THE MEMORIAL FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- THE MEMORIAL FOUNDATION (EIN 91-1022358)
- Tax period
- 2010-11-01 to 2011-10-31
- Filed
- 2012-06-15
- IRS object ID
- 201231679349300543
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-15T15:12:01-05:00 | Timestamp |
| Tax Period End Date | 2011-10-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22650 | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 989072650 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-11-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911022358 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAKIMA VALLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | CHARITABLE FOUNDATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | YAKI | NameControl |
| Phone | 5095765794 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANNE CAFFERY | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 5095765794 | Phone |
| Date Signed | 2012-06-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER E RIVARD | Name |
| Phone | 5092487750 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANNE CAFFERY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5085662 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MEMFOUND.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | THE FOUNDATION RAISES AND DISTRIBUTES FUNDS TO PROMOTE AND SUPPORT HEALTH CARE SERVICES IN COORDINATION WITH YAKIMA VALLEY MEMORIAL HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 29 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 29 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 234 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3938955 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4233991 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 50813 | InvestmentIncomePriorYear |
| Investment Income Current Year | 98823 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15324 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2462 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4005092 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4330352 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4271333 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2525548 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 106604 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 306464 | OtherExpensePriorYear |
| Other Expenses Current Year | 251886 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4577797 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2777434 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -572705 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1552918 | RevenuesLessExpensesCY |
| Total Assets BOY | 6963558 | TotalAssetsBOY |
| Total Assets EOY | 8347851 | TotalAssetsEOY |
| Total Liabilities BOY | 571082 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 438542 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6392476 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7909309 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ADVANCE HEALTH IMPROVEMENT THROUGH PHILANTHROPY BY EDUCATING AND INVOLVING OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 467873 | Expense |
| Grants | 467873 | Grants |
| Description | CHILDREN'S VILLAGE - SUPPORTING SERVICES FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 52777 | Expense |
| Grants | 52777 | Grants |
| Description | NORTH STAR LODGE - SUPPORTING A FULL-SERVICE OUTPATIENT CANCER TREATMENT FACILITY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 73805 | Expense |
| Grants | 73805 | Grants |
| Description | HOSPICE HOME HEALTH CARE - SUPPORTING HOSPICE/HOME HEALTH SERVICES INCLUDING END OF LIFE SERVICES TO PATIENTS (INCLUDING PALLIATIVE CARE/TRANSITIONS). | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1931093 | Expense |
| Grants | 1931093 | Grants |
| Description | SUPPORT NUMEROUS HEALTHCARE/HEALTHCARE RELATED PROGRAMS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1931093 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 1931093 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 2525548 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 29 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 29 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BONNIE DWARSHUIS | NamePerson |
| Telephone Number | 5095758000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| BILL WHEELER | ||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| CARLOS OLIVARES | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ANNE NAPIER CAFFERY | ||||||
| PRESIDENT/CEO | 40.00 | X | X | 0 | 0 | 0 |
| MARIE HALVERSON | ||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| B JEAN PRYOR | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| LEE CALLARMAN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| BRUCE HEISER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DARRELL BLUE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RICK LINNEWEH | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL MOEN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MARGARET NUTLEY | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MARY JO PEREZ | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| JUDI GILMORE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DR JAMES HAVEN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DR TIMOTHY MELHORN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CINDI STEWART | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ROYAL KEITH | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ANN WILLIS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DR DANIEL DOORNINK | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CHRIS FALK | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| WEST CAMPBELL | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| BILL DOLSEN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| SCOTT OLANDER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MARVIN SUNDQUIST | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| PATRICIA TEMPLE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MARK COX | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ROBERT LYNCH | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| EUGENE SHIELDS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL SCHWAB | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 9405 | FundraisingEvents |
| Government Grants | 342750 | GovernmentGrants |
| All Other Contributions | 3881836 | AllOtherContributions |
| Noncash Contributions | 5268 | NoncashContributions |
| Total Contributions | 4233991 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129853 | TotalRevenueColumn |
| Exclusion | $129,853 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 702830 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 733860 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -31030 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -31030 | TotalRevenueColumn |
| Exclusion | -$31,030 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17735 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 9405 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 16182 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1553 | TotalRevenueColumn |
| Exclusion | $1,553 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 1253 | GrossIncomeGaming |
| Gaming Direct Expenses | 5268 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4015 | TotalRevenueColumn |
| Exclusion | -$4,015 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4330352 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $96,361 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2525548 | Total |
| Program Services | 2525548 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24511 | Total |
| Management And General | 24511 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37297 | Total |
| Management And General | 37145 | ManagementAndGeneral |
| Fundraising | 152 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9202 | Total |
| Management And General | 7147 | ManagementAndGeneral |
| Fundraising | 2055 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3610 | Total |
| Fundraising | 3610 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| REIMBURSED EXPENSES | 134676 | 48998 | 85678 |
| NET ANNUITY | 23870 | 23870 | |
| UNCOLLECTIBLE PLEDGES | 13294 | 13294 | |
| OTHER | 5426 | 3611 | 1815 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2777434 | Total |
| Program Services | 2525548 | ProgramServices |
| Management And General | 145282 | ManagementAndGeneral |
