PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION (EIN 72-1545902)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201501359349304580
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T12:30:37-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721545902 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEAC | BusinessNameControlTxt |
| Phone | 3607886866 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 SQUALICUM PARKWAY | AddressLine1 |
| City | BELLINGHAM | City |
| State | WA | State |
| ZIP Code | 98225 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK MCCAMPBELL | PersonNm |
| Person Title | NW NETWORK CDO | PersonTitleTxt |
| Phone | 3607566865 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2015-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK MCCAMPBELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 SQUALICUM PARKWAY | AddressLine1 |
| City | BELLINGHAM | City |
| State | WA | State |
| ZIP Code | 98225 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,803,995 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PEACEHEALTH.ORG/FOUNDATION/ST-JOSEPH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO RAISE CONTRIBUTIONS AND ESTABLISH ENDOWMENTS TO SUPPORT PEACEHEALTH ST. JOSEPH MEDICAL CENTER ACTIVITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,549,089 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,716,957 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $55,375 | PYInvestmentIncomeAmt |
| CY Investment Income | $50,192 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,027 | PYOtherRevenueAmt |
| CY Other Revenue | -$216,149 | CYOtherRevenueAmt |
| PY Total Revenue | $2,622,491 | PYTotalRevenueAmt |
| CY Total Revenue | $1,551,000 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,114,187 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $704,703 | 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 | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $494,183 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $963,198 | PYOtherExpensesAmt |
| CY Other Expenses | $643,939 | CYOtherExpensesAmt |
| PY Total Expenses | $3,077,385 | PYTotalExpensesAmt |
| CY Total Expenses | $1,348,642 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$454,894 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $202,358 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,635,803 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,951,527 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $259,430 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $266,199 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,376,373 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,685,328 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PEACEHEALTH ST. JOSEPH MEDICAL CENTER FOUNDATION EXISTS TO ACQUIRE AND RECOGNIZE CHARITABLE GIFTS AND BEQUESTS THAT ASSIST PEACEHEALTH ST. JOSEPH MEDICAL CENTER IN FULFILLING ITS MISSION, ADHERING TO ITS CORE VALUES AND PROVIDING MEDICAL SERVICES TO THE WHATCOM REGION. THE FOUNDATION WILL:- PROVIDE INDIVIDUALS AND INSTITUTIONS WITH AN OPPORTUNITY TO EXTENDTHE GIFT OF HEALTH TO CITIZENS IN NORTHWEST WASHINGTON STATE.- SUPPORT THE APPLICATION OF INNOVATIVE PATIENT CARE SERVICES TOIMPROVE THE HEALTH CARE SERVICES OF THIS AREA.- ACHIEVE FOR THE MEDICAL CENTER A HIGHER LEVEL OF MUTUALUNDERSTANDING AND INVOLVEMENT WITH THE COMMUNITIES IT SERVES.- PHILANTHROPIC OPPORTUNITIES SHOULD ENHANCE THE ABILITY OF ST. JOSEPHMEDICAL CENTER TO PROVIDE HEALING AND COMPASSIONATE HEALTHCARE RESPECTING EVERY PERSON'S HUMAN DIGNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $663,703 | ExpenseAmt |
| Grant | $663,703 | GrantAmt |
| Desc | SUPPORT OF PEACEHEALTH ST. JOSEPH MEDICAL CENTER FOR EDUCATION, PATIENT SUPPORT, NURSING SUPPORT, RESEARCH, CAPITAL EXPENDITURES, SCHOLARSHIPS AND CHARITY CARE. THE FOUNDATION RECEIVES FROM PEACEHEALTH ST. JOSEPH MEDICAL CENTER AND PEACEHEALTH CORPORATION DONATED USE OF FACILITIES AND SERVICES, WHICH INCLUDE SPACE RENTAL, PROPERTY AND EQUIPMENT, UTILITIES, EMPLOYEES, AND OTHER ITEMS. THE ESTIMATED FAIR MARKET VALUE OF $459,121 OF SUCH ITEMS HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS AS A PART OF IN-KIND CONTRIBUTIONS AND EXPENSES, AND 446,711 OF SUCH CONTRIBUTION OF HOSPITAL PERSONNEL HAS BEEN INCLUDED ON FORM 990 TO ACCURATELY REFLECT THE FINANCIAL POSITION OF THE FOUNDATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $41,000 | ExpenseAmt |
