2013-11-15T10:14:04-06:00 2012-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2012-01-01 941657474 CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION CHIL 5104283814 2201 BROADWAY STREET NO 600 OAKLAND CA 94612 CHARLOTTE E BIERN 5104283814 2013-11-12 1 RENIE BURBANK P00159653 4159561500 2012 2016-02-25 16:41:14Z CHARLOTTE E BIERN 2201 BROADWAY STREET NO 600 OAKLAND CA 94612 434272242 0 X WWW.CHOFOUNDATION.ORG X 1967 CA CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN IN OPERATION SINCE 1967. ITS PRIMARY GOAL IS TO ACQUIRE CHARITABLE GIFTS AND OTHER RESOURCES EXCLUSIVELY FOR CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND'S PROGRAMS, SERVICES AND OPERATIONS. SINCE ITS BEGINNING, CHILDREN'S HOSPITAL AND RESEARCH CENTER FOUNDATION HAS RAISED MILLIONS OF DOLLARS FROM INDIVIDUALS, BUSINESSES, SPONSORS, ORGANIZATIONS, AND PUBLIC AND PRIVATE FOUNDATIONS. THE DONORS WHO SUPPORT US FORM AN INVALUABLE PARTNERSHIP THAT FURTHERS THE WELL-BEING AND SAFETY OF THE REGION'S CHILDREN. 10 7 45 500 -2849 -2849 20868676 21703263 0 0 12077256 7028474 76344 -183923 33022276 28547814 15408886 14524731 0 0 4184076 4393209 14833 24625 2381340 2786776 3950697 22394571 22893262 10627705 5654552 199859730 214709571 4422692 4365782 195437038 210343789 X CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION IS DEDICATED TO BRINGING HEALTH AND WELL BEING TO CHILDREN THROUGH PHILANTHROPIC AND VOLUNTEER SUPPORT FOR CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND. 0 0 16698386 14524731 COMMUNITY LEADERS MAKE UP THE FOUNDATION'S BOARD OF DIRECTORS, PROVIDING DIRECTION AND OVERSIGHT TO PLANNING AND IMPLEMENTING A COMPREHENSIVE FUND DEVELOPMENT PROGRAM, INCLUDING MAJOR AND ANNUAL GIVING, COMPREHENSIVE GIFT PLANNING OPTIONS, SPECIAL EVENTS, THE CHILDREN'S MIRACLE NETWORK, AND A COMPLETE GRANT PROGRAM. WITH A HISTORY OF COMMUNITY SUPPORT FOR ALMOST 100 YEARS, CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND HAS BEEN PROVIDING EXTRAORDINARY CARE FOR ALL CHILDREN, REGARDLESS OF MEDICAL CONDITION OR ABILITY TO PAY. FROM THE BEGINNING, THE GENEROUS SUPPORT OF DONORS IN OUR COMMUNITY AND BEYOND HAS HELPED CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND BECOME A MODEL OF HEALTH CARE AT ITS BEST. CARING FOR THE REGION'S CHILDREN FROM MINOR SCRAPES TO MAJOR ILLNESSES, CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND SERVES AS A NATIONAL REFERRAL CENTER AND A MEDICAL SAFETY NET FOR FAMILIES. WITH EXPERTISE IN 30 PEDIATRIC SUBSPECIALTIES FROM ADOLESCENT MEDICINE TO UROLOGY, AND MORE THAN 200,000 PATIENT VISITS EACH YEAR, CHILDREN'S HOSPITAL IS A PLACE JUST FOR KIDS, FROM PREEMIES TO TEENS. IN ADDITION TO BEING ONE OF THE LARGEST PEDIATRIC TRAUMA CENTERS IN NORTHERN CALIFORNIA, CHILDREN'S OFFERS THE LARGEST PEDIATRIC CRITICAL CARE FACILITY IN THE REGION AND AN UNPARALLELED RANGE OF INPATIENT, OUTPATIENT AND COMMUNITY PROGRAMS. WITH THE CHILDREN'S HOSPITAL RESEARCH INSTITUTE (CHORI) AS A DIVISION OF THE HOSPITAL, CLINICAL AND BASIC RESEARCH TEAMS WORK TOGETHER TO ADVANCE TREATMENTS OF LIFE-THREATENING ILLNESSES SUCH AS CANCER, SICKLE CELL DISEASE, OBESITY, DIABETES, CYSTIC FIBROSIS, AND HIV/AIDS. CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND IS A NATIONALLY RECOGNIZED TEACHING HOSPITAL. IN ADDITION TO TRAINING RESIDENTS, FELLOWS AND MEDICAL STUDENTS, WE OFFER A WEEKLY SERIES OF RESEARCH SEMINARS, A PROGRAM INTRODUCING UNDERREPRESENTED MINORITY HIGH SCHOOL STUDENTS TO THE HEALTH PROFESSIONS AND A SUMMER RESEARCH INTERNSHIP FOR HIGH SCHOOL STUDENTS AND COLLEGE UNDERGRADUATES. 