2022-05-03T23:03:20-05:00 2021-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2020-07-01 861175591 BAYCHILDREN'S PHYSICIANS BAYC 4154767220 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 4154767220 2022-04-30 1 MITCHELL NEYHART 999009999 MATTHEW PETROSKI P00853132 9257902600 2022-04-30 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z UCSF BENIOFF CHILDREN'S PHYSICIANS MITCHELL NEYHART 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 53507740 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. 9 0 182 0 0 0 0 0 53309019 53403837 241816 -2757 150589 0 53701424 53401080 0 0 0 0 13403707 13448199 0 0 0 40297717 39952881 53701424 53401080 0 0 9056932 9899523 9056932 9899523 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 49475488 53403837 THE FOUNDATION IS A 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 68 PHYSICIANS WHO PRIMARILY WORK IN BCH-O CLINICS AND AT BCH-O. BEGINNING IN JANUARY 2015, THE FOUNDATION ESTABLISHED A PROFESSIONAL SERVICE AGREEMENT WITH BAY CHILDREN'S MEDICAL GROUP (BCMG). DURING THE YEAR ENDED JUNE 30, 2021, BCMG EMPLOYED 35 PHYSICIANS WHO SPLIT TIME BETWEEN BCH-O CLINICS AND COMMUNITYBASED OFFICES. 49475488 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 24 0 1 182 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 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 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 40.00 X X 411724 0 66593 MICHAEL ANDERSON MD DIRECTOR (THRU 08/20) 1.00 39.00 X 0 993135 44394 RAJU IYER TREASURER 1.00 39.00 X X 0 909675 38209 JOSHUA ADLER MD CHAIRMAN 1.00 39.00 X X 0 798051 54528 AMY MURTHA DIRECTOR (AS OF 09/20) 1.00 39.00 X 0 778980 62262 STEVE WILSON MD DIRECTOR 1.00 39.00 X 0 578085 57959 SABINA ALI DIRECTOR (AS OF 04/21) 1.00 39.00 X 0 233879 34758 TED CHACONAS MD DIRECTOR 1.00 39.00 X 0 0 0 SAM PEJHAM DIRECTOR 1.00 39.00 X 0 0 0 MATTHEW COOK DIRECTOR (AS OF 01/21) 1.00 39.00 X 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER 40.00 X 248860 0 59008 MARY FAULKNER PRACTICE DIRECTOR 40.00 X 200091 0 37073 KATIA MOUSSA PRACTICE DIRECTOR 40.00 X 175424 0 56428 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 40.00 X 169864 0 55397 AMANDA BERGLUND FINANCE DIRECTOR 40.00 X 212534 0 20118 LUAL LUALHATI SR ACCOUNTING MANAGER 40.00 X 161666 0 42332 1580163 4291805 629059 8 0 1 0 CHANGE HEALTHCARE PO BOX 742526 ATLANTA GA 30374 BILLING SERVICES 494379 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 358224 PHYSICIAN'S COMPUTER CO INC 20 WINOOSKI FALLS WY SUITE 7 WINOOSKE VT 05404 BILLING SERVICES 194530 B E SMITH PO BOX 219241 KANSAS CITY MO 64121 FINANCIAL CONSULTING 105787 4 PHYSICIAN SERVICE REV 541900 33332265 33332265 NET PATIENT REVENUE 541900 20071572 20071572 53403837 16501 16501 87402 106660 -19258 -19258 -19258 53401080 53403837 0 -2757 X 776964 776964 8724108 7334685 1389423 844029 683834 160195 3103098 2514137 588961 49473 49473 50879 50879 33292653 32997458 295195 3326 2506 820 161555 115289 46266 2684081 2189170 494911 38208 29756 8452 1264482 1242653 21829 175474 175474 PHARMACEUTICALS 1504968 1504968 SUPPLIES 631723 590260 41463 ALL OTHER EXPENSES 79003 78479 524 RECRUITING 9658 9421 237 7398 7398 53401080 49475488 3925592 0 4404938 4419945 1210874 1953927 99877 0 381036 295623 7294842 4180362 2854348 3114480 105859 115548 9056932 9899523 4599760 5113951 4457172 4785572 9056932 9899523 X 0 0 9056932 9899523 0 0 X X 0 1 X 1 0 X 57964863 59500048 57266702 53459608 53403837 281595058 57964863 59500048 57266702 53459608 53403837 281595058 0 0 0 281595058 33553 26696 19040 14210 16501 110000 33553 26696 19040 14210 16501 110000 57998416 59526744 57285742 53473818 53420338 281705058 0.99960 0.99970 0.00040 0.00030 X 1552627 694529 858098 5580175 3323793 2256382 162040 162040 0 3114480 DUE TO PEDIATRIC MULTISPECIALTY MEDICAL GROUP 349895 DUE TO RELATED PARTIES 4034709 PAYABLE TO BAY CHILDREN'S MEDICAL GROUP 400968 4785572 53401080 0 53401080 0 53401080 53401080 0 53401080 0 53401080 X X X 0 0 0 0 0 0 0 0 0 MICHAEL ANDERSON MD DIRECTOR (THRU 08/20) 0 825042 0 164284 0 3809 0 22800 0 21594 0 1037529 0 0 RAJU IYER TREASURER 0 793699 0 113340 0 2636 0 22800 0 15409 0 947884 0 0 JOSHUA ADLER MD CHAIRMAN 0 694146 0 99089 0 4816 0 32234 0 22294 0 852579 0 0 AMY MURTHA DIRECTOR (AS OF 09/20) 0 778895 0 0 0 85 0 30858 0 31404 0 841242 0 0 STEVE WILSON MD DIRECTOR 0 509687 0 68398 0 0 0 35298 0 22661 0 636044 0 0 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 411724 0 0 0 0 0 28500 0 38093 0 478317 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER 248860 0 0 0 0 0 25252 0 33756 0 307868 0 0 0 SABINA ALI DIRECTOR (AS OF 04/21) 0 232718 0 971 0 190 0 12323 0 22435 0 268637 0 0 MARY FAULKNER PRACTICE DIRECTOR 200091 0 0 0 0 0 20527 0 16546 0 237164 0 0 0 AMANDA BERGLUND FINANCE DIRECTOR 212534 0 0 0 0 0 20118 0 0 0 232652 0 0 0 KATIA MOUSSA PRACTICE DIRECTOR 175424 0 0 0 0 0 17726 0 38702 0 231852 0 0 0 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 169864 0 0 0 0 0 17356 0 38041 0 225261 0 0 0 LUAL LUALHATI SR ACCOUNTING MANAGER 161666 0 0 0 0 0 16287 0 26045 0 203998 0 0 0 BAYCHILDREN'S MEDICAL GROUP ENTITY MORE THAN 35% OWNED BY TED CHACONAS AND STEVE WILSON 8025000 PHYSICIAN SERVICES 0 TRI-VALLEY PEDIATRICS ENTITY MORE THAN 35% OWNED BY SAM PEJHAM 4911517 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 29,637,901. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,637,901. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,359,557. MANAGEMENT AND GENERAL EXPENSES 295,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,654,752. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR FINANCIAL OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. FURTHER, THE BOARD APPROVES THE AUDITED FINANCIAL STATEMENTS BASED ON RECOMMENDATION FROM THE AUDIT COMMITTEE. 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 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1