| Grant | $41,000 | GrantAmt |
| Desc | THE WHATCOM HOSPICE FOUNDATION TRANSFERS. THE WHATCOM HOSPICE FOUNDATION'S MISSION IS TO SUPPORT HOSPICE SERVICES IN WHATCOM COUNTY AND THE SURROUNDING AREA. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $704,703 | 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 |
| 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 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 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (1) | 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 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | 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 | Yes (1) | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 | NICOLE POYNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3607886540 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 SQUALICUM PARKWAY | AddressLine1 |
| City | BELLINGHAM | City |
| State | WA | State |
| ZIP Code | 98225 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| CHARLES ARIZ MD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BRADLEY BEARDEN OD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL BRADBURN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BRAD DEHAAN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AMY ESARY | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARION ROBIN FOOTE | |||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ROSEMARIE FRANCIS | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM HALL MD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DENNY HOLMSTROM | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN HUNTLEY | |||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| FRANK IMHOF | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KATIE JANSEN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LYNNETTE JENSEN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHET KENOYER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD J LEONE MD | |||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $699,303 | $44,241 | |
| MIKE PERRY | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SARAH ROTHENBUHLER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN SITKIN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY STEIGER | |||||||
| REGIONAL CEO & CHIEF MISSION OFFICER (THRU 6/14) | 1.00 | 40.00 | Yes (X) | $0 | $626,598 | $39,117 | Yes (X) |
| HOLLY STUDLEY | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SHAUN SULLIVAN MD | |||||||
| VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHRISTINE THOMPSON | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHERYL WEG | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG WIGHT | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARK MCCAMPBELL | |||||||
| VP OF PHILANTHROPY, NW NETWORK CDO | 1.00 | 40.00 | $0 | $245,219 | $9,212 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,571,120 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $92,570 | 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 |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $386,313 | FundraisingAmt |
| Related Organizations | $634,156 | RelatedOrganizationsAmt |
| All Other Contributions | $696,488 | AllOtherContributionsAmt |
| Noncash Contributions | $669,356 | NoncashContributionsAmt |
| Total Contributions | $1,716,957 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,192 | TotalRevenueColumnAmt |
| Exclusion | $50,192 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,676 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,676 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,676 | TotalRevenueColumnAmt |
| Exclusion | $13,676 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,170 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $386,313 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $252,995 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$229,825 | TotalRevenueColumnAmt |
| Exclusion | -$229,825 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,551,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$165,957 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,703 | TotalAmt |
