2019-05-13T17:23:11-05:00 2018-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2017-07-01 861175591 BAYCHILDREN'S PHYSICIANS BAYC 4154767220 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 4154767220 2019-05-10 1 KATY BROWN P00650274 9257902600 2019-05-10 38.111.205.16 2019-05-10 13:51:24 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F5FB8C0FDA240AA2D0EC4EBDAD9DEA85C7008270 2017 2019-02-21 02:37:17Z UCSF BENIOFF CHILDREN'S PHYSICIANS MITCHELL NEYHART 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 59526744 0 X N/A X 2007 CA THE MISSION OF BAY CHILDREN'S PHYSICIANS IS THREEFOLD: TO ESTABLISH, OPERATE AND MAINTAIN MEDICAL CLINICS FOR THE PROVISION OF HEALTHCARE SERVICES IN CALIFORNIA; TO PROMOTE HEALTH BY PROVIDING, COORDINATING, INTEGRATING AND FACILITATING HEALTH CARE, MEDICAL AND WELLNESS SERVICES FOR CHILDREN; TO CONDUCT, SPONSOR AND SUPPORT MEDICAL RESEARCH, MEDICAL EDUCATION AND HEALTH EDUCATION. 9 1 103 0 0 9110 0 0 57964863 59500048 33553 -110043 0 0 57998416 59390005 0 0 0 0 8875225 10167156 0 0 0 49123191 49222849 57998416 59390005 0 0 14108714 13717068 14108714 13717068 0 0 X THE MISSION OF BAY CHILDREN'S PHYSICIANS IS THREEFOLD: 1) TO ESTABLISH, OPERATE AND MAINTAIN MEDICAL CLINICS FOR THE PROVISION OF HEALTHCARE SERVICES IN CALIFORNIA; 2) TO PROMOTE HEALTH BY PROVIDING, COORDINATING, INTEGRATING AND FACILITATING HEALTH CARE, MEDICAL AND WELLNESS SERVICES FOR CHILDREN; AND 3) TO CONDUCT, SPONSOR AND SUPPORT MEDICAL RESEARCH, MEDICAL EDUCATION AND HEALTH EDUCATION. 0 0 56641944 59500048 THE FOUNDATION IS A PEDIATRIC MULTI-SPECIALTY PHYSICIAN FOUNDATION WITH A PRIMARY GOAL OF FOSTERING PHYSICIAN COLLABORATION TO DELIVER ADVANCED PEDIATRIC CARE. THE SPECIFIC AND PRIMARY PURPOSES OF THE FOUNDATION ARE TO PERFORM AND CARRY OUT CHARITABLE HEALTH FUNCTIONS AND PURPOSES BY CONDUCTING THE FOLLOWING ACTIVITIES: (1) ESTABLISHING, OPERATING AND MAINTAINING MEDICAL CLINICS FOR THE PROVISION OF HEALTHCARE SERVICES IN CALIFORNIA, PURSUANT TO THE PROVISION OF SECTION 1206(1) OF THE CALIFORNIA HEALTH AND SAFETY CODE; (2) PROMOTING HEALTH BY PROVIDING, COORDINATING, INTEGRATING, AND FACILITATING HEALTHCARE, MEDICAL AND WELLNESS SERVICES FOR CHILDREN; (3)CONDUCTING, SPONSORING AND SUPPORTING MEDICAL RESEARCH, MEDICAL EDUCATION, AND HEALTH EDUCATION; AND (4) ENGAGING IN ANY OTHER ACTIVITIES PERMITTED FOR A CORPORATION ORGANIZED UNDER THE NONPROFIT PUBLIC BENEFIT CORPORATION LAW. THE FOUNDATION CONTRACTS WITH PEDIATRIC MULTISPECIALTY MEDICAL GROUP ("PMMG") TO PROVIDE PHYSICIAN SERVICES. PMMG EMPLOYS APPROXIMATELY 90 PHYSICIANS WHO PRIMARILY WORK IN BCHO CLINICS AND AT BCHO. BEGINNING IN JANUARY 2015, THE FOUNDATION ESTABLISHED A PROFESSIONAL SERVICE AGREEMENT WITH BAY CHILDREN'S MEDICAL GROUP (BCMG). DURING THE YEAR ENDED JUNE 30, 2018, BCMG EMPLOYED 33 PHYSICIANS WHO SPLIT TIME BETWEEN BCHO CLINICS AND COMMUNITYBASED OFFICES. 56641944 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 42 0 1 103 1 1 1 0 0 0 0 0 0 0 0 0 X 9 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LUAL LUALHATI ACCOUNTING MANAGER 4154764977 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 JOSHUA ADLER MD CHAIRMAN 1.00 39.00 X X 0 761144 73104 BARRIE STRICKLAND TREASURER 1.00 39.00 X X 0 868632 69625 SHARON PILMER MD SECRETARY (THROUGH 12/17) 1.00 39.00 X X 0 272239 18105 DANNA GOSSETT MD SECRETARY (STARTING 01/18) 1.00 39.00 X X 0 408219 39700 DAVID DURAND MD DIRECTOR 1.00 39.00 X 0 510115 62624 TED CHACONAS MD DIRECTOR 1.00 X 0 0 0 STEVE WILSON MD DIRECTOR 1.00 39.00 X 0 529378 43067 MICHAEL ANDERSON MD DIRECTOR 1.00 39.00 X 0 1152949 59923 