2024-05-14T15:16:12-05:00 2023-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-07-01 942909976 CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE CHIL 5104283100 5222 DOVER STREET OAKLAND CA 94609 TED WANG CFO 5104283100 2024-05-08 1 TED WANG 999009999 0 LESLIE VAN P01294411 4159561500 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATTHEW COOK 5222 DOVER STREET OAKLAND CA 94609 104355 0 X N/A X 1983 CA PROVIDE TEMPORARY HOUSING FOR FAMILIES OF PATIENTS AT UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND. 6 5 10 4 0 0 1475 103245 4933 1110 0 -19415 0 0 6408 84940 0 0 0 0 441448 542523 0 0 0 151672 204467 593120 746990 -586712 -662050 293945 180288 7665947 8214340 -7372002 -8034052 PROVIDE TEMPORARY HOUSING FOR FAMILIES OF PATIENTS AT UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND. 0 0 746990 0 1110 PROVIDE TEMPORARY HOUSING FOR FAMILIES OF PATIENTS AT UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND. 746990 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 10 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 0 1 1 1 0 0 0 CA X DEBORAH WENRICH 4155143350 747 52ND STREET OAKLAND CA 94609 JACKIE WALLIN-BAKER VICE PRESIDENT 1.00 0.00 X X 0 0 0 ROSANNE CHEUNG PRESIDENT (THRU 10/22) 1.00 0.00 X X 0 0 0 MARY LANCTOT SECRETARY 1.00 0.00 X X 0 0 0 CAROL PHILLIPS TREASURER 1.00 0.00 X X 0 0 0 JUDIE BOEHMER DIRECTOR 1.00 40.00 X 0 569994 50640 SHARON BRAUN DIRECTOR 1.00 0.00 X 0 0 0 SURESH GUNASEKARAN CEO 1.00 40.00 X 0 1871700 51575 MATTHEW COOK PRESIDENT 1.00 40.00 X 0 1230404 47873 FREDORA DARMSTADT DIRECTOR 1.00 0.00 X 0 0 0 0 3672098 150088 0 0 1 0 0 595 102650 103245 PROGRAM REVENUE 623990 1110 1110 1110 19415 -19415 -19415 -19415 84940 1110 0 -19415 X 372712 372712 75259 75259 66397 66397 28155 28155 75909 75909 17530 17530 28450 28450 318 318 58433 58433 PATIENT CARE SUPPLIES 21502 21502 TAXES, LICENSES & DUES 2325 2325 746990 746990 0 0 307 0 1802748 1622460 293638 180288 293945 180288 151 3659 7665796 8210681 7665947 8214340 X -7372002 -8034052 -7372002 -8034052 293945 180288 -662050 0 X 0 1 X 1 0 X 53122 27087 51380 290 103245 235124 53122 27087 51380 290 103245 235124 95298 139826 235124 15001 0.59470 0.98760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1551338 1457126 94212 251410 165334 86076 180288 INTERCOMPANY PAYABLES 8210681 8210681 0 0 0 0 0 0 0 0 0 SURESH GUNASEKARAN CEO 0 1437760 0 370000 0 63940 0 24400 0 27175 0 1923275 0 0 MATTHEW COOK PRESIDENT 0 1032065 0 196131 0 2208 0 24400 0 23473 0 1278277 0 0 JUDIE BOEHMER DIRECTOR 0 510608 0 58092 0 1294 0 31126 0 19514 0 620634 0 0 PART I, LINE 3 THE CEO IS EMPLOYED AND COMPENSATED BY UNIVERSITY OF CALIFORNIA SAN FRANCISCO (UCSF). THE ORGANIZATION RELIED ON UCSF USING 4 METHODS DESCRIBED ON PART I, LINE 3 TO ESTABLISH THE CEO'S COMPENSATION. THE METHODS USED ARE: REVIEW BY A COMPENSATION COMMITTEE, USE OF INDEPENDENT COMPENSATION CONSULTANTS, USE OF COMPENSATION SURVEYS, AND APPROVAL BY THE BOARD OF REGENTS. FORM 990, PART VI, SECTION A, LINE 6 CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE. FORM 990, PART VI, SECTION A, LINE 7A CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND HAS THE RIGHT TO APPOINT THE DIRECTORS OF THE CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNANCE DECISIONS OF CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE ARE SUBJECT TO APPROVAL BY CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND: A.) ANY ADOPTION, AMENDMENT, RESTATEMENT, OR REPEAL OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; B.) ADOPTION OR MODIFICATION OF THE STRATEGIC PLAN OF THE CORPORATION; C.) APPROVAL, ADOPTION, AMENDMENT, OR REPEAL OF THE CORPORATION'S OPERATIONAL AND CAPITAL BUDGETS; D.) ADOPTION AND ANY AMENDMENT OR CHANGE IN