2019-11-15T10:36:13-06:00 2018-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2018-01-01 861174825 HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA HEAL 9165527629 1215 K STREET NO 730 SACRAMENTO CA 95814 JENNIFER NEWMAN CHIEF FINANCIAL OFFICER 9165527629 2019-11-11 1 TRACY S PAGLIA P00366884 2099556100 2019-11-11 12.129.4.210 2019-11-11 16:13:37 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2018 2020-04-17 16:48:07Z BRYAN BUCKLEW 1215 K STREET NO 730 SACRAMENTO CA 95814 4438 0 X N/A X 2006 CA TO SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES IN CALIFORNIA. 25 24 0 0 0 0 93500 0 0 0 2676 4438 0 0 96176 4438 0 86535 0 0 0 0 0 0 0 264460 279156 264460 365691 -168284 -361253 1065523 1719115 369966 1384811 695557 334304 X TO SPONSOR AND SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES AND RESEARCH IN THE AREA OF HEALTH CARE IN CALIFORNIA. 0 0 93767 0 0 EL CAMINO HOSPITAL AND HEALTHCARE DISTRICT:SUPPORT OF THE MEDICAL RESPITE PROGRAM TO IMPROVE THE ACCESS TO HEALTHCARE, QUALITY OF LIFE AND FUNCTIONAL STATUS OF HOMELESS PATIENTS DISCHARGED FROM HOSPITALS IN SANTA CLARA COUNTY. 91241 0 0 THE CALIFORNIA ENDOWMENT, HEALTHCARE CAREER PIPELINE INITIATIVE: ESTABLISHING A HEALTH CAREER PATHWAY INITIATIVE: TO SUPPORT A COLLABORATION OF HEALTHCARE LEADERS, HUMAN RESOURCE PROFESSIONALS, SCHOOL DISTRICT ADMINISTRATORS, COLLEGE, UNIVERSITY LEADERS AND OTHERS IN ESTABLISHING A HEALTH CAREER PIPELINE IN THE FRESNO REGION. 86535 86535 0 BARBARA HARRELSON ENDOWMENT:TRANSFER OF ENDOWMENT FUNDS TO FOOTHILL-DEANZA COMMUNITY COLLEGES FOUNDATION. 79797 0 0 STANFORD HOSPITAL & CLINICS COMMUNITY PARTNERSHIP PROGRAM:SUPPORT OF THE MEDICAL RESPITE PROGRAM TO IMPROVE THE ACCESS TO HEALTHCARE, QUALITY OF LIFE AND FUNCTIONAL STATUS OF HOMELESS PATIENTS DISCHARGED FROM HOSPITALS IN SANTA CLARA COUNTY. 79797 0 0 351340 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 25 24 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JENNIFER NEWMAN 9165527629 1215 K STREET SUITE 800 SACRAMENTO CA 95814 CRAIG WAGONER PAST CHAIR 0.50 1.00 X X 0 0 0 JUDY COFFEY CHAIR 0.50 1.00 X X 0 0 0 ANDREW JAHN CHAIR-ELECT (THRU 3/18) 0.50 1.00 X X 0 0 0 TODD A SUNTRAPAK CHAIR-ELECT (AS OF 3/18) 0.50 1.00 X X 0 0 0 GRANT DAVIES SECRETARY-TREASURER (AS OF 3/18) 0.50 1.00 X X 0 0 0 JONATHON ANDRUS DIRECTOR 0.50 1.00 X 0 0 0 ERICK BERRY DIRECTOR 0.50 1.00 X 0 0 0 WARREN S BROWNER DIRECTOR 0.50 1.00 X 0 0 0 EDMUNDO CASTAEDA DIRECTOR 0.50 1.00 X 0 0 0 IRENE CHAVEZ DIRECTOR 0.50 1.00 X 0 0 0 CARMELA COYLE DIRECTOR 0.50 1.00 X 0 0 0 JEFF ELLER DIRECTOR 0.50 1.00 X 0 0 0 LUIS FONSECA DIRECTOR 0.50 1.00 X 0 0 0 ASH GOKLI DIRECTOR 0.50 1.00 X 0 0 0 BILL GRAHAM DIRECTOR 0.50 1.00 X 0 0 0 CORWIN N HARPER DIRECTOR 0.50 1.00 X 0 0 0 LAURIE HARTING DIRECTOR 0.50 1.00 X 0 0 0 B KONARD JONES DIRECTOR 0.50 1.00 X 0 0 0 MARK LISA DIRECTOR 0.50 1.00 X 0 0 0 KELLY MATHER DIRECTOR 0.50 1.00 X 0 0 0 BRUCE PETERS DIRECTOR 0.50 1.00 X 0 0 0 CLINT PURVANCE DIRECTOR 0.50 1.00 X 0 0 0 PAUL RAINS DIRECTOR 0.50 1.00 X 0 0 0 MATT REES DIRECTOR 0.50 1.00 X 0 0 0 DORI STEVENS DIRECTOR (THRU 7/18) 0.50 1.00 X 0 0 0 KEN UNDERWOOD DIRECTOR 0.50 1.00 X 0 0 0 MIKE WILTERMOOD DIRECTOR 0.50 1.00 X 0 0 0 ARTHUR SPONSELLER