2018-11-15T12:24:57-06:00 2017-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2017-01-01 861174825 HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA HEAL 9165527629 1215 K STREET NO 730 SACRAMENTO CA 95814 JENNIFER NEWMAN CFO 9165527629 2018-11-09 1 TRACY S PAGLIA P00366884 2099556100 2018-11-09 12.129.7.100 2018-11-09 18:09:55 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 590998BD83A1AFC8298AB8E54118062D6841B7FE 2017 2019-02-21 02:37:17Z JENNIFER NEWMAN 1215 K STREET NO 730 SACRAMENTO CA 95814 96176 0 X N/A X 2006 CA TO SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES IN CALIFORNIA. 26 26 0 0 0 0 792712 93500 5610 0 3155 2676 0 0 801477 96176 94188 0 0 0 203196 0 0 0 0 436172 264460 733556 264460 67921 -168284 1110597 1065523 246756 369966 863841 695557 TO SPONSOR AND SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES AND RESEARCH IN THE AREA OF HEALTH CARE IN CALIFORNIA. 0 0 93692 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. 64879 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. 86709 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. 245280 1 1 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 26 26 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 CHAIR 0.50 1.00 X X 0 0 0 JUDY COFFEY CHAIR-ELECT 0.50 1.00 X X 0 0 0 CALVIN KNIGHT PAST CHAIR 0.50 1.00 X X 0 0 0 ANDREW JAHN SECRETARY-TREASURER 0.50 1.00 X X 0 0 0 DORI STEVENS DIRECTOR 0.50 1.00 X 0 0 0 EVAN RAYNER DIRECTOR (THRU 09/17) 0.50 1.00 X 0 0 0 BRUCE PETERS DIRECTOR 0.50 1.00 X 0 0 0 KEN UNDERWOOD DIRECTOR 0.50 1.00 X 0 0 0 MIKE PURVIS DIRECTOR 0.50 1.00 X 0 0 0 MIKE WILTERMOOD DIRECTOR 0.50 1.00 X 0 0 0 MATT REES DIRECTOR 0.50 1.00 X 0 0 0 DAVID O'BRIEN DIRECTOR (THRU 06/17) 0.50 1.00 X 0 0 0 JEFFREY COLLINS DIRECTOR 0.50 1.00 X 0 0 0 BRENDA YEE DIRECTOR (THRU 11/17) 0.50 1.00 X 0 0 0 WARREN S BROWNER DIRECTOR 0.50 1.00 X 0 0 0 BILL GRAHAM DIRECTOR 0.50 1.00 X 0 0 0 CHRIS L BOYD DIRECTOR 0.50 1.00 X 0 0 0 JOHN MCCORMICK DIRECTOR 0.50 1.00 X 0 0 0 GRANT DAVIES DIRECTOR 0.50 1.00 X 0 0 0 TODD STRUMWASSER DIRECTOR 0.50 1.00 X 0 0 0 EDMUNDO CASTAEDA DIRECTOR 0.50 1.00 X 0 0 0 CLINT PURVANCE DIRECTOR 0.50 1.00 X 0 0 0 TODD A SUNTRAPAK DIRECTOR 0.50 1.00 X 0 0 0 MICHAEL T JOHNSON DIRECTOR (THRU 10/17) 0.50 1.00 X 0 0 0 B KONARD JONES DIRECTOR 0.50 1.00 X 0 0 0 ASH GOKLI DIRECTOR 0.50 1.00 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 MARK LISA DIRECTOR 0.50 1.00 X 0 0 0 IKENNA MMEJE DIRECTOR (THRU 08/17) 0.50 1.00 X 0 0 0 CARMELA COYLE DIRECTOR 0.50 1.00 X 0 0 0 C DUANE DAUNER DIRECTOR (THRU 10/17) 0.50 1.00 X 0 0 0 JENNIFER M NEWMAN SVP & CHIEF FINANCIAL OFFICER 0.50 1.00 X 0 0 0 ARTHUR SPONSELLER PRESIDENT/ CEO 0.50 40.00 X 0 469725 49505 0 469725 49505 0 0 1 1 HOMEFIRST SERVICES OF SANTA CLARA COUNTY 507 VALLEY WAY MILPITAS CA 95035 RESPITE SERVICES 475680 COMMUNITY HOMELESS SOLUTIONS PO BOX 1340 MARINA CA 93933 RESPITE SERVICES 292532 2 93500 93500 2676 2676 96176 0 0 2676 X 14180 14180 96456 96456 33234 33234 4558 4558 5000 5000 PATIENT/CLIENT SUPPORT 78692 78692 CASE MANAGEMENT 32340 32340 264460 245280 19180 0 816317 892906 90000 90000 67380 82617 136900 0 1110597 1065523 36049 108621 210707 261345 246756 369966 X 237939 224999 602927 447583 22975 22975 863841 695557 1110597 1065523 -168284 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: HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA CONFIRMED THAT HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA QUALIFIED AS A 501(C)(6) ORGANIZATION THROUGH REGULAR CONSULTATIONS AND AN ANNUAL REVIEW OF FORM 990. 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. 32494 146 32640 32314 180 32494 32225 89 32314 32194 31 32225 81997 197 50000 32194 0.00000 0.70390 0.29610 0 0 0 DUE TO AFFILIATES 5000 FUNDS HELD FOR PROJECTS 256345 261345 X 96176 0 96176 0 96176 264460 0 264460 0 264460 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO FUND THE BARBARA HARRELSON 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, 2017 OR 2016. 0 0 0 0 0 0 0 0 0 ARTHUR SPONSELLER PRESIDENT/ CEO 0 378765 0 75702 0 15258 0 18900 0 30605 0 519230 0 0 PART I, LINE 3 HFNCC RELIES ON CAHHS, A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE PRESIDENT USING ONE OR MORE OF THE METHODS DESCRIBED ON SCHEDULE J, PART I LINE 3. FORM 990, PART VI, SECTION A, LINE 6 HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA HAS ONE MEMBER WHICH HAS EXCLUSIVE RIGHTS TO ELECT THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS CERTAIN RESERVE POWERS AS NOTED IN THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S GOVERNING BODY IS PROVIDED WITH A COPY OF FORM 990 PRIOR TO FILING. THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 WITH MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE IS SIGNED BY OFFICERS, DIRECTORS, AND KEY EMPLOYEES AND REPORTED TO THE AUDIT COMMITTEE IF A CONFLICT EXISTS. 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 OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 96,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,456. 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 HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA P 52261 CASH VALUE