OVERLAKE HOSPITAL FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OVERLAKE HOSPITAL FOUNDATION (EIN 91-1050325)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201321339349302707
- Schema version
- 2011v1.5
- 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 | 2013-05-13T09:59:28-07:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911050325 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OVER | NameControl |
| Phone | 4256885000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 - 116th Avenue NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gary McLaughlin | Name |
| Title | CFO - OHMC | Title |
| Date Signed | 2013-05-02 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sara Elizabeth J Hyre | Name |
| Phone | 4257096200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Beth Stearns | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 - 116th Ave NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5877589 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.overlakehospital.org/support | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | The purpose of Overlake Hospital Foundation is to advance and improve medical and health care excellence by providing fundraising and other support to Overlake Hospital Medical Center for new facilities, modern equipment and comprehensive services and programs. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 10 | TotalNbrEmployees |
| Total Nbr Volunteers | 27 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 2972449 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5451059 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 253539 | InvestmentIncomePriorYear |
| Investment Income Current Year | 225351 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -63832 | OtherRevenuePriorYear |
| Other Revenue Current Year | -25292 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3162156 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5651118 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1453500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4054765 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 795614 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 828794 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 669367 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 425507 | OtherExpensePriorYear |
| Other Expenses Current Year | 404496 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2674621 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5288055 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 487535 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 363063 | RevenuesLessExpensesCY |
| Total Assets BOY | 9887038 | TotalAssetsBOY |
| Total Assets EOY | 10192160 | TotalAssetsEOY |
| Total Liabilities BOY | 198862 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 183414 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9688176 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10008746 | NetAssetsOrFundBalancesEOY |
| Mission Description | The purpose of Overlake Hospital Foundation is to advance and improve medical and health care excellence by providing fundraising and other support to Overlake Hospital Medical Center for new facilities, modern equipment and comprehensive services and programs. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4054765 | Expense |
| Grants | 4054765 | Grants |
| Description | Overlake Hospital Foundation raised $4,232,239 in contributions / pledges from donors. The Foundation provided $4,054,765 of financial support to Overlake Hospital Medical Center for new facilities, modern equipment and comprehensive services and programs. The difference between contribution revenue and the support provided to Overlake Hospital is due to the timing of pledge payments. | Description |
| Total Program Service Expense | 4054765 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 10 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Eric Teshima | NamePerson |
| Telephone Number | 4256885149 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1120 - 112th Ave NE Suite 202 | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| TJ Woosley | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| James Wigfall | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Peggy Swistak | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Roger Stark MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Susan Smith | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Charles Royer | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Sue Raschella | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Mark Quehrn | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| John O'Rourke | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| John Nelson MD | |||||||
| Trustee | 1.00 | X | 0 | 175807 | 48804 | ||
| Mary Mott | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Warren Michelsen | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Tiffany Koenig | |||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||
| Alice Harris | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Sergei Dreizin | |||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||
| Jody Cunningham | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Philip Corneil | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Gregory Collins | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Ned Clapp | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Roger Anderson | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Joan Albee | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Shelley Agricola MD | |||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||
| Linda Mahaffey | |||||||
| Past Chair | 3.00 | X | 0 | 0 | 0 | X | |
| Jason Thompson | |||||||
| Treasurer | 3.00 | X | 0 | 0 | 0 | X | |
| Shirley Schumacher | |||||||
| Secretary | 3.00 | X | 0 | 0 | 0 | X | |
| Ted Herb | |||||||
| Chair Elect | 1.00 | X | 0 | 0 | 0 | X | |
| Peter Glidden | |||||||
| Chairman | 2.00 | X | 0 | 0 | 0 | X | |
| Gary McLaughlin | |||||||
| Vice Pres./CFO | 5.00 | 0 | 569866 | 147448 | X | ||
| Craig Hendrickson | |||||||
| President & CEO | 10.00 | 0 | 1623490 | 204362 | X | ||
| Mary Beth Stearns | |||||||
| Executive Dir. | 40.00 | 230102 | 0 | 55274 | X | ||
| Julie Sun | |||||||
| Dir. Major Gifts | 50.00 | 101072 | 0 | 20093 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 331174 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2369163 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 475981 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 483 | FederatedCampaigns |
| Fundraising Events | 248310 | FundraisingEvents |
| Related Organizations | 1236811 | RelatedOrganizations |
| All Other Contributions | 3965455 | AllOtherContributions |
| Noncash Contributions | 149625 | NoncashContributions |
| Total Contributions | 5451059 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218131 | TotalRevenueColumn |
| Exclusion | $218,131 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 190408 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 183188 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7220 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7220 | TotalRevenueColumn |
| Exclusion | $7,220 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17991 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 248310 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 43283 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -25292 | TotalRevenueColumn |
| Exclusion | -$25,292 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5651118 | TotalRevenueColumn |
| Exclusion | $200,059 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4054765 | Total |
| Program Services | 4054765 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244726 | Total |
| Management And General | 85654 | ManagementAndGeneral |
| Fundraising | 159072 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489871 | Total |
| Management And General | 179904 | ManagementAndGeneral |
| Fundraising | 309967 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47367 | Total |
| Management And General | 18343 | ManagementAndGeneral |
| Fundraising | 29024 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46830 | Total |
| Management And General | 16935 | ManagementAndGeneral |
| Fundraising | 29895 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8988 | Total |
| Management And General | 8988 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34592 | Total |
| Management And General | 34592 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68599 | Total |
| Management And General | 36246 | ManagementAndGeneral |
| Fundraising | 32353 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 425 | Total |
| Fundraising | 425 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106687 | Total |
| Management And General | 27686 | ManagementAndGeneral |
| Fundraising | 79001 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18785 | Total |
| Fundraising | 18785 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97015 | Total |
| Management And General | 97015 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5892 | Total |
| Management And General | 2265 | ManagementAndGeneral |
| Fundraising | 3627 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5823 | Total |
| Management And General | 2884 | ManagementAndGeneral |
| Fundraising | 2939 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33873 | Total |
| Management And General | 33873 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| Other Expenses | 1796 | 267 | 1529 |
| Membership Dues | 22021 | 19271 | 2750 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5288055 | Total |
| Program Services | 4054765 | ProgramServices |
| Management And General | 563923 | ManagementAndGeneral |
| Fundraising | 669367 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30070 | BOY |
| EOY | 363167 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399281 | BOY |
| EOY | 263447 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 663115 | BOY |
| EOY | 870554 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20546 | BOY |
| EOY | 28338 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 432612 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 291003 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174759 | BOY |
| EOY | 141609 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8593519 | BOY |
| EOY | 8515713 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5748 | BOY |
| EOY | 9332 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9887038 | BOY |
| EOY | 10192160 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38055 | BOY |
| EOY | 50974 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160807 | BOY |
| EOY | 132440 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198862 | BOY |
| EOY | 183414 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3208301 | BOY |
| EOY | 3361605 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1854608 | BOY |
| EOY | 1765829 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4625267 | BOY |
| EOY | 4881312 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9688176 | BOY |
| EOY | 10008746 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9887038 | BOY |
| EOY | 10192160 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 363063 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -42493 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
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 | 7326841 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2891956 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2489157 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2972449 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5451059 | CurrentTaxYear |
| Total | 21131462 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7326841 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2891956 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2489157 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2972449 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5451059 | CurrentTaxYear |
| Total | 21131462 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 2835768 | AmountsSubstContributorsTotal |
| Public Support Total170 | 18295694 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 324783 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 211367 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 162607 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 196831 | CurrentTaxYearMinus1Year |
| Current Tax Year | 218131 | CurrentTaxYear |
