2023-05-15T12:51:32-05:00 2022-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2021-07-01 942675456 KAWEAH DELTA HOSPITAL FOUNDATION KAWE 5596242359 216 S JOHNSON STREET VISALIA CA 932916237 REBECCA AGREDANO TREASURER 5596242359 2023-05-12 1 REBECCA AGREDANO 999009999 LAUREN A HAVERLOCK P00545829 2099556100 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MATTHEW D GRAHAM 216 S JOHNSON STREET VISALIA CA 932916237 10552851 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. 34 34 0 32 0 0 2806831 5730933 0 0 2810320 1146771 13013 48621 5630164 6926325 3296380 2897464 0 0 0 0 0 0 0 147960 163470 3444340 3060934 2185824 3865391 21648951 22010761 32266 31935 21616685 21978826 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 739923 739923 0 MODERNIZATION CAMPAIGN - CONSISTENT WITH OUR VISION TO PROVIDE EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITY, THE KAWEAH HEALTH FOUNDATION BOARD OF DIRECTORS VOTED TO FUNDRAISE FOR PROJECTS AND EQUIPMENT REQUESTED BY FRONTLINE MEDICAL TEAMS THROUGHOUT THE DISTRICT. 400000 400000 0 GRANT TO KAWEAH DELTA HOSPICE FOUNDATION TO SUPPORT HOSPICE CARE FOR PATIENTS OF KAWEAH DELTA HOSPITAL DISTRICT. 359375 359375 0 OSHPD GME FAMILY GRANT IS USED FOR THE PURPOSE OF SUPPORTING PROGRAMS THAT TRAIN FAMILY AND PRIMARY CARE PHYSICIANS, OSTEOPATHIC FAMILY PHYSICIANS, PRIMARY CARE PHYSICIAN ASSISTANTS, REGISTERED NURSES AND PRIMARY CARE NURSE PRACTITIONERS TO PROVIDE NEEDED SERVICES IN AREAS OF UNMET NEED WITHIN THE STATE. 254285 254285 0 HOPE IN MOTION CAMPAIGN - FUNDS ARE USED TO INSTALL A NEW SAFEGAIT SYSTEM AT KAWEAH HEALTH'S REHABILITATION.WITH THE ADDITION OF SAFEGAIT 360 BALANCE AND MOBILITY TRAINING, THE REHABILITATION HOSPITAL CAN INCREASE PATIENTS' CONFIDENCE AND REDUCE THEIR FEARS OF FALLING WITH A TRACK-AND-HARNESS SYSTEM THAT ASSISTS WITH BALANCE AND FALL PREVENTION. THIS SYSTEM'S SOFTWARE TRACKS PATIENTS' MOVEMENTS, SO THE THERAPIST CAN MAKE ADJUSTMENTS QUICKLY AND SAFELY, WHILE LETTING PATIENTS LEARN TO NEGOTIATE STAIRS, TRANSFERS AND FLOOR EXERCISES.THE HOPE IN MOTION CAMPAIGN WILL ALLOW US TO TAKE OUR THERAPY, AND OUR STROKE REHAB, TO THE NEXT LEVEL. THAT NEW PIECE OF EQUIPMENT WILL BENEFIT A LOT OF DIAGNOSES SUCH AS AMPUTATION, PEOPLE RECOVERING FROM DEBILITATION, ANY TYPE OF NEUROLOGICAL DISEASE, BUT WE ARE A STROKE SPECIALTY CENTER AND WE REALLY FOCUS ON STROKE REHABILITATION. 1143881 1143881 0 ALL PROGRAMS ARE DEDICATED TO PROVIDING INNOVATIVE AND ADVANCED MEDICAL TECHNOLOGY, EDUCATIONAL TRAINING FOR STAFF, AND IMPROVING PATIENT SERVICE AT ALL LEVELS. 1398166 1398166 0 2897464 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 1 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 34 34 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 MATTHEW D GRAHAM PRESIDENT 1.00 X X 0 0 0 SARAH ASHOORI VICE PRESIDENT 1.00 X X 0 0 0 KATHLEEN REMILLARD SECRETARY 1.00 X X 0 0 0 REBECCA AGREDANO TREASURER 1.00 X X 0 0 0 TONY BENEVENTO IMMEDIATE PAST PRESIDENT 1.00 X X 0 0 0 JIM HURLBUTT PAST PRESIDENT 1.00 X X 0 0 0 GARY AMON 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 RICK FEDER 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 1.00 X 0 0 0 LYNN HAVARD MIRVISS ED D DIRECTOR 1.00 X 0 0 0 ADRIANNE HILLMAN DIRECTOR 1.00 X 0 0 0 FRAN HIPSKIND 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 1.00 X 0 0 0 CAROL NICKEL DIRECTOR 1.00 X 0 0 0 BASIL PERCH DIRECTOR 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 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 145044 1 77875 702515 4950543 2773654 5730933 301630 301630 4426469 3581328 845141 845141 845141 93819 77875 45198 48621 48621 6926325 0 0 1195392 2887216 2887216 10248 10248 163470 163470 3060934 2897464 163470 0 X 7002858 9489631 9331 9331 0 0 14646093 12517246 0 3884 21648951 22010761 32266 31935 32266 31935 X 0 0 0 0 21616685 21978826 21616685 21978826 21648951 22010761 3865391 -3503250 0 X X 0 1 X 1 0 X 3947878 2226946 2963269 2806831 5730933 17675857 599668 503269 503459 497143 503732 2607271 4547546 2730215 3466728 3303974 6234665 20283128 3201323 17081805 123557 562505 732325 1283729 301630 3003746 15439 13544 13013 48621 90617 23377491 0.73070 0.81290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12740137 219060 -1750830 1100 153228 11054037 9433172 405692 3030717 129444 12740137 9081430 103496 342352 6600 87506 9433172 8438990 33309 717130 6600 101399 9081430 7308662 256534 974422 7450 93178 8438990 0.97000 0.02000 0.01000 0 0 9331 9331 0 0 CHARITABLE GIFT ANNUITY PAYABLE 31935 31935 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 171694 77875 93819 4450 4300 24413 0 0 12035 171694 77875 93819 4450 4300 24413 12035 45198 48621 1 KAWEAH DELTA HEALTH CARE DISTRICT 400 W MINERAL KING AVENUE VISALIA CA 93291 941534475 GOV'T 2480302 0 GENERAL SUPPORT, HOSPITAL EXPANSION CONSTRUCTION & EQUIPMENT KAWEAH DELTA HOSPICE FOUNDATION 216 S JOHNSON STREET VISALIA CA 93291 942540273 501(C)(3) 406914 0 GENERAL SUPPORT FOR HOSPICE PATIENTS AND NEEDS 2 0 STARRS EMPLOYEE EMERGENCY RELIEF FUND 7 10248 PART I, LINE 2: EACH GRANT IS ASSIGNED TO A PROJECT MANAGER WHO THAT REVIEWS EACH EXPENSE ON A MONTHLY BASIS. ALL PROGRAM OR PROJECT COSTS MUST PROVIDE PROPER DOCUMENTATION FOR SUPPORT. X 2 2773654 MARKET VALUE 0 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS. 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.