2021-05-17T13:48:09-05:00 2020-06-30 390859910 BAKER TILLY US LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2019-07-01 943189424 SAN FRANCISCO GENERAL HOSPITAL FOUNDATION SANF 4152064478 PO BOX 410836 SAN FRANCISCO CA 94141 KIM MEREDITH CHIEF EXECUTIVE OFFICER 4152064478 2021-05-12 1 JOUA LO P01225144 4157812500 2021-05-07 2019 2022-09-23 18:48:47Z KIM MEREDITH PO BOX 410836 SAN FRANCISCO CA 94141 422356509 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. 23 23 25 85 0 0 16364199 21619212 1161951 1345776 1600718 1671391 -1203504 -1169939 17923364 23466440 7190649 13784484 0 0 2164329 2185150 0 0 1020283 1592398 2329884 10947376 18299518 6975988 5166922 103372435 109836489 2503194 3256577 100869241 106579912 X THE SAN FRANCISCO GENERAL HOSPITAL FOUNDATION 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 1585235 4821717 0 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. 1248308 381819 325979 THE ORTHOPAEDIC TRAUMA INSTITUTE (OTI) IS A COLLABORATION BETWEEN THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF) AND ZUCKERBERG SAN FRANCISCO GENERAL. THE INSTITUTE PROVIDES EXPERT CARE FOR ALL ASPECTS OF TRAUMATIC MUSCULOSKELETAL INJURIES, INCLUDING INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGICAL CARE, REHABILITATION, AND ORTHOTICS AND PROSTHETICS. SURGEONS AND PHYSICIANS FROM THE DEPARTMENT OF ORTHOPAEDIC SURGERY AT UCSF WITH SPECIFIC TRAINING AND EXPERIENCE IN TREATING THESE CONDITIONS STAFF THE INSTITUTE. 985062 1073453 5430 SOLID START PROMOTES HEALTH AND HEALTH EQUITY BY INTEGRATING SOCIAL, BEHAVIORAL, AND MEDICAL CARE FOR PREGNANT WOMEN AND FAMILIES WITH CHILDREN AGES 0 THROUGH 4. 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 FOR BOTH THE MOTHER AND CHILD; AND CAPITALIZES ON THE PERIODICITY OF BOTH PRENATAL CARE AND POSTNATAL WELL-CHILD VISITS TO MEET FAMILIES WHERE THEY ARE. 11444854 7507494 1014367 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. 11444854 7507494 1014367 15263459 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 1 111 0 1 25 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 X 23 23 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 SWIFT 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 JULIA DAMASCO DIRECTOR 5.00 X 0 0 0 SUSAN EHRLICH MD 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 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 HELEN ARCHER DUSTE RN MS SECRETARY (THRU 6/2020) 5.00 X X 0 0 0 ALICE CHEN MD MPH DIRECTOR (THRU 9/2019) 5.00 X 0 0 0 ALEX FISHER DIRECTOR (THRU 8/2020) 5.00 X 0 0 0 LIONEL JOHNSON DIRECTOR (THRU 3/2020) 5.00 X 0 0 0 KIM MEREDITH CHIEF EXECUTIVE OFFICER 40.00 X 0 0 0 ANN LAZARUS THRU JUNE 2020 INTERIM EXECUTIVE DIRECTOR 40.00 X 219606 0 0 GERRY CHOW VP OF FINANCE 40.00 X 181479 0 10264 DEVIN HOLLIS SENIOR MARKETING MANAGEMENT CONSULTANT 40.00 X 151907 0 7186 JEREMY BENJAMIN SENIOR DEVELOPMENT OFFICER 40.00 X 151657 0 12040 MELISSA MOORE SENIOR DEVELOPMENT OFFICER 40.00 X 150791 0 10460 JOSEPH LUSTIG BOARD LIAISON AND EXECUTIVE ASSISTANT (THUR NOV 19 40.00 X 127985 0 3373 AMANDA HEIER FORMER CEO 40.00 X 107208 0 0 1090633 0 43323 7 1 1 0 SHANNON-LEIGH ASSOCIATES LLC 1455 HAYS STREET SAN LEANDRO CA 94577 ARCHITECTURAL & DESIGN SERVICE 702812 BRIGHT 145 PARK LANE BRISBANE CA 95005 EVENT PRODUCTION 377765 GOT LIGHT 211 INDUSTRIAL STREET SAN FRANCISCO CA 94124 EVENT PRODUCTION 315773 510 MEDIA 727 2ND STREET OAKLAND CA 94607 PUBLIC OUTREACH AND MEDIA CONSULTING 255125 TEF ARCHITECTURE 1420 SUTTER STREET SAN FRANCISCO CA 94109 ARCHITECTURAL AND DESIGN SERVICES 235790 8 1721655 1586583 18310974 912274 21619212 FISCAL AGENT FEES 900099 1345776 1345776 1345776 1708787 1708787 397588681 397626077 -37396 -37396 -37396 1600 1721655 1263992 -1262392 -1262392 CONCESSIONS 900099 78518 78518 OTHER 900099 13935 13935 92453 23466440 1345776 0 501452 13784484 13784484 590722 155224 304720 130778 1257123 252981 495007 509135 56787 12522 24611 19654 144474 31857 62614 50003 136044 29254 60076 46714 210718 210718 32000 32000 179219 179219 509328 87163 293113 129052 513249 461244 50760 1245 179560 31009 43794 104757 5351 2519 2832 35393 1257 15663 18473 1774 90 1684 326393 309545 16848 51207 47185 4022 BAD DEBT EXPENSE 133815 133815 IN-KIND RELATED EXPENSE 105269 105269 DUES AND SUBSCRIPTIONS 46608 1650 43024 1934 18299518 15263459 2015776 1020283 136219 56701674 60193793 10719372 10291698 53939 39438 2273857 1584760 1002846 689097 34742716 38610874 15669 11589 103372435 109836489 1014691 2056814 1488503 1199763 2503194 3256577 X 16937015 18919571 83932226 87660341 100869241 106579912 103372435 109836489 5166922 543749 0 X X 0 1 X 1 0 X 10657357 8644995 10272136 16364199 21619212 67557899 10657357 8644995 10272136 16364199 21619212 67557899 5913212 61644687 91625 184702 1108590 1845735 1708787 4939439 219432 121979 108624 138060 92453 680548 73177886 5820591 0.84240 0.91790 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 126,857. 2016 AMOUNT: $ 32,286. 2017 AMOUNT: $ 39,248. 2018 AMOUNT: $ 67,736. 2019 AMOUNT: $ 13,935. CONCESSIONS - 2015 AMOUNT: $ 92,575. 2016 AMOUNT: $ 89,693. 2017 AMOUNT: $ 69,376. 2018 AMOUNT: $ 70,324. 2019 AMOUNT: $ 78,518. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15263459 15263459 913173 228293 0 0 621347 641125 569373 913173 2745018 4117527 155337 160281 142343 228293 686254 1029381 0 1488503 638582 927322 1199763 1 X 5182017 14450 104387 5300854 4892102 61910 253020 25015 5182017 4368560 317062 223923 17443 4892102 4344547 24013 4368560 4354429 -9882 4344547 0.89570 0.10430 0 0 2143098 1584760 558338 130759 130759 689097 X 25274833 543749 254016 1189847 1987612 23287221 179219 179219 23466440 19564162 254016 1189847 1443863 18120299 179219 179219 18299518 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: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 1,189,847. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 1,189,847. HEARTS IN SF 1723255 1721655 1600 138549 66238 1059205 1723255 1721655 1600 138549 66238 1059205 1263992 -1262392 1 SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE SAN FRANCISCO CA 94110 GOVERNMENT 13679215 105269 FMV DIGITAL TABLETS, CLOTHING, FOOD DONATIONS, AND PATIENT SUPPLIES 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. 1 X X X 1 0 0 0 0 0 0 0 0 ANN LAZARUS THRU JUNE 2020 INTERIM EXECUTIVE DIRECTOR 219606 0 0 0 0 0 0 0 0 0 219606 0 0 0 GERRY CHOW VP OF FINANCE 166979 0 14500 0 0 0 2000 0 8264 0 191743 0 0 0 DEVIN HOLLIS SENIOR MARKETING MANAGEMENT CONSULTA 151907 0 0 0 0 0 0 0 7186 0 159093 0 0 0 JEREMY BENJAMIN SENIOR DEVELOPMENT OFFICER 151657 0 0 0 0 0 2000 0 10040 0 163697 0 0 0 MELISSA MOORE SENIOR DEVELOPMENT OFFICER 142791 0 8000 0 0 0 2000 0 8460 0 161251 0 0 0 AMANDA HEIER FORMER CEO 0 0 0 0 107208 0 0 0 0 0 107208 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. PART I, LINE 4A AMANDA HEIER RECEIVED SEPARATION PAYMENT OF $107,208 X 67592 FMV X 3 746005 FMV X 11 87081 FMV X 2 11596 FMV 0 0 1 1 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: NO CHANGE IN REVIEW PROCESS. EACH YEAR, THE AUDIT COMMITTEE MEETS WITH THE AUDITORS TO GO OVER A DRAFT REPORT AND APPROVES THE AUDIT FOR FINAL ISSUANCE.