2023-11-13T18:22:39-06:00 2022-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-01-01 861174825 HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA HEAL 9165527629 1215 K STREET 700 SACRAMENTO CA 95814 JENNIFER M NEWMAN CFO 9165527629 2023-11-09 1 JENNIFER NEWMAN 999009999 1 TRACY S PAGLIA P00366884 2099556100 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JENNIFER M NEWMAN 1215 K STREET 700 SACRAMENTO CA 95814 648 0 X N/A X 2006 CA TO SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES IN CALIFORNIA. 26 25 0 0 0 0 336045 0 0 0 1812 648 0 0 337857 648 0 0 0 0 0 0 0 0 0 360036 23810 360036 23810 -22179 -23162 202252 146097 49898 16905 152354 129192 TO SPONSOR AND SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES AND RESEARCH IN THE AREA OF HEALTH CARE IN CALIFORNIA. 0 0 0 0 0 NO PROGRAM ACTIVITIES WERE CONDUCTED DURING 2022. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 26 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JENNIFER M NEWMAN 9165527629 1215 K STREET SUITE 700 SACRAMENTO CA 95814 BRYAN J BUCKLEW PRESIDENT/CEO 0.50 40.00 X X 0 681458 53603 MARY JO JACOBSON PT CHAIR 0.50 1.00 X X 0 0 0 SIRI NELSON SEC/TREAS (THRU 03/22), CHAIR-ELECT 0.50 1.00 X X 0 0 0 JOHN MCCORMICK SECRETARY/TREASURER (AS OF 03/22) 0.50 1.00 X X 0 0 0 BRIAN ALEXANDER DIRECTOR 0.50 1.00 X 0 0 0 IRENE CHAVEZ EXECUTIVE COMMITTE MEMBER 0.50 1.00 X 0 0 0 CARMELA COYLE DIRECTOR 0.50 1.00 X 0 0 0 RON GROEPPER DIRECTOR (THRU 01/22) 0.50 1.00 X 0 0 0 MITCHELL J HANNA DIRECTOR 0.50 1.00 X 0 0 0 KIMBERLY HARTZ DIRECTOR 0.50 1.00 X 0 0 0 DONNA J HEFNER RN BSN MSHS CPHRM DIRECTOR 0.50 1.00 X 0 0 0 CHAD R HICKERSON MAOD DIRECTOR (THRU 07/22) 0.50 1.00 X 0 0 0 JUDSON HOWE DIRECTOR (AS OF 03/22) 0.50 1.00 X 0 0 0 KEN KELLER DIRECTOR 0.50 1.00 X 0 0 0 PAUL KING DIRECTOR 0.50 1.00 X 0 0 0 DAVID G KLEIN MD DIRECTOR 0.50 1.00 X 0 0 0 ANN LUCENA DIRECTOR (THRU 11/22) 0.50 1.00 X 0 0 0 ROBERTA LUSKIN-HAWK MD DIRECTOR 0.50 1.00 X 0 0 0 STEVEN J PACKER MD DIRECTOR 0.50 1.00 X 0 0 0 GINO PATRIZIO JD MHA DIRECTOR 0.50 1.00 X 0 0 0 MATT REES DIRECTOR 0.50 1.00 X 0 0 0 TOMI RYBA DIRECTOR 0.50 1.00 X 0 0 0 RICK SHUMWAY DIRECTOR 0.50 1.00 X 0 0 0 BRADLEY SIMMONS DIRECTOR 0.50 1.00 X 0 0 0 G TODD SMITH DIRECTOR 0.50 1.00 X 0 0 0 STEVEN STARK DIRECTOR 0.50 1.00 X 0 0 0 JANET WAGNER RN DIRECTOR 0.50 1.00 X 0 0 0 DONALD J WILEY DIRECTOR 0.50 1.00 X 0 0 0 DANIEL WOLCOTT DIRECTOR 0.50 1.00 X 0 0 0 JENNIFER NEWMAN CFO 0.50 1.00 X 0 0 0 0 681458 53603 0 0 1 1 0 648 648 648 0 0 648 23690 23690 120 120 23810 0 23810 0 202252 146097 202252 146097 16275 16905 33623 0 49898 16905 X 152354 129192 152354 129192 202252 146097 -23162 0 X 0 1 X 1 0 X X X 1 HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA 941533644 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B: AS PART OF THE REQUIREMENTS OF SUPPORTING A 501(C)(6) ORGANIZATION, HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA (HFNCC) CONFIRMS EACH YEAR THAT ITS SUPPORTED ORGANIZATION, HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA (HCNCC), QUALIFIES AS A 501(C)(3) PUBLIC CHARITY UNDER 509(A)(2) THROUGH REGULAR CONSULTATIONS, AN ANNUAL REVIEW OF FORM 990, AND COMPLETION OF THE SCHEDULE A, PART III PUBLIC SUPPORT TEST. THIS PROCESS WAS UNDERTAKEN IN 2023 TO VERIFY THAT HCNCC CONTINUED TO QUALIFY TO BE A SUPPORTED ORGANIZATION OF HFNCC. PART IV, SECTION A, LINE 3C: TO THE KNOWLEDGE OF HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA ALL SUPPORT PROVIDED TO HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA WAS USED EXCLUSIVELY FOR 170(C)(2) PURPOSES AS CONFIRMED THROUGH REGULAR REPORTS. 0 X 648 0 648 0 648 23810 0 23810 0 23810 PART X, LINE 2: THE FOUNDATION IS A NONPROFIT PUBLIC BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAX CODE SECTION 23701E. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN THE EVENT THE FOUNDATION HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, THE FOUNDATION WOULD APPLY THE MINIMUM PROBABILITY THRESHOLD TO DETERMINE WHETHER A FINANCIAL STATEMENT LIABILITY OR BENEFIT SHOULD BE RECOGNIZED. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. 0 1 0 0 0 0 0 0 0 BRYAN J BUCKLEW PRESIDENT/CEO 0 529904 0 134950 0 16604 0 21350 0 32253 0 735061 0 0 PART I, LINE 4B BRYAN J. BUCKLEW AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. PLEASE SEE THE FORM 990 FOR RELATED ORGANIZATION, HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA (HCNCC). PART II: THE FOUNDATION'S OFFICER WAS PAID WAGE COMPENSATION BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) FOR SERVICES PROVIDED TO HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA (HCNCC). SEE COMPENSATION AMOUNTS ON SCHEDULE J, PART II. THE COMPENSATION PAID BY CAHHS WAS REIMBURSED BY HCNCC UNDER A LEASED EMPLOYEE ARRANGEMENT. THE FOUNDATION DID NOT REIMBURSE CAHHS FOR ANY COMPENSATION REPORTED. FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION'S SOLE MEMBER IS HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA, A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA ELECTS THE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CERTAIN RESERVED POWERS: A. MATERIALLY CHANGING THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE FOUNDATION; B. ENGAGING IN ANY MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION OF THE FOUNDATION; C. ENGAGING IN ANY SALE, LEASE, DISPOSITION OR HYPOTHECATION OF ANY ASSET OWNED BY THE FOUNDATION, WHERE THE MARKET VALUE OF SUCH ASSET EQUALS OR EXCEEDS $100,000.00; D. ENTERING INTO ANY CONTRACT, LEASE, OR OTHER OBLIGATION NOT OTHERWISE APPROVED IN THE ANNUAL BUDGET THAT CREATES AN AGGREGATE OBLIGATION FOR THE FOUNDATION IN EXCESS OF $100,000.00 IN ANY CONSECUTIVE TWELVE (12) MONTHS; E. ENTERING INTO ANY CONTRACT, LEASE OR OTHER OBLIGATION NOT OTHERWISE APPROVED IN THE ANNUAL BUDGET WHERE THE DURATION OF THE FOUNDATION'S OBLIGATION IS IN EXCESS OF 24 MONTHS; F. ADMISSION OF ANY OTHER MEMBERS; G. RELINQUISHING OR ALTERING THE TAX-EXEMPT STATUS OF THE FOUNDATION; H. MATERIALLY CHANGING THE CORPORATE STRUCTURE OF THE FOUNDATION OR ANY OF ITS COMPONENT PARTS; AND I. AMENDING, RESTATING, OR RESCINDING THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 WITH MANAGEMENT PRIOR TO FILING. THE FOUNDATION'S GOVERNING BODY IS PROVIDED WITH A COPY OF FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS EACH MEMBER OF THE BOARD OF DIRECTORS; THE PRESIDENT/CHIEF EXECUTIVE OFFICER; CHIEF FINANCIAL OFFICER; KEY EMPLOYEES; ANY PERSON WHO HAS HELD ONE OF THOSE POSITIONS DURING THE PRECEDING FIVE YEARS; FAMILY MEMBERS; AND CERTAIN CONTROLLED ORGANIZATIONS (INTERESTED PERSONS). ALL INTERESTED PERSONS ANNUALLY SIGN A STATEMENT THAT AFFIRMS RECEIPT AND AGREEMENT TO COMPLY WITH THE POLICY AND TO DISCLOSE ANY FINANCIAL INTERESTS OR FAMILY RELATIONSHIPS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST. EACH INTERESTED PERSON IS REQUIRED TO DISCLOSE TO THE BOARD (OR COMMITTEE THEREOF), ALL MATERIAL FACTS REGARDING THE FINANCIAL INTEREST OR RELATIONSHIP IN THE TRANSACTION. WITH REGARD TO AN INTERESTED PERSON, THE BOARD OR COMMITTEE DETERMINES IF A CONFLICT OF INTEREST EXISTS. THE INSIDER(S) INVOLVED WITH THE TRANSACTION WILL NOT BE PRESENT DURING THE BOARD OR COMMITTEE'S DISCUSSION OR DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, AND MAY NOT VOTE ON THE TRANSACTION OR COUNTED IN DETERMINATION OF A QUORUM. ALL PROCEEDINGS ARE DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA 1215 K STREET SUITE 700 SACRAMENTO CA 95814 941533644 MEMBERSHIP SERVICES TO NORTHERN AND CENTRAL CALIFORNIA HOSPITALS CA 501(C)(6) N/A 0 HEALTHPLUS SHARED SERVICES INC 1215 K STREET SUITE 700 SACRAMENTO CA 95814 942685988 PROVIDING BUSINESS SERVICES FOR HOSPITALS CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0