Civic Intelligence

Summit Pacific Medical Foundation

990 • Fiscal year 2020 • EIN 91-0593059

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 29, 2021

Organization ProfileSUMMITPACIFICMEDICALCENTER.ORG/FOUNDAT
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

15th percentile

0.00x

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

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

15th percentile

0.00x

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

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

97th percentile

82%

Higher net margin than 97% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

37th percentile

$0

Higher top officer pay than 37% of similar nonprofits.

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

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

76th percentile

25%

Faster asset growth than 76% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

12th percentile

-38%

Faster revenue growth than 12% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets15th percentile

Assets

Up

$1,089,267

Up $217,324 (+25%) from 2019

Net Assets

Up

$1,089,267

Up $217,324 (+25%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue And Expenses
Liabilities / Revenue15th percentileNet Margin97th percentile

Revenue

Down

$265,335

Down $162,603 (-38%) from 2019

Expenses

Down

$48,011

Down $227,515 (-83%) from 2019

Net Income

Up

$217,324

Up $64,912 (+43%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth76th percentile

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

2020

Assets$1,089,267
Liabilities$0
Net Assets$1,089,267
Open 2020 Filing

Operations Trend

Revenue Growth12th percentile

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

2020

Revenue$265,335
Expenses$48,011
Net Income$217,324
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 29, 2021
Return Version
2020v4.0
Gross Receipts
$287,533
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$625,066$808,374▲ $183,308
Savings and Temporary Cash Investments$246,877$280,893▲ $34,016
Total Assets$871,943$1,089,267▲ $217,324
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$727,323$944,140▲ $216,817
Net Assets With Donor Restrictions$144,620$145,127▲ $507
Total Net Assets Fund Balance$871,943$1,089,267▲ $217,324
Total Liabilities and Net Assets / Fund Balance$871,943$1,089,267▲ $217,324
Compensation and Service Providers
Top Officer Pay37th percentile

Board Members and Trustees

NameTitle
Brian SmithPresident
Amy ThomasonDirector
Brent MeldrumDirector
Dave SiskDirector
Kristi TempletonDirector
Nate RootDirector
Stacie TobeyDirector
Emily DillinghamFoundation D
Patti AmbroseSecretary
Ron HulscherVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$271,570
Program Service Revenue
$0
Investment Income
$856
Other Revenue
$-7,091
All Other Contributions
$193,179
Change in Net Assets
$217,324
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$34,055
Other Expenses$13,956
Total Fundraising Expense$1,104
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$32,055--$32,055
Other Expenses-$9,560$1,104$10,664
Grants to Domestic Individuals$2,000--$2,000
Fees for Services Accounting-$1,850-$1,850
Office Expenses-$1,442-$1,442
Total Functional Expenses$34,055$12,852$1,104$48,011
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Grays Harbor County Public HospitalElma, WA501c3Financial Support$32,055
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$22,198
Fundraising Gross Income$15,107
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf$47,907$11,107$7,512$3,595
Ladies Night$19,000$4,000$986$3,014
Total Events$92,107$15,107$22,198$-7,091
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 35% controlled entity
No
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
Emily Dillingham
Title
Foundation Director
Phone
3603462222
Signed
2021-10-29
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
127

