Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 20,868,676 | 21,703,263 | 19,915,230 | 25,524,104 | 30,235,547 | 118,246,820 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 20,868,676 | 21,703,263 | 19,915,230 | 25,524,104 | 30,235,547 | 118,246,820 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 27,396,164 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 90,850,656 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 20,868,676 | 21,703,263 | 19,915,230 | 25,524,104 | 30,235,547 | 118,246,820 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 4,280,675 | 3,955,220 | 4,126,046 | 4,121,673 | 556,809 | 17,040,423 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | 135,287,243 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| ADDITIONAL INFORMATION: | THE INFORMATION REPORTED IN 2015 COLUMN IS FOR 18 MONTHS FROM JANUARY 1, 2015 THROUGH JUNE 30, 2016. THE COMPANY CHANGED THEIR YEAR-END AND FILED A SHORT-YEAR RETURN FOR TAX YEAR JANUARY 1, 2015 TO JUNE 30, 2015. THE INFORMATION FROM THE SHORT YEAR COMBINED WITH 12-MONTH PERIOD FROM JULY 1, 2015 THROUGH JUNE 30, 2016 IS REPORTED IN 2015 COLUMN. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THERE IS ONE VOTING MEMBER OF THE CORPORATION: UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. THE MEMBER MAY EXERCISE ITS VOTE AND ATTEND MEMBERSHIP MEETINGS OF THE CORPORATION BY RESOLUTION OF ITS BOARD OF DIRECTORS OR THROUGH THE ACTION OF ANY PERSON EXPRESSLY AUTHORIZED BY THE MEMBER'S BOARD OF DIRECTORS. THE ARTICLES OF INCORPORATION CURRENTLY STATE THAT THE SPECIFIC PURPOSES OF THE CORPORATION ARE TO RECEIVE AND MAINTAIN A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY, OR BOTH, AND, SUBJECT TO THE RESTRICTIONS AND LIMITATIONS HEREINAFTER SET FORTH, TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THERE FROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY, OR EDUCATIONAL PURPOSES, BY CONTRIBUTIONS TO UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND. HENCE, THE HOSPITAL "MAY RECEIVE A SHARE OF PROFITS, EXCESS DUES, OR NET ASSETS UPON DISSOLUTION OF THE ORGANIZATION." |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE RESPONSE TO LINE 6 ABOVE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ITEMS SHALL REQUIRE THE APPROVAL OF THE MEMBER: (A) THE CORPORATION'S ANNUAL BUDGET (B) THE CORPORATION'S ASSUMPTION OF ANY INDEBTEDNESS OTHER THAN INDEBTEDNESS INCURRED IN THE NORMAL COURSE OF THE CORPORATION'S BUSINESS OPERATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11 | ASSISTANT VICE CHANCELLOR OF DEVELOPMENT REVIEWS WITH THE CONTROLLER. THE RETURN IS THEN TAKEN TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, EXECUTIVE OFFICERS AND MANAGERS OF THE HOSPITAL MUST DISCLOSE ALL OUTSIDE ACTIVITIES AND FINANCIAL RELATIONSHIPS THAT MAY CREATE THE APPEARANCE OF A CONFLICT OF INTEREST AND ALSO MUST SUBMIT ANNUAL CONFLICT OF INTEREST REPORTING AND CERTIFICATION FORMS TO HOSPITAL ADMINISTRATION. IF A CONFLICT IS DISCLOSED, THEN SUCH CONFLICT IS REFERRED TO THE COMPLIANCE OFFICER, LEGAL COUNSEL, AND THE BOARD OF DIRECTORS FOR CONSIDERATION. A BOARD MEMBER, EXECUTIVE OFFICERS OR MANAGER WITH THE CONFLICT IS GIVEN AN OPPORTUNITY TO EXPLAIN THE CONFLICT TO THE BOARD OF DIRECTORS BEFORE A DECISION IS MADE AND