Civic Intelligence

Summit Pacific Medical Foundation

990 • Fiscal year 2018 • EIN 91-0593059

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 12, 2019

600 East Main StreetElma, WA 98541

(360) 346-2250

Siviq Scores

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

Liabilities / Assets

27th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

27th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Net Margin

97th percentile

84%

Higher net margin than 97% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

50th percentile

$0

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Asset Growth

95th percentile

135%

Faster asset growth than 95% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

94th percentile

115%

Faster revenue growth than 94% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Assets

Up

$719,531

Up $412,985 (+135%) from 2017

Net Assets

Up

$719,531

Up $412,985 (+135%) from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue

Up

$490,790

Up $262,595 (+115%) from 2017

Expenses

Down

$77,805

Down $157,382 (-67%) from 2017

Net Income

Up

$412,985

Up $419,977 (+6007%) from 2017

Historical Trend

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2011: $62,435Liabilities 2011: $02011Assets 2012: $213,785Liabilities 2012: $0Net Assets 2012: $213,7852012Assets 2013: $217,019Liabilities 2013: $02013Assets 2014: $306,393Liabilities 2014: $02014Assets 2015: $329,025Liabilities 2015: $02015Assets 2016: $358,561Liabilities 2016: $02016Assets 2017: $306,546Liabilities 2017: $0Net Assets 2017: $306,5462017Assets 2018: $719,531Liabilities 2018: $0Net Assets 2018: $719,5312018Assets 2019: $871,943Liabilities 2019: $0Net Assets 2019: $871,9432019Assets 2020: $1,089,267Liabilities 2020: $0Net Assets 2020: $1,089,2672020Assets 2021: $1,238,521Liabilities 2021: $0Net Assets 2021: $1,238,5212021Assets 2022: $1,134,519Liabilities 2022: $8,604Net Assets 2022: $1,125,9152022Assets 2023: $1,384,820Liabilities 2023: $0Net Assets 2023: $1,384,8202023Assets 2024: $2,514,764Liabilities 2024: $650Net Assets 2024: $2,514,1142024

Highlighted filing

2018

Assets$719,531
Liabilities$0
Net Assets$719,531

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2011: $55,787Expenses 2011: $46,608Net Income 2011: $9,1792011Revenue 2012: $262,619Expenses 2012: $111,269Net Income 2012: $151,3502012Revenue 2013: $144,633Expenses 2013: $141,399Net Income 2013: $3,2342013Revenue 2014: $122,039Expenses 2014: $32,660Net Income 2014: $89,3792014Revenue 2015: $64,901Expenses 2015: $42,493Net Income 2015: $22,4082015Revenue 2016: $87,316Expenses 2016: $57,780Net Income 2016: $29,5362016Revenue 2017: $228,195Expenses 2017: $235,187Net Income 2017: -$6,9922017Revenue 2018: $490,790Expenses 2018: $77,805Net Income 2018: $412,9852018Revenue 2019: $427,938Expenses 2019: $275,526Net Income 2019: $152,4122019Revenue 2020: $265,335Expenses 2020: $48,011Net Income 2020: $217,3242020Revenue 2021: $232,938Expenses 2021: $83,684Net Income 2021: $149,2542021Revenue 2022: $480,041Expenses 2022: $592,647Net Income 2022: -$112,6062022Revenue 2023: $405,514Expenses 2023: $146,609Net Income 2023: $258,9052023Revenue 2024: $2,011,817Expenses 2024: $842,580Net Income 2024: $1,169,2372024

Highlighted filing

2018

Revenue$490,790
Expenses$77,805
Net Income$412,985
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 12, 2019
Return Version
2018v3.1
Gross Receipts
$544,449
Mission and Program Overview

