PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION (EIN 72-1545902)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349306035
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T13:19:33-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721545902 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PEAC | NameControl |
| Phone | 3607886866 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK MCCAMPBELL | Name |
| Title | NW NETWORK CDO | Title |
| Phone | 3607566865 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARA ELIZABETH J HYRE | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | Phone |
| Date Prepared | 2014-05-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK MCCAMPBELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 2624904 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.THEHOSPITALFOUNDATION.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO RAISE CONTRIBUTIONS AND ESTABLISH ENDOWMENTS TO SUPPORT PEACEHEALTH ST. JOSEPH MEDICAL CENTER ACTIVITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 28 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 26 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3358922 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2549089 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 48410 | InvestmentIncomePriorYear |
| Investment Income Current Year | 55375 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -120523 | OtherRevenuePriorYear |
| Other Revenue Current Year | 18027 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3286809 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2622491 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2371286 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2114187 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 766508 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 257686 | OtherExpensePriorYear |
| Other Expenses Current Year | 963198 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2628972 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3077385 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 657837 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -454894 | RevenuesLessExpensesCY |
| Total Assets BOY | 5178621 | TotalAssetsBOY |
| Total Assets EOY | 4635803 | TotalAssetsEOY |
| Total Liabilities BOY | 378797 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 259430 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4799824 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4376373 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 1680639 | Expense |
| Grants | 1680639 | Grants |
| Description | 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 $604,246 OF SUCH ITEMS HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS AS A PART OF IN-KIND CONTRIBUTIONS AND EXPENSES, AND 571,650 OF SUCH CONTRIBUTION OF HOSPITAL PERSONNEL HAS BEEN INCLUDED ON FORM 990 TO ACCURATELY REFLECT THE FINANCIAL POSITION OF THE FOUNDATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 45300 | Expense |
| Grants | 45300 | Grants |
| Description | THE WHATCOM HOSPICE FOUNDATION TRANSFERS. THE WHATCOM HOSPICE FOUNDATION'S MISSION IS TO SUPPORT HOSPICE SERVICES IN WHATCOM COUNTY AND THE SURROUNDING AREA. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 388248 | Expense |
| Grants | 388248 | Grants |
| Description | SUPPORT OF PEACEHEALTH PEACE ISLAND MEDICAL CENTER FOR PATIENT SUPPORT, NURSING SUPPORT, CAPITAL EXPENDITURES, AND CHARITY CARE. SPECIFICALLY $250K WAS RECEIVED FOR THE IMAGING EQUIPMENT PURCHASED FOR THE MEDICAL CENTER. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 2114187 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 28 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 26 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICOLE POYNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3607886540 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 809 E CHESTNUT ST | AddressLine1 |
| City | BELLINGHAM | City |
| State | WA | State |
| ZIP Code | 98225 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| CHARLES ARIZ MD | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| ANITA WISEMAN | |||||||
| CO-DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| ROSE FIDELMA | |||||||
| CO-DIRECTOR | 0.50 | 0.00 | X | 0 | 0 | 0 | |
| JAN JURGENSEN | |||||||
| CO-DIRECTOR | 0.50 | 0.00 | X | 0 | 0 | 0 | |
| MICHAEL BRADBURN | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| BRAD DEHAAN | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| AMY ESARY | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| MARION ROBIN FOOTE | |||||||
| TREASURER | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| ROSEMARIE FRANCIS | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| WILLIAM HALL MD | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| DENNY HOLMSTROM | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| JOHN HUNTLEY | |||||||
| PRESIDENT | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| FRANK IMHOF | |||||||
