Civic Intelligence

Peace Harbor Hospital Foundation

990 • Fiscal year 2017 • EIN 93-1084126

Jul 01, 2016 to Jun 30, 2017 • Filed on Oct 02, 2017

Organization ProfileWWW.PEACEHEALTH.ORG/FOUNDATION/PEACE-HARBOR
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

64th percentile

0.21x

Higher debt load relative to assets than 64% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

88th percentile

1.42x

Higher debt load relative to revenue than 88% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

1st percentile

-235%

Higher net margin than 1% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

94th percentile

$293,159

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 62.0% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

5th percentile

-23%

Faster asset growth than 5% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

79th percentile

30%

Faster revenue growth than 79% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets64th percentile

Assets

Down

$3,207,514

Down $958,644 (-23%) from 2016

Net Assets

Down

$2,534,499

Down $879,803 (-26%) from 2016

Liabilities

Down

$673,015

Down $78,841 (-10%) from 2016

Revenue And Expenses
Liabilities / Revenue88th percentileNet Margin1st percentile

Revenue

Up

$472,690

Up $108,318 (+30%) from 2016

Expenses

Up

$1,583,538

Up $1,396,164 (+745%) from 2016

Net Income

Down

-$1,110,848

Down $1,287,846 (-728%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth5th percentile

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

2017

Assets$3,207,514
Liabilities$673,015
Net Assets$2,534,499
Open 2017 Filing

Operations Trend

Revenue Growth79th percentile

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

2017

Revenue$472,690
Expenses$1,583,538
Net Income-$1,110,848
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Oct 2, 2017
Return Version
2016v3.0
Gross Receipts
$476,660
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$749,337$0▼ $749,337
Investments Other Securities$571,515$743,333▲ $171,818
Cash and Non-Interest-Bearing Accounts$737,362$420,387▼ $316,975
Investments in Publicly Traded Securities$366,430$414,067▲ $47,637
Pledges and Grants Receivable$306,514$194,727▼ $111,787
Total Assets$4,166,158$3,207,514▼ $958,644
Liabilities
Other Liabilities$732,576$673,015▼ $59,561
Accounts Payable and Accrued Expenses$19,280$0▼ $19,280
Total Liabilities$751,856$673,015▼ $78,841
Net Assets / Fund Balance
Temporarily Rstr Net Assets$2,762,484$1,868,300▼ $894,184
Unrestricted Net Assets$651,818$666,199▲ $14,381
Total Net Assets Fund Balance$3,414,302$2,534,499▼ $879,803
Total Liabilities and Net Assets / Fund Balance$4,166,158$3,207,514▼ $958,644

Asset Categories

AssetBook ValueDepreciationBasis
Land$1,435,000--
Other Securities$108,560--
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleOtherTotal
Michele DiffenderferFoundation Director$94,621$94,621

Board Members and Trustees

NameTitle
Kenneth HendersonPresident
Monica KosmanVice President
Allan ArthurDirector
Harold WeinerDirector
Jay BoelterDirector
Joan KerrebrockDirector
Paula BurnetteDirector
Ronald GreenDirector
Rick YecnyCEO of Peaceharbor Hospital
Rosalie JohnsonEx Officio
Debra OsborneSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$464,697
Program Service Revenue
$0
Investment Income
$7,993
Other Revenue
$0
All Other Contributions
$464,697
Change in Net Assets
$-1,110,848

Audited Revenue Reconciliation

Revenue per Audited Statements
$460,844
Revenue Not Reported on Financial Statements
$11,846
Revenue Not Reported on Form 990
$311,748
Total Revenue per Audited Statements
$772,592
Total Revenue per Form 990
$472,690
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,565,920
Other Expenses$17,618
Total Fundraising Expense$1,742
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,565,920--$1,565,920
Fees for Service Investment Mgmnt Fees-$11,846-$11,846
Office Expenses-$4,030-$4,030
Other Expenses$0$0$1,742$1,742
Total Functional Expenses$1,565,920$15,876$1,742$1,583,538

