2022-05-16T14:15:39-05:00 2021-06-30 390859910 BAKER TILLY US LLP 18500 VON KARMAN AVE 10TH FLOOR IRVINE CA 92612 990 2020-07-01 943189424 SAN FRANCISCO GENERAL HOSPITAL FOUNDATION SANF 4152064478 PO BOX 410836 SAN FRANCISCO CA 94141 KIM MEREDITH CHIEF EXECUTIVE OFFICER 4152064478 2022-05-13 1 KIM MEREDITH 999009999 BRIAN YACKER P00401346 9492222999 2022-05-13 X 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z KIM MEREDITH PO BOX 410836 SAN FRANCISCO CA 94141 346449397 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 21619212 17260148 1345776 84151 1671391 1927897 -1169939 -411130 23466440 18861066 13784484 6890171 0 0 2185150 2523344 0 0 1294498 2329884 1822323 18299518 11235838 5166922 7625228 109836489 120086821 3256577 2887279 106579912 117199542 X 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 954674 954674 THE COVID-19 EMERGENCY FUND WAS CREATED IN MARCH 2020 IN RESPONSE TO THE COVID-19 PANDEMIC, MOBILIZING RESOURCES FROM THE BROADER PHILANTHROPIC COMMUNITY TO SUPPORT ZUCKERBERG SAN FRANCISCO GENERAL'S CENTRAL ROLE IN THE CITY AND COUNTY OF SAN FRANCISCO'S RESPONSE TO THE CRISIS. THE FUND SUPPORTED THE ESTABLISHMENT AND EXPANSION OF COVID-19 TESTING FACILITIES; CRITICAL PPE AND MEDICAL SUPPLIES; EQUIPMENT AND SUPPLIES FOR INFECTION CONTROL AND STAFF AND PATIENT SCREENING FOR BOTH INPATIENT AND OUTPATIENT FACILITIES; ENHANCED TECHNOLOGY TO ALLOW PATIENTS IN ISOLATION TO REMAIN CONNECTED WITH LOVED ONES; SUPPORT FOR HOSPITAL STAFF WORKING AT THE FRONT LINES OF THE PANDEMIC RESPONSE; AND SUPPORT FOR PATIENTS. THE FUND HAS ALSO ESTABLISHED INITIATIVES TO ENHANCE TELEHEALTH TECHNOLOGY AND ADDRESS HEALTH EQUITY DISPARITIES THAT HAVE BEEN HEIGHTENED BY THE COVID PANDEMIC FOR OUR PATIENT POPULATION AND THE BROADER COMMUNITY. 919333 919333 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. 666359 666359 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. 5492118 4349805 84151 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. 5492118 4349805 84151 8032484 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 0 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 6282065929 PO BOX 410836 SAN FRANCISCO CA 94141 JUDITH GUGGENHIME CHAIR 5.00 X X 0 0 0 JOHN H BELL PRESIDENT 5.00 X X 0 0 0 SCHUYLER HUDAK SECRETARY 5.00 X X 0 0 0 MICHAEL MACBRYDE TREASURER 5.00 X X 0 0 0 DEBORAH ANDERSON BIALIS DIRECTOR 5.00 X 0 0 0 SUE CARLISLE PHD MD DIRECTOR 5.00 X 0 0 0 CHARLES CHARNAS DIRECTOR 5.00 X 0 0 0 ANDREW CLARK DIRECTOR 5.00 X 0 0 0 GEORGE H CLYDE DIRECTOR 5.00 X 0 0 0 MELISSA CHADWICK-DUNN DIRECTOR (AS OF 10/2020) 5.00 X 0 0 0 SUSAN EHRLICH MD DIRECTOR 5.00 X 0 0 0 SUZANNE GIRAUDO DIRECTOR 5.00 X 0 0 0 JENNA LIM 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 DIONNE CRUZ MILLER DIRECTOR 5.00 X 0 0 0 ELLEN MAGNIN NEWMAN DIRECTOR 5.00 X 0 0 0 JOHN K NOONAN DIRECTOR 5.00 X 0 0 0 ALEX ROSENBLATT DIRECTOR 5.00 X 0 0 0 PAULA SHULTZ DIRECTOR 5.00 X 0 0 0 BOB TANDLER DIRECTOR 5.00 X 0 0 0 JONATHAN TSAO AIA DIRECTOR 5.00 X 0 0 0 BETH S VENIAR CPA DIRECTOR 5.00 X 0 0 0 KIM MEREDITH AS OF 062020 CHIEF EXECUTIVE OFFICER 40.00 X 174564 0 10399 GERRY CHOW CHIEF FINANCIAL OFFICER 40.00 X 180852 0 11036 SAEED MIRFATTAH PROGRAM OFFICER 40.00 X 118686 0 9512 MELISSA MOORE DEVELOPMENT DIRECTOR, INSTITUTIONAL & CORP GIVING 40.00 X 170331 0 11248 ANN LAZARUS UNTIL 062020 FORMER INTERIM CHIEF EXECUTIVE OFFICER 40.00 X 123496 0 0 DEVIN HOLLIS UNTIL 092020 FORMER SR MARKETING MGMT CONSULTANT 40.00 X 118784 0 5730 886713 0 47925 6 1 1 0 SHANNON-LEIGH ASSOCIATES LLC 1455 HAYS STREET SAN LEANDRO CA 94577 ARCHITECTURAL & DESIGN SERVICE 295712 510 MEDIA 737 2ND STREET OAKLAND CA 94607 PUBLIC OUTREACH AND MEDIA CONSULTING 198037 BROWNEINC 10 RICE LANE LARKSPUR CA 94939 PUBLIC OUTREACH AND PR CONSULTING 146670 DEVIN HOLLIS PO BOX 148 TYNDALL MANITOBA CA ROE2B0 MARKETING AND COMMUNICATION CONSULTING 144317 LINDA KITTLITZ ASSOCIATES 193 COLERIDGE STREET SAN FRANCISCO CA 