CHOC FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHOC FOUNDATION (EIN 95-6097416)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349307553
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T15:08:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1355 S Grand Ave Suite 2000AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN956097416EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHOC FoundationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DONALD NOBLEInCareOfName
Name ControlCHOCNameControl
Phone7149973000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 S Main StreetAddressLine1
CityOrangeCity
StateCAState
ZIP Code928683874ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKERRI RUPPERT SCHILLERName
TitleSENIOR VP/CFOTitle
Date Signed2013-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2139724000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CHOC CHILDREN'S FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer Personkimberly c cripeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1455 s main streetAddressLine1
CityorangeCity
StateCAState
ZIP Code928683874ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35938247GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.choc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSUPPORTING CLINICAL AND NONCLINICAL SERVICES, MEDICAL EDUCATION, RESEARCH AND ALLIED FIELDS OF PEDIATRICS AT CHILDREN'S HOSPITAL OF ORANGE COUNTY,CHILDREN'S HOSPITAL AT MISSION AND ITS AFFILIATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees27TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year48406024ContributionsGrantsPriorYear
Contributions Grants Current Year20654820ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year607634InvestmentIncomePriorYear
Investment Income Current Year586407InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year49013658TotalRevenuePriorYear
Total Revenue Current Year21241227TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year41981317GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15591850GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2810348SalariesEtcPriorYear
Salaries Etc Current Year2270742SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2612814TotalFundrsngExpCurrentYear
Other Expense Prior Year2682729OtherExpensePriorYear
Other Expenses Current Year2881275OtherExpensesCurrentYear
Total Expenses Prior Year47474394TotalExpensesPriorYear
Total Expenses Current Year20743867TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1539264RevenuesLessExpensesPriorYear
Revenues Less Expenses CY497360RevenuesLessExpensesCY
Total Assets BOY36350124TotalAssetsBOY
Total Assets EOY38208879TotalAssetsEOY
Total Liabilities BOY711659TotalLiabilitiesBOY
Total Liabilities EOY1073633TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY35638465NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37135246NetAssetsOrFundBalancesEOY
Mission DescriptionCHOC FOUNDATION WAS FORMED TO HELP SUPPORT CLINICAL AND NONCLINICAL SERVICES, MEDICAL EDUCATION, RESEARCH AND ALLIED FIELDS OF PEDIATRICS AT CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHILDREN'S HOSPITAL AT MISSION AND TO SUPPORT ITS AFFILIATES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15499528Expense
Grants15499528Grants
Revenue0Revenue
DescriptionChildren's Hospital of Orange County - Provides specialized pediatric services for the care of children. During this year, there were 59,397 days of inpatient care; 50,992 Emergency room visits; 8,247 surgeries; 1,523 day health visits and 142,863 primary and specialty care clinic visits. Funds raised helps to offset cost of services provided to indigent families.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense92322Expense
Grants92322Grants
Revenue0Revenue
DescriptionChildren Hospital at Mission - Funds support affiliated acute care pediatric hospital. Facility provides pediatric, neonatal, and care for emergency services. There were 7,743 inpatient care days; 17,075 Emergency room visits; 827 surgeries and 6,566 outpatient visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense98708Expense
Grants0Grants
Revenue0Revenue
DescriptionCHOC Foundation program service expenses.Description
FieldValueIRS element (for citing)
Total Program Service Expense15690558TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees27NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONALD NOBLENamePerson
Telephone Number7149973000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 S MAIN STREETAddressLine1
CityORANGECity
StateCAState
ZIP Code928683874ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KIMBERLY CCRIPE
DIRECTOR/PRESIDENT4.0XX0122579077828
JANET DAVIDSON
DIRECTOR1.0X000
CHRIS FURMAN
DIRECTOR/vice CHAIR2.0XX000
HEATHER MADDEN
DIRECTOR/SECRETARY1.0XX000
SAM AURIEMMA
DIRECTOR/CHAIR1.0XX000
TERRY ADAMS
DIRECTOR1.0X000
JERRY FLANNERY
DIRECTOR1.0X000
CHRISTINE BREN
DIRECTOR1.0X000
DELPHINE LEE
DIRECTOR1.0X000
ADRIENNE MATROS
DIRECTOR1.0X000
BARRY RYAN
DIRECTOR1.0X000
KEN VENNER
DIRECTOR1.0X000
Allen Fazio
Director1.0X000
STEPHANIE ARGYROS
Director1.0X000
JOHN CARPINO
Director1.0X000
ALI KAVANIAN MD
Director1.0X000
JASON KNIGHT MD
Director1.0X000
CAROLINE MARCHANT
Director1.0X000
STEVE SOLOMON
Director1.0X