PRESIDENT/CEO (THRU 10/18) 0.50 40.00 X 0 585857 40363 BRYAN BUCKLEW PRESIDENT/CEO (AS OF 10/18) 0.50 40.00 X 0 360413 24846 JENNIFER M NEWMAN SVP & CFO 0.50 1.00 X 0 0 0 0 946270 65209 0 0 1 1 HOMEFIRST SERVICES OF SANTA CLARA COUNTY 507 VALLEY WAY MILPITAS CA 95035 RESPITE SERVICES 328970 COMMUNITY HOMELESS SOLUTIONS PO BOX 1340 MARINA CA 93933 RESPITE SERVICES 279858 2 4438 4438 4438 0 0 4438 X 86535 86535 14296 14296 64860 64860 91776 91776 PATIENT/CLIENT SUPPORT 78767 78767 CASE MANAGEMENT 29370 29370 87 32 55 365691 351340 14351 0 892906 1628610 90000 90000 82617 0 505 1065523 1719115 108621 41861 93915 261345 1249035 369966 1384811 X 224999 213679 447583 120625 22975 0 695557 334304 1065523 1719115 -361253 0 X 0 1 X 1 0 X X X 1 HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA 941533644 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B: AS PART OF THE REQUIREMENTS OF SUPPORTING A 501(C)(6) ORGANIZATION, HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA (HFNCC) CONFIRMS EACH YEAR THAT ITS SUPPORTED ORGANIZATION, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA (HCNCC), QUALIFIES AS A 501(C)(3) PUBLIC CHARITY UNDER 509(A)(2) THROUGH REGULAR CONSULTATIONS, AN ANNUAL REVIEW OF FORM 990, AND COMPLETION OF THE SCHEDULE A, PART III PUBLIC SUPPORT TEST. THIS PROCESS WAS UNDERTAKEN IN 2019 TO VERIFY THAT HCNCC CONTINUED TO QUALIFY TO BE A SUPPORTED ORGANIZATION OF HFNCC. PART IV, SECTION A, LINE 3C: TO THE KNOWLEDGE OF HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA ALL SUPPORT PROVIDED TO HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA WAS USED EXCLUSIVELY FOR 170(C)(2) PURPOSES AS CONFIRMED THROUGH REGULAR REPORTS. 32640 202 32842 0 32494 146 32640 32314 180 32494 32225 89 32314 32194 31 32225 0.00000 0.00000 0.00000 0 0 0 FUNDS HELD FOR PROJECTS 1249035 1249035 X 4438 0 4438 0 4438 365691 0 365691 0 365691 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO FUND THE BARBARA HARRELSON SCHOLARSHIPS. DURING 2018, THE ENDOWMENT WAS TRANSFERRED TO THE FOOTHILL DEANZA FOUNDATION TO CONTINUE GRANTING SCHOLARSHIPS. PART X, LINE 2: THE FOUNDATION IS A NONPROFIT PUBLIC BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAX CODE SECTION 23701E. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN THE EVENT THE FOUNDATION HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, THE FOUNDATION WOULD APPLY THE MINIMUM PROBABILITY THRESHOLD TO DETERMINE WHETHER A FINANCIAL STATEMENT LIABILITY OR BENEFIT SHOULD BE RECOGNIZED. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 OR 2017. 0 FOOTHILL-DEANZA COMMUNITY COLLEGES FOUNDATION 12345 EL MONTE ROAD LOS ALTOS HILLS CA 94022 943258220 501(C)(3) 86535 THE B HARRELSON SCHOLARSHIP FUND 1 0 0 0 0 0 0 0 0 0 0 ARTHUR SPONSELLER PRESIDENT/CEO (THRU 10/18) 0 488684 0 82402 0 14771 0 19250 0 21113 0 626220 0 0 BRYAN BUCKLEW PRESIDENT/CEO (AS OF 10/18) 0 337187 0 0 0 23226 0 0 0 24846 0 385259 0 0 PART I, LINE 3 THE FOUNDATION'S OFFICERS AND KEY EMPLOYEES WERE PAID WAGE COMPENSATION BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) FOR SERVICES PROVIDED TO HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA (HCNCC). SEE COMPENSATION AMOUNTS ON SCHEDULE J, PART II. THE COMPENSATION PAID