Civic Intelligence

Prineville Hospital Foundation

EIN 93-0796407 • 501(c)3 • Prineville, OR

Profile

Support capital needs of pioneer memorial hospital

PO Box 596Prineville, OR 97754

www.prinevillehospitalfoundation.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2019

Liabilities / Revenue

20th percentile

0.00x

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

501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

1st percentile

-1341%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

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

501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

91st percentile

105%

Faster revenue growth than 91% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $1,908,076 (-100%) from 2018

Liabilities

Flat

$0

Flat from 2018

Net Assets

Down

$0

Down $1,908,076 (-100%) from 2018

Operations
Liabilities / Revenue20th percentileNet Margin1st percentile

Revenue

Up

$142,320

Up $72,837 (+105%) from 2018

Expenses

Up

$2,050,396

Up $1,507,628 (+278%) from 2018

Net Income

Down

-$1,908,076

Down $1,434,791 (-303%) from 2018

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2010: $2,659,950Liabilities 2010: $0Net Assets 2010: $2,659,9502010Assets 2011: $2,587,752Liabilities 2011: $16,047Net Assets 2011: $2,571,7052011Assets 2012: $2,646,755Liabilities 2012: $117,114Net Assets 2012: $2,529,6412012Assets 2013: $2,897,509Liabilities 2013: $1,526Net Assets 2013: $2,895,9832013Assets 2014: $2,644,160Liabilities 2014: $2,203Net Assets 2014: $2,641,9572014Assets 2015: $2,360,503Liabilities 2015: $0Net Assets 2015: $2,360,5032015Assets 2016: $2,486,611Liabilities 2016: $0Net Assets 2016: $2,486,6112016Assets 2017: $2,523,511Liabilities 2017: $0Net Assets 2017: $2,523,5112017Assets 2018: $1,908,076Liabilities 2018: $0Net Assets 2018: $1,908,0762018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0
Open 2019 Filing

Operations Trend

Revenue Growth91st percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MExpenses 2010: $71,4352010Expenses 2011: $125,7042011Expenses 2012: $243,3582012Revenue 2013: $103,160Expenses 2013: $181,617Net Income 2013: -$78,4572013Revenue 2014: $103,151Expenses 2014: $124,895Net Income 2014: -$21,7442014Revenue 2015: $153,901Expenses 2015: $314,900Net Income 2015: -$160,9992015Revenue 2016: $62,325Expenses 2016: $32,984Net Income 2016: $29,3412016Revenue 2017: $51,202Expenses 2017: $278,326Net Income 2017: -$227,1242017Revenue 2018: $69,483Expenses 2018: $542,768Net Income 2018: -$473,2852018Revenue 2019: $142,320Expenses 2019: $2,050,396Net Income 2019: -$1,908,0762019

Highlighted filing

2019

Revenue$142,320
Expenses$2,050,396
Net Income-$1,908,076
Open 2019 Filing

Filings

Most recent year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$142,320
Expenses
$2,050,396
Net income
-$1,908,076
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.14$2.05$1.91
2018Detailed filing. Detailed filing data is available for this year.$1.91$0.00$1.91$0.07$0.54$0.47
2017Detailed filing. Detailed filing data is available for this year.$2.52$0.00$2.52$0.05$0.28$0.23
2016Detailed filing. Detailed filing data is available for this year.$2.49$0.00$2.49$0.06$0.03$0.03
2015Detailed filing. Detailed filing data is available for this year.$2.36$0.00$2.36$0.15$0.31$0.16
2014Detailed filing. Detailed filing data is available for this year.$2.64$0.00$2.64$0.10$0.12$0.02
2013Detailed filing. Detailed filing data is available for this year.$2.90$0.00$2.90$0.10$0.18$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.65$0.12$2.53$0.24
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.59$0.02$2.57$0.13
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.66$0.00$2.66$0.07
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Feb 11, 2020
Return Version
2019v5.0
Gross Receipts
$2,060,100
Mission and Program Overview

Mission

Support capital needs of the hospital in prineville

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,905,184--
Cash and Non-Interest-Bearing Accounts$2,792--
Pledges and Grants Receivable$100--
Total Assets$1,908,076$0▼ $1,908,076
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,908,076--
Total Net Assets Fund Balance$1,908,076$0▼ $1,908,076
Total Liabilities and Net Assets / Fund Balance$1,908,076$0▼ $1,908,076
Compensation and Service Providers
Top Officer Pay40th percentile

Board Members and Trustees

NameTitle
Darrel Wisseman --Chair Investment and Finance
Barbara Brooks --President
Bill GowenVice President
Bruce WilliamsBoard Member
Jason CarrBoard Member
Mark CopelandBoard Member
Mary Thurman --Board Member
Laura Cooper --Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$142,095
Other Revenue
$225
Change in Net Assets
$-1,908,076
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$2,018,275
Other Expenses$32,121
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,018,275--$2,018,275
Fees for Services Accounting-$15,889-$15,889
Fees for Service Investment Mgmnt Fees-$12,785-$12,785
Insurance-$2,794-$2,794
Other Expenses-$301-$301
Office Expenses-$102-$102
Total Functional Expenses$2,018,275$32,121$0$2,050,396
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
St Charles Health SystemsPrineville, OR501c3Build Health Clinic$2,018,275
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Member election for additional members Part VI line 7A

“Persons donating $100 or more per year to the organization are entitled to elect the board of directors at the organizations annual meeting. They have no other rights.”

Form 990 governing body review Part VI line 11

“A copy of the 990 was provided to each member of the governing body for review prior to filing of the return.”

Governing documents etc available to public Part VI line 19

“Form 990 and governing documents are made available upon request from members of the public.”

Filing and Contact Details

Filer

Filer Name
Prineville Hospital Foundation
EIN
93-0796407
Address
PO BOX 596, Prineville, OR 97754

Signing Officer

Name
Bill Gowen
Title
Vice President
Phone
5412339784
Signed
2020-02-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Barbara Brooks --
Formed
1981
Legal Domicile
Or
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Michael J Mohan CPA
Address
106 N Main St, Prineville, OR 97754
Preparer
Michael J Mohan
Phone
5414473299
Supplemental Narrative

Additional Explanations

Cessation of or significant change to any program service Part III line 3

“The organization dissolved at the end of 2019.”

Explanation of other changes in net assets or fund balances Part XI line 9

“Other changes in net assets consists of unrealized gain(loss) on publicly issued securites held as investments. These gain are recorded for financial purposes to be in compliance with sfas 117.”

Raw XML Appendix389 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
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IRS990ScheduleI/RecipientTable/RecipientEIN0930602940
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0384 SE COMBS FLAT ROAD
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Prineville
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0OR
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd097754
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IRS990ScheduleN/AttorneyGeneralNotifiedInd0true
IRS990ScheduleN/BondLiabilitiesDischargedInd0false
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0DISSOLUTION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02019-11-25
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0930602940
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt02018275
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501C3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0ST CHARLES HEALTH SYSTEMS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0384 SE COMBS FLAT ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0Prineville
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0OR
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd097754
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PERSONS DONATING $100 OR MORE PER YEAR TO THE ORGANIZATION ARE ENTITLED TO ELECT THE BOARD OF DIRECTORS AT THE ORGANIZATIONS ANNUAL MEETING. THEY HAVE NO OTHER RIGHTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A COPY OF THE 990 WAS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR REVIEW PRIOR TO FILING OF THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST FROM MEMBERS OF THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION DISSOLVED AT THE END OF 2019.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4OTHER CHANGES IN NET ASSETS CONSISTS OF UNREALIZED GAIN(LOSS) ON PUBLICLY ISSUED SECURITES HELD AS INVESTMENTS. THESE GAIN ARE RECORDED FOR FINANCIAL PURPOSES TO BE IN COMPLIANCE WITH SFAS 117.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Cessation of or significant change to any program service Part III line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Explanation of other changes in net assets or fund balances Part XI line 9
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IRS990/SignificantChangeInd0true
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0OR
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt01908076
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt01908076
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt032121
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02018275
IRS990/TotalFunctionalExpensesGrp/TotalAmt02050396
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01908076
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02018275
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0142320
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0142320
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt08
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01908076
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt012865 SW Cornett Lp
IRS990/USAddress/CityNm0Powell Butte
IRS990/USAddress/StateAbbreviationCd0OR
IRS990/USAddress/ZIPCd097753
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0WWW.PRINEVILLEHOSPITALFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02020-09-23 17:36:50Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0BILL GOWEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VICE PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05412339784
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-02-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PRINEVILLE HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0PRIN
ReturnHeader/Filer/EIN0930796407
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 596
ReturnHeader/Filer/USAddress/CityNm0Prineville
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd097754
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId05DF4FC0FA0B7BC3122BD496A56FA73AEA8DD41CD
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId05DF4FC0FA0B7BC3122BD496A56FA73AEA8DD41CD
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId09304902020043f5qwiyf
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02020-02-12
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0199.7.135.34
ReturnHeader/FilingSecurityInformation/IPDt02020-02-12
ReturnHeader/FilingSecurityInformation/IPTm000:46:17
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Michael J Mohan CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0106 N Main St
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Prineville
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd097754
ReturnHeader/PreparerPersonGrp/PhoneNum05414473299
ReturnHeader/PreparerPersonGrp/PreparationDt02020-02-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Michael J Mohan
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02020-02-12T00:42:52-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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