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 40.00 X X 296124 0 49328 LEANNE PASHKOV CHIEF OPERATING OFFICER 40.00 X 204508 0 48201 ERWIN SCHRITTWIESER CHIEF FINANCIAL OFFICER 40.00 X 106813 0 8463 CECILIA MINALGA INTERIM CFO (START 05/18) 40.00 X 0 0 0 MARY FAULKNER PRACTICE DIRECTOR 40.00 X 171542 0 30584 ZAHIR AHMADI FINANCE MANAGER 40.00 X 161089 0 38101 SUSAN SEABORNE OPERATIONS DIRECTOR 40.00 X 158061 0 28329 JULIE HALLGREN REVENUE CYCLE DIRECTOR 40.00 X 145327 0 28151 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 40.00 X 138933 0 45478 RICHARD DECARLO DIRECTOR (THROUGH 04/17) 1.00 39.00 X 0 377220 27533 KENNETH JONES DIRECTOR (THROUGH 05/17) 1.00 39.00 X 0 447769 64112 ANTHONY RUSSELL MD CHIEF MEDICAL OFFICER 40.00 X 306122 0 51654 1688519 5327665 786082 19 1 1 0 PST SERVICES P O BOX 742526 ATLANTA GA 30374 BILLING SERVICES 1452252 E ENGLETT AND ASSOCIATES LLC 201 MAIN ST 7K HOUSTON TX 77002 CONSULTING SERVICES 623082 PHYSICIAN'S COMPUTER CO INC 20 WINOOSKI FALLS WY 7 WINOOSKE VT 05404 BILLING SERVICES 416727 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 248907 CHILDREN FIRST MEDICAL GROUP 6425 CHRISTIE AVE 110 EMERYVILLE CA 94608 CREDENTIALING FEES 158235 5 PHYSICIAN SERVICE REV 541900 38592091 38592091 NET PATIENT REVENUE 541900 20907957 20907957 59500048 26696 26696 136739 -136739 -136739 -136739 59390005 59500048 0 -110043 X 310754 310754 6302210 5357105 945105 812000 690229 121771 2742192 2352513 389679 113661 113661 110330 110330 44827227 44636995 190232 62233 47466 14767 1809655 1374802 434853 34077 28766 5311 789250 768094 21156 439831 439544 287 PHARMACEUTICALS 468399 468399 SUPPLIES 334956 280459 54497 MISCELLANEOUS EXPENSES 99664 92889 6775 RECRUITING 91530 74668 16862 42036 30015 12021 59390005 56641944 2748061 0 5815937 6272043 3869361 2813926 444770 321963 242282 214191 5429874 1386360 3651083 4043514 85281 51431 14108714 13717068 2837918 3217277 11270796 10499791 14108714 13717068 X 0 0 14108714 13717068 0 0 X X 0 1 X 1 0 X 25871239 15566680 45870679 57964863 59500048 204773509 25871239 15566680 45870679 57964863 59500048 204773509 0 0 0 204773509 33553 26696 60249 33553 26696 60249 84021 84021 25871239 15650701 45870679 57998416 59526744 204917779 0.99930 0.99930 0.00030 X PART III, SHORT YEAR EXPLANATION BAYCHILDREN'S PHYSICIANS CHANGED ITS YEAR-END FROM DECEMBER 31, TO JUNE 30, AS OF JUNE 30, 2015. - 2015 COLUMN (C) AMOUNTS ARE FROM THE PERIOD OF JULY 1, 2015, TO JUNE 30, 2016. - 2014 COLUMN (B) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2015, TO JUNE 30, 2015. - 2013 COLUMN (A) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2014, TO DECEMBER 31, 2014. 1690192 242958 1447234 2803561 985847 1817714 936121 157555 778566 4043514 DUE TO PEDIATRIC MULTISPECIALTY MEDICAL GROUP 1890252 DUE TO RELATED PARTIES 8269486 PAYABLE TO BAY CHILDREN'S MEDICAL GROUP 340053 10499791 X 59526744 0 59526744 -136739 -136739 59390005 59526744 0 59526744 -136739 -136739 59390005 PART X, LINE 2: THE FOUNDATION HAS OBTAINED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE STATING THAT IT IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PART XI, LINE 4B - OTHER ADJUSTMENTS: DISPOSAL OF ASSETS -136,739. PART XII, LINE 4B - OTHER ADJUSTMENTS: DISPOSAL OF ASSETS -136,739. X X X 0 0 0 0 0 0 0 0 0 JOSHUA ADLER MD CHAIRMAN 0 626111 0 132825 0 2208 0 49991 0 23113 0 834248 0 0 BARRIE STRICKLAND TREASURER 0 723504 0 141000 0 4128 0 62279 0 7346 0 938257 0 0 SHARON PILMER MD SECRETARY (THROUGH 12/17) 0 269863 0 0 0 2376 0 0 0 18105 0 290344 0 0 DANNA GOSSETT MD SECRETARY (STARTING 01/18) 0 361914 0 46209 0 96 0 14173 0 25527 0 447919 0 