2024-11-01T12:03:36-07:00 2023-12-31 800519547 THE ACCOUNTANCY LLP 500 N BRAND BLVD STE 1930 GLENDALE CA 91203 990 2023-01-01 912135595 Simi Valley Hospital Foundation dba Adventist Health Simi Valley Fdtn SIMI 8059556670 2975 N Sycamore Dr Simi Valley CA 93065 Shepardson Dean Treas eff 8/24 2024-11-01 true true Steve Clement P01218012 8185475701 X 2023 2024-10-15 13:58:12Z Stiles Kathryn 2975 N Sycamore Dr Simi Valley CA 93065 218133 false X https://simivalley.give.adventisthealth.org/ X 2001 CA To build community relationships that encourage financial support for Simi Valley Hospital and fund hospital projects for identified community projects. 21 18 0 158 0 178454 147670 0 -16415 70463 39280 0 201319 218133 18771 25885 0 0 0 44676 180623 64006 199394 89891 1925 128242 865916 985148 27995 2000 837921 983148 The Simi Valley Hospital Foundation provides inspiration and opportunity for donors to assist Simi Valley Hospital in fulfilling its mission to provide high quality compassionate care. false false 25885 25885 218133 The Simi Valley Hospital Foundation is an IRC 501(c)(3) not-for-profit organization. Our purpose is to support the mission of Simi Valley Hospital and Health Services in improving the quality of life and health in our community. We do this by:1. Building strong philanthropic support to meet capital and funding needs of the hospital.2. Ensuring appropriate stewardship by demonstrating an ethical and fiduciary responsibility to our donors and supporters.3. Developing excellent relationships with the community at large, and within the hospital in order to support our ministry of philanthropy.4. Working with community partners, organizations and volunteers.The following story illustrates how Adventist Health Simi Valley works to provide quality care for our community and why our Foundation has such a passion for raising funds to continue improving the care we can provide:Mark lived with pain for more than a decade. Ive had back problems since I was 20, it would come and go depending on the year, but it was prevalent through most of my adult life, says the 37-year-old software engineer. The pain became unbearable in late 2023 after returning home from a trip. "Within a few weeks, I was in the emergency room because I had lost feeling in both of my legs." he says. Physicians told Mark that he had lumbar nerve entrapment, meaning the nerves in his spine were compressed by the vertebrae, causing severe pain and numbness. This can build over time because of normal wear and tear or stress on the back from heavy lifting or accidents.After his hospital visit, Mark made an appointment with Zachary Sharfman, MD, an orthopedic surgeon specializing in spinal surgery at Adventist Health Simi Valley. Dr. Sharfman explained, We spent a lot of time working together on a treatment plan and discussing his options, but ultimately, I left the decision in his hands because I like to empower people to make the choice for themselves.Mark says that he had tried several treatments to relieve his back pain over the years, including physical therapy and steroid injections to reduce the inflammation, but nothing lasted. He knew it was time for an operation. Earlier this year, Dr. Sharfman performed a lumbar laminectomy on Mark. "His nerves were really compressed" says Dr. Sharfman. He used special tools to remove small portions of Mark's vertebrae to provide more space for the spinal nerves.Dr. Sharfman recommended this operation for Mark because it didnt require placing metal in or around the spine. The procedure is minimally invasive, meaning it can be performed through small incisions. In addition, patients typically have shorter recovery times and less pain after minimally invasive procedures than with traditional surgeries. Mark recalls, At Adventist Health Simi Valley, everyone was extremely attentive after my surgery. They taught me how to get out of bed, stand, and walk properly. I was only there one night. It was a really warm, welcoming hospital."Mark says that his recovery went well, particularly because he felt prepared for what to expect. He also shared that, Dr. Sharfman was always in contact with him and answering his questions. After three weeks, his pain cut in half every day. By the fourth week, he didn't need any pain medication at all." Mark did physical therapy to rebuild strength in the muscles that support his spine. Mark says, "When my pain was at its worst, I couldn't go to the market or go on a date with my girlfriend, I couldn't even stand for more than 60 seconds. Now, I have virtually no pain. I can do anything I want. My life is no longer restricted by pain."Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services in a community-based hospital; essential emergency servicesthese are the reasons we are in the Simi Valley community.For more information on the work that we do, visit us at https://simivalley.give.adventisthealth.org/ 25885 true true false false false false false false false true false false false true true false false false false false false false false false false false false true true true false false false false false false false false false false false false false true false false false true 0 0 false 0 false false false false false false false 0 false false false false false false false X 21 18 false false false false true true true true true false false true true true true true true false false false CA X John Beaman 9164061092 PO Box 619135 