THEN MUST RECUSE HIM/HERSELF FROM ANY BOARD DISCUSSIONS, DECISION AND VOTE, ON ANY ISSUE FOR WHICH THE CONFLICT EXISTS. THE HOSPITAL CANNOT PROCEED WITH A TRANSACTION THAT IS DETERMINED TO INVOLVE A CONFLICT OF INTEREST UNLESS THE TRANSACTION HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION RECOMMENDATIONS FOR THE ASSISTANT VICE CHANCELLOR ARE MADE BY THE EXECUTIVE COMMITTEE (COMPENSATION COMMITTEE) OF THE BOARD OF DIRECTORS WITH THE INPUT OF AN INDEPENDENT CONSULTING FIRM, FUTURESENSE, INC. THOSE RECOMMENDATIONS ARE APPROVED BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE BOARD PER BOARD DELEGATION AND ARE RECORDED IN THE MINUTES. FUTURESENSE, INC. SPECIALIZES IN HEALTHCARE COMPENSATION AND HAS SUBSTANTIAL EXPERTISE IN EXECUTIVE COMPENSATION. THE RECOMMENDATIONS INCLUDE COMPARISONS TO BENCHMARK MARKET COMPENSATION FOR COMPARABLE POSITIONS FOR BASE AND TOTAL COMPENSATION. FUTURESENSE, INC. COMPLETES AN ANNUAL REPORT ON THE COMPENSATION OF ALL EXECUTIVES WHICH IS PROVIDED TO THE BOARD EACH JULY/AUGUST. THAT REPORT PROVIDES BENCHMARK MARKET COMPARISONS ON BOTH BASE AND TOTAL COMPENSATION. THIS REPORT IS AN AGENDA ITEM THAT IS DOCUMENTED BY THE MINUTES. COMPENSATION FOR UCSF HEALTH EXECUTIVE POSITIONS IS RECOMMENDED BY THE COMPENSATION MANAGER/ANALYST AND HR LEADERSHIP USING DATA FROM THE MANAGER AND EXECUTIVE COMPENSATION SURVEY (MEC) BY SULLIVAN COTTER AND OTHER EXECUTIVE SALARY SURVEYS. SURVEYS ARE UPDATED EACH YEAR. ONCE THE RECOMMENDATION IS DETERMINED THE COMPENSATION MANAGER/ANALYST WORKS WITH THE HUMAN RESOURCES EXECUTIVE COMPENSATION UNIT WHO MANAGES EXECUTIVE-LEVEL COMPENSATION AND PROGRAMMATIC PROCESSES AND IS THE PRIMARY RESOURCE AND BUSINESS PARTNER FOR EXECUTIVE-LEVEL QUESTIONS, EXECUTIVE PROGRAM COMPENSATION STRATEGIES AND COMPLIANCE. THE EXECUTIVE COMPENSATION ANALYST PREPARES EXECUTIVE COMPENSATION ITEMS SUBJECT TO LOCAL ENDORSEMENT BY THE UCSF COMPENSATION COMMITTEE AS WELL AS PRESIDENTIAL AND REGENTAL APPROVAL; ENSURING CRITICAL POLICY AND PROCESS COMPLIANCE, CONSISTENT WITHIN THE DIRECTIVES OF THE OFFICE OF THE PRESIDENT AND REGENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING/ORGANIZING DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY INDIVIDUAL REQUESTS WITH RESPONSE VIA ELECTRONIC OR US MAIL. |
| 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES | EMPLOYEES COMPENSATED BY RELATED ORGANIZATION: THE OFFICERS AND EMPLOYEES ARE EMPLOYED AND COMPENSATED BY UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND (BCHO). BCHO REPORTS 100% OF THE INDIVIDUAL'S COMPENSATION ON W-2'S ISSUED BY BCHO. SOME OF THE EMPLOYEES ARE ASSIGNED DUTIES TO OTHER RELATED ORGANIZATIONS (SEE SCHEDULE R FOR ADDITIONAL INFORMATION REGARDING THE RELATED ORGANIZATIONS). AS A RESULT OF THESE ASSIGNMENTS, WAGE AND BENEFIT COSTS ARE ALLOCATED TO RELATED ORGANIZATIONS. THE WAGE AND BENEFIT COSTS ALLOCATED TO EACH ORGANIZATION ARE REPORTED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES FOR EACH INDIVIDUAL AS BEING COMPENSATED DIRECTLY FROM THE FILING ORGANIZATION AND THE BALANCE OF COMPENSATION IS REPORTED AS COMPENSATION FROM RELATED ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN SPLIT INTEREST GIFT AGREEMENTS -906,888. |
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