2013-05-13T09:59:28-07:00 2012-06-30 Clark Nuber PS 10900 NE 4th Street Suite 1700 Bellevue WA 98004 990 2011-07-01 911050325 Overlake Hospital Foundation OVER 4256885000 1035 - 116th Avenue NE Bellevue WA 98004 Gary McLaughlin 2013-05-02 true Sara Elizabeth J Hyre 4257096200 2011 2016-02-24 21:20:13Z Mary Beth Stearns 1035 - 116th Ave NE Bellevue WA 98004 5877589 false false X www.overlakehospital.org/support X 1978 WA 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. 21 19 10 27 0 2972449 5451059 0 253539 225351 -63832 -25292 3162156 5651118 1453500 4054765 0 795614 828794 0 669367 425507 404496 2674621 5288055 487535 363063 9887038 10192160 198862 183414 9688176 10008746 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. false false 4054765 4054765 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. 4054765 true true false false false false false false true true true false false false false false true true false false false false false false true false false true false true false false false false false false false false false false false true false false false false true false false false false true 0 0 false 10 true false false false false false false false false true true false 0 false false false false false false false false false false false X 21 19 false false false false true true true true true false false false false true true true true true true true false false X Eric Teshima 4256885149 1120 - 112th Ave NE Suite 202 Bellevue WA 98004 TJ Woosley 2.00 X 0 0 0 James Wigfall 1.00 X 0 0 0 Peggy Swistak 1.00 X 0 0 0 Roger Stark MD 1.00 X 0 0 0 Susan Smith 1.00 X 0 0 0 Charles Royer 1.00 X 0 0 0 Sue Raschella 1.00 X 0 0 0 Mark Quehrn 1.00 X 0 0 0 John O'Rourke 2.00 X 0 0 0 John Nelson MD 1.00 X 0 175807 48804 Mary Mott 1.00 X 0 0 0 Warren Michelsen 1.00 X 0 0 0 Tiffany Koenig 0.50 X 0 0 0 Alice Harris 1.00 X 0 0 0 Sergei Dreizin 0.50 X 0 0 0 Jody Cunningham 2.00 X 0 0 0 Philip Corneil 2.00 X 0 0 0 Gregory Collins 1.00 X 0 0 0 Ned Clapp 1.00 X 0 0 0 Roger Anderson 3.00 X 0 0 0 Joan Albee 1.00 X 0 0 0 Shelley Agricola MD 0.50 X 0 0 0 Linda Mahaffey 3.00 X X 0 0 0 Jason Thompson 3.00 X X 0 0 0 Shirley Schumacher 3.00 X X 0 0 0 Ted Herb 1.00 X X 0 0 0 Peter Glidden 2.00 X X 0 0 0 Gary McLaughlin 5.00 X 0 569866 147448 Craig Hendrickson 10.00 X 0 1623490 204362 Mary Beth Stearns 40.00 X 230102 0 55274 Julie Sun 50.00 X 101072 0 20093 331174 2369163 475981 2 false true false 0 483 248310 1236811 3965455 149625 5451059 0 218131 218131 0 0 0 190408 183188 7220 7220 7220 17991 248310 43283 -25292 -25292 0 0 0 5651118 200059 4054765 4054765 0 0 0 244726 85654 159072 0 489871 179904 309967 0 47367 18343 29024 46830 16935 29895 0 8988 8988 0 0 0 34592 34592 68599 36246 32353 425 425 106687 27686 79001 18785 18785 0 97015 97015 5892 2265 3627 0 5823 2884 2939 0 0 33873 33873 0 Other Expenses 1796 267 1529 Membership Dues 22021 19271 2750 0 5288055 4054765 563923 669367 30070 363167 399281 263447 663115 870554 0 0 0 0 0 20546 28338 432612 291003 174759 141609 8593519 8515713 0 0 0 5748 9332 9887038 10192160 38055 50974 160807 132440 198862 183414 X 3208301 3361605 1854608 1765829 4625267 4881312 9688176 10008746 9887038 10192160 X 363063 -42493 X false true true X false false X 7326841 2891956 2489157 2972449 5451059 21131462 0 0 7326841 2891956 2489157 2972449 5451059 21131462 2835768 18295694 324783 211367 162607 196831 218131 1113719 0 0 22245181 0.82250 0.74120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true 8219772 198722 181153 -226313 8373334 7076049 50150 1273817 -180244 8219772 6354334 149314 620157 -47756 7076049 0.30000 0.57600 0.12400 false false false 154802 119245 35557 277810 171758 106052 141609 5651118 5288055 363063 -42493 -42493 320570 5617316 -42493 -34592 -77085 5694401 -43283 -43283 5651118 5296746 43283 43283 5253463 34592 34592 5288055 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. false Corp Ptrs Bkfst 266301 248310 17991 11958 17991 13334 266301 248310 17991 11958 17991 13334 43283 -25292 true Overlake Hospital Medical Center 1035 - 116th Ave NE Bellevue WA 98004 910652651 501(c)(3) 4053019 1746 Fair Market Value Scarves/Hats, Electronic Package Support Overlake Hospital 1 0 Grantmaker's Description of How Grants are Used 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. X X X X X false true false false false false false true false false 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 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. X 6 147879 FMV X Electronic Pkg 1 1303 FMV X Scarves & Hats 44 443 FMV false true false 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 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 15b 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 12c 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 11 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 7b 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 7a 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 6 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. 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 false true true false false false false false false false true false true true false false false false