| PRESIDENT (THRU 7/2012) & DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| KATIE JANSEN | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| LYNNETTE JENSEN | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| SIMON JOHNSON | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| JEFFREY KAUFMAN | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| CHET KENOYER | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| RICHARD J LEONE MD | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| MIKE PERRY | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| SARAH ROTHENBUHLER | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| NANCY STEIGER | |||||||
| REGIONAL CEO & CHIEF MISSION OFFICER | 2.00 | 40.00 | X | 0 | 463124 | 175381 | X |
| DIANE STROUT | |||||||
| DIRECTOR | 2.00 | 40.00 | X | 0 | 154779 | 0 | |
| HOLLY STUDLEY | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| SHAUN SULLIVAN MD | |||||||
| VICE PRESIDENT | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| CHRISTINE THOMPSON | |||||||
| SECRETARY | 2.00 | 0.00 | X | 0 | 0 | 0 | X |
| CHERYL WEG | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| DOUG WIGHT | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| BRADLEY BEARDEN | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| ANNA WILLIAMS | |||||||
| DIRECTOR | 2.00 | 0.00 | X | 0 | 0 | 0 | |
| MARK MCCAMPBELL | |||||||
| VP OF PHILANTHROPY, NW NETWORK CDO | 0.00 | 40.00 | 0 | 203594 | 2833 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 821497 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 178214 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 15405 | FundraisingEvents |
| Related Organizations | 977862 | RelatedOrganizations |
| All Other Contributions | 1555822 | AllOtherContributions |
| Noncash Contributions | 1297149 | NoncashContributions |
| Total Contributions | 2549089 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55375 | TotalRevenueColumn |
| Exclusion | $55,375 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 15645 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 15645 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15645 | TotalRevenueColumn |
| Exclusion | $15,645 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 4795 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 15405 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 2413 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2382 | TotalRevenueColumn |
| Exclusion | $2,382 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2622491 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $73,402 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2019398 | Total |
| Program Services | 2019398 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94789 | Total |
| Program Services | 94789 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25967 | Total |
| Management And General | 25967 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2100 | Total |
| Management And General | 2100 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102982 | Total |
| Management And General | 922 | ManagementAndGeneral |
| Fundraising | 102060 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209072 | Total |
| Management And General | 17706 | ManagementAndGeneral |
| Fundraising | 191366 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8065 | Total |
| Management And General | 2058 | ManagementAndGeneral |
| Fundraising | 6007 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19226 | Total |
| Management And General | 2801 | ManagementAndGeneral |
| Fundraising | 16425 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24136 | Total |
| Management And General | 24136 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONTRIBUTED SALARIES | Description |
| Total | 571650 | Total |
| Management And General | 121000 | ManagementAndGeneral |
| Fundraising | 450650 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3077385 | Total |
| Program Services | 2114187 | ProgramServices |
| Management And General | 196690 | ManagementAndGeneral |
| Fundraising | 766508 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2910203 | BOY |
| EOY | 2387884 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1089079 | BOY |
| EOY | 941372 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909824 | BOY |
| EOY | 1038616 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174866 | BOY |
| EOY | 190530 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94649 | BOY |
| EOY | 77401 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5178621 | BOY |
| EOY | 4635803 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 378797 | BOY |
| EOY | 259430 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 378797 | BOY |
| EOY | 259430 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1545487 | BOY |
| EOY | 1835283 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2884061 | BOY |
| EOY | 2170814 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370276 | BOY |
| EOY | 370276 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4799824 | BOY |
| EOY | 4376373 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5178621 | BOY |
| EOY | 4635803 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -454894 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 66054 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | 3 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -34614 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2111682 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1295391 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1730933 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3358922 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2549089 | CurrentTaxYear |
