PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PEACEHEALTH ST JOSEPH MEDICAL CENTER FOUNDATION (EIN 72-1545902)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-06
IRS object ID
201101269349300205
Schema version
2009v1.7
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)
Timestamp2011-05-06T10:26:47-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Street Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721545902EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone3607886866Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 EAST CHESTNUT STREET No 1AAddressLine1
CityBELLINGHAMCity
StateWAState
ZIP Code98225ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK MCCAMPBELLName
TitleCHIEF DEVELOPMENT OFFICERTitle
Phone3607566865Phone
Date Signed2011-05-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J HyreName
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK MCCAMPBELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 EAST CHESTNUT STREET No 1AAddressLine1
CityBELLINGHAMCity
StateWAState
ZIP Code98225ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1391835GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.THEHOSPITALFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO RAISE CONTRIBUTIONS AND ESTABLISH ENDOWMENTS TO SUPPORT ST. JOSEPH HOSPITAL ACTIVITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2111682ContributionsGrantsPriorYear
Contributions Grants Current Year1295391ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year93261InvestmentIncomePriorYear
Investment Income Current Year30579InvestmentIncomeCurrentYear
Other Revenue Prior Year-25904OtherRevenuePriorYear
Other Revenue Current Year4963OtherRevenueCurrentYear
Total Revenue Prior Year2179039TotalRevenuePriorYear
Total Revenue Current Year1330933TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3240754GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1130114GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year159591TotalFundrsngExpCurrentYear
Other Expense Prior Year125773OtherExpensePriorYear
Other Expenses Current Year227304OtherExpensesCurrentYear
Total Expenses Prior Year3366527TotalExpensesPriorYear
Total Expenses Current Year1357418TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1187488RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-26485RevenuesLessExpensesCY
Total Assets BOY5398520TotalAssetsBOY
Total Assets EOY5530124TotalAssetsEOY
Total Liabilities BOY441235TotalLiabilitiesBOY
Total Liabilities EOY542798TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4957285NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4987326NetAssetsOrFundBalancesEOY
Mission DescriptionST. JOSEPH HOSPITAL FOUNDATION EXISTS TO ACQUIRE AND RECOGNIZECHARITABLE GIFTS AND BEQUESTS THAT ASSIST ST. JOSEPH HOSPITAL INFULFILLING ITS MISSION, ADHERING TO ITS CORE VALUES AND PROVIDINGMEDICAL SERVICES TO THE WHATCOM REGION. ST. JOSEPH HOSPITAL FOUNDATION WILL:- PROVIDE INDIVIDUALS AND INSTITUTIONS WITH AN OPPORTUNITY TO EXTENDTHE GIFT OF HEALTH TO CITIZENS IN NORTHWEST WASHINGTON STATE.- SUPPORT THE APPLICATION OF INNOVATIVE PATIENT CARE SERVICES TOIMPROVE THE HEALTH CARE SERVICES OF THIS AREA.- ACHIEVE FOR ST. JOSEPH HOSPITAL A HIGHER LEVEL OF MUTUALUNDERSTANDING AND INVOLVEMENT WITH THE COMMUNITIES IT SERVES.- PHILANTHROPIC OPPORTUNITIES SHOULD ENHANCE THE ABILITY OF ST. JOSEPHHOSPITAL TO PROVIDE HEALING AND COMPASSIONATE HEALTHCARE RESPECTINGEVERY PERSON'S HUMAN DIGNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense811136Expense
Grants811136Grants
DescriptionPURSUING PERFECTIONS PROJECT - A COMMUNITY WIDE TEAM OF PATIENTS, PHYSICIANS AND HOSPITAL STAFF WORKING TOGETHER TO IDENTIFY HOW TO IMPROVE CARE TO DIABETIC AND CONGESTIVE HEART FAILURE PATIENTS AND THEIR FAMILIES THROUGH THE DEVELOPMENT OF A SHARE CARE PLAN, CREATION OF CARE TEAMS AND THE REDESIGN OF SERVICES IN HOSPITALS AND CLINICS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense318978Expense
Grants318978Grants
DescriptionSUPPORT OF ST. JOSEPH HOSPITAL FOR EDUCATION, PATIENT SUPPORT, NURSING SUPPORT, RESEARCH, CAPITAL EXPENDITURES, SCHOLARSHIPS AND CHARITY CARE. THE FOUNDATION RECEIVES FROM ST. JOSEPH HOSPITAL AND PEACEHEALTH CORPORATION DONATED FACILITIES AND SERVICES, WHICH INCLUDE SPACE RENTAL, PROPERTY AND EQUIPMENT, UTILITIES, EMPLOYEES, AND OTHER ITEMS. THE ESTIMATED FAIR MARKET VALUE OF $419,938 OF SUCH ITEMS HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS AS A PART OF IN-KIND CONTRIBUTIONS AND EXPENSES, BUT HAS BEEN REMOVED FROM THE FORM 990 AS PER THE INSTRUCTIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense1130114TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Required1ScheduleJRequired
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 Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
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
