Civic Intelligence

Peace Harbor Hospital Foundation

990 • Fiscal year 2020 • EIN 93-1084126

Jul 01, 2019 to Jun 30, 2020 • Filed on Nov 30, 2020

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

59th percentile

0.17x

Higher debt load relative to assets than 59% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

94th percentile

3.86x

Higher debt load relative to revenue than 94% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

85th percentile

37%

Higher net margin than 85% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

95th percentile

$324,263

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 210.3% of source-year revenue.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

59th percentile

10%

Faster asset growth than 59% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

9th percentile

-47%

Faster revenue growth than 9% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets59th percentile

Assets

Up

$3,494,464

Up $325,028 (+10%) from 2019

Net Assets

Up

$2,899,775

Up $339,578 (+13%) from 2019

Liabilities

Down

$594,689

Down $14,550 (-2.4%) from 2019

Revenue And Expenses
Liabilities / Revenue94th percentileNet Margin85th percentile

Revenue

Down

$154,204

Down $139,102 (-47%) from 2019

Expenses

Down

$97,128

Down $244,040 (-72%) from 2019

Net Income

Up

$57,076

Up $104,938 (+219%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth59th 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

2020

Assets$3,494,464
Liabilities$594,689
Net Assets$2,899,775
Open 2020 Filing

Operations Trend

Revenue Growth9th 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

2020

Revenue$154,204
Expenses$97,128
Net Income$57,076
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Nov 30, 2020
Return Version
2019v5.1
Gross Receipts
$159,763
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.

Improve the health & lives of community members by raising funds & providing charitable support.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,469,120$1,479,462▲ $10,342
Cash and Non-Interest-Bearing Accounts$667,029$749,708▲ $82,679
Investments Other Securities$322,874$518,117▲ $195,243
Investments in Publicly Traded Securities$419,757$487,195▲ $67,438
Savings and Temporary Cash Investments$251,329$256,802▲ $5,473
Pledges and Grants Receivable$39,327$1,849▼ $37,478
Prepaid Expenses and Deferred Charges$0$1,331▲ $1,331
Total Assets$3,169,436$3,494,464▲ $325,028
Liabilities
Other Liabilities$609,239$594,689▼ $14,550
Total Liabilities$609,239$594,689▼ $14,550
Net Assets / Fund Balance
Net Assets With Donor Restrictions$1,364,982$1,676,073▲ $311,091
Net Assets Without Donor Restrictions$1,195,215$1,223,702▲ $28,487
Total Net Assets Fund Balance$2,560,197$2,899,775▲ $339,578
Total Liabilities and Net Assets / Fund Balance$3,169,436$3,494,464▲ $325,028

Asset Categories

AssetBook ValueDepreciationBasis
Land$1,479,462--
Other Securities$317,117--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$338,879-▲ $41,587-$380,466
2018-$372,024▼ $33,145-$338,879
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeOtherTotal
Heather M Quaas-annsaExecutive DirectorFT$94,205$94,205

Board Members and Trustees

NameTitle
Kenneth HendersonPresident
Paula BurnetteVice President
Joan KerrebrockDirector
Laurel FergusonDirector
Ronald GreenDirector
Rosalie JohnsonDirector
Sally WantzDirector
Timothy J FranceCDO, Own Foundations
Jason HawkinsEx-officio
John PearsonEx-officio
Debra OsborneSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$128,476
Program Service Revenue
$0
Investment Income
$25,728
Other Revenue
$0
All Other Contributions
$128,476
Change in Net Assets
$57,076

Audited Revenue Reconciliation

Revenue per Audited Statements
$150,319
Revenue Not Reported on Financial Statements
$3,885
Revenue Not Reported on Form 990
$499,328
Total Revenue per Audited Statements
$649,647
Total Revenue per Form 990
$154,204
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$90,844
Other Expenses$6,284
Total Fundraising Expense$1,629
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$90,844--$90,844
Fees for Service Investment Mgmnt Fees-$3,885-$3,885
Other Expenses$0$0$1,629$1,629
Office Expenses-$770-$770
Total Functional Expenses$90,844$4,655$1,629$97,128

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$310,069
Expenses Not Reported on Form 990$216,826
Total Expenses per Form 990$97,128
Expenses per Audited Statements$93,243
Expenses Not Reported on Financial Statements$3,885
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
PeacehealthVancouver, WA501(c)(3)Support for Peacehealth Peace Harbor Medical Center.$90,844
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$594,689
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
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
2020-11-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth 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 value of life estate obligations 24,892. Pledge write off/bad debt allowance 1,395. Change in value of beneficial interests & life insurance policies 270,706.”