KERRI RUPPERT SCHILLER
CFO/ASSISTANT SECRETARY4.0X0593059109936
BETH BRADLEY
SR. DIR. MAJOR GIFTS40.0151835010153X
Heather Inch-Desuta
EXEC DIR FOUNDATION40.0238642018237X
PATRICE POIDMORE
DIR. SPECIAL EVENTS&CORP COMM.40.017124501423X
Zachariah Moonitz
director special events40.0117347013519X
Dolores Korf
DIRECTOR ANNUAL PROGRAMS40.012355408490X
TANYA LIEBER
VICE PRESIDENT259277010732X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1061900TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1818849TotalReportableCompFrmRltdOrgs
Total Other Compensation250318TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events3800104FundraisingEvents
Related Organizations500000RelatedOrganizations
All Other Contributions16354716AllOtherContributions
Noncash Contributions152079NoncashContributions
Total Contributions20654820TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column329296TotalRevenueColumn
Exclusion$329,296ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13989928Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13732817Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities257111Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column257111TotalRevenueColumn
Exclusion$257,111ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events964203GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events3800104CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses964203FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21241227TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$586,407ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15591850Total
Program Services15591850ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total308633Total
Program Services0ProgramServices
Management And General256556ManagementAndGeneral
Fundraising52077Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1594910Total
Program Services43112ProgramServices
Management And General388541ManagementAndGeneral
Fundraising1163257Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total28649Total
Program Services887ProgramServices
Management And General6006ManagementAndGeneral
Fundraising21756Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total198542Total
Program Services4511ProgramServices
Management And General53071ManagementAndGeneral
Fundraising140960Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total140008Total
Program Services3194ProgramServices
Management And General42928ManagementAndGeneral
Fundraising93886Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1266803Total
Program Services1468ProgramServices
Management And General1118808ManagementAndGeneral
Fundraising146527Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22149Total
Management And General6681ManagementAndGeneral
Fundraising15468Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total61798Total
Management And General61798ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total557235Total
Program Services9122ProgramServices
Management And General160967ManagementAndGeneral
Fundraising387146Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total86303Total
Program Services186ProgramServices
Management And General12279ManagementAndGeneral
Fundraising73838Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24883Total
Management And General12434ManagementAndGeneral
Fundraising12449Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total126939Total
Management And General107686ManagementAndGeneral
Fundraising19253Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total375345Total
Management And General160969ManagementAndGeneral
Fundraising214376Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total28961Total
Management And General9461ManagementAndGeneral
Fundraising19500Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7319Total
Management And General884ManagementAndGeneral
Fundraising6435Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total25066Total
Management And General25066ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6570Total
Management And General6570ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES201485362288086157171
PROVISION FOR UNCOLLECTIBLE7000070000
TAXES & LICENSES20419170418715

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20743867Total
Program Services15690558ProgramServices
Management And General2440495ManagementAndGeneral
Fundraising2612814Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1279013BOY
EOY1688399EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6361886BOY
EOY2995464EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7114174BOY
EOY6188884EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY166909BOY
EOY78923EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis399099LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec282309LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY141855BOY
EOY116790EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY19529438BOY
EOY26009598EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1756849BOY
EOY1130821EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36350124BOY
EOY38208879EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY372159BOY
EOY92096EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY339500BOY
EOY981537EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY711659BOY
