UCSF HEALTH MEDICAL FOUNDATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UCSF HEALTH MEDICAL FOUNDATION (EIN 86-1175591)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201731359349303668
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T10:54:50-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 946214841 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMANINO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12657 ALCOSTA BLVD STE 500 | AddressLine1Txt |
| City | SAN RAMON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 945834600 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861175591 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAYCHILDREN'S PHYSICIANS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYC | BusinessNameControlTxt |
| Phone | 4154767220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6475 CHRISTIE AVENUE NO 300 | AddressLine1Txt |
| City | EMERYVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MITCHELL NEYHART | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4154767220 | PhoneNum |
| Signature | 2017-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATY BROWN | PreparerPersonNm |
| PTIN | P00650274 | PTIN |
| Phone | 9257902600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MITCHELL NEYHART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6475 CHRISTIE AVENUE NO 300 | AddressLine1Txt |
| City | EMERYVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,870,679 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 22 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,566,680 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $45,870,679 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | -$52,857 | CYInvestmentIncomeAmt |
| PY Other Revenue | $84,021 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,650,701 | PYTotalRevenueAmt |
| CY Total Revenue | $45,817,822 | 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 | $183,821 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,736,597 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,466,880 | PYOtherExpensesAmt |
| CY Other Expenses | $41,081,225 | CYOtherExpensesAmt |
| PY Total Expenses | $15,650,701 | PYTotalExpensesAmt |
| CY Total Expenses | $45,817,822 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,320,304 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,963,677 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,320,304 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,963,677 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $0 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $43,503,624 | ExpenseAmt |
| Revenue | $45,870,679 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $43,503,624 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | OperateHospitalInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 22 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DALE DODDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4155146320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6475 CHRISTIE AVENUE NO 300 | AddressLine1Txt |
| City | EMERYVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94608 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOSHUA ADLER MD | ||||||||
| CHAIRMAN | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $617,297 | $0 | |
| BARRIE STRICKLAND | ||||||||
| TREASURER | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $701,213 | $0 | |
| SHARON PILMER MD | ||||||||
| SECRETARY | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $259,135 | $0 | |
| RICHARD DECARLO | ||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $526,819 | $0 | ||
| KENNETH JONES | ||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $768,284 | $0 | ||
| DAVID DURAND MD | ||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $557,318 | $0 | ||
| TED CHACONAS MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY RUSSELL MD | ||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROLYN APPENZELLER | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | Yes (X) | $381,410 | $0 | $23,863 | |
| LEANNE PASHKOV | ||||||||
| SENIOR DIRECTOR OF OPERATIONS | 40.00 | 0.00 | $183,280 | $0 | $32,372 | Yes (X) | ||
