Civic Intelligence

Peace Harbor Hospital Foundation

990 • Fiscal year 2018 • EIN 93-1084126

Jul 01, 2017 to Jun 30, 2018 • Filed on Oct 29, 2018

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

0.20x

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

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

89th percentile

1.66x

Higher debt load relative to revenue than 89% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Net Margin

42nd percentile

0.5%

Higher net margin than 42% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

96th percentile

$380,498

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 96.7% of source-year revenue.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Asset Growth

46th percentile

0.1%

Faster asset growth than 46% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

16th percentile

-17%

Faster revenue growth than 16% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets64th percentile

Assets

Up

$3,210,080

Up $2,566 (+0.1%) from 2017

Net Assets

Up

$2,555,690

Up $21,191 (+0.8%) from 2017

Liabilities

Down

$654,390

Down $18,625 (-2.8%) from 2017

Revenue And Expenses
Liabilities / Revenue89th percentileNet Margin42nd percentile

Revenue

Down

$393,607

Down $79,083 (-17%) from 2017

Expenses

Down

$391,475

Down $1,192,063 (-75%) from 2017

Net Income

Up

$2,132

Up $1,112,980 (+100%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth46th 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

2018

Assets$3,210,080
Liabilities$654,390
Net Assets$2,555,690
Open 2018 Filing

Operations Trend

Revenue Growth16th 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

2018

Revenue$393,607
Expenses$391,475
Net Income$2,132
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Oct 29, 2018
Return Version
2017v2.3
Gross Receipts
$402,549
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
Cash and Non-Interest-Bearing Accounts$420,387$854,667▲ $434,280
Investments in Publicly Traded Securities$414,067$404,404▼ $9,663
Investments Other Securities$743,333$336,471▼ $406,862
Pledges and Grants Receivable$194,727$179,538▼ $15,189
Total Assets$3,207,514$3,210,080▲ $2,566
Liabilities
Other Liabilities$673,015$654,390▼ $18,625
Total Liabilities$673,015$654,390▼ $18,625
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,868,300$1,424,895▼ $443,405
Unrestricted Net Assets$666,199$1,130,795▲ $464,596
Total Net Assets Fund Balance$2,534,499$2,555,690▲ $21,191
Total Liabilities and Net Assets / Fund Balance$3,207,514$3,210,080▲ $2,566

Asset Categories

AssetBook ValueDepreciationBasis
Land$1,435,000--
Other Securities$119,792--
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleOtherTotal
Jason HawkinsEx-officio$45,964$45,964

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$352,776
Program Service Revenue
$0
Investment Income
$40,831
Other Revenue
$0
All Other Contributions
$352,776
Change in Net Assets
$2,132

Audited Revenue Reconciliation

Revenue per Audited Statements
$390,031
Revenue Not Reported on Financial Statements
$3,576
Revenue Not Reported on Form 990
$175,934
Total Revenue per Audited Statements
$565,965
Total Revenue per Form 990
$393,607
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$380,334
Other Expenses$11,141
Total Fundraising Expense$2,010
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$380,334--$380,334
Office Expenses-$4,132-$4,132
Fees for Service Investment Mgmnt Fees-$3,576-$3,576
Other Expenses$0$1,423$0$1,423
Total Functional Expenses$380,334$9,131$2,010$391,475

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$544,774
Total Expenses per Form 990$391,475
Expenses per Audited Statements$387,899
Expenses Not Reported on Form 990$156,875
Expenses Not Reported on Financial Statements$3,576
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
PeacehealthVancouver, WA501(c)(3)Support for Peacehealth Peace Harbor Medical Center.$380,334
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$654,390
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
Kenneth Henderson
Title
President
Phone
5419028704
Signed
2018-10-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth Henderson
Formed
1987
Legal Domicile
Or
Voting Board Members
12
Independent Board Members
11
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:

“Other investments change in value 39,421. Pledge write off -15,000.”

