CHOC FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHOC FOUNDATION (EIN 95-6097416)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349306728
Schema version
2010v3.7
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)
Timestamp2012-05-15T15:50:51-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN956097416EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHOC FoundationBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2012-05-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2139724000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts53159480GrossReceipts
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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees25TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18351396ContributionsGrantsPriorYear
Contributions Grants Current Year48406024ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year158334InvestmentIncomePriorYear
Investment Income Current Year607634InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year18509730TotalRevenuePriorYear
Total Revenue Current Year49013658TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7944697GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41981317GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2338375SalariesEtcPriorYear
Salaries Etc Current Year2810348SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1063841TotalFundrsngExpCurrentYear
Other Expense Prior Year3455802OtherExpensePriorYear
Other Expenses Current Year2682729OtherExpensesCurrentYear
Total Expenses Prior Year13738874TotalExpensesPriorYear
Total Expenses Current Year47474394TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4770856RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1539264RevenuesLessExpensesCY
Total Assets BOY33261526TotalAssetsBOY
Total Assets EOY36350124TotalAssetsEOY
Total Liabilities BOY402336TotalLiabilitiesBOY
Total Liabilities EOY711659TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32859190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35638465NetAssetsOrFundBalancesEOY
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
Expense41806136Expense
Grants41806136Grants
Revenue0Revenue
DescriptionChildren's Hospital of Orange County - Provides specialized pediatric services for the care of children. During this year, there were 59,515 days of inpatient care; 54,553 Emergency room visits; 8,209 surgeries; 1,263 day health visits and 146,425 primary and specialty care clinic visits. Funds raised help to offset cost of services provided to indigent families.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense175181Expense
Grants175181Grants
Revenue0Revenue
DescriptionChildren's Hospital at Mission - Funds support affiliated acute care pediatric hospital. Facility provides pediatric, neonatal, and care for emergency services. There were 9,203 inpatient care days; 17,337 Emergency room visits; 991 surgeries and 8,524 outpatient visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4069233Expense
Grants0Grants
Revenue0Revenue
Descriptionsupport of pediatric medical services, community education and safety.Description
FieldValueIRS element (for citing)
Total Program Service Expense46050550TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees25NumberOfEmployees
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
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KIMBERLY C CRIPE
DIRECTOR / PRESIDENT4.0XX0104915973291
JANET DAVIDSON
DIRECTOR1.0X000
CHRIS FURMAN
DIRECTOR / CHAIR2.0XX000
CHRIS GRIFFITH
DIRECTOR1.0X000
EMILE HADDAD
DIRECTOR1.0X000
MARILYN HESTER-ROBBINS
DIRECTOR1.0X000
JAY KEAR
DIRECTOR1.0X000
HEATHER MADDEN
DIRECTOR / SECRETARY1.0XX000
MARK MOSES
DIRECTOR1.0X000
SAM AURIEMMA
DIRECTOR / VICE CHAIR1.0XX000
TERRY ADAMS
DIRECTOR1.0X000
JERRY FLANNERY
DIRECTOR1.0X000
MICHAEL MUHONEN MD
DIRECTOR1.0X000
robert WAGNER
DIRECTOR1.0X000
robert ALLISON
DIRECTOR1.0X000
CHRISTINE BREN
DIRECTOR1.0X000
DELPHINE LEE
DIRECTOR / SECRETARY1.0XX000
ADRIENNE MATROS
DIRECTOR1.0X000
BARRY RYAN
DIRECTOR1.0X000
KEN VENNER
DIRECTOR1.0X000
Allen Fazio
Director1.0X000
KERRI RUPPERT SCHILLER
CFO / ASSISTANT SECRETARY4.0X056355899342
TANYA LIEBER
VICE PRESIDENT40.0252589020070X
LOIS F AUGUSTINE
DIRECTOR COMMUNITY RELATIONS40.0106768020048X
DOLORES M KORF
DIRECTOR ANNUAL PROGRAMS40.010977607582X
BETH BRADLEY
SR. DIR. MAJOR GIFTS40.014195105894X
Heather Inch-Desuta
EXEC DIR FOUNDATION40.0190257013410X
PATRICE POIDMORE
DIR. SPECIAL EVENTS&CORP COMM.40.013255106764X
FieldValueIRS element (for citing)
Total Reportable Comp From Org933892TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1612717TotalReportableCompFrmRltdOrgs
Total Other Compensation246401TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonINTERSECTION STUDIONamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14120 MIchael AveAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90066ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMARKETINGDescriptionOfServices
Compensation172800Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events4246145FundraisingEvents
All Other Contributions44159879AllOtherContributions
Noncash Contributions219523NoncashContributions
Total Contributions48406024TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column423050TotalRevenueColumn
Exclusion$423,050ExclusionAmount

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)
Securities3398071Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3213487Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities184584Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column184584TotalRevenueColumn
Exclusion$184,584ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events932335GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events4246145CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses932335FundraisingDirectExpenses

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 Column49013658TotalRevenueColumn
Exclusion$607,634ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total41981317Total
Program Services41981317ProgramServices

