Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 4,865,381 | 8,826,854 | 8,486,105 | 3,838,641 | 4,441,524 | 30,458,505 |
| 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 | 65,410,711 | 60,607,106 | 59,542,655 | 67,142,852 | 70,917,174 | 323,620,498 |
| 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 | 70,276,092 | 69,433,960 | 68,028,760 | 70,981,493 | 75,358,698 | 354,079,003 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 1,603,500 | 1,603,500 | ||||
| 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. | 4,085,303 | 9,322,339 | 13,407,642 | |||
| c | Add lines 7a and 7b.. | 4,085,303 | 10,925,839 | 15,011,142 | |||
| 8 | Public support. (Subtract line 7c from line 6.) | 339,067,861 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 70,276,092 | 69,433,960 | 68,028,760 | 70,981,493 | 75,358,698 | 354,079,003 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,937,917 | 1,979,764 | 2,687,130 | 3,263,006 | 3,628,844 | 13,496,661 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,937,917 | 1,979,764 | 2,687,130 | 3,263,006 | 3,628,844 | 13,496,661 |
| 11 | Net income from unrelated business activities not included on 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.) .. | 408,938 | 408,938 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 72,214,009 | 71,413,724 | 70,715,890 | 74,244,499 | 79,396,480 | 367,984,602 |
| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS INCOME - 2024 AMOUNT: $ 408,938. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS; HOWEVER, THE FORM 990 INSTRUCTIONS FURTHER DEFINES A "MEMBER" AS A PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WITH THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY. ACCORDINGLY, THE ORGANIZATION HAS ONE MEMBER WITH THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, A CALIFORNIA CONSTITUTIONAL CORPORATION, ACTING ON BEHALF OF UNIVERSITY OF CALIFORNIA, SAN FRANCISCO. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, A CALIFORNIA CONSTITUTIONAL CORPORATION, ACTING ON BEHALF OF UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, HAS THE POWER TO DESIGNATE THREE MEMBERS OF THE BOARD OF DIRECTORS WHO ARE KNOWLEDGEABLE AND PASSIONATE ABOUT HOSPICE SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING DECISIONS WITH RESPECT TO BY THE BAY HEALTH, WHETHER TAKEN AT A MEETING DULY CALLED OR BY WRITTEN CONSENT, SHALL REQUIRE THE CONCURRENCE OF BOTH: (A) A MAJORITY OF THE COMMUNITY DIRECTORS AND CEO IN ATTENDANCE AT A MEETING; AND (B) THE APPROVAL OF A MAJORITY OF THE UCSF DIRECTORS IN ATTENDANCE AT A MEETING, OR BY ALL BY THE BAY HEALTH DIRECTORS, IF BY WRITTEN CONSENT: (I) ANY ADOPTION, AMENDMENT, RESTATEMENT, OR REPEAL OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF BY THE BAY HEALTH, EXCEPT UPON TERMINATION OF THE AFFILIATION AGREEMENT ENTERED INTO BY AND BETWEEN BY THE BAY HEALTH AND UCSF ON OR ABOUT APRIL 1, 2015; (II) ADOPTION AND ANY AMENDMENT OR CHANGE IN BY THE BAY HEALTH'S PURPOSE, MISSION, OR CHARITY CARE POLICY; (III) FINAL DECISION INVOLVING ANY MATERIAL CLINICAL SERVICE RELOCATION OR CLOSURE OR THE ADDITION OF ANY CLINICAL SERVICE; (IV) HIRING OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (V) APPROVAL, ADOPTION, AMENDMENT, OR REPEAL OF THE CORPORATION'S BOARD CONFLICT OF INTEREST POLICY; (VI) PURCHASE OR SALE OF REAL ESTATE BY THE CORPORATION INVOLVING MORE THAN $250,000; (VII) ENTERING INTO OR AMENDING ANY MATERIAL AGREEMENTS INVOLVING MORE THAN $500,000 NOT CONTEMPLATED BY THE ANNUAL BUDGET; (VIII) A SALE, TRANSFER OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (IX) A MERGER, CONSOLIDATION, REORGANIZATION, DIVESTITURE, AFFILIATION OR DISSOLUTION; AND (X) DECLARING, OR VOLUNTARILY ENTERING INTO OR CONSENTING TO THE FILING OF PROCEEDINGS TO DECLARE, BANKRUPTCY OR INSOLVENCY. (XI) DECISIONS REQUIRING CONSENSUS SHALL NOT INCLUDE BOARD DECISIONS RELATING TO THE BTBH HEADQUARTERS BUILDING OR TO THE INVESTMENT OR EXPENDITURE OF BTBH'S INVESTMENTS, NOR SHALL ANYTHING HEREIN BE INTERPRETED TO RESTRICT OR LIMIT EITHER BTBH OR UCSF FROM EXPLORING OPPORTUNITIES TO BROADEN ITS RESPECTIVE SCOPE OF SERVICES OR MARKETS SERVED. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT AND REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH COVERS ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, WHICH REQUIRES ANNUAL DISCLOSURE STATEMENTS. ACTUAL OR POTENTIAL CONFLICTS ARE DETERMINED BY DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS. SHOULD A CONFLICT OF INTEREST OCCUR, THE TRANSACTION OR ARRANGEMENT IS APPROVED IN GOOD FAITH BY A VOTE OF A MAJORITY OF THE DIRECTORS THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE CONFLICTED INDIVIDUAL, AND ONLY AFTER OBTAINING KNOWLEDGE OF THE MATERIAL FACTS CONCERNING THE TRANSACTION OR ARRANGEMENT THE CONFLICTED INDIVIDUALS' INTEREST IN THE TRANSACTION. PRIOR TO AUTHORIZING OR APPROVING THE TRANSACTION OR ARRANGEMENT, THE BOARD SHALL CONSIDER AND IN GOOD FAITH DETERMINE AFTER REASONABLE INVESTIGATION THAT, UNDER THE CIRCUMSTANCES, THE ORGANIZATION COULD NOT HAVE OBTAINED A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH UTILIZES COMPARABLE COMPENSATION DATA FOR SIMILARLY SITUATED INDIVIDUALS IN SIMILAR ORGANIZATIONS, TAKING INTO ACCOUNT GEOGRAPHIC REGION AND COST OF LIVING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 571,476. MANAGEMENT AND GENERAL EXPENSES 2,285,989. FUNDRAISING EXPENSES 148,779. TOTAL EXPENSES 3,006,244. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,706,081. MANAGEMENT AND GENERAL EXPENSES 279,675. FUNDRAISING EXPENSES 11,259. TOTAL EXPENSES 3,997,015. OTHER CONSULTING & OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 376,446. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,446. |
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| Software Version: |