2024-08-14T13:59:44-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 925 HIGHLAND POINTE DRIVE SUITE 450 ROSEVILLE CA 95678 990 2022-10-01 237419011 MARSHALL FOUNDATION FOR COMMUNITY HEALTH MARS 5306429984 PO BOX 1996 PLACERVILLE CA 95667 CHRISTA CAMPBELL BOARD CHAIR 5306429984 2024-08-13 1 1 KURT BENNION CPA P01469618 9167847800 2024-08-13 2022 2024-08-08 14:25:15Z CHRISTA CAMPBELL PO BOX 1996 PLACERVILLE CA 95667 742459 0 X WWW.MARSHALLFOUND.ORG X 1974 CA THE FOUNDATION ENCOURAGES, RECEIVES, ADMINISTERS AND DISBURSES DONATED FUNDS FOR COMMUNITY HEALTH PROGRAMS AND MARSHALL MEDICAL CENTER. 15 13 0 100 0 0 485952 628070 0 0 -465227 86336 -27414 -12766 -6689 701640 335261 1447681 0 0 43307 44968 0 0 22700 82082 39919 460650 1532568 -467339 -830928 4135037 3478412 203532 59999 3931505 3418413 X THE FOUNDATION ENCOURAGES, RECEIVES, ADMINISTERS AND DISBURSES DONATED FUNDS FOR COMMUNITY HEALTH PROGRAMS AND MARSHALL MEDICAL CENTER. CHARITABLE DONATIONS AND BEQUESTS PROVIDE SUPPORT TO THE HOSPITAL AND FACILITIES, AS WELL AS COMMUNITY PROJECTS THAT IMPROVE AND MEET LOCAL HEALTHCARE NEEDS. 0 0 1452293 1447681 0 MARSHALL FOUNDATION FOR COMMUNITY HEALTH (MFCH) IS A CATALYST FOR THE WELL-BEING OF OUR AREA RESIDENTS. IN THE LAST FISCAL YEAR, THIS VISION WAS BROUGHT TO REALITY THROUGH THE FUNDING OF PROGRAMS TO SUPPORT THOSE IMPACTED BY CANCER AND OTHER HEALTH ISSUES BY PROVIDING NO-COST TRANSPORTATION, LODGING AND OTHER CRITICAL SERVICES. PHILANTHROPIC FUNDING WAS SECURED AND ALLOCATED TO CARE FOR OUR COMMUNITY'S MOST VULNERABLE WHO ARE FACING LIFE-THREATENING ILLNESS, SUBSTANCE USE, HOMELESSNESS, AND OTHER ISSUES THAT NEGATIVELY IMPACT THEIR HEALTH AND QUALITY OF LIFE. THROUGH CONTRIBUTIONS FROM COMMUNITY DONORS, MFCH WAS ABLE TO PROVIDE ESSENTIAL FUNDING TO ENHANCE MARSHALL MEDICAL CENTER'S NATIONALLY-RECOGNIZED PROGRAMS AND TO PROVIDE GRANT FUNDING TO AREA NONPROFITS THAT ADDRESS THE HEALTH NEEDS OF OUR RESIDENTS. 1452293 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 13 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X JOEL ENGELMANN 5306429984 PO BOX 1996 PLACERVILLE CA 95667 SIRI NELSON TRUSTEE 1.00 39.00 X 0 654913 5187 LAURIE ELDRIDGE TREASURER 1.00 39.00 X 0 369308 5920 MINDY DANOVARO TRUSTEE 1.00 39.00 X 0 268183 2983 CHRISTA CAMPBELL PRESIDENT 2.00 0.00 X X 0 0 0 KURT RAFFETTO VICE PRESIDENT (THROUGH FEB 2023) 2.00 0.00 X X 0 0 0 TIM CORDERO TRUSTEE & VICE PRESIDENT 2.00 0.00 X X 0 0 0 DEBI HARLOW SECRETARY & DIRECTOR 2.00 0.00 X X 0 0 0 SOL NISBET TRUSTEE & SECRETARY 2.00 0.00 X X 0 0 0 MARK STANLEY TREASURER (THROUGH FEB 2023) 2.00 0.00 X X 0 0 0 LAUREL BRENT-BUMB TRUSTEE 1.00 0.00 X 0 0 0 DAVID COOKE TRUSTEE 1.00 0.00 X 0 0 0 THOMAS CUMPSTON TRUSTEE 1.00 2.00 X 0 0 0 DOUG HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 ANDREA HOWARD TRUSTEE 1.00 2.00 X 0 0 0 JENNY PETTIT TRUSTEE 1.00 0.00 X 0 0 0 RASHMI RAMASUBBAIAH TRUSTEE 1.00 0.00 X 0 0 0 KIM STOLL TRUSTEE 1.00 2.00 X 0 0 0 DAVID WILLIAMSON TRUSTEE (THROUGH FEB 2023) 1.00 0.00 X 0 0 0 TRACY WILSON TRUSTEE 1.00 0.00 X 0 0 0 0 1292404 14090 0 0 1 0 0 166457 461613 628070 86336 86336 27823 166457 40819 -12996 -12996 MISCELLANEOUS INCOME 900099 230 230 230 701640 0 0 73570 1415622 1415622 32059 32059 33962 33962 11006 11006 5086 2543 2543 9815 