Civic Intelligence

Providence St. Mary Foundation

990 • Fiscal year 2015 • EIN 45-2841492

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 07, 2016

401 W PoplarWalla Walla, WA 99362

(509) 522-5910

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

46th percentile

0.08x

Higher debt load relative to assets than 46% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

68th percentile

0.28x

Higher debt load relative to revenue than 68% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

85th percentile

31%

Higher net margin than 85% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

98th percentile

$588,152

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 54.4% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

24th percentile

-4.5%

Faster asset growth than 24% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

13th percentile

-23%

Faster revenue growth than 13% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Down

$3,711,814

Down $173,254 (-4.5%) from 2014

Net Assets

Up

$3,406,996

Up $72,180 (+2.2%) from 2014

Liabilities

Down

$304,818

Down $245,434 (-45%) from 2014

Revenue

Down

$1,082,003

Down $323,806 (-23%) from 2014

Expenses

Up

$749,202

Up $350,422 (+88%) from 2014

Net Income

Down

$332,801

Down $674,228 (-67%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0Assets 2012: $2,583,158Liabilities 2012: $416,954Net Assets 2012: $2,166,2042012Assets 2013: $2,778,931Liabilities 2013: $532,832Net Assets 2013: $2,246,0992013Assets 2014: $3,885,068Liabilities 2014: $550,252Net Assets 2014: $3,334,8162014Assets 2015: $3,711,814Liabilities 2015: $304,818Net Assets 2015: $3,406,9962015Assets 2016: $4,606,058Liabilities 2016: $507,380Net Assets 2016: $4,098,6782016Assets 2017: $5,410,238Liabilities 2017: $500,275Net Assets 2017: $4,909,9632017Assets 2018: $5,990,513Liabilities 2018: $1,051,755Net Assets 2018: $4,938,7582018Assets 2019: $6,402,984Liabilities 2019: $1,051,934Net Assets 2019: $5,351,0502019Assets 2020: $7,091,587Liabilities 2020: $1,019,513Net Assets 2020: $6,072,0742020Assets 2021: $7,905,907Liabilities 2021: $1,050,407Net Assets 2021: $6,855,5002021Assets 2022: $6,348,779Liabilities 2022: $1,027,628Net Assets 2022: $5,321,1512022Assets 2023: $7,561,504Liabilities 2023: $239,593Net Assets 2023: $7,321,9112023Assets 2024: $9,084,438Liabilities 2024: $857,744Net Assets 2024: $8,226,6942024

Highlighted filing

2015

Assets$3,711,814
Liabilities$304,818
Net Assets$3,406,996

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2012: $242,8952012Revenue 2013: $619,247Expenses 2013: $670,494Net Income 2013: -$51,2472013Revenue 2014: $1,405,809Expenses 2014: $398,780Net Income 2014: $1,007,0292014Revenue 2015: $1,082,003Expenses 2015: $749,202Net Income 2015: $332,8012015Revenue 2016: $956,765Expenses 2016: $631,958Net Income 2016: $324,8072016Revenue 2017: $1,223,065Expenses 2017: $608,258Net Income 2017: $614,8072017Revenue 2018: $1,481,546Expenses 2018: $1,114,638Net Income 2018: $366,9082018Revenue 2019: $1,065,439Expenses 2019: $1,044,427Net Income 2019: $21,0122019Revenue 2020: $1,290,467Expenses 2020: $906,959Net Income 2020: $383,5082020Revenue 2021: $1,396,325Expenses 2021: $1,193,063Net Income 2021: $203,2622021Revenue 2022: $1,167,787Expenses 2022: $1,294,765Net Income 2022: -$126,9782022Revenue 2023: $2,034,317Expenses 2023: $742,414Net Income 2023: $1,291,9032023Revenue 2024: $1,471,356Expenses 2024: $1,145,045Net Income 2024: $326,3112024

Highlighted filing

2015

Revenue$1,082,003
Expenses$749,202
Net Income$332,801
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 7, 2016
Return Version
2015v2.1
Gross Receipts
$1,925,636
Mission and Program Overview

Mission

As expressions of god's healing love, witnessed through the ministry of jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

