2023-11-13T17:14:28-06:00 2022-12-31 873710909 HICKOK WATERMAN 111 SANTA ROSA AVENUE SUITE 400 SANTA ROSA CA 95404 990 2022-01-01 331223596 MEDICAL STAFF OF CALIFORNIA PACIFIC MEDICAL CENTER MEDI 5713340462 3701 SACRAMENTO STREET 172 SAN FRANCISCO CA 94118 MARIE L MCHENRY MD TREASURER 5713340462 2023-11-02 1 MARIE MCHENRY MD 999009999 0 JOAN GLENDENING CPA P01240145 7077781320 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ODED HERBSMAN MD 3701 SACRAMENTO STREET 172 SAN FRANCISCO CA 94118 1108332 0 X N/A X 2012 CA OVERSIGHT OF THE QUALITY OF CARE PROVIDED BY MEMBERS, ACCOMPLISHED THROUGH CREDENTIALING OF APPLICANTS AND MEMBERS, PEER REVIEW OF CARE, AND REPRESENTING THE INTERESTS OF MEMBERS IN RELATIONS WITH HOSPITAL ADMINISTRATION AND BOARD. 18 18 0 0 0 0 458970 580690 0 0 103068 -19159 3819 -9563 565857 551968 0 25000 0 0 284740 395190 0 0 0 161853 165898 446593 586088 119264 -34120 1664364 1517266 73812 85477 1590552 1431789 OVERSIGHT OF THE QUALITY OF CARE PROVIDED BY MEMBERS, ACCOMPLISHED THROUGH CREDENTIALING OF APPLICANTS AND MEMBERS, PEER REVIEW OF CARE, AND REPRESENTING THE INTERESTS OF MEMBERS IN RELATIONS WITH HOSPITAL ADMINISTRATION AND BOARD. 0 0 PROMOTE AND MAINTAIN HIGH QUALITY PATIENT CARE THAT IS COMMENSURATE WITH AVAILABLE RESOURCES FOR ALL PATIENTS TREATED IN ANY FACILITIES OR SERVICES OF THE HOSPITAL, WHILE SERVING AS THE PATIENT ADVOCATE AT ALL LEVELS OF CARE. MAINTAIN AND IMPROVE THE QUALITY OF CARE RENDERED AND PROVIDE OVERSIGHT OF CARE, TREATMENT, AND SERVICES PROVIDED BY ALL PRACTITIONERS AUTHORIZED TO PRACTICE IN THE HOSPITAL THROUGH AN APPROPRIATE DELINEATION OF CLINICAL PRIVELEGES AND THROUGH UNIFORM AND ONGOING REVIEW AND EVALUATION OF EACH PRACTITIONER'S PERFORMANCE IN THE HOSPITAL. PROVIDE AN EDUCATIONAL SETTING TO MAINTAIN SCIENTIFIC STANDARDS, FURTHER MEDICAL EDUCATION AND CLINICAL INVESTIGATION, AND LEAD TO CONTINUOUS ADVANCEMENT IN PROFESSIONAL KNOWLEDGE AND SKILL. 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 1 0 1 1 0 1 0 CA X JOAN GLENDENING CPA 7077781320 111 SANTA ROSA AVE SUITE 400 SANTA ROSA CA 95404 ODED HERBSMAN MD CHIEF OF STAFF 15.00 X X 125000 0 0 THOMAS PEITZ MD VICE CHIEF OF STAFF 7.00 X X 50000 0 0 MARIE LA PENTA MCHENRY MD TREASURER 5.00 X X 25000 0 0 STEFANI WEDL MD SECRETARY 5.00 X X 25000 0 0 BRIAN T ANDREWS MD DIRECTOR 2.00 X 17400 0 0 STEVEN REIDBORD MD CME COMMITTEE CHAIR 5.00 X 10320 0 0 ARAVIND MANI MD DIRECTOR 2.00 X 5700 0 0 RYAN DOUGHERTY MD DIRECTOR 2.00 X 5700 0 0 GUY LUBLINER MD DIRECTOR 2.00 X 6000 0 0 APARAJITA SOHONI MD PHYSICAL WELLNESS COMMITTE 5.00 X 6000 0 0 JENNIFER GUY MD PHYSICAL WELLNESS COMMITTEE/DIRECTOR 5.00 X 18300 0 0 CLAUDIA MUELLER MD DIRECTOR 2.00 X 6000 0 0 DANIEL AMES MD DIRECTOR 2.00 X 6000 0 0 MIMI LIN MD DIRECTOR 2.00 X 6300 0 0 ROBERT MARGOLIN MD DIRECTOR 2.00 X 6300 0 0 ABIGAIL PEASE MD DIRECTOR 2.00 X 5850 0 0 ADIDI MANDPE MD DIRECTOR 2.00 X 12720 0 0 IAN JAFFE DIRECTOR 2.00 X 15600 0 0 IRA SHARLIP MD DIRECTOR 2.00 X 10800 0 0 SACHA NIEMI MD DIRECTOR 2.00 X 15600 0 0 GREGORY BUNCKE MD DIRECTOR 2.00 X 15600 0 0 395190 0 0 1 0 0 0 0 359320 221370 580690 27224 27224 470898 517281 -46383 -46383 -46383 29520 39083 -9563 -9563 551968 0 0 -28722 25000 395190 23723 799 REAPPT FEES 59040 PHYSICIAN EVENTS/MEETIN 40003 GIFTS/FLOWERS 14602 INVESTMENT EXPENSES AND 10762 16969 586088 187785 208892 10553 34993 21150 8509 1000 1443876 1264872 1664364 1517266 73812 59190 26287 73812 85477 X 1590552 1431789 1590552 1431789 1664364 1517266 -34120 -124643 0 X 1 X 0 0 0 0 0 0 1 0 GOLF TOURNAMENT 29520 29520 35028 4055 29520 29520 35028 4055 39083 -9563 0 CALIFORNIA MEDICAL ASSOCIATION 1201 K STREET SUITE 800 SACRAMENTO CA 95814 940359340 25000 0 PHYSICIAN EDUCATION FUND 1 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS CONSIST OF ALL LICENSED PHYSICIANS HOLDING EITHER M.D. OR D.O. DEGREES, DENTISTS, AND PODIATRISTS WHO ARE PRIVILEGED TO ADMIT, TREAT, OR CONSULT ON PATIENTS IN CALIFORNIA PACIFIC MEDICAL CENTER HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A ALL ACTIVE STAFF MEMBERS HAVE THE PREROGATIVE TO VOTE ON MATTERS PRESENTED AT GENERAL AND SPECIAL MEETINGS OF THE MEDICAL STAFF, INCLUDING ELECTION OF OFFICERS AND MEMBERS AT LARGE. PODIATRISTS AND DENTISTS SHALL NOT VOTE ON ANY OF THOSE MATTERS BEYOND THE SCOPE OF THEIR LICENSURE. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE TREASURER OF THE ORGANIZATION FOR REVIEW AND SIGNATURE, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15B OFFICER STIPENDS ARE DETERMINED BY THE BOARD COMPENSATION COMMITTEE IN ITS ANNUAL MEETING. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST.