2012-06-15T15:12:01-05:00 2011-10-31 MOSS ADAMS LLP PO BOX 22650 YAKIMA WA 989072650 990 2010-11-01 911022358 YAKIMA VALLEY MEMORIAL HOSPITAL CHARITABLE FOUNDATION YAKI 5095765794 2701 TIETON DRIVE YAKIMA WA 98902 ANNE CAFFERY 5095765794 2012-06-15 1 CHRISTOPHER E RIVARD 5092487750 2010 2016-02-24 21:20:13Z ANNE CAFFERY 2701 TIETON DRIVE YAKIMA WA 98902 5085662 0 X WWW.MEMFOUND.ORG X 1978 WA THE FOUNDATION RAISES AND DISTRIBUTES FUNDS TO PROMOTE AND SUPPORT HEALTH CARE SERVICES IN COORDINATION WITH YAKIMA VALLEY MEMORIAL HOSPITAL. 29 29 0 234 0 0 3938955 4233991 0 0 50813 98823 15324 -2462 4005092 4330352 4271333 2525548 0 0 0 0 0 0 106604 306464 251886 4577797 2777434 -572705 1552918 6963558 8347851 571082 438542 6392476 7909309 X TO ADVANCE HEALTH IMPROVEMENT THROUGH PHILANTHROPY BY EDUCATING AND INVOLVING OUR COMMUNITY. 0 0 467873 467873 CHILDREN'S VILLAGE - SUPPORTING SERVICES FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS 52777 52777 NORTH STAR LODGE - SUPPORTING A FULL-SERVICE OUTPATIENT CANCER TREATMENT FACILITY. 73805 73805 HOSPICE HOME HEALTH CARE - SUPPORTING HOSPICE/HOME HEALTH SERVICES INCLUDING END OF LIFE SERVICES TO PATIENTS (INCLUDING PALLIATIVE CARE/TRANSITIONS). 1931093 1931093 SUPPORT NUMEROUS HEALTHCARE/HEALTHCARE RELATED PROGRAMS. 1931093 1931093 2525548 1 1 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 29 29 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X BONNIE DWARSHUIS 5095758000 2811 TIETON DRIVE YAKIMA WA 98902 X BILL WHEELER 2.00 X X 0 0 0 CARLOS OLIVARES 1.00 X 0 0 0 ANNE NAPIER CAFFERY 40.00 X X 0 0 0 MARIE HALVERSON 1.00 X X 0 0 0 B JEAN PRYOR 2.00 X X 0 0 0 LEE CALLARMAN 1.00 X 0 0 0 BRUCE HEISER 1.00 X 0 0 0 DARRELL BLUE 1.00 X 0 0 0 RICK LINNEWEH 1.00 X 0 0 0 MICHAEL MOEN 1.00 X 0 0 0 MARGARET NUTLEY 1.00 X 0 0 0 MARY JO PEREZ 1.00 X 0 0 0 JUDI GILMORE 1.00 X 0 0 0 DR JAMES HAVEN 1.00 X 0 0 0 DR TIMOTHY MELHORN 1.00 X 0 0 0 CINDI STEWART 1.00 X 0 0 0 ROYAL KEITH 1.00 X 0 0 0 ANN WILLIS 1.00 X 0 0 0 DR DANIEL DOORNINK 1.00 X 0 0 0 CHRIS FALK 1.00 X 0 0 0 WEST CAMPBELL 1.00 X 0 0 0 BILL DOLSEN 1.00 X 0 0 0 SCOTT OLANDER 1.00 X 0 0 0 MARVIN SUNDQUIST 1.00 X 0 0 0 PATRICIA TEMPLE 1.00 X 0 0 0 MARK COX 1.00 X 0 0 0 ROBERT LYNCH 1.00 X 0 0 0 EUGENE SHIELDS 1.00 X 0 0 0 MICHAEL SCHWAB 1.00 X 0 0 0 0 0 0 0 0 0 0 0 9405 342750 3881836 5268 4233991 129853 129853 702830 733860 -31030 -31030 -31030 17735 9405 16182 1553 1553 1253 5268 -4015 -4015 4330352 0 0 96361 2525548 2525548 24511 24511 37297 37145 152 9202 7147 2055 3610 3610 REIMBURSED EXPENSES 134676 48998 85678 NET ANNUITY 23870 23870 UNCOLLECTIBLE PLEDGES 13294 13294 OTHER 5426 3611 1815 2777434 2525548 145282 106604 987494 781830 2070884 1551221 2436117 3520960 899535 2095833 569528 398007 6963558 8347851 571082 438542 571082 438542 X 1878022 1670446 4201769 5926178 312685 312685 6392476 7909309 6963558 8347851 X 1552918 -36085 X X 0 1 1 X 0 X 1340495 5637615 3047277 3902384 4233991 18161762 1340495 5637615 3047277 3902384 4233991 18161762 2147008 16014754 188103 336671 146797 93945 129853 895369 19057131 132393 0.84040 0.85840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 623160 200000 392747 1 1 437873 9402 1639 445636 389617 49888 1632 437873 323655 67626 1664 389617 0.30000 0.70000 0 0 0 OTHER INVESTMENTS 2095833 F 2095833 DUE TO YVMH 108790 DEFERRED LIABILITIES 271180 DUE TO EPIC 29286 DUE TO NURSING HOME 29286 438542 4330352 2777434 1552918 -36085 -36085 1516833 4315717 -36085 21450 -14635 4330352 0 4330352 2798884 21450 21450 2777434 0 2777434 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. GOLF TOURNAMENT 27140 9405 17735 16182 27140 9405 17735 16182 16182 1553 1253 5268 1 1.00000 1253 5268 5268 -4015 WA 1 0 0 0 BONNIE DWARSHUIS 2811 TIETON DRIVE YAKIMA WA 98902 0 0 1 YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DR YAKIMA WA 98902 910567263 501(C)3 2525548 TO PROVIDE SUPPORT TO THE YAKIMA VALLEY MEMORIAL HOSPITAL IN THEIR PURSUIT OF HEALTH IMPROVEMENT, EDUCATION AND IMPROVING OUR COMMUNITY. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X RAFFLE PRIZES 1 5268 RETAIL 0 0 0 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. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SIGN NEW CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 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 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 UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 4:30 PM CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -36,085. PAGE 12, PART XI, LINE 2C - THERE HAVE BEEN NO CHANGES IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT.