Civic Intelligence

Dameron Hospital Foundation

990EZ • Fiscal year 2019 • EIN 94-2811364

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 12, 2020

525 West Acacia StreetStockton, CA 95203

(209) 944-5550

Siviq Scores

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

Liabilities / Assets

85th percentile

0.24x

Higher debt load relative to assets than 85% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

94th percentile

0.62x

Higher debt load relative to revenue than 94% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Net Margin

8th percentile

-51%

Higher net margin than 8% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

12th percentile

-39%

Faster asset growth than 12% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

78th percentile

29%

Faster revenue growth than 78% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Assets

Down

$224,985

Down $142,196 (-39%) from 2018

Net Assets

Down

$171,864

Down $29,456 (-15%) from 2018

Liabilities

Down

$53,121

Down $112,740 (-68%) from 2018

Revenue

Up

$85,129

Up $18,929 (+29%) from 2018

Expenses

Up

$128,954

Up $56,218 (+77%) from 2018

Net Income

Down

-$43,825

Down $37,289 (-571%) from 2018

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2010: $1,160,075Liabilities 2010: $10,075Net Assets 2010: $1,150,0002010Assets 2011: $987,965Liabilities 2011: $0Net Assets 2011: $987,9652011Assets 2012: $935,257Liabilities 2012: $6,821Net Assets 2012: $928,4362012Assets 2013: $1,083,358Liabilities 2013: $29,396Net Assets 2013: $1,053,9622013Assets 2014: $1,074,662Liabilities 2014: $29,602Net Assets 2014: $1,045,0602014Assets 2015: $613,328Liabilities 2015: $29,602Net Assets 2015: $583,7262015Assets 2016: $256,411Liabilities 2016: $29,602Net Assets 2016: $226,8092016Assets 2017: $318,295Liabilities 2017: $110,439Net Assets 2017: $207,8562017Assets 2018: $367,181Liabilities 2018: $165,861Net Assets 2018: $201,3202018Assets 2019: $224,985Liabilities 2019: $53,121Net Assets 2019: $171,8642019Assets 2020: $225,521Liabilities 2020: $53,121Net Assets 2020: $172,4002020Assets 2021: $258,752Liabilities 2021: $55,646Net Assets 2021: $203,1062021

Highlighted filing

2019

Assets$224,985
Liabilities$53,121
Net Assets$171,864

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2010: $217,000Expenses 2010: $125,475Net Income 2010: $91,5252010Revenue 2011: $162,750Expenses 2011: $230,550Net Income 2011: -$67,8002011Expenses 2012: $205,8262012Revenue 2013: $205,713Expenses 2013: $194,560Net Income 2013: $11,1532013Revenue 2014: $226,925Expenses 2014: $190,053Net Income 2014: $36,8722014Revenue 2015: $186,278Expenses 2015: $533,271Net Income 2015: -$346,9932015Revenue 2016: $110,607Expenses 2016: $467,524Net Income 2016: -$356,9172016Revenue 2017: $71,299Expenses 2017: $90,252Net Income 2017: -$18,9532017Revenue 2018: $66,200Expenses 2018: $72,736Net Income 2018: -$6,5362018Revenue 2019: $85,129Expenses 2019: $128,954Net Income 2019: -$43,8252019Revenue 2020: $0Expenses 2020: $1,065Net Income 2020: -$1,0652020Revenue 2021: $31,050Expenses 2021: $344Net Income 2021: $30,7062021

Highlighted filing

2019

Revenue$85,129
Expenses$128,954
Net Income-$43,825
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 12, 2020
Return Version
2019v5.1
Gross Receipts
$130,767
Mission and Program Overview

Mission

The mission of the Dameron Hospital Foundation is to provide the funds necessary for updating medical equipment and facilities at Dameron Hospital and to support the hospital in its endeavor to promote a healthier community.

To provide funds to dameron hospital for updating its facilities and for general support.

Program Services

DescriptionGrantsExpenses
SUPPORT OF COMMUNITY ORGANIZATIONS AND DAMERON HOSPITAL.$54,250$88,724
SCHOLARSHIP: "A COMMITMENT TO PROVIDING SCHOLARSHIPS TO EMPLOYEES PURSUING CAREERS IN NURSING AND ALLIED HEALTHCARE PROFESSIONS."INVESTING IN OUR FUTURE THROUGH SCHOLARSHIPS. THE DAMERON HOSPITAL FOUNDATION AND DAMERON EMPLOYEES THROUGH PAYROLL DEDUCTIONS SUPPORT THE SCHOLARSHIP FUND. SCHOLARSHIPS ARE OFFERED TO NURSES AND ALLIED HEALTH CARE PROFESSIONALS.$500$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JEFFREY HEISERChairman-$0--
LYNNE DAVISSecretary-$0--
JASON HARRELTreasurer-$0--
DENNIS SHOREPast Chairman-$0--
LORRAINE AUERBACHTrustee-$0--
KAREN EAGALTrustee-$0--
BLAKE EAGALTrustee-$0--
GEORGETTE HUNEFELDTrustee-$0--
CHRIS KOTSOGLOU KAYTrustee-$0--
FRANK PORTALETrustee-$0--
RICHARD PAULSENTrustee-$0--
ALISON JAQUESExecutive Committee-$0--
Fundraising, Events, and Gaming

