ASANTE FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASANTE FOUNDATION (EIN 93-6087366)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201512259349303906
- 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 | 2015-08-13T18:39:25-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930623286 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AKT LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5665 SW MEADOWS RD SUITE 200 | AddressLine1 |
| City | LAKE OSWEGO | City |
| State | OR | State |
| ZIP Code | 97035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 936087366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASANTE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASAN | BusinessNameControlTxt |
| Phone | 5417894549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK HOCKING | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5417894549 | PhoneNum |
| Signature | 2015-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOYLYN M ANKENEY CPA | PreparerPersonNm |
| PTIN | P00366587 | PTIN |
| Phone | 5036204489 | PhoneNum |
| Preparation | 2015-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK HOCKING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,002,086 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASANTE.ORG/GIVING | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | THE ASANTE FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO RAISE MONIES AND IN-KIND DONATIONS TO FURTHER THE EXEMPT PURPOSE OF ASANTE, A 501(C)(3) HOSPITAL AND HEALTHCARE SYSTEM WHICH SERVICES THE HEALTHCARE NEEDS OF THE CITIZENS OF SOUTHERN OREGON AND NORTHERN CALIFORNIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 30 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,180,404 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,571,804 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,106,951 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,421,963 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $367,880 | CYOtherRevenueAmt |
| PY Total Revenue | $2,287,355 | PYTotalRevenueAmt |
| CY Total Revenue | $4,361,647 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,180,404 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $843,053 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $715,569 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $813,291 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $131,901 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $382,725 | PYOtherExpensesAmt |
| CY Other Expenses | $326,620 | CYOtherExpensesAmt |
| PY Total Expenses | $2,410,599 | PYTotalExpensesAmt |
| CY Total Expenses | $1,982,964 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$123,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,378,683 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,857,252 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,087,690 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $240,081 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $589,948 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,617,171 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,497,742 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ASANTE FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO RAISE MONIES AND IN-KIND DONATIONS TO FURTHER THE EXEMPT PURPOSE OF ASANTE, A 501(C)(3) HOSPITAL AND HEALTHCARE SYSTEM WHICH SERVICES THE HEALTHCARE NEEDS OF THE CITIZENS OF SOUTHERN OREGON AND NORTHERN CALIFORNIA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,221,436 | ExpenseAmt |
| Grant | $664,623 | GrantAmt |
| Revenue | $664,923 | RevenueAmt |
| Desc | DURING THE TAX YEAR, THE ASANTE FOUNDATION'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT WAS THE GRANTING OF $664,623 TO BENEFIT VARIOUS DEPARTMENTS AND CAPITAL PROJECTS AT ROGUE REGIONAL MEDICAL CENTER (RRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON.OF THE CAPITAL PROJECTS,OVER $268,000 WAS DONATED TO REMODEL THE FRANCES CHENEY FAMILY PLACE. MUCH LIKE RONALD MCDONALD HOUSE, THE FRANCES CHENEY FAMILY PLACE IS A HOME AWAY FROM HOME FOR FAMILY OF PATIENTS AT RRMC. THIS GENEROUS DONATION ALLOWED THE ROOMS, KITCHEN AREA, AND GARDENS TO GO THROUGH A MUCH NEEDED RENOVATION.A DONATION OF $127,697 WAS RECEIVED TO PURCHASE NICU TRANSPORT EQUIPMENT FOR THE TRANSPORTATION OF CRITICALLY ILL NEWBORNS THAT NEED TO BE MOVED FROM ASANTE ROGUE REGIONAL MEDICAL CENTER TO DOERNBECHER CHILDREN'S HOSPITAL IN PORTLAND.OVER $44,000 WAS DONATED THIS YEAR TO COMPLETE THE NEONATAL INTENSIVE CARE UNIT (NICU) REMODEL AND EXPANSION. THIS CAPITAL PROJECT ALMOST DOUBLES THE OVERALL SIZE OF THE NICU AND ADDS AN ADDITIONAL 10 BASSINETS AND GIRAFFE BEDS. ALL NEW HIGH EFFICIENCY LIGHTING AND PATIENT MONITORING