PARKVIEW LEGACY FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PARKVIEW LEGACY FOUNDATION (EIN 95-3290732)
Tax period
2016-08-01 to 2017-07-31
Filed
2018-03-28
IRS object ID
201830879349300238
Schema version
2016v3.0
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)
Return2018-03-28T13:28:44-05:00ReturnTs
Tax Period End2017-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330770910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHRISTENSON OREJEL ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15005 LA MART DRIVE SUITE 100AAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92507ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953290732EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW COMMUNITY HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPARKBusinessNameControlTxt
Phone9517851600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13865 JACKSON STREETAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92503ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATT STOWEPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone9516882211PhoneNum
Signature2018-03-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALICIA OREJEL CPAPreparerPersonNm
PTINP00847432PTIN
Phone9517849552PhoneNum
Preparation2018-03-24PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.215.148.24IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-25IPDt
IP Tm10:04:15IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id38094B52D46BE6E23ADB74033E935471F278B6B0AtSubmissionCreationDeviceId
At Submission Filing Device Id3D7224B69C65D9502CB7A7577A8162491DDFE8D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATT STOWEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13865 JACKSON STREETAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92503ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$488,953GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PCHMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO ENGAGE IN THE SOLICITATION AND RECEIPT OF DONATIONS, BOTH CASH AND IN-KIND FOR THE BENEFIT AND NECESSARY SUPPORT OF PARKVIEW COMMUNITY HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$33,634PYContributionsGrantsAmt
CY Contributions Grants$157,112CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,354PYInvestmentIncomeAmt
CY Investment Income$26,825CYInvestmentIncomeAmt
PY Other Revenue$126,858PYOtherRevenueAmt
CY Other Revenue$19,639CYOtherRevenueAmt
PY Total Revenue$162,846PYTotalRevenueAmt
CY Total Revenue$203,576CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$154,001CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,420PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,470CYTotalFundraisingExpenseAmt
PY Other Expenses$20,606PYOtherExpensesAmt
CY Other Expenses$27,624CYOtherExpensesAmt
PY Total Expenses$47,026PYTotalExpensesAmt
CY Total Expenses$181,625CYTotalExpensesAmt
PY Revenues Less Expenses$115,820PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,951CYRevenuesLessExpensesAmt
Total Assets BOY$605,392TotalAssetsBOYAmt
Total Assets EOY$685,189TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,320TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$605,392NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$680,869NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ENGAGE IN THE SOLICITATION, RECEIPT, MANAGEMENT AND DISBURSEMENT OF FUNDS AND PROPERTY FOR THE BENEFIT OF PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER IN ORDER TO SUPPORT, MAINTAIN AND IMPROVE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND ACTIVITIES OPERATED BY SAID HOSPITAL OR BY ITS RELATED NONPROFIT PUBLIC BENEFIT ORGANIZATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$154,479ExpenseAmt
Grant$154,001GrantAmt
DescPROVIDED NEEDED SUPPORT TO PARKVIEW COMMUNITY HOSPITAL. DONATED FIVE NICU WARMERS, SIX FETAL MONITOR MACHINES AND TWO KWICKSCREENS FOR THE NICU.Desc
Total Program Service Expenses$154,479TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY CARDULLOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9517851600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13865 JACKSON STREETAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92504ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MATTHEW STOWE
CHAIR3.00Yes (X)Yes (X)$0$0$0
HOWARD SANER
VICE CHAIR3.00Yes (X)Yes (X)$0$0$0
SHAWN WASHINGTON CPA
TREASURER3.00Yes (X)Yes (X)$0$0$0
CATHERINE ODELL MD
SECRETARY3.00Yes (X)Yes (X)$0$0$0
DWIGHT TATE
IMMEDIATE PAST PRESIDENT3.00Yes (X)Yes (X)$0$0$0
WENDEL TUCKER
AT LARGE EXEC COMMITTEE2.00Yes (X)$0$0$0
DAYNE BRASSARD
MEMBER2.00Yes (X)$0$0$0
BILL CHAMBERLAIN
MEMBER2.00Yes (X)$0$0$0
PAM CUTHBERTSON
MEMBER2.00Yes (X)$0$0$0
PAM DEMARCO
MEMBER2.00Yes (X)$0$0$0
LETTY DIAZ
MEMBER2.00Yes (X)$0$0$0
MAURA KANE PHD
MEMBER2.00Yes (X)$0$0$0
LEITA HARRIS MD
MEMBER2.00Yes (X)$0$0$0
GERALD BUD LUPPINO
MEMBER2.00Yes (X)$0$0$0
MAUREEN LYONS
MEMBER2.00Yes (X)$0$0$0
NANCY MELENDEZ
MEMBER2.00Yes (X)$0$0$0
CLAIR MESKE
CHAIR, PLANNED GIVING3.00Yes (X)$0$0$0
JENNIFER O'FARRELL
MEMBER2.00Yes (X)$0$0$0
JAMES PERSINGER
MEMBER2.00Yes (X)$0$0$0
DELL ROBERTS
MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$142,200FundraisingAmt
All Other Contributions$14,912AllOtherContributionsAmt
Total Contributions$157,112TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,292TotalRevenueColumnAmt
Exclusion$5,292ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$142,142SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$120,609SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$21,533SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,533TotalRevenueColumnAmt
Exclusion$21,533ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$184,407FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$142,200ContriRptFundraisingEventAmt
Fundraising Direct Expenses$164,768FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,639TotalRevenueColumnAmt
Exclusion$19,639ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,576TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$46,464ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$154,001TotalAmt
Program Services$154,001ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,474TotalAmt
