TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) MATTHEW COOK...................................................................... PRESIDENT (THRU 9/23)	1.00 ................. 39.00	X	X	1,088,246	45,127
(2) NICHOLAS HOLMES...................................................................... PRESIDENT (START 3/24)	1.00 ................. 39.00	X	X	0	0
(3) JOAN ZOLTANSKI...................................................................... INTERIM PRESIDENT (9/23-3/24)	1.00 ................. 39.00	X	X	734,183	51,765
(4) TALMADGE KING...................................................................... BOARD MEMBER/EX OFFICIO	1.00 ................. 39.00	X		1,098,292	39,705
(5) SURESH GUNASEKARAN...................................................................... BOARD MEMBER/EX OFFICIO	1.00 ................. 39.00	X		2,182,150	61,140
(6) NATALIE CVIJANOVICH...................................................................... BOARD MEMBER/EX OFFICIO (THRU 3/24)	1.00 ................. 39.00	X		372,333	50,222
(7) DANE GEHRINGER...................................................................... BOARD MEMBER/EX OFFICIO	1.00 ................. 39.00	X		271,391	35,448
(8) SHAHAN SOGHIKIAN...................................................................... CHAIRMAN	1.00 ................. 3.00	X	X	0	0
(9) CARRIE WHEELER...................................................................... TREASURER; VICE CHAIR (THRU 12/23)	1.00 ................. 3.00	X	X	0	0
(10) MELISSA WILLIAMS...................................................................... SECRETARY	1.00 ................. 3.00	X	X	0	0
(11) DAVID BEIER...................................................................... BOARD MEMBER	1.00 ................. 3.00	X		0	0
(12) VALLI BENESCH...................................................................... BOARD MEMBER	1.00 ................. 3.00	X		0	0
(13) LYNNE BENIOFF...................................................................... BOARD MEMBER	1.00 ................. 3.00	X		0	0
(14) ANGELA GLOVER BLACKWELL...................................................................... BOARD MEMBER	1.00 ................. 3.00	X		0	0
(15) FARAH CHAMPSI...................................................................... BOARD MEMBER (THRU 12/23)	1.00 ................. 3.00	X		0	0
(16) HENRY DENERO...................................................................... BOARD MEMBER	1.00 ................. 3.00	X		0	0
(17) DIANE DIETZ...................................................................... BOARD MEMBER	1.00 ................. 3.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MARIA ECHAVESTE........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(19) SAMIR KAUL........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(20) TIMOTHY KENDALL........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(21) CAROLYN KLEBANOFF........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(22) STEVEN KLEIN........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(23) CHRIS KWEI........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(24) ROBERT PEDRERO........................................................................ BOARD MEMBER (THRU 12/23)	1.00 .......................3.00	X				0	0	0
(25) ELISA STAD........................................................................ BOARD MEMBER (THRU 12/23)	1.00 .......................3.00	X				0	0	0
(26) LISA WALSH........................................................................ BOARD MEMBER; VICE CHAIR (START 1/24)	1.00 .......................3.00	X	X			0	0	0
(27) GREGOR WATSON........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(28) ROBIN WASHINGTON........................................................................ BOARD MEMBER (THRU 12/23)	1.00 .......................3.00	X				0	0	0
(29) MELISSA KNOX........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(30) SARAH WAGENER........................................................................ BOARD MEMBER	1.00 .......................3.00	X				0	0	0
(31) TEDDY WANG........................................................................ CFO	19.00 .......................21.00		X			0	532,108	45,733
(32) JUDIE BOEHMER........................................................................ CNO	24.00 .......................16.00			X		0	584,768	50,580
(33) GEORGE WEISS........................................................................ VP OPERATIONS	28.00 .......................12.00			X		0	418,463	35,119
(34) JASON SELINGER........................................................................ VP CHILDRENS AMBULATORY SERVICES	28.00 .......................12.00			X		0	377,199	9,044
(35) VANESSA ROSHELL-STACKS........................................................................ VP. ANCILLARY & SUPPORT SERVICES	40.00 .......................0.00			X		482,860	0	22,166
(36) SARAH DUNGAN........................................................................ CONTROLLER	24.00 .......................16.00			X		0	257,797	40,875
(37) CYNTHIA EASTER........................................................................ RN II	40.00 .......................0.00				X	438,198	0	89,132
(38) NATHAN PHAN........................................................................ RN II	40.00 .......................0.00				X	388,217	0	148,716
(39) THERESA NGUYEN........................................................................ RN III	40.00 .......................0.00				X	385,379	0	103,283
(40) KELLY GALLARDO-PUOU........................................................................ ASSOCIATE CNO	40.00 .......................0.00				X	368,043	0	161,872
(41) TONIA SUBER........................................................................ CHIEF PEOPLE OFFICER	40.00 .......................0.00				X	365,619	0	21,673

(A) Name and business address	(B) Description of services	(C) Compensation
RIGHTSOURCING INC 9 EXECUTIVE CIRCLE 290 IRVINE,CA92614	CONTRACTED MEDICAL AND ADMIN PERSONNEL	15,436,718
PEACOCK CONSTRUCTION INC 465 TEHAMA STREET SAN FRANCISCO,CA94103	GENERAL BUILDER AND CONSTRUCTION MGMT	7,257,586
SWINTERTON BUILDERS 2001 CLAYTON ROAD 7TH FL CONCORD,CA94520	GENERAL BUILDER AND CONSTRUCTION MGMT	6,461,818
EAST BAY NEWBORN SPECIALISTS 747 52ND ST OAKLAND,CA94609	PHYSICIAN PROFESSIONAL SERVICES	2,173,331
HDR INC PO BOX 74008204 CHICAGO,IL606748204	ARCHITECTURAL DESIGN FIRM	2,095,950
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 29

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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
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) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
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

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
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 0.015 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 0.035	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND		Employer identification number 94-0382330

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND			Employer identification number 94-0382330
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	100,548
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	1,580,336
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	1,680,884
d	Other exempt purpose expenditures ...............................................................................	613,574,152
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	615,255,036
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	680,884
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	233,357	187,988	205,307	1,680,884	2,307,536

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	75,600	75,600	75,600	100,548	327,348

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	315,156,191	316,380,215	337,111,361	245,222,599	243,152,334
b	Contributions ...	1,122,950	1,516,206	6,246,730	11,233,914	2,858,699
c	Net investment earnings, gains, and losses	22,581,695	11,499,129	-24,079,146	83,850,920	10,718,232
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	17,018,978	14,239,359	2,898,730	3,196,072	11,506,666
f	Administrative expenses ....
g	End of year balance ......	321,841,858	315,156,191	316,380,215	337,111,361	245,222,599

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

78.860 %

Permanent endowment right arrow

11.020 %

Term endowment right arrow

10.120 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	15,449,508		15,449,508
b	Buildings ....	606,949,873	264,383,284	342,566,589
c	Leasehold improvements	5,486,216	5,486,216	0
d	Equipment ....	161,695,322	128,613,261	33,082,061
e	Other .....	228,587,360	118,360,285	110,227,075
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				501,325,233

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)OTHER RECEIVABLES				53,943,405
(2)DEF O/F OF RESOURCES - PENSION				42,983,684
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				96,927,089

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
LIABILITY FOR PENSION BENEFITS	8,482,616
EST THIRD PARTY PAYOR SETTLEMENTS	51,318,017
NOTES PAYABLE-RELATED ORGANIZATION	99,831,014
ACCRUED WORKERS COMPENSATION	22,023,680
DEFERRED INFLOWS	58,213,743
FINANCE LEASE OBLIGATION	18,681,312
DUE TO RELATED ORGANIZATION	13,860


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	258,564,242
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	THE PERMANENTLY RESTRICTED ENDOWMENTS GENERATE TEMPORARILY RESTRICTED FUNDS TO BE USED AS DESIGNATED BY THE DONOR. THE UNRESTRICTED ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS OR SPECIAL REQUIREMENTS OF THE UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND. BOARD DESIGNATED FUNDS SUPPORT CHILDREN'S HOSPITAL OAKLAND RESEARCH.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 40000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,261,650	33,482	2,228,168	0.280 %
b	Medicaid (from Worksheet 3, column a) . . . . .	514,498,699	522,682,252	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	6,533,393	4,933,081	1,600,312	0.200 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	523,293,742	527,648,815	3,828,480	0.480 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	48,445,867	26,199,573	22,246,294	2.760 %
f	Health professions education (from Worksheet 5) . . .	18,434,831	4,273,036	14,161,795	1.760 %
g	Subsidized health services (from Worksheet 6) . . . .	22,022,652	17,693,826	4,328,826	0.540 %
h	Research (from Worksheet 7) .	-729,975	-2,885,988	2,156,013	0.270 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	88,173,375	45,280,447	42,892,928	5.330 %
k	Total. Add lines 7d and 7j .	611,467,117	572,929,262	46,721,408	5.810 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy			233,199		233,199	0.030 %
8	Workforce development
9	Other
10	Total			233,199		233,199	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

10,141,626

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

3,818,740

Enter Medicare allowable costs of care relating to payments on line 5.....

5,421,164

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,602,424

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	CHILDREN'S HOSP & RSRCH CTR AT OAKLAND 747 52ND STREET OAKLAND,CA94609 UCSFBENIOFFCHILDRENS.ORG 140000015	X	X	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CHILDREN'S HOSPITAL & RESEARCH CENTER AT
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://UCSFBENIOFFCHILDRENS.ORG/ABOUT/CCCH

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://UCSFBENIOFFCHILDRENS.ORG/ABOUT/CCCH

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHILDREN'S HOSPITAL & RESEARCH CENTER AT
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://UCSFBENIOFFCHILDRENS.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

