2025-03-24T16:14:14-05:00 2024-06-30 946214841 ARMANINO ADVISORY LLC 2700 CAMINO RAMON STE 350 SAN RAMON CA 945835004 990 2023-07-01 861175591 UCSF HEALTH MEDICAL FOUNDATION UCSF 4154767220 6425 CHRISTIE AVENUE 220 EMERYVILLE CA 94608 JIMMY HU PRESIDENT 4154767220 2025-03-20 1 1 MATTHEW PETROSKI P00853132 9257902600 2025-03-20 2023 2025-03-06 01:10:19Z UCSF BENIOFF CHILDREN'S PHYSICIANS JIMMY HU 6425 CHRISTIE AVENUE 220 EMERYVILLE CA 94608 46667694 0 X N/A X 2007 CA THE MISSION OF UCSF HEALTH MEDICAL FOUNDATION 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. 6 0 215 0 0 0 0 0 45299084 46667694 0 0 0 0 45299084 46667694 0 0 0 0 18611726 17884605 0 0 0 26687358 28783089 45299084 46667694 0 0 19054027 18396696 19054027 18396696 0 0 X SEE SCHEDULE OTHE MISSION OF UCSF HEALTH MEDICAL FOUNDATION 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 40982960 46667694 THE FOUNDATION IS A PEDIATRIC AND WOMEN'S MULTI-SPECIALTY PHYSICIAN FOUNDATION WITH A PRIMARY GOAL OF FOSTERING PHYSICIAN COLLABORATION TO DELIVER ADVANCED PEDIATRIC AND WOMEN'S HEALTH 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 WOMEN AND 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.BEGINNING IN JANUARY 2015, THE FOUNDATION ESTABLISHED A PROFESSIONAL SERVICE AGREEMENT WITH BAY CHILDREN'S MEDICAL GROUP (BCMG). DURING THE YEAR ENDED JUNE 30, 2024, BCMG EMPLOYED 43 PHYSICIANS WHO SPLIT TIME BETWEEN BCH-OAK CLINICS AND COMMUNITY-BASED OFFICES. 40982960 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 67 0 1 215 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 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 SR ACCOUNTING MANAGER 4154764977 6425 CHRISTIE AVENUE 220 EMERYVILLE CA 94608 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER (THRU 11/23) 40.00 X X 502206 0 68470 JOSHUA ADLER MD CHAIRMAN 1.00 39.00 X X 0 920550 58256 SAM PEJHAM SECRETARY (AS OF 10/23) 1.00 39.00 X X 0 0 0 RAJU IYER TREASURER (THRU 11/23) 1.00 39.00 X X 0 1068007 45734 SABINA ALI DIRECTOR 1.00 39.00 X 0 294971 43867 MATTHEW COOK DIRECTOR (THRU 09/23) 1.00 39.00 X 0 1088246 45127 MARY NORTON DIRECTOR 1.00 39.00 X 0 554824 75036 STEVE WILSON MD DIRECTOR 1.00 39.00 X 0 608626 65753 JOAN ZOLTANSKI DIRECTOR (AS OF 10/23) 1.00 39.00 X 0 734183 51765 LEANNE PASHKOV CHIEF OPERATING OFFICER/INTERIM CEO 40.00 X 336185 0 62886 AMANDA BERGLUND FINANCE DIRECTOR (THRU 09/23) 40.00 X 450508 0 36884 MARY FAULKNER PRACTICE DIRECTOR 40.00 X 223318 0 37458 KATIA MOUSSA PRACTICE DIRECTOR 40.00 X 213765 0 54510 LUAL LUALHATI SR ACCOUNTING MANAGER 40.00 X 216891 0 46729 JI LEE FINANCE MANAGER 40.00 X 189478 0 56203 2132351 5269407 748678 34 0 1 0 KRISHNAMOORTHY YOGAM MD 400 30TH ST 207 OAKLAND CA 94609 PHYSICIAN SERVICES INDEPENDENT CONTRACTO 154790 JOSE ALVAREZ 2357 18TH ST SAN PABLO CA 94806 BUILDING GENERAL CONTRACTOR 105711 2 NET PATIENT REVENUE 541900 24006405 24006405 PHYSICIAN SERVICE REV 541900 22661289 22661289 46667694 46667694 46667694 0 0 X 830958 830958 11942506 10689217 1253289 5111141 4616512 494629 67004 67004 76495 76495 19704622 19543155 161467 13993 5366 8627 102436 76672 25764 450612 399366 51246 99920 99920 323841 323841 3635089 1356185 2278904 51490 51490 PHARMACEUTICALS 2554038 2554038 SUPPLIES 1017025 