OVERLAKE HOSPITAL FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- OVERLAKE HOSPITAL FOUNDATION (EIN 91-1050325)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-12
- IRS object ID
- 202631329349302988
- Schema version
- 2024v5.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-12T11:01:08-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 110TH AVE NE SUITE 700 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911050325 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLAKE HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OVER | BusinessNameControlTxt |
| Phone | 4256885525 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116TH AVENUE NE | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONATHAN DUARTE | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 4256885000 | PhoneNum |
| Signature | 2026-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MEGAN R RYAN | PreparerPersonNm |
| PTIN | P00737884 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2026-05-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JONATHAN DUARTE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116TH AVENUE NE | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,669,029 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OVERLAKEHOSPITAL.ORG/GIVING | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSE OF OVERLAKE HOSPITAL FOUNDATION IS TO ADVANCE AND IMPROVE MEDICAL AND HEALTH CARE EXCELLENCE BY PROVIDING FUNDRAISING AND OTHER SUPPORT TO OVERLAKE MEDICAL CENTER & CLINICS FOR NEW FACILITIES, MODERN EQUIPMENT AND COMPREHENSIVE SERVICES AND PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 76 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,928,907 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,671,857 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,626,873 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,979,896 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$292,219 | PYOtherRevenueAmt |
| CY Other Revenue | -$293,700 | CYOtherRevenueAmt |
| PY Total Revenue | $13,263,561 | PYTotalRevenueAmt |
| CY Total Revenue | $16,358,053 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,083,493 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,145,780 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,864,432 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,843,704 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,475,106 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $264,728 | PYOtherExpensesAmt |
| CY Other Expenses | $316,382 | CYOtherExpensesAmt |
| PY Total Expenses | $13,212,653 | PYTotalExpensesAmt |
| CY Total Expenses | $11,305,866 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $50,908 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,052,187 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,698,949 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,566,438 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $339,285 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $104,034 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,359,664 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,462,404 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE PURPOSE OF OVERLAKE HOSPITAL FOUNDATION IS TO ADVANCE AND IMPROVE MEDICAL AND HEALTH CARE EXCELLENCE BY PROVIDING FUNDRAISING AND OTHER SUPPORT TO OVERLAKE MEDICAL CENTER & CLINICS FOR NEW FACILITIES, MODERN EQUIPMENT AND COMPREHENSIVE SERVICES AND PROGRAMS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,145,780 | ExpenseAmt |
| Grant | $9,145,780 | GrantAmt |
| Desc | OVERLAKE HOSPITAL FOUNDATION RAISED $12,145,493 IN CONTRIBUTIONS AND PLEDGES FROM DONORS. THE FOUNDATION PROVIDED $9,145,780 OF FINANCIAL SUPPORT TO OVERLAKE MEDICAL CENTER & CLINICS FOR NEW FACILITIES, MODERN EQUIPMENT AND COMPREHENSIVE SERVICES AND PROGRAMS. THE DIFFERENCE BETWEEN CONTRIBUTION REVENUE AND THE SUPPORT PROVIDED TO OVERLAKE HOSPITAL IS DUE TO THE TIMING OF PLEDGE PAYMENTS. | Desc |
| Total Program Service Expenses | $9,145,780 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 11 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON PHELPS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4256885471 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116TH AVENUE NE | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| BENJAMIN LIU | |||||||||
| TREASURER THRU 12/24, CHAIR | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIE SUN | |||||||||