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf/tennis Classic$84,875$29,275$10,155$19,120
Crab Feed$32,013$15,023$600$14,423
Total Events$116,888$44,298$45,638$-1,340
Filing and Contact Details

Filer

Filer Name
Dameron Hospital Foundation
EIN
94-2811364
Phone
2099445550
Address
525 WEST ACACIA STREET, STOCKTON, CA 95203

Signing Officer

Name
Daniel Wolcott
Title
President
Phone
2099445550
Signed
2020-11-12
Discuss with paid preparer
Yes

Preparer

Firm
Moss Adams Llp
Address
3121 W MARCH LN STE 200, STOCKTON, CA 95219-2367
Preparer
Tracy S Paglia
Phone
2099556100
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 8 - Other Revenue

Description: miscellaeous income. Amount: 630.

Form 990-ez, Part I, Line 10 - Payments to Affiliates

Affiliate name: dameron hospital association. Affiliate address: 525 west acacia street stockton, ca 95203. Purpose of payment: general support. Amount of payment: 52,500.

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

Activity classification: . Grantee name: goodwill industries. Date of gift: 12/31/19. Amount given: 750.

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

Activity classification: . Grantee name: american cancer society. Date of gift: 12/31/19. Amount given: 1,000. Total included on form 990-ez, line 10: 1,750.

Form 990-ez, Part I, Line 16 - Other Expenses

Description: conferences, conventions, and meetings. Amount: 112. Description: insurance. Amount: 2,069. Description: interest. Amount: 67. Description: office expenses. Amount: 4,008. Description: other salaries and wages. Amount: 54,136. Description: payroll taxes. Amount: 4,218. Total to form 990-ez, line 16: 64,610.

Form 990-ez, Part I, Line 20 - Other Changes in Net Assets

Description: prior period adjustment. Amount: 14,369.

Form 990-ez, Part II, Line 24 - Other Assets

Description: cash surrender value life insurance. Beg. Of year amount: 156,336. End of year amount: 160,896.

Form 990-ez, Part II, Line 26 - Other Liabilities

Description: accounts payable. Beg. Of year amount: 30,613. End of year amount: 29,712. Description: deferred revenue. Beg. Of year amount: 9,020. End of year amount: 0. Description: due to dameron hospital. Beg. Of year amount: 126,228. End of year amount: 23,409.

