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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
San Joaquin Community Hospital
dba Adventist Health Bakersfield
Employer identification number
95-2294234
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) American Cancer Society Inc
1165 East Ave Ste 100
Chico,CA95926 		13-1788491   10,000 0 Funds Transfer   Miscellaneous Donation
(2) American Heart Assn
4380 SW Macadam Ave Ste 480
Portland,OR97239 		13-5613797   50,000 0 Funds Transfer   Miscellaneous Donation
(3) Bakersfield Homeless Center
5401 Business Park S Ste 122
Bakersfield,CA93309 		95-2858936   17,000 0 Funds Transfer   Miscellaneous Donation
(4) Bakersfield Kern Regional Hom
1900 E Brundage Ln
Bakersfield,CA93307 		61-1948977   20,000 0 Funds Transfer   Miscellaneous Donation
(5) Bakersfield Symphony Orchestr
1328 34th St Ste A
Bakersfield,CA93301 		95-6001765   15,000 0 Funds Transfer   Miscellaneous Donation
(6) CA Hlth Fund & Trust
1215 K St Ste 800
Sacramento,CA95814 		94-1498697 501(c)(3) 75,742 0 Funds Transfer   Uninsured/Underinsured Patients
(7) City Serve Network
7001 Auburn St
Bakersfield,CA93306 		82-4490879   30,000 0 Funds Transfer   Miscellaneous Donation
(8) Comm of Excellence 2026 Inc
250 W Old Wilson Bridge Rd
Worthington,OH43085 		46-3384692   25,000 0 Funds Transfer   Miscellaneous Donation
(9) Csub Foundation
9001 Stockdale Hwy MS 20 BDC
Bakersfield,CA93311 		95-2643086   10,000 0 Funds Transfer   Miscellaneous Donation
(10) Greater Bakersfield Chamber
1725 Eye Street
Bakersfield,CA93303 		95-0521125   15,353 0 Funds Transfer   Miscellaneous Donation
(11) Grimm Family Education Fdtn
11001 River Run Blvd Ste 101
Bakersfield,CA93311 		27-3194151   39,637 0 Funds Transfer   Miscellaneous Donation
(12) Kern County Cancer Fdtn
6401 Truxtun Ave Ste 280
Bakersfield,CA93301 		85-3730553   7,500 0 Funds Transfer   Miscellaneous Donation
(13) Kern County Cancer Fdtn
6401 Truxtun Ave Ste 280
Bakersfield,CA93309 		85-3730553   22,600 0 Funds Transfer   Miscellaneous Donation
(14) Kern County Hispanic Chamber
1601 H Street Ste 201A 2nd Fl
Bakersfield,CA93301 		68-0182048   9,000 0 Funds Transfer   Miscellaneous Donation
(15) Kern Economic Developmt Corp
2700 M Street Suite 200
Bakersfield,CA93301 		77-0151886   10,000 0 Funds Transfer   Miscellaneous Donation
(16) The Leukemia and Lymphoma Soc
1800 20th St 4th Fl
Bakersfield,CA93301 		13-5644916   20,000 0 Funds Transfer   Miscellaneous Donation
(17) United Way
1150 S Olive St Ste T500
Los Angeles,CA90015 		95-2274560   10,000 0 Funds Transfer   Miscellaneous Donation
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
12
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Additional Supplemental Information Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required.
Schedule I (Form 990) 2020



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