Form 990, Part XII, Line 2C

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

Financial Statement Notes

PART X, LINE 2:

“For the years ended june 30, 2018 and 2017, 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, 2018 and 2017.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in value other investments 39,421.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“PLEDGE WRITE OFF 15,000.”

Raw XML AppendixShowing 400 of 511 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
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8CEO OF PEACEHARBOR HOSPITAL
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IRS990/OtherExpensesGrp/FundraisingAmt10
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt00
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt11423
IRS990/OtherExpensesGrp/ProgramServicesAmt00
IRS990/OtherExpensesGrp/ProgramServicesAmt10
IRS990/OtherExpensesGrp/TotalAmt02010
IRS990/OtherExpensesGrp/TotalAmt11423
IRS990/OtherLiabilitiesGrp/BOYAmt0673015
IRS990/OtherLiabilitiesGrp/EOYAmt0654390
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0194727
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt0179538
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KENNETH HENDERSON
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0464697
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt01565920
IRS990/PYInvestmentIncomeAmt07993
IRS990/PYOtherExpensesAmt017618
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-1110848
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01583538
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0472690
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt02132
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0352776
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0464697
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0355143
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0377406
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0592045
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt02142067
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt013996
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt08390
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt011828
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt029885
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt033429
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt097528
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.75940
IRS990ScheduleA/PublicSupportPY170Pct00.88970
IRS990ScheduleA/PublicSupportTotal170Amt01700672
IRS990ScheduleA/SubstantialContributorsTotAmt0441395
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0352776
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0464697
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0355143
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0377406
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0592045
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02142067
IRS990ScheduleA/TotalSupportAmt02239595
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0141875
IRS990ScheduleD/DonatedServicesUseFcltsAmt0141875
IRS990ScheduleD/ExpensesNotReportedAmt0156875
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt03576
IRS990ScheduleD/ExpensesSubtotalAmt0387899
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt03576
IRS990ScheduleD/InvestmentExpensesNotIncldAmt03576
IRS990ScheduleD/LandGrp/BookValueAmt01435000
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt01435000
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-5362
IRS990ScheduleD/OtherExpensesIncludedAmt015000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0654390
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LIFE ESTATE OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt039421
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0166692
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt141564
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt28423
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt3119792
IRS990ScheduleD/OtherSecuritiesGrp/Desc0BENEFICIAL INTEREST IN ASSETS, PEACEHEALTH
IRS990ScheduleD/OtherSecuritiesGrp/Desc1BENEFICIAL INTEREST IN ASSETS, SACRED HEART MEDICAL CENTER
IRS990ScheduleD/OtherSecuritiesGrp/Desc2WESTERN LANE COMMUNITY FOUNDATION
IRS990ScheduleD/OtherSecuritiesGrp/Desc3CASH SURRENDER VALUE OF LIFE INSURANCE
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd2F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd3F
IRS990ScheduleD/RevenueNotReportedAmt0175934
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt03576
IRS990ScheduleD/RevenueSubtotalAmt0390031
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FOR THE YEARS ENDED JUNE 30, 2018 AND 2017, 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, 2018 AND 2017.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1CHANGE IN VALUE OTHER INVESTMENTS 39,421.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2PLEDGE WRITE OFF 15,000.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01435000
IRS990ScheduleD/TotalBookValueSecuritiesAmt0336471
IRS990ScheduleD/TotalExpensesPerForm990Amt0391475
IRS990ScheduleD/TotalLiabilityAmt0654390
IRS990ScheduleD/TotalRevenuePerForm990Amt0393607
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0565965
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0544774
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0380334
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/BonusRelatedOrganizationsAmt083756
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0247015
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt038112
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt07972
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt03643
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICHARD YECNY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO OF PEACEHARBOR HOSPITAL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0380498
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/ExplanationTxt4OTHER INVESTMENTS CHANGE IN VALUE 39,421. PLEDGE WRITE OFF -15,000.
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
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0PEACEHEALTH

Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$3,210,080
Liabilities
$654,390
Net assets
$2,555,690
Revenue
$393,607
Expenses
$391,475
Net income
$2,132
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