2019-05-14T15:09:04-05:00 2018-06-30 330835986 SQUAR MILNER LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 941051815 990 2017-07-01 943189424 SAN FRANCISCO GENERAL HOSPITAL FOUNDATION SANF 4152064478 PO BOX 410836 SAN FRANCISCO CA 94141 ANN LAZARUS INTERIM CEO 4152064478 2019-05-14 1 JOUA LO P01225144 4157812500 71.6.48.101 2019-05-14 12:26:47 PD P A1DB5DB41FEE3373BA9901E03D6B95C2889EF87E 04688926A99AB1187F8A3E5828E2B676A02AA1A4 2017 2019-02-21 02:37:17Z ANN LAZARUS PO BOX 410836 SAN FRANCISCO CA 94141 28421721 0 X WWW.SFGHF.ORG X 1993 CA SAN FRANCISCO GENERAL HOSPITAL FOUNDATION IS DEDICATED TO PROMOTING (CONT'D: SCHEDULE O) EXCELLENCE IN RESEARCH, EDUCATION AND CARE FOR ALL AT PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER. 30 29 18 40 0 10115 14302436 10272136 0 830249 129922 1239551 1202945 -735196 15635303 11606740 6222948 7741338 0 0 1972272 2032559 0 0 1121332 4040966 1897149 12236186 11671046 3399117 -64306 94990020 95100315 1894758 2368232 93095262 92732083 X SAN FRANCISCO GENERAL HOSPITAL FOUNDATION IS DEDICATED TO PROMOTING EXCELLENCE IN RESEARCH, EDUCATION AND CARE FOR ALL AT PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER. 0 0 788376 788376 70634 THE FAMRI BLAND LANE CENTER OF EXCELLENCE, RECEIVES FUNDING FROM THE FLIGHT ATTENDANT MEDICAL RESEARCH INSTITUTE (FAMRI), TO CONDUCT RESEARCH ON PROJECTS THAT ARE FOCUSED ON THE EFFECTS OF SECOND-HAND SMOKE (SHS) EXPOSURE AMONG FLIGHT ATTENDANTS AND INCLUDES SPECIAL PROJECTS THAT STUDY THE EFFECTS OF SHS AMONG VULNERABLE POPULATIONS, INCLUDING CHILDREN. 927725 927725 92525 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. 417340 417340 48497 THE AVON COMPREHENSIVE BREAST CANCER CENTER HAS PERFORMED OVER 36,000 MAMMOGRAMS AND MORE THAN 2,000 BREAST HEALTH PROCEDURES SINCE 2002. THIS MULTI-PART COMMUNITY AND HOSPITAL BASED PROGRAM ENABLES PATIENTS TO BE GUIDED FROM MAMMOGRAPHY TO DIAGNOSIS AND FINALLY TREATMENT. THE CENTER RUNS PROGRAMS THAT PROVIDE OUTREACH SERVICES TO THE MOST VULNERABLE PORTIONS OF THE POPULATION: LOW-INCOME, UNINSURED AND UNDERINSURED WOMEN. 7158156 5607897 618593 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. 7158156 5607897 618593 9291597 1 1 0 1 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 132 0 1 18 1 1 1 0 0 0 0 1 1 0 0 0 1 0 X 30 29 1 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 CONNIE SHANAHAN DIRECTOR 5.00 X 0 0 0 JONATHAN TSAO AIA DIRECTOR 5.00 X 0 0 0 KIRSTEN BIBBINS-DOMINGO PHD MD DIRECTOR 5.00 X 0 0 0 HELEN ARCHER DUSTE RN MS SECRETARY 5.00 X X 0 0 0 JOHN H BELL PRESIDENT 5.00 X X 0 0 0 MICHAEL MACBRYDE TREASURER 5.00 X X 0 0 0 ALICE CHEN MD MPH DIRECTOR 5.00 X 0 0 0 MATTHEW PAUL CARBONE DIRECTOR 5.00 X 0 0 0 DAVID SANCHEZ JR PHD EX-OFFICIO DIRECTOR 5.00 X 0 0 0 SUE CARLISLE PHD MD EX-OFFICIO DIRECTOR 5.00 X 0 0 0 ALEX ROSENBLATT DIRECTOR 5.00 X 0 0 0 BETH S VENIAR CPA DIRECTOR 5.00 X 0 0 0 CHARLES CHARNAS DIRECTOR 5.00 X 0 0 0 ELLEN MAGNIN NEWMAN DIRECTOR 5.00 X 0 0 0 ALEX FISHER DIRECTOR 5.00 X 0 0 0 SUSAN EHRLICH MD DIRECTOR 5.00 X 0 0 0 DENNIS LEARY DIRECTOR 5.00 X 0 0 0 LIONEL JOHNSON DIRECTOR 5.00 X 0 0 0 LISA HAUSWIRTH VICE PRESIDENT 5.00 