BY CAHHS WAS REIMBURSED BY HCNCC UNDER A LEASED EMPLOYEE ARRANGEMENT. THE FOUNDATION DID NOT REIMBURSE CAHHS FOR ANY COMPENSATION REPORTED. FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION'S SOLE MEMBER IS HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA ELECTS THE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CERTAIN RESERVED POWERS: A. MATERIALLY CHANGING THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE FOUNDATION; B. ENGAGING IN ANY MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION OF THE FOUNDATION; C. ENGAGING IN ANY SALE, LEASE, DISPOSITION OR HYPOTHECATION OF ANY ASSET OWNED BY THE FOUNDATION, WHERE THE MARKET VALUE OF SUCH ASSET EQUALS OR EXCEEDS $100,000.00; D. ENTERING INTO ANY CONTRACT, LEASE, OR OTHER OBLIGATION NOT OTHERWISE APPROVED IN THE ANNUAL BUDGET THAT CREATES AN AGGREGATE OBLIGATION FOR THE FOUNDATION IN EXCESS OF $100,000.00 IN ANY CONSECUTIVE TWELVE (12) MONTHS; E. ENTERING INTO ANY CONTRACT, LEASE OR OTHER OBLIGATION NOT OTHERWISE APPROVED IN THE ANNUAL BUDGET WHERE THE DURATION OF THE FOUNDATION'S OBLIGATION IS IN EXCESS OF 24 MONTHS; F. ADMISSION OF ANY OTHER MEMBERS; G. RELINQUISHING OR ALTERING THE TAX-EXEMPT STATUS OF THE FOUNDATION; H. MATERIALLY CHANGING THE CORPORATE STRUCTURE OF THE FOUNDATION OR ANY OF ITS COMPONENT PARTS; AND I. AMENDING, RESTATING, OR RESCINDING THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 WITH MANAGEMENT PRIOR TO FILING. THE FOUNDATION'S GOVERNING BODY IS PROVIDED WITH A COPY OF FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS EACH MEMBER OF THE BOARD OF DIRECTORS; THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, AND CHIEF FINANCIAL OFFICER; KEY EMPLOYEES; ANY PERSON WHO HAS HELD ONE OF THOSE POSITIONS DURING THE PRECEDING FIVE YEARS; FAMILY MEMBERS; AND CERTAIN CONTROLLED ORGANIZATIONS (INTERESTED PERSONS). ALL INTERESTED PERSONS ANNUALLY SIGN A STATEMENT THAT AFFIRMS RECEIPT AND AGREEMENT TO COMPLY WITH THE POLICY AND TO DISCLOSE ANY FINANCIAL INTERESTS OR FAMILY RELATIONSHIPS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST. EACH INTERESTED PERSON IS REQUIRED TO DISCLOSE TO THE BOARD (OR COMMITTEE THEREOF), ALL MATERIAL FACTS REGARDING THE FINANCIAL INTEREST OR RELATIONSHIP IN THE TRANSACTION. WITH REGARD TO AN INTERESTED PERSON, THE BOARD OR COMMITTEE DETERMINES IF A CONFLICT OF INTEREST EXISTS. THE INSIDER(S) INVOLVED WITH THE TRANSACTION WILL NOT BE PRESENT DURING THE BOARD OR COMMITTEE'S DISCUSSION OR DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, AND MAY NOT VOTE ON THE TRANSACTION OR COUNTED IN DETERMINATION OF A QUORUM. ALL PROCEEDINGS ARE DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 64,860. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,860. HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA 1215 K STREET SUITE 730 SACRAMENTO CA 95814 941533644 MEMBERSHIP SERVICES TO NORTHERN AND CENTRAL CALIFORNIA HOSPITALS CA 501(C)(6) N/A 0 HEALTHPLUS SHARED SERVICES INC 1215 K STREET SUITE 800 SACRAMENTO CA 95814 942685988 PROVIDING BUSINESS SERVICES FOR HOSPITALS CA N/A C 0 BEACON PATIENT SAFETY COLLABORATIVE 1215 K STREET SUITE 730 SACRAMENTO CA 95814 INACTIVE CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0