SYSTEMS ARE INCLUDED IN THE PROJECT. NOW COMPLETED, THE OVERALL INCREASE IN PATIENT VOLUME IS EXPECTED TO BE MODEST, BUT THE MAJOR FOCUS OF THE NEW EXPANSION IS TO INCREASE THE EFFICIENCY AND QUALITY OF CARE TO THE BABIES AND THEIR FAMILIES.IN ADDITION TO DONATIONS FOR CAPITAL PROJECTS, THE ASANTE FOUNDATION ALSO HELPS SUPPORT NUMEROUS CLINICAL DEPARTMENTS AT RRMC. THIS INCLUDES GENEROUS DONATIONS OF OVER $34,000 TO THE CRITICAL CARE UNIT FOR A PILOT PROGRAM AND OVER $51,000 TO HELP OPERATE THE FRANCIS CHENEY FAMILY PLACE. THE HOSPICE DEPARTMENT RECEIVED $19,805 OF DONATIONS. THE FOUNDATION ALSO PROVIDED NEARLY $34,000 FOR FREE MAMMOGRAMS AND BREAST CANCER EDUCATION FOR UNINSURED WOMEN IN THE VALLEY. OTHER DONATIONS HELP SUPPORT THE WOMEN'S IMAGING CENTER, THE EMERGENCY DEPARTMENT, THE MENTAL HEALTH DEPARTMENT, AND THE DUBS CANCER CENTER. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $272,241 | ExpenseAmt |
| Grant | $148,135 | GrantAmt |
| Revenue | $148,135 | RevenueAmt |
| Desc | THE ASANTE FOUNDATION'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $148,135 TO HELP SUPPORT VARIOUS DEPARTMENTS AND CAPITAL PROJECTS AT THREE RIVERS MEDICAL CENTER (TRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON.DURING THE TAX YEAR, THE FOUNDATION CONTRIBUTED $8,500 TO INSTALL A DEMO KITCHEN FOR DIABETIC PATIENTS TO COME AND LEARN HOW TO LEARN ABOUT AND PREPARE MEALS FOR THEIR NEW DIAGNOSIS. THE FOUNDATION ALSO MADE CONTRIBUTIONS OF OVER $16,900 TOWARD THE CONSTRUCTION OF THE NEW THREE RIVERS OUTPATIENT CLINIC. IN ADDITION TO CAPITAL PROJECTS, THE FOUNDATION CONTRIBUTED OVER $122,628 IN GENERAL OPERATING DONATIONS. THIS INCLUDES $26,698 TO THE THREE RIVERS FAMILY HOUSE, AND $17,600 TO THE SPEARS CANCER CENTER. OVER $12,700 WAS DONATED TO HELP SUBSIDIZEDFREE MAMMOGRAMS TO UNINSURED WOMEN THROUGH A GENEROUS GRANT FROM THE CONNIE FISKE FOUNDATION. OTHER DEPARTMENTS THAT BENEFITED FROM FOUNDATION DONATIONS INCLUDE THE EMERGENCY DEPARTMENT AND THE IMAGING DEPARTMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $55,676 | ExpenseAmt |
| Grant | $30,295 | GrantAmt |
| Revenue | $30,295 | RevenueAmt |
| Desc | THE ASANTE FOUNDATION'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT WAS APPLYING FOR AND RECEIVING SIGNIFICANT GRANTS FROM VARIOUS PHILANTHROPIC FOUNDATIONS AROUND THE COUNTRY.THE FOUNDATION, PARTNERING WITH THE REGENCE FOUNDATION, COMMITTED AN ADDITIONAL $9,988 TO COVER THE COSTS OF CONFERENCES AND EDUCATION FOR NURSES AND OTHER MEDICAL PERSONNEL TO LEARN MORE ABOUT PALLIATIVE CARE AND PAIN MANAGEMENT.ALSO, THE ASANTE FOUNDATION HAS MADE DONATIONS TO THE KOHL'S FIT KIDS PROGRAM IN THE AMOUNT OF $20,307. IN ALL, THE ASANTE FOUNDATION GRANTED $30,295 TO THE VARIOUS OTHER PROGRAMS THAT HELP SUPPORT ASANTE.THE ASANTE FOUNDATION'S ON-GOING MISSION IS TO CONTINUALLY ASSESS THE NEEDS OF THE HOSPITALS IT SUPPORTS, AS WELL AS THE COMMUNITY WE SERVE. OVER THE YEARS, THE FOUNDATION HAS CONTRIBUTED MILLIONS OF DOLLARS TO HELP SUBSIDIZED IMPORTANT CLINICAL DEPARTMENTS OF THE HOSPITALS AND HELP PURCHASE NEEDED MEDICAL EQUIPMENT. IT HAS ALSO MADE SIGNIFICANT CONTRIBUTIONS TO MAJOR BUILDING PROJECTS AT ROGUE REGIONAL MEDICAL CENTER AND THREE RIVERS MEDICAL CENTER. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,549,353 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| 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 | 0 | QuidProQuoContributionsInd |
| 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 | 30 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | 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 | Yes (1) | 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 | 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 |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK HOCKING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5417894549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|
| BRIAN GROSS MD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DIONNE IRVINE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BOB BROOKS | ||||||
| CURRENT CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG SCHMOR | ||||||
| PAST CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BOB MAYERS | ||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER MCRAE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA WINTEMUTE | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LOU AGUIRRE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| STAN DEUPREE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA FARLAND | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TRAVIS HAMLYN | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KURT HEATER | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CLIFF KUHLMAN | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT LEWIS | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| HYLA LIPSON | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF LOUIE MD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LAURA NAUMES | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY PECKHAM | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GERRY TANK MD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DON TODD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DARLENE TUENKER | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID WRIGHT | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| STEVEN ROE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN SCHIAVONE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GENE ABELL | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TERI BETH WARD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROY VINYARD | ||||||
| ASANTE CEO | 0.00 | Yes (X) | $0 | $902,421 | $427,573 | 40.00 |
| PATRICK HOCKING | ||||||
| ASANTE CFO | 0.00 | Yes (X) | $0 | $333,538 | $136,827 | 40.00 |
| MARVIN HAAS | ||||||
| PAST CFO | 0.00 | Yes (X) | $0 | $479,574 | $133,562 | 40.00 |
| MARK COLLINS | ||||||
| PAST CFO | 0.00 | Yes (X) | $0 | $0 | $0 | 40.00 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,715,533 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $697,962 | 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 |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S MIRACLE NETWORK | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4525 SOUTH 2300 EAST 202 | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84117 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MARKETING/PROMOTION | ServicesDesc |
| Compensation | $104,666 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $104,218 | FundraisingAmt |
| All Other Contributions | $1,467,586 | AllOtherContributionsAmt |
| Noncash Contributions | $174,079 | NoncashContributionsAmt |
| Total Contributions | $1,571,804 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,190 | TotalRevenueColumnAmt |
| Exclusion | $411,190 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,169,237 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,158,464 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,010,773 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,010,773 | TotalRevenueColumnAmt |
| Exclusion | $2,010,773 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $849,855 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $104,218 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $481,975 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $367,880 | TotalRevenueColumnAmt |
| Exclusion | $367,880 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,361,647 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,789,843 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $843,053 | TotalAmt |
| Program Services | $843,053 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,370 | TotalAmt |
| Program Services | $130,157 | ProgramServicesAmt |
| Management And General | $73,213 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,225 | TotalAmt |
| Program Services | $212,624 | ProgramServicesAmt |
| Management And General | $119,601 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,806 | TotalAmt |
| Program Services | $15,876 | ProgramServicesAmt |
| Management And General | $8,930 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,934 | TotalAmt |
| Program Services | $133,078 | ProgramServicesAmt |
| Management And General | $74,856 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,956 | TotalAmt |
| Program Services | $28,772 | ProgramServicesAmt |
| Management And General | $16,184 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,502 | TotalAmt |
| Management And General | $111,502 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,048 | TotalAmt |
| Program Services | $6,048 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,793 | TotalAmt |
| Program Services | $23,548 | ProgramServicesAmt |
| Management And General | $13,245 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,015 | TotalAmt |
| Program Services | $18,675 | ProgramServicesAmt |
| Management And General | $340 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,450 | TotalAmt |
| Program Services | $37,450 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $30,911 | $30,911 | |
| PRINTING AND PUBLICATIO | $29,019 | $29,019 | |
| MISCELLANEOUS | $18,182 | $18,182 | |
| PURCHASED SERVICES | $15,536 | $9,943 | $5,593 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,164 | TotalAmt |
| Program Services | $12,017 | ProgramServicesAmt |
