2024-04-29T18:36:13-05:00 2023-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-07-01 942675456 KAWEAH DELTA HOSPITAL FOUNDATION KAWE 5596242359 216 S JOHNSON STREET VISALIA CA 932916237 RICHARD FEDER TREASURER 5596242359 2024-04-25 1 RICHARD FEDER 999009999 1 LAUREN A HAVERLOCK P00545829 2099556100 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SARAH ASHOORI 216 S JOHNSON STREET VISALIA CA 932916237 8004222 0 X HTTP://WWW.KAWEAHHEALTH.ORG/FOUNDATION/ X 1980 CA KAWEAH 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. 29 29 0 36 0 0 5730933 3108961 0 0 1146771 124252 48621 17391 6926325 3250604 2897464 6189541 0 0 0 0 0 0 0 163470 175931 3060934 6365472 3865391 -3114868 22010761 21079091 31935 28605 21978826 21050486 X KAWEAH 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. 0 0 2384347 2384347 0 DONOR 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. 938322 938322 0 MIND 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. 585389 585389 0 MODERNIZATION 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. 2281483 2281483 0 THESE ARE A VARIETY OF FUNDS USED TO SUPPORT THE HOSPITAL. 2281483 2281483 0 6189541 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 29 29 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X ELIZABETH WYNN 5596242359 216 SOUTH JOHNSON STREET VISALIA CA 93291 X X SARAH ASHOORI PRESIDENT 1.00 X X 0 0 0 REBECCA AGREDANO VICE PRESIDENT 1.00 X X 0 0 0 KATHLEEN REMILLARD SECRETARY 1.00 X X 0 0 0 RICK FEDER TREASURER 1.00 X X 0 0 0 MATTHEW D GRAHAM PAST PRESIDENT 1.00 X X 0 0 0 GARY AMON DIRECTOR 1.00 X 0 0 0 TONY BENEVENTO DIRECTOR 1.00 X 0 0 0 DOUGLAS BERG DIRECTOR 1.00 X 0 0 0 LARRY BIBBENS DIRECTOR 1.00 X 0 0 0 CAROL CAIRNS DIRECTOR 1.00 X 0 0 0 BEN CRIPPS DIRECTOR 1.00 X 0 0 0 SIDNEY FRANK MD DIRECTOR 1.00 X 0 0 0 DAYNA GILKEY DIRECTOR 1.00 X 0 0 0 JOAN HALL DIRECTOR (THRU 12/22) 1.00 X 0 0 0 LYNN HAVARD MIRVISS ED D DIRECTOR 1.00 X 0 0 0 LESLIE HAYES DIRECTOR 1.00 X 0 0 0 ADRIANNE HILLMAN DIRECTOR (THRU 12/22) 1.00 X 0 0 0 FRAN HIPSKIND DIRECTOR (THRU 12/22) 1.00 X 0 0 0 JIM HURLBUTT DIRECTOR 1.00 X 0 0 0 JASON JETER DDS DIRECTOR 1.00 X 0 0 0 DEAN LEVITAN MD DIRECTOR 1.00 X 0 0 0 KAREN LOVIK-BARRON DIRECTOR 1.00 X 0 0 0 SUSAN NICHOLS DIRECTOR (THRU 01/23) 1.00 X 0 0 0 CAROL NICKEL DIRECTOR (THRU 12/22) 1.00 X 0 0 0 BASIL PERCH DIRECTOR (THRU 12/22) 1.00 X 0 0 0 EDDIE PEREZ DIRECTOR 1.00 X 0 0 0 BRIAN PERRY DIRECTOR 1.00 X 0 0 0 MARGARITA PRADO-BORREGO PH D DIRECTOR (THRU 12/22) 1.00 X 0 0 0 LESLIE O RITCHIE DIRECTOR 1.00 X 0 0 0 DEE SEBERT DIRECTOR 1.00 X 0 0 0 ALICIA SUNDSTROM DIRECTOR 1.00 X 0 0 0 ANN TONINI DIRECTOR 1.00 X 0 0 0 JASON VASQUEZ DIRECTOR 1.00 X 0 0 0 JAN VILLARD DIRECTOR 1.00 X 0 0 0 DEBORAH VOLOSIN DIRECTOR 1.00 X 0 0 0 MARTIN R ZEEB DIRECTOR 1.00 X 0 0 0 ELIZABETH WYNN FOUNDATION DIRECTOR 24.00 X 0 0 0 0 0 0 0 0 0 0 MERRILL LYNCH 555 CAPITOL MALL SUITE 1400 SACRAMENTO CA 95814 INVESTMENT MANAGEMENT SERVICES 157746 1 120087 1471966 1516908 3108961 411333 411333 4426590 4713671 -287081 -287081 -287081 57338 120087 39947 17391 17391 3250604 0 0 141643 6180331 6180331 9210 9210 175931 175931 6365472 6189541 175931 0 X 7599380 4390534 1890251 1890251 9331 9331 0 0 12517246 14794177 3884 4129 22010761 21079091 31935 28605 31935 28605 X 0 0 0 0 21978826 21050486 21978826 21050486 22010761 21079091 -3114868 2186528 0 X X 0 1 X 1 0 X 2226946 2963269 2806831 5730933 3108961 16836940 503269 503459 497143 503732 529858 2537461 2730215 3466728 3303974 6234665 3638819 19374401 2997391 16377010 562505 732325 1283729 301630 411333 3291522 15439 13544 13013 48621 17391 108008 22773931 0.71910 0.73070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11054039 174935 1819746 2300 139872 12906548 12740137 219060 -1750830 1100 153228 11054039 9433172 405692 3030717 129444 12740137 9081430 103496 342352 6600 87506 9433172 8438990 33309 717130 6600 101399 9081430 0.97000 0.02000 0.01000 0 0 9331 9331 0 0 CHARITABLE GIFT ANNUITY PAYABLE 28605 28605 PART V, LINE 4: THE 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. TOMMY ELLIOTT MEMORIAL GOLF CLASSIC 177425 120087 57338 4350 2500 22087 500 0 10510 177425 120087 57338 4350 2500 22087 500 10510 39947 17391 1 KAWEAH DELTA HEALTH CARE DISTRICT 400 W MINERAL KING AVENUE VISALIA CA 93291 941534475 GOV'T 6170331 0 GENERAL SUPPORT, HOSPITAL EXPANSION CONSTRUCTION & EQUIPMENT KAWEAH DELTA HOSPICE FOUNDATION 216 S JOHNSON STREET VISALIA CA 93291 942540273 501(C)(3) 10000 0 GENERAL SUPPORT FOR HOSPICE PATIENTS AND NEEDS 2 0 STARRS EMPLOYEE EMERGENCY RELIEF FUND 5 9210 PART I, LINE 2: EACH 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. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C HOSPITAL 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 19 THE 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.