CENTRAL VALLEY HEALTH FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VALLEY HEALTH FOUNDATION (EIN 77-0578450)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202223159349306887
Schema version
2021v4.1
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)
Return2022-11-11T16:28:31-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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Preparer Firm EIN800519547PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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Business Name Line1THE ACCOUNTANCY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N Brand Blvd Fl 20AddressLine1Txt
CityGlendaleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770578450EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Valley Health FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone5595370760PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 Greenfield Ave 400 400AddressLine1Txt
CityHanfordCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93230ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTimothy HaydockPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTimothyPersonFirstNm
Person LastHaydockPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonS ClementPreparerPersonNm
PTINP01218012PTIN
Phone8185475701PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEdward AmmonPrincipalOfficerNm
Gross Receipts$1,488,187GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSee Schedule OWebsiteAddressTxt
Activity Or MissionThe Central Valley Health Foundation (CVHF) supports the healthcare mission of Adventist Health Hanford, Adventist Health Selma, Adventist Health Reedley, Adventist Health Tulare and Western Health Resources by raising awareness of the hospitals' services in the greater community through its fundraising efforts.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,020,668PYContributionsGrantsAmt
CY Contributions Grants$1,397,610CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$62,961PYInvestmentIncomeAmt
CY Investment Income$90,577CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,083,629PYTotalRevenueAmt
CY Total Revenue$1,488,187CYTotalRevenueAmt
PY Grants And Similar Paid$852,791PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,365,014CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,957CYTotalFundraisingExpenseAmt
PY Other Expenses$106,493PYOtherExpensesAmt
CY Other Expenses$30,194CYOtherExpensesAmt
PY Total Expenses$959,284PYTotalExpensesAmt
CY Total Expenses$1,395,208CYTotalExpensesAmt
PY Revenues Less Expenses$124,345PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$92,979CYRevenuesLessExpensesAmt
Total Assets BOY$2,410,685TotalAssetsBOYAmt
Total Assets EOY$2,350,846TotalAssetsEOYAmt
Total Liabilities BOY$249,166TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,161,519NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,254,498NetAssetsOrFundBalancesEOYAmt
MissionThe Central Valley Health Foundation (CVHF) is a California not-for-profit corporation. The Foundation was organized to coordinate the solicitation of contributions through its operations and to disburse such contributions, earnings, and the income to support Adventist Health Hanford, Adventist Health Selma, Adventist Health Reedley, Adventist Health Tulare and Western Health Resources. The special fundraising events provide opportunity for interaction and involvement between community members, community leaders, Hanford Community Hospital and the Foundation.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,365,014ExpenseAmt
Grant$1,365,014GrantAmt
Revenue$1,488,187RevenueAmt
DescThe Central Valley Health Foundation provided financial support for the Central Valley Network, which includes Adventist Health Hanford, Adventist Health Selma, Adventist Health Reedley, Adventist Health Tulare and their related clinics. In addition, support is being provided for the hospice operated by Western Health Resources (WHR) and for other humanitarian purposes.Many employees at Adventist Health in the Central Valley support the Central Valley Health Foundations Employee Emergency Fund. The Employee Emergency Fund was created to support employees during an unexpected financial hardship. Employees are asked to fill out an application which is reviewed by Human Recourses and an established committee. Employees are eligible for up to $500 in financial assistance. In 2021, $3,800 was disbursed to 8 employees. Last year the committee reviewed an application from an employee who had lost their home unexpectedly and was living out of their vehicle. They requested money for gas as well as some toiletries. The committee voted to assist this employee financially and connect them to other helpful resources in our community. Adventist Health knows that our greatest strength is our employees, and the Employee Emergency Fund is one of the many ways Adventist Health invests in the wellbeing of our people. Adventist Health in the Central Valley has three birth centers, Hanford, Tulare, and Reedley. With thousands of deliveries happening each year, not every delivery outcome is a positive one. The Healing Hearts Fund was established by employees who wanted to do something to support the mothers who experience the loss of a baby at our hospitals. The Healing Hearts fund gives mothers the opportunity to have their childs funeral expenses covered up to $200. The Birth Centers also provide other forms of support which helps our patients and employees during a tragic time. The Central Valley Health Foundation has had a 5-year partnership with World Vision. World Vision provides our onsite warehouses with thousands of household goods. We receive shipments of diapers, personal hygiene items, furniture, and appliances. Anything that would help someone trying to re-establish their life during a difficult economic situation. Adventist Health reaches out to over 120 local nonprofits in the community to ensure that the items get to the individual and families with the most need. In 2021, the Foundation received 28 semi-truck shipments valued at $1,332,595.19. Over 17,800 individuals in our community benefited from these items. Some examples include: 1.Women with Vision Unlimited provided furniture, small kitchen appliances, lighting fixtures, and diapers to single family households in Kings County.2.Grandmas House is a non-profit who helps tutor school aged children after school in Tulare. Inspire Hope helped supply them with desks, book cases, plates and cleaning supplies for their facility. As part of their program they identified needs of the families they serve and were able to provide them with diapers, wipes, small kitchen appliances, lighting, fans/heaters, and floor mats.3.Howard Chapel is a non-profit organization whose focus is serving the homeless and less fortunate families in Hanford. They have provided over 500 homeless and families with items from the warehouse. Items such as sleeping bags, lanterns, air beds, floor mats, food items, hygiene items, and tents.Desc
Total Program Service Expenses$1,365,014TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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PY Excess Benefit TransfalsePYExcessBenefitTransInd
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Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
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Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
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Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn BeamanPersonNm
Phone9164061092PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 619135AddressLine1Txt
CityRosevilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Kofl Andrea
Director4.0046.00Yes (X)$0$1,033,401$56,796
Haydock Tim
Treasurer4.0046.00Yes (X)$0$541,141$72,905Yes (X)
Ammon Edward
President50.000.00Yes (X)$0$313,560$55,547Yes (X)
Croghan Janice Adams
Board Member4.000.00Yes (X)$0$0$0
Gavini Nileema
Director4.000.00Yes (X)$0$0$0
Grewal Annu
Director4.000.00Yes (X)$0$0$0
Kahn David
Chair eff 5/214.000.00Yes (X)$0$0$0Yes (X)
Nicks Anna
Director4.000.00Yes (X)$0$0$0
Salawasser Linda
Director4.000.00Yes (X)$0$0$0
Tos Sheri
Vice Chair 5/214.000.00Yes (X)$0$0$0Yes (X)
Zable Debbie
Secretary4.000.00Yes (X)$0$0$0Yes (X)
Pierce Jerry
Director4.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$1,888,102TotReportableCompRltdOrgAmt
Total Other Compensation$185,248TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,397,610AllOtherContributionsAmt
Noncash Contributions$1,332,595NoncashContributionsAmt
Total Contributions$1,397,610TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,577TotalRevenueColumnAmt
Exclusion$90,577ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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Total Revenue Column$0TotalRevenueColumnAmt

