CHILDRENS HOSPITAL & RESEARCH CENTER AT OAKLAND: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL & RESEARCH CENTER AT OAKLAND (EIN 94-0382330)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-15
IRS object ID: 202641359349311044
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-15T14:23:28-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	333 BUSH STREET STE 1000	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94104	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	940382330	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & RESEARCH CENTER AT	BusinessNameLine1Txt
Business Name Line2	OAKLAND	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	5104283027	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	747 52ND STREET	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JESSICA GALENS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5104283027	PhoneNum
Signature	2026-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LESLIE VAN	PreparerPersonNm
PTIN	P01294411	PTIN
Phone	4159561500	PhoneNum
Preparation	2026-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	NICHOLAS HOLMES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	747 52ND STREET	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$920,135,541	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UCSFBENIOFFCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROTECT AND ADVANCE THE HEALTH AND WELL-BEING OF CHILDREN THROUGH CLINICAL CARE, TEACHING AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	2754	TotalEmployeeCnt
Total Volunteers	123	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$30,896,451	PYContributionsGrantsAmt
CY Contributions Grants	$164,388,329	CYContributionsGrantsAmt
PY Program Service Revenue	$866,086,206	PYProgramServiceRevenueAmt
CY Program Service Revenue	$744,711,666	CYProgramServiceRevenueAmt
PY Investment Income	$6,811,868	PYInvestmentIncomeAmt
CY Investment Income	$4,953,886	CYInvestmentIncomeAmt
PY Other Revenue	$1,642,494	PYOtherRevenueAmt
CY Other Revenue	$2,205,498	CYOtherRevenueAmt
PY Total Revenue	$905,437,019	PYTotalRevenueAmt
CY Total Revenue	$916,259,379	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$459,463,578	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$372,994,617	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$346,417,071	PYOtherExpensesAmt
CY Other Expenses	$313,576,047	CYOtherExpensesAmt
PY Total Expenses	$805,880,649	PYTotalExpensesAmt
CY Total Expenses	$686,570,664	CYTotalExpensesAmt
PY Revenues Less Expenses	$99,556,370	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$229,688,715	CYRevenuesLessExpensesAmt
Total Assets BOY	$951,497,425	TotalAssetsBOYAmt
Total Assets EOY	$1,289,279,597	TotalAssetsEOYAmt
Total Liabilities BOY	$423,914,396	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$484,088,350	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$527,583,029	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$805,191,247	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND IS TO PROTECT AND ADVANCE THE HEALTH AND WELL-BEING OF CHILDREN THROUGH CLINICAL CARE, TEACHING AND RESEARCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$76,557,943	ExpenseAmt
Revenue	$75,147,227	RevenueAmt
Desc	1. 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$70,240,427	ExpenseAmt
Revenue	$78,702,319	RevenueAmt
Desc	2. 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$53,111,123	ExpenseAmt
Revenue	$48,788,495	RevenueAmt
Desc	3. 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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

DescDesc	ExpenseExpenseAmt	RevenueRevenueAmt
4. 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.5. 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. 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 PREVENTION 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. 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. 9. 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.10. 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.11. 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. 12. 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 OF INPATIENT CARE AND TO ASSURE THE SUCCESSFUL TRANSITION TO OUTPATIENT CARE.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.
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. 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.19. 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.20. 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.21. 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.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. 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. 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. 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.26. CHILD PROTECTION SERVICES - OUR CENTER WAS ESTABLISHED IN 1984 TO FOSTER A STRONG COLLABORATIVE RELATIONSHIP BETWEEN THE MEDICAL AND LEGAL SYSTEMS THAT ENSURE 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.27. 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.28. 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.29. 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.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.	$306,075,461	$542,073,625

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$306,075,461	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$542,073,625	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$505,984,954	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	295	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2754	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JESSICA GALENS	PersonNm
Phone	4153532396	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	747 52ND STREET	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
NICHOLAS HOLMES
PRESIDENT	1.00	39.00	Yes (X)	Yes (X)	$0	$1,118,581	$48,531
TALMADGE KING
BOARD MEMBER/EX OFFICIO	1.00	39.00	Yes (X)		$0	$1,243,798	$41,386
SURESH GUNASEKARAN
BOARD MEMBER/EX OFFICIO	1.00	39.00	Yes (X)		$0	$2,339,226	$63,451
DANE GEHRINGER
BOARD MEMBER/EX OFFICIO	1.00	39.00	Yes (X)		$0	$261,978	$38,225
SHAHAN SOGHIKIAN
CHAIRMAN	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
LISA WALSH
VICE CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
CARRIE WHEELER
TREASURER (THRU 12/24)	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
GREGOR WATSON
TREASURER (START 01/25)	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
MELISSA WILLIAMS
SECRETARY	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID BEIER