| Management And General | $10,147 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,982,964 | TotalAmt |
| Program Services | $1,549,353 | ProgramServicesAmt |
| Management And General | $433,611 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $500 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$18,902 | BOYAmt |
| EOY | -$20,667 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,502 | BOYAmt |
| EOY | $1,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $294,951 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,951 | BOYAmt |
| EOY | $294,951 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,560,551 | BOYAmt |
| EOY | $23,628,545 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,650 | BOYAmt |
| EOY | $182,625 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,857,252 | BOYAmt |
| EOY | $24,087,690 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,772 | BOYAmt |
| EOY | $459,157 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$122,691 | BOYAmt |
| EOY | $130,791 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,081 | BOYAmt |
| EOY | $589,948 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,140,817 | BOYAmt |
| EOY | $16,094,246 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,991,316 | BOYAmt |
| EOY | $3,628,432 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,485,038 | BOYAmt |
| EOY | $3,775,064 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,617,171 | BOYAmt |
| EOY | $23,497,742 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,857,252 | BOYAmt |
| EOY | $24,087,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,378,683 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $458,205 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $43,683 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| ASANTE | |||||
| 930223960 | HOSPITAL | Yes (1) | Yes (1) | Yes (1) | $833,065 |
| ASANTE PHYSICIAN PARTNERS | |||||
| 383849354 | PHYSICIAN GROUP | Yes (1) | Yes (1) | Yes (1) | $9,988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $843,053 | SupportSumAmt |
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 | $18,901,671 | BeginningYearBalanceAmt |
| Contributions | $320,785 | ContributionsAmt |
| Investment Earnings Or Losses | $181,774 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $141,353 | GrantsOrScholarshipsAmt |
| End Year Balance | $19,262,877 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,536,039 | BeginningYearBalanceAmt |
| Contributions | $268,729 | ContributionsAmt |
| Investment Earnings Or Losses | $163,135 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $66,232 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,901,671 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,306,191 | BeginningYearBalanceAmt |
| Contributions | $104,176 | ContributionsAmt |
| Investment Earnings Or Losses | $162,870 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $37,198 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,536,039 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,929,742 | BeginningYearBalanceAmt |
| Contributions | $215,694 | ContributionsAmt |
| Investment Earnings Or Losses | $169,690 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $8,935 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,306,191 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,945,515 | BeginningYearBalanceAmt |
| Contributions | $28,150 | ContributionsAmt |
| Investment Earnings Or Losses | $109,554 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $153,477 | GrantsOrScholarshipsAmt |
| End Year Balance | $17,929,742 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.79830 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19600 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00570 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $86,195 | InvestmentCostOrOtherBasisAmt |
| Book Value | $86,195 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $208,756 | InvestmentCostOrOtherBasisAmt |
| Book Value | $208,756 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $294,951 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY PAYABLE | Desc |
| Amt | $130,791 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $130,791 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,708,350 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $458,205 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $458,205 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,250,145 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $111,502 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $111,502 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,361,647 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,871,462 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,871,462 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $111,502 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $111,502 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,982,964 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENTS ARE SET UP TO HELP PURCHASE CAPITAL EQUIPMENT FOR A VARIETY OF DEPARTMENTS AND SERVICES AT ROGUE REGIONAL MEDICAL CENTER AND THREE RIVERS MEDICAL CENTER. UP TO 5% OF ENDOWMENT EARNINGS CAN BE USED TO PURCHASE EQUIPMENT. |