Management And General$7,474ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,524TotalAmt
Management And General$100ManagementAndGeneralAmt
Fundraising$3,424FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$559TotalAmt
Management And General$559ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,067TotalAmt
Program Services$413ProgramServicesAmt
Management And General$827ManagementAndGeneralAmt
Fundraising$827FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
BANK/CREDIT CARD CHARGE$3,824$3,824
BAD DEBT EXPENSE$3,777$3,777
SPONSOR/DONOR RELATIONS$3,219$3,219
MISCELLANEOUS$2,895$2,830$65

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$285TotalAmt
Management And General$285ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$181,625TotalAmt
Program Services$154,479ProgramServicesAmt
Management And General$19,676ManagementAndGeneralAmt
Fundraising$7,470FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$274,504BOYAmt
EOY$250,638EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$70,214BOYAmt
EOY$130,167EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$18,560EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$260,674BOYAmt
EOY$285,824EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$605,392BOYAmt
EOY$685,189EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$4,320EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,320EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$590,392BOYAmt
EOY$525,802EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,000BOYAmt
EOY$155,067EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$605,392BOYAmt
EOY$680,869EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$605,392BOYAmt
EOY$685,189EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$21,951ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,411NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$58,937PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN952477294EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$154,001OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$154,001OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided Documents0TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice Investment0SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Activities Further Exempt PrpsYes (1)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org Invlmnt0ActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART IV, SECTION E, LINE 2AFormAndLineReferenceDesc
ExplanationTHE FOUNDATION PURCHASED FOR THE BENEFIT OF PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER MEDICAL EQUIPMENT TO BE USED EXCLUSIVELY BY THE HOSPITAL.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$281,761BeginningYearBalanceAmt
Investment Earnings Or Losses$21,414InvestmentEarningsOrLossesAmt
End Year Balance$303,175EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationGENERALLY ACCEPTED ACCOUNTING PRINCIPLES PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ORGANIZATION IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE FOUNDATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY THE FOUNDATION ON ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. THE FOUNDATION RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES GENERALLY FOR THREE AND FOUR YEARS, RESPECTIVELY, AFTER THEY HAVE BEEN FILED.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1VALENTINE BALLEvent1Nm
Gross Receipts Event1$108,389GrossReceiptsEvent1Amt
Charitable Contri Event1$41,500CharitableContriEvent1Amt
Gross Revenue Event1$66,889GrossRevenueEvent1Amt
Other Direct Expenses Event1$37,753OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$208,471GrossReceiptsEvent2Amt
Charitable Contri Event2$100,700CharitableContriEvent2Amt
Gross Revenue Event2$107,771GrossRevenueEvent2Amt
Other Direct Expenses Event2$118,743OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$9,747GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$9,747GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$8,272OthDirectExpnssOtherEventsAmt
Gross Receipts Total$326,607GrossReceiptsTotalAmt
Charitable Contributions Tot$142,200CharitableContributionsTotAmt
Gross Revenue Total Events$184,407GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$164,768OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$164,768DirectExpenseSummaryEventsAmt
Net Income Summary$19,639NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13865 JACKSON STREETAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92503ZIPCd
FieldValueIRS element (for citing)
Recipient EIN952477294RecipientEIN
IRC Section501(C)3IRCSectionDesc
Non Cash Assistance$154,001NonCashAssistanceAmt
Valuation Method UsedCOST (BOOK)ValuationMethodUsedDesc
Non Cash AssistanceFIVE NICU WARMERS, SIX FETAL MONITOR MACHINES, TWO KWICKSCREENS FOR NICUNonCashAssistanceDesc
Purpose Of GrantEQUIPMENT FOR NEO-NATAL INTENSIVE CARE UNITPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE EXECUTIVE DIRECTOR FOR PARKVIEW COMMUNITY HOSPITAL FOUNDATION MAINTAINS AND RECONCILES THE BOOKS AND RECORDS OF THIS ORGANIZATION. AFTER THE YEAR IS COMPLETED, THE EXECUTIVE DIRECTOR SENDS THE NECESSARY RECORDS TO THE OUTSIDE CPA FIRM TO PREPARE THE FORM 990. UPON COMPLETION, THE EXECUTIVE DIRECTOR FIRST REVIEWS THE RETURN. THEN THE TREASURER REVIEWS THE RETURN AND DISTRIBUTES IT TO THE ENTIRE BOARD FOR COMMENTS AND POSSIBLE CORRECTIONS. ONCE THE ENTIRE BOARD IS SATISFIED THE EXECUTIVE DIRECTOR SIGNS AND MAILS THE TAX FORMS.
FORM 990, PART VI, SECTION C, LINE 19THE BOARD OF DIRECTORS CONSIDERS ALL SIGNED AND WRITTEN REQUESTS FOR THE DISCLOSURE OF DOCUMENTS. ONCE THEY DECIDE THAT THE REQUEST IS VALID, THEY MAKE THE DOCUMENTS AVAILABLE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13865 JACKSON STREETAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92503ZIPCd
FieldValueIRS element (for citing)
EIN952477294EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)3ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
B$154,001COST OF EQUIPMENT
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
M$161,203DONATED SALARIES AND BENEFITS

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