2018-04-20T16:54:12-05:00 2017-06-30 946214841 Armanino LLP 12657 Alcosta Blvd Ste 500 San Ramon CA 945834600 990 2016-07-01 861175591 BayChildren's Physicians BAYC 4154767220 6475 Christie Avenue No 300 Emeryville CA 94608 Mitchell neyhart CEO 4154767220 2018-04-20 1 Katy Brown P00650274 9257902600 2018-04-19 50.201.92.30 2018-04-20 13:19:06 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 32CDE991C152F389A30DE5702E9B7F379660D813 2016 2021-01-29 14:40:06Z UCSF Benioff Children's Physicians MITCHELL NEYHART 6475 Christie Avenue No 300 Emeryville CA 94608 57998416 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 89 0 0 0 0 0 45870679 57964863 -52857 33553 0 0 45817822 57998416 0 0 0 0 4736597 8875225 0 0 0 41081225 49123191 45817822 57998416 0 0 11963677 14108714 11963677 14108714 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 54914090 57964863 See Schedule O 54914090 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 55 0 1 89 1 0 0 0 0 0 0 0 0 0 0 X 9 1 0 0 1 0 0 0 0 1 1 0 0 1 0 1 1 1 1 0 CA X ERWIN SCHRITTWIESER 4155146320 6475 Christie Avenue No 300 Emeryville CA 94608 Joshua Adler MD Chairman 1.00 39.00 X X 0 690685 69634 Barrie Strickland Treasurer 1.00 39.00 X X 0 754678 68170 Sharon Pilmer MD Secretary 1.00 39.00 X X 0 262750 25400 Richard DeCarlo Director (Through 04/17) 1.00 39.00 X 0 665173 40061 Kenneth Jones Director (Through 05/17) 1.00 39.00 X 0 683839 81272 David Durand MD Director 1.00 39.00 X 0 487593 55153 Ted Chaconas MD Director 1.00 X 0 0 0 Steve Wilson MD Director (Start 05/17) 1.00 X 0 495115 42987 Michael Anderson MD Director (Start 02/17) 1.00 X 0 17720 0 Anthony Russell MD Director (Through 06/17) 40.00 X 168538 0 51810 Carolyn Appenzeller Executive Director (Through 01/17) 40.00 X X 417155 0 27505 Mitchell Neyhart Executive Director (Start 01/17) 40.00 X X 0 0 0 Leanne Pashkov Sr. Director of Operations 40.00 X 194932 0 43626 Mary Faulkner Practice Director 40.00 X 159476 0 27330 Zahir Ahmadi Finance Manager 40.00 X 153904 0 51019 Susan Seaborne Operations Director 40.00 X 143977 0 26132 JOAN EMERY Genetic Counselor 40.00 X 126892 0 13362 1364874 4057553 623461 11 0 1 0 PST Services P O Box 742526 Atlanta GA 30374 Billing Services 1298031 COMPHEALTH PO Box 972651 Dallas TX 75397 physician services 555447 PHYSICIAN'S COMPUTER CO INC 20 Winooski Falls Wy 7 Winooske VT 05404 Billing Services 471536 E ENGLETT AND ASSOCIATES LLC 201 Main St 7K Houston TX 77002 consulting services 346130 CHILDREN FIRST MEDICAL GROUP 6425 CHRISTIE AVE 110 Emeryville CA 94608 Credentialing Fees 272865 7 Physician Service Rev 541900 38937214 38937214 Net Patient Revenue 541900 19027649 19027649 57964863 33553 33553 57998416 57964863 0 33553 X 429868 429868 7741820 6193785 1548035 556000 444824 111176 147537 118036 29501 103346 12431 90915 75315 4000 71315 45665431 45575146 90285 70067 41736 28331 1470890 1118935 351955 34435 12387 22048 441503 425450 16053 8689 8561 128 Miscellaneous Expenses 399653 238059 161594 Pharmaceuticals 335584 335584 Supplies 287607 247753 39854 Recruiting 219757 130902 88855 10914 6501 4413 57998416 54914090 3084326 0 4742819 5815937 4502412 3869361 500000 444770 512598 242282 4304142 653059 1520994 3651083 184854 85281 11963677 14108714 1495271 2837918 10468406 11270796 11963677 14108714 X 0 0 11963677 14108714 0 0 X X 0 1 X 1 0 X 23698202 25871239 15566680 45870679 57964863 168971663 23698202 25871239 15566680 45870679 57964863 168971663 0 0 0 168971663 84021 33553 117574 23698202 25871239 15650701 45870679 57998416 169089237 0.99930 0.99940 0.00000 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 (d) amounts are from the period of July 1, 2015, to June 30, 2016. - 2014 Column (c) amounts are from the period of January 1, 2015, to June 30, 2015. - 2013 Column (b) amounts are from the period of January 1, 2014, to December 31, 2014. - 2012 Column (a) amounts are from the period of January 1, 2013, to December 31, 2013. 