2024-11-15T11:50:36-06:00 2023-12-31 941481988 BOWMAN & COMPANY LLP 10100 TRINITY PARKWAYSTE 310 STOCKTON CA 95219 990 2023-01-01 942719880 LODI MEMORIAL HOSPITAL FOUNDATION INC LODI 2093397833 845 S FAIRMONT AVENUE 3 LODI CA 95240 WAYNE CRAIG PRESIDENT 2093397833 2024-11-14 1 0 GARY R DANIEL P00045989 2094731040 2024-11-14 2023 2024-10-15 13:58:12Z WAYNE CRAIG 845 S FAIRMONT AVENUE 3 LODI CA 95240 10679824 0 X WWW.LMHFOUNDATION.ORG X 1980 CA ENHANCING THE GREATER LODI COMMUNITY'S HEALTHCARE AND HEALTHY LIVING THROUGH PHILANTHROPY. 20 20 0 204 0 0 599658 7330935 0 0 201918 434192 112535 95532 914111 7860659 689006 1665243 0 0 98273 439654 0 0 0 101625 249668 888904 2354565 25207 5506094 10373688 16886289 47033 0 10326655 16886289 TO SUPPORT AND PROMOTE HEALTHCARE; FACILITATE ACCESS TO HEALTHCARE; ADVANCE HEALTHY LIVING; ENHANCE PUBLIC AWARENESS OF LODI MEMORIAL HOSPITAL; FULFILL OUR MISSION THROUGH PHILANTHROPIC GIVING, EVENTS, AND DONOR RELATIONS. 0 0 2216490 1665243 THE FOUNDATION FUNDS SEVERAL PROGRAMS THAT RESULT IN EXPANDED HEALTH SERVICES TO THE COMMUNITY. 2216490 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 1 0 CA X LIZ COCHRANE 2093397565 845 S FAIRMONT AVENUE SUITE 3 LODI CA 95240 JEREMY LENSER CHAIRMAN 1.50 X X 0 0 0 COREY WRIGHT VICE CHAIRMAN 1.00 X X 0 0 0 STEVE DIEDE SECRETARY 1.00 X X 0 0 0 TRENT DIEHL BOARD MEMBER 0.60 X X 0 0 0 DR DEVINDER GREWAL PUBLIC RELATIONS CHAIR 1.00 X 0 0 0 PHIL FELDE PAST CHAIR/LMH DELEGATE 1.20 X 0 0 0 JAN CHANDLER BOARD MEMBER 1.00 X 0 0 0 ALI COLAROSSI BOARD MEMBER 0.60 X 0 0 0 MIKE GEORGUSON BOARD MEMBER 0.80 X 0 0 0 JERRY HUGO BOARD MEMBER 0.40 X 0 0 0 BEN MCDONALD BOARD MEMBER 0.10 X 0 0 0 RON METTLER BOARD MEMBER 0.40 X 0 0 0 DR KEN MULLEN BOARD MEMBER 0.30 X 0 0 0 DR SUKHMINE NEDOPIL BOARD MEMBER 0.20 X 0 0 0 JESSE PATARIA BOARD MEMBER 0.40 X 0 0 0 MELISSA PHILLIPS-STROUD BOARD MEMBER 1.00 X 0 0 0 KATE ROONEY BOARD MEMBER 0.50 X 0 0 0 RANDY SNIDER BOARD MEMBER 0.60 X 0 0 0 BROOKE MCCOLLOUGH BOARD MEMBER 0.50 X 0 0 0 REV BILL CUMMINS BOARD MEMBER, LIAISON 0.50 X 0 0 0 WAYNE CRAIG PRESIDENT/CEO 40.00 X 198296 0 198296 ELIZABETH COCHRANE CHIEF FINANCIAL OFFICER 40.00 X 88074 0 88074 286370 0 286370 1 0 1 0 0 70000 7260935 5306044 7330935 286007 286007 22400 10716 11684 11684 11684 2895843 2747658 148185 148185 148185 144639 70000 60791 83848 83848 7860659 0 0 529724 1628243 1628243 37000 37000 286370 286370 34537 34537 92955 92955 25792 25792 16168 16168 76815 76815 35000 35000 29405 29405 11467 11467 7985 7985 1845 1845 11904 11904 8982 8982 2512 2512 DUES & LICENSES 26934 26934 SPLIT INTEREST EXPENSES 8900 8900 MAINTENANCE & REPAIRS 5902 5902 STATE & FOREIGN TAXES 1110 1110 4739 4739 2354565 2216490 138075 0 311781 460447 44453 43767 414328 0 638534 129770 524772 508764 9045617 15435135 32737 438176 10373688 16886289 47033 0 47033 0 X 10057649 11133466 269006 5752823 10326655 16886289 10373688 16886289 X 5506094 1029469 24071 X X 0 1 X 1 0 X 347594 329365 446891 514658 7260935 8899443 347594 329365 446891 514658 7260935 8899443 8899443 307655 208923 477163 244473 308407 1546621 456 456 10446520 0.85190 0.63920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 624307 115543 508764 1126 1126 0 13101 13101 0 508764 X 8874879 1029469 41070 -67035 1003504 7871375 -10716 -10716 7860659 2329536 41070 10716 51786 2277750 76815 76815 2354565 PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE UNDER IRC SECTION 501(C)(3). THE ORGANIZATION IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN OTHER-THAN-PRIVATE FOUNDATION. ACCORDINGLY, NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 9,780. INVESTMENT EXPENSES -76,815. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -10,716. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 6B 10,716. WALK FOR THE HEALTH OF IT 66309 35000 31309 2004 23728 GOLF TOURNAMENT 82625 17500 65125 8960 4224 8868 1 65705 17500 48205 2601 3200 7206 214639 70000 144639 11561 9428 39802 60791 83848 1 ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 400000 0 LAB EXPANSION PROJECT ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 200000 0 TELEVISION REPLACEMENT PROJECT ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 645020 0 STRYKER SURGICAL TOWERS ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 0 250000 FMV PROPERTY - DOCTOR'S OFFICE SUITE 12A MEDICAL SUPPORT ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 2142 0 AH CARE CLUB EMPLOYEE FUND ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 1000 0 AH CARDIAC REHABILITATION DEPT ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 1251 0 PET THERAPY / MUSIC THERAPY / TOYS FOR CHILDREN ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 2087 0 NURSE DAY & APPRECIATION ADVENTIST HEALTH LODI MEMORIAL 975 S FAIRMONT AVENUE LODI CA 95240 941044474 501(C)(3) 3343 0 BUNDLE BIRTHDAY / BP CUFFS / NEW YEAR FIRST BORN GIFTS ONE-EIGHTY PROGRAMS 17 W LOCKEFORD ST LODI CA 95240 862142586 501(C)(3) 69700 0 INTENSIVE OUTPATIENT PROGRAM & BASE CAMP REMODEL GOT KIDS FOUNDATION PO BOX 349 LODI CA 95241 800759590 501(C)(3) 10000 0 DOLLY PARTON IMAGINATION LIBRARY PROGRAM (YEAR 3) LOEL FOUNDATION 105 S WASHINGTON ST LODI CA 95240 942412399 501(C)(3) 10000 0 MEALS ON WHEELS 4 0 SCHOLARSHIPS 22 37000 PART I, LINE 2: THE ORGANIZATION'S SCHOLARSHIP COMMITTEE AWARDS SCHOLARSHIPS USING ESTABLISHED POLICIES THAT PROVIDE OPPORTUNITIES TO FURTHER THE EDUCATION OF INDIVIDUALS WITHIN THE HOSPITAL'S SERVICE AREA WHO MAY NOT HAVE THE RESOURCES TO DO SO. THE SCHOLARSHIPS ARE BOTH MERIT-BASED AND NEED-BASED AND AVAILABLE TO HIGH SCHOOL SENIORS AND ADULTS ALIKE. 0 0 0 0 0 0 0 0 0 WAYNE CRAIG PRESIDENT/CEO 198296 0 0 0 0 0 0 0 0 0 198296 0 0 0 X 3 5056044 FAIR MARKET VALUE X 1 250000 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B DRAFTS OF THE 990 FORM ARE CIRCULATED BY EMAIL TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF HIRING AND COMPENSATION DETERMINATION IS HANDLED BY ADVENTIST HEALTH LODI MEMORIAL (AHLM) HUMAN RESOURCES DEPARTMENT ON BEHALF OF THE FOUNDATION. AHLM HIRES THE FOUNDATION EMPLOYEES AND FILES FORM W-2, WAGE AND TAX STATEMENT. THE FOUNDATION REIMBURSES AHLM FOR A PORTION OF THE COMPENSATION AND BENEFITS PAID TO THE SHARED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST 9,780. PRIOR PERIOD ADJUSTMENT - NO TAX EFFECT 14,291. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.