HTTPS://UCSFBENIOFFCHILDRENS.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://UCSFBENIOFFCHILDRENS.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	CHILDREN'S HOSPITAL & RESEARCH CENTER AT
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CHILDREN'S HOSPITAL & RESEARCH CENTER AT
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	PART V, SECTION B, LINE 5: CHRCO'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH EXAMINED HEALTH NEEDS IN ALAMEDA COUNTY, WAS PUBLISHED IN 2022. THIS CHNA WAS A COLLECTIVE EVALUATION THAT UPDATED AND EXPANDED ON PREVIOUS WORK, INCLUDING MANY OF THE AREAS IDENTIFIED IN PREVIOUS CHNA CYCLES. THE 2022 CHNA PROCESS UTILIZED THE SOCIAL DETERMINANTS OF HEALTH FRAMEWORK TO EXAMINE THE COUNTY'S SOCIAL, ENVIRONMENTAL, AND ECONOMIC CONDITIONS THAT IMPACT HEALTH, AS WELL AS OTHER FACTORS RELATES TO DISEASES, CLINICAL CARE, AND PHYSICAL HEALTH. ANALYSIS OF THESE FACTORS YIELDED THE TOP HEALTH NEEDS FOR THE COUNTY. WITH INPUT FROM THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP, COMMUNITY PARTNERS, AND CONSULTANTS, WE HAVE CONDUCTED THOROUGH ANALYSES TO DETERMINE THE MOST PRESSING ISSUES. A COMPREHENSIVE AND INCLUSIVE APPROACH WAS TAKEN TO GATHER COMMUNITY INPUT FOR THE CHNA. VALUABLE INSIGHTS WERE GLEANED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ENGAGING A DIVERSE SPECTRUM OF COMMUNITY MEMBERS. THE CONSULTATION PROCESS INVOLVED INDIVIDUALS POSSESSING KNOWLEDGE, INFORMATION, AND EXPERTISE PERTINENT TO THE HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATIVE EFFORT FEATURED REPRESENTATIVES FROM PUBLIC HEALTH ENTITIES, VARIOUS PUBLIC AGENCIES, COMMUNITY ORGANIZATIONS, LEADERS, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND RACIAL/ETHNIC POPULATIONS. FOR A DETAILED ROSTER OF CONTRIBUTORS, KINDLY REFER TO APPENDIX A IN THE 2022 CHNA REPORT.
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	PART V, SECTION B, LINE 6A: CHRCO ACTIVELY CONTRIBUTED AS A VITAL MEMBER OF THE ALAMEDA & CONTRA COSTA COUNTIES HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) GROUP. THIS COLLABORATIVE EFFORT INVOLVED PROMINENT PARTNERS SUCH AS JOHN MUIR HEALTH, SUTTER HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, AND CHRCO D/B/A UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND.
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	PART V, SECTION B, LINE 11: IN FY2024, CHRCO CONTINUED TO EXECUTE AND EXPAND UPON THE MULTI-YEAR STRATEGIES OUTLINED IN THE 2022-2024 IMPLEMENTATION PLAN. A FEW EXAMPLES OF HOW CHRCO ADDRESSED KEY PRIORITIES INCLUDE:BEHAVIORAL HEALTH:THE LAUNCH OF THE BEHAVIORAL HEALTH OUTPATIENT CRISIS RESPONSE AND BRIDGE CLINIC (CRBC) AND THE PREVENTING YOUTH SUICIDE INITIATIVE EXPANDED ACCESS TO TIMELY MENTAL HEALTH SERVICES, ESPECIALLY FOR BIPOC AND LGBTQ+ YOUTH.ACCESS TO CARE:CHRCO'S FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), INCLUDING SCHOOL-BASED CLINICS AND THE UPCOMING MOBILE HEALTH UNIT, DELIVERED INTEGRATED CARE TO MORE THAN 9,000 UNDERSERVED CHILDREN. THE BLOOM CLINIC PROVIDED RACIALLY CONCORDANT CARE TO BLACK CHILDREN AGES 03, ADDRESSING BOTH MEDICAL AND SOCIAL NEEDS.COMMUNITY AND FAMILY SAFETY:PROGRAMS LIKE THE CHILDHOOD INJURY PREVENTION PROGRAM AND THE YOUTH VIOLENCE INTERVENTION PROGRAM RESPONDED TO SAFETY CONCERNS IDENTIFIED IN THE CHNA BY DISTRIBUTING HUNDREDS OF SAFETY ITEMS (E.G., CAR SEATS, GUN LOCKS) AND SUPPORTING YOUTH IMPACTED BY VIOLENCE.ECONOMIC SECURITY:INITIATIVES LIKE FOOD FARMACIES, THE ROOFTOP FARM PROJECT, AND THE FAMILY INFORMATION & NAVIGATION DESK (FIND) DIRECTLY ADDRESSED FOOD INSECURITY AND SOCIAL DETERMINANTS OF HEALTH, WHILE THE CHAMPS WORKFORCE PIPELINE AND COMMUNITY CONSTRUCTION OUTREACH PROGRAM SUPPORTED JOB ACCESS AND YOUTH CAREER DEVELOPMENT.STRUCTURAL RACISM:CHRCO EMBEDDED RACIAL EQUITY INTO ALL ASPECTS OF PROGRAM DESIGN AND DELIVERY, INCLUDING WORKFORCE DIVERSIFICATION, CULTURALLY CONCORDANT CARE MODELS (E.G., BLOOM), AND DIGITAL EQUITY EFFORTS TO CLOSE DISPARITIES IN MYCHART ACCESS. THESE PROGRAMS ARE PART OF A BROADER HOSPITAL-WIDE COMMITMENT TO EQUITY, ROOTED IN A MULTIDISCIPLINARY APPROACH AND DEEP COMMUNITY PARTNERSHIPS, AS ENVISIONED IN THE 2022-2024 IMPLEMENTATION PLAN.WHILE CHRCO HAS MADE SUBSTANTIAL PROGRESS, NOT ALL IDENTIFIED NEEDS HAVE BEEN FULLY ADDRESSED DUE TO FACTORS SUCH AS RESOURCE LIMITATIONS, INFRASTRUCTURE CONSTRAINTS, OR DEPENDENCY ON MULTI-SECTOR COLLABORATION.FOR EXAMPLE:AFFORDABLE HOUSING: WHILE CHRCO ACTIVELY REFERS FAMILIES TO HOUSING RESOURCES VIA FIND AND SOCIAL WORK TEAMS, THE HOSPITAL ITSELF DOES NOT CURRENTLY OWN OR OPERATE HOUSING SOLUTIONS DUE TO LIMITATIONS OUTSIDE ITS CLINICAL PURVIEW. ADDRESSING HOUSING INSTABILITY REMAINS A SHARED RESPONSIBILITY REQUIRING BROADER MUNICIPAL AND PHILANTHROPIC COLLABORATION.TRANSPORTATION ACCESS:ALTHOUGH CHRCO PROVIDES BUS PASSES AND TELEHEALTH OPTIONS, SYSTEMIC TRANSPORTATION INEQUITIES PERSIST, ESPECIALLY FOR FAMILIES WITHOUT STABLE HOUSING OR IN UNDER-RESOURCED AREAS. THESE CHALLENGES ARE BEING INCORPORATED INTO THE DESIGN OF THE UPCOMING MOBILE HEALTH AND MENTAL HEALTH UNIT EXPECTED TO LAUNCH IN 2025.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	1 - ALAMEDA COUNTY JUVENILE JUSTICE CENTER 2500 FAIRMONT DRIVE A2024 SAN LEANDRO,CA94578	MEDICAL CLINIC AT JUVENILE DETENTION FACILITY
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	COSTING METHOD: AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, OPERATING EXPENSES ARE EITHER A DIRECT OR AN INDIRECT EXPENSE. DIRECT EXPENSES ARE ATTRIBUTED TO DIRECT PATIENT CARE SERVICES AND INCLUDES SALARIES, SUPPLIES, ETC. INDIRECT EXPENSES, ALSO KNOWN AS OVERHEAD INCLUDE EXPENSES ASSOCIATED WITH SUPPORT DEPARTMENTS SUCH AS HUMAN RESOURCES, FINANCE, INFORMATION SYSTEMS, ADMINISTRATION, FACILITIES, MAINTENANCE, LEGAL, ETC. INDIRECT EXPENSES USE COST DRIVERS AS A CRITERIA TO ALLOCATE THE COST OF EACH NON-PATIENT CARE AREA (OVERHEAD). THE COST DRIVER REFLECTS THE EXTENT TO WHICH THE INDIRECT DEPARTMENT IS USED BY THE DIRECT DEPARTMENT. AN EXAMPLE OF A COST DRIVER IS SQUARE FOOTAGE, FTES, ETC. FOR EXAMPLE, A DEPARTMENT THAT CONTAINS TWICE AS MANY FTES IS ALLOCATED TWICE THE COST OF HR EXPENSES. ALL INDIRECT EXPENSE IS ALLOCATED TO REVENUE PRODUCING DEPARTMENTS AND IS BASED ON COST REPORT LOGIC; USING SIMILAR COST DRIVERS AS THOSE FOUND IN THE COST REPORT.SOURCE SYSTEMS LIKE THE GENERAL LEDGER, PAYROLL, PATIENT ACCOUNTING AND MEDICAL RECORDS FEED INTO OUR COST ACCOUNTING APPLICATION EPSI. THE DATA, BASED ON DISCHARGED PATIENT RECORDS MERGES WITH FINANCIAL DATA FROM THE GENERAL LEDGER AND PAYROLL. EPSI PROVIDES PATIENT LEVEL TOTAL COST ASSOCIATED WITH THE DELIVERY OF PATIENT CARE. EPSI RECEIVES PATIENT DATA NIGHTLY AND GENERAL LEDGER INFORMATION MONTHLY. EACH MONTH THE DATABASE IS RE-CALCULATED AND RECONCILED TO REFLECT THE MOST CURRENT ACTUAL EXPENSE REPORTED IN THE GENERAL LEDGER. THE DATA REFLECTS REVENUES AND EXPENSES ASSOCIATED FOR A SPECIFIC PATIENT POPULATION.