2024-11-05T13:55:53-06:00 2023-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2023-01-01 680002188 Adventist Health Foundation ADVE 9164060000 1 Adventist Health Way Roseville CA 95661 John Beaman Chief Financial Officer 9164060000 2024-11-01 1 1 Tracy S Paglia P00366884 2099556100 2024-11-01 2023 2024-10-15 13:58:12Z Kerry Heinrich 1 Adventist Health Way Roseville CA 95661 712624 0 X N/A X 1982 CA To support, benefit and further the provision of health services of Adventist Health System/West and its affiliates through philanthropy; by engaging in the receipt, administration, and distribution of funds to further the mission of Adventist Health in Paradise, Butte and Tehama Counties, and across the Northeastern State of California. 4 0 0 65 0 0 71455 649648 0 0 110105 62976 0 0 181560 712624 84208 42300 0 0 166507 49600 0 0 28102 14218 258346 264933 350246 -83373 362378 3606736 4049720 182610 2743 3424126 4046977 The Foundation's mission is to endeavor to support programs and projects that measurably improve the physical and emotional health and health, wholeness and hope is coupled with a vision to transform the well-being in Paradise, and the North state region. 0 0 288161 42300 0 Adventist Health's mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. Adventist Health Foundation was formed to support this mission for various programs and capital improvements intended to improve the quality of life and health in our community. 288161 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 1 0 0 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 CA X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 Heinrich Kerry Dir/Chair/CEO 0.00 50.50 X X 0 3302248 57395 Hofheins Todd Dir/Vice Chair/COO 0.00 50.50 X X 0 2272592 76141 Bryan William - DirPres as of 07/23/Chief Mission Officer 12.50 37.50 X X 0 588242 59408 Gamble Jim Director thru 07/23 4.00 0.00 X 0 0 0 Ramirez George Director thru 07/23 4.00 0.00 X 0 0 0 Taylor Betsy Director thru 01/23 4.00 0.00 X 0 0 0 Beaman John Director/CFO 0.00 50.50 X 0 1680553 73355 Jobe Meredith Secretary 0.00 50.50 X 0 959488 59410 Champlin Christopher Former President thru 03/22 0.00 50.00 X 0 854712 52508 Gonzalez Eduardo Former Treasurer thru 06/22 0.00 0.00 X 0 333115 38505 0 9990950 416722 0 1 1 0 0 649648 649648 62976 62976 712624 0 0 62976 36300 36300 6000 6000 40168 20084 20084 9432 4716 4716 1233 733 500 812 812 Grant funded projects 132111 132111 MOW endowment spending 113750 113750 10440 8450 1990 350246 288161 33983 28102 1129717 1470175 6250 48064 2470769 2531481 3606736 4049720 182610 0 0 2743 182610 2743 X 1238718 1412336 2185408 2634641 3424126 4046977 3606736 4049720 X 362378 260473 0 X 0 1 X 1 0 X 173956 416760 671009 71455 649648 1982828 173956 416760 671009 71455 649648 1982828 438474 1544354 44048 47297 69315 110105 62976 333741 745 745 2317314 0.66640 0.74680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3340756 565060 202123 222734 3885205 4050811 70424 -705993 74486 3340756 3779697 248404 160593 137883 4050811 3172830 424824 390559 208516 3779697 3616867 311868 398293 1154198 3172830 0.32188 0.00000 0.67812 0 0 0 Funds held in trust 2530632 Receivables from related organizations 849 2531481 Payables to related organizations 2743 2743 X Part V, Line 4: Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. Part X, Line 2: The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities, along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2023 and 2022, no such assets or liabilities were recorded. The System currently files Form 990 (Informational Return of Organizations Exempt From Income Taxes) and Form 990-T (Exempt Organization Business Income Tax Return) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2020 in major tax jurisdictions. 0 Paradise Arts Theater and Culture Hub PO Box 949 Paradise CA 95967 921254087 501(c)(3) 10000 0 Funding Request - Master Plan Boys and Girls Club of the North Valley 601 Wall Street Chico CA 95928 680294846 501(c)(3) 10000 0 Community Sponsorship Magalia Community Park 13917 South Park Drive Magalia CA 95954 843751138 501(c)(3) 10000 0 Community Sponsorship 3 0 Employee assistance 3 6000 Part I, Line 2: Funding provided to other organizations is provided to recipients with the understanding that the funds are being used only for the designated purposes. No monitoring is conducted by Adventist Health Foundation. 1 1 0 0 0 0 0 0 0 Heinrich Kerry Dir/Chair/CEO 0 2017000 0 1208880 0 76368 0 13296 0 44099 0 3359643 0 0 Hofheins Todd Dir/Vice Chair/COO 0 1389462 0 735265 0 147865 0 13296 0 62845 0 2348733 0 0 Beaman John Director/CFO 0 1091769 0 569149 0 19635 0 13296 0 60059 0 1753908 0 0 Jobe Meredith Secretary 0 660525 0 168715 0 130248 0 13296 0 46114 0 1018898 0 0 Champlin Christopher Former President thru 03/22 0 594895 0 170695 0 89122 0 13296 0 39212 0 907220 0 0 Bryan William - DirPres as of 07/23/Chief Mission Officer 0 409192 0 138263 0 40787 0 13296 0 46112 0 647650 0 0 Gonzalez Eduardo Former Treasurer thru 06/22 0 0 0 76 0 333039 0 13296 0 25209 0 371620 0 0 Part I, Line 3 The filing organization relied on an affiliated organization, Adventist Health System/West, to determine compensation for the top management official of the organization. The related organization used the following methods to determine compensation: compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee. Part I, Lines 4a-b Severance payments are made based upon agreements between certain qualifying employees and Adventist Health System/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Gonzalez, Eduardo - severance payment - $337,144 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, and Todd Hofheins. Form 990, Part VI, Section A, line 4 The Foundation's Bylaws were amended in 2023 comprehensively to align with the Strategic Plan adopted in 2023 and repurposing the Foundation as Adventist Health Foundation from its purpose as Feather River Health Foundation. Other significant changes include: 1. The purpose statement was revised to refer to the amended Articles of Incorporation, which were adopted in 2022. 