2024-05-01T15:18:54-05:00 2023-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-07-01 942540273 KAWEAH DELTA HOSPICE FOUNDATION KAWE 5596242359 216 SOUTH JOHNSON STREET VISALIA CA 93291 PAUL VERISSIMO TREASURER 5596242359 2024-04-25 1 PAUL VERISSIMO 999009999 1 LAUREN A HAVERLOCK P00545829 2099556100 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PAUL VERISSIMO 216 SOUTH JOHNSON STREET VISALIA CA 93291 1834427 0 X WWW.KAWEAHHEALTH.ORG X 1978 CA TO SUPPORT QUALITY END-OF-LIFE CARE PROVIDED BY KAWEAH DELTA HOSPICE THROUGH FINANCIAL ASSISTANCE, COMMUNITY OUTREACH AND EDUCATION. 18 18 0 18 0 0 711452 251069 0 0 150254 99977 15141 47050 876847 398096 12957 49060 0 0 0 0 0 0 0 188409 96198 201366 145258 675481 252838 2439251 2782295 0 0 2439251 2782295 TO SUPPORT QUALITY END-OF-LIFE CARE PROVIDED BY KAWEAH DELTA HOSPICE THROUGH FINANCIAL ASSISTANCE, COMMUNITY OUTREACH AND EDUCATION. 0 0 96656 32675 0 OPEN ARMS HOUSE HOSPICE EXPENSE. 16385 16385 0 TO SUPPORT QUALITY END-OF-LIFE CARE PROVIDED BY KAWEAH DELTA HOSPICE THROUGH FINANCIAL ASSISTANCE, COMMUNITY OUTREACH AND EDUCATION. 113041 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X ELIZABETH WYNN 5596242359 216 SOUTH JOHNSON STREET VISALIA CA 93291 X X MICHELLE DUCEY PRESIDENT 1.00 X X 0 0 0 BARBARA MAYEDA VICE PRESIDENT 1.00 X X 0 0 0 PAUL VERISSIMO TREASURER 1.00 X X 0 0 0 LYDIA GARGAN SECRETARY 1.00 X X 0 0 0 MERRILYN BRADY DIRECTOR 1.00 X 0 0 0 KELLY COOPER DIRECTOR (AS OF 02/23) 1.00 X 0 0 0 MARY FERRARA DIRECTOR 1.00 X 0 0 0 SUSAN HARRELL DIRECTOR 1.00 X 0 0 0 JIM JOHNSON DIRECTOR 1.00 X 0 0 0 BILL MATHIS DIRECTOR 1.00 X 0 0 0 MARGARET MOHOLT DIRECTOR 1.00 X 0 0 0 CAROL NICKEL DIRECTOR 1.00 X 0 0 0 NANCY REIMER-WOOD DIRECTOR 1.00 X 0 0 0 PAM RUTTER DIRECTOR 1.00 X 0 0 0 SUSAN SEVIER DIRECTOR 1.00 X 0 0 0 TINA TETZ DIRECTOR (AS OF 02/23) 1.00 X 0 0 0 ROBERT URTECHO DIRECTOR 1.00 X 0 0 0 DAVID ZARATE DIRECTOR 1.00 X 0 0 0 ELIZABETH WYNN FOUNDATION DIRECTOR 4.00 X 0 0 0 0 0 0 0 0 0 0 0 115455 5000 130614 251069 75073 75073 1439045 1414141 24904 24904 24904 69240 115455 22190 47050 47050 398096 0 0 147027 49060 49060 17710 17710 24000 24000 28 28 14508 14508 EVENT EXPENSES 23049 23049 OPEN ARMS HOUSE EXPENSE 10003 10003 MISC / OTHER EXPENSES 6800 2324 4476 REGISTRATIONS 100 100 145258 113041 32217 0 50214 135235 110381 418848 499000 22971 490537 476029 1788119 1752183 2439251 2782295 0 0 X 2212554 2574175 226697 208120 2439251 2782295 2439251 2782295 252838 90249 -43 0 X 0 0 0 X 88635 315232 95824 711452 251069 1462212 88635 315232 95824 711452 251069 1462212 257274 1204938 42227 33592 36596 40952 75073 228440 3405 15141 47050 65596 1756248 0.68610 0.65630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 499000 22971 476029 476029 MOONSHINE SOIREE 184695 115455 69240 16491 1500 500 3699 184695 115455 69240 16491 1500 500 3699 22190 47050 1 KAWEAH DELTA HEALTH CARE DISTRICT 400 W MINERAL KING AVE VISALIA CA 93291 941534475 STATE OF CA 49060 0 