Preparer

Firm
Dingus Zarecor & Associates Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206
Preparer
Thomas Dingus
Phone
5092420874
Raw XML Appendix382 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO 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.
IRS990/AllOtherContributionsAmt0193179
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0JAMES HANSEN
IRS990/BooksInCareOfDetail/PhoneNum03603462246
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0600 EAST MAIN STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0ELMA
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd098541
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0625066
IRS990/CashNonInterestBearingGrp/EOYAmt0808374
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContriRptFundraisingEventAmt078391
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0271570
IRS990/CYGrantsAndSimilarPaidAmt034055
IRS990/CYInvestmentIncomeAmt0856
IRS990/CYOtherExpensesAmt013956
IRS990/CYOtherRevenueAmt0-7091
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0217324
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt048011
IRS990/CYTotalFundraisingExpenseAmt01104
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0265335
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0TO PROVIDE SPECIFIC ASSISTANCE TO SUMMIT PACIFIC MEDICAL CENTER AND THE COMMUNITY SERVICED BY THE HOSPITAL DISTRICT IN REGARDS TO HEALTH CARE. THE HOSPITAL DISTRICT BENEFITS APPROXIMATELY 21,000 RESIDENTS. THE FOUNDATION CONTRIBUTED APPROXIMATELY 32,000 TO THE HOSPITAL AND 2,000 TO THE COMMUNITY DURING THE YEAR.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt0144620
IRS990/DonorRestrictionNetAssetsGrp/EOYAmt0145127
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt034055
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt01850
IRS990/FeesForServicesAccountingGrp/TotalAmt01850
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt920.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/PersonNm0BRIAN SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm1RON HULSCHER
IRS990/Form990PartVIISectionAGrp/PersonNm2PATTI AMBROSE
IRS990/Form990PartVIISectionAGrp/PersonNm3BRENT MELDRUM
IRS990/Form990PartVIISectionAGrp/PersonNm4NATE ROOT
IRS990/Form990PartVIISectionAGrp/PersonNm5DAVE SISK
IRS990/Form990PartVIISectionAGrp/PersonNm6KRISTI TEMPLETON
IRS990/Form990PartVIISectionAGrp/PersonNm7AMY THOMASON
IRS990/Form990PartVIISectionAGrp/PersonNm8STACIE TOBEY
IRS990/Form990PartVIISectionAGrp/PersonNm9EMILY DILLINGHAM
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9FOUNDATION D
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01950
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0true
IRS990/FundraisingAmt078391
IRS990/FundraisingDirectExpensesAmt022198
IRS990/FundraisingGrossIncomeAmt015107
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantAmt034055
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt02000
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt02000
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt032055
IRS990/GrantsToDomesticOrgsGrp/TotalAmt032055
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0true
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0287533
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt09
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0856
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0856
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0WA
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO 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.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0871943
IRS990/NetAssetsOrFundBalancesEOYAmt01089267
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-7091
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-7091
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0727323
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0944140
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt01442
IRS990/OfficeExpensesGrp/TotalAmt01442
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherExpensesGrp/Desc0OTHER
IRS990/OtherExpensesGrp/FundraisingAmt01104
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt09560
IRS990/OtherExpensesGrp/TotalAmt010664
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0BRIAN SMITH
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0456680
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0228338
IRS990/PYInvestmentIncomeAmt0860
IRS990/PYOtherExpensesAmt043006
IRS990/PYOtherRevenueAmt0-29602
IRS990/PYRevenuesLessExpensesAmt0152412
IRS990/PYTotalExpensesAmt0275526
IRS990/PYTotalProfFndrsngExpnsAmt04182
IRS990/PYTotalRevenueAmt0427938
IRS990/QuidProQuoContributionsInd0true
IRS990/QuidProQuoContriDisclInd0true
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0217324
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0246877
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0280893
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, LINE 10
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0271570
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0456680
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0493437
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0240729
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0137472
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01599888
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0856
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0860
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0348
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0435
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0430
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt02929
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99820
IRS990ScheduleA/PublicSupportPY170Pct00.99840
IRS990ScheduleA/PublicSupportTotal170Amt01599888
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0271570
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0456680
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0493437
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0240729
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0137472
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01599888
IRS990ScheduleA/TotalSupportAmt01602817
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt077000
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt036800
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt015000
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt025200
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt022198
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0LADIES NIGHT
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt0160
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageOtherEventsAmt0500
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt0660
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt047907
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt019000
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt025200
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt092107
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt011107
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt04000
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt015107
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-7091
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt02789
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesOtherEventsAmt04843
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt07632
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt05408
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt013906
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt07512
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt0986
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt02
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt032055
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501C3
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0FINANCIAL SUPPORT
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
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0871943
IRS990/TotalAssetsEOYAmt01089267
IRS990/TotalAssetsGrp/BOYAmt0871943
IRS990/TotalAssetsGrp/EOYAmt01089267
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0271570
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt01104
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt012852
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt034055
IRS990/TotalFunctionalExpensesGrp/TotalAmt048011
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0871943
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01089267
IRS990/TotalProgramServiceExpensesAmt034055
IRS990/TotalRevenueGrp/ExclusionAmt0-6235
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0265335
IRS990/TotalVolunteersCnt0127
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0871943
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01089267
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
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/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0EMILY DILLINGHAM
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0FOUNDATION DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03603462222
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-10-29
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/PreparerFirmGrp/PreparerFirmEIN0200079326
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DINGUS ZARECOR & ASSOCIATES PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt012015 E MAIN AVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SPOKANE VALLEY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd099206
ReturnHeader/PreparerPersonGrp/PhoneNum05092420874
ReturnHeader/PreparerPersonGrp/PreparationDt02021-10-29
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0THOMAS DINGUS
ReturnHeader/ReturnTs02021-10-29T14:23:33-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0EMILY
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0DILLINGHAM
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,089,267
Liabilities
$0
Net assets
$1,089,267
Revenue
$265,335
Expenses
$48,011
Net income
$217,324
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