Support ministry & programs of Providence St. Mary Medical Center in Walla Walla, WA.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,436,176$2,509,742▲ $73,566
Pledges and Grants Receivable$355,894$411,104▲ $55,210
Savings and Temporary Cash Investments$462,456$243,918▼ $218,538
Total Assets$3,885,068$3,711,814▼ $173,254
Other Assets Total$630,542$547,050▼ $83,492
Liabilities
Other Liabilities$550,252$304,818▼ $245,434
Total Liabilities$550,252$304,818▼ $245,434
Net Assets / Fund Balance
Temporarily Rstr Net Assets$2,500,176$2,621,362▲ $121,186
Unrestricted Net Assets$834,640$785,634▼ $49,006
Total Net Assets Fund Balance$3,334,816$3,406,996▲ $72,180
Total Liabilities and Net Assets / Fund Balance$3,885,068$3,711,814▼ $173,254

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$482,893--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$325,882-▼ $3,650-$320,650
2014$10,797$299,310▲ $15,775-$325,882
2013-$10,797--$10,797
Compensation and Service Providers

Board Members and Trustees

NameTitle
Widmer CindyBoard Chair
Mahan MattVice-Chair
Bruggeman AlisonDirector
Cohan TedDirector
Daltoso MargueriteDirector
Fleenor BillDirector
Grant MarkDirector
Griff ArtDirector
Hess PeterDirector
Johnson Bradley MDDirector
Martin Patty DDSDirector
Reese JohnDirector
Snider DeanDirector
Stroemel MattDirector
Underriner BlakeDirector
Venneri GordyDirector
Burdick SteveDirector/ Corporate Member
Garratt ChrisFoundation Director
Bradbury Kyle - Res 1215Secretary
Colombo SusieTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$981,574
Program Service Revenue
$0
Investment Income
$111,988
Other Revenue
$-11,559
All Other Contributions
$634,902
Change in Net Assets
$332,801
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$400,332
Total Fundraising Expense$294,804
Salaries, Compensation, and Employee Benefits$225,034
Professional Fundraising Fees$73,110
Other Expenses$50,726

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$395,758--$395,758
Current Officers, Directors, Trustees, and Key Employees-$27,018$108,072$135,090
Other Salaries and Wages-$5,000$75,956$80,956
Fees for Services Professional Fundraising--$73,110$73,110
Office Expenses-$3,616$14,462$18,078
Fees for Service Investment Mgmnt Fees-$14,352-$14,352
Advertising-$1,939$7,757$9,696
Payroll Taxes-$969$8,019$8,988
Grants to Domestic Individuals$4,574--$4,574
All Other Expenses--$2,742$2,742
Travel-$546$2,182$2,728
Occupancy-$310$1,241$1,551
Other Expenses-$166$662$828
Conferences and Meetings-$87$350$437
Fees for Services Other-$63$251$314
Total Functional Expenses$400,332$54,066$294,804$749,202
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Providence Health & Services - WA dba Providence St Mary Medical CenterWalla Walla, WA501(c)(3)Operational support$233,289
Providence Health & Services - WA dba Providence St Mary Medical CenterWalla Walla, WA501(c)(3)Capital support$162,469
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$73,110
Fundraising Direct Expenses$39,847
Fundraising Gross Income$28,288

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Driving Hope Golf Classic$146,134$24,948$13,331$11,617
Gran Fondo$35,265$3,340$5,154$-1,814
Total Events$181,399$28,288$39,847$-11,559
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Charitable Gift Annuity Obligations$292,843
Due To Affiliates$11,975
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The sole member of the Foundation is Providence Health & Services - Washington.

Form 990, Part VI, Section A, line 7A

The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause.

Form 990, Part VI, Section A, line 7B

The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual, capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors. F) To develop and implement investment policies and/or guidelines that will be used by the Foundation in determining appropriate investments.

Form 990, Part VI, Section B, line 11

The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Foundation Director reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS.

Form 990, Part VI, Section B, line 12C

Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.

Form 990, Part VI, Section B, line 15

It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. The Foundation Executive Director is compensated by 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. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the Executive Director at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR.

Form 990, Part VI, Section C, line 19

The governing documents, financial statements and conflict of interest policy are made available to the public upon request in the Foundation's office.