| Total | 11046017 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2111682 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1295391 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1730933 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3358922 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2549089 | CurrentTaxYear |
| Total | 11046017 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 1188738 | AmountsSubstContributorsTotal |
| Public Support Total170 | 9857279 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 106465 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 50603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 44176 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58577 | CurrentTaxYearMinus1Year |
| Current Tax Year | 71020 | CurrentTaxYear |
| Total | 330841 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 2382 | CurrentTaxYear |
| Total | 2382 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 11379240 | TotalSupport |
| Public Support Pertcentage170 | 0.86630 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.65230 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1273160 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 113744 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1386904 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1125630 | BeginningOfYearBalance |
| Contributions | 154645 | Contributions |
| Investment Earnings Or Losses | -2293 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4000 | GrantsOrScholarships |
| Administrative Expenses | 822 | AdministrativeExpenses |
| End Of Year Balance | 1273160 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 989556 | BeginningOfYearBalance |
| Contributions | 67276 | Contributions |
| Investment Earnings Or Losses | 69561 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 763 | GrantsOrScholarships |
| End Of Year Balance | 1125630 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 880911 | BeginningOfYearBalance |
| Contributions | 52598 | Contributions |
| Investment Earnings Or Losses | 56047 | InvestmentEarningsOrLosses |
| End Of Year Balance | 989556 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 473753 | BeginningOfYearBalance |
| Contributions | 422870 | Contributions |
| Investment Earnings Or Losses | -4812 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 10900 | GrantsOrScholarships |
| End Of Year Balance | 880911 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.66000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.27000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.07000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 2700797 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 48805 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 32596 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | -3095 | OtherRevenues |
| Revenue Not Rptd F990 | 78306 | RevenueNotRptdF990 |
| Revenue Subtotal | 2622491 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2622491 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3124251 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 32596 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 17365 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 49961 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3074290 | ExpensesSubtotal |
| Other Expenses Not Included | 3095 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3095 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3077385 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUNDS ARE USED FOR CAPITAL, SCHOLARSHIPS, AND ACCESS CARE (CHARITY CARE). |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT DEDUCTIONS -995. INVESTMENT FEE -2,100. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON UNCOLLECTIBLE PLEDGES 17,365. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENT DEDUCTIONS 995. INVESTMENT FEE 2,100. | |
| SCHEDULE D, PART XI, LINE 2A: NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS 66,054 CHANGE IN SPLIT INTEREST VALUE -17,249 TOTAL 48,805 | ||
| 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 $604,246 OF SUCH ITEMS HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS AS A PART OF IN-KIND CONTRIBUTIONS AND EXPENSES, AND 571,650 OF SUCH CONTRIBUTION OF HOSPITAL PERSONNEL HAS BEEN INCLUDED ON FORM 990 TO ACCURATELY REFLECT THE FINANCIAL POSITION OF THE FOUNDATION, THE REST OF $32,596 USE OF FACILITIES HAS BEEN REMOVED FROM THE FORM 990 AS PER THE INSTRUCTIONS. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DENIM & DIAMONDS | NameOfEvent1 |
| Gross Receipts Event1 | 13053 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 13053 | CharitableContributionsEvent1 |
| Food And Beverage Event1 | 1561 | FoodAndBeverageEvent1 |
| Name Of Event2 | WOMEN'S HEALTH LUNCHEON | NameOfEvent2 |
| Gross Receipts Event2 | 7147 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 2352 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 4795 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 852 | NonCashPrizesEvent2 |
| Gross Receipts Total | 20200 | GrossReceiptsTotal |
| Charitable Contributions Total | 15405 | CharitableContributionsTotal |
| Gross Revenue Total Events | 4795 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 852 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 1561 | FoodAndBeverageTotalEvents |
