Expense | 2651665 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 1 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 1 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 31 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 27 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELE WALDRON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5593533000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 93636 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (37 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| MICHELE R WALDRON | ||||||
| TREASURER | 2.00 | X | X | 0 | 510194 | 93614 |
| DAN ADAMS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ERIN BERBERIAN-GLEASON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 139812 | 21940 | |
| MARTY FLAMING | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KENNETH JUE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR ROBERT KUBO | ||||||
| BOARD MEMBER, TERM 1/2013 | 1.00 | X | 0 | 0 | 0 | |
| JEFF MAYER | ||||||
| BOARD MEMBER, TERM 4/2013 | 1.00 | X | 0 | 0 | 0 | |
| PAUL MCDOUGAL | ||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| GEORGE MURPHY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CAREN MYERS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVID NALCHAJIAN | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| DAVE OLSON | ||||||
| BOARD MEMBER, TERM 4/2013 | 1.00 | X | 0 | 0 | 0 | |
| CARL REFUERZO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KIM RUIZ-BECK | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| DEBBIE SMADES-HENES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BILL SMITTCAMP | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR NADARASA VISVESHWARA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 381575 | 34376 | |
| RICHARD SHEHADEY | ||||||
| IMMEDIATE PAST CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| LISA WHITE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KEVIN WILLIAMS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JODY YOUNG | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GEORGE BERTOLUCCI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVID GALASSO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JEANNINE GRECH | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NINA KRUSE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DANIELLE PARNAGIAN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BLAIR CUNNINGS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SKIP NUGENT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| TODD SUNTRAPAK | ||||||
| PRESIDENT, CEO EFF. 7/19/12 | 6.00 | X | X | 0 | 525558 | 89988 |
| NOREEN WADE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GORDON ALEXANDER | ||||||
| FORMER CEO, TERMED 11/13/11 | 6.00 | X | X | 0 | 767496 | 16613 |
| LISA BONDADELLE | ||||||
| BOARD MEMBER, TERMED 12/2011 | 1.00 | X | 0 | 0 | 0 | |
| PATRICK MURPHY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DENNIS PERKINS | ||||||
| BOARD MEMBER, TERMED 8/2012 | 1.00 | X | 0 | 0 | 0 | |
| BRUCE ALLBRIGHT | ||||||
| BOARD MEMBER, TERMED 12/31/11 | 1.00 | X | 0 | 0 | 0 | |
| SUSAN BOYD | ||||||
| BOARD MEMBER, TERMED 12/31/11 | 1.00 | X | 0 | 0 | 0 | |
| JAMES MEINERT | ||||||
| VICE PRESIDENT, TERM 9/28/12 | 40.00 | X | 0 | 291137 | 24948 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2615772 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 281479 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S MIRACLE NETWORK | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4525 S 2300 EAST | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | FUNDRAISING | DescriptionOfServices |
| Compensation | 284865 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Federated Campaigns | 1022572 | FederatedCampaigns |
| Fundraising Events | 719389 | FundraisingEvents |
| All Other Contributions | 7628637 | AllOtherContributions |
| Noncash Contributions | 47769 | NoncashContributions |
| Total Contributions | 9370598 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 964574 | TotalRevenueColumn |
| Exclusion | $964,574 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1770148 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 710208 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1059940 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1059940 | TotalRevenueColumn |
| Exclusion | $1,059,940 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 291612 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 719389 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 226215 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 65397 | TotalRevenueColumn |
| Exclusion | $65,397 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 306891 | GrossIncomeGaming |
| Gaming Direct Expenses | 85047 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 221844 | TotalRevenueColumn |