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
VALLI BENESCH
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
LYNNE BENIOFF
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
ANGELA GLOVER BLACKWELL
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
STEVEN KLEIN
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
HENRY DENERO
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
MELISSA KNOX
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
DIANE DIETZ
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
SARAH WAGENER
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
MARIA ECHAVESTE
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
SAMIR KAUL
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
TIMOTHY KENDALL
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
CAROLYN KLEBANOFF
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
CHRIS KWEI
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
JENNA LIM
BOARD MEMBER (START 07/24)	1.00	3.00	Yes (X)		$0	$0	$0
JOHN CHEN
BOARD MEMBER (START 09/24)	1.00	3.00	Yes (X)		$0	$0	$0
MRUNALINI PARVATANENI
BOARD MEMBER (START 01/25)	1.00	3.00	Yes (X)		$0	$0	$0
JOAN ZOLTANSKI
CMO	1.00	39.00		Yes (X)	$0	$907,649	$56,255
TEDDY WANG
CFO (THRU 1/25)	19.00	21.00		Yes (X)	$0	$644,678	$40,249
JOHN CLAGG
INTERIM CFO (START 1/25)	19.00	21.00		Yes (X)	$0	$0	$0
SARAH DUNGAN
CONTROLLER	24.00	16.00			$0	$288,129	$49,581	Yes (X)
JUDIE BOEHMER
CNO	24.00	16.00			$0	$619,006	$59,448	Yes (X)
GEORGE WEISS
VP OPERATIONS	28.00	12.00			$0	$462,681	$38,817	Yes (X)
JASON SELINGER
VP CHILDRENS AMBULATORY SERVICES	28.00	12.00			$0	$431,077	$9,733	Yes (X)
VANESSA ROSHELL-STACKS
VP. ANCILLARY & SUPPORT SERVICES	40.00	0.00			$418,638	$0	$23,159	Yes (X)
CYNTHIA EASTER
RN II	40.00	0.00			$404,712	$0	$96,676		Yes (X)
NATHAN PHAN
RN II	40.00	0.00			$496,410	$0	$188,012		Yes (X)
THERESA NGUYEN
RN III	40.00	0.00			$426,076	$0	$135,532		Yes (X)
KATE TEFFT
RN II	40.00	0.00			$413,523	$0	$55,654		Yes (X)
GRACIELA MENDEZ
RN III	40.00	0.00			$399,759	$0	$274,962		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,559,118	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,316,803	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,219,671	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1440	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SMITHGROUP INC
301 BATTERY ST	SAN FRANCISCO	CA	94111	ARCHITECTURE AND ENGINEERING FIRM	$13,135,706
PEACOCK CONSTRUCTION INC
465 TEHAMA ST	SAN FRANCISCO	CA	94103	GENERAL BUILDER AND CONSTRUCTION MANAGEM	$8,767,727
XL CONSTRUCTION CORPORATION
1111 BROADWAY SUITE 2050	OAKLAND	CA	94607	GENERAL BUILDER AND CONSTRUCTION MANAGEM	$8,523,347
C OVERAA & CO
200 PARR BLVD	RICHMOND	CA	94801	GENERAL BUILDER AND CONSTRUCTION MANAGEM	$7,952,438
RIGHTSOURCING INC
9 EXECUTIVE CIRCLE 290	IRVINE	CA	92614	CONTRACTED MEDICAL AND ADMIN PERSONNEL	$6,007,246

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	81	CntrctRcvdGreaterThan100KCnt
Related Organizations	$18,754,401	RelatedOrganizationsAmt
Government Grants	$145,633,928	GovernmentGrantsAmt
Total Contributions	$164,388,329	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUES	541900	$711,520,419	$711,520,419
GRAD. MEDICAL EDUCATION SUBSIDY	541900	$9,606,138	$9,606,138
340B PHARMACY SERVICES	456110	$7,765,562	$7,765,562
COMMUNITY HEALTH PROGRAM REVENUE	541900	$5,602,975	$5,602,975

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,216,572	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,216,572	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$744,711,666	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,497,656	TotalRevenueColumnAmt
Exclusion	$5,497,656	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,026,818	TotalRevenueColumnAmt
Exclusion	$1,026,818	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,843,861	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,140,251	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,296,390	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,296,390	TotalRevenueColumnAmt
Exclusion	-$1,296,390	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$543,770	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$543,770	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$543,770	TotalRevenueColumnAmt
Exclusion	-$543,770	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$110,668	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$192,141	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$81,473	TotalRevenueColumnAmt
Exclusion	-$81,473	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING REVENUE	812930	$2,060,900	$2,060,900
OTHER INCOME	561000	$495,643	$495,643

Field	Value	IRS element (for citing)
Other Revenue Total	$2,556,543	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$916,259,379	TotalRevenueColumnAmt
Related Or Exempt Func Income	$744,711,666	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,159,384	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,263,827	TotalAmt
Management And General	$1,263,827	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$378,002,224	TotalAmt
Program Services	$318,606,577	ProgramServicesAmt
Management And General	$59,395,647	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$118,298,408	TotalAmt
Program Services	-$99,349,847	ProgramServicesAmt
Management And General	-$18,948,561	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$87,030,597	TotalAmt
Program Services	$56,546,560	ProgramServicesAmt
Management And General	$30,484,037	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,996,377	TotalAmt
Program Services	$22,057,104	ProgramServicesAmt
Management And General	$2,939,273	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,061,297	TotalAmt
Program Services	$54,528	ProgramServicesAmt
Management And General	$7,006,769	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$276,346	TotalAmt
Management And General	$276,346	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$88,277,074	TotalAmt
Program Services	$81,546,664	ProgramServicesAmt
Management And General	$6,730,410	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$207	TotalAmt
Management And General	$207	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,400,466	TotalAmt
Program Services	$6,284,332	ProgramServicesAmt
Management And General	$4,116,134	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,648,118	TotalAmt
Program Services	$9,397,014	ProgramServicesAmt