| LAURA BROTHERTON | ||||||||
| DECISION SUPPORT DIRECTOR | 40.00 | 0.00 | $137,247 | $0 | $42,692 | Yes (X) | ||
| SUSAN SEABORNE | ||||||||
| OPERATIONS DIRECTOR | 40.00 | 0.00 | $122,996 | $0 | $12,720 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $824,933 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,430,066 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $111,647 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | 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 |
|---|---|---|---|---|---|
| PST SERVICES | |||||
| P O BOX 742526 | ATLANTA | GA | 30374 | BILLING SERVICES | $1,152,823 |
| ECG MANAGEMENT CONSULTANTS | |||||
| 1111 THIRD AVENUE STE 2500 | SEATTLE | WA | 98101 | CONSULTING SERVICES | $669,045 |
| PHYSICIAN'S COMPUTER CO INC | |||||
| 20 WINOOSKI FALLS WAY STE 7 | WINOOSKE | VT | 05404 | BILLING SERVICES | $438,794 |
| CHILDREN FIRST MED GROUP | |||||
| 6425 CHRISTIE AVE STE 110 | EMERYVILLE | CA | 94608 | CREDENTIALING FEES | $195,015 |
| J T HOWE & ASSOCIATES INC | |||||
| 5528 BLVD STE A | PACHECO | CA | 94553 | BILLING SERVICES | $100,747 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN SERVICE REV | 541900 | $31,912,934 | $31,912,934 |
| NET PATIENT REVENUE | 541900 | $13,957,745 | $13,957,745 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $45,870,679 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $52,857 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$52,857 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$52,857 | TotalRevenueColumnAmt |
| Exclusion | -$52,857 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,817,822 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,870,679 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$52,857 | 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 | $405,273 | TotalAmt |
| Management And General | $405,273 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,261,952 | TotalAmt |
| Program Services | $2,316,063 | ProgramServicesAmt |
| Management And General | $945,889 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,000 | TotalAmt |
| Program Services | $444,616 | ProgramServicesAmt |
| Management And General | $259,384 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,372 | TotalAmt |
| Program Services | $230,753 | ProgramServicesAmt |
| Management And General | $134,619 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,431 | TotalAmt |
| Management And General | $103,431 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,750 | TotalAmt |
| Management And General | $51,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,895,755 | TotalAmt |
| Program Services | $38,893,826 | ProgramServicesAmt |
| Management And General | $1,929 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,045 | TotalAmt |
| Program Services | $89,824 | ProgramServicesAmt |
| Management And General | $14,221 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,340 | TotalAmt |
| Program Services | $435,972 | ProgramServicesAmt |
| Management And General | $249,368 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,821 | TotalAmt |
| Program Services | $17,112 | ProgramServicesAmt |
| Management And General | $2,709 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,327 | TotalAmt |
| Program Services | $174,544 | ProgramServicesAmt |
| Management And General | $6,783 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,206 | TotalAmt |
| Program Services | $7,084 | ProgramServicesAmt |
| Management And General | $1,122 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RECRUITING | $375,604 | $324,265 | $51,339 |
| MISCELLANEOUS EXPENSES | $295,119 | $254,782 | $40,337 |
| PHARMACEUTICALS | $182,957 | $182,957 | |
| SUPPLIES | $171,753 | $126,545 | $45,208 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,117 | TotalAmt |
| Program Services | $5,281 | ProgramServicesAmt |
| Management And General | $836 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,817,822 | TotalAmt |
| Program Services | $43,503,624 | ProgramServicesAmt |
| Management And General | $2,314,198 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,843,934 | BOYAmt |
