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WOODLAND MEMORIAL HOSPITAL FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WOODLAND MEMORIAL HOSPITAL FOUNDATION (EIN 94-6167964)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-11-16
IRS object ID
202003219349319140
Schema version
2019v5.0
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)
Return2020-11-16T14:26:36-08:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN461606272PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Perry Bunch & Johnston CPAsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1350 Court StAddressLine1Txt
CityWoodlandCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95695ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946167964EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOODLAND MEMORIAL HOSPITAL FOUNDATIONBusinessNameLine1Txt
Business Name Line2DBA WOODLAND HEALTHCARE FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWOODBusinessNameControlTxt
Phone5306695680PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11321 COTTONWOOD STREETAddressLine1Txt
CityWOODLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95695ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN DUGGANPersonNm
Person TitleEX-OFFICIOPersonTitleTxt
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICK JOHNSTON CPAPreparerPersonNm
PTINP00063370PTIN
Phone5306623251PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line11321 COTTONWOOD STREET 207AddressLine1Txt
CityWOODLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95695ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,923,567GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresssupportwoodlandhealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE FINANCIAL AND COMMUNITY SUPPORT FOR THE LOCAL PROGRAMS OF WOODLAND HEALTHCARE, AND TO PROMOTE WELLNESS, HEALTH RELATED EDUCATION AND RESEARCH IN THE COMMUNITIES SERVED BY WOODLAND HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,145,111PYContributionsGrantsAmt
CY Contributions Grants$681,137CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$89,291PYInvestmentIncomeAmt
CY Investment Income$230,451CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,234,402PYTotalRevenueAmt
CY Total Revenue$911,588CYTotalRevenueAmt
PY Grants And Similar Paid$1,273,320PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$898,117CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,399PYOtherExpensesAmt
CY Other Expenses$10,116CYOtherExpensesAmt
PY Total Expenses$1,298,719PYTotalExpensesAmt
CY Total Expenses$908,233CYTotalExpensesAmt
PY Revenues Less Expenses-$64,317PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,355CYRevenuesLessExpensesAmt
Total Assets BOY$5,658,132TotalAssetsBOYAmt
Total Assets EOY$6,208,578TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,658,132NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,208,578NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FINANCIAL AND COMMUNITY SUPPORT FOR THE LOCAL PROGRAMS OF WOODLAND HEALTHCARE, AND TO PROMOTE WELLNESS, HEALTH RELATED EDUCATION AND RESEARCH IN THE COMMUNITIES SERVED BY WOODLAND HEALTHCARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$898,117ExpenseAmt
DescPROVIDED GRANTS AND OTHER FUNDING FOR IMPROVEMENTS IN VARIOUS DEPARTMENTS THROUGH CONTRIBUTIONS, GRANTS AND FUNDRAISING ACTIVITIES. DEPARTMENTS AND PROGRAMS BENEFITED INCLUDED IMAGING AND SURGICAL, ADULT DAY HEALTH CENTER, EDUCATION OUTREACH, NUMEROUS OTHER DEPARTMENTS TO IMPROVE FACILITIES AND CARE AND PURCHASE EQUIPMENT PROVIDED FOR WOODLAND MEMORIAL HOSPITAL PATIENTS AND STAFF.Desc
Total Program Service Expenses$898,117TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTRISHA PENAPersonNm
Phone5306695680PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11321 COTTONWOOD STREET STE 207AddressLine1Txt
CityWOODLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95695ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KEVIN HAARBERG
Trustee1.000.00Yes (X)$0$0$0
DENNIS MILLER
President2.000.00Yes (X)$0$0$0Yes (X)
ERIC SHARP
Secretary2.000.00Yes (X)$0$0$0Yes (X)
MARCUS E ULLRICH
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
MIKE CHANDLER
Trustee1.000.00Yes (X)$0$0$0
VICKI FAYE
Trustee1.000.00Yes (X)$0$0$0
PETER FAYE
Trustee1.000.00Yes (X)$0$0$0
GENA BRAVO
Trustee1.000.00Yes (X)$0$0$0
CHRISTINA STOKKE
Trustee1.000.00Yes (X)$0$0$0
JAN WHITTLE
Trustee1.000.00Yes (X)$0$0$0
ERNEST M HODGES
Trustee1.000.00Yes (X)$0$0$0
ROGER KOHLMEIER
Trustee1.000.00Yes (X)$0$0$0
MICHAEL PIRRUCCELLO
Trustee1.000.00Yes (X)$0$0$0
TOM SCHWARZGRUBER
Vice President2.000.00Yes (X)$0$0$0Yes (X)
AARON SCHMOEKEL
Trustee1.000.00Yes (X)$0$0$0
KEVIN VAZIRI
Trustee1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$681,137AllOtherContributionsAmt
Total Contributions$681,137TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,889TotalRevenueColumnAmt
Exclusion$66,889ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,175,541SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,011,979SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$163,562SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$163,562TotalRevenueColumnAmt
Exclusion$163,562ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$911,588TotalRevenueColumnAmt
Exclusion$230,451ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$898,117TotalAmt
Program Services$898,117ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,485TotalAmt
Management And General$8,485ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,631TotalAmt
Management And General$1,631ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$908,233TotalAmt
Program Services$898,117ProgramServicesAmt
Management And General$10,116ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$446,254BOYAmt
EOY$262,896EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$575,293BOYAmt
EOY$15,195EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$417,977BOYAmt
EOY$386,528EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,464LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,381LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,714BOYAmt
EOY$1,083EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,924,338BOYAmt
EOY$2,550,219EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$55,387BOYAmt
EOY$51,849EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,236,169BOYAmt
EOY$2,940,808EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,658,132BOYAmt
EOY$6,208,578EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,331,339BOYAmt
EOY$1,236,281EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,326,793BOYAmt
EOY$4,972,297EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,658,132BOYAmt
EOY$6,208,578EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,658,132BOYAmt
EOY$6,208,578EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,355ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$159,176NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$592,321DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$113,946OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$1,347,833CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$876,102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$753,657CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,145,111CurrentTaxYearMinus1YearAmt
Current Tax Year$1,203,286CurrentTaxYearAmt
Total$5,325,989TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,347,833CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$876,102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$753,657CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,145,111CurrentTaxYearMinus1YearAmt
Current Tax Year$1,203,286CurrentTaxYearAmt
Total$5,325,989TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$20,796SubstantialContributorsTotAmt
Public Support Total170$5,305,193PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,060CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,302CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,421CurrentTaxYearMinus1YearAmt
Current Tax Year$66,889CurrentTaxYearAmt
Total$225,543TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$5,551,532TotalSupportAmt
Public Support CY1700.95560PublicSupportCY170Pct
Public Support PY1700.96410PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$79,795BeginningYearBalanceAmt
End Year Balance$79,795EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$79,795BeginningYearBalanceAmt
End Year Balance$79,795EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$79,795BeginningYearBalanceAmt
Contributions$4,000ContributionsAmt
Investment Earnings Or Losses$3,975InvestmentEarningsOrLossesAmt
Grants Or Scholarships$7,975GrantsOrScholarshipsAmt
End Year Balance$79,795EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$78,706BeginningYearBalanceAmt
Investment Earnings Or Losses$1,089InvestmentEarningsOrLossesAmt
End Year Balance$79,795EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,176,756BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$1,369InvestmentEarningsOrLossesAmt
Other Expenditures$1,101,419OtherExpendituresAmt
End Year Balance$78,706EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,464OtherCostOrOtherBasisAmt
Depreciation$23,381DepreciationAmt
Book Value$1,083BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,083TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATES OF DEPOSITDesc
Book Value$51,849BookValueAmt
Method ValuationFMethodValuationCd

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
PROMISES TO GIVE - LAND$1,603,974
CHARITABLE REMAINDER TRUSTS$1,336,833
Rounding$1
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,940,808TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$2,049,371TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$159,176NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$592,321DonatedServicesAndUseFcltsAmt
Other Revenue$704,638OtherRevenueAmt