EOY1073633EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12516370BOY
EOY12398091EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY12297740BOY
EOY10661852EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10824355BOY
EOY14075303EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35638465BOY
EOY37135246EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36350124BOY
EOY38208879EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses497360ReconcilationRevenueExpenses
Reconcilation Other Changes999421ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15602800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13561991CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18351396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48406024CurrentTaxYearMinus1Year
Current Tax Year20654820CurrentTaxYear
Total116577031Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15602800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13561991CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18351396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48406024CurrentTaxYearMinus1Year
Current Tax Year20654820CurrentTaxYear
Total116577031Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total30310055AmountsSubstContributorsTotal
Public Support Total17086266976PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years556256CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years479980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155902CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year423050CurrentTaxYearMinus1Year
Current Tax Year329296CurrentTaxYear
Total1944484Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1204491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years748754CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years611425CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year932335CurrentTaxYearMinus1Year
Current Tax Year964203CurrentTaxYear
Total4461208Total
FieldValueIRS element (for citing)
Total Support122982723TotalSupport
Public Support Pertcentage1700.70146PublicSupportPertcentage170
Public Support Pertcent Prior Year0.68586PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance19886776BeginningOfYearBalance
Contributions3708846Contributions
Investment Earnings Or Losses-372491InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures418237OtherExpenditures
End Of Year Balance22804894EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance17504600BeginningOfYearBalance
Contributions1121168Contributions
Investment Earnings Or Losses1645508InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures384500OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance19886776EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15437152BeginningOfYearBalance
Contributions2824539Contributions
Investment Earnings Or Losses127384InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3247OtherExpenditures
Administrative Expenses881228AdministrativeExpenses
End Of Year Balance17504600EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14147708BeginningOfYearBalance
Contributions1358552Contributions
Investment Earnings Or Losses27794InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures91902OtherExpenditures
Administrative Expenses5000AdministrativeExpenses
End Of Year Balance15437152EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.37680BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.61720PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00600TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis157875OtherCostOrOtherBasis
Depreciation66305Depreciation
Book Value91570BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis241224OtherCostOrOtherBasis
Depreciation216004Depreciation
Book Value25220BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings116790TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLE TO AFFILIATESDescription
Amount$981,537Amount
FieldValueIRS element (for citing)
Total Of Amounts981537TotalOfAmounts
Total Revenue21241227TotalRevenue
Total Expenses20743867TotalExpenses
Excess Or Deficit For Year497360ExcessOrDeficitForYear
Net Unrealized GL On Investments-642651NetUnrealizedGLOnInvestments
Donated Services And Facilities1650000DonatedServicesAndFacilities
Other-$7,928OtherAmount
Total Adjustments999421TotalAdjustments
Excess Or Deficit Per FS1496781ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22240648TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-642651NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities1650000DonatedSrvcAndUseOfFacilities
Other Revenues-7928OtherRevenues
Revenue Not Rptd F990999421RevenueNotRptdF990
Revenue Subtotal21241227RevenueSubtotal
Total Revenue Per Form99021241227TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20743867TotExpensesEtcAuditedFinclStmt
Expenses Subtotal20743867ExpensesSubtotal
Total Expenses Per Form99020743867TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2012, THERE ARE NO UNCERTIAN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
OTHER CHANGES IN NET ASSETSCHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS - $(7,928).PART XI, LINE 8 & PART XII, LINE 2D
Schedule D, Part V, Line 4The 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.

