WASHINGTON STATE MEDICAL ASSOCIATION FOUNDATION FOR HEALTH: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WASHINGTON STATE MEDICAL ASSOCIATION FOUNDATION FOR HEALTH (EIN 91-6074463)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-07-01
- IRS object ID
- 202421839349301552
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-07-01T17:15:49-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1400 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 916074463 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON STATE MEDICAL ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION FOR HEALTH CARE IMPROVEMENT | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WASH | BusinessNameControlTxt |
| Phone | 2064419762 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 FOURTH AVE 1901 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98161 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER HANSCOM | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2064419762 | PhoneNum |
| Signature | 2024-07-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | HANSCOM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 990009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MEGAN R RYAN | PreparerPersonNm |
| PTIN | P00737884 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2024-07-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | BRIAN SEPPI MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 FOURTH AVE 1901 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98161 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,064,770 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WSMA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO CREATE TRANSFORMATIONAL HEALTH CARE CHANGE AT ALL LEVELS - INDIVIDUAL, ORGANIZATIONAL, ANDSTATEWIDE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $821,572 | PYContributionsGrantsAmt |
| CY Contributions Grants | $176,224 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,255 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$10,652 | PYInvestmentIncomeAmt |
| CY Investment Income | $51,426 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $810,920 | PYTotalRevenueAmt |
| CY Total Revenue | $231,905 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,290 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $573,890 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $3,863 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $125,065 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $125,065 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $608,545 | PYOtherExpensesAmt |
| CY Other Expenses | $89,687 | CYOtherExpensesAmt |
| PY Total Expenses | $616,698 | PYTotalExpensesAmt |
| CY Total Expenses | $788,642 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $194,222 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$556,737 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,227,253 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,806,178 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,433 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,957 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,191,820 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,793,221 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT WAS CREATED TO HELP PHYSICIANS UNDERSTAND AND ADAPT TO ON-GOING CHANGES IN HEALTH DELIVERY AND PAYMENT BY WORKING WITH MEDICAL GROUPS AND PHYSICIANS' PRACTICES TO: SUPPORT INFORMATION-BASED CARE, PROMOTE BEST PRACTICES, PROMOTE REDUCTIONS IN UNSUPPORTABLE VARIATIONS IN CARE, IMPROVE PATIENT SAFETY, AND EDUCATE PHYSICIANS ON HOW TO MEET THESE GOALS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $611,390 | ExpenseAmt |
| Grant | $573,890 | GrantAmt |
| Desc | HONORING CHOICES PACIFIC NORTHWEST (HCPNW) IS A PROJECT/PROGRAM THAT WAS DEVELOPED FROM THE JOINT COLLABORATION OF WASHINGTON STATE MEDICAL ASSOCIATION (WSMA) AND WASHINGTON STATE HOSPITAL ASSOCIATION (WSHA), THROUGH GRANTS AND DONATIONS FROM THIRD PARTIES. WSMA AND WSHA, THROUGH HCPNW, PARTNERED WITH WSMA FOUNDATION TO ALLOW THE FOUNDATION TO COLLECT TAX DEDUCTIBLE DONATIONS FOR HCPNW AND DISTRIBUTE THE MONEY FOR THE GOALS OF HCPNW. THE PROGRAM INCLUDES AN INFORMATIONAL WEBSITE, GENERAL EDUCATION MATERIALS, AND FOCUSED INSTRUCTION OF PERSONNEL IN HOSPITALS, HOSPITAL SYSTEMS, AND OTHER HEALTHCARE FACILITIES THROUGH THE USE OF CERTIFIED FACULTY. THE ULTIMATE GOAL OF HCPNW IS FOR EVERYONE IN THE PACIFIC NORTHWEST TO RECEIVE CARE THAT HONORS PERSONAL VALUES AND GOALS AT THE END OF LIFE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,690 | ExpenseAmt |
| Desc | THE WASHINGTON STATE MEDICAL FOUNDATION FOR HEALTH CARE IMPROVEMENT CREATES TRANSFORMATIONAL HEALTH CARE CHANGE AT ALL LEVELS INDIVIDUAL, ORGANIZATIONAL, AND STATEWIDE. WE BELIEVE IN A FUTURE WHERE PHYSICIANS ARE HEALTHY AND FULFILLED WHERE PHYSICIANS, THE HEALTH CARE TEAM, AND PATIENTS ARE PARTNERS AND WHERE ALL WASHINGTONIANS EXPERIENCE QUALITY CARE THAT ALIGNS WITH THEIR NEEDS, GOALS, AND VALUES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,619 | ExpenseAmt |
| Revenue | $4,255 | RevenueAmt |
| Desc | THE WASHINGTON SERIOUS ILLNESS CARE COALITION IS A BROAD-BASED CROSS-SECTION OF INDIVIDUALS AND ORGANIZATIONS ACROSS THE STATE INTERESTED IN IMPROVING CARE AT THE END OF LIFE. FORMED IN 1997 THEIR MISSION IS TO PROMOTE CARING CONVERSATIONS ABOUT LIVING AND DYING WELL WITHIN ALL COMMUNITIES THROUGH THEIR ANNUAL MEETING AND SUPPORT FOR STATE POLST PARADIGM PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $641,699 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY FREDERICKS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2064419762 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 FOURTH AVE SUITE 1901 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98161 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| SEPPI BRIAN MD | |||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HORWITCH CARRIE MD | |||||||