| PART X, LINE 2: | THE MANAGEMENT OF THE ASANTE FOUNDATION DOES NOT BELIEVE IT HAS ADOPTED ANY UNCERTAIN TAX POSITIONS AS DEFINED BY FASB ASC SUBTOPIC 740-10, "INCOME TAXES-OVERALL". |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S MIRACLE NETWORK | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4525 S 2300 EAST 202 | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84117 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | PROMOTION | ActivityTxt |
| Fundraiser Control Of Funds | Yes (1) | FundraiserControlOfFundsInd |
| Gross Receipts | $954,073 | GrossReceiptsAmt |
| Retained By Contractor | $104,666 | RetainedByContractorAmt |
| Net To Organization | $849,407 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $954,073 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $104,666 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $849,407 | TotalNetToOrganizationAmt |
| Licensed States | OR | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CHILDREN'S MIRACLE NETWORK | NameOfEvent1Amt |
| Gross Receipts Event1 | $954,073 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $104,218 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $849,855 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $481,975 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $954,073 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $104,218 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $849,855 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $481,975 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $481,975 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $367,880 | 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 | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ASANTE PHYSICIAN PARTNERS | |||||||
| 2650 SISKIYOU BLVD | MEDFORD | OR | 97504 | 383849354 | 501 (C)(3) | $9,988 | SUPPORT PALLIATIVE CARE DEPARTMENT |
| ASANTE | |||||||
| 2650 SISKIYOU BLVD | MEDFORD | OR | 97504 | 930223960 | 501 (C)(3) | $833,065 | SUPPORT HOSPITAL DEPARTMENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ASANTE FOUNDATION REGULARLY MAKES DONATIONS TO ASANTE, A 501(C)(3) HOSPITAL AND HEALTHCARE ORGANIZATION, FOR THE PURPOSE OF CAPITAL PURCHASES AND SUPPORT VARIOUS HOSPITAL DEPARTMENTS | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROY VINYARD | ||||||||||||||
| ASANTE CEO | $0 | $618,863 | $0 | $191,735 | $0 | $91,823 | $0 | $383,691 | $0 | $43,882 | $0 | $1,329,994 | $0 | $0 |
| PATRICK HOCKING | ||||||||||||||
| ASANTE CFO | $0 | $267,853 | $0 | $10,720 | $0 | $54,965 | $0 | $94,077 | $0 | $42,750 | $0 | $470,365 | $0 | $0 |
| MARVIN HAAS | ||||||||||||||
| PAST CFO | $0 | $318,318 | $0 | $120,068 | $0 | $41,188 | $0 | $96,988 | $0 | $36,574 | $0 | $613,136 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | |
| PART I, LINE 3 | THE ASANTE FOUNDATION DOES NOT HAVE A PAID CEO. HOWEVER, ROY VINYARD, THE CEO/EXECUTIVE DIRECTOR OF ASANTE (THE FOUNDATION'S SUPPORTED ORGANIZATION) HAS HIS SALARY DETERMINED BY THE ASANTE COMPENSATION COMMITTEE. HIS SALARY IS DETERMINED BY INDEPENDANT COMPENSATION CONSULTANTS, WRITTEN EMPLOYMENT CONTRACTS, AND A COMPENSATION SURVEY AND STUDY. HIS FINAL SALARY MUST BE APPROVED BY THE ASANTE BOARD OF DIRECTORS. |
| PART I, LINE 4B | ASANTE, THE PARENT CORPORATION OF THE ASANTE FOUNDATION, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR ROY VINYARD, THE ASANTE CEO. THIS PLAN STATES HE IS TO RECEIVE FIXED PAYMENTS AT PRE-DETERMINED INTERVAL FROM ASANTE IF HE IS EMPLOYED BY ASANTE AS CEO AT THE TIME OF VESTING. MR. VINYARD HAS THE AUTHORITY TO DIRECT HOW HIS PLAN ASSETS ARE TO BE INVESTED. IF MR. VINYARD IS NOT EMPLOYED AS CEO BY ASANTE FOR ANY REASON PRIOR TO VESTING, HE WILL NOT HAVE CLAIM TO THE FUNDS. FOR THE FISCAL YEAR END OF SEPT 30, 2014, THERE WAS $260,199 SET ASIDE IN MR. VINYARDS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS AMOUNT IS INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. ASANTE, THE PARENT CORPORATION OF THE ASANTE FOUNDATION, HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES ASANTE CFO PATRICK HOCKING AND ASANTED CEO ROY VINYARD. THIS PLAN STATES FIXED PAYMENTS WILL BE RECEIVED AT PRE-DETERMINED INTERVALS FROM ASANTE IF STILL EMPLOYED BY ASANTE IN THEIR CURRENT ROLE AT THE TIME OF VESTING. IF EMPLOYMENT TERMINATES BY ASANTE FOR ANY REASON PRIOR TO VESTING, THEY WILL NOT HAVE CLAIM TO THE FUNDS. FOR THE FISCAL YEAR ENDED SEPT 30, 2014, THERE WAS $10,306 CONTRIBUTED FOR MR. HOCKING AND $95,807 CONTRIBUTED FOR MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. |