16698386 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 82 0 1 45 1 0 0 0 0 1 1 1 1 0 0 0 1 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X CHARLOTTE E BIERN 5104283814 2201 BROADWAY ST SUITE 600 OAKLAND CA 94612 JAMES KEEFE 2.00 X X 0 0 0 JAMIE BERTASI ZERBER 2.00 X 0 0 0 ART D'HARLINGUE MD 2.00 X 0 0 0 EDWARD LICHTY 2.00 X 0 0 0 BERT LUBIN MD 8.00 32.00 X X 0 846058 384373 ALEX LUCAS PHD 2.00 X 0 0 0 BETTY JO OLSON 2.00 X 0 0 0 ORI SASSON 2.00 X 0 0 0 TIM WARNER PHD 2.00 X 0 0 0 MELISSA WILLIAMS 2.00 X 0 0 0 B BRADLEY BARBER 26.70 13.30 X 0 794817 172702 SARA MERRICK 19.90 20.10 X 0 82151 18848 KATHLEEN CAIN 2.00 38.00 X 0 247812 52972 BETSY CHARLOTTE BIERN 26.70 13.30 X 0 157474 50299 MARY CHRISTINE MCMURRAY 40.00 X 0 163632 48377 BARBARA BEERY 40.00 X 0 134987 66212 KEVIN HUGHES 40.00 X 0 136235 36493 MARY MEG MCMANUS 40.00 X 0 119473 44531 TRAVIS BRADBURN 40.00 X 0 160809 30044 0 2843448 904851 11 0 1 0 L & E MERIDIAN 7400 FULLERTON ROAD NO 110 SPRINGFIELD VA 22153 ACQUISITION MAILINGS 208019 MERGANSER CAPITAL MANAGEMENT INC 99 HIGH STREET BOSTON MA 02110 INVESTMENT MANAGEMENT 149396 NORCO PRINTING 440 HESTER STREET SAN LEANDRO CA 945771037 PRINTING 139320 AMERICAN CENTURY 4500 MAIN STREET KANSAS CITY MO 64111 INVESTMENT MANAGEMENT 109701 KEY ACQUISITION PARTNERS 625 9TH STREET NAPLES FL 34102 MAILING LIST BROKER 108750 5 73302 1202009 688475 19739477 360689 21703263 3931220 3931220 24000 0 24000 24000 24000 408611912 405514658 3097254 3097254 3097254 176718 1202009 209770 -33052 -33052 INV INCOME FROM K-1S 900099 -174871 -2849 -172022 -174871 28547814 0 -2849 6847400 14524731 14524731 1459865 602345 490487 367033 1695299 711539 672445 311315 250635 105195 99415 46025 767601 322172 304471 140958 219809 92257 87188 40364 47983 26362 21621 70492 70492 24625 24625 428585 428585 285262 28525 124406 132331 351118 35170 315948 669030 167493 501537 187868 16533 62723 108612 470791 470791 49417 809 6682 41926 22039 730 10912 10397 42000 42000 66294 66294 BAD DEBT EXPENSE 605693 605693 PRINTING & PUBLICATIONS 334589 19738 314851 CHILDREN'S MIRACLE NTWK 251550 251550 MEMBERSHIP DUES 67986 64189 3797 22893262 16698386 3813536 2381340 2563376 4569589 7564396 9270580 3054223 2624603 2690383 850907 4058750 800000 294137 221831 505101 411614 147206 93487 154775641 170502715 8011796 8051699 16699822 17724160 199859730 214709571 173791 286079 25088 59750 800000 800000 3423813 3219953 4422692 4365782 X 133793718 142223812 33139180 37951121 28504140 30168856 195437038 210343789 199859730 214709571 X 5654552 7883256 1368943 X X 0 1 X 1 0 X 22144925 17315350 18810031 20868676 21703263 100842245 22144925 17315350 18810031 20868676 21703263 100842245 14740975 86101270 8609760 6690108 6095934 4280675 3955220 29631697 86336 31639 117975 130591917 0.65930 0.65180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 