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES:CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND (CHRCO) ACTIVELY ENGAGES IN A DIVERSE ARRAY OF COMMUNITY-BUILDING INITIATIVES, OUTLINED IN ITS COMPREHENSIVE ANNUAL COMMUNITY BENEFIT REPORT, AVAILABLE ON THE HOSPITAL'S WEBSITE. THE FOCUS OF THESE COMMUNITY BUILDING ENDEAVORS ENCOMPASSES COMMUNITY SUPPORT SUCH AS CHILDHOOD INJURY PREVENTION, NEIGHBORHOOD SUPPORT GROUPS, AND LEADING COMMUNITY COALITIONS TO TACKLE PREVALENT HEALTH INEQUITIES IN CHILDREN, SUCH AS ASTHMA, SICKLE CELL, INJURIES, AND DIABETES. ADDITIONALLY, THE HOSPITAL ACTIVELY PARTICIPATES IN COMMUNITY HEALTH IMPROVEMENT ADVOCACY ACROSS A WIDE SPECTRUM OF AREAS. THE CENTER FOR CHILD AND COMMUNITY HEALTH (CCCH) COLLABORATES WITH COMMUNITY ORGANIZATIONS, CONCEPTUALIZES AND IMPLEMENTS INNOVATIVE PROGRAMS THAT SHOWCASE HOW THE HOSPITAL CAN EXTEND ITS IMPACT BEYOND THE CONVENTIONAL MEDICAL MODEL. A KEY EXAMPLE IS CCCH'S STRATEGIES FOR FOOD AS MEDICINE. THE TACTICS INCLUDE ROUTINE SCREENING, PARTNERSHIP WITH ALAMEDA COUNTY COMMUNITY FOOD BANK, ROOFTOP FARM COLLABORATIVE AND FOOD FARMACIES, ALL INTENDED TO MEET THE FOOD INSECURITY NEEDS OF OUR COMMUNITY. ANOTHER PIVOTAL ASPECT OF THE HOSPITAL'S COMMITMENT TO COMMUNITY BUILDING IS ITS EXTENSIVE YOUTH WORKFORCE DEVELOPMENT PIPELINE PROGRAM, CATERING TO LOCAL HIGH SCHOOL STUDENTS FROM POPULATIONS UNDERSERVED IN HEALTH. THE LONGSTANDING INITIATIVE KNOWN AS CHAMPS (COMMUNITY HEALTH AND ADOLESCENT MENTORING PROGRAM FOR SUCCESS) GOES BEYOND CONVENTIONAL MENTORING BY PROVIDING INTENSIVE SUPPORT AND ON-SITE EXTERNSHIPS TO LOCAL HIGH SCHOOL STUDENTS.AS AN ANCHOR INSTITUTION, CHRCO HAS INTENTIONALLY LEVERAGED ITS ECONOMIC POWER TO IMPACT HEALTH BY ADDRESSING ROOT CAUSE SUCH AS POVERTY AND LACK OF ECONOMIC OPPORTUNITY. AS PART OF THIS EFFORT, CHAMPS IS PLANNING TO PILOT A YOUTH MENTAL HEALTH/BEHAVIORAL HEALTH PIPELINE TO ADDRESS THE CRITICAL GAPS OF YOUTH MENTAL HEALTH WORKFORCE AND ACCESS. IN ADDITION, WITH CHRCO MODERNIZATION PLAN UNDERWAY, THE INSTITUTION HAS MADE AN AMBITIOUS GOAL OF ACHIEVING 30% LOCAL HIRE ON CAPITAL PROJECTS.
PART III, LINE 2:	ACCOUNTS MAY BE ADJUSTED FOR A VARIETY OF REASONS, INCLUDING DISSATISFACTION WITH SERVICE OR OTHER SUBSTANTIAL PATIENT CONCERNS THAT THE HOSPITAL DETERMINES IS BEST ADDRESSED FINANCIALLY. IF ALL COLLECTION EFFORTS FAIL, AN ACCOUNT MAY BE ASSIGNED TO BAD DEBT, AND THE OUTSTANDING BALANCE MAY BE WRITTEN OFF.
PART III, LINE 4:	NO SEPARATE FOOTNOTE IS PUBLISHED FOR CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND. BAD DEBT EXPENSE IS REPORTED AS PART OF NET PATIENT REVENUE IN THE FINANCIAL STATEMENTS.
PART III, LINE 8:	THE HOSPITAL BELIEVES THAT 100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. WHILE THE LEVEL OF QUALITY AND ACCESS TO CARE IS THE SAME REGARDLESS OF THE SOURCE OF PAYOR, THE LEVEL OF PAYMENT FOR MEDICARE IS DETERMINED BY GOVERNMENT REIMBURSEMENT POLICY. THE MEDICARE SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN THE HOSPITAL'S FINANCIAL STATEMENTS. SINCE GENERALLY ACCEPTED ACCOUNTING STANDARDS IDENTIFY THIS SHORTFALL, IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS FOR PURPOSES OF MEASURING THE HOSPITAL'S LEVEL OF COMMUNITY BENEFIT.
PART III, LINE 9B:	COLLECTION PRACTICES: DIRECT CHARITY CARE IS THE PROVISION OF HEALTHCARE GOODS AND SERVICES WITHOUT CHARGE OR AT SUBSTANTIALLY REDUCED RATES TO MEMBERS OF THE COMMUNITY WHO DEMONSTRATE AN INABILITY TO PAY FOR NECESSARY HEALTHCARE SERVICES EITHER ENTIRELY OR IN PART. THIS IS DISTINGUISHED FROM BAD DEBT WHICH RESULTS FROM AN UNWILLINGNESS TO PAY AND FROM CONTRACTUAL DISCOUNT WHICH RESULTS FROM PREDETERMINED AGREEMENTS TO ACCEPT SOME REDUCTION FROM BILLED CHARGES. COLLECTION ACTIVITY IS NOT INITIATED ON CHARITY CARE PATIENTS BECAUSE THE CHARGES WERE NEVER EXPECTED TO BE PAID, AND ARE THUS NOT BAD DEBT.
PART VI, LINE 2:	NEEDS ASSESSMENT:THE CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND SYSTEMATICALLY CONDUCTS A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT TAKING PLACE IN 2022. THE CHNA ENCOMPASSED VARIOUS METHODOLOGIES, INCLUDING (A) IDENTIFYING HEALTH NEEDS IN ALAMEDA COUNTY; (B) CONDUCTING 43 STRUCTURED KEY INFORMANT INTERVIEWS INVOLVING A KNOWLEDGEABLE GROUP OF STAKEHOLDERS; (C) ORGANIZING 10 FOCUS GROUPS WITHIN NORTHERN AND CENTRAL ALAMEDA COUNTY AND THE TRI-VALLEY AREA, ENGAGING COMMUNITY RESIDENTS; (D) REVIEWING SECONDARY DATA FROM NATIONAL, STATEWIDE, AND LOCAL SOURCES; (E) EMPLOYING TRIANGULATION TO ANALYZE BOTH QUANTITATIVE AND QUALITATIVE DATA, A METHOD ENHANCING OUTCOME CREDIBILITY; (F) EMPLOYING A MULTI-STEP PROCESS TO RANK HEALTH NEEDS; AND (G) SELECTING THE HIGHEST PRIORITY NEEDS FOR THE CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND (CHRCO) TO ADDRESS THROUGH A VOTING PROCESS.BEYOND THE FORMAL CHNA, CHRCO MAINTAINS BOTH A COMMUNITY ADVISORY BOARD AND A FAMILY ADVISORY BOARD, COMPRISED OF COMMUNITY MEMBERS. THESE BOARDS PLAY A CRUCIAL ROLE IN ADVISING THE HOSPITAL ON OPTIMAL WAYS TO MEET THE DIVERSE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:INFORMATION ABOUT FINANCIAL ASSISTANCE THAT IS AVAILABLE AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND (THE "HOSPITAL") IS DISSEMINATED THROUGH A VARIETY OF MECHANISMS, INCLUDING THE POSTING OF NOTICES IN THE EMERGENCY DEPARTMENT, CLINICS, PATIENT REGISTRATION AREAS, OTHER PUBLIC PLACES IN THE HOSPITAL, OUTPATIENT SETTINGS, AND INCLUDING SUCH INFORMATION ON THE PATIENT'S/GUARANTOR'S BILL. EVERY INDIVIDUAL THAT IS ADMITTED AND RECEIVES CARE AT THE HOSPITAL RECEIVES INFORMATION, EITHER ORALLY OR IN WRITING, REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AS PART OF THE INTAKE OR DISCHARGE PROCESS. THIS INFORMATION IS PROVIDED IN ENGLISH AND SPANISH, AND IS TRANSLATED FOR PATIENTS/GUARANTORS WHO SPEAK OTHER LANGUAGES.INTERNALLY, THE HOSPITAL USES A VARIETY OF FORUMS, SOCIAL WORKER MEETINGS, AMBULATORY MEETINGS, RESIDENT IN SERVICE REVENUE CYCLE MEETINGS, AND FINANCIAL COUNSELING MEETINGS AND "HUDDLES" TO SHARE WITH MANAGERS BOTH THE EMAIL DISTRIBUTION GROUPS AND SPECTRA LINK NUMBERS TO PHONE FOR FINANCIAL SCREENING AND/OR ASSISTANCE, AS WELL AS TO MAKE APPOINTMENTS FOR SCREENING FAMILIES FOR ALL FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT THE HOSPITAL. FAMILIES CHECKING IN FOR APPOINTMENTS ARE REFERRED IN REAL TIME AND ARE PROVIDED WITH FINANCIAL COUNSELING SERVICES AT NO COST.
PART VI, LINE 4:	CHRCO, SITUATED IN THE HEART OF OAKLAND, ALAMEDA COUNTY, SERVES AS A VITAL HEALTHCARE HUB FOR NORTHERN CALIFORNIA, DRAWING PATIENTS FROM A DIVERSE ARRAY OF COUNTIES.PATIENT DEMOGRAPHICS BY COUNTY: AS OF FY2024, 54% OF CHRCO PATIENTS COME FROM ALAMEDA COUNTY, WHILE CONTRA COSTA ACCOUNT FOR 28%, THEN SAN JOAQUIN AT 5% AND SOLANO AT 4%.ALAMEDA COUNTY OVERVIEW: AS OF JULY 1, 2024, ALAMEDA COUNTY'S POPULATION IS ESTIMATED AT 1,649,060, MAKING IT ONE OF CALIFORNIA'S TEN LARGEST COUNTIES. CHILDREN AND ADOLESCENTS AGED 018 COMPRISE APPROXIMATELY 19.5% OF THE POPULATION, HIGHLIGHTING A SIGNIFICANT YOUTH DEMOGRAPHIC. OVERALL, ALAMEDA COUNTY IS A MOSAIC OF CULTURES AND ETHNICITIES WITH 47.1% WHITE, 10.5% BLACK OR AFRICAN AMERICAN (ALONE), 34.5% ASIAN, AND 23.3% HISPANIC OR LATINO (OF ANY RACE).HEALTHCARE ACCESS: AMONG CHRCO'S ALAMEDA COUNTY PATIENTS, 73.2% WERE ENROLLED IN MEDI-CAL IN FY2024, REFLECTING AN INCREASE FROM 72.3% IN FY2023. THIS UPTICK UNDERSCORES THE HOSPITAL'S EXPANDING ROLE IN PROVIDING ESSENTIAL CARE TO LOW-INCOME FAMILIES.NOTE: THE PERCENTAGES FOR RACE IN THE U.S. CENSUS DATA DO NOT ADD UP TO 100% BECAUSE INDIVIDUALS MAY IDENTIFY WITH MORE THAN ONE RACE, AND RACE AND ETHNICITY (E.G., HISPANIC OR LATINO ORIGIN) ARE REPORTED SEPARATELY. THIS CAN RESULT IN OVERLAPPING CATEGORIES. FOR MORE DETAILS, SEE THE U.S. CENSUS BUREAU'S EXPLANATION: HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/NOTE/US/RHI725223