2. The Foundation has no members. 3. The number of directors was changed to be not less than five, nor more than 12 with the exact number to be determined by the Board of Directors. 4. The Foundation's directors are designated by Adventist Health System/West (AHRS), a related tax-exempt organization organized as a California nonprofit religious corporation. The Foundation's directors serve a term of two years and may serve any number of consecutive terms. 5. The Foundation's officers include the chair of the Board, president, secretary, treasurer, and any other person designated by the Board. Neither the chair nor the president may serve as the secretary or treasurer. Only directors may serve as the chair or vice chair of the Board. The officers are designated by the Chief Executive Officer of AHRS and shall hold that office until that officer resigns, is removed, is otherwise disqualified to serve, or until their successor is appointed. 6. The authority and duties of the officers were revised and modernized. 7. The dissolution Article was updated to reflect that remaining assets would be distributed to AHRS or its successors that are operated exclusively for charitable purposes. 8. The Bylaws may only be amended with approval by AHRS. 9. Quorum was established as a majority of the directors, voting and actions without a meeting were defined. 10. There is no compensation for service as a director. 11. An Article for an Audit Committee was created to define the composition of the committee as well as the procedures of selection and oversight of an independent accounting firm to oversee the audit. Form 990, Part VI, Section A, line 7a The Foundation's Board of Directors is appointed by the Board of Directors of Adventist Health System/West, a related tax-exempt organization organized as a California nonprofit religious corporation. Form 990, Part VI, Section A, line 7b The Board of Directors of the Foundation shall have sole authority to amend or repeal the Articles of Incorporation and Bylaws subject to the additional approval of the Board of Directors of Adventist Health System/West. The Foundation does not have any Members. Form 990, Part VI, Section A, line 8b The Foundation did not have any committees with authority to act on behalf of the governing body during the tax year. 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 Corporate Finance Officer and Market Financial 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, corporate 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 remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the President immediately. The statements for the Adventist Health System/West Board of Directors are reviewed by the EY auditors as part of the annual financial statement audit. All conflicts are reviewed by the System General Counsel. For potential conflicts, the System General Counsel will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the person with a declared conflict must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter. 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 8: Prior period adjustments were a result of cash balance correction and clean up books due to prior period activities including debt service, capital expenditures, and other items. Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Delano 1401 Garces Hwy Delano CA 93215 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Mendocino Coast 700 River Drive Fort Bragg CA 95437 845174585 Hospital CA 501(c)(3) Line 3 Stone Point Health 0 Adventist Health Physicians Network 1 Adventist Health Way Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest 1 Adventist Health Way Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital 1 Adventist Health Way Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Mid-Columbia Medical Center 1700 E 19th Street The Dalles OR 97058 930386936 Hospital OR 501(c)(3) Line 3 Stone Point Health 0 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Paradise Valley Hospital 1 Adventist Health Way Roseville CA 95661 951816034 Discontinued Operations CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Rideout Memorial Hospital 726 Fourth Street Marysville CA 95901 941387866 Acute care hospital CA 501(c)(3) Line 3 Stone Point Health 0 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Simi Valley Hospital and Health Care Services 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health 1 Adventist Health Way Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 United Com-Serve 726 Fourth Street Marysville CA 95901 943015356 Skilled nursing/assisted living/home health CA 501(c)(3) Line 12b, II Stone Point Health 0 Walla Walla General Hospital 1 Adventist Health Way Roseville CA 95661 910617726 Hospital - closed July 2017 WA 501(c)(3) Line 3 Adventist Health SystemWest 0 Western Health Resources 1 Adventist Health Way Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 White Memorial Medical Center 1720 E Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Blue Legacy Ventures LLC 1010 NE 2nd Avenue Miami FL 33132 871254649 Real property rental FL N/A 0 0 Blue Zones LLC 200 Southdale Center Edina MN 55435 271603327 Education MN N/A 0 0 PAR LLC DBA CherryWood Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 931262371 Senior housing OR N/A 0 0 PVHR LLC DBA Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 260622555 Senior housing OR N/A 0 0 PVHR2 LLC DBA Parkview Memory Care at Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 473300170 Senior housing OR N/A 0 0 WWGHR LLC DBA Wheatland Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 810591221 Senior housing OR N/A 0 0 AdHealth Limited PO Box HM 2062 Hamilton BD HM HX Pure captive insurance BD N/A C 0 Adventist Health Plan Inc 1 Adventist Health Way Roseville CA 95661 463833261 Health insurance CA N/A C 0 South Coast Medical Center 1 Adventist Health Way Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 Thrive Productions Inc 200 Southdale Center Edina MN 55435 453369049 Production company MN N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1