KAWEAH DELTA HOSPITAL FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KAWEAH DELTA HOSPITAL FOUNDATION (EIN 94-2675456)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-04-29
IRS object ID
202441209349301599
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-29T18:36:13-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942675456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAWEAH DELTA HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKAWEBusinessNameControlTxt
Phone5596242359PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1216 S JOHNSON STREETAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP932916237ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD FEDERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5596242359PhoneNum
Signature2024-04-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastFEDERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN A HAVERLOCKPreparerPersonNm
PTINP00545829PTIN
Phone2099556100PhoneNum
Preparation2024-04-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSARAH ASHOORIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1216 S JOHNSON STREETAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP932916237ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,004,222GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.KAWEAHHEALTH.ORG/FOUNDATION/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionKAWEAH DELTA HOSPITAL FOUNDATION EXISTS TO SUPPORT THE NEEDS OF KAWEAH DELTA HEALTH CARE DISTRICT THROUGH FUNDRAISING AND TO SERVE AS AMBASSADORS FOR THE DISTRICT IN OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body29VotingMembersGoverningBodyCnt
Voting Members Independent29VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,730,933PYContributionsGrantsAmt
CY Contributions Grants$3,108,961CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,146,771PYInvestmentIncomeAmt
CY Investment Income$124,252CYInvestmentIncomeAmt
PY Other Revenue$48,621PYOtherRevenueAmt
CY Other Revenue$17,391CYOtherRevenueAmt
PY Total Revenue$6,926,325PYTotalRevenueAmt
CY Total Revenue$3,250,604CYTotalRevenueAmt
PY Grants And Similar Paid$2,897,464PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,189,541CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$163,470PYOtherExpensesAmt
CY Other Expenses$175,931CYOtherExpensesAmt
PY Total Expenses$3,060,934PYTotalExpensesAmt
CY Total Expenses$6,365,472CYTotalExpensesAmt
PY Revenues Less Expenses$3,865,391PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,114,868CYRevenuesLessExpensesAmt
Total Assets BOY$22,010,761TotalAssetsBOYAmt
Total Assets EOY$21,079,091TotalAssetsEOYAmt
Total Liabilities BOY$31,935TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,605TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,978,826NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,050,486NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKAWEAH DELTA HOSPITAL FOUNDATION EXISTS TO SUPPORT THE NEEDS OF KAWEAH DELTA HEALTH CARE DISTRICT THROUGH FUNDRAISING AND TO SERVE AS AMBASSADORS FOR THE DISTRICT IN OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,384,347ExpenseAmt
Grant$2,384,347GrantAmt
Revenue$0RevenueAmt
DescDONOR RESTRICTED 'GREATEST NEED' FUND: ESTABLISHED IN APRIL 2010 BY FOUNDATION STAFF TO SERVE AS AN INTERIM DONATION FUND. WHEN DONATIONS ARE MADE WHICH ARE TO BE DESIGNATED TO AN AREA WITH THE GREATEST NEED (IT DOES NOT INCLUDE THE ENDOWMENT OR UNDESIGNATED FUND), IF AN IMMEDIATE DECISION CANNOT BE MADE, THE FUNDS WILL REMAIN IN THIS FUND UNTIL A FUND IS DESIGNATED BY THE DIRECTOR OF FOUNDATION AT THE REQUEST OF THE DONOR. ONCE THE AREA IS DETERMINED, THE DONOR WILL RECEIVE A LETTER INDICATING WHAT AREA THEIR DONATION WILL BE APPLIED TO.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$938,322ExpenseAmt
Grant$938,322GrantAmt
Revenue$0RevenueAmt
DescMIND OVER MATTER CAPITAL CAMPAIGN - TO BE USED TO PURCHASE BRAIN LAB SYSTEM AND STEALTH STATION S8 AND ACCESSORIES ASSOCIATED WITH THE TWO SYSTEMS. THIS TWO YEAR CAMPAIGN WILL START 12/23/2018 AND WILL END 01/31/2023. THE DIRECTOR OF FOUNDATION HAS THE ABILITY TO ACCESS FUNDS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$585,389ExpenseAmt
Grant$585,389GrantAmt
Revenue$0RevenueAmt
DescMODERNIZATION CAMPAIGN - CONSISTENT WITH OUR VISION TO PROVIDE EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITY, THE KAWEAH DELTA HOSPITAL FOUNDATION BOARD OF DIRECTORS VOTED TO FUNDRAISE FOR PROJECTS AND EQUIPMENT REQUESTED BY FRONTLINE MEDICAL TEAMS THROUGHOUT THE DISTRICT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$2,281,483ExpenseAmt