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: CHRCO REMAINS A PILLAR OF COMMUNITY-CENTERED HEALTHCARE, EXEMPLIFYING LEADERSHIP IN THE PROMOTION OF COMMUNITY HEALTH THROUGH A RANGE OF TARGETED AND EQUITY-DRIVEN INITIATIVES. IN 2024, BCH OAKLAND DEEPENED ITS INVESTMENT IN UNDER-RESOURCED POPULATIONS ACROSS ALAMEDA COUNTY WITH A FOCUS ON BEHAVIORAL HEALTH, YOUTH DEVELOPMENT, INJURY PREVENTION, FOOD SECURITY, AND HEALTHCARE ACCESS. NOTABLE PROGRAMS INCLUDE:1. BEHAVIORAL HEALTH OUTPATIENT CRISIS RESPONSE & BRIDGE CLINIC (CRBC)BCH OAKLAND LAUNCHED THE CRBC TO PROVIDE IMMEDIATE, TRAUMA-INFORMED CARE TO YOUTH IN BEHAVIORAL HEALTH CRISIS. THIS OUTPATIENT ALTERNATIVE TO EMERGENCY CARE DELIVERS INDIVIDUALIZED TREATMENT, FAMILY THERAPY, PSYCHIATRY ACCESS, AND SCHOOL-BASED SUPPORTENSURING STABILIZATION AND LONG-TERM MENTAL HEALTH IMPROVEMENT.2. PREVENTING YOUTH SUICIDE INITIATIVEIN RESPONSE TO RISING SUICIDE RATES, ESPECIALLY AMONG BLACK YOUTH, BCH OAKLAND IMPLEMENTED UNIVERSAL EVIDENCEBASED SUICIDE SCREENINGS IN ITS EMERGENCY DEPARTMENTS. IN 2024 ALONE, OVER 11,000 YOUTH WERE SCREENED, IMPROVING EARLY DETECTION AND ENSURING URGENT CARE FOR THOSE AT RISK.3. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)BCH OAKLAND OPERATES FOUR FQHCSINCLUDING SCHOOL-BASED CLINICS AT CASTLEMONT AND MCCLYMONDS HIGH SCHOOLSPROVIDING OVER 9,000 CHILDREN AND ADOLESCENTS WITH INTEGRATED PHYSICAL AND BEHAVIORAL HEALTH SERVICES. THESE CLINICS ARE LIFELINES FOR UNDERSERVED YOUTH FACING VIOLENCE, HOUSING INSTABILITY, AND FOOD INSECURITY.4. BLOOM CLINIC: BLACK LOVE, OPPORTUNITY & OUTCOME IN MEDICINETHIS PIONEERING PEDIATRIC CLINIC REDEFINES CARE FOR BLACK FAMILIES BY DELIVERING RACIALLY CONCORDANT, HOLISTIC PRIMARY CARE AND MENTAL HEALTH SERVICES TO CHILDREN AGED 03. WITH A 98% SATISFACTION RATE AND A 90% APPOINTMENT SHOW RATE, BLOOM BUILDS TRUST, SUPPORTS EARLY DEVELOPMENT, AND COMBATS RACIAL DISPARITIES IN HEALTHCARE ACCESS.5. YOUTH VIOLENCE INTERVENTION PROGRAM (YVIP)THROUGH PARTNERSHIPS WITH YOUTH ALIVE! AND OTHERS, CHRCO PROVIDES BEDSIDE INTERVENTION AND ONGOING SUPPORT TO YOUTH RECOVERING FROM VIOLENCE-RELATED INJURIES. IN FY2024, REFERRALS ROSE 196%, UNDERSCORING THE COMMUNITY'S URGENT NEED FOR HEALING AND SAFETY.6. CHILDHOOD INJURY PREVENTION PROGRAM (CIPP)CIPP DISTRIBUTED NEARLY 500 CAR SEATS, 41 SAFE-SLEEP CRIBS, AND 45 FIREARM SAFETY LOCKS, WHILE TRAINING OVER 170 COMMUNITY MEMBERS IN LIFE-SAVING SKILLS THROUGH "STOP THE BLEED" WORKSHOPS. THESE PROGRAMS ADDRESS TOP COMMUNITY SAFETY CONCERNS IDENTIFIED IN LOCAL HEALTH ASSESSMENTS.7. FOOD FARMACIES & ROOFTOP FARM PARTNERSHIPCOMBATTING FOOD INSECURITY HEAD-ON, CHRCO HELD FOOD FARMACY EVENTS THAT DISTRIBUTED 136,121 LBS. OF FOOD TO 3,381 HOUSEHOLDS. MEANWHILE, ITS INNOVATIVE ROOFTOP FARM, IN PARTNERSHIP WITH DEEP MEDICINE CIRCLE, YIELDED OVER 2,500 LBS. OF ORGANIC PRODUCE FOR PATIENT FAMILIES.8. FAMILY INFORMATION & NAVIGATION DESK (FIND)FIND CONNECTS FAMILIES WITH BASIC NEEDS LIKE HOUSING, LEGAL AID, AND UTILITIES. IN 2024, 2,749+ REFERRALS WERE MADE, AND THREE FULL-TIME NAVIGATORS WERE DEPLOYED IN KEY CARE SETTINGS TO REDUCE BARRIERS TO WELLNESS.9. LGBTQ+ DROP-IN CENTERSYOUTH-DESIGNED AND LED, THESE SAFE SPACES AT SCHOOL-BASED HEALTH CENTERS OFFER PEER SUPPORT, MENTAL HEALTH RESOURCES, AND AFFIRMING ENVIRONMENTS FOR LGBTQ+ YOUTHADVANCING CHRCO'S COMMITMENT TO INCLUSIVE, IDENTITYAFFIRMING CARE.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SURESH GUNASEKARAN BOARD MEMBER/EX OFFICIO	(i) (ii)	0 ------------- 1,872,489	0 ------------- 246,974	0 ------------- 62,687	0 ------------- 26,400	0 ------------- 34,740	0 ------------- 2,243,290	0 ------------- 0
2TALMADGE KING BOARD MEMBER/EX OFFICIO	(i) (ii)	0 ------------- 987,131	0 ------------- 111,161	0 ------------- 0	0 ------------- 21,934	0 ------------- 17,771	0 ------------- 1,137,997	0 ------------- 0
3MATTHEW COOK PRESIDENT (THRU 9/23)	(i) (ii)	0 ------------- 954,374	0 ------------- 133,872	0 ------------- 0	0 ------------- 26,400	0 ------------- 18,727	0 ------------- 1,133,373	0 ------------- 0
4JOAN ZOLTANSKI INTERIM PRESIDENT (9/23-3/24)	(i) (ii)	0 ------------- 683,790	0 ------------- 50,393	0 ------------- 0	0 ------------- 29,109	0 ------------- 22,656	0 ------------- 785,948	0 ------------- 0
5JUDIE BOEHMER CNO	(i) (ii)	0 ------------- 536,842	0 ------------- 47,926	0 ------------- 0	0 ------------- 34,724	0 ------------- 15,856	0 ------------- 635,348	0 ------------- 0
6TEDDY WANG CFO	(i) (ii)	0 ------------- 478,076	0 ------------- 54,032	0 ------------- 0	0 ------------- 26,400	0 ------------- 19,333	0 ------------- 577,841	0 ------------- 0
7NATHAN PHAN RN II	(i) (ii)	388,217 ------------- 0	0 ------------- 0	0 ------------- 0	116,427 ------------- 0	32,289 ------------- 0	536,933 ------------- 0	0 ------------- 0
8KELLY GALLARDO-PUOU ASSOCIATE CNO	(i) (ii)	323,599 ------------- 0	44,206 ------------- 0	238 ------------- 0	142,452 ------------- 0	19,420 ------------- 0	529,915 ------------- 0	0 ------------- 0
9CYNTHIA EASTER RN II	(i) (ii)	436,698 ------------- 0	1,500 ------------- 0	0 ------------- 0	77,304 ------------- 0	11,828 ------------- 0	527,330 ------------- 0	0 ------------- 0
10VANESSA ROSHELL-STACKS VP. ANCILLARY & SUPPORT SERVICES	(i) (ii)	395,161 ------------- 0	87,249 ------------- 0	450 ------------- 0	19,857 ------------- 0	2,309 ------------- 0	505,026 ------------- 0	0 ------------- 0
11THERESA NGUYEN RN III	(i) (ii)	383,879 ------------- 0	1,500 ------------- 0	0 ------------- 0	70,994 ------------- 0	32,289 ------------- 0	488,662 ------------- 0	0 ------------- 0
12GEORGE WEISS VP OPERATIONS	(i) (ii)	0 ------------- 375,800	0 ------------- 42,023	0 ------------- 640	0 ------------- 22,692	0 ------------- 12,427	0 ------------- 453,582	0 ------------- 0
13NATALIE CVIJANOVICH BOARD MEMBER/EX OFFICIO (THRU 3/24)	(i) (ii)	0 ------------- 304,531	0 ------------- 66,770	0 ------------- 1,032	0 ------------- 30,932	0 ------------- 19,290	0 ------------- 422,555	0 ------------- 0
14TONIA SUBER CHIEF PEOPLE OFFICER	(i) (ii)	275,627 ------------- 0	89,818 ------------- 0	174 ------------- 0	6,524 ------------- 0	15,149 ------------- 0	387,292 ------------- 0	0 ------------- 0
15JASON SELINGER VP CHILDRENS AMBULATORY SERVICES	(i) (ii)	0 ------------- 351,298	0 ------------- 25,901	0 ------------- 0	0 ------------- 0	0 ------------- 9,044	0 ------------- 386,243	0 ------------- 0
16DANE GEHRINGER BOARD MEMBER/EX OFFICIO	(i) (ii)	0 ------------- 220,519	0 ------------- 50,677	0 ------------- 195	0 ------------- 12,055	0 ------------- 23,393	0 ------------- 306,839	0 ------------- 0
17SARAH DUNGAN CONTROLLER	(i) (ii)	0 ------------- 243,547	0 ------------- 14,250	0 ------------- 0	0 ------------- 15,950	0 ------------- 24,925	0 ------------- 298,672	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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.

