THE MEMORIAL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE MEMORIAL FOUNDATION (EIN 91-1022358)
Tax period
2011-11-01 to 2012-10-31
Filed
2013-07-30
IRS object ID
201332119349300968
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-30T16:04:09-05:00Timestamp
Tax Period End Date2012-10-31TaxPeriodEndDate

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 Line1PO BOX 22650AddressLine1
CityYAKIMACity
StateWAState
ZIP Code989072650ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-11-01TaxPeriodBeginDate

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 Signed2013-07-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTOPHER E RIVARDName
PTINP00022321PTIN
Phone5092487750Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts5510345GrossReceipts
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 Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members28NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers234TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4233991ContributionsGrantsPriorYear
Contributions Grants Current Year2324045ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year98823InvestmentIncomePriorYear
Investment Income Current Year102294InvestmentIncomeCurrentYear
Other Revenue Prior Year-2462OtherRevenuePriorYear
Other Revenue Current Year-14128OtherRevenueCurrentYear
Total Revenue Prior Year4330352TotalRevenuePriorYear
Total Revenue Current Year2412211TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2525548GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5387509GrantsAndSimilarAmntsCY
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 Year101552TotalFundrsngExpCurrentYear
Other Expense Prior Year251886OtherExpensePriorYear
Other Expenses Current Year278112OtherExpensesCurrentYear
Total Expenses Prior Year2777434TotalExpensesPriorYear
Total Expenses Current Year5665621TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1552918RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3253410RevenuesLessExpensesCY
Total Assets BOY8347851TotalAssetsBOY
Total Assets EOY5217588TotalAssetsEOY
Total Liabilities BOY438542TotalLiabilitiesBOY
Total Liabilities EOY377859TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7909309NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4839729NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ADVANCE HEALTH IMPROVEMENT THROUGH PHILANTHROPY BY EDUCATING AND INVOLVING OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1533274Expense
Grants1533274Grants
DescriptionCHILDREN'S VILLAGE - SUPPORTING SERVICES FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense78382Expense
Grants78382Grants
DescriptionNORTH STAR LODGE - SUPPORTING A FULL-SERVICE OUTPATIENT CANCER TREATMENT FACILITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense80362Expense
Grants80362Grants
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)
Expense3695491Expense
Grants3695491Grants
DescriptionSUPPORT NUMEROUS HEALTHCARE/HEALTHCARE RELATED PROGRAMS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3695491TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt3695491TotalOfOtherProgramServiceGrnt
Total Program Service Expense5387509TotalProgramServiceExpense
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 Stmt0ConsolidatedAuditFinancialStmt
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 Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
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 Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members28NumberIndependentVotingMembers
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 Line12811 TIETON DRIVEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DARRELL BLUE
TRUSTEE1.00X000
ANNE NAPIER CAFFERY
PRESIDENT40.00X000X
LEE CALLARMAN
TRUSTEE1.00X000
WEST H CAMPBELL
TRUSTEE1.00X000
BILL DOLSEN
TRUSTEE1.00X000
DR DANIEL DOORNINK
TRUSTEE1.00X000
CHRIS FALK
TRUSTEE1.00X000
JUDI GILMORE
TRUSTEE1.00X000
MARIE HALVERSON
VICE CHAIR1.00X000X
DR JAMES HAVEN
TRUSTEE1.00X000
BRUCE HEISER
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
CARLOS OLIVARES
TRUSTEE1.00X000
MARY JO PEREZ
TRUSTEE1.00X000
B JEAN PRYOR
TREASURER2.00X000X
CINDI STEWART
TRUSTEE1.00X000
MARVIN SUNDQUIST
TRUSTEE1.00X000
PATRICIA TEMPLE
TRUSTEE1.00X000
BILL WHEELER
CHAIRMAN2.00X000X
ANN WILLIS
TRUSTEE1.00X000
DR ROBERT WILLIAMS
TRUSTEE1.00X000
ROBERT G PRICE
TRUSTEE1.00X000
DOLORES DESSERAULT
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 Events32808FundraisingEvents
All Other Contributions2291237AllOtherContributions
Noncash Contributions126152NoncashContributions
Total Contributions2324045TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column82019TotalRevenueColumn
Exclusion$82,019ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3093354Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3073079Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities20275Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20275TotalRevenueColumn
Exclusion$20,275ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9077GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events32808CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses20057FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-10980TotalRevenueColumn
Exclusion-$10,980ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming1850GrossIncomeGaming
Gaming Direct Expenses4998GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-3148TotalRevenueColumn
Exclusion-$3,148ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2412211TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$88,166ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5387509Total
Program Services5387509ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15879Total
Management And General15879ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total65880Total
Management And General44854ManagementAndGeneral
Fundraising21026Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4933Total
Management And General4933ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total771Total
Fundraising771Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
REIMBURSED EXPENSES957205677738943
NET ANNUITY5253152531
UNCOLLECTIBLE PLEDGES2549725497
OTHER16901158615315