| CHAIR THRU 12/24 | 3.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAULINE BACH | |||||||||
| PAST CHAIR THRU 12/24 | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHERYL GUDAITIS | |||||||||
| SECRETARY | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WHITNEY NAKAJIMA | |||||||||
| SECRETARY THRU 12/24 | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY EULBERG | |||||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RACHELE BOUCHAND | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES GREGSON | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LEIGHA GRIMALDI | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| YORK HARRIS | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROHAN KUMAR | |||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AMY MARKEZICH | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $17,000 | $0 | |||
| MICHAEL RIDGEWAY | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN RODGERS | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| YUKA SHIMIZU | |||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CLAIRE SUMADIRWIRYA | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TYLER TONKIN | |||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| J MICHAEL MARSH | |||||||||
| PRESIDENT & CEO THRU 01/25 | 4.00 | 49.00 | Yes (X) | $0 | $1,602,146 | $151,523 | |||
| JONATHAN DUARTE | |||||||||
| PRESIDENT & CEO FROM 01/25 | 5.00 | 55.00 | Yes (X) | $0 | $528,387 | $65,053 | |||
| MARY BETH STEARNS | |||||||||
| CHIEF DEVELOPMENT OFFICER | 50.00 | 0.00 | Yes (X) | $494,085 | $0 | $80,944 | |||
| PAUL ISHIZUKA | |||||||||
| CHIEF FINANCIAL OFFICER THRU 11/24 | 0.50 | 49.50 | Yes (X) | $0 | $376,227 | $19,073 | |||
| CHRISSY YAMADA | |||||||||
| CHIEF FINANCIAL OFFICER FROM 11/24 | 1.00 | 55.00 | Yes (X) | $0 | $49,808 | $0 | |||
| STEPHANIE STEWART | |||||||||
| DEVELOPMENT DIRECTOR | 40.00 | 0.00 | $214,150 | $0 | $33,125 | Yes (X) | |||
| MERIDETH GROSECLOSE | |||||||||
| MAJOR GIFTS OFFICER | 40.00 | 0.00 | $113,136 | $0 | $30,085 | Yes (X) | |||
| JODI FORSCHMIEDT | |||||||||
| GRANT WRITING OFFICER | 40.00 | 0.00 | $108,959 | $0 | $18,972 | Yes (X) | |||
| LAURIE RAMACCI-NOEGEL | |||||||||
| INDIVIDUAL GIVING OFFICER | 40.00 | 0.00 | $108,970 | $0 | $15,733 | Yes (X) | |||
| KATIE SIMS | |||||||||
| INDIVIDUAL GIVING OFFICER | 40.00 | 0.00 | $108,709 | $0 | $15,719 | Yes (X) | |||
| ANDREW TOKAR | |||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $250,838 | $17,256 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,148,009 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,824,406 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $447,483 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,592,961 | FundraisingAmt |
| Related Organizations | $2,634,664 | RelatedOrganizationsAmt |
| All Other Contributions | $10,444,232 | AllOtherContributionsAmt |
| Noncash Contributions | $494,858 | NoncashContributionsAmt |
| Total Contributions | $14,671,857 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,983,490 | TotalRevenueColumnAmt |
| Exclusion | $1,983,490 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $833,604 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $837,198 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$3,594 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,594 | TotalRevenueColumnAmt |
| Exclusion | -$3,594 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $154,778 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,592,961 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $471,278 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$316,500 | TotalRevenueColumnAmt |
| Exclusion | -$316,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $25,300 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $2,500 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,800 | TotalRevenueColumnAmt |
| Exclusion | $22,800 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,358,053 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,686,196 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,145,780 | TotalAmt |
| Program Services | $9,145,780 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,204 | TotalAmt |
| Management And General | $158,161 | ManagementAndGeneralAmt |
| Fundraising | $369,043 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,257 | TotalAmt |
| Management And General | $237,354 | ManagementAndGeneralAmt |
| Fundraising | $782,903 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,592 | TotalAmt |
