Civic Intelligence

Peace Harbor Hospital Foundation

990 • Fiscal year 2015 • EIN 93-1084126

Jul 01, 2014 to Jun 30, 2015 • Filed on Oct 21, 2015

Organization ProfileWWW.PEACEHEALTH.ORG/SIUSLAW/FOUNDATION
400 9th StreetFlorence, OR 97439

(541) 902-8704

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$4,032,433

Flat from 2015

Net Assets

Flat

$3,258,744

Flat from 2015

Liabilities

Flat

$773,689

Flat from 2015

Revenue And Expenses

Revenue

Flat

$807,274

Flat from 2015

Expenses

Flat

$132,724

Flat from 2015

Net Income

Flat

$674,550

Flat from 2015

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2010: $2,178,583Liabilities 2010: $230,313Net Assets 2010: $1,948,2702010Assets 2011: $1,657,496Liabilities 2011: $198,823Net Assets 2011: $1,458,6732011Assets 2012: $1,890,888Liabilities 2012: $187,338Net Assets 2012: $1,703,5502012Assets 2013: $2,956,121Liabilities 2013: $188,655Net Assets 2013: $2,767,4662013Assets 2014: $2,646,623Liabilities 2014: $0Net Assets 2014: $2,646,6232014Assets 2015: $4,032,433Liabilities 2015: $773,689Net Assets 2015: $3,258,7442015Assets 2015: $4,032,433Liabilities 2015: $773,689Net Assets 2015: $3,258,7442015Assets 2016: $4,166,158Liabilities 2016: $751,856Net Assets 2016: $3,414,3022016Assets 2017: $3,207,514Liabilities 2017: $673,015Net Assets 2017: $2,534,4992017Assets 2018: $3,210,080Liabilities 2018: $654,390Net Assets 2018: $2,555,6902018Assets 2019: $3,169,436Liabilities 2019: $609,239Net Assets 2019: $2,560,1972019Assets 2020: $3,494,464Liabilities 2020: $594,689Net Assets 2020: $2,899,7752020Assets 2021: $4,681,435Liabilities 2021: $115,371Net Assets 2021: $4,566,0642021Assets 2022: $4,914,763Liabilities 2022: $110,882Net Assets 2022: $4,803,8812022Assets 2023: $4,722,786Liabilities 2023: $93,257Net Assets 2023: $4,629,5292023Assets 2024: $4,001,061Liabilities 2024: $89,819Net Assets 2024: $3,911,2422024

Highlighted filing

2015

Assets$4,032,433
Liabilities$773,689
Net Assets$3,258,744
Open 2015 Filing

Operations Trend

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

$2.0M$1.0M$0-$1.0M-$2.0MExpenses 2010: $108,8982010Revenue 2011: $457,106Expenses 2011: $1,029,695Net Income 2011: -$572,5892011Revenue 2012: $699,913Expenses 2012: $508,199Net Income 2012: $191,7142012Expenses 2013: $510,6212013Revenue 2014: $625,474Expenses 2014: $787,589Net Income 2014: -$162,1152014Revenue 2015: $807,274Expenses 2015: $132,724Net Income 2015: $674,5502015Revenue 2015: $807,274Expenses 2015: $132,724Net Income 2015: $674,5502015Revenue 2016: $364,372Expenses 2016: $187,374Net Income 2016: $176,9982016Revenue 2017: $472,690Expenses 2017: $1,583,538Net Income 2017: -$1,110,8482017Revenue 2018: $393,607Expenses 2018: $391,475Net Income 2018: $2,1322018Revenue 2019: $293,306Expenses 2019: $341,168Net Income 2019: -$47,8622019Revenue 2020: $154,204Expenses 2020: $97,128Net Income 2020: $57,0762020Revenue 2021: $644,195Expenses 2021: $117,985Net Income 2021: $526,2102021Revenue 2022: $1,233,052Expenses 2022: $578,380Net Income 2022: $654,6722022Revenue 2023: $219,947Expenses 2023: $519,473Net Income 2023: -$299,5262023Revenue 2024: $170,574Expenses 2024: $957,708Net Income 2024: -$787,1342024

Highlighted filing

2015

Revenue$807,274
Expenses$132,724
Net Income$674,550
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Oct 21, 2015
Return Version
2014v5.0
Gross Receipts
$933,557
Mission and Program Overview

Mission

To improve the health and lives of community members by providing charitable support to peacehealth peace harbor medical center (the hospital) so that compassionate, affordable and high-quality medical care may be offered to all in this region.