| EOY | $4,742,819 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,494,126 | BOYAmt |
| EOY | $4,502,412 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $500,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $512,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,731,982 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $210,988 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,104 | BOYAmt |
| EOY | $1,520,994 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $790,140 | BOYAmt |
| EOY | $184,854 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,320,304 | BOYAmt |
| EOY | $11,963,677 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,915 | BOYAmt |
| EOY | $1,495,271 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,683,389 | BOYAmt |
| EOY | $10,468,406 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,320,304 | BOYAmt |
| EOY | $11,963,677 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,320,304 | BOYAmt |
| EOY | $11,963,677 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,659,029 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,698,202 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,871,239 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,566,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,870,679 | CurrentTaxYearAmt |
| Total | $132,665,829 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,659,029 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,698,202 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,871,239 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,566,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,870,679 | CurrentTaxYearAmt |
| Total | $132,665,829 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $132,665,829 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $84,021 | CurrentTaxYearMinus1YearAmt |
| Total | $84,021 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,659,029 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,698,202 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,871,239 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,650,701 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,870,679 | CurrentTaxYearAmt |
| Total | $132,749,850 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99940 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, SHORT YEAR EXPLANATION | FormAndLineReferenceDesc |
| Explanation | BAYCHILDREN'S PHYSICIANS CHANGED ITS YEAR-END FROM DECEMBER 31, TO JUNE 30, AS OF JUNE 30, 2015. - 2014 COLUMN (D) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2015, TO JUNE 30, 2015. - 2013 COLUMN (C) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2014, TO DECEMBER 31, 2014. - 2012 COLUMN (B) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2013, TO DECEMBER 31, 2013. - 2011 COLUMN (A) AMOUNTS AE FROM THE PERIOD OF JANUARY 1, 2012 TO DECEMBER 31, 2012. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $400,925 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,942 | DepreciationAmt |
| Book Value | $375,983 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,291,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $186,046 | DepreciationAmt |
| Book Value | $1,105,150 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,861 | OtherCostOrOtherBasisAmt |
| Book Value | $39,861 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,520,994 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO PEDIATRIC MULTISPECIALTY MEDICAL GROUP | $1,828,168 |
| DUE TO RELATED PARTIES | $8,033,216 |
| PAYABLE TO BAY CHILDREN'S MEDICAL GROUP | $607,022 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,468,406 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $45,870,679 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $45,870,679 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$52,857 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$52,857 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $45,817,822 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $45,870,679 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $52,857 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $52,857 | ExpensesNotReportedAmt |
| Expenses Subtotal | $45,817,822 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $45,817,822 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DISPOSAL OF FIXED ASSETS -52,857. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DISPOSAL OF FIXED ASSETS 52,857. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSHUA ADLER MD | ||||||||||||||
| CHAIRMAN | $0 | $558,567 | $0 | $0 | $0 | $58,730 | $0 | $0 | $0 | $0 | $0 | $617,297 | $0 | $0 |
| BARRIE STRICKLAND | ||||||||||||||
| TREASURER | $0 | $641,374 | $0 | $0 | $0 | $59,839 | $0 | $0 | $0 | $0 | $0 | $701,213 | $0 | $0 |
| SHARON PILMER MD | ||||||||||||||
| SECRETARY | $0 | $244,544 | $0 | $0 | $0 | $14,591 | $0 | $0 | $0 | $0 | $0 | $259,135 | $0 | $0 |
| RICHARD DECARLO | ||||||||||||||
| DIRECTOR | $0 | $502,232 | $0 | $0 | $0 | $24,587 | $0 | $0 | $0 | $0 | $0 | $526,819 | $0 | $0 |
| KENNETH JONES | ||||||||||||||
| DIRECTOR | $0 | $713,214 | $0 | $0 | $0 | $55,070 | $0 | $0 | $0 | $0 | $0 | $768,284 | $0 | $0 |
| DAVID DURAND MD | ||||||||||||||
| DIRECTOR | $0 | $502,232 | $0 | $0 | $0 | $55,086 | $0 | $0 | $0 | $0 | $0 | $557,318 | $0 | $0 |
| CAROLYN APPENZELLER | ||||||||||||||
| EXECUTIVE DIRECTOR | $381,410 | $0 | $0 | $0 | $0 | $0 | $23,863 | $0 | $0 | $0 | $405,273 | $0 | $0 | $0 |
| LEANNE PASHKOV | ||||||||||||||
| SENIOR DIRECTOR OF OPERATIONS | $183,280 | $0 | $0 | $0 | $0 | $0 | $10,058 | $0 | $22,314 | $0 | $215,652 | $0 | $0 | $0 |
| LAURA BROTHERTON | ||||||||||||||
| DECISION SUPPORT DIRECTOR | $137,247 | $0 | $0 | $0 | $0 | $0 | $13,274 | $0 | $29,418 | $0 | $179,939 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | DURING FYE 06/30/16, BAYCHILDREN'S PHYSICIANS ADDED A NEW PROGRAM THAT WAS NOT PREVIOUSLY LISTED: THE MATERNAL FETAL MEDICINE PROGRAM WHICH WAS ADDED ON JANUARY 2016. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT DESCRIPTION: | THE MODEL OF CARE OFFERED BY THE ORGANIZATION ENABLES PHYSICIANS TO CHOOSE AMONG A NUMBER OF PRACTICE MODELS AND SUPPORT SERVICES. THE JOINT OPERATION PROVIDES A BROAD SUPPORT STRUCTURE THAT FACILITATES 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. PARTICIPATING PHYSICIANS CAN CHOOSE AMONG AN ARRAY OF OFFERINGS TO SUPPORT THEIR PRACTICES, INCLUDING AFTER-HOURS ADVICE LINE, URGENT CARE CLINIC, CLINIC OPERATIONS, BUSINESS DEVELOPMENT, DECISION SUPPORT AND ELECTRONIC HEALTH RECORD SUBSIDY. NEUROLOGY - OUR NEUROLOGY SPECIALISTS EVALUATE AND CARE FOR CHILDREN FROM BIRTH TO AGE 18 WHO HAVE DISORDERS AFFECTING THE CENTRAL NERVOUS SYSTEM, SPINAL CORD, NERVES, AND MUSCLES. OUR NEUROLOGY STAFF SUPERVISE A COMPREHENSIVE EPILEPSY CENTER AND WORK CLOSELY WITH THE NEUROSURGERY STAFF TO EVALUATE AND MANAGE CARE OF CHILDREN WITH BRAIN TUMORS. PRIMARY CARE - THE PRIMARY CARE CENTER'S CARING TEAM OF PEDIATRICIANS PROVIDES HEALTH SUPERVISION OF CHILDREN FROM BIRTH TO AGE 19. WE PROVIDE A WIDE RANGE OF SERVICES, FROM ROUTINE PREVENTATIVE CARE TO THE MANAGEMENT OF CHRONIC MEDICAL CONDITIONS. WE WORK HARD TO BE CULTURALLY SENSITIVE TO THE NEEDS OF A DIVERSE POPULATION, SO WE MAKE SURE INTERPRETER SERVICES AND SOCIAL SERVICE CASE MANAGERS ARE AVAILABLE. SHUTTLE SERVICE FROM CHILDREN'S HOSPITAL'S MAIN CAMPUS IS ALSO AVAILABLE, AND A PHARMACY AND SOME LAB SERVICES ARE ON SITE. THE FAMILY OUTREACH CLINIC PROVIDES PRIMARY CARE SERVICES TO CHILDREN IN FOSTER CARE, AND THE SOUTHEAST ASIAN CLINIC SERVES MANY SOUTHEAST ASIAN FAMILIES LIVING IN OUR COMMUNITY. OUR ADOLESCENT MEDICINE TEAM IS SPECIALLY TRAINED TO LOOK AT ALL ASPECTS OF AN ADOLESCENT'S LIFE TO HELP ADDRESS THE MANY MEDICAL AND MENTAL HEALTH ISSUES THEY FACE. OUR TEAM IS EXPERIENCED WITH ISSUES SUCH AS ROUTINE PREVENTATIVE CARE, IMMUNIZATIONS, ASTHMA, OBESITY, NUTRITION, SPORTS PHYSICALS, MENTAL HEALTH, REPRODUCTIVE HEALTH, SEXUALLY TRANSMITTED INFECTIONS, PHYSICAL AND SEXUAL ASSAULT, AS WELL AS MANAGEMENT OF CHRONIC MEDICAL CONDITIONS. WE HAVE THREE SITES TO PROVIDE SERVICES: THE TEEN CLINIC ON TELEGRAPH AVENUE IN OAKLAND AND TWO SCHOOL BASED HEALTH CENTERS AT CASTLEMENT HIGH SCHOOL AND MCCLYMOND'S HIGH SCHOOL. REHABILITATION - BAYCHILDREN'S PEDIATRIC REHABILITATION TEAM PROVIDES A COMPREHENSIVE, INTEGRATED APPROACH TO CARING FOR CHILDREN, FROM BIRTH THROUGH ADOLESCENCE, WHO REQUIRE