2018-08-16T13:49:53-05:00 2017-12-31 680456197 WASSERMAN KLEINFELD LLP 415 A STREET PETALUMA CA 94952 990 2017-01-01 331223596 MEDICAL STAFF OF CALIFORNIA PACIFIC MEDICAL CENTER MEDI 4154979564 3701 SACRAMENTO STREET NO 172 SAN FRANCISCO CA 94118 THOMAS PEITZ MD TREASURER 4154979564 2018-07-11 1 JOAN GLENDENING CPA P01240145 7077781320 2018-07-11 2017 2022-09-23 18:48:47Z THOMAS PEITZ MD 3701 SACRAMENTO STREET NO 172 SAN FRANCISCO CA 94118 1095900 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. 16 16 0 0 0 0 492305 521905 0 0 5834 35094 -2527 12371 495612 569370 0 10000 0 0 285220 298440 0 0 0 151147 250467 436367 558907 59245 10463 920205 1087322 4069 3996 916136 1083326 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 1 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 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 0 1 1 0 1 0 CA X JOAN GLENDENING CPA 7077781320 415A STREET PETALUMA CA 94952 EDWARD A EISLER MD CHIEF OF STAFF 15.00 X X 125000 0 0 ROBERT J MARGOLIN MD VICE CHIEF OF STAFF 7.00 X X 50000 0 0 NOBL BARAZANGI MD TREASURER 5.00 X X 25000 0 0 ODED HERBSMAN MD SECRETARY 5.00 X X 25000 0 0 BRIAN T ANDREWS MD DIRECTOR 2.00 X 6600 0 0 GEORGE HORNG MD DIRECTOR 2.00 X 6300 0 0 FUNG LAM MD DIRECTOR 2.00 X 6300 0 0 ARAVIND MANI MD DIRECTOR 2.00 X 6000 0 0 ANDREA YEUNG MD DIRECTOR 2.00 X 6600 0 0 STEVEN REIDBORD MD CME COMMITTEE CHAIR 5.00 X 6240 0 0 MICHAEL ROKEACH MD PHYSICIAN WELLNESS COMMITT 5.00 X 6000 0 0 NIKOLA HELLA TEDE MD DIRECTOR 2.00 X 5700 0 0 KAREN MAKELY MD DIRECTOR 2.00 X 3300 0 0 ROBERT VASQUEZ MD DIRECTOR 2.00 X 6300 0 0 ROBERT TAYLOR MD DIRECTOR 2.00 X 6300 0 0 ROBERT MAYLE MD DIRECTOR 2.00 X 6000 0 0 LISA EVERSON MD DIRECTOR 2.00 X 1800 0 0 298440 0 0 1 0 0 0 0 409405 112500 521905 19480 19480 500925 485311 15614 15614 15614 53590 41219 12371 12371 569370 0 0 47465 10000 298440 20861 12688 64 112620 REAPPT FEES 65860 GIFTS/FLOWERS 21215 MEALS AND ENTERTAINMENT 6144 INVESTMENT EXPENSES AND 5735 5280 558907 173929 146022 14850 16500 4069 727357 924800 920205 1087322 4069 3996 4069 3996 X 916136 1083326 916136 1083326 920205 1087322 X 10463 51073 105654 X 1 X 0 0 0 0 0 0 1 0 0 CREDIT CARD PAYABLE 2598 ACCOUNTS PAYABLE 1398 3996 GOLF TOURNAMENT 53590 53590 35739 5480 53590 53590 35739 5480 41219 12371 0 SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942788907 501(C)(3) 7500 DISASTER RELIEF - CALIFORNIA WILDFIRES 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 PEROGATIVE 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. FORM 990, PART XI, LINE 9: EXCESS OF FAIR VALUE OF NET ASSETS OVER CONSID. IN ACQUIS. OF ACQ. ENTITY 105,654.