Civic Intelligence

Peace Harbor Hospital Foundation

990 • Fiscal year 2016 • EIN 93-1084126

Jul 01, 2015 to Jun 30, 2016 • Filed on Nov 11, 2016

400 9th StFlorence, OR 97439

(541) 902-8704

Siviq Scores

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

Liabilities / Assets

60th percentile

0.18x

Higher debt load relative to assets than 60% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

90th percentile

2.06x

Higher debt load relative to revenue than 90% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

92nd percentile

49%

Higher net margin than 92% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

95th percentile

$333,916

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 91.6% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

57th percentile

3.3%

Faster asset growth than 57% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

5th percentile

-55%

Faster revenue growth than 5% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Up

$4,166,158

Up $133,725 (+3.3%) from 2015

Net Assets

Up

$3,414,302

Up $155,558 (+4.8%) from 2015

Liabilities

Down

$751,856

Down $21,833 (-2.8%) from 2015

Revenue

Down

$364,372

Down $442,902 (-55%) from 2015

Expenses

Up

$187,374

Up $54,650 (+41%) from 2015

Net Income

Down

$176,998

Down $497,552 (-74%) 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 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

2016

Assets$4,166,158
Liabilities$751,856
Net Assets$3,414,302

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 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

2016

Revenue$364,372
Expenses$187,374
Net Income$176,998
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$473,050
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
Land, Buildings, and Equipment, Net$1,435,000$1,435,000→ $0
Savings and Temporary Cash Investments$748,212$749,337▲ $1,125
Cash and Non-Interest-Bearing Accounts$386,955$737,362▲ $350,407
Investments Other Securities$651,301$571,515▼ $79,786
Investments in Publicly Traded Securities$384,680$366,430▼ $18,250
Pledges and Grants Receivable$426,285$306,514▼ $119,771
Total Assets$4,032,433$4,166,158▲ $133,725
Liabilities
Other Liabilities$773,689$732,576▼ $41,113
Accounts Payable and Accrued Expenses$0$19,280▲ $19,280
Total Liabilities$773,689$751,856▼ $21,833
Net Assets / Fund Balance
Temporarily Rstr Net Assets$2,567,616$2,762,484▲ $194,868
Unrestricted Net Assets$691,128$651,818▼ $39,310
Total Net Assets Fund Balance$3,258,744$3,414,302▲ $155,558
Total Liabilities and Net Assets / Fund Balance$4,032,433$4,166,158▲ $133,725

Asset Categories

AssetBook ValueDepreciationBasis
Land$1,435,000--
Other Securities$69,797--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Philip BrubakerPresident
Monica KosmanVice President
Art KoningDirector
Dee OsborneDirector
Hal WeinerDirector
Joan KerebrockDirector
Ken HendersonDirector
Paula BurnetteDirector
Ron GreenDirector
Rosalie JohnsonDirector
Rick YecnyCEO of Peaceharbor Hospital
Melissa PhillipsSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$355,143
Program Service Revenue
$0
Investment Income
$9,229
Other Revenue
$0
All Other Contributions
$259,612
Change in Net Assets
$176,998

Audited Revenue Reconciliation

Revenue per Audited Statements
$361,362
Revenue Not Reported on Financial Statements
$3,010
Revenue Not Reported on Form 990
$172,509
Total Revenue per Audited Statements
$533,871
Total Revenue per Form 990
$364,372
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$172,168
Other Expenses$15,206
Total Fundraising Expense$4,101
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$172,168--$172,168
Office Expenses-$4,101-$4,101
Fees for Service Investment Mgmnt Fees-$3,010-$3,010
Other Expenses$0$57$0$57
Total Functional Expenses$172,168$11,105$4,101$187,374

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$378,313
Expenses Not Reported on Form 990$193,949
Total Expenses per Form 990$187,374
Expenses per Audited Statements$184,364
Expenses Not Reported on Financial Statements$3,010
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
PeacehealthVancouver, WA501(c)(3)Support for Peacehealth Peace Harbor Medical Center.$172,168
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$732,576
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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 A, Line 4

The organization amended and restated its articles of incorporation and bylaws as of june 17, 2016.

Form 990, Part VI, Section B, Line 11

The form 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 ST, FLORENCE, OR 97439

Signing Officer

Name
Ken Henderson
Title
President
Phone
5419028704
Signed
2016-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken Henderson
Formed
1987
Legal Domicile
Or
Voting Board Members
12
Independent Board Members
11
Employees
0
Volunteers
30

Preparer

Firm
Akt Llp
Address
680 HAWTHORNE AVE SE 140, SALEM, OR 97301
Preparer
Debra D Smith
Phone
5035857774
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in contribution receivable from remainder trust 16,797. Change in split interest agreements -18,257.