| Total | 1113719 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 22245181 | TotalSupport |
| Public Support Pertcentage170 | 0.82250 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.74120 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8219772 | BeginningOfYearBalance |
| Contributions | 198722 | Contributions |
| Investment Earnings Or Losses | 181153 | InvestmentEarningsOrLosses |
| Other Expenditures | -226313 | OtherExpenditures |
| End Of Year Balance | 8373334 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7076049 | BeginningOfYearBalance |
| Contributions | 50150 | Contributions |
| Investment Earnings Or Losses | 1273817 | InvestmentEarningsOrLosses |
| Other Expenditures | -180244 | OtherExpenditures |
| End Of Year Balance | 8219772 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6354334 | BeginningOfYearBalance |
| Contributions | 149314 | Contributions |
| Investment Earnings Or Losses | 620157 | InvestmentEarningsOrLosses |
| Other Expenditures | -47756 | OtherExpenditures |
| End Of Year Balance | 7076049 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.30000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.57600 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.12400 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 154802 | OtherCostOrOtherBasis |
| Depreciation | 119245 | Depreciation |
| Book Value | 35557 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 277810 | OtherCostOrOtherBasis |
| Depreciation | 171758 | Depreciation |
| Book Value | 106052 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 141609 | TotalOfBookValueLandBuildings |
| Total Revenue | 5651118 | TotalRevenue |
| Total Expenses | 5288055 | TotalExpenses |
| Excess Or Deficit For Year | 363063 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -42493 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -42493 | TotalAdjustments |
| Excess Or Deficit Per FS | 320570 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5617316 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -42493 | NetUnrealizedGainsInvestments |
| Other Revenues | -34592 | OtherRevenues |
| Revenue Not Rptd F990 | -77085 | RevenueNotRptdF990 |
| Revenue Subtotal | 5694401 | RevenueSubtotal |
| Other Revenues Not Included | -43283 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -43283 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5651118 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5296746 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 43283 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 43283 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5253463 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 34592 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 34592 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5288055 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XIII, Line 2d | Part XIII, Line 2d: Other expenses and losses per audited F/S | Fundraising Expenses, Corp. Breakfast $43283 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | Endowment distributions are used to support capital and operational needs of Overlake Hospital Medical Center as directed by the individual Endowment purpose.Schedule D, Part XIV, Part XII, Line 2d, Investment management fees of $34,592 are reported as an expense on the 990. Schedule D, Part XIV, Part XII, Line 4b, Direct fundraising expenses of $43,283 are netted against revenue on the 990.Schedule D, Part XIV, Part XIII, Line 2d, Direct fundraising expenses of $43,283 are netted against revenue on the 990. |
| Part IV, Line 2b | Part IV, Line 2b: Explanation of escrow account liability | Annuities are held in a custodial account (BNY Mellon). The assets and liability are reported on the balance sheet. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Corp Ptrs Bkfst | NameOfEvent1 |
| Gross Receipts Event1 | 266301 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 248310 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 17991 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 11958 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 17991 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 13334 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 266301 | GrossReceiptsTotal |
| Charitable Contributions Total | 248310 | CharitableContributionsTotal |
| Gross Revenue Total Events | 17991 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 11958 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 17991 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 13334 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 43283 | DirectExpenseSummaryEvents |
| Net Income Summary | -25292 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Medical Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 - 116th Ave NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 910652651 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 4053019 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 1746 | AmountOfNonCashAssistance |
| Method Of Valuation | Fair Market Value | MethodOfValuation |
| Description Of Non Cash Assistance | Scarves/Hats, Electronic Package | DescriptionOfNonCashAssistance |
| Purpose Of Grant | Support Overlake Hospital | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | Overlake Hospital Foundation staff notifies the Overlake Hospital Medical Center Accounting staff when there is a specific grant. If the grant is for operational expenses, the appropriate department in the hospital is contacted. If the grant is for capital, the Accounting staff will monitor when the capital has been purchased and release the grant from restriction. When the department makes the expenditure, accounting is notified, and the restriction of the grant is released. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary Beth Stearns | ||||||||||||
| 200763 | 22763 | 6576 | 45374 | 9900 | 285376 | |||||||
| John Nelson MD | ||||||||||||
| 117341 | 56514 | 1952 | 33867 | 14937 | 224611 | |||||||
| Gary McLaughlin | ||||||||||||
| 431466 | 62948 | 75452 | 132724 | 14724 | 717314 | |||||||
| Craig Hendrickson | ||||||||||||
| 637890 | 112882 | 872718 | 191637 | 12725 | 1827852 | 637296 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part III, Additional Information | Part III, Additional Information | Craig Hendrickson received constructive receipt of $637,296 for his life insurance coverage under the Executive Flexible Benefit Plan upon vesting on his 65th birthday. This amount was included in taxable income in 2011. |
