2022-04-05T16:40:12-05:00 2021-06-30 111986323 MARCUM LLP 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2020-07-01 942909990 SEQUOIA HOSPITAL FOUNDATION SEQU 6503675657 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 JENNIFER A SVIHUS PRESIDENT 6503675657 2022-04-05 0 JENNIFER SVIHUS 999009999 FRANK H SMITH P00639053 2022274000 2022-04-05 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JENNIFER A SVIHUS 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 21241380 0 X WWW.SEQUOIAHOSPITALFOUNDATION.ORG X 1982 CA TO RAISE FUNDS AND CULTIVATE OTHER RESOURCES TO SUPPORT SEQUOIA HOSPITAL. 13 13 0 15 0 0 1162723 11140884 0 0 380986 541307 7660 222947 1551369 11905138 3306019 4340655 0 0 0 0 0 0 10675 210766 207308 3516785 4547963 -1965416 7357175 16508177 27254415 0 1166 16508177 27253249 THE MISSION OF SEQUOIA HOSPITAL FOUNDATION IS TO DEVELOP AND SECURE FUNDS AND OTHER RESOURCES, TO ENCOURAGE AWARENESS OF THE ONGOING NEEDS AND CAPABILITIES OF SEQUOIA HOSPITAL, AND TO ASSIST SEQUOIA HOSPITAL IN REACHING ITS GOALS AND OBJECTIVES. 0 0 4340655 4340655 THROUGH ONGOING CAMPAIGNS, ANNUAL APPEALS, SPECIAL EVENTS AND GENEROUS UNSOLICITED CONTRIBUTIONS, SEQUOIA HOSPITAL FOUNDATION (THE FOUNDATION) IS ABLE TO SUPPORT PATIENT CARE, PROGRAMS AND FACILITIES AT SEQUOIA HOSPITAL (THE HOSPITAL). IN CLOSE ALIGNMENT WITH THE HOSPITAL'S STRATEGIC PLAN, THE FOUNDATION RAISES FUNDS AND MAKES GRANTS TO MEET IDENTIFIED HOSPITAL NEEDS. IN ADDITION, THE FOUNDATION IS ACTIVELY RAISING FUNDS TO SUPPORT THE SERVICE LINES AT SEQUOIA HOSPITAL, INCLUDING THE HEART & VASCULAR INSTITUTE, BIRTH CENTER, AND KENNETT NURSING SCHOLARSHIP. 4340655 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X JENNIFER SVIHUS 6503675712 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 JENNIFER SVIHUS PRESIDENT 24.00 X 243192 0 42218 ALEX WRIGHT MANAGER INNOVATION AND COMMUNIATION 40.00 X 133607 0 41075 ERIN CALLAGHAN PHILANTHROPY OPERATION MANAGER 40.00 X 119668 0 24339 TAYLOR ADAMS MANAGER, ANNUAL AND SPECIAL GIVING 40.00 X 119233 0 20270 KEN TEHANEY CHAIR 1.00 X X 0 0 0 BEVERLY JOYCE MD VICE CHAIR 1.00 X X 0 0 0 JOAN ULIBARRI IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 ANDY CRESCI SECRETARY/TREASURER 1.00 X X 0 0 0 LISA BRENNAN BOARD MEMBER 1.00 X 0 0 0 TOM CORTOPASSI BOARD MEMBER 1.00 X 0 0 0 SANDY FERRANDO BOARD MEMBER 1.00 X 0 0 0 MARA GIATTINA MD BOARD MEMBER 1.00 X 0 0 0 WILLIAM GRAHAM BOARD MEMBER 1.00 X 0 0 0 PARAAG MARATHE BOARD MEMBER 1.00 X 0 0 0 SYLVIA NELSON BOARD MEMBER 1.00 X 0 0 0 JULIE SAN FILIPPO BOARD MEMBER 1.00 X 0 0 0 MARYLUE TIMPSON BOARD MEMBER 1.00 X 0 0 0 615700 0 127902 4 0 1 1 0 43245 11097639 85252 11140884 286093 286093 9552379 9297165 255214 255214 255214 27235 43245 39077 -11842 -11842 CHANGE IN SPLIT-INTEREST AGREEM. 900099 232289 232289 LEGAL FEES REFUND 900099 2500 2500 234789 11905138 0 0 764254 4340655 4340655 38847 38847 51722 51722 20863 15464 5399 17170 17170 69525 64249 5276 138 138 8683 8683 DUES AND SUBSCR. 360 360 4547963 4340655 196633 10675 299619 230729 544754 6200897 13431485 18007778 1206256 1563039 1026063 1251972 16508177 27254415 0 1166 0 1166 X 9999300 12410296 6508877 14842953 16508177 27253249 16508177 27254415 7357175 3195734 192163 0 X X 0 1 X 1 0 X 2339587 1511352 1684895 1162723 1140884 7839441 2339587 1511352 1684895 1162723 1140884 7839441 1512122 6327319 271238 303821 333474 324261 286093 1518887 12314 4809 9148 232289 258560 9616888 432608 0.65790 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CHANGE IN BENEFICIAL INTEREST IN SPLIT-INTEREST AGREEMENTS - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 12,314. 2018 AMOUNT: $ 4,809. 2019 AMOUNT: $ 9,148. 