PART I, LINE 7

THE PURPOSE OF THE MANAGEMENT BONUS PLAN (THE "PLAN") IS TO RECOGNIZE EXTRAORDINARY EFFORTS THE MANAGEMENT TEAM DEVOTES TO THE HOSPITAL AND THE HOSPITAL'S PATIENTS AND THEIR FAMILIES. THE PLAN SETS EXPECTATIONS FOR MANAGERS, RECOGNIZES STRETCH PERFORMANCE, AND REWARDS AND ENCOURAGES TEAMWORK AND COOPERATION. THE BOARD OF DIRECTORS APPROVED THE PLAN. BONUSES ARE PAID ON THE ACHIEVEMENT OF INSTITUTIONAL GOALS (FOR EXAMPLE, GOALS RELATED TO QUALITY AND SAFETY, FINANCIAL STRENGTH AND PATIENT EXPERIENCE). THE ELIGIBLE MANAGER'S MAXIMUM INCENTIVE BONUS IS 5% OF BASE SALARY. THE MANAGER MUST BE EMPLOYED ON THE BONUS PAYMENT DATE. THE UNIVERSITY OF CALIFORNIA CLINICAL ENTERPRISE MANAGEMENT RECOGNITION PLAN (CEMRP OR PLAN) PROVIDES AN AT-RISK, VARIABLE INCENTIVE COMPENSATION OPPORTUNITY TO THOSE EMPLOYEES RESPONSIBLE FOR ACHIEVING OR EXCEEDING KEY CLINICAL ENTERPRISE OBJECTIVES. CONSISTENT WITH HEALTHCARE INDUSTRY PRACTICES, UC HEALTH SYSTEMS USE PERFORMANCE-BASED INCENTIVE COMPENSATION PROGRAMS TO ENCOURAGE AND REWARD ACHIEVEMENT OF SPECIFIC FINANCIAL AND/OR NON-FINANCIAL OBJECTIVES (E.G., QUALITY OF CARE OR PATIENT SATISFACTION AND SAFETY, BUDGET PERFORMANCE) AND STRATEGIC OBJECTIVES WHICH RELATE TO THE CLINICAL ENTERPRISE'S MISSION.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND HAS A CORPORATE MEMBER, THE REGENTS OF THE UNIVERSITY OF CALIFORNIA.
FORM 990, PART VI, SECTION A, LINE 7A	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND HAS A SOLE CORPORATE AND VOTING MEMBER, THE REGENTS OF THE UNIVERSITY OF CALIFORNIA. THE MEMBER HAS THE AUTHORITY TO APPOINT ALL THE DIRECTORS EXCEPT THE EX OFFICIOS, AS WELL AS SEVERAL RESERVED POWERS.
FORM 990, PART VI, SECTION A, LINE 7B	THE GOVERNING DOCUMENTS RESERVE TO THE REGENTS OF THE UNIVERSITY OF CALIFORNIA AS THE SOLE MEMBER THE FOLLOWING POWERS: A. 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 (FOR THE PURPOSES OF THESE BYLAWS, "SUBSIDIARY" MEANS ANY OTHER PERSON OR ENTITY WHICH DIRECTLY OR INDIRECTLY, IS CONTROLLED BY OR UNDER SOLE OWNERSHIP OR CONTROL WITH THE CORPORATION, AND "CONTROL" MEANS THE OWNERSHIP, DIRECTLY OR INDIRECTLY, OF ONE HUNDRED PERCENT (100%) OF THE EQUITY OF SUCH PERSON OR ENTITY, OR THE POWER TO DIRECT OR CAUSE THE DIRECTION OF THE MANAGEMENT OF SUCH PERSON OR ENTITY, WHETHER THROUGH THE OWNERSHIP OF VOTING SECURITIES, THROUGH MEMBERSHIP, BY CONTRACT OR OTHERWISE); B. ANY ADOPTION, AMENDMENT, RESTATEMENT, OR REPEAL OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY; C. ANY AMENDMENT OR CHANGE IN THE CORPORATION'S PURPOSE, MISSION OR CHARITY CARE POLICY; D. APPOINTMENT OF DIRECTORS OF THE CORPORATION TO FILL VACANCIES, EXCEPT EX OFFICIO DIRECTORS; E. REMOVAL, WITH OR WITHOUT CAUSE, OF ANY DIRECTORS OF THE CORPORATION; F. APPOINTMENT OR REMOVAL, WITH OR WITHOUT CAUSE, OF THE CHAIR OF THE BOARD OF DIRECTORS, THE VICE-CHAIR AND THE SECRETARY OF THE CORPORATION; G. APPOINTMENT OR REMOVAL, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; H. ADOPTION OR MODIFICATION OF THE STRATEGIC PLAN OF THE CORPORATION; I. APPROVAL, ADOPTION, AMENDMENT, OR REPEAL OF THE CORPORATION'S OPERATIONAL AND CAPITAL BUDGETS; J. FINAL DECISION INVOLVING ANY MATERIAL CLINICAL SERVICE RELOCATION FROM, OR CLOSURE AT, THE HOSPITAL, SUBJECT TO THE PROCESS DESCRIBED IN ARTICLE III, SECTION 12; K. ANY ACTION THAT WOULD CAUSE THE CORPORATION TO CEASE TO OPERATE AS A HOSPITAL; L. A SALE, TRANSFER OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY SUBSIDIARY; M. A MERGER, CONSOLIDATION, REORGANIZATION, DIVESTITURE, AFFILIATION OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY; N. JOINT VENTURES, PARTNERSHIPS AND SIMILAR ARRANGEMENTS WHERE THE CORPORATION OR ANY SUBSIDIARY IS A PARTICIPANT OR OWNER OF A NEW OR AMENDED JOINT BUSINESS ENTERPRISE WITH A THIRD PARTY; O. PURCHASE OR SALE OF REAL ESTATE BY THE CORPORATION OR ANY SUBSIDIARY OVER SUCH AMOUNT AS IS SET FORTH IN WRITTEN POLICIES AND PROCEDURES OF THE MEMBER APPLICABLE TO ITS OTHER OPERATING DIVISIONS, SUBJECT TO THE MEMBER'S RIGHT TO DELEGATE; P. THE SALE, TRANSFER OR DISPOSITION OF CORPORATION OR SUBSIDIARY ASSETS WITH A VALUE OR SALE PRICE OF MORE THAN SUCH AMOUNT AS IS SET FORTH IN WRITTEN POLICIES AND PROCEDURES OF THE MEMBER APPLICABLE TO ITS OTHER OPERATING DIVISIONS, SUBJECT TO THE MEMBER'S RIGHT TO DELEGATE; Q. AN ACQUISITION OR CREATION OF ANY SUBSIDIARY ENTITY, AND ANY CAPITAL OR OTHER CONTRIBUTIONS BY THE CORPORATION TO THE SUBSIDIARY; R. ENTERING INTO OR AMENDING ANY MATERIAL AGREEMENTS (INCLUDING, BUT NOT LIMITED TO, CONSTRUCTION AND ARCHITECTURE AGREEMENTS) INVOLVING MORE THAN SUCH AMOUNT AS IS SET FORTH IN WRITTEN POLICIES AND PROCEDURES OF THE MEMBER APPLICABLE TO ITS OTHER OPERATING DIVISIONS (EXCEPTING A SECURITY INTEREST IN A ROUTINE EQUIPMENT ACQUISITION WHERE THE ACQUIRED EQUIPMENT FORMS THE SECURITY), SUBJECT TO THE MEMBER'S RIGHT TO DELEGATE; S. INITIAL BORROWING, INCURRENCE OF INDEBTEDNESS, REFINANCING, GUARANTY OR PROVISION OF ANY SECURITY INTEREST BY THE CORPORATION OR ANY SUBSIDIARY; T. SELECTION AND APPOINTMENT OF THE AUDITORS AND LEGAL COUNSEL OF THE CORPORATION OR ANY SUBSIDIARY; U. DECLARING, OR VOLUNTARILY ENTERING INTO OR CONSENTING TO THE FILING OF PROCEEDINGS TO DECLARE, THE BANKRUPTCY OR INSOLVENCY OF THE CORPORATION OR ANY SUBSIDIARY; V. ANY SUBSTANTIVE REVISION TO THE HOSPITAL'S MEDICAL STAFF BYLAWS; AND W. APPROVAL, ADOPTION, AMENDMENT, OR REPEAL OF THE CORPORATION'S BOARD CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 11B	THE DRAFT OF THE FORM 990 WAS REVIEWED BY SENIOR FINANCE LEADERSHIP AND INTERNAL LEGAL COUNSEL, WHICH WORKED CLOSELY WITH AN INDEPENDENT TAX CONSULTING FIRM ENGAGED TO ASSIST WITH THE PREPARATION, REVIEW, AND FILING OF THE RETURN. MANAGEMENT PROVIDED THE DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS AND THE FINANCE COMMITTEE FOR REVIEW PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND REQUIRES ALL EMPLOYEES, INDEPENDENT CONTRACTORS, CONSULTANTS, ADVISORS AND VOLUNTEERS OF THE HOSPITAL TO OBSERVE HIGH STANDARDS OF BUSINESS AND PERSONAL ETHICS IN THE CONDUCT OF THEIR DUTIES AND RESPONSIBILITIES. A CONFLICTS OF INTEREST REPORTING AND CERTIFICATION FORM IS USED AS REQUESTED FOR BOARD MEMBERS, MEDICAL STAFF AND EMPLOYEES TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. THE HOSPITAL CONFLICT OF INTEREST POLICY PROVIDES THE SCOPE, PURPOSE AND OTHER INFORMATION DETAILING THE REQUIREMENTS OF EMPLOYEES TO ADHERE TO THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15B	COMPENSATION RECOMMENDATIONS FOR THE OFFICERS AND KEY EMPLOYEES EMPLOYED BY THE HOSPITAL ARE REVIEWED ON A PERIODIC BASIS BY AN EXTERNAL INDEPENDENT CONSULTING FIRM. THE RECOMMENDATIONS INCLUDE COMPARISONS TO BENCHMARK MARKET COMPENSATION FOR COMPARABLE POSITIONS FOR BASE AND TOTAL COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	CHRCO SHALL MAKE THE FOLLOWING DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION: THE APPLICATION FOR EXEMPTION AND THE ANNUAL INFORMATION RETURN IN ALL EVENTS, WITHOUT CHARGE, AT THE ORGANIZATION'S CORPORATE OFFICE LOCATED AT 747 52ND ST, OAKLAND, CA DURING REGULAR BUSINESS HOURS [ATTN: OFFICE OF LEGAL AFFAIRS]. EACH INFORMATION RETURN SHALL BE MADE AVAILABLE FOR A PERIOD OF THREE YEARS BEGINNING AS OF THE DATE THE RETURN IS REQUIRED TO BE FILED, INCLUDING EXTENSIONS. IN ADDITION, THE PUBLIC HAS THE RIGHT TO A COPY OF THE APPLICATION FOR TAX EXEMPTION AND ANNUAL INFORMATION RETURNS, WITHOUT CHARGE OTHER THAN A REASONABLE FEE FOR REPRODUCTION AND ACTUAL POSTAGE COSTS (2) CHRCO WILL ALSO MAKE AVAILABLE ITS CONFLICT OF INTEREST POLICY WITHIN (3) DAYS OF SUBMITTING A WRITTEN REQUEST TO THE OFFICE OF LEGAL AFFAIRS 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.
990, PART VII, SECTION A & PART IX, STATEMENT OF FUNCTIONAL EXPENSES	THE OFFICERS LISTED ON FORM 990 PART VII SECTION A--OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES--ARE EMPLOYED AND COMPENSATED BY UNIVERSITY OF CALIFORNIA SAN FRANCISCO (UCSF). UCSF REPORTS 100% OF THE INDIVIDUAL'S COMPENSATION ON W-2S, WHICH ARE ISSUED BY UCSF. THE OFFICERS ARE ASSIGNED DUTIES TO THE FILING ORGANIZATION AND 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 FROM RELATED ORGANIZATION TO THE FILING ORGANIZATION. THE WAGE AND BENEFIT COSTS ALLOCATED FROM UCSF ARE REPORTED FOR EACH INDIVIDUAL AS BEING COMPENSATED DIRECTLY FROM THE FILING ORGANIZATION AND THE BALANCE OF COMPENSATION IS REPORTED AS COMPENSATION BY THE RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFERS -8,702,495. NET INVESTED IN CAPITAL ASSETS -85,738.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL & RESEARCH CENTER AT
OAKLAND

Employer identification number

94-0382330

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDREN'S HOSPITAL & RESEARCH CNTR FNDN 2201 BROADWAY SUITE 600 OAKLAND,CA94612 94-1657474	CHARITABLE FOUNDATION	CA	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	Yes
(2)CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE 5222 DOVER ST OAKLAND,CA94609 94-2909976	TEMPORARY LODGING FOR PATIENT FAMILIES	CA	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	Yes
(3)UCSF HEALTH MEDICAL FOUNDATION 6475 CHRISTIE AVE 300 EMERYVILLE,CA94608 86-1175591	MEDICAL FOUNDATION	CA	501(C)(3)	LINE 10	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA		No
(4)FOUNDATION FOR CHILDREN'S CARE DBA FAMILY LEGACY FUND 2201 BROADWAY SUITE 600 OAKLAND,CA94612 91-2145422	FOUNDATION SUPPORT	CA	501(C)(3)	LINE 12A, I	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	Yes
(5)THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 1111 FRANKLIN STREET OAKLAND,CA94607 94-6036493	PUBLIC EDUCATIONAL INSTITUTION	CA	501(C)(3)	LINE 6	N/A		No
(6)UNIVERSITY OF CALIFORNIA SAN FRANCISCO FOUNDATION 2001 THE EMBARCADERO 3RD FLOOR SAN FRANCISCO,CA94133 94-2829914	CHARITABLE FOUNDATION	CA	501(C)(3)	LINE 5	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION	C	29,240,240	CASH RECEIPTS

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROTECT AND ADVANCE THE HEALTH AND WELL-BEING OF CHILDREN THROUGH CLINICAL CARE, TEACHING AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	2,941
6	Total number of volunteers (estimate if necessary) .............	6	165
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,216,952	30,896,451
9	Program service revenue (Part VIII, line 2g) .........	722,722,005	866,086,206
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,069,347	6,811,868
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	351,964	1,642,494
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	745,360,268	905,437,019
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	447,317,116	459,463,578
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	288,965,566	346,417,071
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	736,282,682	805,880,649
19	Revenue less expenses. Subtract line 18 from line 12.......	9,077,586	99,556,370
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	879,379,710	951,497,425
21	Total liabilities (Part X, line 26).............	442,564,818	423,914,396
22	Net assets or fund balances. Subtract line 21 from line 20.....	436,814,892	527,583,029

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 100,261,349 including grants of $ 0 ) (Revenue $ 99,249,010 )
	SEE SCHEDULE O1. HEMATOLOGY/ONCOLOGY - HEMATOLOGY/ONCOLOGY SERVICES AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND (DBA UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND) PROVIDES COMPREHENSIVE EVALUATION AND TREATMENT OF ALL PEDIATRIC BLOOD DISORDERS AND CANCER. OUR GOAL IS TO PROVIDE STATE-OF-THE-ART CARE IN A WARM AND SUPPORTIVE ENVIRONMENT THAT INCLUDES ONGOING DIRECT COMMUNICATION WITH THE PRIMARY CARE PHYSICIAN. OUR COMPREHENSIVE SERVICES INCLUDE PROGRAMS FOR HEMOPHILIA, THALASSEMIA, AND SICKLE CELL DISEASE. OUR SICKLE CELL PROGRAM IS THE LARGEST IN THE WESTERN UNITED STATES AND INCLUDES ADULT PATIENTS. WE ARE THE LEAD AGENCY FOR THE NORTHERN CALIFORNIA COMPREHENSIVE SICKLE CELL CENTER (NCCSCC). THROUGH NCCSCC, A MULTIDISCIPLINARY TEAM CONSISTING OF PHYSICIANS, NURSE PRACTITIONERS, PSYCHOLOGISTS, AND SOCIAL WORKERS PROVIDE COMPREHENSIVE CARE IN A MEDICAL HOME MODEL. MEDICAL THERAPY INCLUDES HYDROXYUREA, TRANSFUSIONS, APHERESIS, CHELATION, PAIN MANAGEMENT, AND BONE MARROW TRANSPLANTATION. NCCSCC ALSO DEVELOPED AND COORDINATES THE NORTHERN CALIFORNIA NETWORK OF CARE FOR SICKLE CELL DISEASE, A PARTNERSHIP AMONG LOCAL HOSPITALS, CLINICS, AND COMMUNITY AGENCIES TO HELP IMPROVE THE ACCESS TO HEALTHCARE SERVICES FOR PEOPLE WITH SICKLE CELL DISEASE. WE ALSO HAVE PROGRAMS IN NEURO-ONCOLOGY, THROMBOPHILIA, STEM CELL TRANSPLANTATION, AND BONE MARROW TRANSPLANTATION. THE HEMATOLOGY/ONCOLOGY DEPARTMENT HAS ITS OWN 25-BED INPATIENT UNIT WITH PRIVATE, AIR-FILTERED ISOLATION ROOMS. A 20-BED DAY-USE TRANSFUSION AND CHEMOTHERAPY UNIT IN OUR OUTPATIENT CENTER INCLUDES A PHERESIS PROGRAM AND A BONE MARROW TRANSPLANTATION UNIT. CHILDREN'S HAS DEVELOPED A NUMBER OF INNOVATIVE TREATMENTS FOR BLOOD DISORDERS AND REMAINS A MAJOR CENTER FOR HEMATOLOGICAL AND ONCOLOGICAL CLINICAL RESEARCH, ATTRACTING PATIENTS AND RESEARCH PARTICIPANTS FROM OTHER STATES AND COUNTRIES.