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NICOLE POYNERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3607886540TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1809 E CHESTNUT STAddressLine1
CityBELLINGHAMCity
StateWAState
ZIP Code98225ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DR PETER BUETOW
DIRECTOR2.00X000
AMY ESARY
DIRECTOR2.00X000
MARION ROBIN FOOTE
TREASURER2.00X000X
ROSEMARIE FRANCIS
DIRECTOR2.00X000
DON HAGGEN
DIRECTOR2.00X000
DENNY HOLMSTROM
DIRECTOR2.00X000
JOHN HUNTLEY
PRESIDENT ELECT2.00X000X
FRANK IMHOF
PRESIDENT2.00X000X
LYNNETTE JENSEN
DIRECTOR2.00X000
SIMON JOHNSON
DIRECTOR2.00X000
DR RICHARD JONES
SECRETARY2.00X000X
JEFFREY KAUFMAN
DIRECTOR2.00X000
MARY KING
DIRECTOR2.00X000
DR LEASA LOWY
DIRECTOR2.00X016496817279
GINNY MCEVOY
DIRECTOR2.00X000
PATTY NELSON
DIRECTOR2.00X000
DR RALPH RINNE
DIRECTOR2.00X000
HARRY ROBINSON
DIRECTOR2.00X000
JOANNE ROBINSON
PAST PRESIDENT2.00X000
SARAH ROTHENBUHLER
DIRECTOR2.00X000
NANCY STEIGER
REGIONAL CEO2.00X052614423497
DR SHAUN SULLIVAN
DIRECTOR2.00X000
DR IAN THOMPSON
DIRECTOR2.00X000
CHRISTINE THOMPSON
DIRECTOR2.00X000
MO WEST
DIRECTOR2.00X000
DOUG WIGHT
DIRECTOR2.00X000
FRANK ZURLINE
DIRECTOR2.00X000
GLENN WELCH JUL-JAN
CHIEF DEVELOPMNT OFFICER40.0001128021469X
KEVIN PENDERGAST FEB-JUN
INTRM DEVELOPMNT OFFICER40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs803914TotalReportableCompFrmRltdOrgs
Total Other Compensation42245TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events141274FundraisingEvents
Related Organizations204854RelatedOrganizations
Government Grants125000GovernmentGrants
All Other Contributions824263AllOtherContributions
Noncash Contributions241581NoncashContributions
Total Contributions1295391TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33752TotalRevenueColumn
Exclusion$33,752ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16851Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real16851Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column16851TotalRevenueColumn
Exclusion$16,851ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities24242Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27415Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3173Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3173TotalRevenueColumn
Exclusion-$3,173ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events21599GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events141274CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses33487FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-11888TotalRevenueColumn
Exclusion-$11,888ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1330933TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$35,542ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1130114Total
Program Services1130114ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total207725Total
Management And General67713ManagementAndGeneral
Fundraising140012Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
ALLOWANCE FOR BAD DEBT1698016980
DONOR RECOGNITION PANEL25992599

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1357418Total
Program Services1130114ProgramServices
Management And General67713ManagementAndGeneral
Fundraising159591Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY261967BOY
EOY1533EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1957069BOY
EOY2702901EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2283750BOY
EOY2178110EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY760579BOY
EOY488328EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY134760BOY
EOY151752EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY395BOY
EOY7500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5398520BOY
EOY5530124EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY224BOY
EOY33711EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY178419BOY
EOY254942EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY262592BOY
EOY254145EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY441235BOY
EOY542798EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY848866BOY
EOY1129831EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3756833BOY
EOY3499752EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY351586BOY
EOY357743EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4957285BOY
EOY4987326EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5398520BOY
EOY5530124EOY
FieldValueIRS element (for citing)
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 Years1773696CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1173865CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4658140CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2111682CurrentTaxYearMinus1Year
Current Tax Year1295391CurrentTaxYear
Total11012774Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1773696CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1173865CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4658140CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2111682CurrentTaxYearMinus1Year
Current Tax Year1295391CurrentTaxYear