Grant$2,281,483GrantAmt
Revenue$0RevenueAmt
DescTHESE ARE A VARIETY OF FUNDS USED TO SUPPORT THE HOSPITAL.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,281,483TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$2,281,483TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$6,189,541TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members29GoverningBodyVotingMembersCnt
Independent Voting Member29IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELIZABETH WYNNPersonNm
Phone5596242359PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1216 SOUTH JOHNSON STREETAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP93291ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SARAH ASHOORI
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
REBECCA AGREDANO
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
KATHLEEN REMILLARD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
RICK FEDER
TREASURER1.00Yes (X)Yes (X)$0$0$0
MATTHEW D GRAHAM
PAST PRESIDENT1.00Yes (X)Yes (X)$0$0$0
GARY AMON
DIRECTOR1.00Yes (X)$0$0$0
TONY BENEVENTO
DIRECTOR1.00Yes (X)$0$0$0
DOUGLAS BERG
DIRECTOR1.00Yes (X)$0$0$0
LARRY BIBBENS
DIRECTOR1.00Yes (X)$0$0$0
CAROL CAIRNS
DIRECTOR1.00Yes (X)$0$0$0
BEN CRIPPS
DIRECTOR1.00Yes (X)$0$0$0
SIDNEY FRANK MD
DIRECTOR1.00Yes (X)$0$0$0
DAYNA GILKEY
DIRECTOR1.00Yes (X)$0$0$0
JOAN HALL
DIRECTOR (THRU 12/22)1.00Yes (X)$0$0$0
LYNN HAVARD MIRVISS ED D
DIRECTOR1.00Yes (X)$0$0$0
LESLIE HAYES
DIRECTOR1.00Yes (X)$0$0$0
ADRIANNE HILLMAN
DIRECTOR (THRU 12/22)1.00Yes (X)$0$0$0
FRAN HIPSKIND
DIRECTOR (THRU 12/22)1.00Yes (X)$0$0$0
JIM HURLBUTT
DIRECTOR1.00Yes (X)$0$0$0
JASON JETER DDS
DIRECTOR1.00Yes (X)$0$0$0
DEAN LEVITAN MD
DIRECTOR1.00Yes (X)$0$0$0
KAREN LOVIK-BARRON
DIRECTOR1.00Yes (X)$0$0$0
SUSAN NICHOLS
DIRECTOR (THRU 01/23)1.00Yes (X)$0$0$0
CAROL NICKEL
DIRECTOR (THRU 12/22)1.00Yes (X)$0$0$0
BASIL PERCH
DIRECTOR (THRU 12/22)1.00Yes (X)$0$0$0
EDDIE PEREZ
DIRECTOR1.00Yes (X)$0$0$0
BRIAN PERRY
DIRECTOR1.00Yes (X)$0$0$0
MARGARITA PRADO-BORREGO PH D
DIRECTOR (THRU 12/22)1.00Yes (X)$0$0$0
LESLIE O RITCHIE
DIRECTOR1.00Yes (X)$0$0$0
DEE SEBERT
DIRECTOR1.00Yes (X)$0$0$0
ALICIA SUNDSTROM
DIRECTOR1.00Yes (X)$0$0$0
ANN TONINI
DIRECTOR1.00Yes (X)$0$0$0
JASON VASQUEZ
DIRECTOR1.00Yes (X)$0$0$0
JAN VILLARD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH VOLOSIN
DIRECTOR1.00Yes (X)$0$0$0
MARTIN R ZEEB
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH WYNN
FOUNDATION DIRECTOR24.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERRILL LYNCHBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 CAPITOL MALL SUITE 1400AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
ServicesINVESTMENT MANAGEMENT SERVICESServicesDesc
Compensation$157,746CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$120,087FundraisingAmt
Government Grants$1,471,966GovernmentGrantsAmt
All Other Contributions$1,516,908AllOtherContributionsAmt
Total Contributions$3,108,961TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$411,333TotalRevenueColumnAmt
Exclusion$411,333ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,426,590SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,713,671SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$287,081SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$287,081TotalRevenueColumnAmt
Exclusion-$287,081ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$57,338FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$120,087ContriRptFundraisingEventAmt
Fundraising Direct Expenses$39,947FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,391TotalRevenueColumnAmt
Exclusion$17,391ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,250,604TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$141,643ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,180,331TotalAmt
Program Services$6,180,331ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$9,210TotalAmt
Program Services$9,210ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$175,931TotalAmt
Management And General$175,931ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,365,472TotalAmt
Program Services$6,189,541ProgramServicesAmt
Management And General$175,931ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,599,380BOYAmt
EOY$4,390,534EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,890,251BOYAmt
EOY$1,890,251EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,331LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,331LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,517,246BOYAmt
EOY$14,794,177EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,884BOYAmt
