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KAWEAH DELTA HOSPITAL FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
KAWEAH DELTA HOSPITAL FOUNDATION (EIN 94-2675456)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-06
IRS object ID
202521269349302402
Schema version
2023v6.0
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)
Return2025-05-06T11:57:43-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942675456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAWEAH DELTA HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKAWEBusinessNameControlTxt
Phone5596242359PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1216 S JOHNSON STREETAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP932916237ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREBECCA AGREDANOPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5596242359PhoneNum
Signature2025-04-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN A HAVERLOCKPreparerPersonNm
PTINP00545829PTIN
Phone2099556100PhoneNum
Preparation2025-04-29PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREBECCA AGREDANOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1216 S JOHNSON STREETAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP932916237ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,371,418GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.KAWEAHHEALTH.ORG/FOUNDATION/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionKAWEAH 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.ActivityOrMissionDesc
Voting Members Governing Body35VotingMembersGoverningBodyCnt
Voting Members Independent35VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,108,961PYContributionsGrantsAmt
CY Contributions Grants$2,326,306CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$124,252PYInvestmentIncomeAmt
CY Investment Income$1,438,338CYInvestmentIncomeAmt
PY Other Revenue$17,391PYOtherRevenueAmt
CY Other Revenue$86,599CYOtherRevenueAmt
PY Total Revenue$3,250,604PYTotalRevenueAmt
CY Total Revenue$3,851,243CYTotalRevenueAmt
PY Grants And Similar Paid$6,189,541PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,508,162CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$175,931PYOtherExpensesAmt
CY Other Expenses$240,553CYOtherExpensesAmt
PY Total Expenses$6,365,472PYTotalExpensesAmt
CY Total Expenses$1,748,715CYTotalExpensesAmt
PY Revenues Less Expenses-$3,114,868PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,102,528CYRevenuesLessExpensesAmt
Total Assets BOY$21,079,091TotalAssetsBOYAmt
Total Assets EOY$24,211,648TotalAssetsEOYAmt
Total Liabilities BOY$28,605TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,250TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,050,486NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,198,398NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKAWEAH 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$347,916ExpenseAmt
Grant$347,916GrantAmt
Revenue$0RevenueAmt
DescOSHPD GME FAMILY GRANT - FUNDING FOR FAMILY MEDICINE RESIDENT SALARIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$224,979ExpenseAmt
Grant$224,979GrantAmt
Revenue$0RevenueAmt
DescGUARDIAN ANGEL FUND - USED FOR SPECIAL SHORT CAMPAIGN THROUGHOUT THE YEAR. PRIMARY PURPOSE IS TO PURCHASE SPECIALIZED PATIENT CARE EQUIPMENT WHEN NEEDED THE MOST.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$150,734ExpenseAmt
Grant$150,734GrantAmt
Revenue$0RevenueAmt
DescPOPULATION HEALTH EDUCATION FUND - THE POPULATION HEALTH EDUCATION FUNDS ARE EARMARKED TO FUND ACTIVITIES SUPPORTING COMMUNITY ENGAGEMENT AND HEALTH EDUCATION SUCH AS CHRONIC DISEASE MANAGEMENT, DIABETES MANAGEMENT, AND MENTAL HEALTH. FUNDS MAY BE USED TO SUPPORT SUSTAINABLE EDUCATION OPPORTUNITIES AND EVIDENCE-BASED LICENSING FEES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$784,533ExpenseAmt
Grant$784,533GrantAmt
Revenue$0RevenueAmt
DescTHESE ARE VARIETY OF FUNDS USED TO SUPPORT THE HOSPITALDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$784,533TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$784,533TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,508,162TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 IndividualsYes (1)GrantsToIndividualsInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members35GoverningBodyVotingMembersCnt
Independent Voting Member35IndependentVotingMemberCnt
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 PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
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

FieldValueIRS element (for citing)
PersonELIZABETH WYNNPersonNm
Phone5596242359PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1216 SOUTH JOHNSON STREETAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP93291ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SARAH ASHOORI
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
REBECCA AGREDANO
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
KATHLEEN REMILLARD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
RICHARD FEDER
TREASURER1.00Yes (X)Yes (X)$0$0$0
GARY AMON
DIRECTOR1.00Yes (X)$0$0$0
TONY BENEVENTO
DIRECTOR1.00Yes (X)$0$0$0
DOUGLAS BERG
DIRECTOR1.00Yes (X)$0$0$0
LARRY BIBBENS
DIRECTOR1.00Yes (X)$0$0$0
CAROL CAIRNS
DIRECTOR1.00Yes (X)$0$0$0
BEN CRIPPS