| Exclusion | $221,844 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11682353 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,311,755 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2651665 | Total |
| Program Services | 2651665 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 968001 | Total |
| Management And General | 257394 | ManagementAndGeneral |
| Fundraising | 710607 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72954 | Total |
| Management And General | 20715 | ManagementAndGeneral |
| Fundraising | 52239 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353190 | Total |
| Management And General | 92522 | ManagementAndGeneral |
| Fundraising | 260668 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60161 | Total |
| Management And General | 17083 | ManagementAndGeneral |
| Fundraising | 43078 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5707 | Total |
| Management And General | 1427 | ManagementAndGeneral |
| Fundraising | 4280 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19500 | Total |
| Management And General | 19500 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255435 | Total |
| Fundraising | 255435 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193510 | Total |
| Management And General | 193510 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120529 | Total |
| Management And General | 12554 | ManagementAndGeneral |
| Fundraising | 107975 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2751 | Total |
| Management And General | 688 | ManagementAndGeneral |
| Fundraising | 2063 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140779 | Total |
| Management And General | 19143 | ManagementAndGeneral |
| Fundraising | 121636 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500 | Total |
| Management And General | 375 | ManagementAndGeneral |
| Fundraising | 1125 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8208 | Total |
| Management And General | 1736 | ManagementAndGeneral |
| Fundraising | 6472 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 680 | Total |
| Management And General | 680 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6397 | Total |
| Management And General | 6397 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 80090 | 80090 | |
| BAD DEBT EXPENSE | 30536 | 30536 | |
| TAXES & LICENSES | 26336 | 19752 | 6584 |
| DUES & SUBSCRIPTIONS | 12801 | 9601 | 3200 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51778 | Total |
| Management And General | 14019 | ManagementAndGeneral |
| Fundraising | 37759 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5062508 | Total |
| Program Services | 2651665 | ProgramServices |
| Management And General | 667527 | ManagementAndGeneral |
| Fundraising | 1743316 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11091 | BOY |
| EOY | 300 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5520693 | BOY |
| EOY | 4828223 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34265 | BOY |
| EOY | 124507 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 55660 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13643 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48415 | BOY |
| EOY | 42017 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22113471 | BOY |
| EOY | 28073403 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14180408 | BOY |
| EOY | 17121076 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1186121 | BOY |
| EOY | 2976577 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43094464 | BOY |
| EOY | 53166103 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 316145 | BOY |
| EOY | 598081 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 316145 | BOY |
| EOY | 598081 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28881817 | BOY |
| EOY | 36877666 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1798712 | BOY |
| EOY | 2864969 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12097790 | BOY |
| EOY | 12825387 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42778319 | BOY |
| EOY | 52568022 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43094464 | BOY |
| EOY | 53166103 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6619845 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3169858 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941294954 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Amount | $2,651,665 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 2651665 | SumOfAmounts |
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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12097790 | BeginningOfYearBalance |
| Contributions | 727597 | Contributions |
| End Of Year Balance | 12825387 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11661203 | BeginningOfYearBalance |