Total11012774Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2628865AmountsSubstContributorsTotal
Public Support Total1708383909PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82208CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years140071CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106465CurrentTaxYearMinus1Year
Current Tax Year50603CurrentTaxYear
Total580332Total
FieldValueIRS element (for citing)
Total Support11593106TotalSupport
Public Support Pertcentage1700.72320PublicSupportPertcentage170
Public Support Pertcent Prior Year0.71560PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance880911BeginningOfYearBalance
Contributions52598Contributions
Investment Earnings Or Losses56047InvestmentEarningsOrLosses
End Of Year Balance989556EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance473753BeginningOfYearBalance
Contributions422870Contributions
Investment Earnings Or Losses-4812InvestmentEarningsOrLosses
Grants Or Scholarships10900GrantsOrScholarships
End Of Year Balance880911EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.64000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.36000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITY PAYABLEDescription
Amount$254,145Amount
FieldValueIRS element (for citing)
Total Of Amounts254145TotalOfAmounts
Total Revenue1330933TotalRevenue
Total Expenses1357418TotalExpenses
Excess Or Deficit For Year-26485ExcessOrDeficitForYear
Net Unrealized GL On Investments77023NetUnrealizedGLOnInvestments
Other-$20,497OtherAmount
Total Adjustments56526TotalAdjustments
Excess Or Deficit Per FS30041ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1807397TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments77023NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities419938DonatedSrvcAndUseOfFacilities
Other Revenues-20497OtherRevenues
Revenue Not Rptd F990476464RevenueNotRptdF990
Revenue Subtotal1330933RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901330933TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1777356TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities419938DonatedServicesUseOfFacilities
Expenses Not Rptd F990419938ExpensesNotRptdF990
Expenses Subtotal1357418ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901357418TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:ENDOWMENT FUNDS ARE USED FOR CAPITAL, SCHOLARSHIPS, AND ACCESS CARE (CHARITY CARE).
Part XI, Line 8 - Other Adjustments:CHANGE IN SPLIT INTEREST VALUE: -20497.
Part XII, Line 2d - Other Adjustments:CHANGE IN SPLIT INTEREST VALUE: -20497.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1162873GrossReceiptsEvent1
Charitable Contributions Event1141274CharitableContributionsEvent1
Gross Revenue Event121599GrossRevenueEvent1
Rent Facility Costs Event1651RentFacilityCostsEvent1
Food And Beverage Event120078FoodAndBeverageEvent1
Entertainment Event1850EntertainmentEvent1
Other Direct Expenses Event111908OtherDirectExpensesEvent1
Gross Receipts Total162873GrossReceiptsTotal
Charitable Contributions Total141274CharitableContributionsTotal
Gross Revenue Total Events21599GrossRevenueTotalEvents
Rent Facility Costs Total Events651RentFacilityCostsTotalEvents
Food And Beverage Total Events20078FoodAndBeverageTotalEvents
Entertainment Total Events850EntertainmentTotalEvents
Other Direct Expenses Total Events11908OtherDirectExpensesTotalEvents
Direct Expense Summary Events33487DirectExpenseSummaryEvents
Net Income Summary-11888NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
WHATCOM HEALTH INFORMATION NETWORK
625 CORNWALL AVEBELLINGHAMWA98225911993455680535PURSUING PERFECTION AND SHARED CARE PLAN PROJECT
PEACEHEALTH - ST JOSEPH
2901 SQUALICUM PARKWAYBELLINGHAMWA98225910565889259027CAPITAL, ACCESS CARE, RESEARCH AND SCHOLARSHIPS501(C)(3)
WHATCOM HOSPICE FOUNDATION
800 E CHESTNUT SUITE 1-ABELLINGHAMWA9822594314636966030HOSPICE PROGRAM AND HOSPICE HOUSE SUPPORT501(C)(3)
CONGRAL NR LLC
922 - 11TH STREET 3BELLINGHAMWA9822520013722283125WORK DONE ON SHARED CARE PLAN WEBSITE
WWU FOUNDATION (CRITICAL JUNCTURES INSTITUTE)
625 CORNWALL AVEBELLINGHAMWA9822541397CRITICAL JUNCTURES SUPPORTGOVERNMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

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 FOUNDATION RECEIVES BACKUP DOCUMENTATION (USUALLY IN THE FORM OF AN INVOICE) FROM THE GRANTEE SHOWING FUNDS WERE USED FOR THEIR INTENDED PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR LEASA LOWY
0164968000001576015703018224700
NANCY STEIGER
0526144000001874004757054964100

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99025953NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XCEILING LIFT SYSTEM110774COST OR SELLING PRICE
XSUPPLIES320204854COST OR SELLING PRICE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationCONTRIBUTIONS ARE COUNTED BY NUMBER RECEIVED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2HARRY ROBINSON AND JOANNE ROBINSON HAVE A FAMILY RELATIONSHIP.
