ISLAND HOSPITAL HEALTH FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ISLAND HOSPITAL HEALTH FOUNDATION (EIN 91-1030686)
Tax period
2013-01-01 to 2013-12-31
Filed
2015-09-21
IRS object ID
201502649349300195
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-09-21T16:43:26-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12707 COLBY AVENUE SUITE 801AddressLine1
CityEVERETTCity
StateWAState
ZIP Code98201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911030686EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ISLAND HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlISLABusinessNameControlTxt
Phone3602994201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1
CityANACORTESCity
StateWAState
ZIP Code98221ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM RABELPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3602994201PhoneNum
Signature2015-09-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT GRANNUMPreparerPersonNm
PTINP00355876PTIN
Phone4252597227PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerSTEVE RUTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1
CityANACORTESCity
StateWAState
ZIP Code98221ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$943,585GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ISLANDHOSPITALFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS TO SUPPORT ISLAND HOSPITAL AND ITS COMMITMENT TO COMMUNITY HEALTH IN ANACORTES, LA CONNER, NORTH WHIDBEY ISLAND AND THE SAN JUAN ISLANDS.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$581,891PYContributionsGrantsAmt
CY Contributions Grants$608,884CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$63,414PYInvestmentIncomeAmt
CY Investment Income$130,503CYInvestmentIncomeAmt
PY Other Revenue-$119,219PYOtherRevenueAmt
CY Other Revenue-$112,532CYOtherRevenueAmt
PY Total Revenue$526,086PYTotalRevenueAmt
CY Total Revenue$626,855CYTotalRevenueAmt
PY Grants And Similar Paid$366,995PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$507,890CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,976CYTotalFundraisingExpenseAmt
PY Other Expenses$139,001PYOtherExpensesAmt
CY Other Expenses$175,364CYOtherExpensesAmt
PY Total Expenses$505,996PYTotalExpensesAmt
CY Total Expenses$683,254CYTotalExpensesAmt
PY Revenues Less Expenses$20,090PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,399CYRevenuesLessExpensesAmt
Total Assets BOY$2,224,551TotalAssetsBOYAmt
Total Assets EOY$2,311,082TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,224,551NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,311,082NetAssetsOrFundBalancesEOYAmt
MissionTO RAISE FUNDS TO SUPPORT ISLAND HOSPITAL AND ITS COMMITMENT TO COMMUNITY HEALTH IN ANACORTES, LA CONNER, NORTH WHIDBEY ISLAND AND THE SAN JUAN ISLANDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$100,000ExpenseAmt
Grant$100,000GrantAmt
DescFUND HOSPITAL RENOVATION AND EXPANSION COSTS NOT MET BY TAX REVENUE. THIS INCLUDES THE MEDICAL ARTS PAVILION HOUSING CANCER CARE, PHYSICAL THERAPY, AND WOUND CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$468,681ExpenseAmt
Grant$407,890GrantAmt
DescSINCE 1962, ISLAND HOSPITAL HAS PROVIDED HIGH QUALITY, COMPASSIONATE AND PERSONALIZED HEALTH CARE TO OUR COMMUNITY. ISLAND HOSPITAL MAINTAINS A PROGRESSIVE STAND IN DELIVERING THE BEST HEALTH CARE EXPERIENCES FOR PATIENTS AND THEIR FAMILIES BY PLACING THEIR EMOTIONAL AND MEDICAL NEEDS FIRST AND FOREMOST.THE ISLAND HOSPITAL FOUNDATION SUPPORTS ISLAND HOSPITAL'S VITAL MISSION BY RAISING MUCH-NEEDED FUNDS FOR THE BENEFIT OF COMMUNITY HEALTH. FOUNDED IN 1979, THE FOUNDATION IS AN INDEPENDENT, NONPROFIT CORPORATION HEADED BY A 20-MEMBER VOLUNTEER BOARD OF DIRECTORS. THESE DEDICATED CIVIL AND BUSINESS LEADERS GENEROUSLY DONATE THEIR TIME, TALENTS, AND ENERGY TO DIRECT THE FOUNDATION'S POLICIES AND SECURE ITS FINANCIAL FUTURE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$568,681TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NANCY RYTANDBusinessNameLine1
FieldValueIRS element (for citing)
Phone3602994201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STAddressLine1
CityANACORTESCity
StateWAState
ZIP Code98221ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE RUTZ
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DAVE MARGESON
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
AARON RASMUSSEN
TREASURER2.00Yes (X)Yes (X)$0$0$0
COLLEEN CRAIG
SECRETARY2.00Yes (X)Yes (X)$0$0$0
SHELLIE BOGOSIAN
IMMEDIATE PAST PRESIDENT1.00Yes (X)$0$0$0
RICHARD HUMPHREY
DIRECTOR1.00Yes (X)$0$0$0
LANI DONOHOE
DIRECTOR1.00Yes (X)$0$0$0
MARILYN STADLER
DIRECTOR1.00Yes (X)$0$0$0
KRISTIA OICLES
DIRECTOR1.00Yes (X)$0$0$0
JOSH BALDWIN
DIRECTOR1.00Yes (X)$0$0$0
JIM ROE
DIRECTOR1.00Yes (X)$0$0$0
TOM MURPHY
DIRECTOR1.00Yes (X)$0$0$0
DIANE RUSHER
DIRECTOR1.00Yes (X)$0$0$0
ANNE SMITH
DIRECTOR1.00Yes (X)$0$0$0
DR DAVID SLEPYAN
DIRECTOR1.00Yes (X)$0$0$0
DR MARK BACKMAN
DIRECTOR1.00Yes (X)$0$0$0
BILL RABEL
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL MAST
DIRECTOR1.00Yes (X)$0$0$0
JERREL BARTO