4b	(Code: ) (Expenses $ 83,815,463 including grants of $ 0 ) (Revenue $ 102,059,208 )
	SEE SCHEDULE O2. NEONATOLOGY - NEONATOLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES HIGHLY SPECIALIZED INTENSIVE CARE TO CRITICALLY ILL AND PREMATURE NEWBORNS IN OUR LEVEL 4 NEONATAL INTENSIVE CARE UNIT (NICU). OUR INTENSIVE MULTIDISCIPLINARY AND SPECIALIST CARE TREATMENT TEAM IS PERHAPS THE BIGGEST REASON FOR OUR SUCCESS. EACH NICU PATIENT AND FAMILY RECEIVES THE FULL ATTENTION OF THE NICU TEAM OF PEDIATRIC MEDICAL AND SURGICAL EXPERTS, INCLUDING NEONATOLOGISTS, NEONATAL NURSE PRACTITIONERS, NURSES, RESPIRATORY THERAPISTS, SOCIAL WORKERS, AND DEVELOPMENTAL SPECIALISTS. THEIR COLLABORATION ENSURES COMPREHENSIVE CARE AND MONITORING OR SUPPORT OF VITAL FUNCTIONS BEYOND THOSE AVAILABLE IN THE GENERAL PEDIATRIC UNIT OR COMMUNITY HOSPITAL. THE NEWBORN INTENSIVE CARE NURSERY AT CHILDREN'S IS A 55 BED, FAMILY-CENTERED, REGIONAL REFERRAL CENTER FOR NEONATAL INTENSIVE CARE. BOARD CERTIFIED NEONATOLOGISTS ARE IN THE HOSPITAL 24 HOURS A DAY, 7 DAYS A WEEK. PARENTS ARE WELCOME TO VISIT ANY TIME. THIS MULTIDISCIPLINARY MEDICAL TEAM WORKS CLOSELY WITH THE ENTIRE RANGE OF CHILDREN'S PEDIATRIC SUB-SPECIALTY SERVICES.

4c	(Code: ) (Expenses $ 51,779,595 including grants of $ 0 ) (Revenue $ 44,501,108 )
	SEE SCHEDULE O3. ORTHOPEDIC - ORTHOPEDICS AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND WORKS WITH CHILDREN TO PREVENT OR CORRECT INJURIES AND DISORDERS OF THE SKELETAL SYSTEM, AND THEIR ASSOCIATED MUSCLES, JOINTS AND LIGAMENTS. WE ARE THE BUSIEST PEDIATRIC ORTHOPEDIC DEPARTMENT IN THE BAY AREA, WITH MORE THAN 21,000 PATIENT VISITS A YEAR. WHEN A CHILD FRACTURES A BONE, SUFFERS A SPORTS INJURY, OR HAS A CONGENITAL DISORDER SUCH AS SCOLIOSIS OR A NEUROLOGICAL DISORDER SUCH AS SPINA BIFIDA, IT IS IMPORTANT FOR HIM OR HER TO SEE A PEDIATRIC ORTHOPEDIST. PEDIATRIC ORTHOPEDISTS TREAT CHILDREN ONLY AND ADDRESS EACH CHILD'S FUTURE GROWTH AS PART OF THE TREATMENT PLAN. THIS IS HOW WE HELP THE CHILD ACHIEVE THE BEST FUNCTIONALITY, AND EXPERIENCE THE LEAST DISRUPTION TO HIS OR HER NORMAL ACTIVITIES. AT CHILDREN'S, WE TREAT CHILDREN WITH ALL KINDS OF FRACTURES, CONGENITAL AND TRAUMATIC HAND INJURIES, PROBLEMS DUE TO CEREBRAL PALSY AND SCOLIOSIS, AS WELL AS LEGG-PERTHES DISEASE, LIMB DISORDERS, DISLOCATED HIPS, AND OTHER CONDITIONS. OUR SPORTS MEDICINE CENTER FOR YOUNG ATHLETES SPECIALIZES IN GETTING KIDS BACK IN THE GAME THROUGH PREVENTION, DIAGNOSIS, AND TREATMENT OF SPORTS-RELATED INJURIES.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	4. EMERGENCY MEDICINE - EMERGENCY MEDICINE AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES COMPREHENSIVE SERVICES IN OUR PEDIATRIC EMERGENCY DEPARTMENT THAT IS THE BUSIEST IN NORTHERN CALIFORNIA AND THE REGION'S ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER. IT IS STAFFED 24 HOURS A DAY 7 DAYS A WEEK WITH CERTIFIED PEDIATRIC EMERGENCY MEDICINE SPECIALISTS. THE ED ALSO FUNCTIONS AS THE GATEWAY TO MEDICAL CARE FOR MANY CHILDREN IN THE REGION; OVER HALF OF ALL PATIENTS ADMITTED TO CHILDREN'S ARE FIRST SEEN IN THE ED. 5. GENERAL SURGERY - GENERAL SURGERY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND WORKS WITH PEDIATRICIANS, FAMILY PHYSICIANS, CHILD LIFE SPECIALISTS AND OTHER MEDICAL SPECIALISTS TO SERVE THE GENERAL SURGICAL NEEDS OF THEIR PATIENTS. OUR PROGRAMS ARE DESIGNED TO MINIMIZE THE STRESS AND DISCOMFORT OF SURGERY WHILE PROVIDING THE HIGHEST LEVEL OF PEDIATRIC SURGICAL EXPERTISE, FROM THE TINIEST NEWBORNS TO ADOLESCENTS. OUR SURGICAL PRACTICE ENCOMPASSES THE FULL SPECTRUM OF GENERAL PEDIATRIC SURGERY. OUR SURGEONS HAVE PARTICULAR EXPERTISE IN NEONATAL SURGERY, OPEN-HEART SURGERY, ONCOLOGY, UROLOGY, AND THORACIC SURGERY, INCLUDING LAPAROSCOPIC AND ENDOSCOPIC PROCEDURES. THE SURGEONS ARE AVAILABLE AROUND THE CLOCK FOR CRITICAL CARE SITUATIONS INVOLVING TRAUMATIC INJURIES THAT REQUIRE SURGICAL INTERVENTION.6. GASTROENTEROLOGY/HEPATOLOGY - GASTROENTEROLOGY, HEPATOLOGY, AND NUTRITION AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES CARE FOR CHILDREN WHO HAVE SYMPTOMS AND DISEASES OF THE STOMACH, INTESTINES, LIVER AND PANCREAS. GASTROENTEROLOGY REFERS TO THE STOMACH, INTESTINES AND ASSOCIATED ORGANS. COMMON CONDITIONS INCLUDE FEEDING DISORDERS, PANCREATITIS, CONSTIPATION, CELIAC DISEASE AND INFLAMMATORY BOWEL DISEASE. HEPATOLOGY REFERS TO THE LIVER. COMMON LIVER CONDITIONS TREATED INCLUDE HEPATITIS AND OTHER INFECTIONS; METABOLIC LIVER DISEASE, GLYCOGEN STORAGE DISEASE, GALLSTONES AND GALL BLADDER DISORDERS, AND LIVER TRANSPLANT COORDINATION. CONGENITAL ANOMALIES OF THE GI TRACT ARE AMONG THE MOST COMMON SURGICAL PROBLEMS IN NEWBORN INFANTS. CARE OF THESE COMPLEX INFANTS IS ONE OF OUR CORE AREAS OF EXPERTISE. THE GI-NICU PROGRAM AT CHILDREN'S IS AN INTEGRATED MULTIDISCIPLINARY, FAMILY-CENTERED PROGRAM DESIGNED TO PROVIDE THE HIGHEST LEVEL OF CARE TO INFANTS WITH SURGICAL AND/OR MEDICAL GI PROBLEMS. BASED IN OUR LEVEL IIID NICU, OUR PROGRAM EXTENDS FROM PRENATAL DIAGNOSIS AND PLANNING, THROUGH THE NEONATAL PERIOD, AND TRANSITIONS TO LONG-TERM OUTPATIENT AND INPATIENT FOLLOW-UP.7. INFECTIOUS DISEASE - INFECTIOUS DISEASE AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES TREATMENT FOR A WIDE SPECTRUM OF BACTERIAL, VIRAL, FUNGAL, AND PARASITIC INFECTIONS. THEY ALSO OVERSEE INVESTIGATION AND REVENTION OF NOSOCOMIAL INFECTIONS, EXPOSURES, AND OUTBREAKS IN THE HOSPITAL. THE PEDIATRIC HIV PROGRAM PROVIDES COMPREHENSIVE TREATMENT AND CASE MANAGEMENT FOR HIV-INFECTED AND EXPOSED CHILDREN. THE PEDIATRIC TUBERCULOSIS CLINIC SEES PATIENTS REFERRED FOR TREATMENT FROM EXPOSURE TO TUBERCULOSIS. THE SPECIALTY IS ALSO ACTIVE WITH CLINICAL RESEARCH, INCLUDING CLINICAL TRIALS. A THREE-YEAR ACCREDITED PEDIATRIC INFECTIOUS DISEASES FELLOWSHIP PROGRAM IS ALSO AVAILABLE FOR CLINICIANS WHO WANT SPECIALIZED TRAINING.8. PULMONOLOGY - PULMONARY MEDICINE AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND TREATS CHILDREN WITH A BROAD RANGE OF BREATHING OR RESPIRATORY HEALTH PROBLEMS. COMMON PROBLEMS INCLUDE ASTHMA, RECURRENT COUGHS, RESPIRATORY INFECTIONS, ALLERGIES, DYSPNEA (SHORTNESS OF BREATH) AND OTHER CONDITIONS. CHILDREN'S IS A NATIONALLY CERTIFIED CYSTIC FIBROSIS TREATMENT CENTER AND OUR CHILDREN'S PULMONARY FUNCTION LABORATORY PROVIDES ADVANCED PULMONARY FUNCTION TESTING USING MINIMALLY INVASIVE PROCEDURES DESIGNED TO EASE THE CHILD'S FEARS AND DISCOMFORTS.9. HOSPITAL MEDICINE - THE HOSPITAL MEDICINE PROGRAM AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES COMPREHENSIVE CARE OF HOSPITALIZED PATIENTS WITH A WIDE RANGE OF MEDICAL AND SURGICAL CONDITIONS. OUR PROVIDERS WORK CLOSELY WITH PEDIATRIC SPECIALISTS AND OTHER STAFF TO ASSURE THE HIGHEST QUALITY ON INPATIENT CARE AND TO ASSURE THE SUCCESSFUL TRANSITION TO OUTPATIENT CARE.10. CARDIOLOGY - CARDIOLOGY SERVICES AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES COMPREHENSIVE DIAGNOSTIC, THERAPEUTIC, INTERVENTIONAL, SURGICAL AND FOLLOW-UP SERVICES FOR CHILDREN WITH ALL TYPES OF HEART DISEASE. OUR SURGEONS PERFORM SUCCESSFUL OPEN-HEART SURGERIES ON CHILDREN OF ALL AGES, INCLUDING BABIES WITH HEARTS AS SMALL AS A WALNUT. PEDIATRIC CARDIOLOGISTS AND PEDIATRIC CARDIAC SURGEONS LEAD THE CENTER WITH SUPPORT FROM A DEDICATED, SPECIALLY TRAINED TEAM THAT HELPS CHILDREN AND THEIR FAMILIES COPE WITH THE SOCIAL AND EMOTIONAL IMPACT OF CONGENITAL HEART DISEASE. A SOCIAL WORKER, AN OUTPATIENT CARDIOLOGY NURSE AND A TEAM OF CLINICAL NURSE SPECIALISTS PROVIDE COUNSELING AND INFORMATION ABOUT CARING FOR CHILDREN WITH CARDIAC DISORDERS. THE CENTER OFFERS A PACEMAKER CLINIC AND OFFERS A FULL RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES IN OUR CATHETERIZATION LAB. 11. NEUROSURGERY - NEUROSURGERY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH NEUROLOGICAL DISORDERS. CHILDREN WITH CONDITIONS SUCH AS BRAIN TUMORS, SPINAL DISORDERS, CONGENITAL ANOMALIES, CRANIOSYNOSTOSIS, SPASTICITY, AND HYDROCEPHALUS ARE TREATED BY OUR SURGICAL TEAM OF EXPERIENCED, PEDIATRIC NEUROSURGEONS AND OUR ADVANCED-PRACTICE REGISTERED NURSES TRAINED SPECIFICALLY TO TREAT CHILDREN. OUR NEUROSURGERY PROGRAM IS EQUIPPED WITH A COMPUTER-GUIDED STEREOTACTIC NEUROSURGERY STATION AND NEURO-ENDOSCOPE FOR MINIMALLY INVASIVE, STATE-OF-THE-ART BRAIN SURGERY. OUR PATIENTS RECEIVE THE FINEST POST-OPERATIVE CARE IN THE LARGEST PEDIATRIC INTENSIVE CARE UNIT AND NEONATAL INTENSIVE CARE UNIT IN NORTHERN CALIFORNIA. TRANSPORT TEAMS ARE AVAILABLE TO RECEIVE PATIENTS 24 HOURS A DAY. CHILDREN'S MULTIDISCIPLINARY NEURO-ONCOLOGY, SPINAL DISORDER, SPASTICITY, AND CRANIOFACIAL PROGRAMS ENSURE THAT NEUROSURGERY PATIENTS AT CHILDREN'S RECEIVE COMPLETE, INTEGRATED OUTPATIENT CARE.12. OTOLARYNGOLOGY (ENT) - OTOLARYNGOLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES COMPREHENSIVE DIAGNOSTIC TREATMENT SERVICES FOR CHILDREN WITH EAR, NOSE, THROAT, AND LARYNGOTRACHEAL PROBLEMS. SERVICES AT CHILDREN'S INCLUDE ALL PEDIATRIC ENT SERVICES, AND A COCHLEAR IMPLANT PROGRAM. A COCHLEAR IMPLANT IS A SMALL, COMPLEX ELECTRONIC DEVICE THAT IS SURGICALLY PLACED UNDER THE SKIN BEHIND THE EAR THAT PROVIDES A SENSE OF SOUND TO A PERSON WHO IS PROFOUNDLY DEAF OR SEVERELY HARD OF HEARING. 13. PEDIATRIC REHABILITATION - PEDIATRIC REHABILITATION AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES A COMPREHENSIVE, INTEGRATED APPROACH TO CARING FOR CHILDREN WHO REQUIRE HOSPITALIZATION FOR MEDICAL REASONS RELATED TO DISABILITY, OR NEED INTENSIVE REHABILITATION FOLLOWING AN ILLNESS OR ACCIDENT THAT HAS CAUSED A LOSS OF FUNCTION. OUR COLLABORATIVE TEAM APPROACH INCLUDES OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, SPEECH AND LANGUAGE PATHOLOGISTS, HAND THERAPISTS, AUDIOLOGISTS, PHYSIATRISTS, ORTHOPEDIC SPECIALISTS, REHABILITATION NURSES AND SOCIAL WORKERS. THIS COMPREHENSIVE APPROACH ASSURES THAT CHILDREN WILL RETURN TO THEIR PREVIOUS FUNCTIONAL STATUS AS QUICKLY AS POSSIBLE OR WILL GAIN THE ABILITY TO DO THINGS THEY WERE NOT ABLE TO LEARN ON THEIR OWN.14. NEUROLOGY NEUROLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND EVALUATES AND CARES FOR CHILDREN WHO HAVE DISORDERS AFFECTING THE CENTRAL NERVOUS SYSTEM, SPINAL CORD, NERVES, AND MUSCLES. WE HAVE A COMPREHENSIVE EPILEPSY CENTER, TUBEROUS SCLEROSIS CLINIC, AND WORK CLOSELY WITH THE NEUROSURGERY STAFF TO EVALUATE AND MANAGE CARE OF CHILDREN WITH BRAIN TUMORS.15. RADIOLOGY - RADIOLOGY AND DIAGNOSTIC IMAGING AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES IN SUPPORT OF PRIMARY CARE AND SPECIALTY CARE PATIENTS IN BOTH INPATIENT AND OUTPATIENT SETTINGS. IN ADDITION, THE DIVISION PROVIDES INTERVENTIONAL RADIOLOGY SERVICES FOR TREATMENT OF A BROAD RANGE OF PEDIATRIC CONDITIONS.