Management And General	$11,251,104	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$803,108	TotalAmt
Management And General	$803,108	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,014,991	TotalAmt
Program Services	$5,932,130	ProgramServicesAmt
Management And General	$1,082,861	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,829,503	TotalAmt
Program Services	$204,295	ProgramServicesAmt
Management And General	$2,625,208	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$165,356	TotalAmt
Program Services	$98,956	ProgramServicesAmt
Management And General	$66,400	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,199,573	TotalAmt
Management And General	$4,199,573	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,141,705	TotalAmt
Program Services	$4,158,887	ProgramServicesAmt
Management And General	$31,982,818	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$216,621	TotalAmt
Program Services	$3,305	ProgramServicesAmt
Management And General	$213,316	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES	$76,910,007	$76,808,703	$101,304
PURCHASED SERVICES	$39,011,416	$21,936,796	$17,074,620
PROVIDER FEE	$17,409,146	$0	$17,409,146
MINOR EQUIPMENT	$2,211,113	$1,698,950	$512,163

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$686,570,664	TotalAmt
Program Services	$505,984,954	ProgramServicesAmt
Management And General	$180,585,710	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$110,618,878	BOYAmt
EOY	$178,168,809	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$122,318,271	BOYAmt
EOY	$127,815,927	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,229,363	BOYAmt
EOY	$100,020,572	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,427,139	BOYAmt
EOY	$9,470,761	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,651,452	BOYAmt
EOY	$9,307,839	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,123,071,940	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$528,134,018	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$501,325,233	BOYAmt
EOY	$594,937,922	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$96,927,089	BOYAmt
EOY	$269,557,767	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$951,497,425	BOYAmt
EOY	$1,289,279,597	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$140,826,034	BOYAmt
EOY	$199,707,268	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$24,524,120	BOYAmt
EOY	$829,400	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$258,564,242	BOYAmt
EOY	$283,551,682	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$423,914,396	BOYAmt
EOY	$484,088,350	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$493,820,016	BOYAmt
EOY	$772,956,514	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,763,013	BOYAmt
EOY	$32,234,733	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$527,583,029	BOYAmt
EOY	$805,191,247	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$951,497,425	BOYAmt
EOY	$1,289,279,597	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$229,688,715	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$6,253	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$47,913,250	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$100,547	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$205,352	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$305,899	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,264,765	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,570,664	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$187,988	CurrentYearMinus3Amt
Current Year Minus2	$205,307	CurrentYearMinus2Amt
Current Year Minus1	$1,680,884	CurrentYearMinus1Amt
Current Year	$305,899	CurrentYearAmt
Total	$2,380,078	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$75,600	CurrentYearMinus3Amt
Current Year Minus2	$75,600	CurrentYearMinus2Amt
Current Year Minus1	$100,548	CurrentYearMinus1Amt
Current Year	$100,547	CurrentYearAmt
Total	$352,295	TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$321,841,858	BeginningYearBalanceAmt
Contributions	$1,956,759	ContributionsAmt
Investment Earnings Or Losses	$30,478,439	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,902,374	OtherExpendituresAmt
End Year Balance	$348,374,682	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$315,156,191	BeginningYearBalanceAmt
Contributions	$1,122,950	ContributionsAmt
Investment Earnings Or Losses	$22,581,695	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,018,978	OtherExpendituresAmt
End Year Balance	$321,841,858	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$316,380,215	BeginningYearBalanceAmt
Contributions	$1,516,206	ContributionsAmt
Investment Earnings Or Losses	$11,499,129	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,239,359	OtherExpendituresAmt
End Year Balance	$315,156,191	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$337,111,361	BeginningYearBalanceAmt
Contributions	$6,246,730	ContributionsAmt
Investment Earnings Or Losses	-$24,079,146	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,898,730	OtherExpendituresAmt
End Year Balance	$316,380,215	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$245,222,599	BeginningYearBalanceAmt
Contributions	$11,233,914	ContributionsAmt
Investment Earnings Or Losses	$83,850,920	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,196,072	OtherExpendituresAmt
End Year Balance	$337,111,361	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.79710	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.10560	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09730	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,449,508	OtherCostOrOtherBasisAmt
Book Value	$15,449,508	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$645,007,361	OtherCostOrOtherBasisAmt
Depreciation	$269,674,475	DepreciationAmt
Book Value	$375,332,886	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,018,472	OtherCostOrOtherBasisAmt
Depreciation	$177,413	DepreciationAmt
Book Value	$2,841,059	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$178,971,666	OtherCostOrOtherBasisAmt
Depreciation	$136,066,683	DepreciationAmt
Book Value	$42,904,983	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$280,624,933	OtherCostOrOtherBasisAmt
Depreciation	$122,215,447	DepreciationAmt
Book Value	$158,409,486	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$594,937,922	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$48,898,751
DEF O/F OF RESOURCES - PENSION	$45,790,588
NET PENSION ASSET	$174,868,428

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$269,557,767	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
