2024-06-03T18:09:04-05:00 2022-06-30 930623286 ALDRICH CPAS AND ADVISORS LLP 1903 WRIGHT PLACE 180 CARLSBAD CA 92008 990 2021-07-01 933573154 PALOMAR HEALTH FOUNDATION PALO 7607392787 2125 CITRACADO PARKWAY 340 ESCONDIDO CA 92029 KRISTIN GASPAR PRESIDENT 7607392787 2024-06-03 1 KRISTIN GASPAR 999009999 DEBRA D SMITH CPA P00646873 7604318440 2024-06-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X KRISTIN GASPAR 2125 CITRACADO PARKWAY 340 ESCONDIDO CA 92029 2414072 0 X WWW.PALOMARHEALTHFOUNDATION.ORG X 2006 CA TO PROVIDE ASSISTANCE AND SUPPORT TO PALOMAR HEALTH, A CALIFORNIA LOCAL HEALTHCARE DISTRICT. 16 16 0 10 0 0 5677417 2321220 0 0 541953 39976 0 0 6219370 2361196 4966155 1869710 0 0 483897 140077 0 0 539508 1603396 1382768 7053448 3392555 -834078 -1031359 6734134 7144657 963285 2418234 5770849 4726423 TO PROVIDE ASSISTANCE AND SUPPORT TO PALOMAR HEALTH, A CALIFORNIA LOCAL HEALTHCARE DISTRICT. 0 0 1869710 1869710 PROVIDE ASSISTANCE AND SUPPORT TO PALOMAR HEALTH INCLUDING ASSISTANCE TO BUILD OUT PALOMAR MEDICAL CENTER EMERGENCY DEPARTMENT, PURCHASE OF GASTRO INTESTINAL MEDICAL EQUIPMENT, AND RENOVATION OF THE ATRIUM AT THE PALOMAR MEDICAL CENTER EMERGENCY DEPARTMENT. 1869710 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 X 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X KRISTIN GASPAR 7607392787 2125 CITRACADO PKWY SUITE 340 ESCONDIDO CA 92029 KIRK EFFINGER CHAIRMAN 1.00 X X 0 0 0 HARVEY N HERSHKOWITZ PAST CHAIR 1.00 X X 0 0 0 OSMAN KHAWAR MD VICE CHAIR 1.00 X X 0 0 0 DAVID WILSON TREASURER 1.00 X X 0 0 0 NELLY BULKIN DIRECTOR 1.00 X 0 0 0 JON C FRANDELL DIRECTOR 1.00 X 0 0 0 PAULINE GOURDIE DIRECTOR 1.00 X 0 0 0 SUSAN HERRERA DIRECTOR 1.00 X 0 0 0 DAWN LOPEZ RN DIRECTOR 1.00 X 0 0 0 ANDY MATHEWS DIRECTOR 1.00 X 0 0 0 JORGE MONRAZ DIRECTOR 1.00 X 0 0 0 FRED NASSERI DIRECTOR 1.00 X 0 0 0 TOM OESCHGER DIRECTOR 1.00 X 0 0 0 ROB PEW DIRECTOR 1.00 X 0 0 0 HARDEEP PHULL MD DIRECTOR 1.00 X 0 0 0 SAURABH SHAH MD DIRECTOR 1.00 X 0 0 0 KRISTIN GASPAR PRESIDENT & CEO 40.00 X 103014 0 593 WAYNE HERRON - TERM 032021 FORMER VICE PRESIDENT OF PHILANTHROPY 40.00 X 313180 0 0 416194 0 593 2 1 1 0 TGG ACCOUNTING 21750 HARDY OAK BLVD SAN ANTONIO TX 78258 CONTRACT LABOR 109863 1 248015 284371 1788834 354229 2321220 35298 35298 57554 52876 4678 4678 4678 2361196 0 0 39976 1869710 1869710 140077 140077 487666 287129 200537 137180 137180 15633 15633 208518 208518 39716 39716 57323 56322 1001 102084 102084 4678 4678 1479 1479 228 228 5194 5194 EVENTS 167505 0 0 167505 DONOR CULTIVATION 69651 0 0 69651 DUES AND SUBSCRIPTIONS 32490 0 0 32490 BAD DEBTS 28380 0 0 28380 25043 25043 3392555 1869710 983337 539508 1949978 3010540 304814 325131 1096112 860326 236048 81666 25771 5194 22193 20577 955551 782177 659035 583225 1510403 1481015 6734134 7144657 6487 22640 956798 2395594 963285 2418234 X 1908289 1015591 3862560 3710832 5770849 4726423 6734134 7144657 X -1031359 -189798 158453 239244 -220966 X 0 1 X 1 0 X 6553233 3093319 5266953 5677417 2321220 22912142 6553233 3093319 5266953 5677417 2321220 22912142 921061 21991081 72329 73120 73763 90867 35298 345377 17486 17486 23275005 0.94480 0.94690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 537685 -42538 4675 490472 467113 75559 4987 537685 420215 53266 6368 467113 338767 61524 24663 4739 420215 236476 87297 17953 2959 338767 0.67000 0.33000 0 0 25771 5194 20577 20577 FIXED INCOME 583225 F 583225 RECEIVABLE FROM PALOMAR HEALTH 290251 CHARITABLE REMAINDER TRUSTS 1032311 PROMISES TO GIVE, BUILDING - PALOMAR HEALTH 158453 1481015 LIABILITY UNDER GIFT ANNUITIES 925343 NOTE PAYABLE - PALOMAR HEALTH 1470251 2395594 X 2179503 -189798 253535 63737 2115766 15633 229797 245430 2361196 3463173 95082 -8831 86251 3376922 15633 15633 3392555 PART X, LINE 2: THE FOUNDATION FOLLOWS THE PROVISIONS OF UNCERTAIN TAX POSITIONS AS ADDRESSED IN FASB ACCOUNTING STANDARDS CODIFICATION. THE FOUNDATION RECOGNIZES ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION, WHEN APPLICABLE. THERE ARE NO AMOUNTS ACCRUED IN THE CONSOLIDATED FINANCIAL STATEMENTS RELATED TO UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED JUNE 30, 2022 AND 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN VALUE OF GIFT ANNUITIES 26,099. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS 203,698. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON PHT RELATED CORPORATION -8,831. 1 PALOMAR HEALTH 2125 CITRACADO PKWY SUITE 300 ESCONDIDO CA 92029 956003843 115(I) 1761883 107827 FMV MISC ITEMS SUPPORT OF PROGRAM SERVICES 1 0 X X 0 0 0 0 0 0 0 0 0 WAYNE HERRON - TERM 032021 FORMER VICE PRESIDENT OF PHILANTHROP 313180 0 0 0 0 0 0 0 0 0 313180 0 0 0 X DEBT FORGIVENESS 1 226388 ACTUAL COST X LAPTOPS 1 49120 FMV X GIFT CARDS 1 34000 FMV X OTHER NON-CASH ITEMS 56 29221 FMV X 5 NIGHT STAY IN PRIVATE BIG BEAR ESTATE 1 10500 FMV X COLORING BOOKS 1 5000 FMV 0 1 0 FORM 990 AMENDED TAX RETURN STATEMENT THE ORGANIZATION IS AMENDING THE 990 TO AGREE TO THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS. THIS FOLLOWING PARTS WERE UPDATED TO AGREE TO THE AUDITED FINANCIAL STATEMENTS. PART 1 CURRENT YEAR SUMMARY, PART II PROGRAM SERVICE INCOME EXPENSES AND RELATED REVENUE, PART VIII STATEMENT OF REVENUE, PART IX STATEMENT OF FUNCTIONAL EXPENSES, PART C BALANCE SHEET AND PART XI RECONCILIATION OF NET ASSETS. SCH A HAS BEEN UPDATED TO REFLECT THE CORRECT AMOUNTS FROM PART VIII STATEMENT OF REVENUE. SCH B HAS BEEN UPDATED TO INCLUDE ALL CONTRIBUTIONS OVER 2% OF TOTAL CONTRIBUTIONS. SCH D HAS BEEN UPDATED TO AGREE TO THE AUDITED FINANCIAL STATEMENTS. SCH I HAS BEEN UPDATED TO INCLUDED ALL THE NON-CASH GRANT GIVEN. SCH M HAS BEEN UPDATED TO AGREE TO TOTAL NON-CASH CONTRIBUTIONS RECEIVED. FORM 990 PART V LINE 2A AND 2B PALOMAR HEALTH FOUNDATION DOES NOT FILE ANY FORM W-2'S DIRECTLY. EMPLOYEES WORKING WITHIN PALOMAR HEALTH FOUNDATION SHARE A COMMON PAYMASTER WITH PALOMAR HEALTH THE ENTITY THE FOUNDATION HAS A MANAGEMENT SERVICES AGREEMENT WITH. PALOMAR HEALTH FILES ALL RELATED FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH PALOMAR HEALTH. THE SERVICES PROVIDED INCLUDE ADMINISTRATIVE AND FINANCIAL MANAGEMENT SERVICES AND MARKETING/PUBLIC RELATIONS. KRISTIN GASPAR THE PRESIDENT/CEO IS COMPENSATED BY PALOMAR HEALTH VIA THE MANAGEMENT SERVICES AGREEMENT, HER FISCAL YEAR COMPENSATION WAS $140,077 REPORTED ON FORM 990 PART IX LINE 5. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT AND THIRD PARTY ACCOUNTANTS WILL REVIEW THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED DURING THE INITIAL ORIENTATION OF ANY OFFICER, DIRECTOR, AND KEY EMPLOYEE. THE POLICY IS THEN REVIEWED WITH EACH PERSON OF AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 PALOMAR HEALTH (PH) THE ORGANIZATION'S MANAGEMENT COMPANY PERIODICALLY COMPLETES A MARKET ANALYSIS OF COMPENSATION FOR ALL POSITIONS. THIS IS WHEN POSITIONS HAVE BEEN VACATED BY AN EMPLOYEE WHO HELD THEIR POSITION WITH PH FOR A CONSIDERABLE TIME TO ENSURE THAT PH REMAINS COMPETITIVE DURING AN ACTIVE RECRUITMENT FOR TOP TALENT. IT CAN ALSO BE DONE AT THE REQUEST OF A SENIOR LEADER FOR A POSITION THAT MAY HAVE NOT BEEN ANALYZED FOR CONSIDERABLE TIME AND THE POSITION NEEDS A MARKET ADJUSTMENT TO KEEP TOP TALENT AT PH. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. ONCE A REQUEST IS SUBMITTED TO THE FOUNDATION, A RESPONSE WILL BE PROVIDED. FORM 990, PART XI, LINE 9: NET CHANGE IN THE VALUE OF GIFT ANNUITIES -26,099. PALOMAR HEALTH TECHNOLOGIES ADJUSTMENT 8,831. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS -203,698. PALOMAR HEALTH TECHNOLOGY 2125 CITRACADO PKWY SUITE 340 ESCONDIDO CA 92029 453480768 HEALTHCARE SOFTWARE CA PALOMAR HEALTH FOUNDATION C 1.00000 1 CHARITABLE REMAINDER TRUST - 4 2125 CITRACADO PKWY SUITE 340 ESCONDIDO CA 92029 CHARITABLE TRUSTS CA N/A T 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PALOMAR HEALTH TECHNOLOGY C 248015 BOOK VALUE