| Contributions | 436587 | Contributions |
| End Of Year Balance | 12097790 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11510492 | BeginningOfYearBalance |
| Contributions | 150711 | Contributions |
| End Of Year Balance | 11661203 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3802744 | BeginningOfYearBalance |
| Contributions | 7707748 | Contributions |
| End Of Year Balance | 11510492 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55660 | OtherCostOrOtherBasis |
| Depreciation | 13643 | Depreciation |
| Book Value | 42017 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 42017 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIMITED PARTNERSHIPS | Description |
| Book Value | 17121076 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 17121076 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| WILLS & ESTATES RECEIVABLE | 1760402 |
| IRREVOCABLE TRUST RECEIVABLE | 575651 |
| ANNUITY RECEIVABLE | 362466 |
| OTHER | 278058 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2976577 | TotalBookValueOtherAssets |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | TO PROVIDE A PERPETUAL AND PREDICTABLE SOURCE OF REVENUE FOR THE USE AND BENEFIT OF VARIOUS PROGRAMS, OPERATING AND CAPITAL NEEDS OF CHILDREN'S HOSPITAL CENTRAL CALIFORNIA. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S MIRACLE NETWORK | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 WEST 700 SOUTH | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | COORDINATE DIRECT MAIL PROGRAM AND OTHER CAMPAIGN | Activity |
| Fundraiser Control Of Funds | 1 | FundraiserControlOfFunds |
| Gross Receipts | 515615 | GrossReceipts |
| Amount Retained By Contractor | 255435 | AmountRetainedByContractor |
| Net To Organization | 260180 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 515615 | TotalGrossReceipts |
| Total Retained By Contractors | 255435 | TotalRetainedByContractors |
| Total Net To Organization | 260180 | TotalNetToOrganization |
| Licensed States | AL | LicensedStates |
| Licensed States | AK | LicensedStates |
| Licensed States | AZ | LicensedStates |
| Licensed States | AR | LicensedStates |
| Licensed States | CA | LicensedStates |
| Licensed States | CO | LicensedStates |
| Licensed States | CT | LicensedStates |
| Licensed States | DE | LicensedStates |
| Licensed States | FL | LicensedStates |
| Licensed States | GA | LicensedStates |
| Licensed States | HI | LicensedStates |
| Licensed States | ID | LicensedStates |
| Licensed States | IL | LicensedStates |
| Licensed States | IN | LicensedStates |
| Licensed States | IA | LicensedStates |
| Licensed States | KS | LicensedStates |
| Licensed States | KY | LicensedStates |
| Licensed States | LA | LicensedStates |
| Licensed States | ME | LicensedStates |
| Licensed States | MD | LicensedStates |
| Licensed States | MA | LicensedStates |
| Licensed States | MI | LicensedStates |
| Licensed States | MN | LicensedStates |
| Licensed States | MS | LicensedStates |
| Licensed States | MO | LicensedStates |
| Licensed States | MT | LicensedStates |
| Licensed States | NE | LicensedStates |
| Licensed States | NV | LicensedStates |
| Licensed States | NH | LicensedStates |
| Licensed States | NJ | LicensedStates |
| Licensed States | NM | LicensedStates |
| Licensed States | NY | LicensedStates |
| Licensed States | NC | LicensedStates |
| Licensed States | ND | LicensedStates |
| Licensed States | OH | LicensedStates |
| Licensed States | OK | LicensedStates |
| Licensed States | OR | LicensedStates |
| Licensed States | PA | LicensedStates |
| Licensed States | RI | LicensedStates |
| Licensed States | SC | LicensedStates |
| Licensed States | SD | LicensedStates |
| Licensed States | TN | LicensedStates |
| Licensed States | TX | LicensedStates |
| Licensed States | UT | LicensedStates |
| Licensed States | VT | LicensedStates |
| Licensed States | VA | LicensedStates |
| Licensed States | WA | LicensedStates |
| Licensed States | WV | LicensedStates |
| Licensed States | WI | LicensedStates |
| Licensed States | WY | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HARVEST BALL | NameOfEvent1 |
| Gross Receipts Event1 | 537955 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 431939 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 106016 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 38044 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 69023 | OtherDirectExpensesEvent1 |
| Name Of Event2 | KID'S DAY | NameOfEvent2 |
| Gross Receipts Event2 | 473046 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 287450 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 185596 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 119148 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 1011001 | GrossReceiptsTotal |
| Charitable Contributions Total | 719389 | CharitableContributionsTotal |
