2024-05-13T18:07:22-05:00 2023-06-30 946214841 ARMANINO LLP 2700 CAMINO RAMON STE 350 SAN RAMON CA 945835004 990 2022-07-01 861175591 UCSF HEALTH MEDICAL FOUNDATION UCSF 4154767220 6425 CHRISTIE AVENUE 220 EMERYVILLE CA 94608 LEANNE PASHKOV INTERIM CEO & COO 4154767220 2024-05-08 1 LEANNE PASHKOV 999009999 1 MATTHEW PETROSKI P00853132 9257902600 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X UCSF BENIOFF CHILDREN'S PHYSICIANS LEANNE PASHKOV 6425 CHRISTIE AVENUE 220 EMERYVILLE CA 94608 45299084 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 AND FAMILIES; TO CONDUCT, SPONSOR AND SUPPORT MEDICAL RESEARCH, MEDICAL EDUCATION AND HEALTH EDUCATION. 7 0 211 0 0 0 0 0 38932331 45299084 -213101 0 0 0 38719230 45299084 0 0 0 0 16153766 18611726 0 0 0 22565464 26687358 38719230 45299084 0 0 17260433 19054027 17260433 19054027 0 0 X SEE SCHEDULE OTHE 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 FAMILIES; AND 3) TO CONDUCT, SPONSOR AND SUPPORT MEDICAL RESEARCH, MEDICAL EDUCATION AND HEALTH EDUCATION. 0 0 39004017 45299084 THE FOUNDATION IS A PEDIATRIC AND WOMEN'S MULTI-SPECIALTY PHYSICIAN FOUNDATION WITH A PRIMARY GOAL OF FOSTERING PHYSICIAN COLLABORATION TO DELIVER ADVANCED PEDIATRIC AND WOMEN'S HEALTH 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 WOMEN AND 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.BEGINNING IN JANUARY 2015, THE FOUNDATION ESTABLISHED A PROFESSIONAL SERVICE AGREEMENT WITH BAY CHILDREN'S MEDICAL GROUP (BCMG). DURING THE YEAR ENDED JUNE 30, 2023, BCMG EMPLOYED 45 PHYSICIANS WHO SPLIT TIME BETWEEN BCH-OAK CLINICS AND COMMUNITY-BASED OFFICES. 39004017 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 1 0 0 0 0 0 1 0 0 0 1 39 0 1 211 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LUAL LUALHATI ACCOUNTING MANAGER 4154764977 6425 CHRISTIE AVENUE 220 EMERYVILLE CA 94608 MATTHEW COOK DIRECTOR 1.00 39.00 X 0 1230404 47873 RAJU IYER TREASURER 1.00 39.00 X X 0 998120 27201 JOSHUA ADLER MD CHAIRMAN 1.00 39.00 X X 0 858097 61142 AMY MURTHA DIRECTOR (THRU 07/22) 1.00 39.00 X 0 647748 57399 MARY NORTON DIRECTOR (THRU 12/22) 1.00 39.00 X 0 575546 73565 STEVE WILSON MD DIRECTOR 1.00 39.00 X 0 579969 63907 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 40.00 X X 488798 0 69194 SABINA ALI DIRECTOR 1.00 39.00 X 0 264319 39035 SAM PEJHAM DIRECTOR 1.00 39.00 X X 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER 40.00 X 295105 0 59157 AMANDA BERGLUND FINANCE DIRECTOR 40.00 X 331941 0 47140 KATIA MOUSSA PRACTICE DIRECTOR 40.00 X 192632 0 56466 MARY FAULKNER PRACTICE DIRECTOR 40.00 X 201068 0 37321 LUAL LUALHATI SR ACCOUNTING MANAGER 40.00 X 182761 0 43318 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 40.00 X 171774 0 50845 1864079 5154203 733563 29 0 1 0 PHYSICIAN'S COMPUTER CO INC 20 WINOOSKI FALLS WY SUITE 7 WINOOSKE VT 05404 BILLING SERVICES 186156 PIMENTEL COMMUNICATIONS INC 25125 SANTA CLARA ST 375 HAYWARD CA 94544 IT INSTALLATION 107983 2 PHYSICIAN SERVICE REV 541900 24698639 24698639 NET PATIENT REVENUE 541900 20600445 20600445 45299084 45299084 45299084 0 0 X 940806 940806 12129159 10742521 1386638 5541761 4699230 842531 85211 54358 30853 79832 79832 18398468 18038261 360207 9016 8216 800 130041 86046 43995 412617 379372 33245 90391 90391 341540 341540 3565734 1424920 2140814 21139 21139 PHARMACEUTICALS 1727709 1727709 SUPPLIES 1182413 1098157 84256 MISCELLANEOUS EXPENSES 496450 490591 5859 ALL OTHER EXPENSES 106565 103571 2994 40232 39535 697 45299084 39004017 6295067 0 3772319 3958903 1383009 2652196 355656 317722 24281868 12302241 11625158 11979627 124291 145579 17260433 19054027 5550090 6274079 11710343 12779948 17260433 19054027 X 0 0 17260433 19054027 0 0 X 0 1 X 1 0 X 57266702 53459608 53403837 38932331 45299084 248361562 57266702 53459608 53403837 38932331 45299084 248361562 0 0 0 248361562 19040 14210 16501 49751 19040 14210 16501 49751 57285742 53473818 53420338 38932331 45299084 248411313 0.99980 0.99970 0.00020 0.00030 X 1268350 669597 598753 8271153 5878868 2392285 