94110 PROMOTIONAL PRODUCTS/PRINTING SERVICES 140279 7 1315089 15945059 573642 17260148 FOOD VOUCHERS 900099 56862 56862 CONSULTATIVE SERVICES 900099 23039 23039 COURSES/TRAININGS 900099 4250 4250 84151 1274093 1274093 327744557 327090753 653804 653804 653804 28921 1315089 497578 -468657 -468657 CONCESSIONS 900099 57527 57527 57527 18861066 84151 0 1516767 6890171 6890171 376851 83926 200443 92482 1814715 293730 659153 861832 27999 4801 10944 12254 151109 24844 55951 70314 152670 25394 59819 67457 26836 26836 31500 31500 195699 195699 485536 95524 280957 109055 532004 287077 232069 12858 104387 15176 34353 54858 5551 2368 3183 4081 82 3836 163 3144 927 2217 322556 309546 13010 50933 47530 3403 DUES AND SUBSCRIPTIONS 60096 2213 53461 4422 11235838 8032484 1908856 1294498 681013 60193793 54835444 10291698 13095152 39438 44746 2320129 1904157 689097 415972 38610874 50999967 11589 0 14527 109836489 120086821 2056814 1761125 1199763 1126154 3256577 2887279 X 18919571 21199382 87660341 96000160 106579912 117199542 109836489 120086821 7625228 2944402 50000 0 X X 0 1 X 1 0 X 8644995 10272136 16364199 21619212 17260148 74160690 8644995 10272136 16364199 21619212 17260148 74160690 8511098 65649592 184702 1108590 1845735 1708787 1274093 6121907 121979 108624 138060 92453 57527 518643 80801240 4552753 0.81250 0.84240 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 32,286. 2017 AMOUNT: $ 39,248. 2018 AMOUNT: $ 67,736. 2019 AMOUNT: $ 13,935. CONCESSIONS - 2016 AMOUNT: $ 89,693. 2017 AMOUNT: $ 69,376. 2018 AMOUNT: $ 70,324. 2019 AMOUNT: $ 78,518. 2020 AMOUNT: $ 57,527. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 9339992 9339992 617000 154250 0 0 641125 569373 913173 617000 2740671 4111007 160281 142343 228293 154250 685167 1027751 0 1 X 5300854 8077582 3880390 250000 17008826 5182017 14450 104387 5300854 4892102 61910 253020 25015 5182017 4368560 317062 223923 17443 4892102 4344547 24013 4368560 0.61228 0.26529 0.12243 0 0 2147957 1904157 243800 172172 172172 415972 X 22128426 2944402 -145699 2798703 19329723 -468657 -468657 18861066 11508796 468657 468657 11040139 195699 195699 11235838 PART IV, LINE 2B: THE FOUNDATION ACTS AS A HOSPITAL SUPPORT SERVICE FOR SEVERAL HOSPITAL DEPARTMENTS AND THEIR AFFILIATES. IN RETURN FOR PROVIDING SUCH SERVICES, THE FOUNDATION CHARGES A 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. 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 EXPENSE -195,699. PRIOR PERIOD ADJUSTMENT 50,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -468,657. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 468,657. PART V, LINE 1B, COLUMN A: ADDITIONS TO BOARD DESIGNATED ENDOWMENTS HEARTS IN SF 1344010 1315089 28921 9092 6500 481986 1344010 1315089 28921 9092 6500 481986 497578 -468657 1 ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE SAN FRANCISCO CA 94110 GOVERNMENT 6885171 5000 FMV ISOLATION GOWNS SUPPORT OF HOSPITAL PROGRAMS AND PATIENT CARE 1 0 PART I, LINE 2: THE FOUNDATION ISSUES PURCHASE ORDERS FOR HOSPITAL EQUIPMENT AND WILL PAY THE VENDOR DIRECTLY, FROM A VENDOR INVOICE, UPON VERIFICATION WITH THE HOSPITAL OF RECEIPT OF THE EQUIPMENT IN WORKING ORDER. OTHER PAYMENTS MADE DIRECTLY TO VENDORS ON BEHALF 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 GERRY CHOW CHIEF FINANCIAL OFFICER 175852 0 5000 0 0 0 2000 0 9036 0 191888 0 0 0 KIM MEREDITH AS OF 062020 CHIEF EXECUTIVE OFFICER 174564 0 0 0 0 0 0 0 10399 0 184963 0 0 0 MELISSA MOORE DEVELOPMENT DIRECTOR, INSTITUTIONAL 165331 0 5000 0 0 0 2000 0 9248 0 181579 0 0 0 DEVIN HOLLIS UNTIL 092020 FORMER SR MARKETING MGMT CONSULTANT 118784 0 0 0 0 0 0 0 5730 0 124514 0 0 0 ANN LAZARUS UNTIL 062020 FORMER INTERIM CHIEF EXECUTIVE OFFIC 123496 0 0 0 0 0 0 0 0 0 123496 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 6 563941 FMV X 2 4701 FMV X 1 5000 FMV 0 1 1 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS 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.