Schedule G IRS990ScheduleG

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualnoneNameOfIndividual
Fundraiser Control Of FundsfalseFundraiserControlOfFunds

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CHOC WalkNameOfEvent1
Gross Receipts Event11796344GrossReceiptsEvent1
Charitable Contributions Event11569678CharitableContributionsEvent1
Gross Revenue Event1226666GrossRevenueEvent1
Non Cash Prizes Event144184NonCashPrizesEvent1
Rent Facility Costs Event172000RentFacilityCostsEvent1
Food And Beverage Event17076FoodAndBeverageEvent1
Entertainment Event11214EntertainmentEvent1
Other Direct Expenses Event1102195OtherDirectExpensesEvent1
Name Of Event2Guild eventsNameOfEvent2
Gross Receipts Event21272364GrossReceiptsEvent2
Charitable Contributions Event21170064CharitableContributionsEvent2
Gross Revenue Event2102300GrossRevenueEvent2
Other Direct Expenses Event2102301OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events1695599GrossReceiptsOtherEvents
Charitable Contrib Other Events1060362CharitableContribOtherEvents
Gross Revenue Other Events635237GrossRevenueOtherEvents
Non Cash Prizes Other Events6995NonCashPrizesOtherEvents
Rent Facility Costs Other Events184986RentFacilityCostsOtherEvents
Food And Beverage Other Events9267FoodAndBeverageOtherEvents
Entertainment Other Events5610EntertainmentOtherEvents
Other Direct Expenses Other Events428375OtherDirectExpensesOtherEvents
Gross Receipts Total4764307GrossReceiptsTotal
Charitable Contributions Total3800104CharitableContributionsTotal
Gross Revenue Total Events964203GrossRevenueTotalEvents
Non Cash Prizes Total Events51179NonCashPrizesTotalEvents
Rent Facility Costs Total Events256986RentFacilityCostsTotalEvents
Food And Beverage Total Events16343FoodAndBeverageTotalEvents
Entertainment Total Events6824EntertainmentTotalEvents
Other Direct Expenses Total Events632871OtherDirectExpensesTotalEvents
Direct Expense Summary Events964203DirectExpenseSummaryEvents

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
CHILDREN'S HOSPITAL OF ORANGE COUNTY
455 SOUTH MAIN STREETORANGECA928683874952321786501(c)(3)15499528n/an/aHOSPITAL OPERATIONS AND CHARITABLE CARE
CHILDREN'S HOSPITAL AT MISSION
455 SOUTH MAIN STREETORANGECA928683874330528802501(c)(3)92322n/an/aHOSPITAL OPERATIONS AND CHARITABLE CARE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING THE USE OF GRANT FUNDS - PART I, LINE 1Identifier
ExplanationCHOC Foundation receives contributions on behalf of CHOC and Children's Hospital at Mission, both affiliated 501(c)(3) organizations. Donations are generally restricted or designated by donors for various purposes at inception. The funds are then distributed to the appropriate organization according to donor stipulations for medical programs or for the new tower construction as designated.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KIMBERLY CCRIPE
07266250196891030227405592702190101303618038625
KERRI RUPPERT SCHILLER
0443436096396053227088035021901070299500
TANYA LIEBER
2364030002287402307084250270009000
BETH BRADLEY
1318410902701096703396067570161988000
Heather Inch-Desuta
200094025114013434042710139660256879000
PATRICE POIDMORE
14791101184001149401423000172668000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Line 4aSome 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 calendar year 2011. The payment was received by Tanya Lieber ($139,290).
Compensation from an Affiliated OrganizationKIMBERLY 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, CHOCO REALTY CORPORATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC Section 501(C)(3) AFFILIATES). MS. CRIPE DEVOTES APPROXIMATELY 10% OF HER TIME EACH WEEK TO CHOC FOUNDATION RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON THE OTHER RELATED ORGANIZATIONS' BUSINESS affairs. 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, CHOCO REALTY CORPORATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC Section 501(C)(3) AFFILIATES). MS. SCHILLER DEVOTES APPROXIMATELY 10% OF HER TIME EACH WEEK TO CHOC FOUNDATION RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON THE OTHER RELATED ORGANIZATIONS' BUSINESS affairs.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN - PART I, LINE 4bChildren'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) for each Plan year that begins prior to the participant's cash date, CHOC shall create a new SERP account on its books for the Participant and shall credit to such account at times specified. The participants of the plan are general creditors of the company. The participant's SERP account shall be utilized solely as a device for the measurement and determination of the amounts to be paid to the participant under this plan. The participant is entitled to his/her SERP benefit amount upon the earliest of (1) remaining employed with the Company to the third anniversary of the first day of the Plan Year for which the SERP account was created; (2) remaining employed with the Company to the Participant's 60th birthday; (3) remaining employed with the Company to the date the Participant has both attained at least age 55 and has completed at least 10 years of service; (4) disability; (5) involuntary separation from service without reasonable cause; (6) voluntary separation from service for good reason or (7) death. The following individual received payments from the Plan during calendar year 2011: Ms. Cripe ($159,816). As stated in previous filings, in December 2008, the CHOC executive compensation committee dissolved the previous non-qualified retirement plan and all assets were disbursed involuntarily to the participants. The following individual listed on schedule J received payments from the dissolution of the plan in calendar 2011, which are included as a component of the amount reported on schedule J, Part II, column B: Ms. Cripe ($64,984).