| Gross Revenue Total Events | 291612 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 38044 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 188171 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 226215 | DirectExpenseSummaryEvents |
| Net Income Summary | 65397 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 306891 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 50000 | CashPrizesOtherGaming |
| Non Cash Prizes Other Gaming | 6641 | NonCashPrizesOtherGaming |
| Other Direct Expenses Other Gaming | 28406 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGaming |
| Gross Revenue Total Gaming | 306891 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 50000 | CashPrizesTotalGaming |
| Non Cash Prizes Total Gaming | 6641 | NonCashPrizesTotalGaming |
| Other Direct Expenses Total Gaming | 28406 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 85047 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 221844 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.00000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | JULIE MACIAS | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 93636 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
Gaming Manager Name Business GamingManagerNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JIM MEINERT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Compensation | 0 | GamingManagerCompensation |
| Gaming Manager Services Provided | OVERALL SUPERVISION OF EVENT. | GamingManagerServicesProvided |
| Gaming Manager Is Director Officer | X | GamingManagerIsDirectorOfficer |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 93636 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 941294954 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 2603896 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 47769 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | FUN CENTERES, IPADS, COUGH ASSIST MACHINE, PAINTING, ETC | DescriptionOfNonCashAssistance |
| Purpose Of Grant | DISTRIBUTION TO CHILDREN'S HOSPITAL CENTRAL CA FOR EQUIPMENT AND OPERATIONAL EXPENSES | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION IS A SUPPORTING ORGANIZATION TO CHILDREN'S HOSPITAL CENTRAL CALIFORNIA. NO MONITORING OF THE USE OF GRANT FUNDS, OTHER THAN TO MEET DONOR RESTRICTIONS, IS NEEDED. ALL GRANTS ARE MADE TO CHILDREN'S HOSPITAL CENTRAL CALIFORNIA AND REPRESENT A TRANSFER OF DONATIONS TO BE USED FOR EQUIPMENT AND OPERATIONAL EXPENSES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELE R WALDRON | |||||||||||||
| 0 | 446747 | 0 | 53619 | 0 | 9828 | 0 | 81797 | 0 | 11817 | 0 | 603808 | 0 | 0 |
| ERIN BERBERIAN-GLEASON | |||||||||||||
| 0 | 139812 | 0 | 0 | 0 | 0 | 0 | 6330 | 0 | 15610 | 0 | 161752 | 0 | 0 |
| DR NADARASA VISVESHWARA | |||||||||||||
| 0 | 381575 | 0 | 0 | 0 | 0 | 0 | 20825 | 0 | 13551 | 0 | 415951 | 0 | 0 |
| TODD SUNTRAPAK | |||||||||||||
| 0 | 464360 | 0 | 45508 | 0 | 15690 | 0 | 74233 | 0 | 15755 | 0 | 615546 | 0 | 0 |
| GORDON ALEXANDER | |||||||||||||
| 0 | 642016 | 0 | 24362 | 0 | 101118 | 0 | 15409 | 0 | 1204 | 0 | 784109 | 0 | 0 |
| JAMES MEINERT | |||||||||||||
| 0 | 256030 | 0 | 16256 | 0 | 18851 | 0 | 17070 | 0 | 7878 | 0 | 316085 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINES 4A-B | PART I, LINES 4A-B: PART I, LINE 4A A RELATED ORGANIZATION MADE SEVERANCE PAYMENTS TO GORDON ALEXANDER, FORMER CEO. PART I, LINE 4B CHILDREN'S HOSPITAL CENTRAL CALIFORNIA, A RELATED ORGANIZATION, HAS TWO SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDING A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AND A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. NO AMOUNTS WERE PAID OUT OF THE DEFERRED COMPENSATION PLAN DURING THE YEAR. EMPLOYEE AND EMPLOYER CONTRIBUTIONS TO THE DEFERRED COMPENSATION PLAN AND THE CHANGE IN ACTUARIAL VALUE OF SERP BENEFITS FOR THE YEAR ENDING 9/30/12 ARE AS FOLLOWS: GORDON ALEXANDER - DEFERRED COMPENSATION PLAN $14,596; DEFINED CONTRIBUTION SERP PLAN $0 MICHELE WALDRON - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $53,767 TODD SUNTRAPAK - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $49,472 JIM MEINERT - DEFERRED COMPENSATION PLAN $16,500; CHANGE IN SERP ACTUARIAL VALUE $0 | |
| PART III | PART I, LINE 3: THE FOUNDATION RELIED ON A RELATED ORGANIZATION, CHILDREN'S HOSPITAL CENTRAL CALIFORNIA, TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE FOUNDATION'S CEO, USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS" AND "WRITTEN EMPLOYMENT CONTRACT". | SUPPLEMENTAL INFORMATION |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 8200 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | CLUBCAR IV | 1 | 13600 | FMV |
| X | IPADS | 6 | 3219 | FMV |
| X | FUN CENTERS | 5 | 21250 | FMV |