EOY$4,129EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,010,761BOYAmt
EOY$21,079,091EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,935BOYAmt
EOY$28,605EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,935BOYAmt
EOY$28,605EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$21,978,826BOYAmt
EOY$21,050,486EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,978,826BOYAmt
EOY$21,050,486EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,010,761BOYAmt
EOY$21,079,091EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,114,868ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,186,528NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,226,946CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,963,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,806,831CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,730,933CurrentTaxYearMinus1YearAmt
Current Tax Year$3,108,961CurrentTaxYearAmt
Total$16,836,940TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$503,269CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$503,459CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$497,143CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$503,732CurrentTaxYearMinus1YearAmt
Current Tax Year$529,858CurrentTaxYearAmt
Total$2,537,461TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,730,215CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,466,728CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,303,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,234,665CurrentTaxYearMinus1YearAmt
Current Tax Year$3,638,819CurrentTaxYearAmt
Total$19,374,401TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,997,391SubstantialContributorsTotAmt
Public Support Total170$16,377,010PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$562,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$732,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,283,729CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$301,630CurrentTaxYearMinus1YearAmt
Current Tax Year$411,333CurrentTaxYearAmt
Total$3,291,522TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,439CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,544CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,013CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,621CurrentTaxYearMinus1YearAmt
Current Tax Year$17,391CurrentTaxYearAmt
Total$108,008TotalAmt
FieldValueIRS element (for citing)
Total Support$22,773,931TotalSupportAmt
Public Support CY1700.71910PublicSupportCY170Pct
Public Support PY1700.73070PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,054,039BeginningYearBalanceAmt
Contributions$174,935ContributionsAmt
Investment Earnings Or Losses$1,819,746InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,300GrantsOrScholarshipsAmt
Administrative Expenses$139,872AdministrativeExpensesAmt
End Year Balance$12,906,548EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,740,137BeginningYearBalanceAmt
Contributions$219,060ContributionsAmt
Investment Earnings Or Losses-$1,750,830InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,100GrantsOrScholarshipsAmt
Administrative Expenses$153,228AdministrativeExpensesAmt
End Year Balance$11,054,039EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,433,172BeginningYearBalanceAmt
Contributions$405,692ContributionsAmt
Investment Earnings Or Losses$3,030,717InvestmentEarningsOrLossesAmt
Administrative Expenses$129,444AdministrativeExpensesAmt
End Year Balance$12,740,137EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,081,430BeginningYearBalanceAmt
Contributions$103,496ContributionsAmt
Investment Earnings Or Losses$342,352InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,600GrantsOrScholarshipsAmt
Administrative Expenses$87,506AdministrativeExpensesAmt
End Year Balance$9,433,172EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,438,990BeginningYearBalanceAmt
Contributions$33,309ContributionsAmt
Investment Earnings Or Losses$717,130InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,600GrantsOrScholarshipsAmt
Administrative Expenses$101,399AdministrativeExpensesAmt
End Year Balance$9,081,430EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.97000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.02000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,331OtherCostOrOtherBasisAmt
Depreciation$9,331DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCHARITABLE GIFT ANNUITY PAYABLEDesc
Amt$28,605Amt
FieldValueIRS element (for citing)
