Civic Intelligence

Simi Valley Hospital Foundation

990 • Fiscal year 2019 • EIN 91-2135595

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 13, 2020

2975 N Sycamore DrSimi Valley, CA 93065

(805) 955-6670

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

20th percentile

0.00x

Higher debt load relative to assets than 20% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

24th percentile

0.01x

Higher debt load relative to revenue than 24% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

74th percentile

17%

Higher net margin than 74% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

100th percentile

$1,618,837

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 611.2% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

44th percentile

1.3%

Faster asset growth than 44% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

33rd percentile

-2.5%

Faster revenue growth than 33% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Up

$1,571,512

Up $20,320 (+1.3%) from 2018

Net Assets

Up

$1,568,686

Up $48,267 (+3.2%) from 2018

Liabilities

Down

$2,826

Down $27,947 (-91%) from 2018

Revenue

Down

$264,883

Down $6,907 (-2.5%) from 2018

Expenses

Up

$220,844

Up $11,271 (+5.4%) from 2018

Net Income

Down

$44,039

Down $18,178 (-29%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0Assets 2010: $2,229,936Liabilities 2010: $108Net Assets 2010: $2,229,8282010Assets 2011: $2,528,852Liabilities 2011: $896Net Assets 2011: $2,527,9562011Assets 2012: $2,825,371Liabilities 2012: $46Net Assets 2012: $2,825,3252012Assets 2013: $3,150,765Liabilities 2013: $349Net Assets 2013: $3,150,4162013Assets 2014: $3,560,099Liabilities 2014: $1,161Net Assets 2014: $3,558,9382014Assets 2015: $4,021,244Liabilities 2015: $52,519Net Assets 2015: $3,968,7252015Assets 2016: $2,449,695Liabilities 2016: $26,161Net Assets 2016: $2,423,5342016Assets 2017: $1,497,716Liabilities 2017: $28,792Net Assets 2017: $1,468,9242017Assets 2018: $1,551,192Liabilities 2018: $30,773Net Assets 2018: $1,520,4192018Assets 2019: $1,571,512Liabilities 2019: $2,826Net Assets 2019: $1,568,6862019Assets 2020: $1,668,031Liabilities 2020: $0Net Assets 2020: $1,668,0312020Assets 2021: $840,996Liabilities 2021: $0Net Assets 2021: $840,9962021Assets 2022: $865,916Liabilities 2022: $27,995Net Assets 2022: $837,9212022Assets 2023: $985,148Liabilities 2023: $2,000Net Assets 2023: $983,1482023Assets 2024: $1,226,509Liabilities 2024: $56,000Net Assets 2024: $1,170,5092024

Highlighted filing

2019

Assets$1,571,512
Liabilities$2,826
Net Assets$1,568,686

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MExpenses 2010: $669,3762010Revenue 2011: $381,672Expenses 2011: $83,544Net Income 2011: $298,1282011Expenses 2012: $42,5942012Revenue 2013: $393,867Expenses 2013: $68,776Net Income 2013: $325,0912013Revenue 2014: $484,387Expenses 2014: $75,865Net Income 2014: $408,5222014Revenue 2015: $507,333Expenses 2015: $97,546Net Income 2015: $409,7872015Revenue 2016: $528,165Expenses 2016: $2,073,356Net Income 2016: -$1,545,1912016Revenue 2017: $437,009Expenses 2017: $1,405,290Net Income 2017: -$968,2812017Revenue 2018: $271,790Expenses 2018: $209,573Net Income 2018: $62,2172018Revenue 2019: $264,883Expenses 2019: $220,844Net Income 2019: $44,0392019Revenue 2020: $287,125Expenses 2020: $187,780Net Income 2020: $99,3452020Revenue 2021: $113,075Expenses 2021: $942,110Net Income 2021: -$829,0352021Revenue 2022: $201,319Expenses 2022: $199,394Net Income 2022: $1,9252022Revenue 2023: $218,133Expenses 2023: $89,891Net Income 2023: $128,2422023Revenue 2024: $268,454Expenses 2024: $81,093Net Income 2024: $187,3612024

Highlighted filing

2019

Revenue$264,883
Expenses$220,844
Net Income$44,039
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.0
Gross Receipts
$264,883
Mission and Program Overview

Mission

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.

To build community relationships that encourage financial support for Simi Valley Hospital and fund hospital projects for identified community health needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$851,812$754,934▼ $96,878
Pledges and Grants Receivable$87,848$68,654▼ $19,194
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$1,551,192$1,571,512▲ $20,320
Other Assets Total$611,532$747,924▲ $136,392
Liabilities
Accounts Payable and Accrued Expenses$25,000--
Other Liabilities$5,773$2,826▼ $2,947
Total Liabilities$30,773$2,826▼ $27,947
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$923,658$943,270▲ $19,612
Net Assets With Donor Restrictions$596,761$625,416▲ $28,655
Total Net Assets Fund Balance$1,520,419$1,568,686▲ $48,267
Total Liabilities and Net Assets / Fund Balance$1,551,192$1,571,512▲ $20,320