Roseville CA 95661 Swenson Jennifer Board Member 1.00 49.00 X 0 728760 21175 Combis Theodore Treasurer 4.00 46.00 X X 0 328581 97350 Stiles Kathryn Executive Dir. 50.00 0.00 X X 0 192703 57720 Arbuckle Eric Board Member 1.00 0.00 X 0 0 0 Finch Jake Board Member 1.00 0.00 X 0 0 0 Freeman Elaine Board Member 1.00 0.00 X 0 0 0 Gandel Alex Chairman 1.00 0.00 X X 0 0 0 Garg Anil Secretary 1.00 0.00 X X 0 0 0 Kurohara Jonathan Board Member 1.00 0.00 X 0 0 0 Little Eric Board Member 1.00 0.00 X 0 0 0 Luckey Andrew Board Member 1.00 0.00 X 0 0 0 Malan John Board Member 1.00 0.00 X 0 0 0 Torres Jesus Board Member 1.00 0.00 X 0 0 0 Reynolds Cindy Board Member 1.00 0.00 X 0 0 0 Reynolds Barbara Board Member 1.00 0.00 X 0 0 0 Roark Jaimee Vice Chair 1.00 0.00 X X 0 0 0 Skidmore Rod Board Member 1.00 0.00 X 0 0 0 Tang Henry Board Member 1.00 0.00 X 0 0 0 Yu Alfred Board Member 1.00 0.00 X 0 0 0 Hale Ben Board Member 1.00 0.00 X 0 0 0 Kestly Maggie Board Member 1.00 0.00 X 0 0 0 Shepardson Dean Treas eff 8/24 0.00 0.00 X 0 0 0 1250044 176245 0 false true false 0 147670 147670 0 70463 70463 0 0 0 0 0 0 0 0 218133 70463 X 6385 6385 19500 19500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44794 16807 27987 0 16488 16488 0 0 0 0 0 0 0 0 0 0 Equipment Rental 1273 1273 Bad Debt 1250 1250 Patient Care Supplies 201 201 0 89891 25885 19330 44676 0 608850 828125 17175 48773 0 0 0 0 0 0 0 0 0 0 0 239891 108250 865916 985148 27995 2000 27995 2000 X 493257 554613 344664 428535 837921 983148 865916 985148 X 128242 16985 X false true X false false X X 2 Simi Valley Hosp & Health Care Svcs 956064971 3 true 6385 0 Western Health Resources 953867863 10 true 0 0 2 6385 0 true false false false false true false false false false false false false false false true false Part IV, Section A, Line 6: Description Of Grants Or Provided Benefits To Others Part I, Line 11h(A)All supported organizations have been notified of the Foundation's support. All supported organizations are based in the U.S. incorporated in California. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 355109 156962 83536 428535 383827 146007 174725 355109 680858 39724 336755 383827 625416 242282 186840 680858 885417 230973 490974 625416 1.00000 false true true Receivables from Related Organizations 108250 108250 Payable to Related Org 2000 2000 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. true Simi Valley Hosp & Hlth Care 2975 N Sycamore Dr Simi Valley CA 93065 956064971 501(c)(3) 6385 0 Cash Transfer Operations 1 0 Employees-Helping-Employees Fund 19500 Cash Grants Grantmaker's Description of How Grants are Used The Simi Valley Hospital Foundation (SVHF) as supporting organization of the Simi Valley Hospital (SVH) transfers funds regularly to SVH. In addition it regards the well-being of the SVH employees as a determining factor in the well-being of the organization as a whole. The Foundation operates an employees-helping-employees fund (also known as the Hope Fund) which was established with the purpose of addressing the various hardships of the SVH employees on a need-only basis. Contributions are being collected by payroll deduction from those SVH employees who chose to participate. A Hope Fund Committee meets periodically to determine the recipients and distributes the funds accordingly. The recipient must be an SVH employee to receive a distribution from the Hope Fund. Most requests for distributions are made in connection with the loss of a loved family member or economic hardship. true false false false false false false false false false Combis Theodore Treasurer 272185 30301 26095 16654 80696 425931 Stiles Kathryn Executive Dir. 167650 15703 9350 6734 50986 250423 Swenson Jennifer Board Member 517093 113990 97677 21175 749935 Form 990, Part VI, Section A, Line 6 The Foundation is organized as a not-for-profit supporting organization. The sole corporate member is Western Health Resources, a California not-for-profit religious corporation Form 990, Part VI, Section A, Line 7a The sole member, Western Health Resources, elects the Foundation's Board of Directors. The authorized number of directors also includes ex-officio members according to each Foundation's bylaws. Form 990, Part VI, Section A, Line 7b The sole corporate member, Western Health Resources, must approve all changes to the articles of incorporation and bylaws. 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, hospital 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 to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO market president immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. The System General Counsel retains the COIs for all individuals. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. 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 9 Net Assets Released From Restrictions = $0 Form 990, Part XI, Line 9 Transfers from Related Entities = $16985 Form 990, Page 1, Item J - Website https://www.adventisthealth.org/simi-valley/about-us/ahsv-foundation/about-the-foundation Simi Valley Hospital 2975 N Sycamore Dr Simi Valley CA 93065 956064971 Hospital CA 501(C)(3) 3 Adventist Health SystemWest false Western Health Resources 2100 Douglas Blvd Roseville CA 95661 953867863 Home Care Services CA 501(C)(3) 10 Adventist Health SystemWest false false false false false false false false false false false false true true true true true true true true Simi Valley Hospital o 247975 Funds Transfer Simi Valley Hospital s 219274 Funds Transfer