Form 990 for tax year 2022
Filed by HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA.
Totals
- Total revenue
- $648
- Total expenses
- $23,810
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $648
- Other revenue
- $0
- Total assets, end of year
- $146,097
- Total liabilities, end of year
- $16,905
- Net assets or fund balances, end of year
- $129,192
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $23,810
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
3 · Investment income
total $648 · excluded $648
Functional expenses
Part IX, the statement of functional expenses.
-
11c · Fees: accounting
total $23,690 · management and general $23,690
-
13 · Office expenses
total $120 · management and general $120
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $202,252 · end of year $146,097
-
17 · Accounts payable and accrued expenses
beginning of year $16,275 · end of year $16,905
-
25 · Other liabilities
beginning of year $33,623 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $152,354 · end of year $129,192
Mission and programs · 2022
Mission
TO SPONSOR AND SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES AND RESEARCH IN THE AREA OF HEALTH CARE IN CALIFORNIA.
Activities or mission (Part I)
TO SUPPORT A WIDE RANGE OF HEALTH CARE ISSUES IN CALIFORNIA.
-
NO PROGRAM ACTIVITIES WERE CONDUCTED DURING 2022.
As filed on the 2022 return.
Listed in Part VII
-
Bryan J BucklewBRYAN J BUCKLEW
PRESIDENT/CEO
- Total calculated
- $735,061
- From this org
- $0
- From related orgs
- $681,458
- Other
- $53,603
- Hours/week
- 0.5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $529,904 related
- Bonus
- $0 + $134,950 related
- Other
- $0 + $16,604 related
- Deferred
- $0 + $21,350 related
- Nontaxable benefits
- $0 + $32,253 related
- Filer's total
- $0 + $735,061 related
-
Mary Jo Jacobson PtMARY JO JACOBSON PT
CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Siri NelsonSIRI NELSON
SEC/TREAS (THRU 03/22), CHAIR-ELECT
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
John McCormickJOHN MCCORMICK
SECRETARY/TREASURER (AS OF 03/22)
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Brian AlexanderBRIAN ALEXANDER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Irene ChavezIRENE CHAVEZ
EXECUTIVE COMMITTE MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Carmela CoyleCARMELA COYLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Ron GroepperRON GROEPPER
DIRECTOR (THRU 01/22)
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Mitchell J HannaMITCHELL J HANNA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Kimberly HartzKIMBERLY HARTZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Donna J Hefner RN Bsn Mshs CphrmDONNA J HEFNER RN BSN MSHS CPHRM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Chad R Hickerson MaodCHAD R HICKERSON MAOD
DIRECTOR (THRU 07/22)
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Judson HoweJUDSON HOWE
DIRECTOR (AS OF 03/22)
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Ken KellerKEN KELLER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Paul KingPAUL KING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
David G Klein MDDAVID G KLEIN MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Ann LucenaANN LUCENA
DIRECTOR (THRU 11/22)
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Roberta Luskin-Hawk MDROBERTA LUSKIN-HAWK MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Steven J Packer MDSTEVEN J PACKER MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Gino Patrizio JD MhaGINO PATRIZIO JD MHA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Matt ReesMATT REES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Tomi RybaTOMI RYBA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Rick ShumwayRICK SHUMWAY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Bradley SimmonsBRADLEY SIMMONS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
G Todd SmithG TODD SMITH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Steven StarkSTEVEN STARK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Janet Wagner RNJANET WAGNER RN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Donald J WileyDONALD J WILEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Daniel WolcottDANIEL WOLCOTT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
Jennifer NewmanJENNIFER NEWMAN
CFO
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- BRYAN J. BUCKLEW AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. PLEASE SEE THE FORM 990 FOR RELATED ORGANIZATION, HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA (HCNCC).
- PART II:
- THE FOUNDATION'S OFFICER WAS PAID WAGE COMPENSATION BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) FOR SERVICES PROVIDED TO HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA (HCNCC). SEE COMPENSATION AMOUNTS ON SCHEDULE J, PART II. THE COMPENSATION PAID BY CAHHS WAS REIMBURSED BY HCNCC UNDER A LEASED EMPLOYEE ARRANGEMENT. THE FOUNDATION DID NOT REIMBURSE CAHHS FOR ANY COMPENSATION REPORTED.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA
501(C)(6) · MEMBERSHIP SERVICES TO NORTHERN AND CENTRAL CALIFORNIA HOSPITALS · CA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HEALTHPLUS SHARED SERVICES INC
C · PROVIDING BUSINESS SERVICES FOR HOSPITALS · CA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333179349311373
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.