157488220 1405925 14473919 1447506 171920558 154620229 4433367 -139881 1425495 157488220 143669992 12510472 1560235 154620229 149740158 2180470 18463150 26713786 143669992 165447105 104737 -15706859 104825 149740158 0.80000 0.14000 0.06000 0 0 65915 63696 2219 277444 250441 27003 161742 97477 64265 93487 DUE FROM FAMILY LEGACY FUND 11403 OTHER ASSETS 33978 TRUST RECEIVABLE 17678779 17724160 FIXED PAYMENT DUE TO DONORS 2811925 DUE TO CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 408028 3219953 38009784 7883256 1073544 8956800 29052984 -505170 -505170 28547814 23103033 209771 209771 22893262 0 22893262 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE PERMANENTLY RESTRICTED ENDOWMENTS GENERATE TEMPORARILY RESTRICTED FUNDS TO BE USED AS DESIGNATED BY THE DONOR. THE UNRESTRICTED ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS OR SPECIAL REQUIREMENTS OF THE CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND. BOARD DESIGNATED FUNDS SUPPORT CHILDREN'S HOSPITAL OAKLAND RESEARCH INSTITUTE (CHORI). PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SPLIT INTEREST 1,073,543. ROUNDING 1. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF SPECIAL EVENT EXPENSES -209,770. INCOME FROM K-1S -295,400. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF SPECIAL EVENT EXPENSES 209,770. ROUNDING 1. X X X X X X 1 PDR II DBA SHARE 79 CHAPEL STREET NEWTON MA 02458 TELEMARKETING 0 14327 24625 -10298 14327 24625 -10298 CA AK AL AR AZ CO CT DC DE FL GA HI IL IA ID IN KS KY LA MA MD ME MI MN MS MO MT NC ND NH NJ NM NY NE NV OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY NOTES & WORDS 552139 464883 87256 109460 SCORE FORE KIDS 176194 94397 81797 78898 4 650394 642729 7665 21412 1378727 1202009 176718 209770 209770 -33052 1 CHILDREN'S HOSPITAL RESEARCH CENTER OAKLAND 747 52ND STREET OAKLAND CA 94609 940382330 501(C)(3) 14524731 UNRESTRICTED GENERAL SUPPORT AND VARIOUS DONOR DESIGNATED. 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THERE IS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS TRANSFERRED TO CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND. AS PART OF THE OVERALL OPERATION OF RELATED ORGANIZATIONS, CHILDREN'S HOSPITAL AND RESEARCH CENTER OAKLAND KEEPS CAREFUL TRACK OF THE USE OF FUNDS GRANTED BY CHILDREN'S HOSPITAL AND RESEARCH CENTER FOUNDATION. 1 0 0 0 0 0 0 0 0 BERT LUBIN MD 0 599036 0 0 0 247022 0 354329 0 30044 0 1230431 0 0 B BRADLEY BARBER 0 317863 0 0 0 476954 0 161446 0 11256 0 967519 0 0 KATHLEEN CAIN 0 175001 0 0 0 72811 0 47250 0 5722 0 300784 0 0 BETSY CHARLOTTE BIERN 0 149999 0 0 0 7475 0 40500 0 9799 0 207773 0 0 MARY CHRISTINE MCMURRAY 0 162084 0 0 0 1548 0 27008 0 21369 0 212009 0 0 BARBARA BEERY 0 134987 0 0 0 0 0 33995 0 32217 0 201199 0 0 KEVIN HUGHES 0 136235 0 0 0 0 0 26034 0 10459 0 172728 0 0 MARY MEG MCMANUS 0 117925 0 0 0 1548 0 23270 0 21261 0 164004 0 0 TRAVIS BRADBURN 0 160485 0 0 0 324 0 11202 0 18842 0 190853 0 0 PART I, LINE 4A B. BRADLEY BARBER RECEIVED $441,997 IN SEVERANCE PAYMENTS, WHICH ARE INCLUDED IN HIS FORM W-2. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3: THE FOUNDATION RELIES ON A RELATED ORGANIZATION, CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND, TO ESTABLISH COMPENSATION AND BENEFITS OF THE FOUNDATION'S TOP MANAGEMENT OFFICIAL, USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "COMPENSATION SURVEY OR STUDY" AND "WRITTEN EMPLOYMENT CONTRACT." X 1 12078 FAIR MARKET VALUE X 18 348611 FAIR MARKET VALUE 0 0 1 1 THIRD PARTY USE: PART I, LINE 32B: THE FOUNDATION USES CAR DONATION SERVICES TO PROCESS THE PICK UP AND SALE OF DONATED CARS. FORM 990, PART VI, SECTION A, LINE 6 THERE IS ONE VOTING MEMBER OF THE CORPORATION: CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. THE MEMBER MAY EXERCISE ITS VOTE AND ATTEND MEMBERSHIP MEETINGS OF THE CORPORATION BY RESOLUTION OF ITS BOARD OF DIRECTORS OR THROUGH THE ACTION OF ANY PERSON EXPRESSLY AUTHORIZED BY THE MEMBER'S BOARD OF DIRECTORS. THE ARTICLES OF INCORPORATION CURRENTLY STATE THAT THE SPECIFIC PURPOSES OF THE CORPORATION ARE TO RECEIVE AND MAINTAIN A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY, OR BOTH, AND, SUBJECT TO THE RESTRICTIONS AND LIMITATIONS HEREINAFTER SET FORTH, TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THERE FROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY, OR EDUCATIONAL PURPOSES, BY CONTRIBUTIONS TO CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND. HENCE, THE HOSPITAL "MAY RECEIVE A SHARE OF PROFITS, EXCESS DUES, OR NET ASSETS UPON DISSOLUTION OF THE ORGANIZATION." FORM 990, PART VI, SECTION A, LINE 7A SEE RESPONSE TO LINE 6 ABOVE. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ITEMS SHALL REQUIRE THE APPROVAL OF THE MEMBER: (A) THE CORPORATION'S ANNUAL BUDGET (B) THE CORPORATION'S ASSUMPTION OF ANY INDEBTEDNESS OTHER THAN INDEBTEDNESS INCURRED IN THE NORMAL COURSE OF THE CORPORATION'S BUSINESS OPERATIONS. FORM 990, PART VI, SECTION B, LINE 11 SENIOR VICE PRESIDENT & CHIEF DEVELOPMENT OFFICER REVIEWS WITH QUESTIONS FIELDED TO THE CONTROLLER. THE RETURN IS THEN TAKEN TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C SENIOR MANAGEMENT REVIEWS AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING/ORGANIZING DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY INDIVIDUAL REQUESTS WITH RESPONSE VIA ELECTRONIC OR US MAIL. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST GIFT AGREEMENTS 1,073,543. INVESTMENT INCOME FROM K-1S 295,400. AUDIT SELECTION AND OVERSIGHT FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FREISMAN PLEASANTON PROPERTY LLC 2201 BROADWAY STE 600 OAKLAND CA 94612 941657474 REAL ESTATE CA 145518 0 CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND 747 52ND STREET OAKLAND CA 946091809 940382330 HEALTHCARE CA 501(C)(3) 3 N/A 0 FOUNDATION FOR CHILDREN'S CARE DBA FAMILY LEGACY FUND 2201 BROADWAY STE 600 OAKLAND CA 94612 912145422 SUPPORT CHARITABLE ACTIVITIES OF CHRCF CA 501(C)(3) 11-I CHRCF 1 BAYCHILDREN'S PHYSICIANS 747 52ND STREET OAKLAND CA 94609 861175591 MEDICAL FOUNDATION CA 501(C)(3) 11-I CHRCO 0 CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE 5222 DOVER ST OAKLAND CA 94609 942909976 TEMPORARY LODGING FOR PATIENT FAMILIES CA 501(C)(3) 7 CHRCO 0 CHARITABLE REMAINDER TRUSTS (162) HOLDING CO CA CHILDREN'S HOSPITAL & RESEARCH CENTER FOUNDATION T 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 0