2020 AMOUNT: $ 232,289. FORM 990, SCHEDULE A, PART II: DURING THE YEAR ENDED JUNE 30, 2021, SEQUOIA HOSPITAL FOUNDATION APPLIED FOR AND RECEIVED RECLASSIFICATION AS A PUBLIC CHARITY DESCRIBED IN IRS SECTION 509(A)(1) AND 170(B)(1)(A)(VI). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11218715 11919 2887062 495940 13621756 11529291 17575 240582 568733 11218715 10850259 4100 674932 11529291 10574496 78050 547319 349606 10850259 7116410 3334907 740382 617203 10574496 0.82822 0.12162 0.05016 0 0 0 OFF-SHORE LIMITED COMPANY 1563039 F 1563039 AMOUNT DUE TO SEQUOIA HOSPITAL 1166 1166 X 16425854 3195734 1340127 39077 4574938 11850916 51722 2500 54222 11905138 5680782 1147964 39077 1187041 4493741 51722 2500 54222 4547963 PART V, LINE 4: THE FOUNDATION INTENDS TO HOLD ITS ENDOWMENT FUND FOR THE LONG TERM AND USE THE EARNINGS TO SUPPORT THE HOSPITAL. PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF JUNE 30, 2021 AND 2020, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A TAX LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 39,077. PART XI, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REFUND 2,500. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 39,077. PART XII, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REFUND 2,500. WINE & MUSIC VIRTUAL EVENT 70480 43245 27235 6000 20235 4200 8642 70480 43245 27235 6000 20235 4200 8642 39077 -11842 1 DIGNITY HEALTH DBA SEQUOIA HOSPITAL 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 941196203 501(C)(3) 4314622 26033 FMV PPE ITEMS AND BABY CAPS MADE BY VOLUNTEERS TO SUPPORT THE HOSPITAL IN REACHING ITS GOALS AND OBJECTIVES 1 0 PART I, LINE 2: THE FOUNDATION DISBURSES THE VAST MAJORITY OF ITS GRANTS TO THE HOSPITAL TO FUND SPECIFIC PURCHASES, PROJECTS OR PROGRAMS, IN CLOSE ALIGNMENT WITH THE HOSPITAL'S STRATEGIC PLAN. THE FOUNDATION INVITES GRANT REQUESTS FROM THE HOSPITAL FOR EQUIPMENT AND PROGRAMS TO ENHANCE PATIENT CARE. GRANT REQUESTS ARE CONSIDERED CAREFULLY BY THE FINANCE/GRANTS COMMITTEE AND SENT FOR APPROVAL BY THE BOARD OF DIRECTORS. BEFORE GRANT FUNDS ARE PAID TO THE HOSPITAL, FOUNDATION STAFF PERSONALLY CONFIRM THAT RELEVANT ITEMS HAVE BEEN RECEIVED. GRANT DISBURSEMENTS ARE THEN MADE, BASED ON COPIES OF INVOICES RECEIVED. 0 0 0 0 0 0 0 0 0 JENNIFER SVIHUS PRESIDENT 216860 0 18363 0 7969 0 12486 0 29732 0 285410 0 0 0 ALEX WRIGHT MANAGER INNOVATION AND COMMUNIATION 127264 0 5407 0 936 0 16008 0 25067 0 174682 0 0 0 PART I, LINE 3 ALL EMPLOYEES OF THE SEQUOIA HOSPITAL FOUNDATION ARE COMPENSATED BY THE COMMON SPIRIT HEALTH, AN UNRELATED ORGANIZATION EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). FORM 990, PART VII, SECTION A, LINE 5: JENNIFER SVIHUS, PRESIDENT, ALEX WRIGHT, MANAGER, INNOVATION AND COMMUNICATION, ERIN CALLAGHAN, PHILANTHROPY OPERATIONS MANAGER, AND TAYLOR ADAMS, MANAGER, ANNUAL SPECIAL GIVING, ARE COMPENSATED BY COMMONSPIRIT HEALTH, AN UNRELATED ORGANIZATION EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), FOR SERVICES PROVIDED TO THE SEQUOIA HOSPITAL FOUNDATION. X 1600 FMV X 830 FMV X 9400 FMV X 6 34829 FMV X 9 8299 FMV X 31 6434 FMV X OTHER 11 14775 FMV X GIFT CERTIF. 2 6000 FMV X FINE JEWELRY 4 3155 FMV 0 1 0 PART I, COLUMN (B): THE TOTAL REPRESENTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS THAT WERE RECEIVED FOR THE YEAR ENDED JUNE 30, 2021. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FEDERAL FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE POLICY IS COMPLETED AND CHECKED ANNUALLY. WE ALSO USE A FORMAL RFP PROCESS AND DOUBLE CHECK POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS AND INFORMATIONAL RETURNS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.