| X | COUGH ASSIST MACHINE | 1 | 1500 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD TREASURER PRESENTS THE DRAFT FORM 990 AT THE BOARD MEETING THAT IS HELD BEFORE THE FILING DATE AND ANSWERS QUESTIONS OR ADDRESSES ANY CONCERNS AT THIS MEETING. HARDCOPY IS MADE AVAILABLE FOR REVIEW AT THE MEETING AND IN THE FOUNDATION OFFICE. CHANGES CAN THEN BE MADE IF WARRANTED BEFORE THE 990 IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE FOUNDATION'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING HOSPITAL GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. FOUNDATION SUPPORT STAFF ARE EMPLOYED BY CHILDREN'S HOSPITAL CENTRAL CALIFORNIA AND ARE THEREFORE SUBJECT TO THE HOSPITAL'S CONFLICT OF INTEREST POLICY. | |
| THE OFFICERS AND SUPPORT STAFF OF THE FOUNDATION ARE EMPLOYED BY THE HOSPITAL. AS SUCH, THE FOUNDATION DOES NOT HAVE EMPLOYEES THAT IT PAYS DIRECTLY. AS PROVIDED BY THE HOSPITAL BYLAWS, A COMPENSATION COMMITTEE HAS BEEN ESTABLISHED THAT CONSISTS OF A CHAIR AND AT LEAST THREE MEMBERS OF THE BOARD OF TRUSTEES. THE PRIMARY ROLE OF THIS COMMITTEE IS TO ENSURE THAT COMPENSATION IS REASONABLY RELATED TO THE DUTIES PERFORMED FOR THE HOSPITAL AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO CEO, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE CEO'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE | ||
| FORM 990, PART VI, SECTION C, LINE 19 | A COPY OF FOUNDATION'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF THE FOUNDATION IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE HOSPITAL PREPARES CONSOLIDATED ANNUAL FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO SUBMITTAL TO RELEVANT STATE AGENCIES. | |
| FORM 990, PART VII, SECTION A, COLUMN B: | MICHELE WALDRON'S TIME IS DIVIDED AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 38 HRS CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 2 HRS GORDON ALEXANDER'S TIME IS DIVIDED AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 34 HRS CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 6 HRS TODD SUNTRAPAK'S TIME IS DIVIDED AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 34 HRS CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 6 HRS BRUCE ALLBRIGHT, SUSAN BOYD, DR. ROBERT KUBO, JEFF MAYER, DAVE OLSON, RICHARD SHEHADEY AND BILL SMITTCAMP DIVIDE THEIR TIME AS FOLLOWS: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 1 HR CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION 1 HR | HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 3,178,542. CHANGE IN FAIR VALUE OF GIFT ANNUITY -38,710. ENDOWMENT TRANSFER FROM CHCC 30,026. TOTAL TO FORM 990, PART XI, LINE 5: 3,169,858. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART III, LINE 4A | DISTRIBUTION TO CHILDREN'S HOSPITAL CENTRAL CALIFORNIA, A NONPROFIT 501(C)(3) ORGANIZATION, FOR EQUIPMENT AND OPERATIONAL EXPENSES: $2,651,665 THE CHILDREN'S HOSPITAL CENTRAL CALIFORNIA FOUNDATION IS A CHARITABLE TAX-EXEMPT ORGANIZATION BENEFITING CHILDREN'S HOSPITAL CENTRAL CALIFORNIA. THE FOUNDATION'S MISSION IS CLEAR AND UNEQUIVOCAL: "GENERATE FUNDS TO SUPPORT THE GOALS OF CHILDREN'S HOSPITAL CENTRAL CALIFORNIA." AS THE FUNDRAISING ARM OF THE HOSPITAL, THE FOUNDATION UTILIZES A VARIETY OF PROGRAMS TO RAISE PHILANTHROPIC FUNDS TO MEET THE HOSPITAL'S MISSION. THE FOUNDATION IS A PARTICIPATING MEMBER OF THE CHILDREN'S MIRACLE NETWORK, AND OTHER WIDELY ANTICIPATED VALLEY EVENTS, INCLUDING THE ANNUAL KID'S DAY, CHANGE BANDIT-RADIOTHON AND THE HARVEST BALL. IN ADDITION, THE FOUNDATION HAS DEVELOPED CORPORATE, ANNUAL CAUSE-MARKETING, OUTSIDE SPECIAL EVENTS, TRIBUTES, DIRECT MAIL, AND MAJOR AND PLANNED GIFT PROGRAMS. WHILE THE ONLY "MEMBER" OF THE FOUNDATION IS THE HOSPITAL'S BOARD OF TRUSTEES, THE WORK OF THE FOUNDATION IS DIRECTED AND ASSISTED BY THE BOARD OF DIRECTORS COMPRISING 34 VOLUNTEER COMMUNITY MEMBERS. FOUNDED IN 1981, THE FOUNDATION HAS DEVELOPED AND LED COMMUNITY-BASED PHILANTHROPIC EFFORTS TO SUPPORT THE HOSPITAL IN ADDITION TO THE WORK OF THE HOSPITAL GUILDS. IN ITS INITIAL YEARS, THE FOUNDATION'S FUND RAISING EFFORTS WERE LARGELY FOCUSED ON SPECIAL EVENTS AND ANNUAL PROGRAMS. PRESENTLY THE FOUNDATION IS FOCUSED ON BUILDING PROGRAMS TO SUPPORT A MAJOR GIFTS CULTURE TO COMPLIMENT THE CORE ANNUAL FUNDING PROGRAMS. | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - PROGRAM SERVICE ONE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL CENTRAL CALIFORNIA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 93630 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941294954 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 501(C)3 | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9300 VALLEY CHILDRENS PLACE | AddressLine1 |
| City | MADERA | City |
| State | CA | State |
| ZIP Code | 93636 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770450620 | EIN |
| Primary Activity | MEDICAL GROUP | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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