| Management And General | $15,640 | ManagementAndGeneralAmt |
| Fundraising | $48,952 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,888 | TotalAmt |
| Management And General | $40,308 | ManagementAndGeneralAmt |
| Fundraising | $113,580 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,763 | TotalAmt |
| Management And General | $18,691 | ManagementAndGeneralAmt |
| Fundraising | $59,072 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876 | TotalAmt |
| Management And General | $876 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,004 | TotalAmt |
| Management And General | $18,004 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,147 | TotalAmt |
| Management And General | $24,456 | ManagementAndGeneralAmt |
| Fundraising | $31,691 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,450 | TotalAmt |
| Fundraising | $3,450 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,249 | TotalAmt |
| Management And General | $8,497 | ManagementAndGeneralAmt |
| Fundraising | $34,752 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,209 | TotalAmt |
| Management And General | $2,209 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,168 | TotalAmt |
| Management And General | $151,168 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227 | TotalAmt |
| Management And General | $227 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,063 | TotalAmt |
| Management And General | $727 | ManagementAndGeneralAmt |
| Fundraising | $336 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,170 | TotalAmt |
| Management And General | $6,170 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CREDIT CARD FEES | $30,882 | $30,882 | |
| EMPLOYEE APPRECIATION | $1,350 | $1,350 | |
| LICENSES | $720 | $720 | |
| MEMBERSHIPS DUES | $327 | $125 | $202 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540 | TotalAmt |
| Management And General | $220 | ManagementAndGeneralAmt |
| Fundraising | $320 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,305,866 | TotalAmt |
| Program Services | $9,145,780 | ProgramServicesAmt |
| Management And General | $684,980 | ManagementAndGeneralAmt |
| Fundraising | $1,475,106 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,357,967 | BOYAmt |
| EOY | $5,825,462 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,370 | BOYAmt |
| EOY | $109,634 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,651,701 | BOYAmt |
| EOY | $3,291,847 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,810 | BOYAmt |
| EOY | $26,863 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,100 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,959 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,164 | BOYAmt |
| EOY | $12,141 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,104,605 | BOYAmt |
| EOY | $18,293,110 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,332 | BOYAmt |
| EOY | $7,381 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,698,949 | BOYAmt |
| EOY | $27,566,438 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,160 | BOYAmt |
| EOY | $43,943 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,198 | BOYAmt |
| EOY | $46,526 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,927 | BOYAmt |
| EOY | $13,565 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,285 | BOYAmt |
| EOY | $104,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,381,955 | BOYAmt |
| EOY | $5,865,636 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,977,709 | BOYAmt |
| EOY | $21,596,768 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,359,664 | BOYAmt |
| EOY | $27,462,404 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,698,949 | BOYAmt |
| EOY | $27,566,438 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,052,187 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $53,505 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,952 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,227,580 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,648,760 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,222,629 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,928,907 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,671,857 | CurrentTaxYearAmt |
| Total | $68,699,733 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,227,580 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,648,760 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,222,629 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,928,907 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,671,857 | CurrentTaxYearAmt |