3410 6405 8009 217 1785 6007 1372 1372 3764 2981 783 258 258 1852 1852 2801 2801 MISCELLANEOUS EXPENSES 6962 6962 1532568 1452293 57575 22700 897289 139373 335518 334907 48456 5316 32294 150000 150000 13745 13745 338710 4760 335802 333950 2321699 2499679 234 1442 4135037 3478412 30033 32060 45175 27130 128324 809 203532 59999 X 2828869 2058316 1102636 1360097 3931505 3418413 4135037 3478412 -830928 174229 143607 0 X X 0 0 0 X 322363 877171 585296 485952 628070 2898852 322363 877171 585296 485952 628070 2898852 166417 2732435 72820 104950 267470 106607 86336 638183 104215 60630 98336 17757 28053 308991 3846026 0.71050 0.73400 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 128722 128722 0 0 2022090 130886 140717 750 1567 2291376 2027048 509228 -360680 153506 2022090 1916133 17672 148398 55155 2027048 1897909 20000 238492 240268 1916133 1919691 1250 70462 93494 1897909 0.00000 1.00000 0.00000 0 0 327411 327411 11299 4760 6539 333950 AGENCY FUNDS 809 809 PART IV, LINE 1B: MARSHALL FOUNDATION FOR COMMUNITY HEALTH ACTED AS FISCAL AGENT FOR IMAGES OF HOPE, A SMALL LOCAL NONPROFIT ORGANIZATION THAT WAS IN THE PROCESS OF REQUESTING ITS OWN TAX-EXEMPT STATUS FROM THE IRS. DURING THE FISCAL YEAR, IMAGES OF HOPE OBTAINED ITS TAX-EXEMPT STATUS, THIS FISCAL AGENT RELATIONSHIP ENDED DURIGN THE FISCAL YEAR. BOB WEST DRIVE 183480 156782 26698 2700 10545 8917 13991 HONOR A NURSE 10800 9675 1125 500 4166 194280 166457 27823 2700 10545 9417 18157 40819 -12996 1 MARSHALL MEDICAL CENTER 1100 MARSHALL WAY PLACERVILLE CA 95667 941450151 501(C)(3) 1183753 0 GRANTS FOR EQUIPMENT AND DEPARTMENT PROGRAMS 1 0 EMPLOYEE ASSISTANCE 5 1017 MEDICAL TRANSPORTATION 180 14275 PATIENT ASSISTANCE 58 16767 PART I, LINE 2: USE OF GRANT FUNDS ARE REGULARLY REVIEWED BY THE PRESIDENT, EXECUTIVE DIRECTOR AND BOARD OF TRUSTEES AS PART OF THE ORGANIZATION'S REVIEW OF COMMUNITY HEALTH GRANT APPLICATIONS AND PROPOSALS. MOST ASSISTANCE PROVIDED TO INDIVIDUALS IS PAID DIRECTLY TO THE SCHOOL, LANDLORD, CREDITOR, ETC., TO ENSURE APPROPRIATE USE OF FUNDS. 0 0 0 0 0 0 1 0 0 SIRI NELSON TRUSTEE 0 547091 0 107822 0 0 0 0 0 5187 0 660100 0 0 LAURIE ELDRIDGE TREASURER 0 324812 0 44496 0 0 0 0 0 5920 0 375228 0 0 MINDY DANOVARO TRUSTEE 0 267183 0 1000 0 0 0 0 0 2983 0 271166 0 0 PART I, LINE 3 THE PRESIDENT/CEO'S COMPENSATION IS DETERMINED BY MARSHALL MEDICAL CENTER, A RELATED ORGANIZATION. THE FOLLOWING ARE USED BY MARSHALL MEDICAL CENTER IN DETERMINING THE PRESIDENT/CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 6 MARSHALL MEDICAL CENTER HAS FOUR LEM LEADERSHIP INCENTIVE COMPENSATION POLICIES THAT INCLUDE LEM LEADERSHIP INCENTIVE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, LEADERSHIP INCENTIVE COMPENSATION FOR CHIEF EXECUTIVE LEADERSHIP POSITIONS, LEADERSHIP EVALUATION COMPENSATION FOR EXECUTIVE DIRECTOR & DEPARTMENT DIRECTOR POSITIONS, AND LEADERSHIP EVALUATION COMPENSATION FOR VICE PRESIDENT POSITIONS. ALL OF THESE COMPENSATION POLICIES ARE WEIGHTED UNDER FOUR PILLARS INCLUDING PEOPLE, FINANCE, QUALITY AND COMMUNITY. THE FINANCE PILLAR IS BASED ON AUDITED OPERATING MARGIN RESULTS FOR THE FISCAL YEAR ENDING OCTOBER 31ST. IN ADDITION, THERE IS ALSO A REWARD PROGRAM FOR MARSHALL MEDICAL CENTER STAFF THAT IS WEIGHTED ON THE SAME FOUR PILLARS. FORM 