ISLAND HOSPITAL HEALTH FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ISLAND HOSPITAL HEALTH FOUNDATION (EIN 91-1030686)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202103199349302950
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T08:06:39-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911030686EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ISLAND HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlISLABusinessNameControlTxt
Phone3602994201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1Txt
CityANACORTESCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98221ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCONSTANCE MILLERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3602994201PhoneNum
Signature2021-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCONSTANCEPersonFirstNm
Person LastMILLERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2021-11-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES TANGAROPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1Txt
CityANACORTESCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98221ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,419,283GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ISLANDHOSPITALFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS TO SUPPORT ISLAND HOSPITAL AND ITS COMMITMENT TO COMMUNITY HEALTH.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,321,231PYContributionsGrantsAmt
CY Contributions Grants$2,244,825CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$78,960PYInvestmentIncomeAmt
CY Investment Income$96,615CYInvestmentIncomeAmt
PY Other Revenue$48,249PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,448,440PYTotalRevenueAmt
CY Total Revenue$2,341,440CYTotalRevenueAmt
PY Grants And Similar Paid$1,354,238PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,396,814CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$48,467PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,967CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$40,527CYTotalFundraisingExpenseAmt
PY Other Expenses$66,776PYOtherExpensesAmt
CY Other Expenses$121,412CYOtherExpensesAmt
PY Total Expenses$1,469,481PYTotalExpensesAmt
CY Total Expenses$1,541,193CYTotalExpensesAmt
PY Revenues Less Expenses-$21,041PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$800,247CYRevenuesLessExpensesAmt
Total Assets BOY$3,241,590TotalAssetsBOYAmt
Total Assets EOY$4,563,921TotalAssetsEOYAmt
Total Liabilities BOY$70,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$244,571TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,171,216NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,319,350NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE FOUNDATION IS TO RAISE FUNDS TO SUPPORT ISLAND HOSPITAL AND ITS COMMITMENT TO COMMUNITY HEALTH IN AND AROUND ANACORTES, WASHINGTONMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,434,118ExpenseAmt
Grant$1,396,814GrantAmt
DescSINCE 1962, ISLAND HOSPITAL HAS PROVIDED HIGH QUALITY, COMPASSIONATE AND PERSONALIZED HEALTH CARE TO OUR COMMUNITY. ISLAND HOSPITAL MAINTAINS A PROGRESSIVE STAND IN DELIVERING THE BEST HEALTH CARE EXPERIENCES FOR PATIENTS AND THEIR FAMILIES BY PLACING THEIR EMOTIONAL AND MEDICAL NEEDS FIRST AND FOREMOST. ISLAND HOSPITAL FOUNDATION SUPPORTS ISLAND HOSPITAL'S VITAL MISSION BY RAISING MUCH-NEEDED FUNDS FOR THE BENEFIT OF COMMUNITY HEALTH. FOUNDED IN 1978, THE FOUNDATION IS AN INDEPENDENT, NONPROFIT CORPORATION HEADED BY A 21-MEMBER VOLUNTEER BOARD OF DIRECTORS. THESE DEDICATED COMMUNITY AND BUSINESS LEADERS GENEROUSLY DONATE THEIR TIME, TALENTS, AND ENERGY TO DIRECT THE FOUNDATION'S POLICIES, PROVIDE FIDUCIARY OVERSIGHT, IMPLEMENT THE ANNUAL FUNDRAISING PLAN AND TO SECURE ITS FINANCIAL FUTURE THROUGH FUNDRAISING. THE ISLAND HOSPITAL FOUNDATION PROVIDES FUNDING FOR COMMITMENTS TO THE HOSPITAL THAT INCLUDE THE HEALTH RESOURCE CENTER, FREE AND LOW COST COMMUNITY HEALTH SCREENINGS, DIRECT CLINIC SUPPORT, MENTAL HEALTH COUNSELING THROUGH THE MENTAL HEALTH INTERVENTION SCHOOL PROGRAM, TWO EMERGENCY DEPARTMENT PATIENT NAVIGATOR POSITIONS ADDRESSING PSYCHIATRY AND BEHAVIORAL HEALTH ISSUES AND ELDER CARE, THE CHAPLAIN PROGRAM, AND PATIENT PROGRAMS INCLUDED MEDICAL RELIEF, ONCOLOGY RELIEF AND ONCOLOGY LODGING ASSISTANCE. NEW TECHNOLOGY EQUIPMENT ALONG WITH OTHER NEEDS ARE ALSO PROVIDED FOR AS THEY ARISE THROUGH THE YEAR. ADDITIONALLY, ISLAND HOSPITAL FOUNDATION PROVIDES FUNDING FOR HOSPITAL RENOVATION AND EXPANSION COSTS NOT MET BY TAX REVENUE. THIS INCLUDES THE MEDICAL ARTS PAVILION HOUSING CANCER CARE, PHYSICAL/OCCUPATIONAL/SPEECH THERAPY AND WOUND CARE. ISLAND HOSPITAL FOUNDATION COMMITED TO FUND TWO PATIENT NAVIAGOR POSITIONS FOR THE EMERGENCY DEPARTMENT AT $140,000 PER YEAR FOR A COMMITMENT OF 5 YEARS. WE ALSO ESTABLISHED A COVID-19 EMERGENCY RELIEF FUND. WE ALSO FULFILLED THE $100,000 ANNUAL COMMITMENT FOR THE MERLE CANCER CARE CENTER.Desc
Total Program Service Expenses$1,434,118TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCINDY ANDERSONPersonNm