Form 990, Part VI, Section A, line 7aSEE BELOW DESCRIPTION TO FORM 990, PART VI, SECTION A, LINE 7B.
Form 990, Part VI, Section A, line 7bAS STATED IN THE ARTICLES OF INCORPORATION "THE FOUNDATION SHALL BE ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSE OF SUPPORTING ST. JOSEPH HOSPITAL, A PART OF PEACEHEALTH WHATCOM REGION, LOCATED IN BELLINGHAM, WASHINGTON, IN FURTHERANCE OF THE HEALTHCARE MISSION OF ITS OWNER, PEACEHEALTH". THE FOLLOWING ACTIONS OF THE BOARD REQUIRE APPROVAL FROM PEACEHEALTH. 1) THE FOUNDATION SHALL NOT HAVE POWER TO GUARANTEE PAYMENT OR PERFORMANCE BY THIRD PARTIES WITHOUT THE PRIOR WRITTEN CONSENT OF THE PRESIDENT OF PEACEHEALTH OR HIS/HER DELEGATE. 2) THE FOUNDATION SHALL HAVE NO POWER TO MERGE OR CONSOLIDATE WITH OTHER ORGANIZATIONS OR TO CREATE OR ACQUIRE OTHER ORGANIZATIONS OR TO VOLUNTARILY DISSOLVE AND WIND UP ITS AFFAIRS OR TO ENTER INTO ANY ASSIGNMENT OF INCOME OR ASSETS FOR THE BENEFIT OF CREDITORS OR TO SEEK THE PROTECTION OF DEBTOR RELIEF LAWS, WITHOUT HAVING OBTAINED THE PRIOR WRITTEN CONSENT OF THE PRESIDENT OF PEACEHEALTH. 3) WRITTEN CONSENT MUST BE OBTAINED BY THE PRESIDENT OF PEACEHEALTH, OR HIS OR HER DELEGATE, TO THE EXACT LANGUAGE OF ANY PROPOSED CHANGE. THIS CONSENT SHALL HAVE BEEN FIRST OBTAINED PRIOR TO ANY CHANGE TO THE ARTICLES OF INCORPORATION OR BYLAWS BECOMING EFFECTIVE. 4) ALL PROPOSED NOMINATIONS (OF DIRECTORS) MUST BE APPROVED BY PEACEHEALTH.
Form 990, Part VI, Section B, line 11THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS APPROVAL FOR FILING TO THE FULL BOARD. A COPY OF THE FORM 990 IS PROVIDED BY EMAIL TO ALL MEMBERS OF THE BOARD PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cBOARD MEMBERS ARE REQUIRED TO SIGN ANNUALLY, OUR IN-DEPTH CONFLICT OF INTEREST DISCLOSURE POLICY WHICH AFFIRMS THEY HAVE READ, UNDERSTOOD AND AGREED WITH THE CONFLICT OF INTEREST POLICY AND HAVE ANSWERED ALL QUESTIONS ON THE DISCLOSURE FULLY AND HONESTLY. THE OFFICERS, DIRECTORS, AGENTS, AND EMPLOYEES ARE COVERED UNDER THE POLICY. EACH BOARD MEMBER IS REQUIRED TO SIGN A HARD COPY WHICH IS REVIEWED BY THE EXECUTIVE DIRECTOR. IT MUST BE SIGNED BEFORE THEY ATTEND ANY BOARD OR COMMITTEE MEETINGS. BEFORE AN ITEM IS PUT ON AN AGENDA WE ASCERTAIN IF THERE WILL BE ANY CONFLICTS WITH OUR BOARD AND IF SO, THE BOARD MEMBER IS CONTACTED AND TOLD ABOUT THE SUBJECT OF DISCUSSION. THE BOARD/COMMITTEE DECIDES IF IT IS IN FACT A CONFLICT AND IF SO, THEY ARE ASKED TO EXCUSE THEMSELVES FROM THE ROOM DURING DISCUSSION AND VOTING BY THE EXECUTIVE DIRECTOR OR COMMITTEE CHAIR.