Financial Statement Notes

PART X, LINE 2:

For the years ended june 30, 2016 and 2015, 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, 2016 and 2015.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Change in contribution receivable from remainder trust 16,797. Change in split interest agreements -18,257.

Raw XML AppendixShowing 400 of 515 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/PersonNm10ROSALIE JOHNSON
IRS990/Form990PartVIISectionAGrp/PersonNm11RICK YECNY
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt11CEO OF PEACEHARBOR HOSPITAL
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IRS990/PledgesAndGrantsReceivableGrp/EOYAmt0306514
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KEN HENDERSON
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0759418
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0110138
IRS990/PYInvestmentIncomeAmt047856
IRS990/PYOtherExpensesAmt022586
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0674550
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0132724
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0807274
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0176998
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0748212
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0749337
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0355143
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0377406
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0592045
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt01550243
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0670337
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt03545174
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt011828
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt029885
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt033429
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt029139
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt012967
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0117248
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.95820
IRS990ScheduleA/PublicSupportPY170Pct00.95380
IRS990ScheduleA/PublicSupportTotal170Amt03518618
IRS990ScheduleA/SubstantialContributorsTotAmt026556
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0355143
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0377406
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0592045
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt01550243
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0670337
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt03545174
IRS990ScheduleA/TotalSupportAmt03672214
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt09792
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt09792
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/DonatedServicesAndUseFcltsAmt0193949
IRS990ScheduleD/DonatedServicesUseFcltsAmt0193949
IRS990ScheduleD/ExpensesNotReportedAmt0193949
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt03010
IRS990ScheduleD/ExpensesSubtotalAmt0184364
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt03010
IRS990ScheduleD/InvestmentExpensesNotIncldAmt03010
IRS990ScheduleD/LandGrp/BookValueAmt01435000
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt01435000
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-19980
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0732576
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LIFE ESTATE OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt0-1460
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0389261
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt158920
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt245886
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt37651
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt469797
IRS990ScheduleD/OtherSecuritiesGrp/Desc0CHARITABLE REMAINDER TRUST
IRS990ScheduleD/OtherSecuritiesGrp/Desc1BENEFICIAL INTEREST IN ASSETS, PEACEHEALTH
IRS990ScheduleD/OtherSecuritiesGrp/Desc2BENEFICIAL INTEREST IN ASSETS, SACRED HEART MEDICAL CENTER
IRS990ScheduleD/OtherSecuritiesGrp/Desc3WESTERN LANE COMMUNITY FOUNDATION
IRS990ScheduleD/OtherSecuritiesGrp/Desc4CASH SURRENDER VALUE OF LIFE INSURANCE
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd2F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd3F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd4F
IRS990ScheduleD/RevenueNotReportedAmt0172509
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt03010
IRS990ScheduleD/RevenueSubtotalAmt0361362
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, 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, 2016 AND 2015.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1CHANGE IN CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST 16,797. CHANGE IN SPLIT INTEREST AGREEMENTS -18,257.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01435000
IRS990ScheduleD/TotalBookValueSecuritiesAmt0571515
IRS990ScheduleD/TotalExpensesPerForm990Amt0187374
IRS990ScheduleD/TotalLiabilityAmt0732576
IRS990ScheduleD/TotalRevenuePerForm990Amt0364372
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0533871
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0378313
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0172168
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SUPPORT FOR PEACEHEALTH PEACE HARBOR MEDICAL CENTER.
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/BonusRelatedOrganizationsAmt047740
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0232263
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt035101
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt07964
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt010848
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICK YECNY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO OF PEACEHARBOR HOSPITAL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0333916
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
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION AMENDED AND RESTATED ITS ARTICLES OF INCORPORATION AND BYLAWS AS OF JUNE 17, 2016.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND IS PRESENTED TO THE BOARD FOR APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD MEMBERS ARE REMINDED TO RECUSE THEMSELVES FROM VOTING ON ITEMS THAT INVOLVE A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 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/ExplanationTxt4AVAILABLE UPON REQUEST VIA MAIL OR E-MAIL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CHANGE IN CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST 16,797. CHANGE IN SPLIT INTEREST AGREEMENTS -18,257.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15

Document Assets

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Filings

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
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