| VICE PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SINANAN MIKA MD | |||||||
| SECRETARY/TREASURER | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $10,647 | $0 |
| DOLL KEMI MD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAMS ESTELL MD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KIRKEGAARD SHEILA | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TALLMAN SHEELA | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SCHIEBEL STEVEN MD | |||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HANSCOM JENNIFER | |||||||
| CEO | 1.00 | 35.00 | Yes (X) | Yes (X) | $0 | $356,129 | $23,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $366,776 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $23,237 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLOBAL IMPACT | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 N FAIRFAX ST STE 300 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSULTING | ServicesDesc |
| Compensation | $124,618 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $58,000 | RelatedOrganizationsAmt |
| All Other Contributions | $118,224 | AllOtherContributionsAmt |
| Total Contributions | $176,224 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REGISTRATION FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,255 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,255 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,255 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,361 | TotalRevenueColumnAmt |
| Exclusion | $43,361 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,840,930 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,832,865 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,065 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,065 | TotalRevenueColumnAmt |
| Exclusion | $8,065 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $231,905 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,255 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $51,426 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,890 | TotalAmt |
| Program Services | $573,890 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,425 | TotalAmt |
| Program Services | $3,425 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,500 | TotalAmt |
| Management And General | $13,500 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,065 | TotalAmt |
| Fundraising | $125,065 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,193 | TotalAmt |
| Management And General | $6,193 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,015 | TotalAmt |
| Program Services | $50,015 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,418 | TotalAmt |
| Program Services | $1,418 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,318 | TotalAmt |
| Program Services | $133 | ProgramServicesAmt |
| Management And General | $2,185 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,194 | TotalAmt |
| Program Services | $12,194 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| NEWSLETTER | $368 | $368 |
| BOARD EXPENSES | $256 | $256 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,642 | TotalAmt |
| Program Services | $641,699 | ProgramServicesAmt |
| Management And General | $21,878 | ManagementAndGeneralAmt |
| Fundraising | $125,065 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,432 | BOYAmt |
| EOY | $129,969 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,328 | BOYAmt |
| EOY | $347,161 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,493 | BOYAmt |
| EOY | $1,329,048 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,227,253 | BOYAmt |
| EOY | $1,806,178 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,433 | BOYAmt |
| EOY | $12,957 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,433 | BOYAmt |
| EOY | $12,957 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,254 | BOYAmt |
| EOY | $796,562 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,503,566 | BOYAmt |
| EOY | $996,659 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,191,820 | BOYAmt |
| EOY | $1,793,221 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,227,253 | BOYAmt |
| EOY | $1,806,178 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$556,737 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $158,138 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $925,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731,928 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $359,786 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $821,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $176,224 | CurrentTaxYearAmt |
| Total | $3,014,762 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $925,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731,928 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $359,786 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $821,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $176,224 | CurrentTaxYearAmt |
| Total | $3,014,762 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $855,335 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,159,427 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,988 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,003 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,878 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,361 | CurrentTaxYearAmt |
| Total | $132,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,146,829 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $74,840 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.68620 | PublicSupportCY170Pct |
| Public Support PY170 | 0.74930 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $741,698 | BeginningYearBalanceAmt |
| Contributions | $158,938 | ContributionsAmt |
| Investment Earnings Or Losses | $97,058 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $62,118 | AdministrativeExpensesAmt |
| End Year Balance | $935,576 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $139,639 | BeginningYearBalanceAmt |
| Contributions | $627,097 | ContributionsAmt |