14742365 5753776 8988589 11979627 DUE TO RELATED PARTIES 2335882 PAYABLE TO BAY CHILDREN'S MEDICAL GROUP 641802 CAPITAL LEASE OBLIGATIONS 9802264 12779948 45299084 0 45299084 0 45299084 45299084 0 45299084 0 45299084 X X 0 0 0 0 0 0 0 0 0 MATTHEW COOK DIRECTOR 0 1032065 0 196131 0 2208 0 24400 0 23473 0 1278277 0 0 RAJU IYER TREASURER 0 834611 0 159381 0 4128 0 24400 0 2801 0 1025321 0 0 JOSHUA ADLER MD CHAIRMAN 0 729190 0 124779 0 4128 0 36996 0 24146 0 919239 0 0 AMY MURTHA DIRECTOR (THRU 07/22) 0 576882 0 70417 0 449 0 34241 0 23158 0 705147 0 0 MARY NORTON DIRECTOR (THRU 12/22) 0 419947 0 153477 0 2122 0 52823 0 20742 0 649111 0 0 STEVE WILSON MD DIRECTOR 0 493836 0 86133 0 0 0 40564 0 23343 0 643876 0 0 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 488798 0 0 0 0 0 30500 0 38694 0 557992 0 0 0 AMANDA BERGLUND FINANCE DIRECTOR 331941 0 0 0 0 0 30334 0 16806 0 379081 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER 295105 0 0 0 0 0 27471 0 31686 0 354262 0 0 0 SABINA ALI DIRECTOR 0 258251 0 5769 0 299 0 14685 0 24350 0 303354 0 0 KATIA MOUSSA PRACTICE DIRECTOR 192632 0 0 0 0 0 19567 0 36899 0 249098 0 0 0 MARY FAULKNER PRACTICE DIRECTOR 201068 0 0 0 0 0 20515 0 16806 0 238389 0 0 0 LUAL LUALHATI SR ACCOUNTING MANAGER 182761 0 0 0 0 0 18497 0 24821 0 226079 0 0 0 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 171774 0 0 0 0 0 16139 0 34706 0 222619 0 0 0 BAYCHILDREN'S MEDICAL GROUP ENTITY MORE THAN 35% OWNED BY STEVE WILSON 11115000 PHYSICIAN SERVICES 0 TRI-VALLEY PEDIATRICS ENTITY MORE THAN 35% OWNED BY SAM PEJHAM 5962224 PHYSICIAN SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 BCP SHALL HAVE TWO MEMBERS: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, A CALIFORNIA CONSTITUTIONAL CORPORATION ACTING ON BEHALF OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, AND CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. THEY SHALL HAVE ALL THE RIGHTS OF MEMBERS OF A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION THAT ARE PROVIDED IN THE CALIFORNIA CORPORATIONS CODE AND THESE BYLAWS, INCLUDING THE RIGHT TO VOTE. THE MEMBERS MAY EXERCISE THEIR VOTES AND ATTEND MEMBERSHIP MEETINGS OF BCP BY RESOLUTIONS OF THE MEMBERS' RESPECTIVE GOVERNING BODIES OR THROUGH THE ACTION OF ANY PERSON EXPRESSLY AUTHORIZED BY THE MEMBERS' RESPECTIVE GOVERNING BODIES. MEMBERS WILL NOT HAVE ANY PROPERTY RIGHTS AND NO INDIVIDUAL LIABILITY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD SHALL NOT WITHOUT PRIOR WRITTEN APPROVAL OF BOTH MEMBERS, WHICH APPROVAL MAY BE GIVEN, WITHHELD OR CONDITIONED BY EACH MEMBER IN ITS SOLE AND ABSOLUTE DISCRETION, PERFORM OR COMMIT OR AUTHORIZE OR DIRECT ANY OFFICER OF BCP TO PERFORM OR COMMIT THE ELECTION OR REMOVAL, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD, OF THE CHAIR OF THE BOARD, THE VICE-CHAIR, THE SECRETARY, THE EXECUTIVE DIRECTOR, THE MEDICAL DIRECTOR OR THE TREASURER OF BCP. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS SHALL ELECT THE FOLLOWING PERSONS TO THE BOARD: HALF OF THE NON-EX OFFICIO DIRECTORS CAN BE SELECTED BY UC IN ITS SOLE DISCRETION, SUBJECT ONLY TO THE RESTRICTIONS SET FORTH IN BCP'S BYLAWS. AS WELL AS HALF OF THE NON-EX OFFICIO DIRECTORS CAN BE SELECTED BY CHRCO IN ITS SOLE DISCRETION, SUBJECT ONLY TO THE RESTRICTIONS SET FORTH IN BCP'S BYLAWS. 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 MEMBERS. 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 SERVICES: PROGRAM SERVICE EXPENSES 12,817,462. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,817,462. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,220,799. MANAGEMENT AND GENERAL EXPENSES 360,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,581,006. 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 FOUNDATION FOR CHILDREN'S CARE DBA FAMILY LEGACY FUND 2201 BROADWAY STE 600 OAKLAND CA 94612 912145422 SUPPORT CHARITABLE ACTIVITIES OF CHILDREN'S FOUNDATION CA 501(C)(3) LINE 12A, I UCSF BENIOFF CHILDREN HOSPITAL FOUNDATION 0 0 0 1 0 1 0 0 0 0 0 1 1 1 1 1 0 1 0 1