Form 990, Part VI, Section B, line 15aTHE FOUNDATION'S CHIEF DEVELOPMENT OFFICER (CDO) IS COMPENSATED BY PEACEHEALTH (A RELATED ORGANIZATION) WHICH USES A MARKET BASED COMPENSATION PROGRAM UTILIZING SEVERAL INDEPENDENT THIRD PARTY COMPENSATION MARKET SURVEYS TO ESTABLISH PAY RANGES FOR THE POSITION. PEACEHEALTH THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THIS RATE OFFERED TO THE CDO AT TIME OF HIRE WAS DETERMINED THROUGH A DISCUSSION BETWEEN THE REGIONAL CEO, REGIONAL DIRECTOR OF HR AND THE ADMINISTRATIVE DIRECTOR OF H.R. THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS.
Form 990, Part VI, Section C, line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE IN THE FOUNDATION OFFICE UPON REQUEST.
FORM 990, PART I, LINE 6THERE ARE 25 VOLUNTEERS THAT SERVE AS BOARD MEMBERS, AND 5 VOLUNTEERS THAT HELP WITH CLERICAL DUTIES IN THE OFFICE OF DEVELOPMENT, SUPPORTING BOTH ST. JOSEPH HOSPITAL FOUNDATION AND WHATCOM HOSPICE FOUNDATION.
REASONABLE EFFORTS STATEMENTTHE ORGANIZATION MADE REASONABLE EFFORTS TO OBTAIN THE INFORMATION REQUIRED FOR PART VII BY DISTRIBUTING A QUESTIONNAIRE TO EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE LISTED IN PART VII. THE QUESTIONNAIRE INCLUDED THE NAME, TITLE, DATE, AND SIGNATURE OF EACH PERSON REPORTING INFORMATION AND CONTAINED THE PERTINENT INSTRUCTIONS AND DEFINITIONS FOR PART VII, SECTION A, COLUMNS (E) AND (F). AT THE TIME OF THE FILING OF THIS RETURN, THE ORGANIZATION RECEIVED 22 COMPLETED QUESTIONNAIRES OUT OF 27 THAT WERE DISTRIBUTED. SEVERAL PHONE CALLS WERE MADE AND EMAILS SENT TO THE UNRESPONSIVE PERSONS IN AN EFFORT TO OBTAIN THE QUESTIONNAIRES, BUT TO DATE THE ORGANIZATION HAS RECEIVED NO RESPONSES FROM THESE PERSONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PEACEHEALTH
14432 SE EASTGATE WAY STE 300BELLEVUEWA98007910939479HOSPITALWA501(c)(3)3 - HospitalPEACEHEALTH
VISITING NURSE FOUNDATION
800 E CHESTNUT STBELLINGHAMWA98225943146369SUPPORT WHATCOM HOSPICE, A PROGRAM OF ST JOSEPH HOSPITALWA501(c)(3)11D - Type IIIPEACEHEALTH
KETCHIKAN GENERAL HOSPITAL FOUNDATION
3100 TONGASS AVEKETCHIKANAK99901651225184SUPPORT KETCHIKAN GENERAL HOSPITALAK501(c)(3)7 - 509(a)(1)PEACEHEALTH
COTTAGE GROVE COMMUNITY HOSPITAL FOUNDATION
PO BOX 134COTTAGE GROVEOR97424930688381PROVIDE FINANCIAL AID TO COTTAGE GROVE COMMUNITY HOSPITALOR501(c)(3)7 - 509(a)(1)PEACEHEALTH
PEACE HARBOR HOSPITAL FOUNDATION
400 9TH STREETFLORENCEOR97439931084126PROVIDE FINANCIAL AID TO PEACE HARBOR HOSPITALOR501(c)(3)11A - Type IPEACEHEALTH
SACRED HEART MEDICAL CENTER FOUNDATION
PO BOX 10905EUGENEOR97440936026548PROVIDE FINANCIAL AID TO SACRED HEART MEDICAL CENTEROR501(c)(3)11A - Type IPEACEHEALTH
ST JOHN MEDICAL CENTER FOUNDATION
1615 DELAWARELONGVIEWWA98632911538852SUPPORT ST. JOHN MEDICAL CENTERWA501(c)(3)7 - 509(a)(1)PEACEHEALTH
HEALTH VENTURES
PO BOX 10905EUGENEOR97440911350776HEALTHCARE JOINT VENTURESWA501(c)(3)7 - 509(a)(1)PEACEHEALTH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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