2020-05-05T19:34:04-05:00 2019-06-30 111986323 MARCUM LLP 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2018-07-01 942909990 SEQUOIA HOSPITAL FOUNDATION SEQU 6503675657 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 JENNIFER A SVIHUS PRESIDENT 6503675657 2020-05-01 1 FRANK H SMITH P00639053 2022274000 2020-05-01 144.121.95.190 2020-05-01 17:26:34 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 33CEB46A86D76047C0BD9B67CEFA7EE41671BAE1 2018 2020-09-23 17:36:50Z JENNIFER A SVIHUS 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 8966693 0 X WWW.SEQUOIAHOSPITALFOUNDATION.ORG X 1982 CA TO RAISE FUNDS AND CULTIVATE OTHER RESOURCES TO SUPPORT SEQUOIA HOSPITAL 11 11 0 45 0 0 1511352 1684895 0 0 446344 848815 12314 -12708 1970010 2521002 1123447 4525804 0 0 0 0 0 0 88014 212134 258217 1335581 4784021 634429 -2263019 20220735 18224555 0 0 20220735 18224555 X 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 4525804 4525804 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 "NEW SEQUOIA HOSPITAL", INCLUDING EXPANDED EMERGENCY ROOM SERVICES, A FAMILY FOCUSED BIRTHING CENTER, GROWTH OF THE HEART AND VASCULAR INSTITUTE AND MUCH MORE. THE FOUNDATION IS PROUD TO SUPPORT THE REBUILDING PROJECT, WHICH WILL KEEP THE HOSPITAL AT THE FOREFRONT OF MEDICAL CARE IN OUR COMMUNITY, OFFERING WORLD-CLASS MEDICAL CARE IN A COMPASSIONATE, CONVENIENT AND PATIENT-FRIENDLY ENVIRONMENT. 4525804 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 1 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 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X PAUL RICHARDSON 6503675712 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 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 ROBERT DEAN SECRETARY/TREASURER 1.00 X 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 MELISSA KONG MD BOARD MEMBER 1.00 X 0 0 0 PARAAG MARATHE BOARD MEMBER 1.00 X 0 0 0 KEN TEHANEY BOARD MEMBER 1.00 X 0 0 0 PAUL RICHARDSON PRESIDENT 24.00 16.00 X 0 231800 35988 0 231800 35988 0 0 1 0 0 90985 1593910 75140 1684895 333474 333474 6887750 6372409 515341 515341 515341 55765 90985 73282 -17517 -17517 OTHER INCOME 900099 4809 4809 4809 2521002 0 0 836107 4525804 4525804 3896 3896 4671 4671 53425 53425 48527 48527 21257 21257 13228 13228 9343 9343 93716 5702 88014 10154 10154 4784021 4525804 170203 88014 69577 60565 49582 306994 998402 605543 41276 1539 0 162412 16463314 14820069 1215703 1269437 1220469 1160408 20220735 18224555 0 0 X 10203243 10954064 8372361 5621260 1645131 1649231 20220735 18224555 20220735 18224555 X -2263019 58691 274644 -66496 X X 0 1 X 1 0 X X 1 DIGNITY HEALTH DBA SEQUOIA HOSPITAL 941196203 3 1 4525804 0 1 4525804 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 24421 515341 0 0 303821 333474 328242 848815 0 0 43888 53425 0 0 284354 795390 17348126 16089506 154506 367559 0 0 17502632 16457065 0 0 0 17502632 16457065 262539 246856 17240093 16210209 603403 567357 0 0 603403 567357 284354 241701 603403 603403 0 603403 4525804 0 0 0 0 0 4525804 4525804 603403 100.000000000000 603403 0 0 0 1899375 4019158 1123447 7041980 0 603403 0 6438577 4525804 0 4525804 0 0 10964381 0 1295972 4019158 1123447 4525804 PART IV, SECTION A, LINE 3B: 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 10850259 4100 674932 11529291 10574496 78050 547319 349606 10850259 7116410 3334907 740382 617203 10574496 7278126 8300 -170016 7116410 1962549 5187853 127724 7278126 0.82140 0.14300 0.03560 0 0 0 OFF-SHORE LIMITED COMPANY 1269437 F 1269437 BENEFICIAL INTEREST IN SPLIT-INTEREST AGREEMENTS 1158405 OTHER ASSETS 2003 1160408 X 3799676 58691 1266622 6786 1332099 2467577 53425 53425 2521002 5795856 991978 73282 1065260 4730596 53425 53425 4784021 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, 2019 AND 2018, 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: CHANGE IN BENEFICIAL INTEREST IN SPLIT-INTEREST AGREEMENTS -66,496. SPECIAL EVENTS EXPENSES 73,282. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 73,282. GOLF TOURNAMENT 146750 90985 55765 10957 61674 651 146750 90985 55765 10957 61674 651 73282 -17517 1 DIGNITY HEALTH DBA SEQUOIA HOSPITAL 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 941196203 501(C)(3) 4525804 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 PAUL RICHARDSON PRESIDENT 0 231800 0 0 0 0 0 22594 0 13394 0 267788 0 0 PART I, LINE 3 THE FOUNDATION DOES NOT DIRECTLY HIRE OR COMPENSATE EMPLOYEES. ALL EMPLOYEES WHO DEVOTE THEIR TIME TO THE FOUNDATION ARE EMPLOYEES OF DIGNITY HEALTH DBA SEQUOIA HOSPITAL (THE HOSPITAL) A RELATED ORGANIZATION EXEMPT UNDER SECTION 501(C)(3). X 6 64183 FMV X GIFT CERTIFICATES AND TICKETS 7 10957 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, 2019. 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 XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN SPLIT-INTEREST AGREEMENTS -66,496. 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 4525804 FMV