DIRECTOR1.00Yes (X)$0$0$0
CHRIS JENSEN
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$303,383FundraisingAmt
All Other Contributions$305,501AllOtherContributionsAmt
Noncash Contributions$45,397NoncashContributionsAmt
Total Contributions$608,884TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,963TotalRevenueColumnAmt
Exclusion$58,963ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$207,870SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$136,330SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$71,540SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,540TotalRevenueColumnAmt
Exclusion$71,540ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$67,868FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$303,383ContriRptFundraisingEventAmt
Fundraising Direct Expenses$180,400FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$112,532TotalRevenueColumnAmt
Exclusion-$112,532ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$626,855TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,971ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$502,699TotalAmt
Program Services$502,699ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,191TotalAmt
Program Services$5,191ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,698TotalAmt
Management And General$9,698ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$19,477TotalAmt
Management And General$19,477ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$1,800ProgramServicesAmt
Management And General$1,575ManagementAndGeneralAmt
Fundraising$1,125FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,741TotalAmt
Program Services$35,741ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$47,047TotalAmt
Program Services$17,662ProgramServicesAmt
Management And General$15,455ManagementAndGeneralAmt
Fundraising$13,930FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,036TotalAmt
Management And General$8,036ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
ADMINISTRATIVE EXPENSES$36,356$36,356
DONOR RECOGNITION EVENT$8,921$8,921
BAD DEBT EXPENSE$5,588$5,588

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$683,254TotalAmt
Program Services$568,681ProgramServicesAmt
Management And General$90,597ManagementAndGeneralAmt
Fundraising$23,976FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$7,601EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$158,328BOYAmt
EOY$78,163EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$107,508BOYAmt
EOY$58,600EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,450BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,933,165BOYAmt
EOY$2,166,718EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,224,551BOYAmt
EOY$2,311,082EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,224,551BOYAmt
EOY$1,993,009EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$117,073EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$201,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,224,551BOYAmt
EOY$2,311,082EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,224,551BOYAmt
EOY$2,311,082EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$56,399ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$233,031NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$90,101OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$516,446CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$427,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$688,785CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$581,891CurrentTaxYearMinus1YearAmt
Current Tax Year$608,884CurrentTaxYearAmt
Total$2,823,082TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$516,446CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$427,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$688,785CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$581,891CurrentTaxYearMinus1YearAmt
Current Tax Year$608,884CurrentTaxYearAmt
Total$2,823,082TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$397,356SubstantialContributorsTotAmt
Public Support Total170$2,425,726PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,696CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,414CurrentTaxYearMinus1YearAmt
Current Tax Year$58,963CurrentTaxYearAmt
Total$219,352TotalAmt
FieldValueIRS element (for citing)
Total Support$3,042,434TotalSupportAmt
Gross Receipts Rltd Activities$615,103GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79730PublicSupportCY170Pct
Public Support PY1700.76220PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,503,114BeginningYearBalanceAmt
Investment Earnings Or Losses$252,194InvestmentEarningsOrLossesAmt
Grants Or Scholarships$40,904GrantsOrScholarshipsAmt
End Year Balance$1,714,404EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,374,984BeginningYearBalanceAmt
Investment Earnings Or Losses$173,234InvestmentEarningsOrLossesAmt
Grants Or Scholarships$45,104GrantsOrScholarshipsAmt
End Year Balance$1,503,114EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,386,988BeginningYearBalanceAmt