X X 0 0 0 PATRICK SMITH THRU FEB 2018 DIRECTOR 5.00 X 0 0 0 JENNA LIM DIRECTOR 5.00 X 0 0 0 ANDREW MCCOLLUM DIRECTOR 5.00 X 0 0 0 RUTH ANN STUMPF THRU JAN 2018 DIRECTOR 5.00 X 0 0 0 THEODORE MICLAU III MD DIRECTOR 5.00 X 0 0 0 SCHUYLER HUDAK DIRECTOR 5.00 X 0 0 0 JOHN K NOONAN DIRECTOR 5.00 X 0 0 0 DARIAN SHIRAZI DIRECTOR 5.00 X 0 0 0 JULIA DAMASCO DIRECTOR 5.00 X 0 0 0 JAMES D MARKS MD PHD DIRECTOR 5.00 X 0 0 0 DIONNE CRUZ MILLER DIRECTOR 5.00 X 0 0 0 BOB TANDLER DIRECTOR 5.00 X 0 0 0 AARON WHITE CFP DIRECTOR 5.00 X 0 0 0 AMANDA HEIER CHIEF EXECUTIVE OFFICER 40.00 X 251407 0 24786 GERRY CHOW VP OF FINANCE 40.00 X 158816 0 9312 SARA HAYNES VP OF DEVELOPMENT 40.00 X 190716 0 11633 MATTHEW SHAFFER VP OF MARKETING 40.00 X 129052 0 10949 JEREMY BENJAMIN SENIOR DEVELOPMENT OFFICER 40.00 X 138195 0 11633 868186 0 68313 5 0 1 0 BROWNE INC 2350 TAYLOR STREET SUITE 6 SAN FRANCISCO CA 94133 PUBLIC AWARENESS AND PATIENT OUTREACH 507698 BRIGHT 145 PARK LANE BRISBANE CA 95005 PRODUCTION COSTS FOR HEARTS EVENT 282231 GOT LIGHT 211 INDUSTRIAL STREET SAN FRANCISCO CA 94124 PRODUCTION COSTS FOR HEARTS EVENT 184304 CI PARTNERS DIRECT INC 1601 EASTMAN AVENUE SUITE 202 VENTURA CA 93003 PRINT, MAILHOUSE, AND DESIGN SERVICES 107761 510 MEDIA 737 2ND STREET UNIT 101M OAKLAND CA 94607 PUBLIC AWARENESS AND PATIENT OUTREACH 100675 5 1817766 400521 8053849 640734 10272136 FISCAL AGENT FEES 900099 830249 830249 830249 1108590 1108590 16077744 15946783 130961 130961 130961 24378 1817766 868198 -843820 -843820 CONCESSIONS 900099 69376 69376 OTHER 900099 39248 39248 108624 11606740 830249 0 504355 7741338 7741338 646670 252721 154678 239271 1074706 157788 467225 449693 31419 7462 11391 12566 159606 37906 57866 63834 120158 26855 45756 47547 97311 97311 35728 35728 113146 113146 200364 70959 129405 744207 651393 91433 1381 181946 1421 49168 131357 5180 2252 2928 32706 193 13328 19185 24515 18924 5591 342053 309546 32507 31934 27808 4126 DUES AND SUBSCRIPTIONS 64991 30878 25220 8893 PROGRAMS AND EVENTS 23068 3137 14376 5555 11671046 9291597 1258117 1121332 2730652 78808 37875496 46092080 15017694 11859885 52397 49399 2192307 939990 1517187 1252317 37770098 35746744 26496 21082 94990020 95100315 632022 1093634 1262736 1274598 1894758 2368232 X 14071215 13979065 74669618 74081527 4354429 4671491 93095262 92732083 94990020 95100315 -64306 -298873 0 X X 0 1 X 1 0 X 23212945 106120095 10657357 8644995 10272136 158907528 23212945 106120095 10657357 8644995 10272136 158907528 8551728 150355800 72541 84566 91625 184702 1108590 1542024 173092 134106 219432 121979 108624 757233 161206785 8634518 0.93270 0.91210 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 59,331. 2014 AMOUNT: $ 48,749. 2015 AMOUNT: $ 126,857. 2016 AMOUNT: $ 32,286. 2017 AMOUNT: $ 39,248. CONCESSIONS - 2013 AMOUNT: $ 113,761. 2014 AMOUNT: $ 85,357. 2015 AMOUNT: $ 92,575. 2016 AMOUNT: $ 89,693. 2017 AMOUNT: $ 69,376. 