THE CORPORATION'S PURPOSE OR MISSION; E.) HIRE OR TERMINATE THE EMPLOYMENT OF ANY EMPLOYED OFFICER OF THE CORPORATION; F.) ELECTION OR REMOVAL, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD, OF THE OFFICERS OF THE CORPORATION; G.) APPROVAL, ADOPTION, AMENDMENT, OR REPEAL OF THE CORPORATION'S BOARD CONFLICT OF INTEREST POLICY; H.) ENTERING INTO OR AMENDING ANY MATERIAL AGREEMENTS INVOLVING MORE THAN $50,000; I.) DETERMINING OR CHANGING THE NUMBER OF DIRECTORS ON THE BOARD J.) INCUR ANY DEBT OR ENTER INTO ANY CONTRACT NOT CONTEMPLATED BY THE ANNUAL BUDGET; K.) ANY CHANGE IN THE MEMBERSHIP OR MEMBERSHIP POWERS OF THE CORPORATION OR ANY CHANGE IN THE MEMBERSHIP, MEMBERSHIP POWERS, OWNERSHIP, EQUITY, PARTNERSHIP OR INCOME INTERESTS OR GOVERNANCE RIGHTS HELD BY THE CORPORATION IN A SUBSIDIARY; L.) AN ACQUISITION OR CREATION OF A CONTROLLING INTEREST IN ANY SUBSIDIARY ENTITY, AND ANY CAPITAL OR OTHER CONTRIBUTIONS BY THE CORPORATION TO THE SUBSIDIARY; M.) JOINT VENTURES, PARTNERSHIPS AND SIMILAR ARRANGEMENTS WHERE THE CORPORATION IS A PARTICIPANT OR OWNER OF A NEW OR AMENDED JOINT BUSINESS ENTERPRISE WITH A THIRD PARTY; N.) SELECTION AND APPOINTMENT OF THE AUDITORS AND LEGAL COUNSEL OF THE CORPORATION; O.) A SALE, TRANSFER, OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; P.) A MERGER, CONSOLIDATION, REORGANIZATION, DIVESTITURE, AFFILIATION OR DISSOLUTION; AND Q.) DECLARING, OR VOLUNTARILY ENTERING INTO OR CONSENTING TO THE FILING OF PROCEEDINGS TO DECLARE, THE BANKRUPTCY OR INSOLVENCY OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 WILL BE REVIEWED BY MANAGEMENT AND ACCOUNTANT. A REVISED DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL MANAGERS ARE REQUIRED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION TO MANAGERS, EMPLOYEES INVOLVED IN DIRECT PURCHASING DECISIONS ARE REQUIRED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION C, LINE 19 TO OBTAIN A COPY OF THE AUDITED FINANCIAL STATEMENTS AND OR CONFLICT OF INTEREST POLICY, ONE MUST SUBMIT A WRITTEN REQUEST TO THE RISK MANAGEMENT DEPARTMENT AND A COPY WILL BE SENT TO THE RETURN ADDRESS. CALIFORNIA LAW REQUIRES THAT THE CORPORATION FILE ITS ARTICLES OF INCORPORATION (AND ANY AMENDMENTS OR RESTATEMENTS WITH RESPECT THERETO) WITH THE CALIFORNIA SECRETARY OF STATE. CHILDREN'S HAS DONE SO. COPIES OF THE ARTICLES CAN BE OBTAINED BY MEMBERS OF THE PUBLIC THROUGH THE OFFICE OF THE CALIFORNIA SECRETARY OF STATE. THERE IS NO LEGAL REQUIREMENT THAT THE CORPORATION PROVIDE COPIES OF ITS GOVERNANCE DOCUMENTS DIRECTLY TO MEMBERS OF THE PUBLIC. THE ISSUE OF WHETHER THE CORPORATION SHOULD VOLUNTARILY MAKE THESE DOCUMENTS AVAILABLE FOR REVIEW IS BEING REVIEWED BY THE GOVERNANCE COMMITTEE OF THE CHILDREN'S BOARD OF DIRECTORS. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 75,909. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,909. FOUNDATION FOR CHILDREN'S CARE DBA FAMILY LEGACY FUND 2201 BROADWAY SUITE 600 OAKLAND CA 94612 912145422 FOUNDATION SUPPORT CA 501(C)(3) LINE 12A, I CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 0 CHILDREN'S HOSPITAL & RESEARCH CNTR FNDN 2201 BROADWAY SUITE 600 OAKLAND CA 94612 941657474 CHARITABLE FOUNDATION CA 501(C)(3) 7 CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 0 BAYCHILDREN'S PHYSICIANS 747 52ND STREET OAKLAND CA 94609 861175591 MEDICAL FOUNDATION CA 501(C)(3) 10 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 0 CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 747 52ND STREET OAKLAND CA 94609 940382330 HEALTHCARE CA 501(C)(3) 3 N/A 0 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 1111 FRANKLIN STREET OAKLAND CA 94607 946036493 PUBLIC EDUCATIONAL INSTITUTION CA 501(C)(3) 6 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0