Raw XML Appendix256 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BenefitsPaidToOrForMembersAmt01874
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0WILLIAM WIEDEMANN
IRS990EZ/BooksInCareOfDetail/PhoneNum02092427006
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0525 WEST ACACIA ST
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0STOCKTON
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd095203
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0210845
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt064089
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/ContributionsGiftsGrantsEtcAmt085839
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-43825
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0367181
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0224985
IRS990EZ/FundraisingGrossIncomeAmt044298
IRS990EZ/GrantsAndSimilarAmountsPaidAmt054750
IRS990EZ/GrossReceiptsAmt0130767
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartIVInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0201320
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0171864
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0201320
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0171864
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt91.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt101.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt111.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0JEFFREY HEISER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1LYNNE DAVIS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2JASON HARREL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3DENNIS SHORE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4LORRAINE AUERBACH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5KAREN EAGAL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6BLAKE EAGAL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7GEORGETTE HUNEFELD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8CHRIS KOTSOGLOU KAY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9FRANK PORTALE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10RICHARD PAULSEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11ALISON JAQUES
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0CHAIRMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3PAST CHAIRMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11EXECUTIVE COMMITTEE
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherAssetsTotalDetail/BOYAmt0156336
IRS990EZ/OtherAssetsTotalDetail/EOYAmt0160896
IRS990EZ/OtherChangesInNetAssetsAmt014369
IRS990EZ/OtherExpensesTotalAmt064610
IRS990EZ/OtherRevenueTotalAmt0630
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0TO PROVIDE FUNDS TO DAMERON HOSPITAL FOR UPDATING ITS FACILITIES AND FOR GENERAL SUPPORT.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0SUPPORT OF COMMUNITY ORGANIZATIONS AND DAMERON HOSPITAL.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1SCHOLARSHIP: "A COMMITMENT TO PROVIDING SCHOLARSHIPS TO EMPLOYEES PURSUING CAREERS IN NURSING AND ALLIED HEALTHCARE PROFESSIONS."INVESTING IN OUR FUTURE THROUGH SCHOLARSHIPS. THE DAMERON HOSPITAL FOUNDATION AND DAMERON EMPLOYEES THROUGH PAYROLL DEDUCTIONS SUPPORT THE SCHOLARSHIP FUND. SCHOLARSHIPS ARE OFFERED TO NURSES AND ALLIED HEALTH CARE PROFESSIONALS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt054250
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt1500
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt088724
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt10
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/SalariesOtherCompEmplBnftAmt07720
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SpecialEventsDirectExpensesAmt045638
IRS990EZ/SpecialEventsNetIncomeLossAmt0-1340
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0CA
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt0165861
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt053121
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt0128954
IRS990EZ/TotalProgramServiceExpensesAmt088724
IRS990EZ/TotalRevenueAmt085129
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.DAMERONHOSPITAL.ORG/FOUNDATION/
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER INCOME - 2018 AMOUNT: $ 630. 2019 AMOUNT: $ 3,745.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt085839
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt037375
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt063652
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt090193
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt055872
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0332931
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt01094
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt013383
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt014477
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0420540
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt03745
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt0630
IRS990ScheduleA/OtherIncome170Grp/TotalAmt04375
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.94640
IRS990ScheduleA/PublicSupportPY170Pct00.90460
IRS990ScheduleA/PublicSupportTotal170Amt0332931
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt085839
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt037375
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt063652
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt090193
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt055872
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0332931
IRS990ScheduleA/TotalSupportAmt0351783
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt072590
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt055600
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt016990
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt045638
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt0450
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt0450
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF/TENNIS CLASSIC
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0CRAB FEED
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt0797
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt0797
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt084875
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt032013
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0116888
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt029275
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt015023
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt044298
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-1340
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt05948
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt07613
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt013561
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt010755
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt010155
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt0600
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt017162
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt02913
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt020075
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: MISCELLAEOUS INCOME. AMOUNT: 630.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AFFILIATE NAME: DAMERON HOSPITAL ASSOCIATION. AFFILIATE ADDRESS: 525 WEST ACACIA STREET STOCKTON, CA 95203. PURPOSE OF PAYMENT: GENERAL SUPPORT. AMOUNT OF PAYMENT: 52,500.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ACTIVITY CLASSIFICATION: . GRANTEE NAME: GOODWILL INDUSTRIES. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 750.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ACTIVITY CLASSIFICATION: . GRANTEE NAME: AMERICAN CANCER SOCIETY. DATE OF GIFT: 12/31/19. AMOUNT GIVEN: 1,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 1,750.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DESCRIPTION: CONFERENCES, CONVENTIONS, AND MEETINGS. AMOUNT: 112. DESCRIPTION: INSURANCE. AMOUNT: 2,069. DESCRIPTION: INTEREST. AMOUNT: 67. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 4,008. DESCRIPTION: OTHER SALARIES AND WAGES. AMOUNT: 54,136. DESCRIPTION: PAYROLL TAXES. AMOUNT: 4,218. TOTAL TO FORM 990-EZ, LINE 16: 64,610.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DESCRIPTION: PRIOR PERIOD ADJUSTMENT. AMOUNT: 14,369.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DESCRIPTION: CASH SURRENDER VALUE LIFE INSURANCE. BEG. OF YEAR AMOUNT: 156,336. END OF YEAR AMOUNT: 160,896.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 30,613. END OF YEAR AMOUNT: 29,712. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 9,020. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO DAMERON HOSPITAL. BEG. OF YEAR AMOUNT: 126,228. END OF YEAR AMOUNT: 23,409.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02021-04-22 16:20:28Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DANIEL WOLCOTT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02099445550
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DAMERON HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0DAME
ReturnHeader/Filer/EIN0942811364
ReturnHeader/Filer/PhoneNum02099445550
ReturnHeader/Filer/USAddress/AddressLine1Txt0525 WEST ACACIA STREET
ReturnHeader/Filer/USAddress/CityNm0STOCKTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095203
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId056150EFB865ED35A48CE31663ECEA9011B635044
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt073.70.248.217
ReturnHeader/FilingSecurityInformation/IPDt02020-11-12
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PS
ReturnHeader/FilingSecurityInformation/IPTm018:00:31
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0910189318
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MOSS ADAMS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03121 W MARCH LN STE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0STOCKTON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0952192367
ReturnHeader/PreparerPersonGrp/PhoneNum02099556100
ReturnHeader/PreparerPersonGrp/PreparationDt02020-11-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TRACY S PAGLIA
ReturnHeader/ReturnTs02020-11-16T17:20:06-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings