2018-10-05T17:55:25-05:00 2017-12-31 910189318 MOSS ADAMS LLP 999 THIRD AVENUE SUITE 2800 SEATTLE WA 98104 990 2017-01-01 300889914 GROUP HEALTH COMMUNITY FOUNDATION GROU 2067888900 810 3RD AVENUE NO 220 SEATTLE WA 98104 CORY SBARBARO ACTING PRESIDENT AND CEO 2067888900 2018-09-26 1 WENDY CAMPOS P00448102 2063026500 2018-09-26 12.129.7.100 2018-09-26 19:06:01 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 770334355C03048EEC87D88CDB98A91C74D86F41 2017 2018-06-14 16:35:46Z CORY SBARBARO 810 3RD AVENUE NO 220 SEATTLE WA 98104 6325517684 0 X HTTP://GROUPHEALTHFOUNDATION.ORG X 2015 WA TO SHAPE AND ACCELERATE EFFORTS TO IMPROVE HEALTH EQUITY AND ADVANCE COMMUNITY ASPIRATIONS FOR A VIBRANT, HEALTHY FUTURE IN WASHINGTON. 16 15 11 0 0 0 0 0 0 0 0 9651580 0 1723980625 0 1733632205 0 15000 0 0 0 1427720 0 0 0 809362 1816140 809362 3258860 -809362 1730373345 23431 1753614434 903485 566636 -880054 1753047798 THE FOUNDATION AIMS TO SHAPE AND ACCELERATE EFFORTS TO IMPROVE HEALTH EQUITY AND ADVANCE COMMUNITY ASPIRATIONS FOR A VIBRANT, HEALTHY FUTURE IN WASHINGTON. 0 0 113584 15000 1723980625 2017 WAS THE FOUNDATION'S INAUGURAL YEAR OF OPERATING. 2017 PROGRAM EXPENSES CONSIST OF EXPLORING AND CREATING THE FOUNDATION'S CORE VALUES AND PRINCIPLES THAT DEFINE THE ORGANIZATION. THE FOUNDATION WAS ENGAGED IN DISCUSSIONS ABOUT HOW TO LEAD WITH EQUITY AND INTEGRATE IT IN ALL THAT IT DOES--GOVERNANCE, HIRING, OPERATIONS, ORGANIZATIONAL LEARNING, PARTNERSHIPS, PROGRAMS, POLICY WORK, AND GRANTMAKING. 113584 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 34 0 1 11 1 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X CARMEN LOH 2067888900 810 3RD AVENUE SUITE 220 SEATTLE WA 98104 KATHERINE BELL DIRECTOR 2.40 0.16 X 14250 0 0 JOSEPH BOATENG DIRECTOR 2.80 X 14250 0 0 DR AMERICA BRACHO PEREZ DIRECTOR 2.00 X 14250 0 0 MARTHA CHOE DIRECTOR 3.10 X 14250 0 0 MELVIN BRIAN CLADOOSBY DIRECTOR 0.90 X 7125 0 0 PORSCHE EVERSON DIRECTOR 2.90 X 28875 0 0 DR DAVID FLEMING DIRECTOR 2.80 X 14250 0 0 LEO GREENWALT DIRECTOR 2.80 X 28875 0 0 LATISHA HILL DIRECTOR 2.10 X 14250 0 0 SETH KIRBY DIRECTOR 2.80 X 14250 0 0 JUAN CARLOS OLIVARES DIRECTOR 2.20 X 14250 0 0 LUZ VEGA-MARQUIS DIRECTOR 2.90 X 14250 0 0 RUTA FANNING DIRECTOR (THROUGH 2/17) 0.20 X 9400 0 0 ROBERT WATT DIRECTOR (THROUGH 4/17) 0.40 X 14625 0 0 SUSAN BYINGTON CHAIR 4.90 X X 35288 0 0 DR BENJAMIN DANIELSON VICE CHAIR 2.40 X X 14250 0 0 JANETTE OLMSTEAD SECRETARY 2.40 X X 14250 0 0 PETER VAN OPPEN TREASURER 2.30 X X 14250 0 0 CORY SBARBARO ACTING PRESIDENT AND CEO 38.00 2.00 X 433997 0 32681 CARMEN LOH FINANCE AND ADMINISTRATION DIRECTOR 24.00 16.00 X 5500 0 59 CHRISTOPHER HANAK ACTING CHIEF INVESTMENT OFFICER 38.00 2.00 X 282560 0 35806 THERESA TAMURA SENIOR ADVISOR 12.00 28.00 X 145947 0 17068 1163192 0 85614 3 0 1 0 MOSS ADAMS LLP 999 3RD AVENUE SUITE 2800 SEATTLE WA 98104 ACCOUNTING & SYSTEM DEVELOPMENT 540074 VERUS ADVISORY 999 3RD AVENUE SUITE 4200 SEATTLE WA 98104 INVESTMENT ADVISORY CONSULTING 136234 DAVIS WRIGHT TREMAINE LLP 1201 3RD AVENUE SUITE 2200 SEATTLE WA 98101 LEGAL 131854 PRR INC 1501 4TH AVENUE SUITE 550 SEATTLE WA 98101 COMMUNICATIONS 108389 4 9348942 9348942 4592188117 4591885479 302638 302638 302638 KFHP TRANSACTION PROCE 900099 1723980625 1723980625 1723980625 1733632205 1723980625 0 9651580 X 15000 15000 884571 42476 842095 388121 46088 342033 40073 4697 35376 74826 74826 40129 4941 35188 176099 176099 525624 525624 247500 247500 492375 492375 32924 32924 73571 73571 111207 111207 1148 176 972 65143 206 64937 3126 3126 28687 28687 31325 31325 B&O TAXES 15547 15547 MEMBERSHIP DUES AND SUB 7730 7730 OTHER EMPLOYEE COSTS 4134 4134 3258860 113584 3145276 0 0 678166 0 287361 0 55930 125967 33890 0 92077 0 809597316 0 942889047 23431 14537 23431 1753614434 903485 560741 0 5895 903485 566636 X -880054 1753047798 -880054 1753047798 23431 1753614434 1730373345 23554507 0 X 0 1 X 1 0 92966 28368 64598 33001 5522 27479 92077 COMMINGLED TRUST FUNDS 942889047 F 942889047 DEFERRED RENT LIABILITY 5895 5895 X PART X, LINE 2: THE 501(C)(4) IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(4) OF THE IRC. THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX WITH EXCEPTION TO ANY UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE FOUNDATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND ESTIMABLE. THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2017. 1 SOCIAL VENTURE PARTNERS INTERNATIONAL 220 SECOND AVENUE SOUTH SUITE 300 SEATTLE WA 98104 680492186 501(C)(3) 15000 PROGRAM SUPPORT 1 PART I, LINE 2: THE ORGANIZATION REVIEWS GRANTEE'S REPORTS TO UNDERSTAND HOW THE FUNDS WERE USED. X X X X X 0 0 0 0 0 0 0 1 0 CORY SBARBARO ACTING PRESIDENT AND CEO 382472 0 0 0 51525 0 27000 0 5681 0 466678 0 0 0 CHRISTOPHER HANAK ACTING CHIEF INVESTMENT OFFICER 279911 0 0 0 2649 0 27000 0 8806 0 318366 0 0 0 THERESA TAMURA SENIOR ADVISOR 145947 0 0 0 0 0 14690 0 2378 0 163015 0 0 0 PART I, LINE 7 THE ORGANIZATION PAID A BONUS AT THE DISCRETION OF MANAGEMENT TO CARMEN LOH IN THE AMOUNT OF $1,650. SCHEDULE J, PART II: CORY SBARBARO'S OTHER COMPENSATION INCLUDES $36,575 OF COMPENSATION FROM JANUARY 2017 FOR CONSULTING SERVICES PROVIDED THROUGH A THIRD PARTY CONSULTING FIRM. THIS OCCURRED PRIOR TO THE FOUNDATION HIRING CORY SBARBARO AS AN EMPLOYEE IN FEBRUARY 2017. THE CONSULTING SERVICES PROVIDED WERE RELATED TO ESTABLISHING THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY MANAGEMENT AND THE AUDIT AND RISK MANAGEMENT COMMITTEE PRIOR TO SENDING A FULL COPY OF THE 990 TO THE FULL BOARD FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C THE SPECIAL ASSISTANT TO THE CEO AND THE CEO REVIEW ALL CONFLICT OF INTEREST QUESTIONNAIRES. ALL CONFLICTS OF INTEREST ARE DOCUMENTED AND SUMMARIZED FOR THE EXECUTIVE AND FINANCE COMMITTEE. UPON REVIEW OF THE CONFLICTS OF INTEREST, THE EXECUTIVE AND FINANCE COMMITTEE DETERMINES WHETHER BOARD OR STAFF WILL BE EXCLUDED FROM DECISION MAKING TO PRECLUDE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS OVERSIGHT OF THE FOUNDATION'S COMPENSATION POLICY AND IS RESPONSIBLE FOR SETTING THE CEO'S SALARY AND THE CHIEF INVESTMENT OFFICER'S SALARY. THE CEO IMPLEMENTS THE BOARD'S POLICIES AND OVERSEES THE ADMINISTRATION OF THE HUMAN RESOURCES PROGRAM FOR ALL OTHER STAFF POSITIONS. THE FOUNDATION OBTAINS MARKET DATA THROUGH THIRD-PARTY SURVEYS AND OTHER INDEPENDENT SOURCES THAT PROVIDE RELEVANT NATIONAL AND REGIONAL AGGREGATED DATA. TO ENSURE THE CONTINUED COMPETITIVENESS AND EQUITY OF THE FOUNDATION'S COMPENSATION AND BENEFITS PROGRAM, THE FOUNDATION CONDUCTS PERIODIC, COMPREHENSIVE REVIEWS OF THE PROGRAM: - THROUGH THE FOUNDATION'S STARTUP PHASE, REVIEWS OF THIS POLICY ARE CONDUCTED ON AN ANNUAL BASIS OR MORE OFTEN IF NECESSARY. - SUBSEQUENT REVIEWS ARE CONDUCTED EVERY THREE YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MADE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS OWN WEBSITE. THE CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G STRATEGY PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 177,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,716. HUMAN RESOURCES PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 202,868. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,868. COMMUNICATION AND ADMINISTRATIVE PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 111,791. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,791. GROUP HEALTH FOUNDATION 810 3RD AVENUE SUITE 220 SEATTLE WA 98104 911246278 IMPROVE THE HEALTH OF WASHINGTON COMMUNITIES WA 501(C)(3) PC GROUP HEALTH COMMUNITY FOUNDATION 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 GROUP HEALTH FOUNDATION Q 1232937 FAIR MARKET VALUE PART II: EFFECTIVE JANUARY 31, 2017, GROUP HEALTH COMMUNITY FOUNDATION ACQUIRED GROUP HEALTH FOUNDATION. AS A RESULT, GROUP HEALTH COMMUNITY FOUNDATION BECAME THE SOLE CORPORATE MEMBER OF THE GROUP HEALTH FOUNDATION. THE TWO FOUNDATIONS PURSUE A SHARED MISSION OF SHAPING AND ACCELERATING EFFORTS TO IMPROVE HEALTH AND ADVANCE THE COMMUNITY ASPIRATIONS FOR A VIBRANT, HEALTHY FUTURE IN WASHINGTON.