WOODLAND MEMORIAL HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WOODLAND MEMORIAL HOSPITAL FOUNDATION (EIN 94-6167964)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201421359349307747
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T15:24:12-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Perry Bunch & Johnston CPAs | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Court St | AddressLine1 |
| City | Woodland | City |
| State | CA | State |
| ZIP Code | 95695 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 946167964 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOODLAND MEMORIAL HOSPITAL FOUNDATION | BusinessNameLine1 |
| Business Name Line2 | DBA WOODLAND HEALTHCARE FOUNDATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WOOD | NameControl |
| Phone | 5306695680 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD STREET | AddressLine1 |
| City | WOODLAND | City |
| State | CA | State |
| ZIP Code | 95695 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON PARRO | Name |
| Title | Executive Director | Title |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICK JOHNSTON CPA | Name |
| PTIN | P00063370 | PTIN |
| Phone | 5306623251 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1197221 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | supportwoodlandhealthcare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1968 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 32 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1147109 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 564451 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 92922 | InvestmentIncomePriorYear |
| Investment Income Current Year | -166609 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 109637 | OtherRevenuePriorYear |
| Other Revenue Current Year | 50910 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1349668 | TotalRevenuePriorYear |
| Total Revenue Current Year | 448752 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 628218 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 825676 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 5754 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 53875 | OtherExpensePriorYear |
| Other Expenses Current Year | 47869 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 682093 | TotalExpensesPriorYear |
| Total Expenses Current Year | 873545 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 667575 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -424793 | RevenuesLessExpensesCY |
| Total Assets BOY | 3195651 | TotalAssetsBOY |
| Total Assets EOY | 3890358 | TotalAssetsEOY |
| Total Liabilities BOY | 11600 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 676497 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3184051 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3213861 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 815926 | Expense |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8750 | Expense |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1000 | Expense |
| Description | THE EMPLOYEE BENEVOLENT FUND ASSISTED WOODLAND HEALTHCARE EMPLOYEES AND THEIR FAMILIES FACING SEVERE FINANCIAL HARDSHIPS RESULTING FROM CATASTROPHIC ILLNESSES, DEATHS IN THE IMMEDIATE FAMILY AND OTHER UNANTICIPATED HEALTH CIRCUMSTANCES BEYOND THE EMPLOYEE'S CONTROL. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 825676 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | true | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | true | NonDeductibleContributions |
| Non Deductible Disclosure | true | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MAYRA MORALES-MARTINEZ | NamePerson |
| Telephone Number | 5306695680 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD STREET STE 305 | AddressLine1 |
| City | WOODLAND | City |
| State | CA | State |
| ZIP Code | 95695 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| ERIC SHARP | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| KEVIN VAZIRI | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| RIGO TORRES | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| AARON SCHMOEKEL | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| MICHAEL PIRRUCCELLO | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| ELLI OLSON | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| ROGER KOHLMEIER | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| ERNEST M HODGES | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| PETER FAYE | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| DENNIS E MILLER | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| KEVIN C HAARBERG | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| TIMOTHY BERNARD DPM | |||||||
| Trustee | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| MARCUS E ULLRICH | |||||||
| Treasurer | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| CLYDE BROOKER | |||||||
| Secretary | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| MIKE CHANDLER | |||||||
| Vice President | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| VICKI FAYE | |||||||
| President | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 564451 | AllOtherContributions |
| Total Contributions | 564451 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44111 | TotalRevenueColumn |
| Exclusion | $44,111 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 462661 | Securities |
| Other | 15678 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 423773 | Securities |
| Other | 265286 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 38888 | Securities |
| Other | -249608 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -210720 | TotalRevenueColumn |
| Exclusion | -$210,720 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 110320 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 59410 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50910 | TotalRevenueColumn |
| Exclusion | $50,910 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 448752 | TotalRevenueColumn |
| Exclusion | -$115,699 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 815926 | Total |
| Program Services | 815926 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9750 | Total |
| Program Services | 9750 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11600 | Total |
| Management And General | 11600 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22682 | Total |
| Management And General | 22682 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1617 | Total |
| Management And General | 1617 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1631 | Total |
| Management And General | 1631 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2438 | Total |
| Management And General | 2438 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| OTHER EXPENSES | 259 | 259 | |
| CONSULTING | 840 | 840 | |
| OFFICE SUPPLIES | 1048 | 1048 | |
| DONOR RECOGNITION | 5754 | 5754 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 873545 | Total |
| Program Services | 825676 | ProgramServices |
| Management And General | 42115 | ManagementAndGeneral |
| Fundraising | 5754 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5396 | BOY |
| EOY | 328046 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30197 | BOY |
| EOY | 45113 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68092 | BOY |
| EOY | 247101 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24464 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11963 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14132 | BOY |
| EOY | 12501 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 841181 | BOY |
| EOY | 976047 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 626193 | BOY |
| EOY | 620798 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1610460 | BOY |
| EOY | 1660752 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3195651 | BOY |
| EOY | 3890358 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11600 | BOY |
| EOY | 676497 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11600 | BOY |
| EOY | 676497 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1698150 | BOY |
| EOY | 1447562 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 849186 | BOY |