| Fundraising | 106604 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 987494 | BOY |
| EOY | 781830 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2070884 | BOY |
| EOY | 1551221 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2436117 | BOY |
| EOY | 3520960 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 899535 | BOY |
| EOY | 2095833 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 569528 | BOY |
| EOY | 398007 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6963558 | BOY |
| EOY | 8347851 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571082 | BOY |
| EOY | 438542 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571082 | BOY |
| EOY | 438542 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1878022 | BOY |
| EOY | 1670446 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4201769 | BOY |
| EOY | 5926178 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 312685 | BOY |
| EOY | 312685 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6392476 | BOY |
| EOY | 7909309 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6963558 | BOY |
| EOY | 8347851 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1552918 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -36085 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1340495 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5637615 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3047277 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3902384 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4233991 | CurrentTaxYear |
| Total | 18161762 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1340495 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5637615 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3047277 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3902384 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4233991 | CurrentTaxYear |
| Total | 18161762 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 2147008 | AmountsSubstContributorsTotal |
| Public Support Total170 | 16014754 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 188103 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 336671 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 146797 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93945 | CurrentTaxYearMinus1Year |
| Current Tax Year | 129853 | CurrentTaxYear |
| Total | 895369 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 19057131 | TotalSupport |
| Gross Receipts From Admissions Etc | 132393 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.84040 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.85840 | 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) |
|---|---|---|
| Number DA Fs Held | 1 | NumberDAFsHeld |
| Donor Advised Contributions | 623160 | DonorAdvisedContributions |
| Grants Paid From Donor Funds | 200000 | GrantsPaidFromDonorFunds |
| Aggregate DAF Value | 392747 | AggregateDAFValue |
| Disclosed Orgs Legal Control | 1 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 1 | DisclosedForCharitablePurposes |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 437873 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 9402 | InvestmentEarningsOrLosses |
| Administrative Expenses | 1639 | AdministrativeExpenses |
| End Of Year Balance | 445636 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 389617 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 49888 | InvestmentEarningsOrLosses |
| Administrative Expenses | 1632 | AdministrativeExpenses |
| End Of Year Balance | 437873 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 323655 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 67626 | InvestmentEarningsOrLosses |
| Administrative Expenses | 1664 | AdministrativeExpenses |
| End Of Year Balance | 389617 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.30000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.70000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INVESTMENTS | Description |
| Book Value | 2095833 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 2095833 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO YVMH | $108,790 |
| DEFERRED LIABILITIES | $271,180 |
| DUE TO EPIC | $29,286 |
| DUE TO NURSING HOME | $29,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 438542 | TotalOfAmounts |
| Total Revenue | 4330352 | TotalRevenue |
| Total Expenses | 2777434 | TotalExpenses |
| Excess Or Deficit For Year | 1552918 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -36085 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -36085 | TotalAdjustments |
| Excess Or Deficit Per FS | 1516833 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4315717 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -36085 | NetUnrealizedGainsInvestments |
| Other Revenues | 21450 | OtherRevenues |
| Revenue Not Rptd F990 | -14635 | RevenueNotRptdF990 |
| Revenue Subtotal | 4330352 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4330352 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2798884 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 21450 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 21450 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2777434 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2777434 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE INTENDED USE FOR THE ENDOWMENT FUNDS ARE CHILDREN'S HEALTHCARE NEEDS OF CANCER PATIENTS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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, 2011 AND 2010. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES OF FUNDRAISING EVENTS 21,450. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES OF FUNDRAISING EVENTS 21,450. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 27140 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 9405 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 17735 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 16182 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 27140 | GrossReceiptsTotal |
| Charitable Contributions Total | 9405 | CharitableContributionsTotal |
| Gross Revenue Total Events | 17735 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 16182 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 16182 | DirectExpenseSummaryEvents |
| Net Income Summary | 1553 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 1253 | GrossRevenueOtherGaming |
| Non Cash Prizes Other Gaming | 5268 | NonCashPrizesOtherGaming |
| Volunteer Labor Other Gaming | 1 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 1253 | GrossRevenueTotalGaming |
| Non Cash Prizes Total Gaming | 5268 | NonCashPrizesTotalGaming |
| Direct Expense Summary Gaming | 5268 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | -4015 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WA | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Name Of Gaming Rec Keeper Person | BONNIE DWARSHUIS | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAKIMA VALLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DR | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 910567263 | EINOfRecipient |
| IRC Section | 501(C)3 | IRCSection |
| Amount Of Cash Grant | 2525548 | AmountOfCashGrant |
| Purpose Of Grant | TO PROVIDE SUPPORT TO THE YAKIMA VALLEY MEMORIAL HOSPITAL IN THEIR PURSUIT OF HEALTH IMPROVEMENT, EDUCATION AND IMPROVING OUR COMMUNITY. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE PRESIDENT/CEO REVIEWS BUDGETS AND PROFIT/LOSS STATEMENTS OF THE PROGRAMS RECEIVING ALLOCATION AWARDS ON, AT LEAST, AN ANNUAL BASIS. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | RAFFLE PRIZES | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5268 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | RETAIL | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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. | |
| ANNUALLY REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SIGN NEW CONFLICT OF INTEREST STATEMENTS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| SALARIES 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 B, LINE 15 | |
| UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 4:30 PM | FORM 990, PART VI, SECTION C, LINE 18 | |
| UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 4:30 PM | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -36,085. | FORM 990, PART XI, LINE 5: |
| PAGE 12, PART XI, LINE 2C - THERE HAVE BEEN NO CHANGES IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
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