Mission

To provide financial support that enhances the quality and availability of healthcare services and programs enjoyed by the residents of grays harbor county public hospital district no. 1, dba summit pacific medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$60,859$473,506▲ $412,647
Savings and Temporary Cash Investments$245,687$246,025▲ $338
Total Assets$306,546$719,531▲ $412,985
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$162,838$574,112▲ $411,274
Temporarily Rstr Net Assets$143,708$145,419▲ $1,711
Total Net Assets Fund Balance$306,546$719,531▲ $412,985
Total Liabilities and Net Assets / Fund Balance$306,546$719,531▲ $412,985
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brian SmithPresident
Amy ThomasonDirector
Brent MeldrumDirector
Dave SiskDirector
Kristi TempletonDirector
Nate RootDirector
Stacie TobeyDirector
John ElsnerExecutive Di
Patti AmbroseSecretary
Ron HulscherVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$493,437
Program Service Revenue
$0
Investment Income
$348
Other Revenue
$-2,995
All Other Contributions
$407,720
Change in Net Assets
$412,985
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Total Fundraising Expense$48,049
Professional Fundraising Fees$38,367
Grants and Similar Amounts Paid$22,022
Other Expenses$17,416
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Professional Fundraising--$38,367$38,367
Grants to Domestic Orgs$17,022--$17,022
Other Expenses-$4,245$7,242$11,487
Grants to Domestic Individuals$5,000--$5,000
Information Technology--$2,440$2,440
Fees for Services Accounting-$1,750-$1,750
Office Expenses-$1,739-$1,739
Total Functional Expenses$22,022$7,734$48,049$77,805
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Grays Harbor County Public HospitalElma, WA501c3Capital Expenditures$17,022
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$53,659
Fundraising Gross Income$50,664
Professional Fundraising Fees$38,367

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf$77,276$39,057$3,346$35,711
Gala$42,607$11,607$1,587$10,020
Total Events$119,883$50,664$53,186$-2,522
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

A copy of the 990 is provided to the hospital cfo who reviews the form, schedules, and related attachments. Any comments or questions are addressed with the preparer and a final draft is presented to the board of directors who then approve the 990. Once management is satisfied with the 990, the preparer is authorized to e-file the return.

Form 990, Page 6, Part VI, Line 15A

The foundation director is on the hospital's payroll and works 40 hours split 20/20 between the foundation and the hospital. Independent analysis of the compensation amount is completed by the hospital human resource director.

Form 990, Page 6, Part VI, Line 15B

The foundation director is the only officer or key employee. See 990, part vi, line 15a.

Form 990, Page 6, Part VI, Line 19

The foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Summit Pacific Medical Foundation
EIN
91-0593059
Phone
3603462250
Address
600 EAST MAIN STREET, ELMA, WA 98541

Signing Officer

Name
John Elsner
Title
Executive Director
Phone
3603462222
Signed
2019-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brian Smith
Formed
1950
Legal Domicile
Wa
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
40