1663940 81627 1582313 2385257 430833 1954424 254945 140599 114346 3651083 Due to Pediatric Multispecialty Medical Group 1885708 Due to Related Parties 8301795 Payable to Bay Children's Medical Group 1083293 11270796 X 57998416 0 57998416 0 57998416 57998416 0 57998416 0 57998416 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. X X X 0 0 0 0 0 0 0 0 0 Joshua Adler MD Chairman 0 604574 0 83903 0 2208 0 47696 0 21938 0 760319 0 0 Barrie Strickland Treasurer 0 652631 0 97919 0 4128 0 59458 0 8712 0 822848 0 0 Sharon Pilmer MD Secretary 0 262750 0 0 0 0 0 15772 0 9628 0 288150 0 0 Richard DeCarlo Director (Through 04/17) 0 575089 0 90084 0 0 0 20484 0 19577 0 705234 0 0 Kenneth Jones Director (Through 05/17) 0 593855 0 77792 0 12192 0 65153 0 16119 0 765111 0 0 David Durand MD Director 0 407959 0 79634 0 0 0 47606 0 7547 0 542746 0 0 Steve Wilson MD Director (Start 05/17) 0 441295 0 53820 0 0 0 19861 0 23126 0 538102 0 0 Anthony Russell MD Director (Through 06/17) 168538 0 0 0 0 0 16892 0 34918 0 220348 0 0 0 Carolyn Appenzeller Executive Director (Through 01/17) 417155 0 0 0 0 0 26500 0 1005 0 444660 0 0 0 Leanne Pashkov Sr. Director of Operations 194932 0 0 0 0 0 19805 0 23821 0 238558 0 0 0 Mary Faulkner Practice Director 159476 0 0 0 0 0 15692 0 11638 0 186806 0 0 0 Zahir Ahmadi Finance Manager 153904 0 0 0 0 0 16053 0 34966 0 204923 0 0 0 Susan Seaborne Operations Director 143977 0 0 0 0 0 14494 0 11638 0 170109 0 0 0 Form 990, Part III, Line 4a, Program Service Accomplishment Description: The model of care offered by the Foundation enables physicians to choose among a number of practice models and support services. The BCHO and UCSF joint operation provides a broad support structure that facilitates joint recruitment, education and research. Physicians may choose to join under the following agreements: - Employment Model - Designed for physicians who prefer not to own and operate their own private practice. - Partner Model - Designed for physicians looking for financial integration with the Foundation, leveraging its size and scale in contracting and other management services, while maintaining ownership and control of all other aspects of their practice. - Affiliate Model - Designed for physicians who are interested in joining other physicians to coordinate care while maintaining ownership and control over their practice. Form 990, Part VI, Section A, line 4 The Organization Amended language to clarify its welfare exempt purpose. 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 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 Other Professional Fees: Program service expenses 7,791,673. Management and general expenses 15,435. Fundraising expenses 0. Total expenses 7,807,108. Physician Fees: Program service expenses 37,783,473. Management and general expenses 74,850. Fundraising expenses 0. Total expenses 37,858,323. Form 990, Part XII, Line 2c: The 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