	(Code: ) (Expenses $ 379,398,629 including grants of $ 0 ) (Revenue $ 620,276,880 )
	16. PRIMARY CARE - PRIMARY CARE PROVIDES THE BASIC HEALTHCARE SUPERVISION OF CHILDREN INCLUDING ROUTINE PREVENTATIVE CARE, CHRONIC DISEASE MANAGEMENT, AND IMMUNIZATIONS. IN ADDITION, THE PRIMARY CARE CLINIC PROVIDES HEALTH EDUCATION, PARTICIPATES IN TRANSLATIONAL RESEARCH, OFFERS SOCIAL AND MENTAL HEALTH SERVICES, AND PLAYS A KEY ROLE IN TRAINING THE NEXT GENERATION OF PEDIATRICIANS. THE PRIMARY CARE CLINIC IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), A SPECIAL DESIGNATION FOR HEALTH CENTERS THAT SERVE A LARGE PERCENTAGE OF LOW-INCOME FAMILIES, AND MORE SPECIFICALLY CARES FOR FOSTER AND HOMELESS YOUTH. THE CLINIC AT CHILDREN'S IS THE ONLY FQHC IN THE COUNTRY ASSOCIATED WITH A CHILDREN'S HOSPITAL. THE PRIMARY CARE CLINIC CONDUCTS SEVERAL SPECIALIZED CLINICS INCLUDING AN INTERNATIONAL CLINIC, WHICH PROVIDES CARE FOR NON-ENGLISH SPEAKERS, ENCORE MEDICAL CLINIC, WHICH SPECIALIZES IN THE UNIQUE NEEDS OF CHILDREN WHO ARE HOMELESS OR IN FOSTER CARE, AND AN ASTHMA CLINIC, WHICH PROVIDES SPECIALIZED MEDICAL CARE AND ASTHMA MANAGEMENT EDUCATION FOR FAMILIES WHO HAVE CHILDREN WITH PARTICULARLY COMPLEX CASES OF ASTHMA. 17. ENDOCRINOLOGY - ENDOCRINOLOGY AND DIABETES AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND TREATS CHILDREN WHO HAVE ALL TYPES OF ENDOCRINE DISORDERS. ENDOCRINE DISORDERS INCLUDE DIABETES, HYPERTHYROIDISM AND HYPOTHYROIDISM, AND OTHER DISORDERS OF THE ENDOCRINE GLANDS. THE DIVISION CARES FOR MORE THAN 1,200 CHILDREN WITH DIABETES, BOTH TYPE 1 AND TYPE 2. WEIGHT MANAGEMENT AND GENERAL FITNESS ARE EMPLOYED FOR CHILDREN MANAGING DIABETES AND OTHER ENDOCRINE DISORDERS. 18. RHEUMATOLOGY - PEDIATRIC RHEUMATOLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDE DIAGNOSIS AND TREATMENT OF RHEUMATOLOGIC DISORDERS AND MULTI-SYSTEM INFLAMMATORY DISEASES THAT AFFECT MUSCLES, JOINTS AND CONNECTIVE TISSUES. THIS INCLUDES THE EVALUATION OF PATIENTS WITH A WIDE VARIETY OF SYMPTOMS INCLUDING MUSCULOSKELETAL COMPLAINTS, BONE AND JOINT PAIN, UNEXPLAINED RASH, AND FEVERS OF UNKNOWN ORIGIN. DIAGNOSES TREATED INCLUDE JUVENILE IDIOPATHIC ARTHRITIS (JIA), SYSTEMIC LUPUS ERYTHEMATOSUS (SLE), JUVENILE DERMATOMYOSITIS (JDM), VASCULITIS, SCLERODERMA, AND PERIODIC FEVER/INFLAMMATORY SYNDROMES.19. NEPHROLOGY - NEPHROLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND DEALS WITH THE FUNCTION AND DISEASES OF THE KIDNEYS. NEPHROLOGISTS AT CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND PROVIDE CARE FOR CHILDREN WHO HAVE RENAL DISEASE.20. ADOLESCENT MEDICINE - THE ADOLESCENT MEDICINE PROGRAM AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES SPECIALIZED SERVICES FOR CHILDREN. THE DIVISION PARTICIPATES IN THE CARE OF PATIENTS AT OUR HIGH VOLUME TEEN CLINIC, TWO SCHOOL-BASED HEALTH CENTERS, AND THE MEDICAL CLINIC AT THE ALAMEDA COUNTY JUVENILE JUSTICE CENTER, THE LOCATION FOR ALL JUVENILE DETAINEES IN THE COUNTY. OUR INTERDISCIPLINARY TEAM OF ADOLESCENT PROVIDERS HELP PROVIDE A WIDE RANGE OF PRIMARY CARE AND PSYCHOLOGICAL SERVICES INCLUDING WELL VISITS, CHRONIC AND ACUTE DISEASES, URGENT CARE, STDS, FAMILY PLANNING AND REPRODUCTIVE SERVICES, SPORTS EXAMINATIONS, MENTAL HEALTH CONDITIONS, PHYSICAL AND SEXUAL ASSAULT, HEALTH EDUCATION, AND PROFESSIONAL TRAINING. OUR ADOLESCENT MEDICINE PROVIDERS LOOK AT ALL ASPECTS OF AN ADOLESCENT'S LIFE TO HELP ADDRESS THE MANY MEDICAL AND MENTAL HEALTH ISSUES THAT THEY FACE.21. PLASTIC SURGERY - PLASTIC SURGERY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND EVALUATES AND TREATS A WIDE RANGE OF PLASTIC SURGERY PROBLEMS IN CHILDREN, INCLUDING CONGENITAL ANOMALIES, ACUTE TRAUMATIC INJURIES, AND RECONSTRUCTION FOLLOWING BURNS AND OTHER TRAUMATIC INJURIES. SERVICES INCLUDE DIAGNOSIS AND TREATMENT OF ALL CONGENITAL AND ACQUIRED RECONSTRUCTIVE PROBLEMS, CRANIO-MAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, AND HAND/MICROSURGERY.22. UROLOGY - THE DIVISION OF UROLOGIC SERVICES AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES COMPREHENSIVE MEDICAL SERVICES IN THE DIAGNOSIS AND TREATMENT OF CHILDREN WHO HAVE PROBLEMS WITH THE KIDNEYS, BLADDER AND GENITALIA. OUR COMPASSIONATE PROFESSIONALS SPECIALIZE IN TREATING DEFECTS OF THE URINARY TRACT, SUCH AS HYPOSPADIAS AND EPISPADIAS (BIRTH DEFECTS IN BOYS IN WHICH THE URINARY TRACT OPENING IS NOT AT THE TIP OF THE PENIS), BLADDER EXSTROPHY, AMBIGUOUS GENITALIA AND OBSTRUCTIVE UROPATHY (BLOCKED URINE FLOW) CAUSED BY URETHRAL ABNORMALITIES.23. OPHTHALMOLOGY - OPHTHALMOLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND EVALUATES AND TREATS EYE PROBLEMS IN CHILDREN FROM INFANCY THROUGH ADOLESCENCE. OUR SERVICES INCLUDE BOTH OUTPATIENT AND INPATIENT DIAGNOSIS AND MANAGEMENT OF ALL PEDIATRIC EYE CONDITIONS.24. AUDIOLOGY - AUDIOLOGY SERVICES AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND WORKS WITH CHILDREN TO DIAGNOSE AND TREAT HEARING LOSS OR IMPAIRMENT. WE HAVE A SPECIALLY TRAINED TEAM OF AUDIOLOGISTS AND SPEECH PATHOLOGISTS THAT OFFER CUTTING-EDGE TECHNOLOGY TO HELP CHILDREN IMPROVE HEARING, SPEECH AND LANGUAGE.25. DENTISTRY - DENTISTRY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES THE EXPERTISE NECESSARY TO MEET THE PEDIATRIC DENTISTRY NEEDS OF CHILDREN WITH COMPLEX MEDICAL CONDITIONS, PARTICULARLY THOSE PATIENTS WHO REQUIRE SEDATION TO ALLOW ADEQUATE EVALUATION AND TREATMENT OF THEIR DENTAL NEEDS.26. DERMATOLOGY - DERMATOLOGY AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND CONSISTS OF A TEAM OF BOARD CERTIFIED PEDIATRIC DERMATOLOGISTS AND EXPERIENCED CLINICIANS WHO ARE SPECIALLY TRAINED AND CERTIFIED TO CARE FOR CHILDREN. PEDIATRIC DERMATOLOGISTS OFFER UNIQUE EXPERTISE IN DIAGNOSES AND TREATMENT OF COMMON SKIN CONDITIONS AS WELL AS RARE AND CHALLENGING SKIN DISORDERS IN INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS. CHILDREN'S DERMATOLOGISTS ARE SPECIALISTS IN TREATING PEDIATRIC SKIN, HAIR, AND NAIL DISORDERS AND EXPERTS ON HOW DIFFERENT PROCEDURES AFFECT YOUR CHILD'S HEALTH, APPEARANCE, AND SKIN HEALING.27. CHILD PROTECTION SERVICES - OUR CENTER WAS ESTABLISHED IN 1984 TO FOSTER A STRONG COLLABORATIVE RELATIONSHIP BETWEEN THE MEDICAL AND LEGAL SYSTEMS THAT ENSURES ABUSED CHILDREN RECEIVE THE CARE THEY NEED. WE WORK WITH CHILDREN OF ALL AGES, FROM INFANTS TO ADOLESCENTS. OUR TEAM OF DOCTORS, NURSE PRACTITIONERS AND SOCIAL WORKERS IS SPECIALLY TRAINED TO EVALUATE CHILDREN AND PROVIDE PHYSICAL AND MENTAL HEALTH CARE WHEN ABUSE IS SUSPECTED. OUR TEAM PROVIDES FORENSIC MEDICAL ASSESSMENTS AND WORKS CLOSELY WITH FAMILIES, LAW ENFORCEMENT AND CHILD PROTECTIVE SERVICES.28. MEDICAL GENETICS -MEDICAL GENETICS AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND PROVIDES CONSULTATION SERVICES FOR CHILDREN. WORKING IN COLLABORATION WITH THE CRANIOFACIAL CENTER, THE FETAL TREATMENT CENTER AND THE BEHAVIORAL AND DEVELOPMENTAL PEDIATRIC PROGRAM, THIS DIVISION EVALUATES CHILDREN WHO ARE AT RISK FOR OR HAVE EVIDENCE OF GENETIC DISORDERS.29. BEHAVIORAL HEALTH - PSYCHIATRY AND BEHAVIORAL HEALTH AT CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND OFFERS A FULL RANGE OF OUTPATIENT PSYCHIATRIC AND PSYCHOLOGICAL SERVICES FOR CHILDREN AND THEIR FAMILIES, AS WELL AS CONSULTATION/LIAISON AND SUPPORTING CLINICAL SERVICES TO INPATIENTS AND STAFF. CHILDREN'S MULTIDISCIPLINARY TEAM OF PSYCHIATRISTS, PSYCHOLOGISTS AND SOCIAL WORKERS TREAT CHILDREN FROM MANY BACKGROUNDS AND WITH A WIDE VARIETY OF CONDITIONS, INCLUDING ADJUSTMENT DISORDERS, AFFECTIVE DISORDERS, DEVELOPMENTAL DELAYS, DEPRESSION AND LEARNING DISABILITIES.RESEARCH IS ALSO AN EXTREMELY IMPORTANT PART OF OUR MISSION. THE CHILDREN'S HOSPITAL OAKLAND RESEARCH INSTITUTE (CHORI) WAS FOUNDED IN 1959 AS THE RESEARCH ARM OF THE HOSPITAL. AT THAT TIME, IT WAS THE ONLY FACILITY IN NORTHERN CALIFORNIA DEDICATED EXCLUSIVELY TO RESEARCH ON CHILDREN'S DISEASES. IN RECENT YEARS WE HAVE PARTNERED WITH THE UNIVERSITY OF CALIFORNIA TO EXECUTE ON THE RESEARCH MISSION. WORLD-CLASS INVESTIGATORS HAVE MADE SIGNIFICANT PROGRESS IN SUCH AREAS AS SICKLE CELL DISEASE, DIET AND NUTRITION, GASTROINTESTINAL CONDITIONS, PEDIATRIC CANCERS, CRITICAL CARE MEDICINE, GENETICS, IMMUNOBIOLOGY, AND HEALTH EQUITY, TO NAME A FEW KEY AREAS OF RESEARCH.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 379,398,629 including grants of $ 0 ) (Revenue $ 620,276,880 )
4e	Total program service expenses615,255,036