0 DAVID DURAND MD DIRECTOR 0 413449 0 96666 0 0 0 48226 0 14398 0 572739 0 0 STEVE WILSON MD DIRECTOR 0 444186 0 84640 0 552 0 20062 0 23005 0 572445 0 0 MICHAEL ANDERSON MD DIRECTOR 0 920399 0 229589 0 2961 0 34632 0 25291 0 1212872 0 0 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 296124 0 0 0 0 0 26423 0 22905 0 345452 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER 204508 0 0 0 0 0 20021 0 28180 0 252709 0 0 0 MARY FAULKNER PRACTICE DIRECTOR 171542 0 0 0 0 0 16813 0 13771 0 202126 0 0 0 ZAHIR AHMADI FINANCE MANAGER 161089 0 0 0 0 0 16258 0 21843 0 199190 0 0 0 SUSAN SEABORNE OPERATIONS DIRECTOR 158061 0 0 0 0 0 15288 0 13041 0 186390 0 0 0 JULIE HALLGREN REVENUE CYCLE DIRECTOR 145327 0 0 0 0 0 14351 0 13800 0 173478 0 0 0 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 138933 0 0 0 0 0 13745 0 31733 0 184411 0 0 0 RICHARD DECARLO DIRECTOR (THROUGH 04/17) 0 377220 0 0 0 0 0 20708 0 6825 0 404753 0 0 KENNETH JONES DIRECTOR (THROUGH 05/17) 0 328929 0 110712 0 8128 0 55898 0 8214 0 511881 0 0 ANTHONY RUSSELL MD CHIEF MEDICAL OFFICER 306122 0 0 0 0 0 27000 0 24654 0 357776 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX PREPARERS FURNISH A DRAFT COPY OF THE FORM 990 TO THE ORGANIZATION. THE DRAFT OF THE FORM 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND BOARD MEMBER. FOLLOWING THIS REVIEW, ANY CHANGES WILL BE INCORPORATED AND THIS NEW DRAFT WILL BE SUBMITTED FOR FINAL APPROVAL. THE FINAL FORM 990 WILL BE DISTRIBUTED TO BOARD MEMBERS FOR REVIEW BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL INTERESTED PERSONS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT IN REGARDS TO POTENTIAL OR ACTUAL CONFLICTS OF INTERESTS. IF AN ACTUAL OR POTENTIAL CONFLICT OCCURS, THE BOARD SHALL APPOINT A COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. THE BOARD SHALL EXERCISE DUE DILIGENCE IN DETERMINING WHETHER THE PROPOSED TRANSACTION IS FAIR AND REASONABLE. IN REGARDS TO A FAILED DISCLOSURE OF A CONFLICT OF INTEREST: THE BOARD SHALL ALLOW THE INTERESTED PERSON AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE AND DETERMINE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 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. BAYCHILDREN'S PHYSICIANS HAS DONE SO. COPIES OF THE ARTICLES CAN BE OBTAINED BY MEMBERS OF THE PUBLIC THROUGH THE OFFICE OF THE CALIFORNIA SECRETARY OF STATE. THERE IS NO LEGAL REQUIREMENT THAT THE CORPORATION PROVIDE COPIES OF ITS GOVERNANCE DOCUMENTS DIRECTLY TO MEMBERS OF THE PUBLIC. TO OBTAIN A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ONE MUST SUBMIT A WRITTEN REQUEST TO THE RISK MANAGEMENT DEPARTMENT OF BAYCHILDREN'S PHYSICIANS AND A COPY WILL BE SENT TO THE RETURN ADDRESS. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 44,636,995. MANAGEMENT AND GENERAL EXPENSES 190,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,827,227. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND 747 52ND STREET OAKLAND CA 94609 940382330 HEALTHCARE CA 501(C)(3) LINE 3 N/A 0 UCSF BENIOFF CHILDREN HOSPITAL FOUNDATION 2201 BROADWAY STE 600 OAKLAND CA 94609 941657474 CHARITABLE FOUNDATION CA 501(C)(3) LINE 7 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND 0 CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE 5222 DOVER STREET OAKLAND CA 94609 942909976 TEMPORARY LODGING FOR PATIENT FAMILIES CA 501(C)(3) LINE 7 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND 0 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 1111 FRANKLIN STREET OAKLAND CA 94607 946036493 PUBLIC EDUCATIONAL INSTITUTION CA 501(C)(3) LINE 6 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1