| Program Services | $704,703 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,955 | TotalAmt |
| Management And General | $26,955 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,280 | TotalAmt |
| Management And General | $2,280 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,461 | TotalAmt |
| Management And General | $23,647 | ManagementAndGeneralAmt |
| Fundraising | $136,814 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| CONTRIBUTED SALARIES | $446,711 | $89,342 | $357,369 |
| BANK CHARGES | $7,532 | $7,532 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,348,642 | TotalAmt |
| Program Services | $704,703 | ProgramServicesAmt |
| Management And General | $149,756 | ManagementAndGeneralAmt |
| Fundraising | $494,183 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,387,884 | BOYAmt |
| EOY | $2,523,789 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $941,372 | BOYAmt |
| EOY | $643,037 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,616 | BOYAmt |
| EOY | $1,486,601 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,530 | BOYAmt |
| EOY | $204,225 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,401 | BOYAmt |
| EOY | $93,875 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,635,803 | BOYAmt |
| EOY | $4,951,527 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,430 | BOYAmt |
| EOY | $266,199 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,430 | BOYAmt |
| EOY | $266,199 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,835,283 | BOYAmt |
| EOY | $2,157,119 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,170,814 | BOYAmt |
| EOY | $2,157,933 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,276 | BOYAmt |
| EOY | $370,276 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,376,373 | BOYAmt |
| EOY | $4,685,328 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,635,803 | BOYAmt |
| EOY | $4,951,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $202,358 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $174,287 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$67,690 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $1,295,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,730,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,358,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,549,089 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,716,957 | CurrentTaxYearAmt |
| Total | $10,651,292 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,295,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,730,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,358,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,549,089 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,716,957 | CurrentTaxYearAmt |
| Total | $10,651,292 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,026,446 | SubstantialContributorsTotAmt |
| Public Support Total170 | $9,624,846 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,603 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,176 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,577 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $71,020 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,868 | CurrentTaxYearAmt |
| Total | $288,244 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $2,382 | CurrentTaxYearMinus1YearAmt |
| Total | $2,382 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,941,918 | TotalSupportAmt |
| Public Support CY170 | 0.87960 | PublicSupportCY170Pct |
| Public Support PY170 | 0.86630 | 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 | $1,386,904 | BeginningYearBalanceAmt |
| Contributions | $54,250 | ContributionsAmt |
| Investment Earnings Or Losses | $204,559 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,220 | AdministrativeExpensesAmt |
| End Year Balance | $1,643,493 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,273,160 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $113,744 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,386,904 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,125,630 | BeginningYearBalanceAmt |
| Contributions | $154,645 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,293 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $4,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $822 | AdministrativeExpensesAmt |
| End Year Balance | $1,273,160 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $989,556 | BeginningYearBalanceAmt |
| Contributions | $67,276 | ContributionsAmt |
| Investment Earnings Or Losses | $69,561 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $763 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,125,630 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $880,911 | BeginningYearBalanceAmt |
| Contributions | $52,598 | ContributionsAmt |
| Investment Earnings Or Losses | $56,047 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $989,556 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.66700 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.22500 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.10800 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,735,417 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $174,287 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $12,410 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$2,280 | OtherRevenueAmt |
| Revenue Not Reported | $184,417 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,551,000 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,551,000 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,426,462 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $12,410 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $67,690 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $80,100 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,346,362 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,280 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,280 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,348,642 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED FOR CAPITAL, SCHOLARSHIPS, AND ACCESS CARE (CHARITY CARE). |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INVESTMENT FEE -2,280. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON UNCOLLECTIBLE PLEDGES 67,690. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT FEE 2,280. |
| SCHEDULE D, PART XI, LINE 2A: | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS 157,813 CHANGE IN SPLIT INTEREST VALUE 16,474 TOTAL 174,287 |
| SCHEDULE D, PART XI, LINE 2B AND PART XII, LINE 2A: | THE FOUNDATION RECEIVES FROM PEACEHEALTH ST. JOSEPH MEDICAL CENTER AND PEACEHEALTH CORPORATION DONATED USE OF FACILITIES AND SERVICES, WHICH INCLUDE SPACE RENTAL, PROPERTY AND EQUIPMENT, UTILITIES, EMPLOYEES, AND OTHER ITEMS. THE ESTIMATED FAIR MARKET VALUE OF $459,121 OF SUCH ITEMS HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS AS A PART OF IN-KIND CONTRIBUTIONS AND EXPENSES, AND $446,711 OF SUCH CONTRIBUTION OF HOSPITAL PERSONNEL HAS BEEN INCLUDED ON FORM 990 TO ACCURATELY REFLECT THE FINANCIAL POSITION OF THE FOUNDATION; $12,410 OF CONTRIBUTED USE OF FACILITIES HAS BEEN REMOVED FROM THE FORM 990. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $397,822 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $379,022 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,800 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $62,756 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $12,553 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $155,651 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | WOMEN'S HEALTH FORUM | NameOfEvent2Amt |
| Gross Receipts Event2 | $11,661 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $7,291 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,370 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $500 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $5,536 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $1,380 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $14,619 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $409,483 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $386,313 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,170 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $500 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $68,292 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $13,933 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $170,270 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $252,995 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$229,825 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| PEACEHEALTH ST JOSEPH MEDICAL CENTER | ||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 910565889 | 501(C)(3) | $654,433 | $9,270 | FMV | SUPPLIES | PATIENT CARE |
