THE MEMORIAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE MEMORIAL FOUNDATION (EIN 91-1022358)
Tax period
2012-11-01 to 2013-10-31
Filed
2014-07-15
IRS object ID
201411979349300511
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-15T10:08:14-05:00Timestamp
Tax Period End Date2013-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1402 E YAKIMA AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911022358EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY MEMORIAL HOSPITALBusinessNameLine1
Business Name Line2CHARITABLE FOUNDATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlYAKINameControl
Phone5095765794Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12701 TIETON DRIVEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNE CAFFERYName
TitlePRESIDENT/CEOTitle
Phone5095765794Phone
Date Signed2014-07-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTOPHER E RIVARDName
PTINP00022321PTIN
Phone5092487750Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE MEMORIAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNE CAFFERYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12701 TIETON DRIVEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4387844GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MEMFOUND.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION RAISES AND DISTRIBUTES FUNDS TO PROMOTE AND SUPPORT HEALTH CARE SERVICES IN COORDINATION WITH YAKIMA VALLEY MEMORIAL HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers189TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2324045ContributionsGrantsPriorYear
Contributions Grants Current Year3177689ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year102294InvestmentIncomePriorYear
Investment Income Current Year256504InvestmentIncomeCurrentYear
Other Revenue Prior Year-14128OtherRevenuePriorYear
Other Revenue Current Year34188OtherRevenueCurrentYear
Total Revenue Prior Year2412211TotalRevenuePriorYear
Total Revenue Current Year3468381TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5387509GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2329552GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year90358TotalFundrsngExpCurrentYear
Other Expense Prior Year278112OtherExpensePriorYear
Other Expenses Current Year294287OtherExpensesCurrentYear
Total Expenses Prior Year5665621TotalExpensesPriorYear
Total Expenses Current Year2623839TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3253410RevenuesLessExpensesPriorYear
Revenues Less Expenses CY844542RevenuesLessExpensesCY
Total Assets BOY5217588TotalAssetsBOY
Total Assets EOY6345203TotalAssetsEOY
Total Liabilities BOY377859TotalLiabilitiesBOY
Total Liabilities EOY386742TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4839729NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5958461NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionADVANCE AND TRANSFORM HEALTHCARE IN YAKIMA.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense884521Expense
Grants884521Grants
DescriptionCHILDREN'S VILLAGE - SUPPORTING SERVICES FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense42180Expense
Grants42180Grants
DescriptionNORTH STAR LODGE - SUPPORTING A FULL-SERVICE OUTPATIENT CANCER TREATMENT FACILITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense371458Expense
Grants371458Grants
DescriptionHOSPICE HOME HEALTH CARE - SUPPORTING HOSPICE/HOME HEALTH SERVICES INCLUDING END OF LIFE SERVICES TO PATIENTS (INCLUDING PALLIATIVE CARE/TRANSITIONS).Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1031393Expense
Grants1031393Grants
DescriptionSUPPORT NUMEROUS HEALTHCARE/HEALTHCARE RELATED PROGRAMS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1031393TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1031393TotalOfOtherProgramServiceGrnt
Total Program Service Expense2329552TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds1DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBONNIE DWARSHUISNamePerson
Telephone Number5092495204TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13800 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ANNE NAPIER CAFFERY
PRESIDENT40.00XX000
MARIE HALVERSON
VICE CHAIR2.00XX000
B JEAN PRYOR
TREASURER2.00XX000
DOLORES DESSERAULT
TRUSTEE1.00X000
LEE CALLARMAN
TRUSTEE1.00X000
WEST H CAMPBELL
TRUSTEE1.00X000
DARRELL BLUE
TRUSTEE1.00X000
BILL DOLSEN
TRUSTEE1.00X000
DR DANIEL DOORNICK
TRUSTEE1.00X000
CHRIS FALK
TRUSTEE1.00X000
JUDI GILMORE
TRUSTEE1.00X000
DR JAMES HAVEN
TRUSTEE1.00X000
CINDI STEWART
TRUSTEE1.00X000
ROYAL KEITH
TRUSTEE1.00X000
RICK LINNEWEH
TRUSTEE1.00X000
DR TIMOTHY MELHORN
TRUSTEE1.00X000
MICHAEL MOEN
TRUSTEE1.00X000
MARGARET NUTLEY
TRUSTEE1.00X000
SCOTT OLANDER
TRUSTEE1.00X000
MARY JO PEREZ
TRUSTEE1.00X000
ROBERT G PRICE
TRUSTEE1.00X000
CINDI STEWART
TRUSTEE1.00X000
MARVIN SUNDQUIST
TRUSTEE1.00X000
BILL WHEELER
CHAIR1.00XX000
DR ROBERT WILLIAMS
TRUSTEE1.00X000
ANN WILLIS
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events128804FundraisingEvents
Government Grants272820GovernmentGrants
All Other Contributions2776065AllOtherContributions
Noncash Contributions103226NoncashContributions
Total Contributions3177689TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column101381TotalRevenueColumn
Exclusion$101,381ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1073023Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities917900Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities155123Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column155123TotalRevenueColumn
Exclusion$155,123ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35751GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events128804CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1563FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column34188TotalRevenueColumn
Exclusion$34,188ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3468381TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$290,692ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2329552Total
Program Services2329552ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total19930Total
Management And General19930ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total62323Total
Management And General25118ManagementAndGeneral
Fundraising37205Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1118Total
Management And General1118ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
REIMBURSED EXPENSES1115677477136796
NET ANNUITY8205082050
UNCOLLECTIBLE PLEDGES1545815458
OTHER1841942899

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2623839Total
Program Services2329552ProgramServices
Management And General203929ManagementAndGeneral
Fundraising90358Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY748508BOY
EOY1580827EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY949552BOY
EOY721164EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2966830BOY
EOY3474814EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY150749BOY
EOY150643EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY401949BOY
EOY417755EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5217588BOY
EOY6345203EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY377859BOY
EOY386742EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY377859BOY
EOY386742EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1213561BOY
EOY1112447EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3313483BOY
EOY4533329EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY312685BOY
EOY312685EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4839729BOY
EOY5958461EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5217588BOY
EOY6345203EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses844542ReconcilationRevenueExpenses
Reconciliation Unrealized Invest274190ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3047277CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3902384CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4233991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2324045CurrentTaxYearMinus1Year
Current Tax Year3177689CurrentTaxYear
Total16685386Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3047277CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3902384CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4233991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2324045CurrentTaxYearMinus1Year
Current Tax Year3177689CurrentTaxYear
Total16685386Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1248411AmountsSubstContributorsTotal
Public Support Total17015436975PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years146797CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year82019CurrentTaxYearMinus1Year
Current Tax Year101381CurrentTaxYear
Total553995Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25680CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57421CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18988CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10927CurrentTaxYearMinus1Year
Current Tax Year35751CurrentTaxYear
Total148767Total
FieldValueIRS element (for citing)
Total Support17388148TotalSupport
Public Support Pertcentage1700.88780PublicSupportPertcentage170
Public Support Pertcent Prior Year0.84450PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS RECEIPTS FROM EVENTS - 2008 AMOUNT: $ 25,680. 2009 AMOUNT: $ 57,421. 2010 AMOUNT: $ 18,988. 2011 AMOUNT: $ 10,927. 2012 AMOUNT: $ 35,751.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held1NumberDAFsHeld
Grants Paid From Donor Funds5000GrantsPaidFromDonorFunds
Aggregate DAF Value114218AggregateDAFValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes
Agent Trustee Etc0AgentTrusteeEtc

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance493442BeginningOfYearBalance
Investment Earnings Or Losses48519InvestmentEarningsOrLosses
Administrative Expenses1244AdministrativeExpenses
End Of Year Balance540717EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance445636BeginningOfYearBalance
Investment Earnings Or Losses49548InvestmentEarningsOrLosses
Administrative Expenses1742AdministrativeExpenses
End Of Year Balance493442EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance437873BeginningOfYearBalance
Investment Earnings Or Losses9402InvestmentEarningsOrLosses
Administrative Expenses1639AdministrativeExpenses
End Of Year Balance445636EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance389617BeginningOfYearBalance
Investment Earnings Or Losses49888InvestmentEarningsOrLosses
Administrative Expenses1632AdministrativeExpenses
End Of Year Balance437873EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance323655BeginningOfYearBalance
Investment Earnings Or Losses67626InvestmentEarningsOrLosses
Administrative Expenses1664AdministrativeExpenses
End Of Year Balance389617EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.57830PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.42170TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CHARITABLE TRUST173766
GIFT ANNUITIES243989
FieldValueIRS element (for citing)
Total Book Value Other Assets417755TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO YVMH$44,807
DEFERRED LIABILITIES$274,311
DUE TO EPIC$33,812
DUE TO NURSING HOME$33,812
FieldValueIRS element (for citing)
Total Of Amounts386742TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt3744135TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments274190NetUnrealizedGainsInvestments
Other Revenues1564OtherRevenues
Revenue Not Rptd F990275754RevenueNotRptdF990
Revenue Subtotal3468381RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903468381TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2625403TotExpensesEtcAuditedFinclStmt
Other Expenses Included1564OtherExpensesIncluded
Expenses Not Rptd F9901564ExpensesNotRptdF990
Expenses Subtotal2623839ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902623839TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INTENDED USE FOR THE ENDOWMENT FUNDS ARE CHILDREN'S HEALTHCARE NEEDS AND CANCER PATIENTS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION QUALIFYING UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE FOUNDATION'S TAX-EXEMPT PURPOSE WOULD BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE FOUNDATION DID NOT ENGAGE IN AN ACTIVITY UNRELATED TO ITS TAX-EXEMPT PURPOSE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ACCORDANCE WITH REQUIREMENTS RELATED TO ACCOUNTING FOR UNCERTAINTIES IN INCOME TAXES, THE FOUNDATION HAS DETERMINED THEY HAVE NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2013 AND 2012. IN ADDITION, THE FOUNDATION QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1).