Provide charitable support to the peacehealth peace harbor medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$760,106$748,212▼ $11,894
Pledges and Grants Receivable$284,527$426,285▲ $141,758
Cash and Non-Interest-Bearing Accounts$195,956$386,955▲ $190,999
Investments in Publicly Traded Securities$405,595$384,680▼ $20,915
Total Assets$2,835,276$4,032,433▲ $1,197,157
Other Assets Total$1,189,092$2,086,301▲ $897,209
Liabilities
Other Liabilities$188,653$773,689▲ $585,036
Total Liabilities$188,653$773,689▲ $585,036
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,961,295$2,567,616▲ $606,321
Unrestricted Net Assets$685,328$691,128▲ $5,800
Total Net Assets Fund Balance$2,646,623$3,258,744▲ $612,121
Total Liabilities and Net Assets / Fund Balance$2,835,276$4,032,433▲ $1,197,157

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,435,000--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Philip BrubakerPresident
Joan KerrebrockVice President
Art KoningDirector
Dee OsborneDirector
Hal WeinerDirector
Ken HendersonDirector
Monica KosmanDirector
Paula BurnetteDirector
Ron GreenDirector
Rick YecnyChief Executive Officer Peacehealth
Melissa PhillipsSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$759,418
Program Service Revenue
$0
Investment Income
$47,856
Other Revenue
$0
All Other Contributions
$722,842
Change in Net Assets
$674,550

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Residential1$382,012Qualified Appraisal
Total Noncash Contributions1$382,012-

Audited Revenue Reconciliation

Revenue per Audited Statements
$804,140
Revenue Not Reported on Financial Statements
$3,134
Revenue Not Reported on Form 990
$208,069
Total Revenue per Audited Statements
$1,012,209
Total Revenue per Form 990
$807,274
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$110,138
Other Expenses$22,586
Total Fundraising Expense$2,989
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$110,138--$110,138
Office Expenses-$4,458-$4,458
Fees for Service Investment Mgmnt Fees-$3,134-$3,134
Other Expenses$0$2,290$0$2,290
Total Functional Expenses$110,138$19,597$2,989$132,724

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$400,088
Expenses Not Reported on Form 990$270,498
Total Expenses per Form 990$132,724
Expenses per Audited Statements$129,590
Expenses Not Reported on Financial Statements$3,134
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
PeacehealthVancouver, WA501(c)(3)General Assistance$110,138
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Life Estate Obligations$773,689
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“The 990 is prepared by an independent cpa firm and is presented to the board for approval.”

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

“Board members are reminded to recuse themselves from voting on items that involve a conflict of interest.”

Form 990, Part VI, Section B, Line 15

“The organization does not have any paid employees. Employees are compensated by peacehealth (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. Peacehealth establishes the individual rate of pay within the pay range based on relevant experience/skills/competence to do the job. The ranges of pay rates are reviewed on an annual basis.”

Form 990, Part VI, Section C, Line 19

“Available upon request via mail or e-mail.”

Filing and Contact Details

Filer

Filer Name
Peace Harbor Hospital Foundation
EIN
93-1084126
Phone
5419028704
Address
400 9TH STREET, FLORENCE, OR 97439

Signing Officer

Name
Philip Brubaker
Title
President
Phone
5419028704
Signed
2015-10-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Philip Brubaker
Formed
1987
Legal Domicile
Or
Voting Board Members
11
Independent Board Members
11
Employees
0
Volunteers
30

Preparer

Firm
Akt Llp
Address
680 HAWTHORNE AVE SE 140, SALEM, OR 97301
Preparer
Joshua Morrow CPA
Phone
5035857774
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in beneficial interest -69,402. Bad debt allowance 45,913.”