| THE WHATCOM HOSPICE FOUNDATION | ||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 943146369 | 501(C)(3) | $41,000 | N/A | N/A | HOSPICE PROGRAM OF ST JOSEPH'S | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION RECEIVES BACKUP DOCUMENTATION (USUALLY IN THE FORM OF AN INVOICE) FROM THE GRANTEE SHOWING FUNDS WERE USED FOR THEIR INTENDED PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD J LEONE MD | ||||||||||||||
| DIRECTOR | $0 | $585,000 | $0 | $15,000 | $0 | $99,303 | $0 | $43,634 | $0 | $607 | $0 | $743,544 | $0 | $0 |
| NANCY STEIGER | ||||||||||||||
| REGIONAL CEO & CHIEF MISSION OFFICER | $0 | $577,798 | $0 | $35,000 | $0 | $13,800 | $0 | $35,489 | $0 | $3,628 | $0 | $665,715 | $0 | $0 |
| MARK MCCAMPBELL | ||||||||||||||
| VP OF PHILANTHROPY, NW NETWORK CDO | $0 | $216,122 | $0 | $10,000 | $0 | $19,097 | $0 | $4,541 | $0 | $4,671 | $0 | $254,431 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THERE IS A 457(F) PLAN FOR SENIOR VPS, PRESIDENT AND CHIEF MISSION OFFICER. NANCY STEIGER AND RICHARD J. LEONE ARE PARTICIPANTS IN THIS PLAN, NANCY DID NOT RECEIVE ANY PAYMENT, AND RICHARD RECEIVED PAYMENT OF $17,582 DURING THE REPORTING YEAR. | ExplanationTxt |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,400 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | CON. SALARIES | 1 | $446,711 | BOOK VALUE |
| Yes (X) | SUPPLIES | 1 | $187,416 | COST |
| Yes (X) | MISC. GIFTS | 28 | $26,829 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| 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 | PART I COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6: | THERE ARE 24 VOLUNTEERS THAT SERVE AS BOARD MEMBERS, AND 15 VOLUNTEERS THAT HELP WITH FOUNDATION COMMITTEES AND CLERICAL DUTIES IN THE OFFICE OF DEVELOPMENT, SUPPORTING BOTH PEACEHEALTH ST. JOSEPH MEDICAL CENTER FOUNDATION AND WHATCOM HOSPICE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE BELOW DESCRIPTION TO FORM 990, PART VI, SECTION A, LINE 7B. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS STATED IN THE ARTICLES OF INCORPORATION "THE FOUNDATION SHALL BE ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSE OF SUPPORTING PEACEHEALTH ST. JOSEPH MEDICAL CENTER, A PART OF PEACEHEALTH WHATCOM REGION, LOCATED IN BELLINGHAM, WASHINGTON, IN FURTHERANCE OF THE HEALTHCARE MISSION OF ITS OWNER, PEACEHEALTH". THE FOLLOWING ACTIONS OF THE BOARD REQUIRE APPROVAL FROM PEACEHEALTH. 1) THE FOUNDATION SHALL NOT HAVE POWER TO GUARANTEE PAYMENT OR PERFORMANCE BY THIRD PARTIES WITHOUT THE PRIOR WRITTEN CONSENT OF THE PRESIDENT OF PEACEHEALTH OR HIS/HER DELEGATE. 2) THE FOUNDATION SHALL HAVE NO POWER TO MERGE OR CONSOLIDATE WITH OTHER ORGANIZATIONS OR TO CREATE OR ACQUIRE OTHER ORGANIZATIONS OR TO VOLUNTARILY DISSOLVE AND WIND UP ITS AFFAIRS OR TO ENTER INTO ANY ASSIGNMENT OF INCOME OR ASSETS FOR THE BENEFIT OF CREDITORS OR TO SEEK THE PROTECTION OF DEBTOR RELIEF LAWS, WITHOUT HAVING OBTAINED THE PRIOR WRITTEN CONSENT OF THE PRESIDENT OF PEACEHEALTH. 3) WRITTEN CONSENT MUST BE OBTAINED BY THE PRESIDENT OF PEACEHEALTH, OR HIS OR HER DELEGATE, TO THE EXACT LANGUAGE OF ANY PROPOSED CHANGE IN ARTICLES AND BYLAWS. THIS CONSENT SHALL HAVE BEEN FIRST OBTAINED PRIOR TO ANY CHANGE TO THE ARTICLES OF INCORPORATION OR BYLAWS BECOMING EFFECTIVE. 4) ALL PROPOSED NOMINATIONS (OF DIRECTORS) MUST BE APPROVED BY PEACEHEALTH. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINANCE COMMITTEE REVIEWS THE FORM 990. ADDITIONALLY, AN ELECTRONIC COPY WITHOUT DONOR NAMES IS PROVIDED TO ALL OTHER BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, OFFICERS, DIRECTORS, AGENTS, AND EMPLOYEES ARE REQUIRED TO SIGN ANNUALLY, OUR IN-DEPTH CONFLICT OF INTEREST DISCLOSURE POLICY WHICH AFFIRMS THEY HAVE READ, UNDERSTOOD AND AGREED WITH THE CONFLICT OF INTEREST POLICY AND HAVE ANSWERED ALL QUESTIONS ON THE DISCLOSURE FULLY AND HONESTLY. THE OFFICERS, DIRECTORS, AGENTS, AND EMPLOYEES ARE COVERED UNDER THE POLICY. EACH BOARD MEMBER IS REQUIRED TO SIGN A COPY WHICH IS REVIEWED BY THE EXECUTIVE DIRECTOR. IT MUST BE SIGNED BEFORE THEY ATTEND ANY BOARD OR COMMITTEE MEETINGS. BEFORE AN ITEM IS PUT ON AN AGENDA, THE BOARD/COMMITTEE WILL REVIEW AND ASCERTAIN IF THERE WILL BE ANY CONFLICTS ON THE BOARD AND IF SO, THE BOARD MEMBER IS CONTACTED AND TOLD ABOUT THE SUBJECT OF DISCUSSION. THE BOARD/COMMITTEE DECIDES IF IT IS IN FACT A CONFLICT AND IF SO, THE BOARD MEMBER IS ASKED TO EXCUSE THEMSELVES FROM THE ROOM DURING DISCUSSION AND VOTING BY THE EXECUTIVE DIRECTOR OR COMMITTEE CHAIR. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE FOUNDATION'S CHIEF DEVELOPMENT OFFICER IS COMPENSATED BY PEACEHEALTH (A RELATED ORGANIZATION) WHICH USES A MARKET BASED COMPENSATION PROGRAM UTILIZING SEVERAL INDEPENDENT THIRD PARTY COMPENSATION MARKET SURVEYS TO ESTABLISH PAY RANGES FOR THE POSITION. PEACEHEALTH THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THIS RATE OFFERED TO THE CHIEF DEVELOPMENT OFFICER AT TIME OF HIRE WAS DETERMINED THROUGH A DISCUSSION BETWEEN THE REGIONAL CEO, REGIONAL DIRECTOR OF HUMAN RESOURCES AND THE ADMINISTRATIVE DIRECTOR OF HUMAN RESOURCES THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS. COMPENSATION WAS LAST REVIEWED ON JUNE 30, 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE IN THE FOUNDATION OFFICE UPON REQUEST. |
| FORM 990, PART VI, LINE 16B: | THE FOUNDATION FOLLOWS THE JOINT VENTURE POLICY OF THE PARENT ORGANIZATION, PEACEHEALTH. |
| FORM 990, PART VII, SECTION A: | THE ORGANIZATION MADE REASONABLE EFFORTS TO OBTAIN THE INFORMATION REQUIRED FOR PART VII BY DISTRIBUTING A QUESTIONNAIRE TO EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE LISTED IN PART VII. THE QUESTIONNAIRE INCLUDED THE NAME, TITLE, DATE, AND SIGNATURE OF EACH PERSON REPORTING INFORMATION AND CONTAINS PERTINENT INSTRUCTIONS AND DEFINITIONS. |
| FORM 990, PART XI, LINE 9: | LOSS ON UNCOLLECTIBLE PLEDGES -67,690. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PEACEHEALTH | ||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 910939479 | HOSPITAL | WA | 501(C)(3) | LINE 3 | PEACEHEALTH | 0 |
| THE WHATCOM HOSPICE FOUNDATION | ||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 943146369 | SUPPORT WHATCOM HOSPICE | WA | 501(C)(3) | LINE 11D, III-O | PEACEHEALTH | 0 |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER FOUNDATION | ||||||||||
| 3100 TONGASS AVE | KETCHIKAN | AK | 99901 | 651225184 | SUPPORT KETCHIKAN GENERAL HOSPITAL | AK | 501(C)(3) | LINE 7 | PEACEHEALTH | 0 |
| COTTAGE GROVE COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| PO BOX 134 | COTTAGE GROVE | OR | 97424 | 930688381 | PROVIDE FINANCIAL AID TO COTTAGE GROVE COMMUNITY HOSPITAL | OR | 501(C)(3) | LINE 7 | PEACEHEALTH | 0 |
| PEACE HARBOR HOSPITAL FOUNDATION | ||||||||||
| 400 9TH STREET | FLORENCE | OR | 97439 | 931084126 | PROVIDE FINANCIAL AID TO PEACE HARBOR HOSPITAL | OR | 501(C)(3) | LINE 11A, I | PEACEHEALTH | 0 |
| SACRED HEART MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 10905 | EUGENE | OR | 97440 | 936026548 | PROVIDE FINANCIAL AID TO SACRED HEART MEDICAL CENTER | OR | 501(C)(3) | LINE 11A, I | PEACEHEALTH | 0 |
| PEACEHEALTH ST JOHN MEDICAL CENTER FOUNDATION | ||||||||||
| 1615 DELAWARE | LONGVIEW | WA | 98632 | 911538852 | SUPPORT ST. JOHN MEDICAL CENTER | WA | 501(C)(3) | LINE 7 | PEACEHEALTH | 0 |
| HEALTH VENTURES | ||||||||||
| PO BOX 10905 | EUGENE | OR | 97440 | 911350776 | HEALTHCARE JOINT VENTURES | WA | 501(C)(3) | LINE 7 | PEACEHEALTH | 0 |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 1600 | VANCOUVER | WA | 98668 | 911231436 | SUPPORT SW WASHINGTON MEDICAL CENTER | WA | 501(C)(3) | LINE 7 | PEACEHEALTH | 0 |
| PEACE ISLAND MEDICAL CENTER | ||||||||||
| 1117 SPRING STREET STATUE | FRIDAY HARBOR | WA | 98250 | 383868360 | HOSPITAL | WA | 501(C)(3) | LINE 3 | PEACEHEALTH | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE ANNUITY TRUSTS (6) | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | INVESTMENT & CHARITABLE GIVING | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | T | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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