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)
Total212531Total
Program Services70843ProgramServices
Management And General70844ManagementAndGeneral
Fundraising70844Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2132458Total
Program Services1705966ProgramServices
Management And General106623ManagementAndGeneral
Fundraising319869Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32627Total
Program Services26102ProgramServices
Management And General1631ManagementAndGeneral
Fundraising4894Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total278777Total
Program Services223021ProgramServices
Management And General13939ManagementAndGeneral
Fundraising41817Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total153955Total
Program Services123164ProgramServices
Management And General7698ManagementAndGeneral
Fundraising23093Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1189697Total
Program Services951758ProgramServices
Management And General59485ManagementAndGeneral
Fundraising178454Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total754Total
Program Services603ProgramServices
Management And General38ManagementAndGeneral
Fundraising113Fundraising

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)
Total33432Total
Management And General33432ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total494471Total
Program Services395576ProgramServices
Management And General24724ManagementAndGeneral
Fundraising74171Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total245677Total
Fundraising245677Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28568Total
Program Services22855ProgramServices
Management And General1428ManagementAndGeneral
Fundraising4285Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total71060Total
Program Services56848ProgramServices
Management And General3553ManagementAndGeneral
Fundraising10659Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total344375Total
Program Services275500ProgramServices
Management And General17219ManagementAndGeneral
Fundraising51656Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total33100Total
Program Services26480ProgramServices
Management And General1655ManagementAndGeneral
Fundraising4965Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6619Total
Management And General6619ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26822Total
Program Services21458ProgramServices
Management And General1341ManagementAndGeneral
Fundraising4023Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3262Total
Program Services2610ProgramServices
Management And General163ManagementAndGeneral
Fundraising489Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES172935138348864725940
TAXES & LICENSES19279154239642892
UNCOLLECTIBLE PLEDGES1267812678

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total47474394Total
Program Services46050550ProgramServices
Management And General360003ManagementAndGeneral
Fundraising1063841Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2783406BOY
EOY1279013EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17226105BOY
EOY6361886EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5470130BOY
EOY7114174EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY64497BOY
EOY166909EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis399099LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec257244LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY161206BOY
EOY141855EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5311644BOY
EOY19529438EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2244538BOY
EOY1756849EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33261526BOY
EOY36350124EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY130561BOY
EOY372159EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY271775BOY
EOY339500EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY402336BOY
EOY711659EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13060703BOY
EOY12516370EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9909368BOY
EOY12297740EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9889119BOY
EOY10824355EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32859190BOY
EOY35638465EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33261526BOY
EOY36350124EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1539264ReconcilationRevenueExpenses
Reconcilation Other Changes1240011ReconcilationOtherChanges
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 Years11954508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15602800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13561991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18351396CurrentTaxYearMinus1Year
Current Tax Year48506024CurrentTaxYear
Total107976719Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11954508CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15602800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13561991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18351396CurrentTaxYearMinus1Year
Current Tax Year48506024CurrentTaxYear
Total107976719Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total28928884AmountsSubstContributorsTotal
Public Support Total17079047835PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1077030CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years556256CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years479980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year155902CurrentTaxYearMinus1Year
Current Tax Year423050CurrentTaxYear
Total2692218Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1087406CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1204491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years748754CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year611425CurrentTaxYearMinus1Year
Current Tax Year932335CurrentTaxYear
Total4584411Total
FieldValueIRS element (for citing)
Total Support115253348TotalSupport
Public Support Pertcentage1700.68586PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89210PublicSupportPertcentPriorYear
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 Balance17504600BeginningOfYearBalance
Contributions1121168Contributions
Investment Earnings Or Losses1645508InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures384500OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance19886776EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.42280BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.54430PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03290TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis150403OtherCostOrOtherBasis
Depreciation50317Depreciation
Book Value100085BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis248696OtherCostOrOtherBasis
Depreciation206926Depreciation
Book Value41770BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings141855TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLE TO AFFILIATESDescription
Amount$339,500Amount
FieldValueIRS element (for citing)
Total Of Amounts339500TotalOfAmounts
Total Revenue49013658TotalRevenue
Total Expenses47474394TotalExpenses
Excess Or Deficit For Year1539264ExcessOrDeficitForYear
Net Unrealized GL On Investments1037950NetUnrealizedGLOnInvestments
Other$202,061OtherAmount
Total Adjustments1240011TotalAdjustments
Excess Or Deficit Per FS2779275ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt50353669TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1037950NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities100000DonatedSrvcAndUseOfFacilities
Other Revenues202061OtherRevenues
Revenue Not Rptd F9901340011RevenueNotRptdF990
Revenue Subtotal49013658RevenueSubtotal
Total Revenue Per Form99049013658TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt47574394TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities100000DonatedServicesUseOfFacilities
Expenses Not Rptd F990100000ExpensesNotRptdF990
Expenses Subtotal47474394ExpensesSubtotal
Total Expenses Per Form99047474394TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGNAIZATION'S MANAGEMENT TO EVALUATE TAX POSITION TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD 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, 2011, THERE ARE NO UNCERTIAN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
other changes in net assetschange in value of split-interest agreements - $ 202,061.part XI, line 8 & Part XII, line 2d
Schedule D, Part V, Line 4The endowment fund is used for hospital programs and charity care including 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 Event12110690GrossReceiptsEvent1
Charitable Contributions Event11859642CharitableContributionsEvent1
Gross Revenue Event1251048GrossRevenueEvent1
Non Cash Prizes Event121533NonCashPrizesEvent1
Rent Facility Costs Event172000RentFacilityCostsEvent1
Food And Beverage Event17698FoodAndBeverageEvent1
Other Direct Expenses Event1149817OtherDirectExpensesEvent1
Name Of Event2GUILD EVENTSNameOfEvent2
Gross Receipts Event21174543GrossReceiptsEvent2
Charitable Contributions Event21092695CharitableContributionsEvent2
Gross Revenue Event281848GrossRevenueEvent2
Other Direct Expenses Event281848OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events1893247GrossReceiptsOtherEvents
Charitable Contrib Other Events1293808CharitableContribOtherEvents
Gross Revenue Other Events599439GrossRevenueOtherEvents
Non Cash Prizes Other Events7565NonCashPrizesOtherEvents
Rent Facility Costs Other Events128812RentFacilityCostsOtherEvents
Food And Beverage Other Events32607FoodAndBeverageOtherEvents
Entertainment Other Events12625EntertainmentOtherEvents
Other Direct Expenses Other Events417830OtherDirectExpensesOtherEvents
Gross Receipts Total5178480GrossReceiptsTotal
Charitable Contributions Total4246145CharitableContributionsTotal
Gross Revenue Total Events932335GrossRevenueTotalEvents
Non Cash Prizes Total Events29098NonCashPrizesTotalEvents
Rent Facility Costs Total Events200812RentFacilityCostsTotalEvents
Food And Beverage Total Events40305FoodAndBeverageTotalEvents
Entertainment Total Events12625EntertainmentTotalEvents
Other Direct Expenses Total Events649495OtherDirectExpensesTotalEvents
Direct Expense Summary Events932335DirectExpenseSummaryEvents

