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Nonprofiteer
← CHILDRENS HOSPITAL AT MISSION

Form 990 for tax year 2022

Filed by CHILDRENS HOSPITAL AT MISSION.

Totals

Total revenue
$111,414,147
Total expenses
$105,380,405
Contributions and grants received
$231,838
Grants paid
$21,500,000
Program services expenses (Part IX)
$100,797,552
Management and general expenses
$4,582,853
Fundraising expenses
$0
Program service expenses (Part III)
$100,797,552

Program services were 95.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • SAM AURIEMMA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • CHRIS FURMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • JOE KIANI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • DOUGLAS MCCOMBS

    CHAIR

    Total calculated
    $0
    Hours/week
    3 + 10 related

  • MARIA MINON MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • JIM MORRIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 8 related

  • JOE NUZZOLESE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • KEN POTROCK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • LINDA ROSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MARSHALL ROWEN MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 9 related

  • KIMBERLY SENTOVICH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • JASJIT SINGH MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • THOMAS PHELPS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JANET T DAVIDSON

    DIRECTOR (THRU 9/22)

    Total calculated
    $0
    Hours/week
    0 + 3.5 related

  • KIMBERLY CRIPE

    PRESIDENT & CEO

    Total calculated
    $1,859,237
    From this org
    $0
    From related orgs
    $1,755,275
    Other
    $103,962
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,107,695 related
    Bonus
    $0 + $410,746 related
    Other
    $0 + $236,834 related
    Deferred
    $0 + $69,815 related
    Nontaxable benefits
    $0 + $34,147 related
    Filer's total
    $0 + $1,859,237 related

  • KERRI RUPPERT SCHILLER

    EXECUTIVE VP & CFO

    Total calculated
    $1,000,213
    From this org
    $0
    From related orgs
    $924,633
    Other
    $75,580
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $626,529 related
    Bonus
    $0 + $146,330 related
    Other
    $0 + $151,774 related
    Deferred
    $0 + $46,201 related
    Nontaxable benefits
    $0 + $29,379 related
    Filer's total
    $0 + $1,000,213 related

  • PAUL VAN DOLAH

    EXECUTIVE VP & COO (THRU 5/23)

    Total calculated
    $926,676
    From this org
    $0
    From related orgs
    $896,478
    Other
    $30,198
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $642,870 related
    Bonus
    $0 + $147,277 related
    Other
    $0 + $106,331 related
    Deferred
    $0 + $30,198 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $926,676 related

  • JAY GABRIEL

    CHIEF LEGAL OFFICER & SECRETAR

    Total calculated
    $850,945
    From this org
    $0
    From related orgs
    $771,599
    Other
    $79,346
    Hours/week
    3.5 + 36.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $534,229 related
    Bonus
    $0 + $114,164 related
    Other
    $0 + $123,206 related
    Deferred
    $0 + $36,995 related
    Nontaxable benefits
    $0 + $42,351 related
    Filer's total
    $0 + $850,945 related

  • EMMA SANDHU

    VP, ADMINISTRATOR/CNO CCMH

    Total calculated
    $463,618
    From this org
    $403,739
    From related orgs
    $0
    Other
    $59,879
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $289,648
    Bonus
    $54,109
    Other
    $59,982
    Deferred
    $59,211
    Nontaxable benefits
    $668
    Filer's total
    $463,618

  • ALISON LEE O'BRIEN

    CHARGE NURSE

    Total calculated
    $280,492
    From this org
    $272,753
    From related orgs
    $0
    Other
    $7,739
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,577
    Bonus
    $37,992
    Other
    $7,184
    Deferred
    $0
    Nontaxable benefits
    $7,739
    Filer's total
    $280,492

  • MARISA CADWELL

    CLINICAL NURSE II NICU

    Total calculated
    $332,817
    From this org
    $298,122
    From related orgs
    $0
    Other
    $34,695
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,728
    Bonus
    $57,244
    Other
    $5,150
    Deferred
    $14,612
    Nontaxable benefits
    $20,083
    Filer's total
    $332,817

  • BONNIE GRAVETT

    CLINICAL NURSE

    Total calculated
    $382,898
    From this org
    $361,042
    From related orgs
    $0
    Other
    $21,856
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $294,110
    Bonus
    $60,066
    Other
    $6,866
    Deferred
    $18,043
    Nontaxable benefits
    $3,813
    Filer's total
    $382,898

  • KRISTY HAFFAR

    CHARGE NURSE

    Total calculated
    $295,014
    From this org
    $272,114
    From related orgs
    $0
    Other
    $22,900
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,663
    Bonus
    $31,356
    Other
    $7,095
    Deferred
    $8,147
    Nontaxable benefits
    $14,753
    Filer's total
    $295,014

  • AMY DAVIS

    CHARGE NURSE NICU

    Total calculated
    $261,679
    From this org
    $238,914
    From related orgs
    $0
    Other
    $22,765
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,516
    Bonus
    $41,398
    Other
    $0
    Deferred
    $2,695
    Nontaxable benefits
    $20,070
    Filer's total
    $261,679