| Total | $68,699,733 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $11,378,776 | SubstantialContributorsTotAmt |
| Public Support Total170 | $57,320,957 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $509,441 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,239,711 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,216,487 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,623,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,983,490 | CurrentTaxYearAmt |
| Total | $6,572,941 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $7 | CurrentTaxYearMinus1YearAmt |
| Total | $7 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $75,272,681 | TotalSupportAmt |
| Public Support CY170 | 0.76150 | PublicSupportCY170Pct |
| Public Support PY170 | 0.77400 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | PURCHASE DISCOUNT - 2023 AMOUNT: $ 7. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,399,269 | BeginningYearBalanceAmt |
| Contributions | $623,262 | ContributionsAmt |
| Investment Earnings Or Losses | $1,964,102 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $762,014 | OtherExpendituresAmt |
| End Year Balance | $18,224,619 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,116,213 | BeginningYearBalanceAmt |
| Contributions | $261,125 | ContributionsAmt |
| Investment Earnings Or Losses | $1,737,034 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $715,103 | OtherExpendituresAmt |
| End Year Balance | $16,399,269 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,493,472 | BeginningYearBalanceAmt |
| Contributions | $139,866 | ContributionsAmt |
| Investment Earnings Or Losses | $1,345,654 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $862,779 | OtherExpendituresAmt |
| End Year Balance | $15,116,213 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,891,583 | BeginningYearBalanceAmt |
| Contributions | $239,515 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,957,644 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $679,982 | OtherExpendituresAmt |
| End Year Balance | $14,493,472 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,741,651 | BeginningYearBalanceAmt |
| Contributions | $160,083 | ContributionsAmt |
| Investment Earnings Or Losses | $3,492,449 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $502,600 | OtherExpendituresAmt |
| End Year Balance | $16,891,583 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.28900 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.40240 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.30860 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,959 | DepreciationAmt |
| Book Value | $12,141 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,141 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $13,565 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,565 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | ANNUITIES ARE HELD IN A CUSTODIAL ACCOUNT AT PRINCIPAL BANK. THE ASSETS AND LIABILITIES ARE REPORTED ON THE BALANCE SHEET. |
| PART V, LINE 4: | ENDOWMENT DISTRIBUTIONS ARE USED TO SUPPORT CAPITAL AND OPERATIONAL NEEDS OF OVERLAKE MEDICAL CENTER & CLINICS AS DIRECTED BY THE INDIVIDUAL ENDOWMENT PURPOSE. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BANDAGE BALL 2025 | Event1Nm |
| Gross Receipts Event1 | $1,747,739 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,592,961 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $154,778 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $738 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $121,654 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $229,805 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $119,081 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $1,747,739 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,592,961 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $154,778 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $738 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $121,654 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $229,805 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $119,081 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $471,278 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$316,500 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $25,300 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $2,500 | NonCashPrizesOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $25,300 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $2,500 | NonCashPrizesTotalGamingAmt |
