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Nonprofiteer
← CHILDRENS HOSPITAL OAKLAND FAMILY HOUSE

Form 990 for tax year 2022

Filed by CHILDRENS HOSPITAL OAKLAND FAMILY HOUSE.

Totals

Total revenue
$84,940
Total expenses
$746,990
Contributions and grants received
$103,245
Grants paid
$0
Program service revenue
$1,110
Investment income
-$19,415
Other revenue
$0
Total assets, end of year
$180,288
Total liabilities, end of year
$8,214,340
Net assets or fund balances, end of year
-$8,034,052
Program services expenses (Part IX)
$746,990
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$746,990

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $595

  • 1f · All other contributions, gifts and grants

    $102,650

  • 2a · Program service revenue: PROGRAM REVENUE

    total $1,110 · related or exempt $1,110

  • 7b · Less cost or other basis and sales expenses

    other assets $19,415

  • 7c · Gain or loss

    other assets -$19,415

  • 7d · Net gain or loss

    total -$19,415 · excluded -$19,415

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $372,712 · program services $372,712

  • 8 · Pension plan contributions

    total $75,259 · program services $75,259

  • 9 · Other employee benefits

    total $66,397 · program services $66,397

  • 10 · Payroll taxes

    total $28,155 · program services $28,155

  • 11g · Fees: other

    total $75,909 · program services $75,909

  • 13 · Office expenses

    total $17,530 · program services $17,530

  • 16 · Occupancy

    total $28,450 · program services $28,450

  • 17 · Travel

    total $318 · program services $318

  • 22 · Depreciation, depletion and amortization

    total $58,433 · program services $58,433

  • 24a · Other expenses: PATIENT CARE SUPPLIES

    total $21,502 · program services $21,502

  • 24b · Other expenses: TAXES, LICENSES & DUES

    total $2,325 · program services $2,325

Balance sheet

Part X, book values.

  • 9 · Prepaid expenses and deferred charges

    beginning of year $307 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $1,802,748

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,622,460

  • 10c · Land, buildings and equipment, net

    beginning of year $293,638 · end of year $180,288

  • 17 · Accounts payable and accrued expenses

    beginning of year $151 · end of year $3,659

  • 25 · Other liabilities

    beginning of year $7,665,796 · end of year $8,210,681

  • 27 · Net assets without donor restrictions

    beginning of year -$7,372,002 · end of year -$8,034,052

Mission and programs · 2022

Mission

PROVIDE TEMPORARY HOUSING FOR FAMILIES OF PATIENTS AT UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND.

  • PROVIDE TEMPORARY HOUSING FOR FAMILIES OF PATIENTS AT UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND.

    Expenses $746,990 · Revenue $1,110

As filed on the 2022 return.

Listed in Part VII

  • Jackie Wallin-Baker

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Rosanne Cheung

    PRESIDENT (THRU 10/22)

    Total calculated
    $0
    Hours/week
    1
  • Mary Lanctot

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Carol Phillips

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Judie Boehmer

    DIRECTOR

    Total calculated
    $620,634
    From this org
    $0
    From related orgs
    $569,994
    Other
    $50,640
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $510,608 related
    Bonus
    $0 + $58,092 related
    Other
    $0 + $1,294 related
    Deferred
    $0 + $31,126 related
    Nontaxable benefits
    $0 + $19,514 related
    Filer's total
    $0 + $620,634 related
  • Sharon Braun

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Suresh Gunasekaran

    CEO

    Total calculated
    $1,923,275
    From this org
    $0
    From related orgs
    $1,871,700
    Other
    $51,575
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,437,760 related
    Bonus
    $0 + $370,000 related
    Other
    $0 + $63,940 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $27,175 related
    Filer's total
    $0 + $1,923,275 related
  • Matthew Cook

    PRESIDENT

    Total calculated
    $1,278,277
    From this org
    $0
    From related orgs
    $1,230,404
    Other
    $47,873
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,032,065 related
    Bonus
    $0 + $196,131 related
    Other
    $0 + $2,208 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $23,473 related
    Filer's total
    $0 + $1,278,277 related
  • Fredora Darmstadt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202411359349309791

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