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
SCHEDULE J: PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN EFFECTIVE JANUARY 1, 2010, IN WHICH CERTAIN INDIVIDUALS LISTED ON THE FORM 990, PART VII AND SCHEDULE J ARE PARTICIPANTS. UNDER THE ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) OR SERP, FOR EACH PLAN YEAR THAT BEGINS PRIOR TO THE PARTICIPANT'S CASH DATE, CHOC SHALL CREATE A NEW SERP ACCOUNT ON ITS BOOKS FOR THE PARTICIPANT AND SHALL CREDIT TO SUCH ACCOUNT AT TIMES SPECIFIED. THE PARTICIPANTS OF THE PLAN ARE GENERAL CREDITORS OF THE COMPANY. THE PARTICIPANT'S SERP ACCOUNT SHALL BE UTILIZED SOLELY AS A DEVICE FOR THE MEASUREMENT AND DETERMINATION OF THE AMOUNTS TO BE PAID TO THE PARTICIPANT UNDER THIS PLAN. THE PARTICIPANT IS ENTITLED TO HIS/HER SERP BENEFIT AMOUNT UPON THE EARLIEST OF (1) REMAINING EMPLOYED WITH THE COMPANY TO THE THIRD ANNIVERSARY OF THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE SERP ACCOUNT WAS CREATED; (2) REMAINING EMPLOYED WITH THE COMPANY TO THE PARTICIPANT'S 60TH BIRTHDAY; (3) REMAINING EMPLOYED WITH THE COMPANY TO THE DATE THE PARTICIPANT HAS BOTH ATTAINED AT LEAST AGE 55 AND HAS COMPLETED AT LEAST 10 YEARS OF SERVICE; (4) DISABILITY; (5) INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; (6) VOLUNTARY SEPARATION FROM SERVICE FOR GOOD REASON OR (7) DEATH. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR. MS. CRIPE ($205,154), MS. SCHILLER ($101,580), MR. GABRIEL ($76,697), AND MR. VAN DOLAH ($102,255) AND MS. SANDHU ($43,135). THE COMPANY PROVIDES AN INCENTIVE PLAN TO ALL ELIGIBLE MEMBERS OF MANAGEMENT, INCLUDING CERTAIN INDIVIDUALS LISTED IN PART II OF SCHEDULE J. INCENTIVES ARE EARNED BASED ON ACHIEVEMENT OF ORGANIZATION AND INDIVIDUAL GOALS TYPICALLY RELATED TO QUALITY, PATIENT SAFETY, OPERATING, AND FINANCIAL PERFORMANCE AS WELL AS OTHER SIGNIFICANT CLINICAL, QUALITY, AND STRATEGIC ACHIEVEMENTS. THE COMPANY MAINTAINS A CORPORATE MEMBERSHIP IN A SOCIAL CLUB THAT IS UTILIZED FOR BUSINESS PURPOSES BY ITS EXECUTIVES, INCLUDING CERTAIN INDIVIDUALS LISTED IN PART II OF SCHEDULE J. USE OF THE CLUB AND PAYMENTS TO THE CLUB FOR BUSINESS-RELATED EXPENSES ARE SUBJECT TO THE COMPANY'S WRITTEN POLICIES AND PROCEDURES THAT INCLUDE A REQUIREMENT TO DOCUMENT THE PURPOSE AND ATTENDEES OF THE BUSINESS MEETING PRIOR TO PAYMENT. COMPENSATION FROM AN AFFILIATED ORGANIZATION KIMBERLY C. CRIPE IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR CHC, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHOC FOUNDATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. CRIPE DEVOTES APPROXIMATELY 5% OF HER TIME EACH WEEK TO CHILDREN'S HOSPITAL AT MISSION RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON THE OTHER RELATED ORGANIZATIONS' BUSINESS AFFAIRS. KERRI RUPPERT SCHILLER IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HER RESPONSIBILITIES FOR CHC, SHE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHOC FOUNDATION, CRC REAL ESTATE CORPORATION AND CHILDREN'S HOSPITAL AT MISSION (ALL IRC SECTION 501(C)(3) AFFILIATES). MS. SCHILLER DEVOTES APPROXIMATELY 8% OF HER TIME EACH WEEK TO CHILDREN'S HOSPITAL AT MISSION RESPONSIBILITIES WITH THE BALANCE OF HER TIME BEING SPENT ON THE OTHER RELATED ORGANIZATIONS' BUSINESS AFFAIRS. PAUL VAN DOLAH IS COMPENSATED THROUGH CHILDREN'S HEALTHCARE OF CALIFORNIA (CHC), HOWEVER, IN ADDITION TO HIS RESPONSIBILITIES FOR CHC, HE ALSO SERVES AS AN OFFICER OF CHILDREN'S HOSPITAL OF ORANGE COUNTY, CHILDREN'S HOSPITAL AT MISSION AND CRC REAL ESTATE CORPORTATION (ALL IRC SECTION 501(C)(3) AFFILIATES). MR. VAN DOLAH DEVOTES APPROXIMATELY 13% OF HIS TIME EACH WEEK TO CHILDREN'S HOSPITAL AT MISSION RESPONSIBILITIES WITH THE BALANCE OF HIS TIME BEING SPENT ON CHILDREN'S HOSPITAL OF ORANGE COUNTY BUSINESS AFFAIRS. DURING MAY 2023, MR. VAN DOLAH TRANSITIONED TO A DIFFERENT ROLE WITHIN THE ORGANIZATION, CHIEF TRANSFORMATION OFFICER. HE WAS REPLACED IN THE CHIEF OPERATING OFFICER ROLE BY MS. KIMBERLEY MILSTIEN.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202441349349302659

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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