2026-05-12T11:01:08-05:00 2025-06-30 911194016 CLARK NUBER PS 555 110TH AVE NE SUITE 700 BELLEVUE WA 98004 990 2024-07-01 911050325 OVERLAKE HOSPITAL FOUNDATION OVER 4256885525 1035 116TH AVENUE NE BELLEVUE WA 98004 JONATHAN DUARTE PRESIDENT & CEO 4256885000 2026-05-08 1 1 MEGAN R RYAN P00737884 4254544919 2026-05-08 2024 2025-03-06 01:10:19Z JONATHAN DUARTE 1035 116TH AVENUE NE BELLEVUE WA 98004 17669029 0 X WWW.OVERLAKEHOSPITAL.ORG/GIVING X 1978 WA 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. 14 13 11 76 0 0 11928907 14671857 0 0 1626873 1979896 -292219 -293700 13263561 16358053 11083493 9145780 0 0 1864432 1843704 0 0 1475106 264728 316382 13212653 11305866 50908 5052187 22698949 27566438 339285 104034 22359664 27462404 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. 0 0 9145780 9145780 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. 9145780 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 11 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 WA X SHARON PHELPS 4256885471 1035 116TH AVENUE NE BELLEVUE WA 98004 X BENJAMIN LIU TREASURER THRU 12/24, CHAIR 3.00 3.00 X X 0 0 0 JULIE SUN CHAIR THRU 12/24 3.00 2.00 X X 0 0 0 PAULINE BACH PAST CHAIR THRU 12/24 2.00 3.00 X X 0 0 0 SHERYL GUDAITIS SECRETARY 1.50 0.00 X X 0 0 0 WHITNEY NAKAJIMA SECRETARY THRU 12/24 0.50 0.00 X X 0 0 0 JEFFREY EULBERG TREASURER 0.50 0.00 X X 0 0 0 RACHELE BOUCHAND TRUSTEE 1.00 0.00 X 0 0 0 JAMES GREGSON TRUSTEE 1.00 0.00 X 0 0 0 LEIGHA GRIMALDI TRUSTEE 1.00 0.00 X 0 0 0 YORK HARRIS TRUSTEE 1.00 0.00 X 0 0 0 ROHAN KUMAR TRUSTEE 0.50 0.00 X 0 0 0 AMY MARKEZICH TRUSTEE 1.00 2.00 X 0 17000 0 MICHAEL RIDGEWAY TRUSTEE 1.00 0.00 X 0 0 0 JOHN RODGERS TRUSTEE 1.00 0.00 X 0 0 0 YUKA SHIMIZU TRUSTEE 0.50 0.00 X 0 0 0 CLAIRE SUMADIRWIRYA TRUSTEE 2.00 0.00 X 0 0 0 TYLER TONKIN TRUSTEE 0.50 0.00 X 0 0 0 J MICHAEL MARSH PRESIDENT & CEO THRU 01/25 4.00 49.00 X 0 1602146 151523 JONATHAN DUARTE PRESIDENT & CEO FROM 01/25 5.00 55.00 X 0 528387 65053 MARY BETH STEARNS CHIEF DEVELOPMENT OFFICER 50.00 0.00 X 494085 0 80944 PAUL ISHIZUKA CHIEF FINANCIAL OFFICER THRU 11/24 0.50 49.50 X 0 376227 19073 CHRISSY YAMADA CHIEF FINANCIAL OFFICER FROM 11/24 1.00 55.00 X 0 49808 0 STEPHANIE STEWART DEVELOPMENT DIRECTOR 40.00 0.00 X 214150 0 33125 MERIDETH GROSECLOSE MAJOR GIFTS OFFICER 40.00 0.00 X 113136 0 30085 JODI FORSCHMIEDT GRANT WRITING OFFICER 40.00 0.00 X 108959 0 18972 LAURIE RAMACCI-NOEGEL INDIVIDUAL GIVING OFFICER 40.00 0.00 X 108970 0 15733 KATIE SIMS INDIVIDUAL GIVING OFFICER 40.00 0.00 X 108709 0 15719 ANDREW TOKAR FORMER OFFICER 0.00 0.00 X 0 250838 17256 1148009 2824406 447483 7 1 1 0 0 1592961 2634664 10444232 494858 14671857 1983490 1983490 833604 837198 -3594 -3594 -3594 154778 1592961 471278 -316500 -316500 25300 2500 22800 22800 16358053 0 0 1686196 9145780 9145780 527204 158161 369043 1020257 237354 782903 64592 15640 48952 153888 40308 