WOODLAND MEMORIAL HOSPITAL FOUNDATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WOODLAND MEMORIAL HOSPITAL FOUNDATION (EIN 94-6167964)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-03-22
- IRS object ID
- 201700819349300140
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-03-22T13:24:17-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Perry Bunch & Johnston CPAs | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Court St | AddressLine1Txt |
| City | Woodland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95695 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 946167964 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOODLAND MEMORIAL HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | DBA WOODLAND HEALTHCARE FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WOOD | BusinessNameControlTxt |
| Phone | 5306695680 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD STREET | AddressLine1Txt |
| City | WOODLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95695 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID MCCURRY | PersonNm |
| Person Title | Vice President | PersonTitleTxt |
| Signature | 2017-01-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICK JOHNSTON CPA | PreparerPersonNm |
| PTIN | P00063370 | PTIN |
| Phone | 5306623251 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,493,337 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | supportwoodlandhealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO 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 Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,692,930 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,347,833 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $143,912 | PYInvestmentIncomeAmt |
| CY Investment Income | $103,724 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,053 | PYOtherRevenueAmt |
| CY Other Revenue | $16,039 | CYOtherRevenueAmt |
| PY Total Revenue | $1,856,895 | PYTotalRevenueAmt |
| CY Total Revenue | $1,467,596 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,235,916 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $293,292 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $75,820 | PYOtherExpensesAmt |
| CY Other Expenses | $25,656 | CYOtherExpensesAmt |
| PY Total Expenses | $1,311,736 | PYTotalExpensesAmt |
| CY Total Expenses | $318,948 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $545,159 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,148,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,697,384 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,319,628 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $761,628 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $326,482 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,935,756 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,993,146 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $282,292 | ExpenseAmt |
| Desc | PROVIDED GRANTS AND OTHER FUNDING FOR IMPROVEMENTS IN VARIOUS DEPARTMENTS THROUGH CONTRIBUTIONS, GRANTS AND FUNDRAISING ACTIVITIES. DEPARTMENTS AND PROGRAMS BENEFITED INCLUDED EMERGENCY ROOM, ONCOLOGY, NEUROLOGY, AND SLEEP DISORDERS CENTER, EDUCATION OUTREACH, CARDIAC REHABILITATION, CHRONIC DISEASE AND NUMEROUS OTHER DEPARTMENTS TO IMPROVE FACILITIES AND CARE AND PURCHASE EQUIPMENT PROVIDED FOR WOODLAND MEMORIAL HOSPITAL PATIENTS AND STAFF. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,000 | ExpenseAmt |
| Desc | PROVIDED 19 SCHOLARSHIPS FOR WOODLAND HEALTHCARE EMPLOYEES, PHYSICIANS OR VOLUNTEERS AND THEIR IMMEDIATE FAMILY MEMBERS DURING THE FISCAL YEAR ENDED 06/30/12. APPLICANTS MUST BE STUDYING OR ADVANCING THEIR DEGREE IN A HEALTH RELATED FIELD. A TOTAL OF 19 PAYMENTS WERE MADE DIRECTLY TO THE EDUCATIONAL INSTITUTES FOR THE BENEFIT OF THE SCHOLARSHIP RECIPIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $293,292 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAYRA MORALES-MARTINEZ | PersonNm |
| Phone | 5306695680 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD STREET STE 305 | AddressLine1Txt |
| City | WOODLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95695 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| DENNIS MILLER | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE CHANDLER | |||||||
| President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DUANE CHAMBERLAIN | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARCUS E ULLRICH | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAN WHITTLE | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| VICKI FAYE | |||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN C HAARBERG | |||||||
| Vice President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAMES MCGIBBON | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN DUGGAN | |||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DEAN WARD | |||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PETER FAYE | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ERNEST M HODGES | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROGER KOHLMEIER | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAN BEST II | |||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL PIRRUCCELLO | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TOM SCHWARZGRUBER | |||||||
| Trustee | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AARON SCHMOEKEL | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RIGO TORRES | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN VAZIRI | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC SHARP | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,347,833 | AllOtherContributionsAmt |
| Total Contributions | $1,347,833 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,871 | TotalRevenueColumnAmt |
| Exclusion | $35,871 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,063,925 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $996,072 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $67,853 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,853 | TotalRevenueColumnAmt |
| Exclusion | $67,853 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $45,708 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $29,669 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,039 | TotalRevenueColumnAmt |
| Exclusion | $16,039 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,467,596 | TotalRevenueColumnAmt |
| Exclusion | $119,763 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,292 | TotalAmt |
| Program Services | $282,292 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,000 | TotalAmt |
| Program Services | $11,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,084 | TotalAmt |
| Management And General | $20,084 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,631 | TotalAmt |
| Management And General | $1,631 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| BAD DEBTS | $2,330 | $2,330 |
| BANK FEES | $1,611 | $1,611 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,948 | TotalAmt |
| Program Services | $293,292 | ProgramServicesAmt |
| Management And General | $25,656 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,192 | BOYAmt |
| EOY | $370,802 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,597 | BOYAmt |
| EOY | $19,202 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $929,333 | BOYAmt |
| EOY | $1,354,027 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,464 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,856 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,239 | BOYAmt |
| EOY | $7,608 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,534,208 | BOYAmt |
| EOY | $1,543,247 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,199 | BOYAmt |
| EOY | $55,243 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,986,616 | BOYAmt |
| EOY | $1,969,499 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,697,384 | BOYAmt |
| EOY | $5,319,628 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $761,628 | BOYAmt |