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name Personchad lieberNamePerson
FieldValueIRS element (for citing)
Relationshipfamily member of key emp.Relationship
Amount Of Transaction105183AmountOfTransaction
Description Of Transactionpayment of compensationDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions10NumberOfContributions
Noncash Contribs Rptd F990152079NoncashContribsRptdF990
Method Of Determining Revenuesaverage market valueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSCHEDULE M, PART I, COLUMN BIdentifier
ExplanationTHE NUMBER LISTED IN PART I, LINE 9 COLUMN (B) WAS DETERMINED BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Information Regarding Common PaymasterForm 990, Part I, Line 5 and Part V, Line 2Children's Hospital of Orange County (CHOC) acts as a common paymaster, issuing forms W-2 and 1099 on behalf of CHOC Foundation. CHOC Foundation has 27 employees, however because of the common paymaster arrangement resulting in the Forms W-2 being issued under CHOC's employer identification number, there are no W-2s issued directly by CHOC Foundation.
members or stockholdersForm 990, Part VI, Section A, Line 6The sole member of CHOC Foundation is Children's HealthCare of California (CHC).
persons who may elect members of the governing bodyForm 990, Part VI, Section A, Line 7aDirectors of CHOC Foundation shall be elected annually by the Member, based on the nomination(s) provided by CHOC Foundation'S Board of Directors.
the governing body's decisions subject to approvalForm 990, Part VI, Section A, Line 7bThe approval of the Member shall be required with respect to any of the following actions: (1) Changing the purposes and powers of CHOC Foundation; (2) Obligating CHOC Foundation to undertake any capital expenditure in excess of $1,000,000; (3) Adopting CHOC Foundation's annual operating and capital budgets; (4) Adopting a long-term capital budget; (5) Buying, selling, leasing, mortgaging, pledging, or otherwise hypothecating any real property; (6) Incurring any indebtedness in excess of $1,000,000; (7) Obligating CHOC Foundation to act as guarantor with respect to any debt of any person or other entity; (8) Accepting any donation which is conditioned upon CHOC Foundation's undertaking any unbudgeted capital expenditure in excess of $1,000,000 or any unbudgeted expenditure in excess of $1,000,000; (9) Entering into any contract which involves any of the following: (a) any financial obligation on the part of CHOC Foundation in an amount in excess of $1,000,000, (b) any purpose or activity which is outside the scope of CHOC Foundation's ordinary course of business, or (c) a term in excess of five years (unless the contract is terminable at will); (10) involving CHOC Foundation in any merger, acquisition, corporate restructuring, or formal affiliation; (11) Involving CHOC Foundation as a member, shareholder, or partner in any new corporation, partnership, or other legal entity; (12) Dissolving CHOC Foundation; (13) Entering into any transaction involving the sale, lease, conveyance, exchange, transfer or other disposition of all or substantially all of CHOC Foundation's assets; (14) Amending CHOC Foundation's articles of Incorporation; (15) Adopting new bylaws or amending existing bylaws, in the event that such action would affect any of the Member's rights under the bylaws or as provided by applicable law.
PROCESS OF REVIEWForm 990, Part VI, Section B, Line 11APrior to filing, the tax return and related schedules are provided to the executive compensation committee, an empowered board committee delegated with this authority. The Chief Financial Officer reviews the report with the committee prior to filing the return. Prior to the filing of the form 990 with the Internal Revenue Service, a complete copy of the final form 990 is also 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. The form 990 is also a scheduled agenda item at the May 2013 board of directors meeting.