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5665621Total
Program Services5387509ProgramServices
Management And General176560ManagementAndGeneral
Fundraising101552Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY781830BOY
EOY748508EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1551221BOY
EOY949552EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3520960BOY
EOY2966830EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2095833BOY
EOY150749EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY398007BOY
EOY401949EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8347851BOY
EOY5217588EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY438542BOY
EOY377859EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY438542BOY
EOY377859EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1670446BOY
EOY1213561EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5926178BOY
EOY3313483EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY312685BOY
EOY312685EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7909309BOY
EOY4839729EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8347851BOY
EOY5217588EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3253410ReconcilationRevenueExpenses
Reconcilation Other Changes183830ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years5637615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3047277CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3902384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4233991CurrentTaxYearMinus1Year
Current Tax Year2324045CurrentTaxYear
Total19145312Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5637615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3047277CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3902384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4233991CurrentTaxYearMinus1Year
Current Tax Year2324045CurrentTaxYear
Total19145312Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2200363AmountsSubstContributorsTotal
Public Support Total17016944949PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years336671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years146797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93945CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129853CurrentTaxYearMinus1Year
Current Tax Year82019CurrentTaxYear
Total789285Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18120CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18988CurrentTaxYearMinus1Year
Current Tax Year10927CurrentTaxYear
Total131136Total
FieldValueIRS element (for citing)
Total Support20065733TotalSupport
Public Support Pertcentage1700.84450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.84040PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS RECEIPTS FROM EVENTSGeneralExplanation

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 Funds270000GrantsPaidFromDonorFunds
Aggregate DAF Value36604AggregateDAFValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance323655BeginningOfYearBalance
Investment Earnings Or Losses67626InvestmentEarningsOrLosses
Administrative Expenses1664AdministrativeExpenses
End Of Year Balance389617EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.63000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.37000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CHARITABLE TRUST163841
GIFT ANNUITIES238108
FieldValueIRS element (for citing)
Total Book Value Other Assets401949TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO YVMH$57,035
DEFERRED LIABILITIES$258,866
DUE TO EPIC$30,979
DUE TO NURSING HOME$30,979
FieldValueIRS element (for citing)
Total Of Amounts377859TotalOfAmounts
Total Revenue2412211TotalRevenue
Total Expenses5665621TotalExpenses
Excess Or Deficit For Year-3253410ExcessOrDeficitForYear
Net Unrealized GL On Investments183830NetUnrealizedGLOnInvestments
Total Adjustments183830TotalAdjustments
Excess Or Deficit Per FS-3069580ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2621096TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments183830NetUnrealizedGainsInvestments
Other Revenues25055OtherRevenues
Revenue Not Rptd F990208885RevenueNotRptdF990
Revenue Subtotal2412211RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902412211TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5690676TotExpensesEtcAuditedFinclStmt
Other Expenses Included25055OtherExpensesIncluded
Expenses Not Rptd F99025055ExpensesNotRptdF990
Expenses Subtotal5665621ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905665621TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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: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, 2012 AND 2011. 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).
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES OF FUNDRAISING EVENTS 25,055.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES OF FUNDRAISING EVENTS 25,055.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event141885GrossReceiptsEvent1
Charitable Contributions Event132808CharitableContributionsEvent1
Gross Revenue Event19077GrossRevenueEvent1
Non Cash Prizes Event12920NonCashPrizesEvent1
Rent Facility Costs Event111151RentFacilityCostsEvent1
Food And Beverage Event14415FoodAndBeverageEvent1
Other Direct Expenses Event11571OtherDirectExpensesEvent1
Gross Receipts Total41885GrossReceiptsTotal
Charitable Contributions Total32808CharitableContributionsTotal
Gross Revenue Total Events9077GrossRevenueTotalEvents
Non Cash Prizes Total Events2920NonCashPrizesTotalEvents
Rent Facility Costs Total Events11151RentFacilityCostsTotalEvents
Food And Beverage Total Events4415FoodAndBeverageTotalEvents
Other Direct Expenses Total Events1571OtherDirectExpensesTotalEvents
Direct Expense Summary Events20057DirectExpenseSummaryEvents
Net Income Summary-10980NetIncomeSummary

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 Grant5387509AmountOfCashGrant
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

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990350NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990324NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F990118197NoncashContribsRptdF990
Method Of Determining RevenuesFMV ON DATE OF TRANSFERMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions517NumberOfContributions
Noncash Contribs Rptd F9901105NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XRAFFLE PRIZES14998RETAIL
XGIFT CARDS22710FMV
XMEMBERSHIPS4469FMW
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 - 4:30 PM
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 4:30 PM
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 183,830.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:NO CHANGE FROM PRIOR YEAR.

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