Contributions$33,591ContributionsAmt
Investment Earnings Or Losses-$17,903InvestmentEarningsOrLossesAmt
Grants Or Scholarships$27,692GrantsOrScholarshipsAmt
End Year Balance$1,374,984EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$252,065BeginningYearBalanceAmt
Contributions$1,129,508ContributionsAmt
Investment Earnings Or Losses$119,052InvestmentEarningsOrLossesAmt
Other Expenditures$62,572OtherExpendituresAmt
Administrative Expenses$51,065AdministrativeExpensesAmt
End Year Balance$1,386,988EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$250,221ContributionsAmt
Investment Earnings Or Losses$1,844InvestmentEarningsOrLossesAmt
End Year Balance$252,065EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.84870BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.11720PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.03410TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
EQUITY FUNDS$1,907,245F
MONEY MARKET FUNDS$58,473F
FIXED INCOME FUNDS$201,000F
FieldValueIRS element (for citing)
Total Book Value Securities$2,166,718TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE INCOME FROM THE ENDOWMENTS IS TO BE USED FOR TWO PURPOSES: HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS AND TO PROVIDE FUNDS FOR THE BENEFIT OF THE BIRTHING CENTER.
PART X, LINE 2:AS A CHARITABLE FOUNDATION, ISLAND HOSPITAL FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PERSUANT TO SECTION 501(A). THE FOUNDATION HAS ACCOUNTED FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLY AND WAS REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2013, THE FOUNDATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GALA OF HOPENameOfEvent1Amt
Gross Receipts Event1$283,011GrossReceiptsEvent1Amt
Charitable Contri Event1$242,260CharitableContriEvent1Amt
Gross Revenue Event1$40,751GrossRevenueEvent1Amt
Non Cash Prizes Event1$43,813NonCashPrizesEvent1Amt
Rent Facility Costs Event1$66,118RentFacilityCostsEvent1Amt
Entertainment Event1$6,677EntertainmentEvent1Amt
Other Direct Expenses Event1$1,340OtherDirectExpensesEvent1Amt
Name Of Event2GOLF CLASSICNameOfEvent2Amt
Gross Receipts Event2$88,240GrossReceiptsEvent2Amt
Charitable Contri Event2$61,123CharitableContriEvent2Amt
Gross Revenue Event2$27,117GrossRevenueEvent2Amt
Non Cash Prizes Event2$11,192NonCashPrizesEvent2Amt
Rent Facility Costs Event2$34,516RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$16,744OtherDirectExpensesEvent2Amt
Gross Receipts Total$371,251GrossReceiptsTotalAmt
Charitable Contributions Tot$303,383CharitableContributionsTotAmt
Gross Revenue Total Events$67,868GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$55,005NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$100,634RentFcltyCostsTotalEventsAmt
Entertainment Total Events$6,677EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,084OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$180,400DirectExpenseSummaryEventsAmt
Net Income Summary-$112,532NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ISLAND HOSPITAL SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2BusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 24TH STREETAddressLine1
CityANACORTESCity
StateWAState
ZIP Code98221ZIPCode
FieldValueIRS element (for citing)
Recipient EIN910729255RecipientEIN
IRC Section170(C)IRCSectionDesc
Cash Grant$502,699CashGrantAmt
Purpose Of GrantSUPPORT OF HEALTH PROGRAMS AT HOSPITALPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeONCOLOGY GRANTSGrantTypeTxt
Recipient22RecipientCnt
Cash Grant$5,191CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL GRANTS AND ASSISTANCE ARE ONLY PROVIDED TO THE SUPPORTED ORGANIZATION ISLAND HOSPITAL AND UTILIZED ONLY FOR THE PURPOSE OF THAT GRANT (I.E. HEALTH SCREENING PROGRAM, DIABETES CARE). ISLAND HOSPITAL IS RESPONSIBLE FOR ENSURING FUNDS TRANSFERRED FROM ISLAND HOSPITAL FOUNDATION ARE DESIGNATED AND UTILIZED ONLY FOR THE PURPOSE INSTRUCTED, AND THE FOUNDATION RECEIVES REPORTS SHOWING FUNDS WERE DISBURSED TO DEPARTMENTS AS INSTRUCTED.ExplanationTxt

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$125NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$40NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$15,675NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GIFT CERTIFIC28$17,306FAIR MARKET VALUE
Yes (X)VARIOUS13$10,959FAIR MARKET VALUE
Yes (X)TICKETS4$1,292FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTORS IS THE ACTUAL NUMBER OF CONTRIBUTORS OF NON-CASH ITEMS, EXCLUDING CONTRIBUTORS OF SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE FULL BOARD BEFORE IT IS SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C1. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS IHF IS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. 2. EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICH DECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR. 3. IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL STATEMENT CHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM. 4. THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT.