HOSPICE GRANT, END-OF-LIFE PROJECT 1 0 PART I, LINE 2: FOR GRANTS UNDER $500, THE HOSPICE FOUNDATION PRESIDENT HAS THE ABILITY TO APPROVE. ONCE THE REQUEST HAS COME IN AND IS FOR LESS THAN $500, FOUNDATION STAFF GATHERS THE BACKGROUND OF THE REQUEST AND ENSURES IT HAS THE APPROVAL OF THE DIRECTOR OF HOSPICE. INFORMATION IS GATHERED FOR A QUOTE OR TO SUPPORT ANY BACKGROUND THAT IS INCLUDED WITH THE REQUEST PRIOR TO SUBMITTING A CHECK REQUEST THAT REQUIRES APPROVAL FROM BOTH THE HOSPICE FOUNDATION PRESIDENT AND DIRECTOR OF DEVELOPMENT. GRANT FUNDS ARE RELEASED FOLLOWING THIS PROCESS. GRANTS OVER $500 ARE REVIEWED BY THE HOSPICE FOUNDATION'S GRANT REVIEW COMMITTEE WITH A RECOMMENDATION FOR THE FULL BOARD BEFORE BEING SENT TO THE FULL BOARD FOR APPROVAL. GRANTS OVER $500 THAT ARE APPROVED BY THE BOARD FOLLOW THE CHECK POLICY LISTED ABOVE. THIS PROCESS CAN HAPPEN BY EMAIL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C HOSPICE FOUNDATION HAS ADOPTED AND IMPLEMENTED POLICIES AND PROCEDURES TO ENSURE THAT CONFLICTS OF INTEREST ARE ADDRESSED. THE ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM MUST BE UPDATED THROUGHOUT THE YEAR, IF A CONFLICT SHOULD ARISE. WHEN A BOARD MEMBER HAS DECLARED A CONFLICT, THE BOARD MEMBER CONCERNED SHALL NOT PARTICIPATE IN THE DISCUSSION, AND MAY, AT THE DISCRETION OF THE BOARD, BE INSTRUCTED TO BE ABSENT FROM THE ROOM DURING THE DISCUSSION, BUT AVAILABLE FOR QUESTIONING. THE REMAINING BOARD MEMBERS SHALL BE ABLE TO FULLY AND FREELY DISCUSS AND VOTE THEREON, AND ALL SUCH DISCUSSION AND VOTES SHALL BE KEPT IN THE STRICTEST OF CONFIDENCE BY ALL PRESENT. IN EITHER CASE, THE BOARD MEMBER CONCERNED WILL NOT VOTE ON THE MATTER UNDER DISCUSSION AND, FOR PURPOSES OF THAT MATTER, NOT BE INCLUDED IN THE COUNT FOR A QUORUM. WHEN A BOARD MEMBER COMPLETES THE CONFLICT OF INTEREST DISCLOSURE FORM AND AFTER SUCH DISCLOSURE THE MEMBER ABSTAINS FROM VOTING, THAT MEMBER SHALL NOT BE ACCOUNTABLE FOR ANY PROFIT OR ADVANTAGE MADE OR RECEIVED AS A CONSEQUENCE OF A DECISION OF THE BOARD TO PROCEED WITH THE CONTRACT OR TRANSACTION. THE BOARD SHALL CONFIRM AND APPROVE THE PROPOSED CONTRACT OR TRANSACTION AS BEING FAIR AND REASONABLE TO THE FOUNDATION AT THE TIME IT IS SO APPROVED. THEY SHALL ALSO ACKNOWLEDGE THAT THE NATURE AND EXTENT OF THE BOARD MEMBER'S REAL OR POTENTIAL CONFLICT HAS BEEN DISCLOSED IN REASONABLE DETAIL TO THE BOARD OR SUCH COMMITTEE WHERE THE CONFLICT AROSE. EVERY DECLARATION OF CONFLICT OF INTEREST WILL BE RECORDED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: THE FOUNDATION DIRECTOR'S COMPENSATION IS PAID BY AN UNRELATED AFFILIATED ORGANIZATION, KAWEAH DELTA HEALTH CARE DISTRICT (THE "DISTRICT"), A GOVERNMENTAL ENTITY. THE DISTRICT PROVIDES THE TIME PROVIDED BY THE FOUNDATION DIRECTOR TO THE FOUNDATION AS A DONATED SERVICE. THE FOUNDATION DOES NOT REIMBURSE THE DISTRICT FOR THESE COSTS SO THAT THE FOUNDATION MAY USE ITS CONTRIBUTIONS TOWARDS FULFILLING ITS CHARITABLE PURPOSES.