LIABILITY FOR PENSION BENEFITS	$8,350,822
EST THIRD PARTY PAYOR SETTLEMENTS	$52,333,238
NOTES PAYABLE-RELATED ORGANIZATION	$99,293,678
ACCRUED WORKERS COMPENSATION	$19,855,480
DEFERRED INFLOWS	$73,670,578
FINANCE LEASE OBLIGATION	$29,666,144
DUE TO RELATED ORGANIZATION	$381,742

Field	Value	IRS element (for citing)
Total Liability	$283,551,682	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,467,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,371,434	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$395,762,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$416,143,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,471,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,813,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$657,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$404,701,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$419,053,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,029,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,389,350	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,719,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,669,726	NetCommunityBenefitExpnsAmt
Total Expense	0.05630	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,137,409	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,244,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,892,559	NetCommunityBenefitExpnsAmt
Total Expense	0.01880	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,405,887	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,409,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,996,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	-$4,518,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,295,979	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,314,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,314,977	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,729,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,669,837	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,873,765	NetCommunityBenefitExpnsAmt
Total Expense	0.08860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$508,430,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$467,723,409	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,903,172	NetCommunityBenefitExpnsAmt
Total Expense	0.09740	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347,006	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$347,006	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347,006	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$347,006	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,963,131	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,023,187	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,610,479	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,587,292	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSP & RSRCH CTR AT OAKLAND	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	747 52ND STREET	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Field	Value	IRS element (for citing)
Website Address	UCSFBENIOFFCHILDRENS.ORG	WebsiteAddressTxt
State License	140000015	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & RESEARCH CENTER AT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://UCSFBENIOFFCHILDRENS.ORG/ABOUT/CCCH	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.UCSFBENIOFFCHILDRENS.ORG/ABOUT/CCCH	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://UCSFBENIOFFCHILDRENS.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://UCSFBENIOFFCHILDRENS.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://UCSFBENIOFFCHILDRENS.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	PART V, SECTION B, LINE 5: CHRCO'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH EXAMINES THE HEALTH NEEDS OF CHILDREN AND FAMILIES IN ALAMEDA COUNTY, WAS ADOPTED IN 2025. THE ASSESSMENT BUILDS UPON PRIOR CHNA CYCLES WHILE INCORPORATING UPDATED DATA AND EXPANDED COMMUNITY INPUT TO IDENTIFY THE MOST PRESSING HEALTH NEEDS AFFECTING THE COMMUNITIES SERVED BY THE HOSPITAL. THE 2025 CHNA USED A BROAD PUBLIC HEALTH FRAMEWORK THAT EXAMINES NOT ONLY CLINICAL HEALTH OUTCOMES BUT ALSO THE SOCIAL, ENVIRONMENTAL, AND ECONOMIC CONDITIONS THAT INFLUENCE HEALTH, INCLUDING HOUSING STABILITY, FOOD ACCESS, EDUCATION, EMPLOYMENT, AND STRUCTURAL BARRIERS TO CARE.THE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE REGIONAL PROCESS WITH PARTNER HOSPITALS AND PUBLIC HEALTH STAKEHOLDERS SERVING ALAMEDA COUNTY. SECONDARY DATA ANALYSIS INCLUDED A REVIEW OF MORE THAN 350 HEALTH AND SOCIAL INDICATORS FROM PUBLICLY AVAILABLE SOURCES SUCH AS COUNTY HEALTH RANKINGS, KIDSDATA, AND THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH. THESE INDICATORS WERE USED TO IDENTIFY DISPARITIES AND TRENDS RELATED TO HEALTH OUTCOMES, HEALTHCARE ACCESS, AND SOCIAL DRIVERS OF HEALTH ACROSS THE COUNTY.COMMUNITY INPUT WAS A CENTRAL COMPONENT OF THE ASSESSMENT. A COMPREHENSIVE AND INCLUSIVE APPROACH WAS USED TO GATHER QUALITATIVE FEEDBACK THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. MORE THAN 200 COMMUNITY MEMBERS AND STAKEHOLDERS PARTICIPATED, REPRESENTING DIVERSE PERSPECTIVES ACROSS THE REGION. PARTICIPANTS INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH AGENCIES, HEALTHCARE ORGANIZATIONS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICE PROVIDERS, AND LOCAL GOVERNMENT, AS WELL AS INDIVIDUALS FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES.CONSULTATION FOCUSED ON INDIVIDUALS WITH KNOWLEDGE, EXPERTISE, AND LIVED EXPERIENCE RELATED TO COMMUNITY HEALTH CHALLENGES. THESE DISCUSSIONS EXPLORED EMERGING HEALTH ISSUES, BARRIERS TO CARE, AND OPPORTUNITIES FOR CROSS-SECTOR COLLABORATION TO IMPROVE HEALTH OUTCOMES. FINDINGS FROM THE SECONDARY DATA ANALYSIS AND COMMUNITY ENGAGEMENT PROCESS WERE SYNTHESIZED TO IDENTIFY THE MOST SIGNIFICANT HEALTH NEEDS AND GUIDE THE DEVELOPMENT OF CHRCO'S 2025-2027 CHNA IMPLEMENTATION PLAN. FOR ADDITIONAL INFORMATION REGARDING THE ASSESSMENT PROCESS, PARTICIPATING PARTNERS, AND CONTRIBUTORS, PLEASE REFER TO THE FULL CHNA REPORT AND ACCOMPANYING APPENDICES.
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.IN ADDITION TO THESE PRIMARY PARTNERS, CHRCO COLLABORATED WITH OTHER ESTEEMED ORGANIZATIONS, INCLUDING KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. THE COLLECTIVE EXPERTISE AND ENGAGEMENT OF THESE DIVERSE PARTNERS FORTIFIED THE EFFECTIVENESS OF THE CHNA GROUP IN ADDRESSING AND UNDERSTANDING THE COMMUNITY'S HEALTH NEEDS.
