Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 15,566,680 | 45,870,679 | 57,964,863 | 59,500,048 | 57,266,702 | 236,168,972 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 15,566,680 | 45,870,679 | 57,964,863 | 59,500,048 | 57,266,702 | 236,168,972 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 236,168,972 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 15,566,680 | 45,870,679 | 57,964,863 | 59,500,048 | 57,266,702 | 236,168,972 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 33,553 | 26,696 | 19,040 | 79,289 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 33,553 | 26,696 | 19,040 | 79,289 | ||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 84,021 | 84,021 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 15,650,701 | 45,870,679 | 57,998,416 | 59,526,744 | 57,285,742 | 236,332,282 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| 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 (C) AMOUNTS ARE FROM THE PERIOD OF JULY 1, 2015, TO JUNE 30, 2016. - 2014 COLUMN (B) AMOUNTS ARE FROM THE PERIOD OF JANUARY 1, 2015, TO JUNE 30, 2015. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| 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 35,201,254. MANAGEMENT AND GENERAL EXPENSES 409,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,611,207. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 143,764. MANAGEMENT AND GENERAL EXPENSES 1,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,438. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,776,515. MANAGEMENT AND GENERAL EXPENSES 67,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,843,788. MEDICAL TESTING: PROGRAM SERVICE EXPENSES 45,976. MANAGEMENT AND GENERAL EXPENSES 535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,511. |
| FORM 990, PART XII, LINE 2C: | DUE TO THE DEPARTURE OF AN AUDIT COMMITTEE MEMBER IN THE CALENDAR YEAR ENDING JUNE 30, 2019, THE BOARD ASSUMED RESPONSIBILITY FOR FINANCIAL OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. |
| Software ID: | |
| Software Version: |