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,428,316	7,916,930	1,011,600

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	29,255,788
e	Government grants (contributions)		1e	1,247,924

f	All other contributions, gifts, grants, and similar amounts not included above		1f	392,739

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		30,896,451

		Business Code
2a	NET PATIENT REVENUES	541900	820,600,920	820,600,920
b	GRANTS & CONTRACTS	541700	11,498,353	11,498,353
c	GRAD. MEDICAL EDUCATION SUBSIDY	541900	9,158,163	9,158,163
d	340B PHARMACY SERVICES	456110	8,191,180	8,191,180
e	COMMUNITY HEALTH PROGRAM REVENUE	541900	4,395,979	4,395,979
f	All other program service revenue.		12,241,611	12,241,611
g	Total. Add lines 2a–2f .....		866,086,206

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,021,256			5,021,256
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			737,125			737,125
			(i) Real	(ii) Personal
6a	Gross rents	6a	2,531,400
b	Less: rental expenses	6b	4,152,401
c	Rental income or (loss)	6c	-1,621,001
d	Net rental income or (loss).......			-1,621,001			-1,621,001
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		1,790,612
b	Less: cost or other basis and sales expenses	7b		0
c	Gain or (loss)	7c		1,790,612
d	Net gain or (loss).........			1,790,612			1,790,612
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	110,117
b	Less: cost of goods sold ..		10b	183,258
c	Net income or (loss) from sales of inventory..			-73,141			-73,141

Business Code
11a	PARKING REVENUE		812930	1,696,087			1,696,087
b	OTHER INCOME		561000	903,424			903,424
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,599,511
12	Total revenue. See instructions.....			905,437,019	866,086,206	0	8,454,362

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,461,044		1,461,044
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	334,100,439	287,601,555	46,498,884
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	37,177,667	31,925,596	5,252,071
9	Other employee benefits .......	64,285,347	52,103,561	12,181,786
10	Payroll taxes ...........	22,439,081	20,168,242	2,270,839
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	26,656,666	271,866	26,384,800
c	Accounting ...........	244,000		244,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	75,862,869	67,622,767	8,240,102
12	Advertising and promotion ....	1,447		1,447
13	Office expenses .......	10,233,356	6,273,408	3,959,948
14	Information technology ......	19,552,310	9,329,005	10,223,305
15	Royalties ..	487,910		487,910
16	Occupancy ...........	7,724,429	4,841,570	2,882,859
17	Travel ............	347,698	183,730	163,968
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	269,156	163,337	105,819
20	Interest ...........	3,996,961		3,996,961
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	32,655,928	31,564,484	1,091,444
23	Insurance ...	5,009,108		5,009,108
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PATIENT CARE SUPPLIES	76,301,306	76,269,742	31,564
b	PROVIDER FEE	44,032,099		44,032,099
c	PURCHASED SERVICES	41,736,869	25,886,783	15,850,086
d	MINOR EQUIPMENT	1,111,054	1,049,390	61,664
e	All other expenses	193,905		193,905
25	Total functional expenses. Add lines 1 through 24e	805,880,649	615,255,036	190,625,613	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			124,665,587	1	110,618,878
2	Savings and temporary cash investments .........			116,670,858	2	122,318,271
3	Pledges and grants receivable, net ......			228,148	3	0
4	Accounts receivable, net .............			88,006,952	4	100,229,363
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			8,805,240	8	9,427,139
9	Prepaid expenses and deferred charges ......			12,164,312	9	10,651,452
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,018,168,279
b	Less: accumulated depreciation	10b	516,843,046	458,229,176	10c	501,325,233
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			70,609,437	15	96,927,089
16	Total assets. Add lines 1 through 15 (must equal line 33)...			879,379,710	16	951,497,425

17	Accounts payable and accrued expenses .....	85,575,853	17	140,826,034
18	Grants payable ...		18
19	Deferred revenue .........	66,081,288	19	24,524,120
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	290,907,677	25	258,564,242
26	Total liabilities. Add lines 17 through 25..	442,564,818	26	423,914,396

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	394,659,879	27	493,820,016
28	Net assets with donor restrictions ...........	42,155,013	28	33,763,013
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	436,814,892	32	527,583,029
33	Total liabilities and net assets/fund balances ........	879,379,710	33	951,497,425