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	PART V, SECTION B, LINE 11: CHRCO'S COMMUNITY BENEFIT ACTIVITIES IN FY 2025 ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADOPTED IN 2025. THE CHNA IDENTIFIED FOUR KEY PRIORITY AREAS AFFECTING CHILDREN AND FAMILIES IN ALAMEDA COUNTY: ACCESS TO CARE, BEHAVIORAL HEALTH, COMMUNITY AND FAMILY SAFETY, AND ECONOMIC SECURITY. THESE PRIORITIES GUIDE CHRCO'S COMMUNITY BENEFIT STRATEGY AND INFORM THE HOSPITAL'S 2025-2027 IMPLEMENTATION PLAN.IN FY2025, CHRCO ADVANCED A RANGE OF PROGRAMS AND PARTNERSHIPS DESIGNED TO ADDRESS THESE PRIORITY NEEDS. EFFORTS TO IMPROVE ACCESS TO CARE INCLUDED COMMUNITY-BASED CLINICAL SERVICES SUCH AS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLINICS, SCHOOL-BASED HEALTH CENTERS, AND A MOBILE HEALTH CLINIC DESIGNED TO EXPAND PREVENTIVE AND PRIMARY CARE SERVICES IN UNDERSERVED NEIGHBORHOODS. TO ADDRESS BEHAVIORAL HEALTH, CHRCO EXPANDED CRISIS RESPONSE AND EARLY INTERVENTION SERVICES FOR CHILDREN AND YOUTH EXPERIENCING MENTAL HEALTH NEEDS AND STRENGTHENED TRAUMA-INFORMED CARE ACROSS HOSPITAL DEPARTMENTS.CHRCO ADDRESSED COMMUNITY AND FAMILY SAFETY THROUGH INJURY PREVENTION EDUCATION, SAFETY EQUIPMENT DISTRIBUTION, AND HOSPITAL-BASED VIOLENCE INTERVENTION SERVICES THAT SUPPORT YOUTH IMPACTED BY VIOLENCE. TO ADVANCE ECONOMIC SECURITY, CHRCO IMPLEMENTED PROGRAMS THAT ADDRESS SOCIAL DRIVERS OF HEALTH, INCLUDING FOOD ACCESS INITIATIVES, BASIC NEEDS NAVIGATION SERVICES, AND YOUTH WORKFORCE DEVELOPMENT PROGRAMS THAT PROVIDE MENTORSHIP AND CAREER PATHWAYS INTO HEALTH PROFESSIONS.CHRCO RECOGNIZES THAT SOME COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA EXTEND BEYOND THE SCOPE OF SERVICES THAT A HOSPITAL ALONE CAN PROVIDE. FOR EXAMPLE, WHILE CHRCO CONNECTS FAMILIES TO HOUSING AND TRANSPORTATION RESOURCES THROUGH NAVIGATION SERVICES AND COMMUNITY PARTNERSHIPS, THE HOSPITAL DOES NOT DIRECTLY OPERATE HOUSING OR TRANSPORTATION SYSTEMS. ADDRESSING THESE BROADER STRUCTURAL CHALLENGES REQUIRES COORDINATED EFFORTS AMONG HEALTHCARE PROVIDERS, PUBLIC AGENCIES, COMMUNITY ORGANIZATIONS, AND POLICYMAKERS.THE FULL CHNA AND IMPLEMENTATION PLAN ARE PUBLICLY AVAILABLE ON THE HOSPITAL'S WEBSITE.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALAMEDA COUNTY JUVENILE JUSTICE CENTER
2300 FAIRMONT DRIVE A2024	SAN LEANDRO	CA	94578	MEDICAL CLINIC AT JUVENILE DETENTION FACILITY
2 - CLAREMONT PRIMARY CARE CLINIC
5220 CLAREMONT AVE	OAKLAND	CA	94618	PRIMARY CARE CLINIC
3 - BRENTWOOD OUTPATIENT CLINIC
1181 CENTRAL BLVD	BRENTWOOD	CA	94513	OUTPATIENT CLINIC
4 - SAN RAMON OUTPATIENT CENTER
12677 ALCOSTA BLVD SUITE 140	SAN RAMON	CA	94582	OUTPATIENT CENTER
5 - WALNUT CREEK OUTPATIENT CENTER
2401 SHADELANDS DRIVE	WALNUT CREEK	CA	94598	OUTPATIENT CENTER
6 - OAKLAND OUTPATIENT CENTER
744 52ND STREET	OAKLAND	CA	94609	OUTPATIENT CENTER
7 - YOUTH UPRISINGCASTLEMONT HEALTH CENTER
8711 MACARTHUR BLVD	OAKLAND	CA	94605	SCHOOL-BASED HEALTH CENTER
8 - CHAPPELL HAYES HEALTH CENTER
2607 MYRTLE ST	OAKLAND	CA	94607	SCHOOL-BASED HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 OAKLAND (CHRCO) ACTIVELY ENGAGES IN A RANGE OF COMMUNITY-BUILDING INITIATIVES DESIGNED TO ADDRESS THE SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS THAT SHAPE CHILD HEALTH. THESE EFFORTS ARE DESCRIBED IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT AND REFLECT CHRCO'S COMMITMENT TO ADVANCING COMMUNITY HEALTH BEYOND THE TRADITIONAL CLINICAL SETTING. COMMUNITY BUILDING ACTIVITIES FOCUS ON STRENGTHENING NEIGHBORHOOD RESOURCES, SUPPORTING PREVENTION INITIATIVES, AND CONVENING CROSS-SECTOR PARTNERSHIPS TO ADDRESS PRIORITY HEALTH ISSUES AFFECTING CHILDREN AND FAMILIES IN ALAMEDA COUNTY, INCLUDING ASTHMA, SICKLE CELL DISEASE, INJURY PREVENTION, DIABETES, AND BEHAVIORAL HEALTH. THE HOSPITAL ALSO PARTICIPATES IN LOCAL AND REGIONAL COALITIONS AND POLICY ADVOCACY EFFORTS THAT PROMOTE CHILD HEALTH AND HEALTH EQUITY.THE CENTER FOR CHILD AND COMMUNITY HEALTH (CCCH) PLAYS A