| Direct Expense Summary Events | 2413 | DirectExpenseSummaryEvents |
| Net Income Summary | 2382 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| PEACEHEALTH ST JOSEPH MEDICAL CENTER | ||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 910565889 | 501(C)(3) | 1314653 | 265066 | FMV | EQUIPMENT, TOTEM POLES, STATUES | PATIENT CARE |
| THE WHATCOM HOSPICE FOUNDATION | ||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 943146369 | 501(C)(3) | 45300 | FOR HOSPICE HOUSE AND GENERAL HOSPICE PROGRAM EXPENSE | |||
| PEACE ISLAND MEDICAL CENTER | ||||||||||
| 1117 SPRING STREET | FRIDAY HARBOR | WA | 98250 | 383868360 | 501(C)(3) | 350000 | 38248 | FMV | STATUE, GRAND OPENING EXPENSES | FACILITY |
| PEACEHEALTH SYSTEM SUPPORT SERVICES | ||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 910939479 | 501(C)(3) | 6131 | GRANT WORK RELATING TO THE UNIVERSITY OF COLORADO DENVER GRANT | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | RESEARCH REGARDING CARDIAC PATIENTS | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 94789 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE FOUNDATION RECEIVES BACKUP DOCUMENTATION (USUALLY IN THE FORM OF AN INVOICE) FROM THE GRANTEE SHOWING FUNDS WERE USED FOR THEIR INTENDED PURPOSE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANCY STEIGER | ||||||||||||||
| REGIONAL CEO & CHIEF MISSION OFFICER | 0 | 459822 | 0 | 0 | 0 | 3302 | 0 | 140845 | 0 | 34536 | 0 | 638505 | 0 | 0 |
| DIANE STROUT | ||||||||||||||
| DIRECTOR | 0 | 153279 | 0 | 0 | 0 | 1500 | 0 | 0 | 0 | 0 | 0 | 154779 | 0 | 0 |
| MARK MCCAMPBELL | ||||||||||||||
| VP OF PHILANTHROPY, NW NETWORK CDO | 0 | 203594 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2833 | 0 | 206427 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | THERE IS A 457(F) PLAN FOR SENIOR VPS, PRESIDENT AND CHIEF MISSION OFFICER. NANCY STEIGER IS A PARTICIPANT IN THIS PLAN AND SHE DID NOT RECEIVE ANY PAYMENT DURING THE REPORTING YEAR. | Explanation |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 100500 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 10165 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | SUPPLIES | 1 | 406212 | COST |
| X | CT SCANNER | 1 | 160000 | FMV |
| X | PIANO | 1 | 37000 | FMV |
| X | MISCELLANEOUS EVENT AND PROGRAM GIFTS | 12 | 11622 | FMV |
| X | CON. SALARIES | 571650 | BOOK VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | THE NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF CONTRIBUTORS DURING THE YEAR. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART I, LINE 6: | THERE ARE 30 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 III, LINE 2 | SUPPORT OF PEACEHEALTH PEACE ISLAND MEDICAL CENTER IS A NEW PROGRAM. | NEW PROGRAM SERVICES |
| FORM 990, PART III, LINE 3 | PURSUING PERFECTIONS PROJECT WAS CEASED DUE TO LIMITED DURATION OF FUNDING FOR THE PROJECT, THE PROJECT WAS FUNDED BY GRANTS THROUGH MICROSOFT AND THE STATE OF WASHINGTON, AND THOSE GRANTS WERE COMPLETED IN FISCAL YEAR 2012. | CHANGES IN PROGRAM SERVICES |
| 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. | |
| 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: | CHANGE IN SPLIT INTEREST VALUE -17,249. LOSS ON UNCOLLECTIBLE PLEDGES -17,365. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PEACEHEALTH | ||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 910939479 | HOSPITAL | WA | 501(C)(3) | 3 - HOSPITAL | PEACEHEALTH | 0 |
| THE WHATCOM HOSPICE FOUNDATION | ||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 943146369 | SUPPORT WHATCOM HOSPICE | WA | 501(C)(3) | 11D - TYPE III | PEACEHEALTH | 0 |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER FOUNDATION | ||||||||||
| 3100 TONGASS AVE | KETCHIKAN | AK | 99901 | 651225184 | SUPPORT KETCHIKAN GENERAL HOSPITAL | AK | 501(C)(3) | 7 - 509(A)(1) | 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) | 7 - 509(A)(1) | PEACEHEALTH | 0 |
| PEACE HARBOR HOSPITAL FOUNDATION | ||||||||||
| 400 9TH STREET | FLORENCE | OR | 97439 | 931084126 | PROVIDE FINANCIAL AID TO PEACE HARBOR HOSPITAL | OR | 501(C)(3) | 11A - TYPE 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) | 11A - TYPE I | PEACEHEALTH | 0 |
| PEACEHEALTH ST JOHN MEDICAL CENTER FOUNDATION | ||||||||||
| 1615 DELAWARE | LONGVIEW | WA | 98632 | 911538852 | SUPPORT ST. JOHN MEDICAL CENTER | WA | 501(C)(3) | 7 - 509(A)(1) | PEACEHEALTH | 0 |
| HEALTH VENTURES | ||||||||||
| PO BOX 10905 | EUGENE | OR | 97440 | 911350776 | HEALTHCARE JOINT VENTURES | WA | 501(C)(3) | 7 - 509(A)(1) | PEACEHEALTH | 0 |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 1600 | VANCOUVER | WA | 98668 | 911231436 | SUPPORT SW WASHINGTON MEDICAL CENTER | WA | 501(C)(3) | 7 - 509(A)(1) | PEACEHEALTH | 0 |
| PEACE ISLAND MEDICAL CENTER | ||||||||||
| 1117 SPRING STREET STATUE | FRIDAY HARBOR | WA | 98250 | 383868360 | HOSPITAL | WA | 501(C)(3) | 3 - HOSPITAL | PEACEHEALTH | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE ANNUITY TRUSTS (6) | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activity | INVESTMENT & CHARITABLE GIVING | PrimaryActivity |
| Legal Domicile State | WA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | T | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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