Skip to content
Nonprofiteer
← ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION

Form 990 for tax year 2024

Filed by ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION.

Totals

Total revenue
$1,591,992
Total expenses
$846,899
Contributions and grants received
$1,537,426
Grants paid
$220,728
Program service revenue
$0
Investment income
$81,755
Other revenue
-$27,189
Total assets, end of year
$2,589,650
Total liabilities, end of year
$126,498
Net assets or fund balances, end of year
$2,463,152
Program services expenses (Part IX)
$220,728
Management and general expenses
$601,523
Fundraising expenses
$24,648
Program service expenses (Part III)
$220,728

Program services were 26.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • SUE ANDERSEN

    EX-OFFICIO BOARD MEMBER

    Total calculated
    $1,172,293
    From this org
    $0
    From related orgs
    $1,046,757
    Other
    $125,536
    Hours/week
    0.25 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $526,760 related
    Bonus
    $0 + $500,500 related
    Other
    $0 + $19,497 related
    Deferred
    $0 + $102,999 related
    Nontaxable benefits
    $0 + $22,537 related
    Filer's total
    $0 + $1,172,293 related

  • MATTHEW D RICHARDSON

    DIVISION VP/CFO

    Total calculated
    $545,267
    From this org
    $0
    From related orgs
    $477,823
    Other
    $67,444
    Hours/week
    0.25 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,300 related
    Bonus
    $0 + $128,347 related
    Other
    $0 + $1,176 related
    Deferred
    $0 + $38,154 related
    Nontaxable benefits
    $0 + $29,290 related
    Filer's total
    $0 + $545,267 related

  • ELI ZINNER MD

    EX-OFF BOARD MEMBER (THRU 12/31/24)

    Total calculated
    $544,137
    From this org
    $0
    From related orgs
    $511,079
    Other
    $33,058
    Hours/week
    0.25 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $435,906 related
    Bonus
    $0 + $72,666 related
    Other
    $0 + $2,507 related
    Deferred
    $0 + $10,350 related
    Nontaxable benefits
    $0 + $22,708 related
    Filer's total
    $0 + $544,137 related

  • DANIELE FELDMAN MD

    EX-OFF BOARD MEMBER (EFF 1/1/25)

    Total calculated
    $543,863
    From this org
    $0
    From related orgs
    $499,907
    Other
    $43,956
    Hours/week
    0.25 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $449,295 related
    Bonus
    $0 + $50,144 related
    Other
    $0 + $468 related
    Deferred
    $0 + $10,350 related
    Nontaxable benefits
    $0 + $33,606 related
    Filer's total
    $0 + $543,863 related

  • KENNETH DALEBOUT

    EX-OFF BOARD MEMBER /FOUNDATION PRES

    Total calculated
    $401,706
    From this org
    $0
    From related orgs
    $330,781
    Other
    $70,925
    Hours/week
    8 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,142 related
    Bonus
    $0 + $61,808 related
    Other
    $0 + $2,831 related
    Deferred
    $0 + $40,741 related
    Nontaxable benefits
    $0 + $30,184 related
    Filer's total
    $0 + $401,706 related

  • MONTISA PHELAN LOPEZ

    VICE PRESIDENT PHILANTHROPY

    Total calculated
    $173,252
    From this org
    $0
    From related orgs
    $122,406
    Other
    $50,846
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $109,508 related
    Bonus
    $0 + $12,387 related
    Other
    $0 + $511 related
    Deferred
    $0 + $16,902 related
    Nontaxable benefits
    $0 + $33,944 related
    Filer's total
    $0 + $173,252 related

  • DENNIS DELZEIT

    TREASURER

    Total calculated
    $0
    Hours/week
    0.25

  • SANDRA LEE DEWAR

    IMMEDIATE PAST CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • DENISE EL-EFFENDI

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.25

  • ROB RAILSBACK

    CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • KEVIN WILKINSON

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • RYAN CAMERON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • ANDREA CHAVEZ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • MELISSA A FACE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • KATHY FISSORI JOHNSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • CINDY GRESSER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • JAMIE HARDISTY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • TIMOTHY JENSEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • TRACY COLE LABASTIDA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • MICHAEL MARTINEZ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • MICHAEL MORRISON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • AMANDA OLSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • KATHY ROINESTAD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • TRACY ROYAL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • ANTHONY SALAS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • STEPHANIE VENTURA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

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 3
THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES ("BOARD"); (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR PEOPLE AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. PART I, LINE 4A: CERTAIN LISTED PERSONS PARTICIPATE IN A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. NO PAYMENTS OCCURRED DURING 2024 PURSUANT TO THE PLAN ARRANGEMENTS.
PART I, LINE 4B
CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS OCCURRED DURING 2024 PURSUANT TO THE PLAN ARRANGEMENTS. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
SCHEDULE J, PART III - SUPPLEMENTAL DISCLOSURES
THE ORGANIZATION DOES NOT EMPLOY ANY PERSONNEL; HOWEVER, DIGNITY HEALTH FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024.

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

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.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
7 May 2026
IRS schema version
2024v5.5
Source object
202611279349301841

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.