2025-02-18T16:28:56-06:00 2023-12-31 873710909 HICKOK WATERMAN 2110 S BASCOM AVE STE 103 CAMPBELL CA 950083299 990 2023-01-01 331223596 MEDICAL STAFF OF CALIFORNIA PACIFIC MEDICAL CENTER MEDI 5713340462 3701 SACRAMENTO STREET 172 SAN FRANCISCO CA 94118 IAN JAFFEE MD TREASURER 5713340462 2025-02-18 1 0 ERIC S HICKOK P02469672 4082658400 2025-02-12 X 2023 2025-03-06 01:10:19Z ODED HERBSMAN MD 3701 SACRAMENTO STREET 172 SAN FRANCISCO CA 94118 1878045 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 580690 666063 0 0 -19159 12034 -9563 -27495 551968 650602 25000 0 0 0 395190 458880 0 0 0 165898 256040 586088 714920 -34120 -64318 1517266 1593806 85477 69619 1431789 1524187 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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 HEATHER SMITH 4082658400 2110 S BASCOM AVE STE 103 CAMPBELL CA 95008 ODED HERBSMAN MD CHIEF OF STAFF 15.00 X X 0 0 0 THOMAS PEITZ MD VICE CHIEF OF STAFF 7.00 X X 0 0 0 MARIE LA PENTA MCHENRY MD TREASURER 5.00 X X 0 0 0 STEFANI WEDL MD SECRETARY 5.00 X X 0 0 0 BRIAN MICHAEL PARRETT MD DIRECTOR 2.00 X 0 0 0 YILE DING MD CME COMMITTEE CHAIR 5.00 X 0 0 0 VINAYAK JHA MD DIRECTOR 2.00 X 0 0 0 LEWIS Z LENG MD DIRECTOR 2.00 X 0 0 0 GUY LUBLINER MD DIRECTOR 2.00 X 0 0 0 NOBL BARAZANGI MD DIRECTOR 2.00 X 0 0 0 JENNIFER GUY MD PHYSICAL WELLNESS COMMITTE 5.00 X 0 0 0 CLAUDIA MUELLER MD DIRECTOR 2.00 X 0 0 0 DANIEL AMES MD DIRECTOR 2.00 X 0 0 0 MIMI LIN MD DIRECTOR 2.00 X 0 0 0 RITIK CHANDRA MD DIRECTOR 2.00 X 0 0 0 ABIGAIL PEASE MD DIRECTOR 2.00 X 0 0 0 ADITI MANDPE MD DIRECTOR 2.00 X 0 0 0 IAN JAFFE MD DIRECTOR 2.00 X 0 0 0 IRA SHARLIP MD DIRECTOR 2.00 X 0 0 0 SACHA NIEMI MD DIRECTOR 2.00 X 0 0 0 GREGORY BUNCKE MD DIRECTOR 2.00 X 0 0 0 0 0 0 0 0 0 0 0 355795 310268 666063 37339 37339 1153033 1178338 -25305 -25305 -25305 21610 49105 -27495 -27495 650602 0 0 -15461 458880 24733 5212 PHYSICIAN EVENTS/MEETIN 99782 REAPPT FEES 58720 INVESTMENT EXPENSES AND 38560 GIFTS/FLOWERS 13287 15746 714920 208892 163751 34993 10274 8509 1264872 1419781 1517266 1593806 59190 69619 26287 85477 69619 X 1431789 1524187 1431789 1524187 1517266 1593806 -64318 156716 0 X 0 0 0 0 0 0 1 0 GOLF TOURNAMENT 21610 21610 44355 4750 21610 21610 44355 4750 49105 -27495 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.