| PART I, LINE 7 | |
| PART I, LINE 8 | |
| COMPENSATION FROM UNRELATED ORGANIZATION | SCHEDULE J, PART II SHOWS THE COMPENSATION OF THE OFFICERS, DIRECTORS AND KEY EMPLOYEES OF ASANTE, AS WELL AS THE COMPENSATION OF THE TOP 5 HIGHEST PAID EMPLOYEES. COLUMNS BI, BII AND BIII DISPLAYS THE AMOUNTS ACTUALLY PAID TO THESE PEOPLE AS WHAT SHOWS UP ON THEIR FORM W-2 ON DECEMBER 31,2013. COLUMNS C AND D INCLUDE AMOUNTS ACCRUED, BUT UNPAID DURING THE FISCAL YEAR, WITH COLUMN E BEING TOTAL COMPENSATION REPORTED FOR FORM 990 PURPOSES. COLUMN F INCLUDES AMOUNTS THAT HAD BEEN REPORTED AS ACCRUED BUT UNPAID COMPENSATION ON PRIOR YEAR FORM 990 TAX RETURNS, BUT PAID-OUT DURING THE CURRENT YEAR. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $72,002 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | EVENT SUPPLIE | Desc |
| Contribution | 206 | ContributionCnt |
| Noncash Contributions Rpt F990 | $102,077 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ASANTE IS THE SOLE MEMBER OF ASANTE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ASANTE, AS THE SOLE MEMBER OF ASANTE FOUNDATION, RETAINS THE RIGHT TO APPOINT BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | ASANTE, AS THE SOLE MEMBER OF ASANTE FOUNDATION, RETAINS THE RIGHT TO APPROVE GOVERNANCE DECISIONS MADE BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FEDERAL FORM 990 IS A FEDERALLY MANDATED LEGAL DOCUMENT THAT IS HIGHLY REGULATED. WHEN FINAL AUDITED FINANCIAL INFORMATION IS AVAILABLE, PERSONNEL FROM ASANTE'S ACCOUNTING DEPARTMENT WILL COORDINATED WITH PERSONNEL IN ASANTE'S MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS TO PREPARE ALL WORK PAPERS AND SCHEDULES. WHEN ALL WORK PAPERS ARE COMPLETE, THE INFORMATION IS LOADED INTO APPROPRIATE TAX SOFTWARE AND A DRAFT RETURN IS PRINTED. THE DRAFT RETURN IS REVIEWED BY ASANTE'S CHIEF ADMINISTRATIVE AND FINANCE OFFICER AND DIRECTOR OF FINANCE. AFTER THE REVIEW, ACCOUNTING WILL CLEAR ALL REVIEW NOTES. THE ASANTE FOUNDATION'S BOARD OF DIRECTORS WILL LOOK OVER THE FINAL SET OF RETURNS AND MAKE FURTHER COMMENTS OR CORRECTIONS, AS IS APPROPRIATE. ONCE ALL REVIEWS AND CORRECTIONS ARE MADE, THE CAFO WILL SIGN ALL APPROPRIATE RETURNS FOR FILING. THE RETURN WILL THEN BE FILED EITHER ELECTRONICALLY OR PAPER COPY WITH THE APPROPRIATE GOVERNMENT AGENCIES. A COPY OF THE RETURN IS TO BE KEPT IN ASANTE'S ACCOUNTING DEPARTMENT AND ANOTHER WILL BE KEPT AT ASANTE'S CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR, THE FOUNDATION MAILS TO ALL BOARD MEMBERS A CONFLICT OF INTEREST QUESTIONNAIRE TO COMPLY WITH THE FOUNDATION'S CONFLICT OF INTEREST POLICY. THE PURPOSE OF THE POLICY IS TO PROTECT THE INTERESTS OF BOTH THE ASANTE FOUNDATION AND ASANTE (ITS SUPPORTED ORGANIZATION) WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER. ASANTE'S CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKES AN ANNUAL REPORT TO THE ASANTE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE ASANTE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF ASANTE'S CEO AND OTHER KEY EMPLOYEES. THE REVIEW COMPARES THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES WITH COMPENSATION DATA FOR JOB INCUMBENTS IN COMPARABLE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND SCOPE TO THAT OF ASANTE. THE DATA IS PROVIDED AND PRESENTED TO THE COMPENSATION COMMITTEE OF ASANTE BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE SETS THE ACTUAL ANNUAL CASH COMPENSATION FOR THE CEO AND SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE COMMITTEE ALSO SETS TOTAL COMPENSATION OPPORTUNITY FOR THE CEO AND EACH OF THE KEY EMPLOYEES, CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. MINUTES OF THE COMMITTEE DELIBERATIONS AND DECISIONS ARE RECORDED AND MAINTAINED BY ASANTE. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS COMPLETED IN 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN ENDOWMENT FUND BALANCE 43,683. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASANTE | |||||||||||
| 2650 SISKIYOU BLVD | MEDFORD | OR | 97504 | 930223960 | HOSPITAL AND HEALTHCARE | OR | 501 (C)(3) | 509(A)(1) | N/A | 0 | |
| ASANTE PHYSICIAN PARTNERS | |||||||||||
| 2650 SISKIYOU BLVD | MEDFORD | OR | 97504 | 383849354 | PHYSICIAN GROUP | OR | 501 (C)(3) | 509(A)(1) | 0 | ASANTE | |
| 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 | 0 | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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