| Investment Earnings Or Losses | -$19,658 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,790 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $2,590 | AdministrativeExpensesAmt |
| End Year Balance | $741,698 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $126,748 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,352 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $1,461 | AdministrativeExpensesAmt |
| End Year Balance | $139,639 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,029 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,019 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $1,300 | AdministrativeExpensesAmt |
| End Year Balance | $126,748 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,880 | BeginningYearBalanceAmt |
| Contributions | $242 | ContributionsAmt |
| Investment Earnings Or Losses | $7,066 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,159 | AdministrativeExpensesAmt |
| End Year Balance | $115,029 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION HAS TWO ENDOWMENT FUNDS, THE PHYSICIAN ASSISTANT ENDOWED SCHOLARSHIP FUND AND THE FOUNDATION SCHOLARSHIP AND DIVERSITY ADVANCEMENT FUND. THE PHYSICIAN ASSISTANT ENDOWED SCHOLARSHIP FUND, ESTABLISHED DURING THE YEAR ENDED DECEMBER 31, 2018, PROVIDES NEED-BASED SCHOLARSHIP FOR STUDENTS WHO ARE PURSUING HIGHER EDUCATION AND TRAINING AS A CERTIFIED PHYSICIAN ASSISTANT. THE FOUNDATION SCHOLARSHIP AND DIVERSITY ADVANCEMENT FUND, ESTABLISHED DURING THE YEAR ENDED DECEMBER 31, 2022, PROVIDES SCHOLARSHIPS FOR UNDERREPRESENTED STUDENTS WITH A GOAL TO BUILD A MORE DIVERSE PHYSICIAN POPULATION IN WASHINGTON STATE. THE DONOR CONTRIBUTIONS ARE MAINTAINED IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE FOR THE DONOR'S INTENDED PURPOSE. ANNUAL DISTRIBUTIONS ARE IN ACCORDANCE WITH THE FOUNDATION'S DISTRIBUTION POLICY. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLOBAL IMPACT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 N FAIRFAX ST STE 300 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING STRATEGY | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $124,618 | RetainedByContractorAmt |
| Net To Organization | -$124,618 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $124,618 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$124,618 | TotalNetToOrganizationAmt |
| Licensed States | WA | LicensedStatesCd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON STATE HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 910584257 | RecipientEIN |
| IRC Section | 501(C)(6) | IRCSectionDesc |
| Cash Grant | $573,890 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | HONORING CHOICES PACIFIC NORTHWEST PROJECT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WASHINGTON STATE HOSPITAL ASSOCIATION (WSHA) WILL PROVIDE A REPORT SUMMARY OF HOW THE FUNDS WERE SPENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HANSCOM JENNIFER | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $336,166 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $12,963 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $7,000 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $9,900 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $13,337 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $379,366 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6: | VOLUNTEERS ARE NOMINATED BY THE WASHINGTON STATE MEDICAL ASSOCIATION AND APPROVED BY THE WASHINGTON STATE MEDICAL ASSOCIATION FOUNDATION FOR HEALTH CARE IMPROVEMENT MEMBERSHIP. VOLUNTEERS ARE CHARGED WITH HELPING PHYSICIANS UNDERSTAND AND ADAPT TO ON-GOING CHANGES IN HEALTH CARE DELIVERY AND REIMBURSEMENT BY WORKING WITH PHYSICIANS' PRACTICES AND OTHER ORGANIZATIONS. |
| FORM 990, PART III, LINE 3 | ON DECEMBER 31, 2023, THE FISCAL SPONSOR AGREEMENT BETWEEN THE FOUNDATION AND THE HONORING CHOICES PACIFIC NORTHWEST PROGRAM (HCPNW) FORMALLY ENDED. THE PROGRAM STARTED DURING THE YEAR ENDED DECEMBER 31, 2015, TO PROVIDE PHYSICIANS WITH RESOURCES AND TRAINING TO HAVE CONVERSATIONS ABOUT END-OF-LIFE CARE WITH PATIENTS, RECORDING PATIENT WISHES AND ULTIMATELY HONORING THOSE CHOICES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BYLAWS ALLOW FOR UP TO NINE BOARD MEMBERS. OF THESE, SIX ARE APPOINTED BY WASHINGTON STATE MEDICAL ASSOCIATION. ONE BOARD MEMBER IS APPOINTED BY WASHINGTON STATE MEDICAL GROUP MANAGEMENT ASSOCIATION AND ONE IS APPOINTED BY THE AMERICAN MEDICAL GROUP ASSOCIATION. ADDITIONALLY, ONE INDIVIDUAL WITH NO AFFILIATION WITH ANY OF THE THREE GROUPS IS APPOINTED BY THE OTHER BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 IS DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO FILING THE TAX RETURN WITH THE IRS. THE BOARD HAS DESIGNATED THAT THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE PERFORM THE DETAIL REVIEW OF THE TAX RETURN TO ENSURE AN ACCURATE TAX RETURN IS FILED. |
| FORM 990, PART VI, SECTION C, LINE 19 | WASHINGTON STATE MEDICAL ASSOCIATION FOUNDATION FOR HEALTH CARE IMPROVEMENT DOES NOT MAKE ITS GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. IT IS NOT REQUIRED TO DO SO BY LAW. IT DOES COMPLY WITH ALL PUBLIC DISCLOSURE REQUIREMENTS FOR ITS FEDERAL TAX FILINGS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WASHINGTON STATE MEDICAL POLITICAL ACTION COMMITTEE | |||||||||||
| 1215 FOURTH AVE SUITE 1901 | SEATTLE | WA | 98101 | 910864731 | POLITICAL | WA | 527 | N/A | WASHINGTON STATE MEDICAL ASSOCIATION | 0 | |
| THE PHYSICIANS FOUNDATION INC | |||||||||||
| 401 W 15TH STREET SUITE 100 | AUSTIN | TX | 78701 | 200914085 | HEALTH CARE QUALITY IMPROVEMENT | FL | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| WASHINGTON STATE MEDICAL ASSOCIATION | |||||||||||
| 1215 FOURTH AVE SUITE 1901 | SEATTLE | WA | 98101 | 910462170 | MEDICAL EDUCATION | WA | 501(C)(6) | N/A | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON STATE HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $573,890 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |
Comments