Form 990, Part VII - CEO Compensation

Steve Burdick, CEO of Providence St. Mary Medical Center, is compensated by a related organization for his service provided to the related organization and not services provided to the reporting Foundation.

Form 990, Part VII - Physician Compensation

Physicians serving on the Board are compensated by a related organization for their services provided to that related organization and not services provided to the reporting Foundation.

Form 990, Part VII - Foundation Executive Director Time

The Foundation Executive Director spends approximately 10% of his time coordinating the Volunteer Program at the affiliated hospital.

Filing and Contact Details

Filer

Filer Name
Providence St Mary Foundation
EIN
45-2841492
Phone
5095225910
Address
401 W POPLAR, WALLA WALLA, WA 99362

Signing Officer

Name
Chris Garratt
Title
Foundation Director
Phone
5095225910
Signed
2016-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Chris Garratt
Formed
2011
Legal Domicile
Wa
Voting Board Members
18
Independent Board Members
15
Employees
0
Volunteers
150

Preparer

Firm
Clark Nuber PS
Address
10900 NE 4th Suite 1700, Bellevue, WA 98004
Preparer
Sara Elizabeth J Hyre CPA
Phone
4254544919
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Pledge Write-Off -3,895. Rounding -3.

Form 990, Part XII, Line 2C - Audit & Compliance

The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.

Form 990, Part I, Line 5 & Part V, Line 2A - Employee Compensation

The employees working at the Foundation are paid by Providence Health & Services - Washington. Therefore, no W-2s are issued by the reporting organization.

Form 990, Part I, Line 6 - Volunteers

Providence St Mary Foundation enjoys the services of many volunteers who help in furthering its mission. Much of the work done by the volunteers surrounds the execution of fundraising events conducted by the Foundation. These include event sponsorship engagement, procurement of goods and services auctioned at events, set-up and teardown of events and day-of event duties as assigned. Foundation volunteers also help steward our donors through thank you calls, and in person meetings to promote the Foundation as an important charity in our community. Volunteers also engage the community in awareness about the health care services made possible through funding of the Foundation.

Financial Statement Notes

Part V, Line 4:

Provide additional support to ministries of the Medical Center.

Part X, Line 2:

The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.

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IRS990/Desc0Through the generosity of our donors, the Foundation helped make recent deep impacts at Providence St. Mary Medical Center. A sample of these include:1) An alarming 44% of women in our community over the age of 50 have not receive a mammogram in Walla Walla County. In 2015, the Foundation provided financial resources to expand community outreach efforts to educate women in our community about the importance of screening mammograms. In 2015, close to 160 women received screening mammograms, quadrupling the previous annual mark. 5 of these women we diagnosed with very early stages of breast cancer at its most treatable and survivable stage. 2) Funded exclusively through funds from the Foundation, Providence St. Mary Medical Center became the first facility in the state of Washington to earn certification in STAR (Survivorship in Training and Rehabilitation), a program that brings together a team of specialists to help cancer survivors increase strength and energy, alleviate pain, and improve the quality of their lives. 3) Each new baby born at St. Mary leaves the hospital with SleepSack, a wearable blanket that replaces lose blankets in a baby's crib, encouraging safe sleeping at home. These are funded exclusively by donations made to the St. Mary Foundation. 4) Providence St. Mary Regional Cancer Center now has a robust Cancer Survivorship Clinic. This Clinic is a set of coordinated care plans that helps a patient live through and beyond their diagnosis of cancer. All too often, a patient's quality of life is not tended to when going through oncology treatment. The survivorship clinic helps a patient connect to proactive health resources and also provides a valuable resource to connect the patient back to their primary care provider once a cancer remission status is reached.
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IRS990/Form990PartVIISectionAGrp/PersonNm3Cohan Ted
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IRS990/Form990PartVIISectionAGrp/PersonNm8Griff Art
IRS990/Form990PartVIISectionAGrp/PersonNm9Hess Peter
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IRS990/Form990PartVIISectionAGrp/PersonNm12Martin Patty DDS
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IRS990/Form990PartVIISectionAGrp/TitleTxt16Director
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