CENTRAL ROLE IN DEVELOPING AND IMPLEMENTING THESE COMMUNITY-ROOTED STRATEGIES. CCCH COLLABORATES CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS, PUBLIC AGENCIES, AND SCHOOLS TO DESIGN INNOVATIVE PROGRAMS THAT DEMONSTRATE HOW PEDIATRIC HOSPITALS CAN EXTEND THEIR IMPACT BEYOND MEDICAL CARE. ONE EXAMPLE IS CHRCO'S FOOD AS MEDICINE STRATEGY, WHICH INTEGRATES SCREENING FOR FOOD INSECURITY WITH DIRECT ACCESS TO NUTRITIOUS FOOD AND COMMUNITY RESOURCES. THROUGH PARTNERSHIPS WITH THE ALAMEDA COUNTY COMMUNITY FOOD BANK, ROOFTOP FARM COLLABORATIVE, AND FOOD FARMACY INITIATIVES, FAMILIES RECEIVE FRESH GROCERIES, NUTRITION EDUCATION, AND CONNECTIONS TO PUBLIC BENEFIT PROGRAMS, HELPING ADDRESS FOOD INSECURITY WHILE SUPPORTING CHILD HEALTH AND FAMILY STABILITY.CHRCO ALSO INVESTS IN LONG-TERM COMMUNITY CAPACITY THROUGH YOUTH WORKFORCE DEVELOPMENT. THE COMMUNITY HEALTH AND ADOLESCENT MENTORING PROGRAM FOR SUCCESS (CHAMPS) PROVIDES MENTORSHIP, HEALTH CAREER EXPOSURE, AND PAID EXPERIENTIAL LEARNING OPPORTUNITIES FOR HIGH SCHOOL STUDENTS FROM COMMUNITIES HISTORICALLY UNDERREPRESENTED IN THE HEALTH PROFESSIONS. THESE PROGRAMS AIM TO BUILD PATHWAYS INTO HEALTHCARE CAREERS WHILE STRENGTHENING COMMUNITY REPRESENTATION IN THE HEALTH WORKFORCE.AS PART OF ITS COMMITMENT AS AN ANCHOR INSTITUTION, CHRCO INTENTIONALLY LEVERAGES ITS ECONOMIC AND INSTITUTIONAL RESOURCES TO ADDRESS UPSTREAM DRIVERS OF HEALTH SUCH AS POVERTY, EDUCATIONAL OPPORTUNITY, AND WORKFORCE DEVELOPMENT. IN 2025, CHAMPS PILOTED A YOUTH MENTAL AND BEHAVIORAL HEALTH WORKFORCE PATHWAY DESIGNED TO HELP ADDRESS CRITICAL SHORTAGES IN THE BEHAVIORAL HEALTH WORKFORCE WHILE CREATING CAREER OPPORTUNITIES FOR LOCAL YOUTH. IN ADDITION, THROUGH CAMPUS MODERNIZATION AND CONSTRUCTION PLANNING EFFORTS, CHRCO HAS ESTABLISHED AN AMBITIOUS GOAL OF ACHIEVING 30 PERCENT LOCAL HIRING ON CAPITAL PROJECTS, REINFORCING THE HOSPITAL'S ROLE IN ADVANCING ECONOMIC OPPORTUNITY AND COMMUNITY INVESTMENT.TOGETHER, THESE COMMUNITY-BUILDING INITIATIVES REFLECT CHRCO'S BROADER COMMITMENT TO ADVANCING INCLUSIVE ACCESS TO HEALTH BY STRENGTHENING COMMUNITY CONDITIONS, EXPANDING OPPORTUNITY, AND PARTNERING WITH FAMILIES AND COMMUNITY ORGANIZATIONS TO SUPPORT THE LONG-TERM HEALTH AND WELL-BEING OF CHILDREN.
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:	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:CHRCO CONDUCTS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS TO EVALUATE THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. THE MOST RECENT ASSESSMENT WAS ADOPTED IN 2025 AND EXAMINED PEDIATRIC HEALTH NEEDS IN ALAMEDA COUNTY USING A MIXED-METHODS APPROACH THAT COMBINED QUANTITATIVE DATA ANALYSIS WITH EXTENSIVE COMMUNITY INPUT.THE CHNA PROCESS INCLUDED: (A) ANALYSIS OF MORE THAN 350 INDICATORS RELATED TO HEALTH OUTCOMES, HEALTHCARE ACCESS, AND SOCIAL DRIVERS OF HEALTH USING NATIONAL, STATE, AND LOCAL DATA SOURCES; (B) KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS REPRESENTING PUBLIC HEALTH AGENCIES, HEALTHCARE ORGANIZATIONS, SCHOOLS, AND COMMUNITY-BASED ORGANIZATIONS; (C) FOCUS GROUPS WITH COMMUNITY MEMBERS REPRESENTING DIVERSE POPULATIONS, INCLUDING MEDICALLY UNDERSERVED AND LOW-INCOME RESIDENTS; AND (D) SYNTHESIS OF QUANTITATIVE AND QUALITATIVE FINDINGS TO IDENTIFY AND PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS AFFECTING CHILDREN AND FAMILIES IN THE REGION. COMMUNITY FEEDBACK AND DATA ANALYSIS WERE USED TO GUIDE THE PRIORITIZATION OF HEALTH NEEDS AND INFORM THE HOSPITAL'S IMPLEMENTATION STRATEGY.IN ADDITION TO THE FORMAL CHNA PROCESS, CHRCO MAINTAINS ONGOING MECHANISMS TO ASSESS COMMUNITY NEEDS THROUGH ENGAGEMENT WITH COMMUNITY STAKEHOLDERS AND PATIENT FAMILIES. THE HOSPITAL CONVENES BOTH A COMMUNITY ADVISORY BOARD AND A FAMILY ADVISORY BOARD COMPOSED OF COMMUNITY MEMBERS AND CAREGIVERS. THESE ADVISORY GROUPS PROVIDE REGULAR INPUT ON COMMUNITY HEALTH PRIORITIES, BARRIERS TO CARE, AND OPPORTUNITIES TO STRENGTHEN SERVICES AND PARTNERSHIPS.