Total Liability$28,605TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION HAS THREE SEPARATE ENDOWMENT FUNDS. THE INCOME GENERATED FROM TWO OF THE FUNDS IS TO BE USED FOR NURSING EDUCATION SCHOLARSHIPS ONLY. THE BOARD DESIGNATED ENDOWMENT FUND'S EARNINGS ARE NOT TO BE USED UNTIL THE PRINCIPAL REACHES $25 MILLION.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TOMMY ELLIOTT MEMORIAL GOLF CLASSICEvent1Nm
Gross Receipts Event1$177,425GrossReceiptsEvent1Amt
Charitable Contri Event1$120,087CharitableContriEvent1Amt
Gross Revenue Event1$57,338GrossRevenueEvent1Amt
Cash Prizes Event1$4,350CashPrizesEvent1Amt
Non Cash Prizes Event1$2,500NonCashPrizesEvent1Amt
Rent Facility Costs Event1$22,087RentFacilityCostsEvent1Amt
Food And Beverage Event1$500FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$10,510OtherDirectExpensesEvent1Amt
Gross Receipts Total$177,425GrossReceiptsTotalAmt
Charitable Contributions Tot$120,087CharitableContributionsTotAmt
Gross Revenue Total Events$57,338GrossRevenueTotalEventsAmt
Cash Prizes Total Events$4,350CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$2,500NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$22,087RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$500FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$10,510OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,947DirectExpenseSummaryEventsAmt
Net Income Summary$17,391NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
KAWEAH DELTA HEALTH CARE DISTRICT
400 W MINERAL KING AVENUEVISALIACA93291941534475GOV'T$6,170,331$0GENERAL SUPPORT, HOSPITAL EXPANSION CONSTRUCTION & EQUIPMENT
KAWEAH DELTA HOSPICE FOUNDATION
216 S JOHNSON STREETVISALIACA93291942540273501(C)(3)$10,000$0GENERAL SUPPORT FOR HOSPICE PATIENTS AND NEEDS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSTARRS EMPLOYEE EMERGENCY RELIEF FUNDGrantTypeTxt
Recipient5RecipientCnt
Cash Grant$9,210CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationEACH GRANT IS ASSIGNED TO A PROJECT MANAGER WHO REVIEWS EACH EXPENSE ON A MONTHLY BASIS. ALL PROGRAM OR PROJECT COSTS MUST PROVIDE PROPER DOCUMENTATION FOR SUPPORT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE COMPLETED FORM 990 IS REVIEWED BY THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE PRIOR TO THE PRESIDENT'S APPROVAL AND SIGNATURE. THE RETURN IS PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CHOSPITAL FOUNDATION HAS ADOPTED AND IMPLEMENTED POLICIES AND PROCEDURES TO ENSURE THAT CONFLICTS OF INTEREST ARE ADDRESSED. THE ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM MUST BE UPDATED THROUGHOUT THE YEAR, IF A CONFLICT SHOULD ARISE. WHEN A BOARD MEMBER HAS DECLARED A CONFLICT, THE BOARD MEMBER CONCERNED SHALL NOT PARTICIPATE IN THE DISCUSSION, AND MAY, AT THE DISCRETION OF THE BOARD BE INSTRUCTED TO BE ABSENT FROM THE ROOM DURING THE DISCUSSION, BUT AVAILABLE FOR QUESTIONING. THE REMAINING BOARD MEMBERS SHALL BE ABLE TO FULLY AND FREELY DISCUSS AND VOTE THEREON, AND ALL SUCH DISCUSSION AND VOTES SHALL BE KEPT IN THE STRICTEST OF CONFIDENCE BY ALL PRESENT. IN EITHER CASE, THE BOARD MEMBER CONCERNED WILL NOT VOTE ON THE MATTER UNDER DISCUSSION AND, FOR PURPOSES OF THAT MATTER, NOT BE INCLUDED IN THE COUNT FOR A QUORUM. WHEN A BOARD MEMBER COMPLETES THE CONFLICT OF INTEREST DISCLOSURE FORM AND AFTER SUCH DISCLOSURE THE MEMBER ABSTAINS FROM VOTING, THAT THE MEMBER SHALL NOT BE ACCOUNTABLE FOR ANY PROFIT OR ADVANTAGE MADE OR RECEIVED AS A CONSEQUENCE OF A DECISION OF THE BOARD TO PROCEED WITH THE CONTRACT OR TRANSACTION. THE BOARD SHALL CONFIRM AND APPROVE THE PROPOSED CONTRACT OR TRANSACTION AS BEING FAIR AND REASONABLE TO THE FOUNDATION AT THE TIME IT IS SO APPROVED. THEY SHALL ALSO ACKNOWLEDGE THAT THE NATURE AND EXTENT OF THE BOARD MEMBER'S REAL OR POTENTIAL CONFLICT HAS BEEN DISCLOSED IN REASONABLE DETAIL TO THE BOARD OR SUCH COMMITTEE WHERE THE CONFLICT AROSE. EVERY DECLARATION OF CONFLICT OF INTEREST WILL BE RECORDED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A:THE FOUNDATION DIRECTOR'S COMPENSATION IS PAID BY AN UNRELATED AFFILIATED ORGANIZATION, KAWEAH DELTA HEALTH CARE DISTRICT (THE "DISTRICT"), A GOVERNMENTAL ENTITY. THE DISTRICT PROVIDES THE TIME PROVIDED BY THE FOUNDATION DIRECTOR TO THE FOUNDATION AS A DONATED SERVICE. THE FOUNDATION DOES NOT REIMBURSE THE DISTRICT FOR THESE COSTS SO THAT THE FOUNDATION MAY USE ITS CONTRIBUTIONS TOWARDS FULFILLING ITS CHARITABLE PURPOSES.
FORM 990, PART X, LINE 11:INVESTMENT VALUE REPORTED IS BASED ON MARK TO MARKET FOR THE FMV OF THE PORTFOLIO.
FORM 990, PART XII, LINE 1:THE FOUNDATION IS USING A MODIFIED METHOD OF ACCOUNTING WHICH MORE ACCURATELY REFLECTS THEIR FINANCIAL POSITION.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.