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Total Revenue Column$0TotalRevenueColumnAmt

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Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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Total Revenue Column$0TotalRevenueColumnAmt

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Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

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Total Revenue Column$0TotalRevenueColumnAmt
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Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

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Total Revenue Column$1,488,187TotalRevenueColumnAmt
Exclusion$90,577ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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Total$1,358,814TotalAmt
Program Services$1,358,814ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,200TotalAmt
Program Services$6,200ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

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Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

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Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

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Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

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Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

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Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

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Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

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Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

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Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

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Total$2,466TotalAmt
Management And General$2,466ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,203TotalAmt
Management And General$2,203ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

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Total$0TotalAmt

Royalties RoyaltiesGrp

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Total$0TotalAmt

Occupancy OccupancyGrp

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Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,099TotalAmt
Fundraising$1,099FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

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Total$0TotalAmt

Interest InterestGrp

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Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

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Total$0TotalAmt

Insurance InsuranceGrp

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Total$0TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Other Expenses$22,586$22,541$45
Supplies$1,840$27$1,813

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,395,208TotalAmt
Program Services$1,365,014ProgramServicesAmt
Management And General$27,237ManagementAndGeneralAmt
Fundraising$2,957FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,375,223BOYAmt
EOY$2,343,313EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$1,224EOYAmt

Accounts Receivable AccountsReceivableGrp

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EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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EOY$0EOYAmt

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EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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EOY$0EOYAmt

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EOY$0EOYAmt

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EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

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EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,462BOYAmt
EOY$6,309EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,410,685BOYAmt
EOY$2,350,846EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$72,123BOYAmt
EOY$87,123EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$177,043BOYAmt
EOY$9,225EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,166BOYAmt
EOY$96,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$955,475BOYAmt
EOY$1,039,342EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,206,044BOYAmt
EOY$1,215,156EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,161,519BOYAmt
EOY$2,254,498EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,410,685BOYAmt
EOY$2,350,846EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$92,979ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Western Health Resources
9538678631Yes (true)$0$0
Hanford Community Hospital
9405353601Yes (true)$0$0
Reedley Community Hospital
4532205093Yes (true)$0$0
Adventist Health Tulare
8323517533Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSupport Schedule: Additional Supplemental InformationFormAndLineReferenceDesc
ExplanationPart I, Line 11h(A)All supported organizations have been notified of the Foundation's support. All supported organizations are based in the U.S. incorporated in California.ExplanationTxt