| Direct Expense Summary Gaming | $2,500 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $22,800 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WA | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.00000 | GamingOwnFacilityPct |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLAKE MEDICAL CENTER & CLINICS | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116TH AVE NE | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | MARY BETH STEARNS | GamingManagerPersonNm |
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | GENERAL OVERSIGHT | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLAKE MEDICAL CENTER & CLINICS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116TH AVENUE NE | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 910652651 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $9,144,627 | CashGrantAmt |
| Non Cash Assistance | $1,153 | NonCashAssistanceAmt |
| Valuation Method Used | FAIR MARKET VALUE | ValuationMethodUsedDesc |
| Non Cash Assistance | MEALS | NonCashAssistanceDesc |
| Purpose Of Grant | SUPPORT OVERLAKE MEDICAL CENTER & CLINICS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | OVERLAKE HOSPITAL FOUNDATION STAFF NOTIFIES THE OVERLAKE MEDICAL CENTER & CLINICS ACCOUNTING STAFF WHEN THERE IS A SPECIFIC GRANT. IF THE GRANT IS FOR OPERATIONAL EXPENSES THAT THE HOSPITAL DOES NOT INCUR IN THE NORMAL COURSE OF BUSINESS, THE APPROPRIATE DEPARTMENT IN THE HOSPITAL IS CONTACTED TO DEVELOP PLANS FOR USING THE FUNDS AS DESIGNATED. ACCOUNTING WORKS WITH THE FOUNDATION TO MONITOR WHEN THE EXPENDITURES HAVE BEEN MADE AND RELEASE THE GRANT. IF THE GRANT IS FOR CAPITAL, THE ACCOUNTING STAFF WILL MONITOR WHEN THE CAPITAL HAS BEEN PURCHASED AND RELEASE THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J MICHAEL MARSH | ||||||||||||||
| PRESIDENT & CEO THRU 01/25 | $0 | $1,027,502 | $0 | $457,663 | $0 | $116,981 | $0 | $129,008 | $0 | $22,515 | $0 | $1,753,669 | $0 | $107,374 |
| JONATHAN DUARTE | ||||||||||||||
| PRESIDENT & CEO FROM 01/25 | $0 | $369,327 | $0 | $157,557 | $0 | $1,503 | $0 | $34,397 | $0 | $30,656 | $0 | $593,440 | $0 | $0 |
| MARY BETH STEARNS | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $318,507 | $0 | $123,895 | $0 | $51,683 | $0 | $59,892 | $0 | $21,052 | $0 | $575,029 | $0 | $29,690 | $0 |
| PAUL ISHIZUKA | ||||||||||||||
| CHIEF FINANCIAL OFFICER THRU 11/24 | $0 | $347,291 | $0 | $0 | $0 | $28,936 | $0 | $16,209 | $0 | $2,864 | $0 | $395,300 | $0 | $0 |
| ANDREW TOKAR | ||||||||||||||
| FORMER OFFICER | $0 | $180,296 | $0 | $0 | $0 | $70,542 | $0 | $11,453 | $0 | $5,803 | $0 | $268,094 | $0 | $30,690 |
| STEPHANIE STEWART | ||||||||||||||
| DEVELOPMENT DIRECTOR | $190,620 | $0 | $22,110 | $0 | $1,420 | $0 | $15,474 | $0 | $17,651 | $0 | $247,275 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | J. MICHAEL MARSH, JON DUARTE, MARY BETH STEARNS PARTICIPATED IN THE EXECUTIVE BENEFIT PLAN. THE EXECUTIVE BENEFIT PLAN IS A 457(F) NON-QUALIFIED PLAN. EXECUTIVES ACCRUE DEFERRED BENEFITS ON AN ANNUAL BASIS AND VEST ACCORDING TO SPECIFIC EMPLOYMENT REQUIREMENTS. IN 2024, THE FOLLOWING AMOUNTS WERE DEFERRED: J. MICHAEL MARSH - $112,750, JON DUARTE - $32,280, MARY BETH STEARNS - $35,742. IN 2024, THE FOLLOWING VESTED BENEFITS WERE PAID: J. MICHAEL MARSH - $107,374, MARY BETH STEARNS - $29,690. ANDREW TOKAR PARTIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BENEFIT. THIS IS A NONQUALIFIED PLAN SPONSORED BY OVERLAKE MEDICAL CENTER & CLINICS. IN 2024, NO AMOUNTS WERE DEFERRED AND THE VESTED PAID BENEFITS WERE $30,690. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 10 | ContributionCnt |
| Noncash Contributions Rpt F990 | $421,927 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | AUCTION ITEMS | 70 | $71,778 | FAIR MARKET VALUE |
| Yes (X) | MEALS | 1 | $1,153 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER IN PART I COLUMN (B) IS BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED FOR DONATED SECURITIES AND MEALS AND THE NUMBER OF ITEMS RECEIVED FOR AUCTION ITEMS AND OTHER DONATIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6: | DURING FY25, 16 VOLUNTEERS SERVED ON THE BOARD OF TRUSTEES AND 60 VOLUNTEERS ASSISTED WITH VARIOUS TASKS AT THE ANNUAL BANDAGE BALL EVENT. |