HOSPITALIZATION FOR MEDICAL REASONS RELATED TO DISABILITY, OR NEED INTENSIVE REHABILITATION FOLLOWING ILLNESS OR ACCIDENT THAT HAS CAUSED A LOSS OF FUNCTION. OUR COLLABORATIVE TEAM APPROACH INCLUDES OCCUPATIONAL THERAPISTS (OT), PHYSICAL THERAPISTS (PT), 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. EMERGENCY MEDICINE - ED PHYSICIANS, CERTIFIED PEDIATRIC EMERGENCY MEDICINE SPECIALISTS, PROVIDE STAFFING FOR THE LEVEL 1 PEDIATRIC TRAUMA CENTER AND EMERGENCY DEPARTMENT AT CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND. IT'S ALSO THE BAY AREA'S ONLY EMERGENCY DEPARTMENT COMPLETELY DEDICATED TO THE CARE OF CHILDREN AND STAFFED 24 HOURS A DAY, 7 DAYS A WEEK. WE TREAT CHILDREN FROM BIRTH TO 18 YEARS. ADULT PATIENTS ARRIVING AT THE ED ARE TREATED AND STABILIZED BEFORE TRANSFER TO AN APPROPRIATE ADULT FACILITY. LESS ACUTELY ILL PEDIATRIC PATIENTS ARE TRIAGED TO THE ED. ENDOCRINOLOGY - PHYSICIANS TREAT CHILDREN FROM BIRTH TO AGE 18 WHO HAVE ALL TYPES OF ENDOCRINE DISORDERS. GASTROENTEROLOGY - PHYSICIANS PROVIDE CARE FOR CHILDREN FROM BIRTH TO AGE 18 WHO HAVE SYMPTOMS AND DISEASES OF THE STOMACH, INTESTINES, LIVER AND PANCREAS. HOSPITALISTS - WE PROVIDE PEDIATRIC SPECIALISTS FOR SEVERAL HOSPITALS IN THE EAST BAY; THEY ASSUME THE CARE OF HOSPITALIZED PATIENTS IN THE PLACE OF PATIENTS' PRIMARY CARE PHYSICIAN. NEPHROLOGY - NEPHROLOGISTS PROVIDE CARE FOR CHILDREN FROM BIRTH THROUGH AGE 18 WHO HAVE RENAL DISEASE; LONG-TERM PATIENTS ARE SEEN UP TO AGE 21 YEARS. NEPHROLOGY DEALS WITH THE FUNCTION AND DISEASES OF THE KIDNEYS. PSYCHIATRY - WE ENSURE THAT THE COMPASSIONATE PROFESSIONALS IN THE DIVISION OF PSYCHIATRY OFFER A FULL RANGE OF OUTPATIENT PSYCHIATRIC AND PSYCHOLOGICAL SERVICES FOR CHILDREN UP TO AGE 18 AND THEIR FAMILIES, AS WELL AS CONSULTATION/LIAISON AND SUPPORTING SERVICES TO INPATIENTS AND STAFF. DEVELOPMENTAL & BEHAVIORAL PEDIATRICS PROVIDES EVALUATION, DIAGNOSIS, TREATMENT AND REFERRAL SERVICES FOR CHILDREN WHO HAVE OR WHO ARE AT RISK FOR DEVELOPMENTAL DELAY, DEVELOPMENTAL DISABILITIES, BEHAVIOR DISORDERS AND LEARNING PROBLEMS. SUBSPECIALTY SERVICES, SUCH AS RETT SYNDROME SERVICES AND TUBEROUS SCLEROSIS SERVICES PROVIDE UNIQUE AND SPECIALIZED CARE FOR CHILDREN. CENTER FOR CHILD PROTECTION OFFERS A FULL RANGE OF MEDICAL AND MENTAL HEALTH SERVICES TO CHILDREN AND ADOLESCENTS IMPACTED BY ABUSE AND/OR EXPOSURE TO VIOLENCE. CRANIOFACIAL PROGRAM EMPLOYS A TEAM APPROACH TO CRANIOFACIAL CARE, BRINGING TOGETHER PANELS OF NATIONALLY RESPECTED SPECIALISTS FROM AMONG THE HOSPITAL'S 31 PEDIATRIC SPECIALTIES, WHO WORK TOGETHER TO CUSTOMIZE TREATMENTS FOR EACH CHILD. WE OVERSEE THE MEDICAL SERVICES PROVIDED AT THE ALAMEDA COUNTY JUVENILE JUSTICE CENTER. MEDICAL GENETICS PROVIDES CONSULTATION SERVICES FOR CHILDREN FROM BIRTH TO 18 YEARS TO EVALUATE CHILDREN WHO ARE AT RISK FOR OR HAVE EVIDENCE OF GENETIC DISORDERS. NEONATAL FOLLOW-UP STAFF PROVIDE SERVICES FOR MEDICALLY HIGH-RISK INFANTS DISCHARGED FROM BAY AREA NEONATAL INTENSIVE CARE NURSERIES. IN ADDITION, THESE PHYSICIANS PROVIDE SUPPORT TO TEACHING AND DEDICATED TIME TO RESEARCH. |
| FORM 990, PART VI, SECTION B, LINE 11 | A 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 6,632,082. MANAGEMENT AND GENERAL EXPENSES 329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,632,411. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 32,261,744. MANAGEMENT AND GENERAL EXPENSES 1,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,263,344. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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'S HOSPITAL FOUNDATION | |||||||||||
| 2201 BROADWAY STE 600 | OAKLAND | CA | 94609 | 941657474 | CHARITABLE FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | |
| CHILDREN'S HOSPITAL OAKLAND FAMILY HOUSE | |||||||||||
| 5222 DOVER STREET | OAKLAND | CA | 94609 | 942909976 | TEMPORARY LODGING FOR PATIENT FAMILIES | CA | 501(C)(3) | LINE 7 | 0 | UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | |
| 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 | |
| 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 | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 | Yes (1) | TransferFromOtherOrgInd |
Comments