2021-02-18T13:57:11-06:00 2020-06-30 111986323 MARCUM LLP 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2019-07-01 942909990 SEQUOIA HOSPITAL FOUNDATION SEQU 6503675657 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 JENNIFER A SVIHUS PRESIDENT 6503675657 2021-02-18 1 FRANK H SMITH P00639053 2022274000 2021-02-18 2019 2022-09-23 18:48:47Z JENNIFER A SVIHUS 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 10588183 0 X WWW.SEQUOIAHOSPITALFOUNDATION.ORG X 1982 CA TO RAISE FUNDS AND CULTIVATE OTHER RESOURCES TO SUPPORT SEQUOIA HOSPITAL. 10 10 0 70 0 0 1684895 1162723 0 0 848815 380986 -12708 7660 2521002 1551369 4525804 3306019 0 0 0 0 0 0 26542 258217 210766 4784021 3516785 -2263019 -1965416 18224555 16508177 0 0 18224555 16508177 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 3306019 3306019 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. 3306019 1 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 1 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 CHRISTINE ACHERMANN MANAGER, MAJOR GIFTS 40.00 X 0 149329 0 JENNIFER SVIHUS PRESIDENT - AS OF 07/2019 24.00 16.00 X 0 127308 19733 ERIN CALLAGHAN PHILANTHROPY OPERATION MANAGER 40.00 X 0 110516 0 JOAN ULIBARRI CHAIR 1.00 X X 0 0 0 MARA GIATTINA MD VICE CHAIR 1.00 X X 0 0 0 ROBERT O'DONNELL IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 KEN TEHANEY SECRETARY TREASURER - AS OF 07/2019 1.00 X X 0 0 0 LISA BRENNAN BOARD MEMBER 1.00 X 0 0 0 LUIS CASTRO MD BOARD MEMBER 1.00 X 0 0 0 ANDREW CRESCI BOARD MEMBER 1.00 X 0 0 0 WILLIAM GRAHAM BOARD MEMBER 1.00 X 0 0 0 BEVERLY JOYCE MD BOARD MEMBER 1.00 X 0 0 0 PARAAG MARATHE BOARD MEMBER 1.00 X 0 0 0 0 387153 19733 0 0 0 0 0 133300 8000 1021423 508294 1162723 324261 324261 8964801 8908076 56725 56725 56725 127250 133300 128738 -1488 -1488 CHANGE IN SPLIT-INTEREST AGREEM. 900099 9148 9148 9148 1551369 0 0 388646 3306019 3306019 3156 3156 39449 39449 47025 47025 34094 22778 11316 22967 22967 45876 30650 15226 6431 6431 10167 10167 DUES AND SUBSCR. 1601 1601 3516785 3306019 184224 26542 367559 299619 605543 544754 14820069 13431485 1269437 1206256 1161947 1026063 18224555 16508177 0 0 X 10954064 9999300 7270491 6508877 18224555 16508177 18224555 16508177 -1965416 -33908 282946 0 X X 0 1 X 1 0 X X 1 DIGNITY HEALTH DBA SEQUOIA HOSPITAL 941196203 3 1 3306019 0 1 3306019 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 515341 56725 0 0 333474 324261 848815 380986 0 0 53425 47025 0 0 795390 333961 16089506 14637741 367559 299619 0 0 16457065 14937360 0 0 0 16457065 14937360 246856 224060 16210209 14713300 567357 514966 0 0 567357 514966 795390 676082 567357 676082 0 676082 3306019 0 0 0 0 0 3306019 3306019 676082 100.000000000000 676082 0 0 1899375 4019158 1123447 4525804 11567784 0 676082 0 10891702 3306019 0 3306019 0 0 14197721 1223293 4019158 1123447 4525804 3306019 PART IV, SECTION D, LINE 3: THE FOUNDATION HAS A CLOSE, HISTORICAL, AND CONTINUOUS WORKING RELATIONSHIP WITH DIGNITY HEALTH DBA SEQUOIA HOSPITAL (THE HOSPITAL). THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING GRANTS PAID TO THE HOSPITAL. PART V, SECTION D, LINE 8: THE FOUNDATION WORKS EXCLUSIVELY TO SUPPORT THE HOSPITAL. THEY REGULARLY INTERACT WITH THE HOSPITAL TO ENSURE THEY ARE ABLE TO ASSIST WITH SPECIFIC PURCHASES, PROJECTS OR PROGRAMS IN CLOSE ALIGNMENT WITH THE HOSPITAL'S STRATEGIC PLAN. THIS IS ASSISTED BY REPRESENTATION ON THE BOARD OF DIRECTORS BY THE HOSPITAL PRESIDENT. SUPPORT BY THE FOUNDATION ENABLES THE HOSPITAL TO AVOID THE INTERRUPTION OF CERTAIN FUNCTIONS/ACTIVITIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11529291 17575 240582 568733 11218715 10850259 4100 674932 11529291 10574496 78050 547319 349606 10850259 7116410 3334907 740382 617203 10574496 7278126 8300 -170016 7116410 0.82800 0.14660 0.02540 0 0 0 OFF-SHORE LIMITED COMPANY 1206256 F 1206256 BENEFICIAL INTEREST IN SPLIT-INTEREST AGREEMENTS 1025816 DUE FROM AFFILIATE 247 1026063 X 3131528 -33908 1532354 128738 1627184 1504344 47025 47025 1551369 4847906 1249408 128738 1378146 3469760 47025 47025 3516785 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 TAXPOSITIONS TAKEN AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAINTAX 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 128,738. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 128,738. GOLF TOURNAMENT 212400 95500 116900 13431 3278 45103 560 50298 WINE & MUSIC 48150 37800 10350 2007 4006 3838 6217 260550 133300 127250 15438 3278 49109 4398 56515 128738 -1488 1 DIGNITY HEALTH DBA SEQUOIA HOSPITAL 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 941196203 501(C)(3) 3160969 145050 FMV MISCELLANEOUS PPE AND OTHER ITEMS DURING PANDEMIC EARLY RESPONSE 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. X 15197 FMV X 9 340335 FMV X 16 9430 FMV X 180 123023 FMV X FINE JEWELRY 1 9500 FMV X OTHER 12 9185 FMV X GIFT CERTIF. 5 1624 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, 2020. FORM 990, PART VI, SECTION A, LINE 4 DURING THE YEAR ENDED JUNE 30, 2020, SEQUOIA AMENDED ITS BY-LAWS TO REFLECT CHANGES IN THE NUMBER AND AUTHORITY OF THE ORGANIZATION'S VOTING MEMBERS. 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. DIGNITY HEALTH DBA SEQUOIA HOSPITAL 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 941196203 MEDICAL & HEALTHCARE SERVICES CA 501(C)(3) 3 N/A 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 DIGNITY HEALTH DBA SEQUOIA HOSPITAL B 3306019 FMV