| FORM 990, PART V, LINES 2A AND 2B: | EMPLOYEES ARE PAID THROUGH THE USE OF A COMMON PAYMASTER AND REPORTED ON THE FORM W-3 AND OTHER REQUIRED FILINGS OF OVERLAKE MEDICAL CENTER & CLINICS. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL ORDINARY BUSINESS OF THE BOARD DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO STATUTORY LIMITATIONS AND ANY PRIOR LIMITATION IMPOSED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | ALTHOUGH THE GOVERNING DOCUMENTS DO NOT STATE THAT THERE ARE ANY MEMBERS OF OVERLAKE HOSPITAL FOUNDATION, OVERLAKE MEDICAL CENTER & CLINICS DOES HAVE THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE. |
| FORM 990, PART VI, SECTION A, LINE 7A | OVERLAKE MEDICAL CENTER & CLINICS HAS THE RIGHT TO ELECT AND REMOVE OVERLAKE HOSPITAL FOUNDATION'S TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | OVERLAKE MEDICAL CENTER & CLINICS MUST APPROVE: (A) ANY SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION (B) ANY SINGLE TRANSACTION INCREASING LONG TERM INDEBTEDNESS BY AN AMOUNT EXCEEDING FIVE PERCENT OF THE TOTAL ASSETS OF THE CORPORATION DURING A FISCAL YEAR OF THE CORPORATION (C) THE ANNUAL BUDGET OF THE CORPORATION AND ANY MATERIAL AMENDMENTS THERETO (D) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS REVIEWED BY THE ASSISTANT CONTROLLER AND/OR CONTROLLER, THEN REVIEWED ON A HIGH LEVEL BY THE CHIEF FINANCIAL OFFICER, CHIEF DEVELOPMENT OFFICER, PRESIDENT & CEO, AND OVERLAKE MEDICAL CENTER & CLINICS GENERAL COUNSEL AND DIRECTOR OF COMPLIANCE AND RISK. A PUBLIC DISCLOSURE COPY IS DISTRIBUTED TO THE FOUNDATION BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND MANAGEMENT ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, 2) HAS READ AND UNDERSTANDS THE POLICY, 3) HAS AGREED TO COMPLY WITH THE POLICY. BOARD MEMBERS AND MANAGEMENT ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICT OF INTEREST SITUATIONS ON THEIR ANNUAL DISCLOSURE FORM AND ON A SITUATIONAL BASIS FOR ANY SITUATION OCCURRING DURING THE YEAR. DISCLOSURES ARE REVIEWED BY THE OVERLAKE MEDICAL CENTER & CLINICS OFFICE OF COMPLIANCE AND RISK MANAGEMENT (ORCM). DISCLOSURES REQUIRING MITIGATION WILL BE HANDLED BY A MEMBER OF THE ORCM. IF THERE IS A VIOLATION OF THIS POLICY OR THERE IS A PERCEIVED OR ACTUAL CONFLICT THAT NEEDS TO BE MANAGED, THE OCRM WILL TAKE APPROPRIATE CORRECTIVE ACTION, WHICH MAY INCLUDE A CONFLICT MANAGEMENT PLAN. AT BOARD MEETINGS, MEMBERS ARE EXPECTED TO RECUSE THEMSELVES FROM VOTING ON ISSUES WHEN THERE IS A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | OVERLAKE'S POLICY AND PROCESS FOR EXECUTIVE COMPENSATION IS FULLY DOCUMENTED IN THE "EXECUTIVE COMPENSATION ADMINISTRATION AND COMPLIANCE MANUAL." THIS MANUAL DETAILS THE CHARTER OF THE COMPENSATION COMMITTEE OF THE BOARD, THE COMPENSATION PHILOSOPHY AND HOW SALARY INCREASES, INCENTIVES, BENEFITS AND PERQUISITES ARE ADMINISTERED. THE COMPENSATION COMMITTEE IS A JOINT COMMITTEE OF OVERLAKE MEDICAL CENTER & CLINICS AND OVERLAKE HOSPITAL FOUNDATION BOARDS AND THE COMPENSATION COMMITTEE MEMBERS ARE INDEPENDENT BOARD MEMBERS AS REQUIRED BY THE CHARTER AND BY-LAWS. THE PROCESS INCLUDES AN INDEPENDENT CONSULTANT WHO WORKS DIRECTLY FOR THE COMPENSATION COMMITTEE AND REVIEW OF COMPARABLE DATA FROM EXTERNAL SOURCES. ALL COMPENSATION RELATED DECISIONS FOR THE FOUNDATION'S CHIEF DEVELOPMENT OFFICER MARY BETH STEARNS ARE DELIBERATED AND VOTED ON BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN THE MINUTES OF THE MEETING. OFFICERS J. MICHAEL MARSH, JON DUARTE, PAUL ISHIZUKA AND CHRISSY YAMADA WERE PAID BY RELATED AFFILIATE OVERLAKE MEDICAL CENTER & CLINICS. THE MOST RECENT COMPENSATION REVIEW WAS AT THE JULY 2025 COMPENSATION COMMITTEE MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | OVERLAKE HOSPITAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE THROUGH THE MEDICAL CENTER'S ADMINISTRATION OFFICE. |
| FORM 990, PART VII: | OVERLAKE HOSPITAL FOUNDATION STAFF ARE PAID BY ITS RELATED ORGANIZATION (OVERLAKE MEDICAL CENTER & CLINICS) THROUGH A COMMON PAYMASTER. THESE PAYROLL EXPENSES ARE CHARGED TO OVERLAKE HOSPITAL FOUNDATION. |
| FORM 990, PART XI, LINE 9: | GAAP FAIR VALUE ADJUSTMENT FOR AFFILIATION. -2,952. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MULTICARE HEALTH SYSTEM | |||||||||||
| PO BOX 5299 | TACOMA | WA | 98415 | 911352172 | HOSPITAL | WA | 501(C)(3) | LINE 3 | N/A | 0 | |
| OVERLAKE MEDICAL CENTER & CLINICS | |||||||||||
| 1035 116TH AVENUE NE | BELLEVUE | WA | 98004 | 910652651 | HOSPITAL | WA | 501(C)(3) | LINE 3 | 0 | MULTICARE HEALTH SYSTEM | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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