113580 77763 18691 59072 876 876 18004 18004 56147 24456 31691 3450 3450 43249 8497 34752 2209 2209 151168 151168 227 227 1063 727 336 6170 6170 CREDIT CARD FEES 30882 30882 EMPLOYEE APPRECIATION 1350 1350 LICENSES 720 720 MEMBERSHIPS DUES 327 202 125 540 220 320 11305866 9145780 684980 1475106 1357967 5825462 464370 109634 4651701 3291847 22810 26863 18100 5959 3164 12141 16104605 18293110 94332 7381 22698949 27566438 163160 43943 56198 46526 119927 13565 339285 104034 X 5381955 5865636 16977709 21596768 22359664 27462404 22698949 27566438 X 5052187 53505 -2952 X 0 1 X 1 0 X 13227580 10648760 18222629 11928907 14671857 68699733 13227580 10648760 18222629 11928907 14671857 68699733 11378776 57320957 509441 1239711 1216487 1623812 1983490 6572941 7 7 75272681 0.76150 0.77400 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PURCHASE DISCOUNT - 2023 AMOUNT: $ 7. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 16399269 623262 1964102 762014 18224619 15116213 261125 1737034 715103 16399269 14493472 139866 1345654 862779 15116213 16891583 239515 -1957644 679982 14493472 13741651 160083 3492449 502600 16891583 0.28900 0.40240 0.30860 0 0 18100 5959 12141 12141 CAPITAL LEASE OBLIGATION 13565 13565 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. BANDAGE BALL 2025 1747739 1592961 154778 738 121654 229805 119081 1747739 1592961 154778 738 121654 229805 119081 471278 -316500 25300 2500 0 25300 2500 2500 22800 WA 1 0 1 0 0.00000 1.00000 OVERLAKE MEDICAL CENTER & CLINICS 1035 116TH AVE NE BELLEVUE WA 98004 0 MARY BETH STEARNS 0 GENERAL OVERSIGHT X 0 1 OVERLAKE MEDICAL CENTER & CLINICS 1035 116TH AVENUE NE BELLEVUE WA 98004 910652651 501(C)(3) 9144627 1153 FAIR MARKET VALUE MEALS SUPPORT OVERLAKE MEDICAL CENTER & CLINICS 1 0 PART I, LINE 2: 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. X X X X X 0 1 0 0 0 0 0 0 0 J MICHAEL MARSH PRESIDENT & CEO THRU 01/25 0 1027502 0 457663 0 116981 0 129008 0 22515 0 1753669 0 107374 JONATHAN DUARTE PRESIDENT & CEO FROM 01/25 0 369327 0 157557 0 1503 0 34397 0 30656 0 593440 0 0 MARY BETH STEARNS CHIEF DEVELOPMENT OFFICER 318507 0 123895 0 51683 0 59892 0 21052 0 575029 0 29690 0 PAUL ISHIZUKA CHIEF FINANCIAL OFFICER THRU 11/24 0 347291 0 0 0 28936 0 16209 0 2864 0 395300 0 0 ANDREW TOKAR FORMER OFFICER 0 180296 0 0 0 70542 0 11453 0 5803 0 268094 0 30690 STEPHANIE STEWART DEVELOPMENT DIRECTOR 190620 0 22110 0 1420 0 15474 0 17651 0 247275 0 0 0 PART I, LINE 4B 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. X 10 421927 FAIR MARKET VALUE X AUCTION ITEMS 70 71778 FAIR MARKET VALUE X MEALS 1 1153 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): 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. 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. 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 MULTICARE HEALTH SYSTEM 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0