Financial Statement Notes

PART X, LINE 2:

“For the years ended june 30, 2020 and 2019, 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, 2020 and 2019.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in value of beneficial interests 270,706. Change in value of life estate obligations 24,892.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Pledge write off/bad debt allowance -1,395.”

Raw XML AppendixShowing 400 of 531 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/OtherExpensesGrp/ManagementAndGeneralAmt00
IRS990/OtherExpensesGrp/ProgramServicesAmt00
IRS990/OtherExpensesGrp/TotalAmt01629
IRS990/OtherLiabilitiesGrp/BOYAmt0609239
IRS990/OtherLiabilitiesGrp/EOYAmt0594689
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt039327
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt01849
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01331
IRS990/PrincipalOfficerNm0KENNETH HENDERSON
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0266289
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0336940
IRS990/PYInvestmentIncomeAmt027017
IRS990/PYOtherExpensesAmt04228
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-47862
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0341168
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0293306
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt057076
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0251329
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0256802
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0128476
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0266289
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0352776
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0464697
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0355143
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01567381
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt023189
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt015811
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt013996
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt08390
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt011828
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt073214
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.59670
IRS990ScheduleA/PublicSupportPY170Pct00.67710
IRS990ScheduleA/PublicSupportTotal170Amt0978926
IRS990ScheduleA/SubstantialContributorsTotAmt0588455
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0128476
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0266289
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0352776
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0464697
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0355143
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01567381
IRS990ScheduleA/TotalSupportAmt01640595
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/BoardDesignatedBalanceEOYPct00.00000
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0338879
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0380466
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt041587
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt0372024
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0338879
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-33145
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0218221
IRS990ScheduleD/DonatedServicesUseFcltsAmt0218221
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/ExpensesNotReportedAmt0216826
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt03885
IRS990ScheduleD/ExpensesSubtotalAmt093243
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt03885
IRS990ScheduleD/InvestmentExpensesNotIncldAmt03885
IRS990ScheduleD/LandGrp/BookValueAmt01479462
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt01479462
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-14491
IRS990ScheduleD/OtherExpensesIncludedAmt0-1395
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0594689
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LIFE ESTATE OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt0295598
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0201000
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt1317117
IRS990ScheduleD/OtherSecuritiesGrp/Desc0BENEFICIAL INTEREST IN ASSETS, PEACEHEALTH
IRS990ScheduleD/OtherSecuritiesGrp/Desc1CASH SURRENDER VALUE OF LIFE INSURANCE
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/RevenueNotReportedAmt0499328
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt03885
IRS990ScheduleD/RevenueSubtotalAmt0150319
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, 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, 2020 AND 2019.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1CHANGE IN VALUE OF BENEFICIAL INTERESTS 270,706. CHANGE IN VALUE OF LIFE ESTATE OBLIGATIONS 24,892.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2PLEDGE WRITE OFF/BAD DEBT ALLOWANCE -1,395.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01479462
IRS990ScheduleD/TotalBookValueSecuritiesAmt0518117
IRS990ScheduleD/TotalExpensesPerForm990Amt097128
IRS990ScheduleD/TotalLiabilityAmt0594689
IRS990ScheduleD/TotalRevenuePerForm990Amt0154204
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0649647
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0310069
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt090844
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
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt110000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0304582
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1200978
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt019681
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt113949
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JASON HAWKINS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1TIMOTHY J FRANCE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0EX-OFFICIO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CDO, OWN FOUNDATIONS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0324263
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1224927
IRS990ScheduleJ/SeverancePaymentInd00

Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$3,494,464
Liabilities
$594,689
Net assets
$2,899,775
Revenue
$154,204
Expenses
$97,128
Net income
$57,076
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