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 FY2025, 53% OF CHRCO PATIENTS COME FROM ALAMEDA COUNTY, WHILE CONTRA COSTA ACCOUNTS FOR 28%, THEN SAN JOAQUIN AT 6% 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 0-18 COMPRISE APPROXIMATELY 19.2% 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: APPROXIMATELY 72% OF CHRCO'S ALAMEDA COUNTY PATIENTS RELIED ON GOVERNMENT-SPONSORED HEALTH INSURANCE IN FY2025. THIS HIGH VOLUME OF PUBLIC ENROLLMENT UNDERSCORES THE HOSPITAL'S VITAL ROLE IN PROVIDING ESSENTIAL CARE TO THE REGION'S 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:	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, CHRCO 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)CHRCO 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 SUPPORT ENSURING STABILIZATION AND LONG-TERM MENTAL HEALTH IMPROVEMENT.2. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)CHRCO OPERATES FOUR FQHCS INCLUDING SCHOOL-BASED CLINICS AT CASTLEMONT AND MCCLYMONDS HIGH SCHOOLS PROVIDING 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. 3. 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 0-3. WITH A 98% SATISFACTION RATE AND A 90% APPOINTMENT SHOW RATE, BLOOM BUILDS TRUST, SUPPORTS EARLY DEVELOPMENT, AND COMBATS RACIAL DISPARITIES IN HEALTHCARE ACCESS.4. 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 2025, YVIP CONTINUED TO FOCUS ON EARLY INTERVENTION, TRUSTED RELATIONSHIP-BUILDING, AND COORDINATED REFERRALS TO SERVICES ADDRESSING MENTAL HEALTH SUPPORT, EDUCATION, HOUSING STABILITY, AND VICTIM ADVOCACY. BY WORKING CLOSELY WITH CLINICAL TEAMS AND COMMUNITY PARTNERS, THE PROGRAM SUPPORTS CONTINUITY OF CARE BEYOND DISCHARGE AND HELPS REDUCE THE RISK OF RE-INJURY. A TOTAL OF 22 YVIP YOUTH WERE SERVED FOLLOWING A VIOLENCE-RELATED INJURY AND 18 COMMUNITY VIOLENCE REFERRALS WERE MADE TO YOUTH ALIVE! IN 2025.5. CHILDHOOD INJURY PREVENTION PROGRAM (CIPP)CIPP DISTRIBUTED OVER 330 CAR SEATS IN 2025 WITH PARTNERSHIPS WITH CAL-NEV-HA CHILDREN'S FUND, KIWANIS INT'L, YMCA OF THE EAST BAY, MUJERES UNIDAS Y ACTIVAS, CRIBS FOR KIDS, NICU, BLOOM CLINIC, AND MORE.6. FOOD FARMACIES & ROOFTOP FARM PARTNERSHIPCOMBATTING FOOD INSECURITY HEAD-ON, CHRCO HELD FOOD FARMACY EVENTS THAT DISTRIBUTED 125,221 LBS. OF FOOD TO AN AVERAGE OF 310 HOUSEHOLDS SERVED PER MONTH WITH 859 AVERAGE NUMBER OF CHILDREN SERVED/MONTH, AND 824 AVERAGE NUMBER OF ADULTS SERVED PER MONTH. PARTNERSHIPS ARE WITH UC AGRICULTURE AND NATURAL RESOURCES, CALFRESH HEALTH LIVING, ALAMEDA COUNTY COMMUNITY FOOD BANK, DEEP MEDICINE CIRCLE, CHRCO MEDICAL RESIDENCY PROGRAM.7. 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.8. 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+ YOUTH, ADVANCING CHRCO'S COMMITMENT TO INCLUSIVE, IDENTITY-AFFIRMING CARE.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SURESH GUNASEKARAN
BOARD MEMBER/EX OFFICIO	$0	$1,951,734	$0	$386,052	$0	$1,440	$0	$27,600	$0	$35,851	$0	$2,402,677	$0	$0
TALMADGE KING
BOARD MEMBER/EX OFFICIO	$0	$1,027,863	$0	$196,159	$0	$19,776	$0	$22,026	$0	$19,360	$0	$1,285,184	$0	$0
NICHOLAS HOLMES
PRESIDENT	$0	$853,633	$0	$240,000	$0	$24,948	$0	$34,305	$0	$14,226	$0	$1,167,112	$0	$0
JOAN ZOLTANSKI
CMO	$0	$711,716	$0	$123,558	$0	$72,375	$0	$33,584	$0	$22,671	$0	$963,904	$0	$0
TEDDY WANG
CFO (THRU 1/25)	$0	$554,816	$0	$89,862	$0	$0	$0	$27,600	$0	$12,649	$0	$684,927	$0	$0
NATHAN PHAN
RN II	$496,310	$0	$100	$0	$0	$0	$153,171	$0	$34,841	$0	$684,422	$0	$0	$0
JUDIE BOEHMER
CNO	$0	$530,842	$0	$88,164	$0	$0	$0	$40,049	$0	$19,399	$0	$678,454	$0	$0
GRACIELA MENDEZ
RN III	$399,659	$0	$100	$0	$0	$0	$233,871	$0	$41,091	$0	$674,721	$0	$0	$0
THERESA NGUYEN
