2023-08-08T11:49:35-05:00 2022-06-30 390859910 BAKER TILLY US LLP 18500 VON KARMAN AVE 10TH FLOOR IRVINE CA 92612 990 2021-07-01 943189424 SAN FRANCISCO GENERAL HOSPITAL FOUNDATION SANF 6282064478 PO BOX 410836 SAN FRANCISCO CA 94141 KIM MEREDITH CHIEF EXECUTIVE OFFICER 6282064478 2023-07-18 1 KIM MEREDITH 999009999 BRIAN YACKER P00401346 9492222999 2023-07-18 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KIM MEREDITH PO BOX 410836 SAN FRANCISCO CA 94141 127053083 0 X WWW.SFGHF.ORG X 1993 CA TO SUPPORT AND FUND EXCELLENCE IN PATIENT CARE AND INNOVATION AT (CONT'D: SCHEDULE O) ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER (ZSFG) BECAUSE WE BELIEVE IN HEALTH EQUITY, ACCESS, AND QUALITY HEALTH CARE FOR ALL PEOPLE. 25 25 23 25 0 0 17260148 42208051 84151 43042 1927897 1163797 -411130 -635982 18861066 42778908 6890171 12500653 0 0 2523344 3145863 0 0 1717033 1822323 2177502 11235838 17824018 7625228 24954890 120086821 138050322 2887279 2615553 117199542 135434769 X SFGHF SUPPORTS AND FUNDS EXCELLENCE IN PATIENT CARE AND INNOVATION AT ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER BECAUSE WE BELIEVE IN HEALTH EQUITY, ACCESS, AND QUALITY HEALTH CARE FOR ALL PEOPLE. 0 0 2166666 2166666 18530 EATSF IS A HEALTHY FOOD PROGRAM PROVIDING LOW-INCOME SAN FRANCISCANS WITH VOUCHERS FOR FREE FRUITS AND VEGETABLES. THE PROGRAM PROMOTES HEALTHY EATING, REDUCES HUNGER, AND SUPPORTS THE ECONOMIC AND NUTRITIONAL HEALTH OF THE COMMUNITY. 2015798 2015798 THE ZUCKERBERG PATIENT CARE AND QUALITY IMPROVEMENT FUND WAS ESTABLISHED AS PART OF THE TRANSFORMATIONAL GRANT FROM PRISCILLA CHAN AND MARK ZUCKERBERG. THE FUND SUPPORTS A BROAD RANGE OF CAPITAL, TECHNOLOGY, AND PROGRAMMATIC PROJECTS THAT AIM TO IMPROVE THE QUALITY OF PATIENT CARE AT ZSFG. ACTIVITIES INCLUDE: CONTINUING TO OPTIMIZE THE HOSPITAL FOR ACCESS, READINESS, AND SAFETY; TRANSFORMING THE PATIENT, STAFF, AND VISITOR EXPERIENCE; AND INVESTING IN THE HOSPITAL'S FUTURE BY ENABLING LEADERS TO TRANSFORM HOW PATIENT CARE IS DELIVERED. 536070 536070 SOLID START PROMOTES HEALTH AND HEALTH EQUITY BY INTEGRATING SOCIAL, BEHAVIORAL, AND MEDICAL CARE FOR PREGNANT WOMEN AND FAMILIES WITH CHILDREN AGES 0 THROUGH 3. THE PROGRAM COLLABORATES DIRECTLY WITH FAMILIES IN OUR TARGET POPULATION AND CROSS-SECTOR COMMUNITY PARTNERS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH; BRIDGES THE PRENATAL AND POSTPARTUM DIVIDE WITH A FAMILY-CENTERED APPROACH TO WHOLE PERSON CARE; AND CAPITALIZES ON THE PERIODICITY OF BOTH PRENATAL CARE AND POSTNATAL WELL-CHILD VISITS TO MEET FAMILIES WHERE THEY ARE. 8490880 7782119 24512 THE FOUNDATION HAS A NUMBER OF OTHER PROGRAM SERVICES AND IS COMMITTED TO SUPPORTING ZUCKERBERG SAN FRANCISCO GENERAL IN ITS MISSION TO PROVIDE ACCESS TO HIGH QUALITY HEALTH CARE FOR EVERYONE, INCLUDING THE REGION'S MOST VULNERABLE POPULATIONS; SUPERB EMERGENCY AND TRAUMA CARE; EDUCATION OF THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS; AND RESEARCH TO PROMOTE EXCELLENCE IN WOMAN'S HEALTH, PEDIATRICS, PALLIATIVE CARE, ORTHOPAEDICS, INJURY PREVENTION AND TRAUMA AND HIV/AIDS SERVICES. 