0 0 0 9822498 9822498 641125 160281 0 0 621347 641125 1262472 1893708 155337 160281 315618 473427 0 1262736 960081 948219 1274598 1 X 4368560 317062 223923 17443 4892102 4344547 24013 4368560 4354429 -9882 4344547 354429 4000000 4354429 354429 354429 0.00000 0.95350 0.04650 0 0 2192307 939990 1252317 1252317 X 12381266 -298873 275000 798399 774526 11606740 0 11606740 12744445 275000 798399 1073399 11671046 0 11671046 PART IV, LINE 2B: THE FOUNDATION ACTS AS A FISCAL AGENT FOR SEVERAL ORGANIZATIONS PROVIDING SERVICES TO THE HOSPITAL AND 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: TWO ENDOWMENT FUNDS WERE RAISED DURING THE PERIOD FROM 2000 THROUGH 2004 FOR THE VOLUNTEER PROGRAM AND FOR GENERAL OPERATIONS. THE FOUNDATION RECENTLY REVISED AND UPDATED ITS INVESTMENT AND SPENDING POLICIES, TO ALLIGN WITH BEST PRACTICES AND ENSURE ONGOING COMPLIANCE WITH THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT IN THE MANAGEMENT OF THE ENDOWMENT FUNDS. IN 2015, A NEW ENDOWMENT GIFT OF $4 MILLION WAS PLEDGED, AND THE FUNDS WERE RECEIVED IN 2016. IN 2017 AND 2018, THE FOUNDATION ESTABLISHED NEW ENDOWMENT FUNDS FOR 'SOLID START,' (SUPPORTING PREGNANT WOMEN AND FAMILIES WITH CHILDREN AGES 0 THROUGH 3), AND PEDIATRIC CARE. 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 798,399. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 798,399. 1 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVCIES SENDING PROGRAM STAFF TO ATTEND AND SPEAK AT SEMINARS, CONFERENCES, AND TRAININGS, IN ADDITION TO MEDICAL TRAINING STUDIES 39109 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES MEDICAL SUPPLIES FOR PROGRAM SERVICES, PLUS LODGING 8820 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES MEDICAL EQUIPMENT 98145 0 0 0 0 0 0 146074 0 146074 0 0 0 0 0 0 PART I, LINE 2: $17,636.51 IN PAYMENTS MADE TO INTERNATIONAL RESEARCH PARTNERS AS PART OF A GRANT-FUNDED PROJECT; 22,473.00 TRAVEL AND LODGING FROM INTERNATIONAL PROVIDERS; $105,964.13 MEDICAL EQUIPMENT, SUPPLIES, AND FEES. HEROES & HEARTS LUNCHEON 1842144 1817766 24378 87183 62899 4449 713667 1842144 1817766 24378 87183 62899 4449 713667 868198 -843820 1 RCU COMMUNITY FUND PO BOX 6104 SANTA ROSA CA 95406 475084832 501(C)(3) 5000 TO SUPPORT DISASTER RELIEF EFFORTS RELATED TO THE 2017 NORTH BAY FIRES. SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE SAN FRANCISCO CA 94110 GOVERNMENT 7736338 ASSIST VARIOUS HOSPITAL PROGRAMS. 2 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 1 0 0 0 0 0 0 0 0 AMANDA HEIER CHIEF EXECUTIVE OFFICER 233039 0 18368 0 0 0 2000 0 22786 0 276193 0 0 0 GERRY CHOW VP OF FINANCE 153816 0 5000 0 0 0 2000 0 7312 0 168128 0 0 0 SARA HAYNES VP OF DEVELOPMENT 185716 0 5000 0 0 0 2000 0 9633 0 202349 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 MATTHEW SHAFFER RECEIVED SEPARATION PAYMENT OF $16,557.70. TSAO DESIGN GROUP CORPORATION OWNED MORE THAN 50% BY BOARD MEMBER, JONATHAN TSAO 37660 ARCHITECTURAL SERVICES 0 X 1 25000 APPRAISAL X 5650 FMV X 7 513423 FMV X 2 61152 FMV X 1 24081 FMV X OTHER GOODS 17 11428 FMV 1 0 1 1 PART I, LINE 32B: CAR DONATION SERVICES PROVIDED BY ANOTHER NONPROFIT ORGANIZATION FORM 990, PART VI, SECTION A, LINE 2 LISA HAUSWIRTH (BOARD MEMBER) IS JUDITH GUGGENHIME'S (BOARD MEMBER) STEPDAUGHTER. LISA WAS ELECTED AS A BOARD MEMBER FOR THE FIRST TIME IN 2010. 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.