FORM 990, PART VI, SECTION C, LINE 19ALL ORGANIZATIONAL, FINANCIAL, AND TAX DOCUMENTS, INCLUDING FORM 990, ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:LOSS DUE TO FRAUD -90,101.
FORM 990, PART XII, LINE 1:FORM 990 WAS AMENDED TO REFLECT COMPILATION FINANCIAL STATEMENT RESULTS FOR THE YEAR ENDING DECEMBER 31, 2013. THE FOLLOWING REVENUE ITEMS WERE AMENDED AS FOLLOWS: - LINE 1F OTHER CONTRIBUTIONS DECREASED BY $39,536. - LINE 3 INVESTMENT INCOME INCREASED BY $58,874 DUE TO AN INCREASE IN SAVINGS INVESTMENTS. FORM 990, PART IX, LINES 1, 12, AND 24 FORM 990 WAS AMENDED TO REFLECT COMPILATION FINANCIAL STATEMENT RESULTS FOR THE YEAR ENDING DECEMBER 31, 2013. THE FOLLOWING FUNCTIONAL EXPENSE ITEMS WERE AMENDED AS FOLLOWS: - LINE 1 DECREASE OF GRANTS AND OTHER ASSISTANCE TO GOVERNMENTS AND ORGANIZATIONS OF $80,128. - LINE 12 DECREASE OF ADVERTISING BY $14,813 - LINE 24 OTHER EXPENSES INCREASED BY $63,445 TO REFLECT THE DECREASE IN BAD DEBT EXPENSE BY $27,861, INCREASE IN ADMINISTRATIVE EXPENSE OF $6,767, INCREASE IN MEDICAL SUPPLIES OF $10,191, AND INCREASE IN LOSS DUE TO FRAUD OF $90,101 TO MATCH THE FINANCIAL STATEMENTS. FORM 990, PART X, LINES 1, 2, 3, 4, AND 12. FORM 990 WAS AMENDED TO REFLECT COMPILATION FINANCIAL STATEMENT RESULTS FOR THE YEAR ENDING DECEMBER 31, 2013. THE FOLLOWING ASSETS WERE AMENDED AS FOLLOWS: - LINE 1 INCREASE IN CASH AND NON-INTEREST BEARING OF $7,601 TO ACCURATE GROUP ACCOUNTS. - LINE 2 INCREASE IN SAVINGS AND INVESTMENTS BY $91,669 TO MATCH FINANCIAL STATEMENTS. - LINE 3 INCREASE IN GRANTS RECEIVEABLE OF $64,188. - LINE 4 DECREASE IN ACCOUNTS RECEIVABLE OF $148,546. - LINE 12 DECREASE IN INVESTMENTS - OTHER SECURITIES BY $5,333. FORM 990, SCHEDULE A, SECTION A. FORM 990 WAS AMENDED TO REFLECT COMPILATION FINANCIAL STATEMENT RESULTS FOR THE YEAR ENDING DECEMBER 31, 2013. SCHEDULE A, SECTION A WAS AMENDED TO REFLECT THE DECREASE IN CONTRIBUTIONS AND THE INCREASE OF INTEREST INCOME. FORM 990, SCHEDULE D, PART VII. FORM 990 WAS AMENDED TO REFLECT COMPILATION FINANCIAL STATEMENT RESULTS FOR THE YEAR ENDING DECEMBER 31, 2013. SCHEDULE D, PART VII WAS AMENDED TO SHOW THE INCREASE OF INVESTMENTS.

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