8490880 7782119 24512 13209414 1 1 0 1 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 67 0 1 23 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X GERRY CHOW 6282064478 PO BOX 410836 SAN FRANCISCO CA 94141 JOHN H BELL PRESIDENT 5.00 X X 0 0 0 CHARLES CHARNAS SECRETARY 5.00 X X 0 0 0 MELISSA CHADWICK-DUNN TREASURER 5.00 X X 0 0 0 DEBORAH ANDERSON-BIALIS DIRECTOR 5.00 X 0 0 0 SIMONE BALCH DIRECTOR 5.00 X 0 0 0 SUE CARLISLE MD MPH DIRECTOR 5.00 X 0 0 0 HOWARD CHI DIRECTOR 5.00 X 0 0 0 ANDREW CLARK DIRECTOR 5.00 X 0 0 0 SUSAN P EHRLICH MD MPP EX-OFFICIO 5.00 X 0 0 0 KIMBERLEY GOODE DIRECTOR 5.00 X 0 0 0 SCHUYLER HUDAK DIRECTOR 5.00 X 0 0 0 HEMAL KANZARIA MD MSC DIRECTOR 5.00 X 0 0 0 MATTHEW KINSELLA DIRECTOR 5.00 X 0 0 0 JENNA LIM DIRECTOR 5.00 X 0 0 0 MICHAEL MACBRYDE DIRECTOR 5.00 X 0 0 0 JANIS MACKENZIE DIRECTOR 5.00 X 0 0 0 JAMES D MARKS MD PHD DIRECTOR 5.00 X 0 0 0 ANDREW MCCOLLUM DIRECTOR 5.00 X 0 0 0 THEODORE MICLAU III MD DIRECTOR 5.00 X 0 0 0 ELIZABETH MINICK DIRECTOR 5.00 X 0 0 0 ELLEN M NEWMAN DIRECTOR 5.00 X 0 0 0 JOHN K NOONAN DIRECTOR 5.00 X 0 0 0 NEDA RATANAWONGSA MD MPH DIRECTOR 5.00 X 0 0 0 ALEX ROSENBLATT CLTC DIRECTOR 5.00 X 0 0 0 BOB TANDLER DIRECTOR 5.00 X 0 0 0 KIM MEREDITH CHIEF EXECUTIVE OFFICER 40.00 X 361524 0 24596 GERRY CHOW CHIEF OF FINANCE 40.00 X 195606 0 13561 REBECCA SCHUETT CHIEF OF DEVELOPMENT 40.00 X 223845 0 18441 ALLISON ARDEN DIRECTOR OF MAJOR GIFTS & INDIVIDUAL GIVING 40.00 X 167317 0 13342 MELISSA MOORE DIRECTOR OF INSTITUTIONAL & CORPORATE GIVING 40.00 X 168757 0 13401 JENNA CASEY ASSOCIATE DIRECTOR OF COMMUNICATION 40.00 X 103611 0 11743 ALICE HE ASSISTANT CONTROLLER 40.00 X 120293 0 13246 SAEED MIRFATTAH CHIEF OF STAFF 40.00 X 140090 0 14612 HELENE N SIMS ASSOCIATE DIR. OF EVENTS 40.00 X 100319 0 7535 1581362 0 130477 9 0 1 0 FISHER PO BOX 936 PACIFICA CA 94044 COMMERCIAL GENERAL CONTRACTOR 1274412 510 MEDIA 737 2ND STREET UNIT 101M OAKLAND CA 94607 PUBLIC OUTREACH AND MEDIA CONSULTING 469954 BROWNEINC 2350 TAYLOR STREET SUITE 6 SAN FRANCISCO CA 94133 PUBLIC OUTREACH AND PR CONSULTING 290004 SHANNON-LEIGH ASSOCIATES LLC 1455 HAYS STREET SAN LEANDRO CA 94577 ARCHITECTURAL & DESIGN SERVICES 204817 DEVIN HOLLIS PO BOX 148 TYNDALL MANITOBA CA ROE2B0 MARKETING AND COMMUNICATION CONSULTING 172282 6 1485194 1043138 39679719 564886 42208051 COURSES/TRAININGS 900099 18562 18562 FOOD VOUCHERS 900099 18530 18530 CONSULTATIVE SERVICES 900099 5950 5950 43042 1497406 1497406 83196364 83529973 -333609 -333609 -333609 0 1485194 744202 -744202 -744202 CONCESSIONS 900099 74442 74442 FISCAL AGENT FEES 900099 33644 33644 SETTLEMENT INCOME 900099 134 134 108220 42778908 43042 0 527815 12500653 12500653 816416 140521 272220 403675 1945198 227186 909328 808684 41459 5476 17888 18095 162804 19205 76886 66713 179986 23177 80965 75844 