MONITORNING AND ENFORCING COMPLIANCE OF CONFLICT INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CThe Compliance Officer is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the conflict of interest policy, an annual conflict of interest questionnaire, aimed at determining any family and business relationships and transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members, officers and executive leadership). Covered persons are required to disclose real or potential conflicts at the time when such conflicts arise. When an individual becomes a covered person and annually thereafter, each covered person is required to sign a statement affirming that he/she: (1)has received a copy of the Conflict of Interest Policy and understands said policy; (2)has read the policy and understands said policy; and (3)agrees to comply with all requirements of the policy, including completing the conflict of interest questionnaire. The completed questionnaires are reviewed by the Compliance Officer and any persons with actual or potential conflicts are contacted via written communication. The procedures for addressing any conflict of interest may include but are not limited to the following: (1)the conflicting interest is fully disclosed to the Board of Directors; (2)the interested person responds to factual questions related to the conflict, the substance of the transaction or the arrangement being considered; (3)the person with the conflict of interest is excluded from any discussion or approval of such transaction; (4)if applicable alternatives to the proposed transaction are investigated, competitive bids or comparable valuations are obtained; and (5)the transaction or action must be approved by a majority of disinterested persons.
PROCESS OF DETERMINING COMPENSATION OF THE CEO AND OFFICERSFORM 990, PART VI, SECTION B, LINE 15Line 15A - Compensation Determination Process - Top Management Official: An independent Board committee, 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 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 executive sessions with no staff members present. All comparative salary data is well documented and there are minutes from these meetings that document the members present and voting, the comparative data used 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. Line 15B - Compensation Determination Process - Other Officers and Key Employees: The Organization has no other officers or key employees. Kimberly C. Cripe and Kerri Ruppert Schiller are employees of Children's Healthcare of California (CHC) and are compensated by CHC. An independent Board Committee of CHC charged with the duties of the compensation committee, whose members are disinterested and independent, is in place with a written compensation committee charter. This Committee annually retains an independent healthcare compensation firm to provide relevant comparability data and other compensation studies. The officers and key employees of CHC 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. All comparative salary data is well documented and there are minutes from these meetings that document the members present and voting, the comparative data used and the deliberations and decisions of the committee. The results and recommendations from the committee are shared in a closed session with the Board of Directors.
disclosure copy - FORM 990, PART VI, SECTION C, LINE 19While federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request.
Form 990, Part XI, Line 5Unrealized Gains $ (642,651) Change in value of Split-Interest Agreement ( 7,928) Donated services/use of facilities 1,650,000 ------------ Total change in Net Assets $ 999,421
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KIMBERLY C.CRIPE TITLE:DIRECTOR/PRESIDENT HOURS:36
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANET DAVIDSON TITLE:DIRECTOR HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SAM AURIEMMA TITLE:DIRECTOR/CHAIR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Allen Fazio TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KERRI RUPPERT SCHILLER TITLE:CFO/ASSISTANT SECRETARY HOURS:36

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHILDREN'S HEALTHCARE OF CALIFORNIA(CHC)
455 S MAIN STREETORANGECA92868330265266HEALTH CARECA501(C)(3)7NAfalse
CHILDREN'S HOSPITAL OF ORANGE COUNTY
455 S MAIN STREETORANGECA92868952321786HEALTH CARECA501(C)(3)3CHCfalse
CHILDREN'S HOSPITAL AT MISSION
455 S MAIN STREETORANGECA92686330528802HEALTH CARECA501(C)(3)3CHCfalse
CRC REAL ESTATE CORPORATION
455 S MAIN STREETORANGECA92868330612565real estateCA501(C)(3)11aCHCfalse
CHOCO REALTY CORPORATION
455 S MAIN STREETORANGECA92868330011853real estateCA501(C)(3)11ACHCfalse
choc Thrift Stores Inc
455 S MAIN STREETorangeCA92868330266422fund raisingCA501(C)(3)9CHCfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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