RN III	$425,976	$0	$100	$0	$0	$0	$100,691	$0	$34,841	$0	$561,608	$0	$0	$0
GEORGE WEISS
VP OPERATIONS	$0	$395,772	$0	$66,909	$0	$0	$0	$26,059	$0	$12,758	$0	$501,498	$0	$0
CYNTHIA EASTER
RN II	$404,612	$0	$100	$0	$0	$0	$83,955	$0	$12,721	$0	$501,388	$0	$0	$0
KATE TEFFT
RN II	$413,423	$0	$100	$0	$0	$0	$35,948	$0	$19,706	$0	$469,177	$0	$0	$0
VANESSA ROSHELL-STACKS
VP. ANCILLARY & SUPPORT SERVICES	$375,172	$0	$42,555	$0	$911	$0	$20,250	$0	$2,909	$0	$441,797	$0	$0	$0
JASON SELINGER
VP CHILDRENS AMBULATORY SERVICES	$0	$368,908	$0	$62,169	$0	$0	$0	$0	$0	$9,733	$0	$440,810	$0	$0
SARAH DUNGAN
CONTROLLER	$0	$254,629	$0	$33,472	$0	$28	$0	$22,562	$0	$27,019	$0	$337,710	$0	$0
DANE GEHRINGER
BOARD MEMBER/EX OFFICIO	$0	$218,285	$0	$43,476	$0	$217	$0	$14,253	$0	$23,972	$0	$300,203	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	THE CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND BYLAWS WERE REVISED AND ADOPTED BY THE BOARD WITH AN EFFECTIVE DATE OF JULY 1, 2025. MATERIAL CHANGES INCLUDE: (1) A CHANGE IN THE COMPOSITION OF THE BOARD; (2) REVERSION OF THE AUDIT AND COMPLIANCE COMMITTEE FUNCTIONS AND RESPONSIBILITIES TO THE UNIVERSITY OF CALIFORNIA BOARD OF REGENTS; AND (3) THE ESTABLISHMENT OF THE UCSF BENIOFF CHILDREN'S HEALTH BOARD, WHICH FUNCTIONS AS AN ADVISORY BOARD COMPRISED OF COMMUNITY MEMBERS.
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. CHRCO 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.
FORM 990, PART IX, LINE 11G	CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,475,010. MANAGEMENT AND GENERAL EXPENSES 1,985,285. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,460,295. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 79,071,654. MANAGEMENT AND GENERAL EXPENSES 4,745,125. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,816,779.
FORM 990, PART IX, LINE 8	LINE 8 IS A NEGATIVE EXPENSE FOR FY 25. ALL EMPLOYEES OF CHRCO TRANSITIONED TO UCSF HEALTH AS EMPLOYEES AS OF 7/6/2025. THE CHRCO PENSION PLAN WAS FROZEN AS OF 6/30/25 AND SIGNIFICANTLY REDUCED THE PENSION LIABILITY RESULTING IN A CREDIT TO PENSION EXPENSE.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFERS -3,386,683. CUMULATIVE EFFECT OF ADOPTION OF GASB 101 51,299,933.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION
2201 BROADWAY SUITE 600	OAKLAND	CA	94612	941657474	CHARITABLE FOUNDATION	CA	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	Yes (1)
CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE
5222 DOVER ST	OAKLAND	CA	94609	922909976	TEMPORARY LODGING FOR PATIENT FAMILIES	CA	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	Yes (1)
FOUNDATION FOR CHILDREN'S CARE DBA FAMILY LEGACY FUND
2201 BROADWAY SUITE 600	OAKLAND	CA	94612	912145422	FOUNDATION SUPPORT	CA	501(C)(3)	LINE 12A, I	CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND	Yes (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
1111 FRANKLIN STREET	OAKLAND	CA	94607	946036493	PUBLIC EDUCATIONAL INSTITUTE	CA	501(C)(3)	LINE 6		0	N/A
UCSF HEALTH MEDICAL FOUNDATION
6475 CHRISTIE AVE 300	EMERYVILLE	CA	94608	861175591	MEDICAL FOUNDATION	CA	501(C)(3)	LINE 10	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA	0
UNIVERSITY OF CALIFORNIA SAN FRANCISCO FOUNDATION
2001 THE EMBARCADERO 3RD FLOOR	SAN FRANCISCO	CA	94105	942829914	CHARITABLE FOUNDATION	CA	501(C)(3)	LINE 5	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA	0
UCSF HEALTH COMMUNITY HOSPITALS
900 HYDE STREET	SAN FRANCISCO	CA	94109	941156295	HEALTHCARE	CA	501(C)(3)	LINE 3	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$18,734,596	InvolvedAmt
Method Of Amount Determination	CASH RECEIPTS	MethodOfAmountDeterminationTxt