941005 76020 MISCELLANEOUS EXPENSES 632180 605031 27149 RECRUITING 34537 27261 7276 19807 17742 2065 46667694 40982960 5684734 0 3958903 6400343 2652196 2816256 317722 305164 23528903 14799549 11979627 8729354 145579 145579 19054027 18396696 6274079 7342679 12779948 11054017 19054027 18396696 X 0 0 19054027 18396696 0 0 X 0 1 X 1 0 X 53459608 53403837 38932331 45299084 46667694 237762554 53459608 53403837 38932331 45299084 46667694 237762554 0 0 0 237762554 14210 16501 30711 14210 16501 30711 53473818 53420338 38932331 45299084 46667694 237793265 0.99990 0.99980 0.00010 0.00020 X 1336931 815953 520978 7803609 6169953 1633656 14388363 7813643 6574720 8729354 DUE TO RELATED PARTIES 3504459 PAYABLE TO BAYCHILDREN'S MEDICAL GROUP 125317 CAPITAL LEASE OBLIGATIONS 7424241 11054017 46667694 0 46667694 0 46667694 46667694 0 46667694 0 46667694 X X 0 0 0 0 0 0 0 0 0 MATTHEW COOK DIRECTOR (THRU 09/23) 0 954374 0 133872 0 0 0 26400 0 18727 0 1133373 0 0 RAJU IYER TREASURER (THRU 11/23) 0 945628 0 118251 0 4128 0 26400 0 19334 0 1113741 0 0 JOSHUA ADLER MD CHAIRMAN 0 828956 0 87466 0 4128 0 42400 0 15856 0 978806 0 0 JOAN ZOLTANSKI DIRECTOR (AS OF 10/23) 0 683790 0 50393 0 0 0 29109 0 22656 0 785948 0 0 STEVE WILSON MD DIRECTOR 0 553476 0 55150 0 0 0 46419 0 19334 0 674379 0 0 MARY NORTON DIRECTOR 0 426128 0 125770 0 2926 0 53003 0 22033 0 629860 0 0 MITCHELL NEYHART CHIEF EXECUTIVE OFFICER (THRU 11/23) 502206 0 0 0 0 0 33000 0 35470 0 570676 0 0 0 AMANDA BERGLUND FINANCE DIRECTOR (THRU 09/23) 450508 0 0 0 0 0 24279 0 12605 0 487392 0 0 0 LEANNE PASHKOV CHIEF OPERATING OFFICER/INTERIM CEO 336185 0 0 0 0 0 33000 0 29886 0 399071 0 0 0 SABINA ALI DIRECTOR 0 291531 0 3030 0 410 0 17071 0 26796 0 338838 0 0 KATIA MOUSSA PRACTICE DIRECTOR 213765 0 0 0 0 0 21670 0 32840 0 268275 0 0 0 LUAL LUALHATI SR ACCOUNTING MANAGER 216891 0 0 0 0 0 21908 0 24821 0 263620 0 0 0 MARY FAULKNER PRACTICE DIRECTOR 223318 0 0 0 0 0 22672 0 14786 0 260776 0 0 0 JI LEE FINANCE MANAGER 189478 0 0 0 0 0 19351 0 36852 0 245681 0 0 0 BAYCHILDREN'S MEDICAL GROUP ENTITY MORE THAN 35% OWNED BY STEVE WILSON 13560000 PHYSICIAN SERVICES 0 TRI-VALLEY PEDIATRICS ENTITY MORE THAN 35% OWNED BY SAM PEJHAM 4465242 PHYSICIAN SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 UCSF HEALTH MEDICAL FOUNDATION 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 THE FOUNDATION 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 THE FOUNDATION 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 THE FOUNDATION. 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 UCSF HEALTH MEDICAL FOUNDATION'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 THE FOUNDATION'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. UCSF HEALTH MEDICAL FOUNDATION 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 UCSF HEALTH MEDICAL FOUNDATION AND A COPY WILL BE SENT TO THE RETURN ADDRESS. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 14,250,490. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,250,490. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,292,665. MANAGEMENT AND GENERAL EXPENSES 161,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,454,132. 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 1 1 1 1 1 0 1 0 1