| EOY | 1050722 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 636715 | BOY |
| EOY | 715577 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3184051 | BOY |
| EOY | 3213861 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3195651 | BOY |
| EOY | 3890358 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -424793 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 75699 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 396298 | ReconcilationDonatedServices |
| Reconcilation Other Changes | -17394 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 931312 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 987220 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2587474 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1147109 | CurrentTaxYearMinus1Year |
| Current Tax Year | 564451 | CurrentTaxYear |
| Total | 6217566 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 931312 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 987220 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2587474 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1147109 | CurrentTaxYearMinus1Year |
| Current Tax Year | 564451 | CurrentTaxYear |
| Total | 6217566 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 6217566 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 75965 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 93562 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 66466 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 60899 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44111 | CurrentTaxYear |
| Total | 341003 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6558569 | TotalSupport |
| Public Support Pertcentage170 | 0.94800 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.94620 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Held Works Of Art Amts HeldWorksOfArtAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | 15678 | RevenuesIncluded |
| Assets In Part X | 198963 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 636715 | BeginningOfYearBalance |
| Contributions | 2000 | Contributions |
| Investment Earnings Or Losses | 76912 | InvestmentEarningsOrLosses |
| Other Expenditures | 50 | OtherExpenditures |
| End Of Year Balance | 715577 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 634575 | BeginningOfYearBalance |
| Contributions | 4000 | Contributions |
| Investment Earnings Or Losses | 190 | InvestmentEarningsOrLosses |
| Other Expenditures | 2050 | OtherExpenditures |
| End Of Year Balance | 636715 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 630572 | BeginningOfYearBalance |
| Contributions | 2000 | Contributions |
| Investment Earnings Or Losses | 4053 | InvestmentEarningsOrLosses |
| Other Expenditures | 2050 | OtherExpenditures |
| End Of Year Balance | 634575 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 60714 | BeginningOfYearBalance |
| Contributions | 568205 | Contributions |
| Investment Earnings Or Losses | 2703 | InvestmentEarningsOrLosses |
| Other Expenditures | 1000 | OtherExpenditures |
| Administrative Expenses | 50 | AdministrativeExpenses |
| End Of Year Balance | 630572 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24464 | OtherCostOrOtherBasis |
| Depreciation | 11963 | Depreciation |
| Book Value | 12501 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12501 | TotalOfBookValueLandBuildings |
| Total Of Book Value Securities | 620798 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CHARITABLE REMAINDER TRUSTS | 820713 |
| ARTWORK | 198963 |
| PROMISES TO GIVE - LAND | 641076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1660752 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 1299653 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 75699 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 396298 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 129296 | OtherRevenues |
| Revenue Not Rptd F990 | 601293 | RevenueNotRptdF990 |
| Revenue Subtotal | 698360 | RevenueSubtotal |
| Other Revenues Not Included | -249608 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -249608 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 448752 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1269843 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 396298 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 396298 | ExpensesNotRptdF990 |
| Expenses Subtotal | 873545 | ExpensesSubtotal |
| Total Expenses Per Form990 | 873545 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XI, Line 2d | Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | INCREASE IN PRESENT VALUE $129296 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | EARNINGS USED FOR SCHOLARSHIP PROGRAMS. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
| Licensed States | CA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 91110 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 91110 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 2000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 32467 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 22259 | OtherDirectExpensesEvent1 |
| Name Of Event2 | STARLIGHT | NameOfEvent2 |
| Gross Receipts Event2 | 19210 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 19210 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 2684 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 110320 | GrossReceiptsTotal |
| Gross Revenue Total Events | 110320 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 2000 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 32467 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 24943 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 59410 | DirectExpenseSummaryEvents |
| Net Income Summary | 50910 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIGNITY HEALTH-WOODLAND | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD ST | AddressLine1 |
| City | WOODLAND | City |
| State | CA | State |
| ZIP Code | 95695 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 941196203 | EINOfRecipient |
| Amount Of Cash Grant | 815926 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Purpose Of Grant | CONTRIB FOR EQUIP,IMPROV & EDUC | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| SCHOLARSHIPS | 19 | 8750 |
| EMPLOYEE BENEVOLENCE | 1 | 1000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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. |
| Additional Supplemental Information | DIGNITY HEALTH - WOODLAND HEALTHCARE |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Decreases | IN-KIND EXPENSES = -$396298 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | TAX LOSS ON SALE OF ARTWORK = $249608 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | INCREASE IN PRESENT VALUE-LAND BEQ REV = $73891 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | INCREASE IN PRESENT VALUE-CRT REVENUE = $55405 |
| Form 990, Part VI, Line 19 | 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). |
| Form 990, Part VI, Line 15b | 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 12c | 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 11b | Form 990, Part VI, Line 11b: Form 990 Review Process | NORMALLY THE FINANCE COMMITTEE WILL REVIEW THE FORM 990 AND THE AUDIT REPORT PRIOR TO FINAL APPROVAL BY THE BOARD. DUE TO UNUSUAL CIRCUMSTANCES, THE FULL BOARD WAS UNABLE TO REVIEW AND APPROVE THE FORM 990 AND AUDIT REPORT PRIOR TO THE FINAL DUE DATE OF THE RETURN. THE HEAD OF THE FINANCE COMMITTEE AND INTERIM EXECUTIVE DIRECTOR REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING THE RETURN. |
| Form 990, Part VI, Line 7b | 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 7a | 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 6 | 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIGNITY HEALTH - WOODLAND | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1321 COTTONWOOD ST | AddressLine1 |
| City | WOODLAND | City |
| State | CA | State |
| ZIP Code | 95695 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DIGNITY HEALTH - WOODLAND | ||
| o | 247987 | ACTUAL COST |
| DIGNITY HEALTH - WOODLAND | ||
| n | 13371 | FMV |
| DIGNITY HEALTH - WOODLAND | ||
| c | 396298 | ACTUAL AMOUNT |
| DIGNITY HEALTH - WOODLAND | ||
| b | 815926 | ACTUAL AMOUNT |