26472 26472 36424 36424 10000 1827 8030 143 184628 184628 735379 145839 578118 11422 348164 84029 257193 6942 321143 4461 113884 202798 7101 3096 4005 24760 15812 8948 4563 1527 3036 213506 213506 58712 53967 4745 EVENT EXPENSES 146375 54824 1677 89874 DUES AND SUBSCRIPTIONS 60275 2216 45950 12109 17824018 13209414 2897571 1717033 681013 652510 54835444 57109925 13095152 33973377 14527 1457080 44746 123339 4238857 2052654 415972 2186203 50999967 42547888 120086821 138050322 1761125 1582496 1126154 1033057 2887279 2615553 X 21199382 16212070 96000160 119222699 117199542 135434769 120086821 138050322 24954890 -6719663 0 X X 0 1 X 1 0 X 10272136 16364199 21619212 17260148 42208051 107723746 10272136 16364199 21619212 17260148 42208051 107723746 34934643 72789103 1108590 1845735 1708787 1274093 1497406 7434611 108624 138060 92453 57527 108220 504884 115663241 4519333 0.62930 0.81250 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 39,248. 2018 AMOUNT: $ 67,736. 2019 AMOUNT: $ 13,935. 2021 AMOUNT: $ 134. CONCESSIONS - 2017 AMOUNT: $ 69,376. 2018 AMOUNT: $ 70,324. 2019 AMOUNT: $ 78,518. 2020 AMOUNT: $ 57,527. 2021 AMOUNT: $ 74,442. FISCAL AGENT FEES - 2021 AMOUNT: $ 33,644. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 10000 10000 14985254 14995254 899763 224941 0 0 569373 913173 617000 899763 2999309 4498964 10000 10000 142343 228293 154250 224941 749827 1124741 0 1 X 17008825 404757 -2499721 497678 14416183 5300854 8077582 3880390 250000 17008825 5182017 14450 104387 5300854 4892102 61910 253020 25015 5182017 4368560 317062 223923 17443 4892102 0.62132 0.31333 0.06535 0 0 2179104 67572 2111532 2027303 1985082 42221 32450 32450 2186203 X 36813069 -6719663 194250 -184628 -6710041 43523110 -744202 -744202 42778908 18577842 194250 744202 938452 17639390 184628 184628 17824018 PART IV, LINE 2B: THE FOUNDATION ACTS AS A FISCAL AGENT FOR SEVERAL HOSPITAL DEPARTMENTS AND THEIR AFFILIATES. IN RETURN FOR PROVIDING SUCH SERVICES, THE FOUNDATION CHARGES A FISCAL AGENT FEE OF UP TO TEN PERCENT OF THE FUNDS RECEIVED. PART V, LINE 4: THE FOUNDATION'S ENDOWMENTS CONSIST OF A FUND ESTABLISHED FOR GENERAL OPERATIONS, AND THREE ADDITIONAL FUNDS TO SUPPORT THE VOLUNTEER PROGRAM, SOLID START, AND CHILDREN'S HEALTH. THE ENDOWMENTS INCLUDE ONLY DONOR-RESTRICTED ENDOWMENT FUNDS. PART X, LINE 2: THE FOUNDATION IS QUALIFIED AS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND BY THE CALIFORNIA REVENUE AND TAXATION CODE UNDER SECTION 23701D. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. EACH YEAR, MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE FOUNDATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE FOUNDATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THE ACCOMPANYING FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES -184,628. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -744,202. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 744,202. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 184,628. HEARTS IN SF 1485194 1485194 4417 5500 734285 1485194 1485194 4417 5500 734285 744202 -744202 1 ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE SAN FRANCISCO CA 94110 GOVERNMENT 12500653 0 SUPPORT OF HOSPITAL PROGRAMS AND PATIENT CARE 1 0 PART I, LINE 2: THE FOUNDATION REIMBURSES THE HOSPITAL FOR QUALIFYING EXPENSES ON A COST-REIMBURSEMENT BASIS, UPON REVIEW AND VERIFICATION OF BACK-UP DOCUMENTATION SUCH AS VENDOR INVOICES, RECEIPTS, ACCOUNTING LEDGERS, AND PAYROLL LEDGERS AS APPROPRIATE. IN SOME CASES, THE FOUNDATION ISSUES PURCHASE ORDERS FOR EQUIPMENT AND OTHER ITEMS AND WILL PAY THE VENDOR DIRECTLY, AND PROVIDE THE GOODS OR SERVICES PROCURED AS PART OF THE FOUNDATION'S GRANTS TO THE HOSPITAL. IN THE CASE OF EQUIPMENT, THE HOSPITAL PAYS FROM A VENDOR INVOICE, UPON VERIFICATION WITH THE HOSPITAL OF RECEIPT OF THE EQUIPMENT IN WORKING ORDER. OTHER PAYMENTS MADE DIRECTLY TO VENDORS FOR THE ULTIMATE BENEFIT OF THE HOSPITAL MUST BE SUPPORTED BY VENDOR INVOICES OR RELEVANT PAYROLL INFORMATION SUCH AS TIME CARDS. THE FOUNDATION VERIFIES SATISFACTION WITH THE SERVICES PROVIDED TO THE HOSPITAL PRIOR TO PAYING THE VENDOR. X X X 0 0 0 0 0 0 0 0 0 KIM MEREDITH CHIEF EXECUTIVE OFFICER 329524 0 32000 0 0 0 4000 0 20596 0 386120 0 0 0 REBECCA SCHUETT CHIEF OF DEVELOPMENT 218845 0 5000 0 0 0 4000 0 14441 0 242286 0 0 0 GERRY CHOW CHIEF OF FINANCE 190606 0 5000 0 0 0 4000 0 9561 0 209167 0 0 0 MELISSA MOORE DIRECTOR OF INSTITUTIONAL & CORPORAT 168757 0 0 0 0 0 4000 0 9401 0 182158 0 0 0 ALLISON ARDEN DIRECTOR OF MAJOR GIFTS & INDIVIDUAL 167317 0 0 0 0 0 4000 0 9342 0 180659 0 0 0 SAEED MIRFATTAH CHIEF OF STAFF 140090 0 0 0 0 0 2000 0 12612 0 154702 0 0 0 PART I, LINE 3 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE SAN FRANCISCO GENERAL HOSPITAL FOUNDATION ANNUALLY. X 7 564886 FMV 0 1 1 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS ARE BEING REPORTED. PART I, LINE 32B: CAR DONATION SERVICES PROVIDED BY ANOTHER NONPROFIT ORGANIZATION FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS THE TAX RETURNS AND AT SUBSEQUENT BOARD MEETING COPIES OF THE RETURNS WILL BE AVAILABLE FOR REVIEW BY BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES POLICY COMPLIANCE THROUGH SIGNED DECLARATIONS. IF A POTENTIAL CONFLICT OF INTEREST ARISES, THE PERSON INVOLVED SHALL GIVE NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER REFRAIN FROM DISCUSSING OR VOTING ON THE PARTICULAR TRANSACTION IN WHICH HE HAS AN INTEREST, OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE FOUNDATION, OR ITS COMPONENTS TO AFFECT A DECISION TO PARTICIPATE OR NOT PARTICIPATE IN SUCH TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND KEY EMPLOYEES IS SET USING COMPARABLE DATA AND IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE SAN FRANCISCO GENERAL HOSPITAL FOUNDATION ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 EXCERPTS OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.