990, PART VI, SECTION A, LINE 4 THE FOUNDATION'S BYLAWS WERE AMENDED IN JANUARY 2023 TO DESIGNATE MARSHALL MEDICAL CENTER AS THE FOUNDATION'S SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 AS OF JANUARY 2023, MARSHALL MEDICAL CENTER IS THE SOLE MEMBER OF MARSHALL FOUNDATION FOR COMMUNITY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MARSHALL MEDICAL CENTER, AS THE SOLE MEMBER, HAS THE RIGHT AND POWER TO APPOINT (AND REMOVE) THE APPOINTED MEMBERS OF THE MARSHALL FOUNDATION FOR COMMUNITY HEALTH'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B NONE OF THE FOLLOWING ACTIONS MAY BE TAKEN WITHOUT THE APPROVAL OF MARSHALL MEDICAL CENTER, AS THE SOLE MEMBER: (A) MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION; (B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; (C) ADOPTION OF OPERATING BUDGETS; (D) ADOPTION OF CAPITAL BUDGETS; (E) AGGREGATE OPERATING OR CAPITAL EXPENDITURES THAT EITHER EXCEED PREVIOUSLY APPROVED OPERATING AND CAPITAL BUDGETS OR ARE UNBUDGETED, IF THE AMOUNT IN EXCESS OF THE UNBUDGETED EXPENDITURE IS HIGHER THAN THE SIGNATURE AUTHORITY OF THE MEMBER'S PRESIDENT; (F) LONG-TERM OR MATERIAL AGREEMENTS; (G) APPOINTMENT OF AN INDEPENDENT ACCOUNTANT OR AUDITOR; AND (H) THE HIRING OF INDEPENDENT COUNSEL. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD CHAIR AND COPIES WERE PROVIDED TO ALL EXECUTIVE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL ELECTED TRUSTEES, OFFICERS AND MANAGING EMPLOYEES. DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY AND ARE COLLECTED AND MAINTAINED BY THE BOARD'S SECRETARY. ANY CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY TRUSTEE, OFFICER OR MANAGING EMPLOYEE IS DISCLOSED IN WRITING. AFTER DISCLOSURE, THE MATTER MAY BE FURTHER DISCUSSED, INCLUDING ASKING QUESTIONS OF THE CONFLICTED INDIVIDUAL. AFTER SUCH DISCUSSION, THE CONFLICTED INDIVIDUAL LEAVES THE MEETING FOR FURTHER DISCUSSIONS AND VOTES ON THE MATTER. THE BOARD, IF APPROPRIATE, CAN APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVE TRANSACTIONS THAT DO NOT INCLUDE A CONFLICT OF INTEREST. AFTER EVALUATING ALTERNATIVES, THE DISINTERESTED BOARD MEMBERS DETERMINE BY MAJORITY VOTE WHETHER TO ENTER THE TRANSACTION. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE A TRUSTEE, OFFICER, OR MANAGING EMPLOYEE HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT INFORMS THEM OF THE BASIS FOR SUCH BELIEF AND GIVES THEM AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INDIVIDUAL'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD DETERMINES THE INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT TAKES APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 ALL MEMBERS OF THE BOARD SERVE WITHOUT COMPENSATION. THE BOARD RELIES ON THEIR CONTACTS AND POSITIONS IN THE NONPROFIT ENVIRONMENT TO MAKE PRUDENT DELIBERATIONS AND DECISIONS IN SETTING THE EXECUTIVE DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE ORGANIZATION'S OFFICE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. MARSHALL MEDICAL CENTER 1100 MARSHALL WAY PLACERVILLE CA 95667 941450151 HEALTHCARE CA 501(C)(3) LINE 3 N/A 0 EL DORADO SURGERY CENTER LLC 4300 GOLDEN CENTER DRIVE SUITE E PLACERVILLE CA 95667 450586784 SURGICAL SERVICES CA N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0