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$1,809,458BeginningYearBalanceAmt
Contributions$1,380,845ContributionsAmt
Other Expenditures$1,389,981OtherExpendituresAmt
End Year Balance$1,800,322EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,742,954BeginningYearBalanceAmt
Contributions$1,025,315ContributionsAmt
Grants Or Scholarships$70,680GrantsOrScholarshipsAmt
Other Expenditures$888,131OtherExpendituresAmt
End Year Balance$1,809,458EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,196,353BeginningYearBalanceAmt
Contributions$2,030,165ContributionsAmt
Grants Or Scholarships$5,344GrantsOrScholarshipsAmt
Other Expenditures$1,478,220OtherExpendituresAmt
End Year Balance$1,742,954EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,294,650BeginningYearBalanceAmt
Contributions$286,008ContributionsAmt
Grants Or Scholarships$20,704GrantsOrScholarshipsAmt
Other Expenditures$363,601OtherExpendituresAmt
End Year Balance$1,196,353EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$904,284BeginningYearBalanceAmt
Contributions$636,080ContributionsAmt
Grants Or Scholarships$79,412GrantsOrScholarshipsAmt
Other Expenditures$166,302OtherExpendituresAmt
End Year Balance$1,294,650EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.32500BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.67500TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPayables to Related OrganizationsDesc
Amt$9,225Amt
FieldValueIRS element (for citing)
Total Liability$9,225TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4: Intended uses of the endowment fund.FormAndLineReferenceDesc
ExplanationBoard-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Employee Assistance Fund8$3,800
Fetal Demise12$2,400

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe Central Valley Health Foundation (CVHF) is a supporting organization of the Central Valley Network, including Hanford, Selma, and Reedley Community Hospitals along with Adventist Health Tulare. CFHF regards the well-being of the Central Valley Network employees as a determining factor in the well-being of the organization as a whole. The Employee Assistance Fund has been established with the purpose of addressing the various hardships of the employees on a need-only basis. Contributions are being collected by payroll deduction from those employees who chose to participate. An Employee Assistance Fund Committee meets periodically to determine the recipients and distributes the funds accordingly. The recipient must be an employee of the Central Valley Network to receive a distribution from this fund and payments are made directly to the entity providing the service. Most requests for distributions are made in connection with the loss of a loved family member or economic hardship. Funding provided to other organizations is provided to recipients with the understanding that the funds are being used only for the designated purposes. No monitoring is conducted by Central Valley Health Foundation.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Ammon Edward
President$232,542$54,306$26,712$12,579$42,968$369,107
Haydock Tim
Treasurer$395,000$96,721$49,420$11,644$61,261$614,046
Kofl Andrea
Director$624,000$263,477$145,924$11,644$45,152$1,090,197

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescHousehold ItemsDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,332,595NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Foundation is organized as a not-for-profit supporting organization. The sole corporate member is Western Health Resources, a California not-for-profit religious corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe sole member, Western Health Resources, elects the Foundation's Board of Directors. The authorized number of directors also includes ex-officio members according to each Foundation's bylaws.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe sole corporate member, Western Health Resources, must approve all changes to the Articles of Incorporation and Bylaws.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThis Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts"During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the president immediately. All conflicts are reviewed by the System General Counsel. For potential conflicts, the System General Counsel will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the person with a declared conflict must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter."
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementN/A
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesN/A
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Foundation does not make its governing documents, conflict of interest policy, or financial statements available to the public.
Form 990, Page 1, Item J - Websitehttps://www.adventisthealth.org//central-valley/pages/about-us/foundations.aspx

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Western Health Resources
PO Box 619135RosevilleCA95661953867863Home CareCA501(c)(3)10Adventist Health SystemWestfalse
Hanford Community Hospital
115 Mall DriveHanfordCA93230940535360HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Reedley Community Hospital
372 W Cypress AveReedleyCA93654453220509HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Adventist Health Tulare
869 N Cherry StTulareCA93274832351753HospitalCA501(c)(3)3Adventist Health SystemWestfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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