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FOLLIESNameOfEvent1
Gross Receipts Event1107160GrossReceiptsEvent1
Charitable Contributions Event188848CharitableContributionsEvent1
Gross Revenue Event118312GrossRevenueEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event234315GrossReceiptsEvent2
Charitable Contributions Event222579CharitableContributionsEvent2
Gross Revenue Event211736GrossRevenueEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events23080GrossReceiptsOtherEvents
Charitable Contrib Other Events17377CharitableContribOtherEvents
Gross Revenue Other Events5703GrossRevenueOtherEvents
Food And Beverage Other Events1356FoodAndBeverageOtherEvents
Other Direct Expenses Other Events207OtherDirectExpensesOtherEvents
Gross Receipts Total164555GrossReceiptsTotal
Charitable Contributions Total128804CharitableContributionsTotal
Gross Revenue Total Events35751GrossRevenueTotalEvents
Food And Beverage Total Events1356FoodAndBeverageTotalEvents
Other Direct Expenses Total Events207OtherDirectExpensesTotalEvents
Direct Expense Summary Events1563DirectExpenseSummaryEvents
Net Income Summary34188NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY MEMORIAL HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12811 TIETON DRAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient910567263EINOfRecipient
IRC Section501(C)3IRCSection
Amount Of Cash Grant2329552AmountOfCashGrant
Purpose Of GrantTO PROVIDE SUPPORT TO THE YAKIMA VALLEY MEMORIAL HOSPITAL IN THEIR PURSUIT OF HEALTH IMPROVEMENT, EDUCATION, AND IMPROVING OUR COMMUNITY.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE PRESIDENT/CEO REVIEWS BUDGETS AND PROFIT/LOSS STATEMENTS OF THE PROGRAMS RECEIVING ALLOCATION AWARDS ON, AT LEAST, AN ANNUAL BASIS.Explanation

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99016216NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99081553NoncashContribsRptdF990
Method Of Determining RevenuesMEAN ON DATE OF TRANSFERMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions134NumberOfContributions
Noncash Contribs Rptd F9903564NoncashContribsRptdF990
Method Of Determining RevenuesSALES VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGIFT CARDS211280FACE VALUE OF CARDS
XMEMBERSHIPS4439FMV
XTRIP1175FMV
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2COTTAGE IN THE MEADOW, A HOSPICE IN-PATIENT CARE FACILITY OPENED IN SEPTEMBER OF 2012 THAT BECAME FULLY OPERATIONAL IN DECEMBER OF 2013.
FORM 990, PART VI, SECTION B, LINE 11THE REVIEW AND APPROVAL OF THE FORM 990 IS DELEGATED TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE FORM 990 IS THEN SUBMITTED TO THE FULL VOTING BOARD FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SIGN NEW CONFLICT OF INTEREST STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 15SALARIES FOR TOP MANAGEMENT ARE DETERMINED AND REVIEWED BY THE HOSPITAL'S BOARD OF DIRECTORS AND COMPENSATION COMMITTEE. THE FOUNDATION DOES NOT PAY WAGES, IT REIMBURSES THE HOSPITAL FOR APPLICABLE EMPLOYEE COSTS.
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 5:00 PM
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 5:00 PM
FORM 990, PART XII, LINE 2C:NO CHANGE FROM PRIOR YEAR.

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