Amended Return

“The return was amended to correct information as it relates to part vii section a”

Financial Statement Notes

PART X, LINE 2:

“For the years ended june 30, 2015 and 2014, management of the foundation believes that there has been no activity that would jeopardize the tax position, being a tax exempt organization, and that it is more likely than not, based on the technical merits, that this position would be sustained upon examination. The foundation recognizes interest and penalties, if any, related to unrecognized tax benefits in interest expense. There were none for the years ended june 30, 2015 and 2014.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in beneficial interest -69,402.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Bad debt allowance -45,913.”

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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/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt0748212
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION: REMAINDER INTEREST IN PERSONAL RESIDENCE DATE: 07/18/14 AMOUNT: 382012.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0377316
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0592045
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01550243
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0670337
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0399437
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt03589378
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt029885
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt033429
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt029139
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt012967
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt022514
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0127934
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.95380
IRS990ScheduleA/PublicSupportPY170Pct00.73560
IRS990ScheduleA/PublicSupportTotal170Amt03564116
IRS990ScheduleA/SubstantialContributorsTotAmt025262
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0377316
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0592045
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt01550243
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0670337
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0399437
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt03589378
IRS990ScheduleA/TotalSupportAmt03736913
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt09792
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt09809
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt019601
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/ScheduleBRequiredInd01
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0316411
IRS990ScheduleD/DonatedServicesUseFcltsAmt0316411
IRS990ScheduleD/ExpensesNotReportedAmt0270498
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt03134
IRS990ScheduleD/ExpensesSubtotalAmt0129590
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt03134
IRS990ScheduleD/InvestmentExpensesNotIncldAmt03134
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-38940
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0372464
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt1208967
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt261413
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt38457
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt41435000
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0CHARITABLE REMAINDER TRUST
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1BENEFICIAL INTEREST, PEACEHEALTH
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2BENEFICIAL INTEREST, SACRED HEART
IRS990ScheduleD/OtherAssetsOrgGrp/Desc3OREGON COMMUNITY FOUNDATION
IRS990ScheduleD/OtherAssetsOrgGrp/Desc4INVESTMENT IN REAL ESTATE
IRS990ScheduleD/OtherExpensesIncludedAmt0-45913
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0773689
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LIFE ESTATE OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt0-69402
IRS990ScheduleD/RevenueNotReportedAmt0208069
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt03134
IRS990ScheduleD/RevenueSubtotalAmt0804140
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FOR THE YEARS ENDED JUNE 30, 2015 AND 2014, MANAGEMENT OF THE FOUNDATION BELIEVES THAT THERE HAS BEEN NO ACTIVITY THAT WOULD JEOPARDIZE THE TAX POSITION, BEING A TAX EXEMPT ORGANIZATION, AND THAT IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THAT THIS POSITION WOULD BE SUSTAINED UPON EXAMINATION. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. THERE WERE NONE FOR THE YEARS ENDED JUNE 30, 2015 AND 2014.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1CHANGE IN BENEFICIAL INTEREST -69,402.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2BAD DEBT ALLOWANCE -45,913.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt02086301
IRS990ScheduleD/TotalExpensesPerForm990Amt0132724
IRS990ScheduleD/TotalLiabilityAmt0773689
IRS990ScheduleD/TotalRevenuePerForm990Amt0807274
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01012209
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0400088
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0110138
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL ASSISTANCE
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0PEACEHEALTH
IRS990ScheduleI/RecipientTable/RecipientEIN0910939497
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt01115 SE 164TH AVE SUITE 332
IRS990ScheduleI/RecipientTable/USAddress/CityNm0VANCOUVER
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd098683
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0GRANT REQUESTS FROM DONOR RESTRICTED FUNDS ARE SUBMITTED BY HOSPITAL ADMINISTRATION, INCLUDING AN INDICATION FROM WHICH FOUNDATION FUND MONEY IS BEING REQUESTED, AND ACCOMPANIED BY RECEIPTS, INVOICES AND OTHER VERIFICATION OF THE PROPOSED USE OF FUNDS (REIMBURSEMENT). FOUNDATION STAFF REVIEW THE REQUEST FOR COMPLIANCE WITH DONOR RESTRICTIONS AND COMPLIANCE WITH EXPENDITURE DOCUMENTATION PROCEDURES. IF THIS INFORMATION IS IN ORDER, THEN A TRANSFER IS INITIATED BY THE FOUNDATION TO THE HOSPITAL. THE FOUNDATION BOARD APPROVES THE TRANSFERS AT ITS QUARTERLY BOARD MEETINGS. REQUESTS FOR THE USE OF UNRESTRICTED FUNDS FOLLOWS THE SAME PROCESS, BUT THE FOUNDATION BOARD MOST APPROVE THE REQUESTS BEFORE THE TRANSFERS ARE INITIATED.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt047094
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0221969
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt031720
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt07096
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt09376
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICK YECNY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHIEF EXECUTIVE OFFICER PEACEHEALTH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0317255
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES. EMPLOYEES ARE COMPENSATED BY PEACEHEALTH (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. PEACEHEALTH ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THE RANGES OF PAY RATES ARE REVIEWED ON AN ANNUAL BASIS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/RealEstateResidentialGrp/ContributionCnt01
IRS990ScheduleM/RealEstateResidentialGrp/MethodOfDeterminingRevenuesTxt0QUALIFIED APPRAISAL
IRS990ScheduleM/RealEstateResidentialGrp/NonCashCheckboxInd0X
IRS990ScheduleM/RealEstateResidentialGrp/NoncashContributionsRptF990Amt0382012
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd00
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND IS PRESENTED TO THE BOARD FOR APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ARE REMINDED TO RECUSE THEMSELVES FROM VOTING ON ITEMS THAT INVOLVE A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES. EMPLOYEES ARE COMPENSATED BY PEACEHEALTH (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. PEACEHEALTH ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THE RANGES OF PAY RATES ARE REVIEWED ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3AVAILABLE UPON REQUEST VIA MAIL OR E-MAIL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4CHANGE IN BENEFICIAL INTEREST -69,402. BAD DEBT ALLOWANCE 45,913.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE RETURN WAS AMENDED TO CORRECT INFORMATION AS IT RELATES TO PART VII SECTION A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5AMENDED RETURN
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00

Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$4,032,433
Liabilities
$773,689
Net assets
$3,258,744
Revenue
$807,274
Expenses
$132,724
Net income
$674,550
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.00$0.09$3.91$0.17$0.96$0.79
2023Detailed filing. Detailed filing data is available for this year.$4.72$0.09$4.63$0.22$0.52$0.30
2022Detailed filing. Detailed filing data is available for this year.$4.91$0.11$4.80$1.23$0.58$0.65
2021Detailed filing. Detailed filing data is available for this year.$4.68$0.12$4.57$0.64$0.12$0.53
2020Detailed filing. Detailed filing data is available for this year.$3.49$0.59$2.90$0.15$0.10$0.06
2019Detailed filing. Detailed filing data is available for this year.$3.17$0.61$2.56$0.29$0.34$0.05
2018Detailed filing. Detailed filing data is available for this year.$3.21$0.65$2.56$0.39$0.39$0.00
2017Detailed filing. Detailed filing data is available for this year.$3.21$0.67$2.53$0.47$1.58$1.11
2016Detailed filing. Detailed filing data is available for this year.$4.17$0.75$3.41$0.36$0.19$0.18
2015Detailed filing. Detailed filing data is available for this year.$4.03$0.77$3.26$0.81$0.13$0.67
2015Detailed filing. Detailed filing data is available for this year.$4.03$0.77$3.26$0.81$0.13$0.67
2014Detailed filing. Detailed filing data is available for this year.$2.65$0.00$2.65$0.63$0.79$0.16
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.96$0.19$2.77$0.51
2012Summary only. Only limited summary data is available for this year.$1.89$0.19$1.70$0.70$0.51$0.19
2011Summary only. Only limited summary data is available for this year.$1.66$0.20$1.46$0.46$1.03$0.57
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.18$0.23$1.95$0.11