Phone3602991300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1Txt
CityANACORTESCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98221ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BILL RABEL
DIRECTOR1.00Yes (X)$0$0$0
BRIAN HAYES
SECRETARY1.00Yes (X)$0$0$0Yes (X)
CONNIE MILLER
DIRECTOR1.00Yes (X)$0$0$0
DANA ANDRICH
DIRECTOR1.00Yes (X)$0$0$0
DIANNE KUHN
PAST PRESIDENT1.00Yes (X)$0$0$0
DON SCHMUDE
DIRECTOR1.00Yes (X)$0$0$0
DR PAUL HAMMER
DIRECTOR1.00Yes (X)$246,901$0$3,817
ELLIOTT JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
FRANK JERETZKY
DIRECTOR1.00Yes (X)$0$0$0
GARY THEBAULT
DIRECTOR1.00Yes (X)$0$0$0
GINA WALSH
DIRECTOR1.00Yes (X)$0$0$0
JAMES TANGARO
VICE PRESIDENT3.00Yes (X)$0$0$0Yes (X)
JAMIE CROMACK
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER MANN
DIRECTOR1.00Yes (X)$0$0$0
LAURA BROWN-SNIDER
DIRECTOR1.00Yes (X)$0$0$0
MEREDITH MACHIN
FORMER PRESIDENT3.00Yes (X)$0$0$0Yes (X)
NICOLE COLEMAN
TREASURER1.00Yes (X)$0$0$0Yes (X)
SHERLE WEBB-ROBINS
DIRECTOR1.00Yes (X)$0$0$0
SHIRLEY VACANTI RN BSN
PRESIDENT3.00Yes (X)$0$0$0Yes (X)
JEANNETTE PAPADAKIS
FOUNDATION DIRECTOR40.00$96,308$0$1,009Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$343,209TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,826TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,244,825AllOtherContributionsAmt
Noncash Contributions$6,183NoncashContributionsAmt
Total Contributions$2,244,825TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,197TotalRevenueColumnAmt
Exclusion$57,197ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$117,261SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$77,843SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$39,418SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,418TotalRevenueColumnAmt
Exclusion$39,418ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,341,440TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$96,615ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,376,594TotalAmt
Program Services$1,376,594ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$20,220TotalAmt
Program Services$20,220ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,967TotalAmt
Management And General$22,967ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,759TotalAmt
Management And General$9,759ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15,668TotalAmt
Management And General$15,668ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,583TotalAmt
Management And General$4,583ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$107TotalAmt
Management And General$107ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,802TotalAmt
Program Services$37,304ProgramServicesAmt
Management And General$13,464ManagementAndGeneralAmt
Fundraising$6,034FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescFUNDRAISING EXPENSESDesc
Total$34,493TotalAmt
Fundraising$34,493FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,541,193TotalAmt
Program Services$1,434,118ProgramServicesAmt
Management And General$66,548ManagementAndGeneralAmt
Fundraising$40,527FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$334,763BOYAmt
EOY$368,562EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$84,569BOYAmt
EOY$1,233,505EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,000BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$1,500EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,729,658BOYAmt
EOY$2,960,354EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$88,100BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,241,590BOYAmt
EOY$4,563,921EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$70,374BOYAmt
EOY$244,571EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,374BOYAmt
EOY$244,571EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,636,211BOYAmt
EOY$3,784,345EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$535,005BOYAmt
EOY$535,005EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,171,216BOYAmt
EOY$4,319,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,241,590BOYAmt
EOY$4,563,921EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$800,247ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$347,887NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$804,452CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,281,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,261,108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,380,746CurrentTaxYearMinus1YearAmt
Current Tax Year$2,244,825CurrentTaxYearAmt
Total$6,972,345TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$804,452CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,281,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,261,108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,380,746CurrentTaxYearMinus1YearAmt
Current Tax Year$2,244,825CurrentTaxYearAmt
Total$6,972,345TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,305,244SubstantialContributorsTotAmt
Public Support Total170$5,667,101PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,980CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,684CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,437CurrentTaxYearMinus1YearAmt