| Sch J, Part I, Line 7 | Part I, Line 7: Non-Fixed payments not listed above | Management incentive for the Executive Director are contingent on Overlake Hospital Association's consolidated net operating income for the fiscal year being at least 80% of the net operating income budget. The incentive payment is then based on a combination of meeting organization and individual goals. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 6 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 147879 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Electronic Pkg | 1 | 1303 | FMV |
| X | Scarves & Hats | 44 | 443 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VII | Overlake Hospital Foundation staff are paid by its related organization (Overlake Hospital Medical Center) through a common paymaster. These payroll expenses are charged to Overlake Hospital Foundation. | |
| Form 990, Part V, Line 7g and 7h | Overlake Hospital Foundation did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles. | |
| Form 990, Part V, Line 2a and 2b | Employees are paid through the use of a common paymaster and reported on the Form W-3 and other required filings of Overlake Hospital Medical Center. | |
| Form 990, Part I, Line 6 | Overlake Hospital Foundation had 27 board members that volunteered their time as board members during the year. | |
| Form 990 Part VII Section A, Lines 1a | Mary Beth Stearns devoted 20 hours to a related organization.Craig Hendrickson devoted 60 hours to related organizations.Gary McLaughlin devoted 55 hours to related organizations.Linda Mahaffey devoted 1 hour to related organizations.Gregory Collins devoted 2 hours to related organizations.Mary Mott devoted 1 hour to a related orgainization. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Overlake Hospital Foundation makes its governing documents, conflict of interest policy, and audited financial statements available through the Hospital's administration office. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Overlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual" which was last updated April 2012. This manual details the charter of the Compensation Committee of the Board, the compensation philosophy and how salary increases, incentives, benefits and prerequisites are administered. Compensation Committee members are independent board members as required by the Charter and By-laws. The process includes an independent consultant who works directly for the Compensation Committee and a review of comparable data from external sources. All compensation related decisions for the CEO, COO and Vice Presidents and Foundation Executive Director are discussed, deliberated and voted on by the Compensation Committee and documented in the minutes of the meeting. Officers Craig Hendrickson and Gary McLaughlin are paid by related affiliate Overlake Hospital Medical Center. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Board members and management annually signs a statement which affirms that such person: 1) has received a copy of the Conflict of Interest Policy, 2) has read and understands the policy, 3) has agreed to comply with the policy, and 4) understands that the corporation is a charitable organization and that in order to maintain their federal tax exemption they must avoid conflicts of interest and engage primarily in activities which accomplish one or more of their tax-exempt functions. A list of all financial interests or other relationships with any organization that has, or can be reasonably expected to have, a transaction with the corporation, competes against the corporation, or whose interest materially conflicts with the interest of the corporation is submitted annually to the Overlake Hospital Medical Center Compliance Officer for review. The Compliance Officer summarizes any conflicts of interest and discusses these results with the Chair of the Audit & Compliance Committee, CEO, Overlake Hospital Medical Center VP Human Resources and General Counsel. This information is also shared with the Chair-Elect, Committee Chairs, and the CFO. At Board meetings, members are expected to recuse themselves from voting on issues when there is a conflict of interest. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | The 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by Executive Director, President & CEO, CFO, and Overlake Hospital Medical Center Finance Committee. A public disclosure copy is distributed to the Foundation Board members prior to submission to the IRS. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | Overlake Hospital Medical Center, as sole member, must approve: (a) any sale or lease of all or substantially all of the assets of the corporation; (b) any single transaction increasing long term indebtedness by an amount exceeding five percent of the total assets of the corporation during a fiscal year of the corporation; (c) the annual budget of the corporation and any material amendments thereto; (d) the auditors of the corporation; and (e) any amendments to the articles of incorporation and bylaws of the corporation. | Form 990, Part VI, Line 7b |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Overlake Hospital Medical Center has the right to appoint and remove Overlake Hospital Foundation's Trustees. | Form 990, Part VI, Line 7a |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Overlake Hospital Medical Center is the sole member of Overlake Hospital Foundation. | Form 990, Part VI, Line 6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Overlake Hospital Association | ||||||||||
| 1035 - 116th Ave NE | Bellevue | WA | 98004 | 911274134 | Rent Medical and office space to Hospital | WA | 501c3 | 11-Type II | NA | false |
| Overlake Hospital Auxiliaries | ||||||||||
| 1035 - 116th Ave NE | Bellevue | WA | 98004 | 237297831 | Fund Raising | WA | 501c3 | 9 | Overlake Hospital Medical Center | false |
| Overlake Hospital Medical Center | ||||||||||
| 1035 - 116th Ave NE | Bellevue | WA | 98004 | 910652651 | Hospital | WA | 501c3 | 3 | Overlake Hospital Association | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Comments