| EOY | $326,482 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $761,628 | BOYAmt |
| EOY | $326,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $883,927 | BOYAmt |
| EOY | $1,840,305 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,875,073 | BOYAmt |
| EOY | $3,074,135 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,756 | BOYAmt |
| EOY | $78,706 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,935,756 | BOYAmt |
| EOY | $4,993,146 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,697,384 | BOYAmt |
| EOY | $5,319,628 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,148,648 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$97,473 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $546,516 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$540,301 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,147,109 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $564,451 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $584,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,681,785 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,347,833 | CurrentTaxYearAmt |
| Total | $5,325,531 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,147,109 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $564,451 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $584,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,681,785 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,347,833 | CurrentTaxYearAmt |
| Total | $5,325,531 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $5,325,531 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,899 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,111 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,136 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,083 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,871 | CurrentTaxYearAmt |
| Total | $227,100 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,552,631 | TotalSupportAmt |
| Public Support CY170 | 0.95910 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,176,756 | BeginningYearBalanceAmt |
| Contributions | $2,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,369 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,101,419 | OtherExpendituresAmt |
| End Year Balance | $78,706 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $739,792 | BeginningYearBalanceAmt |
| Contributions | $2,000 | ContributionsAmt |
| Investment Earnings Or Losses | $440,014 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,050 | OtherExpendituresAmt |
| End Year Balance | $1,176,756 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $715,577 | BeginningYearBalanceAmt |
| Contributions | $6,000 | ContributionsAmt |
| Investment Earnings Or Losses | $24,717 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,502 | OtherExpendituresAmt |
| End Year Balance | $739,792 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $636,715 | BeginningYearBalanceAmt |
| Contributions | $2,000 | ContributionsAmt |
| Investment Earnings Or Losses | $76,912 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50 | OtherExpendituresAmt |
| End Year Balance | $715,577 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $634,575 | BeginningYearBalanceAmt |
| Contributions | $4,000 | ContributionsAmt |
| Investment Earnings Or Losses | $190 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,050 | OtherExpendituresAmt |
| End Year Balance | $636,715 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,856 | DepreciationAmt |
| Book Value | $7,608 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,608 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CERTIFICATES OF DEPOSIT | Desc |
| Book Value | $55,243 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PROMISES TO GIVE - LAND | $1,098,961 |
| CHARITABLE REMAINDER TRUSTS | $870,538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,969,499 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,899,523 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$97,473 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $546,516 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$17,116 | OtherRevenueAmt |
| Revenue Not Reported | $431,927 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,467,596 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,467,596 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $842,133 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $546,516 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | -$23,331 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $523,185 | ExpensesNotReportedAmt |
| Expenses Subtotal | $318,948 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $318,948 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | EARNINGS USED FOR SCHOLARSHIP PROGRAMS. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | CA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL DINNER | Event1Nm |
| Gross Receipts Event1 | $30,423 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $30,423 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $23,472 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,928 | OtherDirectExpensesEvent1Amt |
| Event2 | STARLIGHT | Event2Nm |
| Gross Receipts Event2 | $15,285 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $15,285 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $2,269 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $45,708 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $45,708 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $23,472 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,197 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $29,669 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $16,039 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIGNITY HEALTH-WOODLAND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD ST | AddressLine1Txt |
| City | WOODLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95695 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 941196203 | RecipientEIN |
| Cash Grant | $282,292 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | CONTRIB FOR EQUIP,IMPROV & EDUC | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EMPLOYEE BENEVOLENCE | 1 | |
| SCHOLARSHIPS | 13 | $11,000 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Additional Supplemental Information | DIGNITY HEALTH - WOODLAND HEALTHCARE |
| Grantmaker's Description of How Grants are Used | GRANT 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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | MEMBERS 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 Body | MEMBERS 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 Shareholders | FIFTY 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 Process | THE 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 Conflicts | THE 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 Employees | THE 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 Available | GOVERNING 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 Increases | INCREASE IN PRESENT VALUE-CRT REVENUE = $0 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | INCREASE IN PRESENT VALUE-LAND BEQ REV = $0 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | IN KIND EXPENSE ADJ = $23331 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | IN-KIND EXPENSES = -$546516 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | DECREASE IN PRESENT VALUE - CRT REVENUE = -$17116 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIGNITY HEALTH - WOODLAND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD ST | AddressLine1Txt |
| City | WOODLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95695 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 3 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DIGNITY HEALTH - WOODLAND | ||
| b | $282,292 | ACTUAL AMOUNT |
| DIGNITY HEALTH - WOODLAND | ||
| c | $546,516 | ACTUAL AMOUNT |