Current Tax Year$57,197CurrentTaxYearAmt
Total$333,817TotalAmt
FieldValueIRS element (for citing)
Total Support$7,306,162TotalSupportAmt
Gross Receipts Rltd Activities$792,025GrossReceiptsRltdActivitiesAmt
Public Support CY1700.77570PublicSupportCY170Pct
Public Support PY1700.78810PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,729,658BeginningYearBalanceAmt
Investment Earnings Or Losses$444,468InvestmentEarningsOrLossesAmt
Administrative Expenses$15,668AdministrativeExpensesAmt
End Year Balance$3,158,458EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,348,626BeginningYearBalanceAmt
Investment Earnings Or Losses$401,327InvestmentEarningsOrLossesAmt
Other Expenditures$4,700OtherExpendituresAmt
Administrative Expenses$15,595AdministrativeExpensesAmt
End Year Balance$2,729,658EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,552,097BeginningYearBalanceAmt
Investment Earnings Or Losses-$179,108InvestmentEarningsOrLossesAmt
Other Expenditures$8,055OtherExpendituresAmt
Administrative Expenses$16,308AdministrativeExpensesAmt
End Year Balance$2,348,626EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,255,536BeginningYearBalanceAmt
Investment Earnings Or Losses$304,829InvestmentEarningsOrLossesAmt
Other Expenditures$8,268OtherExpendituresAmt
End Year Balance$2,552,097EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,081,962BeginningYearBalanceAmt
Investment Earnings Or Losses$170,272InvestmentEarningsOrLossesAmt
Other Expenditures-$3,302OtherExpendituresAmt
End Year Balance$2,255,536EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,928,652TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$347,887NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$239,325DonatedServicesAndUseFcltsAmt
Revenue Not Reported$587,212RevenueNotReportedAmt
Revenue Subtotal$2,341,440RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,341,440TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,780,518TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$239,325DonatedServicesUseFcltsAmt
Expenses Not Reported$239,325ExpensesNotReportedAmt
Expenses Subtotal$1,541,193ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,541,193TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE FOUNDATION HAS EVALUATED UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND WAS REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2019, THE FOUNDATION HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE.
PART XII, LINE 2D - OTHER ADJUSTMENTS:R
PART V, LINE 4THE INCOME FROM THE ENDOWMENTS IS TO BE USED FOR TWO PURPOSES: 1) HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS 2) PROVIDE FUNDS FOR THE BENEFIT OF THE ISLAND HOSPITAL BIRTH CENTER

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (DBA ISLAND HOSPITAL)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1Txt
CityANACORTESCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98221ZIPCd
FieldValueIRS element (for citing)
Recipient EIN910729255RecipientEIN
IRC SectionISLAND HOSPITALIRCSectionDesc
Cash Grant$1,376,594CashGrantAmt
Purpose Of GrantSUPPORT OF HOSPITALPurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
ONCOLOGY GRANTS33$15,898
SCHOLARSHIPS2$3,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCOMMON EXECUTIVE MANAGEMENT ENSURE THAT ALL FUNDS TRANSFERRED TO ISLAND HOSPITAL ARE USED FOR INTENDED PURPOSES. FOUNDATION AND HOSPITAL LEADERS MET REGULARLY WITH THE ANACORTES SCHOOL DISTRICT TO DISCUSS PROGRESS IN THEIR MENTAL HEALTH PROGRAMS, DURING WHICH THE FOUNDATION ENSURED THAT THE FUNDS WERE USED FOR APPROPRIATE PURPOSES. INDIVIDUALS RECEIVING ONCOLOGY GRANTS PROVIDE RECEIPTS SHOWING QUALIFIED EXPENSES AND ARE REIMBURSED. SCHOLARSHIP FUNDS ARE GIVEN DIRECTLY TO THE INDIVIDUAL'S SCHOOL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDR PAUL HAMMERPersonNm
TitleDIRECTORTitleTxt
Base Compensation Filing Org$245,555BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$1,346OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$3,817NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$250,718TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE REVIEWED THE FULL FORM 990, INCLUDING DISCLOSURES. PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF THE COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS IHF IS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX-EXEMPT STATUS MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICH DECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL STATEMENT CHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT.
FORM 990, PART VI, SECTION B, LINE 15THE FOUNDATION HAS NO COMPENSATED EMPLOYEES
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SKAGIT COUNTY PUBLIC HOSPITAL DIST #2 (DBA ISLAND HOSPITAL)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1Txt
CityANACORTESCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98221ZIPCd
FieldValueIRS element (for citing)
EIN910729255EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section115(1)ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.