Preparer

Firm
Dingus Zarecor & Associates Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206
Preparer
Thomas Dingus
Phone
5092420874
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IRS990ScheduleG/FundraiserActivityInfoGrp/OrganizationBusinessName/BusinessNameLine1Txt0ADVANCEMENT CONSULTING
IRS990ScheduleG/FundraiserActivityInfoGrp/RetainedByContractorAmt038367
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/AddressLine1Txt03418 N WASHINGTON STREET
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/CityNm0TACOMA
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/StateAbbreviationCd0WA
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/ZIPCd098407
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt069219
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt038219
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt031000
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt053186
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt01588
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt02100
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt03688
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0GALA
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt012174
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt012174
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt077276
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt042607
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0119883
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt039057
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt011607
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt050664
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-2522
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt02119
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt03386
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt05505
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt04933
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt03346
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt01587
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt023429
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt03457
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt026886
IRS990ScheduleG/InPersonSolicitationsInd0X
IRS990ScheduleG/LicensedStatesCd0WA
IRS990ScheduleG/MailSolicitationsInd0X
IRS990ScheduleG/PhoneSolicitationsInd0X
IRS990ScheduleG/SolicitationOfGovtGrantsInd0X
IRS990ScheduleG/SolicitationOfNonGovtGrantsInd0X
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleG/TotalGrossReceiptsAmt0351033
IRS990ScheduleG/TotalNetToOrganizationAmt0312666
IRS990ScheduleG/TotalRetainedByContractorsAmt038367
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt017022
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501C3
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0CAPITAL EXPENDITURES
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0GRAYS HARBOR COUNTY PUBLIC HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0911158307
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0600 EAST MAIN STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0ELMA
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd098541
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION MONITORS ITS FINANCIAL ASSISTANCE OF THE HOSPITAL BY MAINTAINING CLOSE CONTACT BETWEEN THE GOVERNING BODIES. REQUESTS FOR FINANCIAL ASSISTANCE GENERALLY ARE INITIATED FROM THE HOSPITAL DISTRICT'S CFO AND APPROVED BY THE FOUNDATION BOARD PRIOR TO DISBURSEMENT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 1, PART I, LINE 2
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF THE 990 IS PROVIDED TO THE HOSPITAL CFO WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE PREPARER IS AUTHORIZED TO E-FILE THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION DIRECTOR IS ON THE HOSPITAL'S PAYROLL AND WORKS 40 HOURS SPLIT 20/20 BETWEEN THE FOUNDATION AND THE HOSPITAL. INDEPENDENT ANALYSIS OF THE COMPENSATION AMOUNT IS COMPLETED BY THE HOSPITAL HUMAN RESOURCE DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FOUNDATION DIRECTOR IS THE ONLY OFFICER OR KEY EMPLOYEE. SEE 990, PART VI, LINE 15A.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt0143708
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt0145419
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0306546
IRS990/TotalAssetsEOYAmt0719531
IRS990/TotalAssetsGrp/BOYAmt0306546
IRS990/TotalAssetsGrp/EOYAmt0719531
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0493437
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt048049
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt07734
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt022022
IRS990/TotalFunctionalExpensesGrp/TotalAmt077805
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0306546
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0719531
IRS990/TotalProgramServiceExpensesAmt022022
IRS990/TotalRevenueGrp/ExclusionAmt0-2647
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0490790
IRS990/TotalVolunteersCnt040
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0306546
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0719531
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0162838
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0574112
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0600 EAST MAIN STREET
IRS990/USAddress/CityNm0ELMA
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098541
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0SUMMITPACIFICMEDICALCENTER.ORG/FOUNDAT
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02020-03-31 21:24:44Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN ELSNER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03603462222
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SUMMIT PACIFIC MEDICAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0SUMM
ReturnHeader/Filer/EIN0910593059
ReturnHeader/Filer/PhoneNum03603462250
ReturnHeader/Filer/USAddress/AddressLine1Txt0600 EAST MAIN STREET
ReturnHeader/Filer/USAddress/CityNm0ELMA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098541
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId02474EFBFE268E1323248D70D812BABF32F861C74
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0AB0260C9A42DF407710DF0D66D93E7824888E325
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt063.131.236.90
ReturnHeader/FilingSecurityInformation/IPDt02019-11-14
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm012:25:46
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0200079326

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.51$0.00$2.51$2.01$0.84$1.17
2023Detailed filing. Detailed filing data is available for this year.$1.38$0.00$1.38$0.41$0.15$0.26
2022Detailed filing. Detailed filing data is available for this year.$1.13$0.01$1.13$0.48$0.59$0.11
2021Detailed filing. Detailed filing data is available for this year.$1.24$0.00$1.24$0.23$0.08$0.15
2020Detailed filing. Detailed filing data is available for this year.$1.09$0.00$1.09$0.27$0.05$0.22
2019Detailed filing. Detailed filing data is available for this year.$0.87$0.00$0.87$0.43$0.28$0.15
2018Detailed filing. Detailed filing data is available for this year.$0.72$0.00$0.72$0.49$0.08$0.41
2017Detailed filing. Detailed filing data is available for this year.$0.31$0.00$0.31$0.23$0.24$0.01
2016Summary only. Only limited summary data is available for this year.$0.36$0.00$0.09$0.06$0.03
2015Summary only. Only limited summary data is available for this year.$0.33$0.00$0.06$0.04$0.02
2014Summary only. Only limited summary data is available for this year.$0.31$0.00$0.12$0.03$0.09
2013Summary only. Only limited summary data is available for this year.$0.22$0.00$0.14$0.14$0.00
2012Summary only. Only limited summary data is available for this year.$0.21$0.00$0.21$0.26$0.11$0.15
2011Summary only. Only limited summary data is available for this year.$0.06$0.00$0.06$0.05$0.01