2021-05-10T20:31:44-05:00 2020-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2019-07-01 861175591 BAYCHILDREN'S PHYSICIANS BAYC 4154767220 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 4154767220 2021-05-04 1 MATTHEW PETROSKI P00853132 9257902600 2021-05-04 2019 2022-09-23 18:48:47Z UCSF BENIOFF CHILDREN'S PHYSICIANS MITCHELL NEYHART 6475 CHRISTIE AVENUE NO 300 EMERYVILLE CA 94608 53701424 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. 8 0 162 0 0 0 0 0 57266703 53309019 -883297 241816 0 150589 56383406 53701424 0 0 0 0 10365713 13403707 0 0 0 46017693 40297717 56383406 53701424 0 0 11917268 9056932 11917268 9056932 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 49924587 53687214 THE FOUNDATION IS A PEDIATRIC 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 71 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, 2020, BCMG EMPLOYED 34 PHYSICIANS WHO SPLIT TIME BETWEEN BCH-O CLINICS AND COMMUNITY-BASED OFFICES. 49924587 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 1 162 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 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 JOSHUA ADLER MD CHAIRMAN 1.00 39.00 X X 0 746879 85418 RAJU IYER TREASURER 1.00 39.00 X X 0 833706 43688 DANA GOSSETT MD SECRETARY (THRU 04/20) 1.00 39.00 X X 0 413007 33536 TED CHACONAS MD DIRECTOR 1.00 39.00 X 0 0 0 STEVE WILSON MD DIRECTOR 1.00 39.00 X 0 534590 56289 MICHAEL ANDERSON MD DIRECTOR 1.00 39.00 X 0 1068700 98362 SAM PEJHAM DIRECTOR 1.00 39.00 X 0 0 0 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 40.00 X X 401386 0 61803 LEANNE PASHKOV CHIEF OPERATING OFFICER 40.00 X 240294 0 54369 ROBERT FRIES CHIEF FINANCIAL OFFICER (THRU 02/20) 1.00 39.00 X 0 538557 41426 MARY FAULKNER PRACTICE DIRECTOR 40.00 X 177195 0 32724 MAIA DIXON SONOGRAPHY SUPERVISOR 40.00 X 170881 0 42434 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 40.00 X 170520 0 51035 LUAL LUALHATI ACCOUNTING MANAGER 40.00 X 151800 0 40588 CHRIS LEE SONOGRAPHER 40.00 X 144245 0 22493 BARRIE STRICKLAND FORMER TREASURER 1.00 39.00 X 0 172329 26924 DAVID DURAND MD FORMER DIRECTOR 1.00 39.00 X 0 343020 55649 1456321 4650788 746738 8 1 1 0 CHANGE HEALTHCARE PO BOX 742526 ATLANTA GA 30374 BILLING SERVICES 717994 PHYSICIAN'S COMPUTER CO INC 20 WINOOSKI FALLS WY SUITE 7 WINOOSKE VT 05404 BILLING SERVICES 412958 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 280409 BARTON ASSOCIATES LLC PO BOX 417844 BOSTON MA 02241 PHYSICIAN SERVICES 223626 4 PHYSICIAN SERVICE REV 541900 38031245 38031245 NET PATIENT REVENUE 541900 15277774 15277774 53309019 14210 14210 227606 0 227606 227606 227606 LEGAL SETTLEMENT RECOV 900099 150589 150589 150589 53701424 53687214 0 14210 X 645913 645913 9060230 7853406 1206824 787807 642525 145282 2909757 2373159 536598 26710 26710 61440 61440 35634491 35090039 544452 14847 11567 3280 256116 212951 43165 2138187 1688234 449953 63029 49942 13087 964033 934752 29281 2872 2872 PHARMACEUTICALS 521928 521928 SUPPLIES 444243 390810 53433 ALL OTHER EXPENSES 74520 66829 7691 RECRUITING 71802 66918 4884 23499 21527 1972 53701424 49924587 3776837 0 6091396 4404938 2110242 1210874 199877 99877 472475 381036 5857631 3003283 3007856 2854348 35422 105859 11917268 9056932 4061486 4599760 7855782 4457172 11917268 9056932 X 0 0 11917268 9056932 0 0 X X 0 1 X 1 0 X 45870679 57964863 59500048 57266702 53459608 274061900 45870679 57964863 59500048 57266702 53459608 274061900 0 0 0 274061900 33553 26696 19040 14210 93499 33553 26696 19040 14210 93499 45870679 57998416 59526744 57285742 53473818 274155399 0.99970 0.99930 0.00030 0.00030 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 (B) AMOUNTS ARE FROM THE PERIOD OF JULY 1, 2015, TO JUNE 30, 2016. - 2014 COLUMN (A) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2015, TO JUNE 30, 2015. 1520579 453342 1067237 4175012 2387901 1787111 162040 162040 0 2854348 DUE TO PEDIATRIC MULTISPECIALTY MEDICAL GROUP 555447 DUE TO RELATED PARTIES 3562509 PAYABLE TO BAY CHILDREN'S MEDICAL GROUP 339216 4457172 X 53701424 0 53701424 0 53701424 53701424 0 53701424 0 53701424 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 678977 0 64094 0 3808 0 63475 0 21943 0 832297 0 0 RAJU IYER TREASURER 0 783116 0 48382 0 2208 0 22400 0 21288 0 877394 0 0 DANA GOSSETT MD SECRETARY (THRU 04/20) 0 357947 0 55014 0 46 0 17154 0 16382 0 446543 0 0 STEVE WILSON MD DIRECTOR 0 486480 0 47548 0 562 0 31566 0 24723 0 590879 0 0 MICHAEL ANDERSON MD DIRECTOR 0 967229 0 97343 0 4128 0 71124 0 27238 0 1167062 0 0 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER 401386 0 0 0 0 0 28000 0 33803 0 463189 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER 240294 0 0 0 0 0 24319 0 30050 0 294663 0 0 0 ROBERT FRIES CHIEF FINANCIAL OFFICER (THRU 02/20) 0 523607 0 12380 0 2570 0 26248 0 15178 0 579983 0 0 MARY FAULKNER PRACTICE DIRECTOR 177195 0 0 0 0 0 18035 0 14689 0 209919 0 0 0 MAIA DIXON SONOGRAPHY SUPERVISOR 170881 0 0 0 0 0 17094 0 25340 0 213315 0 0 0 DENISE JIMENEZ HUMAN RESOURCES DIRECTOR 170520 0 0 0 0 0 17291 0 33744 0 221555 0 0 0 LUAL LUALHATI ACCOUNTING MANAGER 151800 0 0 0 0 0 15248 0 25340 0 192388 0 0 0 CHRIS LEE SONOGRAPHER 144245 0 0 0 0 0 14402 0 8091 0 166738 0 0 0 BARRIE STRICKLAND FORMER TREASURER 0 137293 0 34004 0 1032 0 26869 0 55 0 199253 0 0 DAVID DURAND MD FORMER DIRECTOR 0 313084 0 29936 0 0 0 45913 0 9736 0 398669 0 0 BAYCHILDREN'S MEDICAL GROUP ENTITY MORE THAN 35% OWNED BY TED CHACONAS AND STEVE WILSON 7065000 PHYSICIAN SERVICES 0 TRI-VALLEY PEDIATRICS ENTITY MORE THAN 35% OWNED BY SAM PEJHAM 5160786 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 31,741,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,741,470. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,348,569. MANAGEMENT AND GENERAL EXPENSES 544,452. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,893,021. 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 1 0 0 0 1 1 1 1 0 0 0 1