DIRECTOR1.00Yes (X)$0$0$0
SIDNEY FRANK MD
DIRECTOR1.00Yes (X)$0$0$0
NICK GAMBINI
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
DAYNA GILKEY
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW GRAHAM
DIRECTOR1.00Yes (X)$0$0$0
LESLIE HAYES
DIRECTOR1.00Yes (X)$0$0$0
JIM HURLBUTT
DIRECTOR1.00Yes (X)$0$0$0
JASON JETER DDS
DIRECTOR (THRU 12/23)1.00Yes (X)$0$0$0
CONNIE KAUTZ
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
NICKIE KREBSBACH
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
DEAN LEVITAN MD
DIRECTOR1.00Yes (X)$0$0$0
STEVE MCCARTHA
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
ERIC MCCONNAUGHEY
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
LYNN HAVARD MIRVISS ED D
DIRECTOR1.00Yes (X)$0$0$0
EDDIE PEREZ
DIRECTOR1.00Yes (X)$0$0$0
BRIAN PERRY
DIRECTOR1.00Yes (X)$0$0$0
RYAN PURKISS
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
LESLIE O RITCHIE
DIRECTOR1.00Yes (X)$0$0$0
CONSUELO ROMO
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
DEE SEBERT
DIRECTOR1.00Yes (X)$0$0$0
GRANT SMITH
DIRECTOR (AS OF 01/24)1.00Yes (X)$0$0$0
ALICIA SUNDSTROM
DIRECTOR1.00Yes (X)$0$0$0
ANN TONINI
DIRECTOR1.00Yes (X)$0$0$0
JASON VASQUEZ
DIRECTOR1.00Yes (X)$0$0$0
JAN VILLARD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH VOLOSIN
DIRECTOR1.00Yes (X)$0$0$0
MARTY R ZEEB
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH WYNN
FOUNDATION DIRECTOR24.00Yes (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

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERRILL LYNCHBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 CAPITOL MALL SUITE 1400AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
ServicesINVESTMENT MANAGEMENT SERVICESServicesDesc
Compensation$136,100CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$21,400FundraisingAmt
Government Grants$778,381GovernmentGrantsAmt
All Other Contributions$1,526,525AllOtherContributionsAmt
Total Contributions$2,326,306TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$745,804TotalRevenueColumnAmt
Exclusion$745,804ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,164,153SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,471,619SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$692,534SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$692,534TotalRevenueColumnAmt
Exclusion$692,534ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$135,155FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$21,400ContriRptFundraisingEventAmt
Fundraising Direct Expenses$48,556FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,599TotalRevenueColumnAmt
Exclusion$86,599ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,851,243TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,524,937ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,500,162TotalAmt
Program Services$1,500,162ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,000TotalAmt
Program Services$8,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$168,918TotalAmt
Management And General$168,918ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescFOREIGN FEESDesc
Total$2,461TotalAmt
Management And General$2,461ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$69,174TotalAmt
Management And General$69,174ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,748,715TotalAmt
Program Services$1,508,162ProgramServicesAmt
Management And General$240,553ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,390,534BOYAmt
EOY$5,181,529EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,890,251BOYAmt
EOY$2,888,960EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,331LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,331LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,794,177BOYAmt
EOY$16,141,159EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,129BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,079,091BOYAmt
EOY$24,211,648EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,605BOYAmt
EOY$13,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,605BOYAmt
EOY$13,250EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$21,050,486BOYAmt
EOY$24,198,398EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,050,486BOYAmt
EOY$24,198,398EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,079,091BOYAmt
EOY$24,211,648EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,102,528ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,043,470NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,914OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,963,269CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,806,831CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,730,933CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,108,961CurrentTaxYearMinus1YearAmt
Current Tax Year$2,326,306CurrentTaxYearAmt
Total$16,936,300TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$503,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$497,143CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$503,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$529,858CurrentTaxYearMinus1YearAmt
Current Tax Year$530,856CurrentTaxYearAmt
Total$2,565,048TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,466,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,303,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,234,665CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,638,819CurrentTaxYearMinus1YearAmt
Current Tax Year$2,857,162CurrentTaxYearAmt
Total$19,501,348TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,964,592SubstantialContributorsTotAmt
Public Support Total170$16,536,756PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$732,325CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,283,729CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$301,630CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$411,333CurrentTaxYearMinus1YearAmt
Current Tax Year$745,804CurrentTaxYearAmt
Total$3,474,821TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,544CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,013CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,621CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,391CurrentTaxYearMinus1YearAmt
Current Tax Year$86,599CurrentTaxYearAmt
Total$179,168TotalAmt
FieldValueIRS element (for citing)
Total Support$23,155,337TotalSupportAmt
Public Support CY1700.71420PublicSupportCY170Pct
Public Support PY1700.71910PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$12,906,548BeginningYearBalanceAmt
Contributions$214,475ContributionsAmt
Investment Earnings Or Losses$1,538,270InvestmentEarningsOrLossesAmt
Other Expenditures$24,281OtherExpendituresAmt
Administrative Expenses$126,045AdministrativeExpensesAmt
End Year Balance$14,508,967EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,054,039BeginningYearBalanceAmt
Contributions$174,935ContributionsAmt
Investment Earnings Or Losses$1,819,746InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,300GrantsOrScholarshipsAmt
Administrative Expenses$139,872AdministrativeExpensesAmt
End Year Balance$12,906,548EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,740,137BeginningYearBalanceAmt
Contributions$219,060ContributionsAmt
Investment Earnings Or Losses-$1,750,830InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,100GrantsOrScholarshipsAmt
Administrative Expenses$153,228AdministrativeExpensesAmt
End Year Balance$11,054,039EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,433,172BeginningYearBalanceAmt
Contributions$405,692ContributionsAmt
Investment Earnings Or Losses$3,030,717InvestmentEarningsOrLossesAmt
Administrative Expenses$129,444AdministrativeExpensesAmt
End Year Balance$12,740,137EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,081,430BeginningYearBalanceAmt
Contributions$103,496ContributionsAmt
Investment Earnings Or Losses$342,352InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,600GrantsOrScholarshipsAmt
Administrative Expenses$87,506AdministrativeExpensesAmt
End Year Balance$9,433,172EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.97000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.02000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,331OtherCostOrOtherBasisAmt
Depreciation$9,331DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCHARITABLE GIFT ANNUITY PAYABLEDesc
Amt$13,250Amt
FieldValueIRS element (for citing)
Total Liability$13,250TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TOMMY ELLIOTT MEMORIAL GOLF CLASSICEvent1Nm
Gross Receipts Event1$156,555GrossReceiptsEvent1Amt
Charitable Contri Event1$21,400CharitableContriEvent1Amt
Gross Revenue Event1$135,155GrossRevenueEvent1Amt
Cash Prizes Event1$4,450CashPrizesEvent1Amt
Rent Facility Costs Event1$25,764RentFacilityCostsEvent1Amt
Food And Beverage Event1$250FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$18,092OtherDirectExpensesEvent1Amt
Gross Receipts Total$156,555GrossReceiptsTotalAmt
Charitable Contributions Tot$21,400CharitableContributionsTotAmt
Gross Revenue Total Events$135,155GrossRevenueTotalEventsAmt
Cash Prizes Total Events$4,450CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$25,764RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$250FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$18,092OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$48,556DirectExpenseSummaryEventsAmt
Net Income Summary$86,599NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1KAWEAH DELTA HEALTH CARE DISTRICTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W MINERAL KING AVENUEAddressLine1Txt
CityVISALIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP93291ZIPCd
FieldValueIRS element (for citing)
Recipient EIN941534475RecipientEIN
IRC SectionGOV'TIRCSectionDesc
Cash Grant$1,500,162CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL SUPPORT, HOSPITAL EXPANSION CONSTRUCTION & EQUIPMENTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSTARRS EMPLOYEE EMERGENCY RELIEF FUNDGrantTypeTxt
Recipient5RecipientCnt
Cash Grant$8,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationEACH GRANT IS ASSIGNED TO A PROJECT MANAGER WHO REVIEWS EACH EXPENSE ON A MONTHLY BASIS. ALL PROGRAM OR PROJECT COSTS MUST PROVIDE PROPER DOCUMENTATION FOR SUPPORT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CHOSPITAL 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 19THE 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 XI, LINE 9:FUND TRANSFER 1,914.
FORM 990, PART XII, LINE 1:THE FOUNDATION IS USING A MODIFIED METHOD OF ACCOUNTING WHICH MORE ACCURATELY REFLECTS THEIR FINANCIAL POSITION.