THE MEMORIAL FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- THE MEMORIAL FOUNDATION (EIN 91-1022358)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-11
- IRS object ID
- 201722849349301297
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-11T18:37:13-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW Broadway | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911022358 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Memorial Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 5095765794 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 Tieton Drive | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Erin Black | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 5095765794 | PhoneNum |
| Signature | 2017-10-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wendy Campos | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2017-10-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-10 | IPDt |
| IP Tm | 10:46:34 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D983BCCB14F58FEA2964ADA2E2BA40929A762B4D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Erin Black | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 Tieton Drive | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,352,443 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.memfound.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | Advance and transform healthcare in Yakima. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 56 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,427,546 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,021,050 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $72,583 | PYInvestmentIncomeAmt |
| CY Investment Income | $225,799 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $13,616 | CYOtherRevenueAmt |
| PY Total Revenue | $1,500,129 | PYTotalRevenueAmt |
| CY Total Revenue | $4,260,465 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $322,973 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,743,811 | 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 | $510,103 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $123,259 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,674 | PYOtherExpensesAmt |
| CY Other Expenses | $212,747 | CYOtherExpensesAmt |
| PY Total Expenses | $402,647 | PYTotalExpensesAmt |
| CY Total Expenses | $2,466,661 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,097,482 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,793,804 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,185,050 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,016,066 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $541,377 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $426,575 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,643,673 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,589,491 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Advance and transform healthcare in Yakima. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $657,312 | ExpenseAmt |
| Grant | $657,312 | GrantAmt |
| Desc | CHILDREN'S VILLAGE - SUPPORTING SERVICES FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $194,950 | ExpenseAmt |
| Grant | $194,950 | GrantAmt |
| Desc | NORTH STAR LODGE - Supporting a full-service outpatient cancer treatment facility. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $214,470 | ExpenseAmt |
| Grant | $214,470 | GrantAmt |
| Desc | HOSPICE HOME HEALTH CARE - SUPPORTING HOSPICE/HOME HEALTH SERVICES INCLUDING END OF LIFE SERVICES TO PATIENTS AT HOME AND IN AN IN-PATIENT SETTING (Including Palliative care/transitions). | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $759,359 | ExpenseAmt |
| Grant | $677,079 | GrantAmt |
| Desc | SUPPORT NUMEROUS HEALTHCARE/HEALTHCARE RELATED PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $759,359 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $677,079 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $1,826,091 | 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 | Yes (1) | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | 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 | 0 | 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 | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BONNIE DWARSHUIS | PersonNm |
| Phone | 5092495204 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DRIVE | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Bruce Heiser | ||||||
| Chairman | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Robert G Price | ||||||
| Vice Chairman | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| B Jean Pryor | ||||||
| Secretary/Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Bill Wheeler | ||||||
| Immediate Past President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Anne Napier Caffery | ||||||
| Former CEO- Thru 4/9/16 | 40.00 | Yes (X) | $26,800 | $0 | $9,380 | |
| Erin Black | ||||||
| CEO -As of 5/31/16 | 40.00 | Yes (X) | $72,540 | $0 | $25,389 | |
| Darrell Blue | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Lee Callarman | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| West H Campbell | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dolores Desserault | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Bill Dolsen | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr Daniel Doornink | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Doug Ellison | ||||||
| Executive Committee Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Jennifer Falk | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Marie Halverson | ||||||
| Executive Committee Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr James Haven | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Royal Keith | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Rick Linneweh | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Carol M Loudon | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr Timothy Melhorn | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Michael Moen | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Tom Stokes | ||||||
| Executive Committee Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Patricia Temple | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr Robert Williams | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Ann Willis | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $99,340 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $34,769 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $95,845 | FundraisingAmt |
| All Other Contributions | $3,925,205 | AllOtherContributionsAmt |
| Noncash Contributions | $90,328 | NoncashContributionsAmt |
| Total Contributions | $4,021,050 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $156,472 | TotalRevenueColumnAmt |
| Exclusion | $156,472 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,145,599 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,076,272 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $69,327 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,327 | TotalRevenueColumnAmt |
| Exclusion | $69,327 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $29,322 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $95,845 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $15,706 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,616 | TotalRevenueColumnAmt |
| Exclusion | $13,616 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,260,465 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $239,415 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,743,811 | TotalAmt |
| Program Services | $1,743,811 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,109 | TotalAmt |
| Management And General | $134,109 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,994 | TotalAmt |
| Program Services | $52,671 | ProgramServicesAmt |
| Management And General | $240,164 | ManagementAndGeneralAmt |
| Fundraising | $83,159 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,225 | TotalAmt |
| Fundraising | $9,225 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,463 | TotalAmt |
| Management And General | $41,463 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,890 | TotalAmt |
| Management And General | $27,890 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,852 | TotalAmt |
| Program Services | $1,691 | ProgramServicesAmt |
| Fundraising | $10,161 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,918 | TotalAmt |
| Management And General | $3,918 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|---|
| Dues | $51,786 | $51,312 | $474 | |
| Miscellaneous | $26,121 | $7,925 | $16,712 | $1,484 |
| Supplies | $18,134 | $10,530 | $3,528 | $4,076 |
| NET ANNUITY | $13,102 | $0 | $0 | $13,102 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,256 | TotalAmt |
| Program Services | $9,256 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,466,661 | TotalAmt |
| Program Services | $1,826,091 | ProgramServicesAmt |
| Management And General | $517,311 | ManagementAndGeneralAmt |
| Fundraising | $123,259 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,709,053 | BOYAmt |
| EOY | $3,495,196 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,407,184 | BOYAmt |
| EOY | $1,554,276 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,811,958 | BOYAmt |
| EOY | $5,852,266 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,722 | BOYAmt |
| EOY | $114,328 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,133 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,185,050 | BOYAmt |
| EOY | $11,016,066 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,377 | BOYAmt |
| EOY | $426,575 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,377 | BOYAmt |
| EOY | $426,575 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,821,192 | BOYAmt |
| EOY | $1,956,263 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,509,796 | BOYAmt |
| EOY | $8,320,543 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,685 | BOYAmt |
| EOY | $312,685 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,643,673 | BOYAmt |
| EOY | $10,589,491 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,185,050 | BOYAmt |
| EOY | $11,016,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,793,804 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $292,014 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$140,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $3,177,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,103,097 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,453,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,427,546 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,021,050 | CurrentTaxYearAmt |
| Total | $14,182,735 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,177,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,103,097 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,453,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,427,546 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,021,050 | CurrentTaxYearAmt |
| Total | $14,182,735 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,825,376 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,357,359 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,381 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $349,658 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $182,832 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,576 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $156,472 | CurrentTaxYearAmt |
| Total | $868,919 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,051,654 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $29,322 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.75460 | PublicSupportCY170Pct |
| Public Support PY170 | 0.84690 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Funds And Other Accounts Held | 0 | FundsAndOtherAccountsHeldCnt |
| Donor Advised Funds Contri | $0 | DonorAdvisedFundsContriAmt |
| Funds And Other Accounts Contri | $0 | FundsAndOtherAccountsContriAmt |
| Donor Advised Funds Grants | $25,000 | DonorAdvisedFundsGrantsAmt |
| Funds And Other Accounts Grants | $0 | FundsAndOtherAccountsGrantsAmt |
| Donor Advised Funds Vl EOY | $119,804 | DonorAdvisedFundsVlEOYAmt |
| Funds And Other Accounts Vl EOY | $0 | FundsAndOtherAccountsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (1) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | Yes (1) | DisclosedForCharitablePrpsInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $558,895 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $31,613 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,296 | AdministrativeExpensesAmt |
| End Year Balance | $589,212 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $567,685 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$8,479 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $311 | AdministrativeExpensesAmt |
| End Year Balance | $558,895 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $566,460 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,441 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,216 | AdministrativeExpensesAmt |
| End Year Balance | $567,685 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $540,717 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $27,061 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,318 | AdministrativeExpensesAmt |
| End Year Balance | $566,460 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $493,442 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $48,519 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,244 | AdministrativeExpensesAmt |
| End Year Balance | $540,717 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.53000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.47000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to VMM | $289,252 |
| Deferred Liabilities | $68,609 |
| Due to EPIC | $34,357 |
| Due to Nursing Home | $34,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $426,575 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,552,481 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $292,016 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $292,016 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,260,465 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,260,465 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,466,661 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,466,661 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,466,661 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The intended use for the endowment funds are children's healthcare needs and cancer patients. |
| Part X, Line 2: | THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION QUALIFYING UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE FOUNDATION'S TAX-EXEMPT PURPOSE WOULD BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE FOUNDATION DID NOT ENGAGE IN AN ACTIVITY UNRELATED TO ITS TAX-EXEMPT PURPOSE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ACCORDANCE WITH REQUIREMENTS RELATED TO ACCOUNTING FOR UNCERTAINTIES IN INCOME TAXES, THE FOUNDATION HAS DETERMINED THEY HAVE NO UNCERTAIN TAX POSITIONS AT December 31, 2016 and 2015. IN ADDITION, THE FOUNDATION QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170((B)(1)(A)AND HAS BEEN CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Passion for the Village | Event1Nm |
| Gross Receipts Event1 | $125,167 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $95,845 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $29,322 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $2,959 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,143 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $8,604 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $125,167 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $95,845 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $29,322 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,959 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $4,143 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,604 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $15,706 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $13,616 | NetIncomeSummaryAmt |
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 | Virginia Mason Memorial | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 Tieton Dr | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 910567263 | RecipientEIN |
| IRC Section | 501(c)3 | IRCSectionDesc |
| Cash Grant | $1,743,811 | CashGrantAmt |
| Purpose Of Grant | To provide support to the Virgina Mason Memorial in their pursuit of Health Improvement, Education, and Improving our community. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grants (allocations) applications are submitted to the Foundation annually and are reviewed by The Memorial Foundation Allocation Committee, a sub-committee of The Memorial Foundation Board of Trustees. The role of The Memorial Foundation Allocation Committee is to: annually review grant applications from Virginia Mason Memorial programs for Foundation funding for the next calendar year; recommend allocation funding to the Foundation Executive Committee for their review and for approval by The Memorial Foundation Board of Trustees. The CEO reviews budgets and Profit/Loss statements of the programs receiving allocation awards on, at least, an annual basis. The committe also ensures that the funds are only used in the United States of America. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $3,712 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost/Selling Price | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $40,616 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Selling Price | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Seattle Seahawks & Sounders Suites | 1 | $41,000 | Sale of Comparable |
| Yes (X) | Sawyer Gardens Event Rental | 1 | $5,000 | Sale of Comparable |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | Number of Contributions | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | Women's and Children's Service Line will maintain continuity of care consistent with Virginia Mason Memorial's strategic goals and objectives around women's and children's services to the Yakima Valley. The overall goal is to more concretely define women's and children's services into a more formal service line at Virginia Mason Memorial. Expected outcomes would be more seamless transitions of care for women and children in our health system, reduction of wait times for testing, increased service and satisfaction related to the areas of women's and children's services, a more structured approach to women's and children's services, and a structure that allows Memorial to grow the service line. |
| Form 990, Part VI, Section B, line 11b | The review and approval of the Form 990 is delegated to the Executive Committee of the Board. The Form 990 is then submitted to the full voting board for review. |
| Form 990, Part VI, Section B, line 12c | Annually requires all officers, directors, trustees and key employees to sign new conflict of interest statements. The body of the statement states that the disclosure is made because the said Foundation has, or might reasonably be expected in the future to have a relationship, transaction or business dealing with the said organization which might in some way constitute a Conflict of Interest with respect to the undersigned because of his/her membership on the Board of Trustees and his/her association with the above-listed business or organization. The undersigned agrees that, if at any time any matter should come before the Board of Trustees concerning the above-listed organization or business, the undersigned shall make known the potential conflict and withdraw from the meeting so long as the matter shall continue under discussion and shall not either vote on the matter under discussion or attempt to influence a decision of the Board of Trustees with respect to such matters. The undersigned further agreees that, in the even his/her relationship with the above-listed business or organization should change, or should other relationships with other businesses or organizations be estatblished which would give rise to a potential Confilict of Interest, he/she shall inform the Board of Trustees and withdraw from participation in any decisions affecting such business or organization. |
| Form 990, Part VI, Section B, line 15 | Salaries for top management are determined and reviewed by the Hospital's Board of Directors and Compensation Committee. The Foundation does not pay wages, it reimburses the Hospital for applicable employee costs. |
| Form 990, Part VI, Section C, line 18 | The Form 990 is available upon request during business hours, Monday through Friday, 8:00 am - 5:00 pm. |
| Form 990, Part VI, Section C, line 19 | The governing documents, confilict of interest policy, and financial statements are available upon request during business hours, Monday through Friday, 8:00 am - 5:00 pm. |
| Form 990, Part XI, line 9: | Pledges Allowance -140,000. |
Comments