Revenue Not Reported$1,137,783RevenueNotReportedAmt
Revenue Subtotal$911,588RevenueSubtotalAmt
Total Revenue Per Form990$911,588TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,092,875TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$592,321DonatedServicesUseFcltsAmt
Other Expenses Included$592,321OtherExpensesIncludedAmt
Expenses Not Reported$1,184,642ExpensesNotReportedAmt
Expenses Subtotal$908,233ExpensesSubtotalAmt
Total Expenses Per Form990$908,233TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.EARNINGS USED FOR SCHOLARSHIP PROGRAMS.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990INCREASE IN PRESENT VALUE - CRT $182489 INCREASE IN PRESENT VALUE - LAND $522149
Part XII, Line 2d: Other expenses and losses per audited F/SIN KIND EXPENSES $592321

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIGNITY HEALTH-WOODLANDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11321 COTTONWOOD STAddressLine1Txt
CityWOODLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95695ZIPCd
FieldValueIRS element (for citing)
Recipient EIN941196203RecipientEIN
Cash Grant$898,117CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantCONTRIB FOR EQUIP,IMPROV & EDUCPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Additional Supplemental InformationDIGNITY HEALTH - WOODLAND HEALTHCARE
Grantmaker's Description of How Grants are UsedGRANT EXPENSES MUST BE INCURRED AND DOCUMENTED IN A DETAILED SPREADSHEET AND COMPARED TO THE BUDGET BEFORE GRANT FUNDS ARE DISBURSED TO HOSPITAL DEPARTMENTS. DONOR DIRECTED (RESTRICTED) CONTRIBUTIONS ARE DISBURSED QUARTERLY TO DEPARTMENTS IF BALANCE IS UNDER $1000. IF OVER $1000, THEN THE MANAGER MUST SUBMIT A WRITTEN REQUEST FOR MONIES WITH SUPPORTING DETAIL OF PURCHASE, SIGNED BY THEIR SUPERVISOR, PRIOR TO DISBURSEMENT. ALL DISBURSEMENTS REQUIRE APPROVAL FROM THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderMEMBERS OF THE FOUNDATION ARE THOSE INDIVIDUALS, AGE 18 OR OLDER, WHO ARE DEDICATED TO THE PURPOSES OF THIS CORPORATION AND WHO MAKE AN ANNUAL CONTRIBUTION OF NOT LESS THAN $100.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMEMBERS ELECT THE GOVERNING BODY OR THEIR DELEGATES. WRITTEN NOTICE IS PROVIDED TO THE MEMBERS OF THE DATE AND LOCATION OF THE ANNUAL OR ANY SPECIAL MEETINGS AND STATES THE GENERAL NATURE OF THE BUSINESS TO BE TRANSACTED.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersFIFTY MEMBERS OF THE CORPORATION CONSTITUTES A QUORUM AT ANY NOTICED MEETING. THE DECISIONS OF THE MAJORITY OF VOTING MEMBERS WHERE A QUORUM IS PRESENT SHALL BE CONSIDERED THE ACT OF ALL MEMBERS. THERE IS NO VOTING BY PROXY. A WRITTEN BALLOT TO ALL VOTING MEMBERS ESTABLISHING THE PROPOSED ACTION AND DELINEATING THE DUE DATE FOR REMITTANCE IS AN ALTERNATIVE IF NO MEETING IS ESTABLISHED. THE QUORUM RULES STILL APPLY FOR WRITTEN BALLOTS.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FINANCE COMMITTEE WILL REVIEW THE FORM 990 AND THE AUDIT REPORT PRIOR TO FINAL APPROVAL BY THE BOARD.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE CONFLICT OF INTEREST POLICY AND DISCLOSURE OF CONFLICT OR POTENTIAL CONFLICT(S) OF INTEREST STATEMENT ARE DISBURSED ANNUALLY IN JUNE TO ALL TRUSTEES. THE TRUSTEES DISCLOSE ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THEY ARE INVOLVED THAT THEY BELIEVE COULD CONTRIBUTE TO A CONFLICT OF INTEREST. ALL FORMS ARE SIGNED AND SUBMITTED. THE BOARD DEVELOPMENT COMMITTEE REVIEWS THESE FORMS AND DETERMINES ANY ACTION NECESSARY. ALL COPIES ARE FILED IN THE TRUSTEES FILES.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE WOODLAND HEALTHCARE HUMAN RESOURCES DEPARTMENT ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION LEVELS FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. INTERNAL AND EXTERNAL SALARY AND POSITION COMPARISONS AS WELL AS PREVAILING RATES FOR SIMILAR JOB CLASSIFICATIONS IN THE WOODLAND HEALTHCARE LABOR MARKET IN YOLO AND SACRAMENTO COUNTY AREAS FACTOR IN TO THESE DECISIONS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. QUARTERLY NEWSLETTERS AND CONTACT INFORMATION ARE AVAILABLE ON OUR WEBSITE (WWW.SUPPORTWOODLANDHEALTHCARE.ORG).
Other Changes In Net Assets Or Fund Balances - Other IncreasesINCREASE IN PRESENT VALUE-CRT REVENUE = $182489
Other Changes In Net Assets Or Fund Balances - Other IncreasesINCREASE IN PRESENT VALUE-LAND BEQUEST REV = $522147
Other Changes In Net Assets Or Fund Balances - Other IncreasesDEPRECIATION EXPENSE = $1631
Other Changes In Net Assets Or Fund Balances - Other DecreasesIN-KIND EXPENSES = -$592321

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1DIGNITY HEALTH - WOODLANDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11321 COTTONWOOD STAddressLine1Txt
CityWOODLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95695ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DIGNITY HEALTH - WOODLAND
b$898,117ACTUAL AMOUNT
DIGNITY HEALTH - WOODLAND
c$592,321ACTUAL AMOUNT