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$626,968--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$885,417$230,973-$490,974$625,416
2018$538,886$461,290▼ $6,401$99,154$885,417
2017$1,578,626$326,090-$1,365,830$538,886
2016$3,231,342$382,763-$2,035,479$1,578,626
2015$2,937,845$373,637-$80,140$3,231,342
Compensation and Service Providers

Board Members and Trustees

NameTitle
Park JohnChair
Ragsdale GeovannyPresident
Dinigilian JohnBoard Member
Erdman JoyceBoard Member
Foster MichelleBoard Member
Gaines GeriBoard Member
Gandal AlexBoard Member
Garg AnilBoard Member
Isbell JaniceBoard Member
Kissinger NancyBoard Member
Kurohara Jonathan MDBoard Member
Little EricBoard Member
Luckey Andrew MDBoard Member
Malan JohnBoard Member
Perez BernardoBoard Member
Pollock DavidBoard Member
Reynolds BarbaraBoard Member
Sebree RobertBoard Member
Skidmore RodBoard Member
Swenson JenniferBoard Member
Tang Henry DOBoard Member
Wing BillBoard Member
Witeby CurtBoard Member
Yu AlfredBoard Member
Anderson BrianFormer Treas
Roark JaimeeSecretary
Owens FrancisTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$229,945
Program Service Revenue
$0
Investment Income
$34,938
Other Revenue
$0
All Other Contributions
$209,945
Change in Net Assets
$44,039
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$137,678
Other Expenses$83,166
Total Fundraising Expense$73,986
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$119,678--$119,678
Grants to Domestic Individuals$18,000--$18,000
Office Expenses-$597$12,793$13,390
Information Technology--$13,141$13,141
Advertising-$2,500$10,242$12,742
Occupancy--$8,945$8,945
Fees for Services Management--$7,375$7,375
Fees for Services Accounting--$7,300$7,300
Travel--$7,141$7,141
Other Expenses-$6,083$5,297$5,297
Fees for Services Other--$115$115
Conferences and Meetings--$65$65
Total Functional Expenses$137,678$9,180$73,986$220,844
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Simi Valley Hosp & Hlth CareSimi Valley, CA501(c)(3)Capital improvement projects$119,678
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payable to related third party$2,826
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

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, Line 7A: How Members or Shareholders Elect Governing Body

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, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

The sole corporate member, Western Health Resources, must approve all changes to the articles of incorporation and bylaws.

Form 990, Part VI, Line 11B: Form 990 Review Process

This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate 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 remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The statements are reviewed by the internal audit staff as part of the annual financial statement audit. For potential conflicts, the CEO or a designee will determine and present all relevant facts to the governing body prior to the decision. After addressing any questions asked by the governing body, the responsible person must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

The Foundation does not make its governing documents, conflict of interest policy, or financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
Simi Valley Hospital Foundation
EIN
91-2135595
Phone
8059556670
Address
2975 N Sycamore Dr, Simi Valley, CA 93065

Signing Officer

Name
Francis Owens
Title
Treasurer
Signed
2020-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ragsdale Geovanny
Formed
2001
Legal Domicile
CA
Voting Board Members
24
Independent Board Members
20
Employees
0
Volunteers
45

Preparer

Firm
The Accountancy Llp
Address
500 N Brand Blvd Fl 20, Glendale, CA 91203
Preparer
S Clement
Phone
8185475701
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Increases

Net Assets Released From Restrictions = $4228

Form 990, Page 1, Item J - Website

https://www.adventisthealth.org/simi-valley/about-us/ahsv-foundation/about-the-foundation

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IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt23Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt24Board Member
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.23$0.06$1.17$0.27$0.08$0.19
2023Detailed filing. Detailed filing data is available for this year.$0.99$0.00$0.98$0.22$0.09$0.13
2022Detailed filing. Detailed filing data is available for this year.$0.87$0.03$0.84$0.20$0.20$0.00
2021Detailed filing. Detailed filing data is available for this year.$0.84$0.00$0.84$0.11$0.94$0.83
2020Detailed filing. Detailed filing data is available for this year.$1.67$0.00$1.67$0.29$0.19$0.10
2019Detailed filing. Detailed filing data is available for this year.$1.57$0.00$1.57$0.26$0.22$0.04
2018Detailed filing. Detailed filing data is available for this year.$1.55$0.03$1.52$0.27$0.21$0.06
2017Detailed filing. Detailed filing data is available for this year.$1.50$0.03$1.47$0.44$1.41$0.97
2016Detailed filing. Detailed filing data is available for this year.$2.45$0.03$2.42$0.53$2.07$1.55
2015Summary only. Only limited summary data is available for this year.$4.02$0.05$3.97$0.51$0.10$0.41
2014Detailed filing. Detailed filing data is available for this year.$3.56$0.00$3.56$0.48$0.08$0.41
2013Detailed filing. Detailed filing data is available for this year.$3.15$0.00$3.15$0.39$0.07$0.33
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.83$0.00$2.83$0.04
2011Summary only. Only limited summary data is available for this year.$2.53$0.00$2.53$0.38$0.08$0.30
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.23$0.00$2.23$0.67