2023-11-08T15:41:32-08:00 2022-12-31 800519547 THE ACCOUNTANCY LLP 500 N BRAND BLVD STE 1930 GLENDALE CA 91203 990 2022-01-01 912135595 Simi Valley Hospital Foundation dba Adventist Health Simi Valley Fdtn SIMI 8059556670 2975 N Sycamore Dr Simi Valley CA 93065 Combis Theodore Treasurer 2023-11-08 true Combis Theodore 999009999 true S Clement P01218012 8185475701 X 2 AAL1 IAL1 FAL1 2022 2023-04-26 12:10:37Z Stiles Kathryn 2975 N Sycamore Dr Simi Valley CA 93065 268516 false X https://simivalley.give.adventisthealth.org/ X 2001 CA To build community relationships that encourage financial support for Simi Valley Hospital and fund hospital projects for identified community projects. 20 17 0 91 0 84408 178454 0 28667 -16415 39280 113075 201319 787532 18771 0 0 0 25145 154578 180623 942110 199394 -829035 1925 840996 865916 27995 840996 837921 The Simi Valley Hospital Foundation provides inspiration and opportunity for donors to assist Simi Valley Hospital in fulfilling its mission to provide high quality compassionate care. false false 18771 18771 201309 The Simi Valley Hospital Foundation is an IRC 501(c)(3) not-for-profit organization. Our purpose is to support the mission of Simi Valley Hospital and Health Services in improving the quality of life and health in our community. We do this by:1. Building strong philanthropic support to meet capital and funding needs of the hospital.2. Ensuring appropriate stewardship by demonstrating an ethical and fiduciary responsibility to our donors and supportors.3. Developing excellent relationships with the community at large, and within the hospital in order to support our ministry of philanthropy.4. Working with community partners, organizations and volunteers.The following story illustrates how Adventist Health Simi Valley works to provide quality care for our community and why our Foundation has such a passion for raising funds to continue improving the care we can provide:Recounting the details of a traumatic event is never easy. Many of us have experienced close calls and losses that have caused us to feel fear, shock and grief.I had been experiencing the warning signs of heart disease,but I thought it was a panic attack. A week later, a stabbing pain hit my chest. I needed to get to the emergency room. My wife drove me to the nearest hospital, Adventist HealthSimi Valley, where doctors confirmed I was having a heart attack.Looking back on that day, I am reminded that if my heart attack had happened a week or two sooner, I may not be here to tell my story. The cardiac catheterization lab had just opened weeks prior to my event, and I was its first major save. If the cath lab werent there, I would have been transferred to a neighboring hospital and might have died enroute. Adventist Health Simi Valley now has two Cath Labs. More operating rooms means more lives saved, and more health issues addressed to elevate our communitys quality of life.Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services in a community-based hospital; essential emergency servicesthese are the reasons we are in the Simi Valley community.For more information on the work that we do, visit us at https://simivalley.give.adventisthealth.org/ 18771 true true false false false false false false false true false false false true true false false false false false false false false false true false false false true true false false false false false false false false false true false false false true false false false true 0 0 false 0 false false false false false false false 0 false false false false false false false X 20 17 false false false false true true true true true false false true true true true true true false false false CA X John Beaman 9164061092 PO Box 619135 Roseville CA 95661 Wing Bill - Departed 122 Board Member 0.00 50.00 X 0 2511347 53289 Swenson Jennifer Board Member 1.00 49.00 X 0 705956 61948 Owens Chip - Departed 922 CFO 4.00 46.00 X X 0 399366 63436 Combis Theodore-eff 922 Treasurer 4.00 46.00 X 0 219130 26457 Dingilian John - Former Board Member thru 7/21 1.00 49.00 0 198297 19765 Stiles Kathryn Executive Dir. 50.00 0.00 X 0 164690 38215 Erdman Joyce Board Member 1.00 0.00 X 0 0 0 Finch Jake Board Member 1.00 0.00 X 0 0 0 Freeman Elaine Board Member 1.00 0.00 X 0 0 0 Gandal Alex Chairman 1.00 0.00 X X 0 0 0 Garg Anil Secretary 1.00 0.00 X X 0 0 0 Kurohara Jonathan MD Board Member 1.00 0.00 X 0 0 0 Little Eric Board Member 1.00 0.00 X 0 0 0 Luckey Andrew III MD Board Member 1.00 0.00 X 0 0 0 Malan John Board Member 1.00 0.00 X 0 0 0 Perez Bernardo Board Member 1.00 0.00 X 0 0 0 Reynolds Barbara Board Member 1.00 0.00 X 0 0 0 Roark Jaimee Vice Chair 1.00 0.00 X X 0 0 0 Skidmore Rod Board Member 1.00 0.00 X 0 0 0 Tang Henry Board Member 1.00 0.00 X 0 0 0 Yu Alfred Board Member 1.00 0.00 X 0 0 0 Hale Ben Board Member 1.00 0.00 X 0 0 0 Kestly Maggie Board Member 1.00 0.00 X 