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 GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
CHILDREN'S HOSPITAL OF ORANGE COUNTY
455 SOUTH MAIN STREETORANGECA928683874952321786501(c)(3)418061360n/an/aHOSPITAL OPERATIONS AND CHARITABLE CARE
CHILDREN'S HOSPITAL AT MISSION
455 SOUTH MAIN STREETORANGECA928683874330528802501(c)(3)1751810n/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 PaymentfalseSeverancePayment
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 (4 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 C CRIPE
0710811016968801686600545790187120112245000
KERRI RUPPERT SCHILLER
0419474080404063680080630018712066290000
TANYA LIEBER
21607900036510055750144950272659000
Heather Inch-Desuta
1735060500001175104184092260203667000

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.
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 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 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 2010: Ms. Cripe ($100,765). 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 individuals listed on Schedule J received payments from the dissolution of the plan in calendar 2010, which are included as a component of the amount reported on Schedule J, Part II, column B: Ms. Schiller ($11,923).

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 Transaction101278AmountOfTransaction
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 Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99014279NoncashContribsRptdF990
Method Of Determining RevenuesREsale VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions15NumberOfContributions
Noncash Contribs Rptd F990205244NoncashContribsRptdF990
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
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE M, PART I, LINE 32AThe Foundation utilizes the services of an independent third party stockbroker to sell securities received as donations.
SCHEDULE M, PART I, COLUMN BTHE NUMBER LISTED IN PART I, LINE 9 COLUMN (B) WAS DETERMINED BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 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 25 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 final return. Prior to the filing of the form 990 with the Internal Revenue Service, a complete copy of the final form 990 is also sent electronically to all board members.
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 $ 1,037,950 Change in value of Split-Interest Agreement $ 202,061 ------------ Total change in Net Assets $ 1,240,011
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:JAY KEAR TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SAM AURIEMMA TITLE:DIRECTOR / VICE 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/BusinessNameLine1
CHILDREN'S HEALTHCARE OF CALIFORNIA(CHC)
455 S MAIN STREETORANGECA928683874330265266HEALTH CARECA501(C)(3)7NA
CHILDREN'S HOSPITAL OF ORANGE COUNTY
455 S MAIN STREETORANGECA928683874952321786HEALTH CARECA501(C)(3)3CHC
CHILDREN'S HOSPITAL AT MISSION
455 S MAIN STREETORANGECA926863874330528802HEALTH CARECA501(C)(3)3CHC
CRC REAL ESTATE CORPORATION
455 S MAIN STREETORANGECA928683874330612565real estateCA501(C)(3)11aCHC
CHOCO REALTY CORPORATION
455 S MAIN STREETORANGECA928683874330011853real estateCA501(C)(3)11ACHC
choc Thrift Stores Inc
455 S MAIN STREETorangeCA928683874330266422fund raisingCA501(C)(3)9CHC
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 OrgsfalsePerformOfServicesByOtherOrgs
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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