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,757,256
Total Expenses per Form 990$1,583,538
Expenses per Audited Statements$1,568,576
Expenses Not Reported on Form 990$188,680
Expenses Not Reported on Financial Statements$14,962
Other Expense Adjustments$3,116
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
PeacehealthVancouver, WA501(c)(3)Support for Peacehealth Peace Harbor Medical Center.$1,565,920
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$673,015
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
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 11B

“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
2017-10-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken Henderson
Formed
1987
Legal Domicile
Or
Voting Board Members
11
Independent Board Members
10
Employees
0
Volunteers
30

Preparer

Firm
Aldrich Cpas and Advisors 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 23,418. Change in split interest agreements 63,944. Bad debt allowance 3,116.”

Form 990, Part XII, Line 2C

“There have not been any changes from the previous year.”

Financial Statement Notes

PART X, LINE 2:

“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, 2017 and 2016.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in contribution receivable from remainder trust 23,418. Change in split interest agreements 63,944.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt allowance 3,116.”

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/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt8CEO OF PEACEHARBOR HOSPITAL
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IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0306514
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt0194727
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KEN HENDERSON
IRS990/PriorPeriodAdjustmentsAmt0104861
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0355143
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0172168
IRS990/PYInvestmentIncomeAmt09229
IRS990/PYOtherExpensesAmt015206
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0176998
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0187374
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0364372
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-1110848
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0749337
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0464697
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0355143
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0377406
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0592045
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt01550243
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt03339534
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt08390
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt011828
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt029885
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt033429
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt029139
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0112671
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.88970
IRS990ScheduleA/PublicSupportPY170Pct00.95820
IRS990ScheduleA/PublicSupportTotal170Amt03071524
IRS990ScheduleA/SubstantialContributorsTotAmt0268010
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0464697
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0355143
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0377406
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0592045
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt01550243
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt03339534
IRS990ScheduleA/TotalSupportAmt03452205
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/DonatedServicesAndUseFcltsAmt0188680
IRS990ScheduleD/DonatedServicesUseFcltsAmt0188680
IRS990ScheduleD/ExpensesNotReportedAmt0188680
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt014962
IRS990ScheduleD/ExpensesSubtotalAmt01568576
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt011846
IRS990ScheduleD/InvestmentExpensesNotIncldAmt011846
IRS990ScheduleD/LandGrp/BookValueAmt01435000
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt01435000
IRS990ScheduleD/NetUnrealizedGainsInvstAmt035706
IRS990ScheduleD/OtherExpensesNotIncludedAmt03116
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0673015
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LIFE ESTATE OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt087362
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0412679
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt1167368
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt246682
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt38044
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt4108560
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/RevenueNotReportedAmt0311748
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt011846
IRS990ScheduleD/RevenueSubtotalAmt0460844
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. THERE WERE NONE FOR THE YEARS ENDED JUNE 30, 2017 AND 2016.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1CHANGE IN CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST 23,418. CHANGE IN SPLIT INTEREST AGREEMENTS 63,944.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2BAD DEBT ALLOWANCE 3,116.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01435000
IRS990ScheduleD/TotalBookValueSecuritiesAmt0743333
IRS990ScheduleD/TotalExpensesPerForm990Amt01583538
IRS990ScheduleD/TotalLiabilityAmt0673015
IRS990ScheduleD/TotalRevenuePerForm990Amt0472690
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0772592
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01757256
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt01565920
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/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0239496
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt034870
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt08064
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt010729
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICK YECNY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO OF PEACEHARBOR HOSPITAL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0293159
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 FORM 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 CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST 23,418. CHANGE IN SPLIT INTEREST AGREEMENTS 63,944. BAD DEBT ALLOWANCE 3,116.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THERE HAVE NOT BEEN ANY CHANGES FROM THE PREVIOUS YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
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/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 2C
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$3,207,514
Liabilities
$673,015
Net assets
$2,534,499
Revenue
$472,690
Expenses
$1,583,538
Net income
-$1,110,848
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