0 0 0 4198786 263110 0 true true false 0 97501 80953 19000 178454 0 50782 50782 0 0 0 67197 -67197 -67197 -67197 39280 97501 39280 39280 0 0 0 201319 -67197 90062 X 0 18771 18771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108465 101472 6993 32633 32633 10355 10355 839 839 0 0 3884 3884 0 2995 2995 0 0 0 0 Equipment Rental 12608 12608 Other Expenses 8463 8384 79 Patient Care Supplies 381 381 0 199394 18771 155478 25145 0 710684 608850 17175 17175 0 0 0 0 0 0 0 0 0 0 0 113137 239891 840996 865916 27995 0 27995 X 467614 493257 373382 344664 840996 837921 840996 865916 X 1925 -5000 X false false false X X 2 Simi Valley Hosp & Health Care Svcs 956064971 1 true 0 0 Western Health Resources 953867863 10 true 0 0 2 0 true false false false false true false false false false false false false false false true false Part IV, Section A, Line 6: Description Of Grants Or Provided Benefits To Others Part I, Line 11h(A)All supported organizations have been notified of the Foundation's support. All supported organizations are based in the U.S. incorporated in California. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 383827 146007 174725 355109 680858 39724 336755 383827 625416 242282 186840 680858 885417 230973 490974 625416 538886 461290 -6401 9204 99154 885417 0.02940 0.97060 false true true Receivables from Related Organizations 239891 239891 Payable to Related Org 27995 27995 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. X X X X X X X false Gala 113556 97501 16055 Festivel of Trees 23225 23225 136781 97501 39280 39280 true 0 0 Employees-Helping-Employees Fund 7 18771 Cash Grants Grantmaker's Description of How Grants are Used The Simi Valley Hospital Foundation (SVHF) as supporting organization of the Simi Valley Hospital (SVH) transfers funds regularly to SVH. In addition it regards the well-being of the SVH employees as a determining factor in the well-being of the organization as a whole. The Foundation operates an employees-helping-employees fund (also known as the Hope Fund) which was established with the purpose of addressing the various hardships of the SVH employees on a need-only basis. Contributions are being collected by payroll deduction from those SVH employees who chose to participate. A Hope Fund Committee meets periodically to determine the recipients and distributes the funds accordingly. The recipient must be an SVH employee to receive a distribution from the Hope Fund. Most requests for distributions are made in connection with the loss of a loved family member or economic hardship. true false false false false false false false false false Combis Theodore-eff 922 Treasurer 178143 14680 26307 8907 17550 245587 Dingilian John - Former Board Member thru 7/21 120369 60916 17012 5963 13802 218062 Owens Chip - Departed 922 CFO 321242 48157 29967 12310 51126 462802 Stiles Kathryn Executive Dir. 152704 10714 1272 7635 30580 202905 Swenson Jennifer Board Member 521251 93801 90904 12310 49638 767904 Wing Bill - Departed 122 Board Member 263334 662638 1585375 12310 40979 2564636 X 1 13000 Fair Market Value X Award 1 6000 Fair Market Value false false false Form 990, Part VI, Section A, Line 6 The Foundation is organized as a not-for-profit supporting organization. The sole corporate member is Western Health Resources, a California not-for-profit religious corporation Form 990, Part VI, Section A, Line 7a The sole member, Western Health Resources, elects the Foundation's Board of Directors. The authorized number of directors also includes ex-officio members according to each Foundation's bylaws. Form 990, Part VI, Section A, Line 7b The sole corporate member, Western Health Resources, must approve all changes to the articles of incorporation and bylaws. Form 990, Part VI, Section B, Line 11b This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing. Form 990, Part VI, Section B, Line 12c During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO market president immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. The System General Counsel retains the COIs for all individuals. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. Form 990, Part VI, Section C, Line 19 The Foundation does not make its governing documents, conflict of interest policy, or financial statements available to the public. Form 990, Part XI, Line 9 Transfers to Other Funds = -$5000 Form 990, Page 1, Item J - Website https://www.adventisthealth.org/simi-valley/about-us/ahsv-foundation/about-the-foundation Simi Valley Hospital 2975 N Sycamore Dr Simi Valley CA 93065 956064971 Hospital CA 501(C)(3) 3 Adventist Health SystemWest false Western Health Resources 2100 Douglas Blvd Roseville CA 95661 953867863 Home Care Services CA 501(C)(3) 10 Adventist Health SystemWest false false false false false false false false false false false false true true true true true true true true Simi Valley Hospital o 144345