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Nonprofiteer
← CENTRAL PENINSULA HEALTH FOUNDATION

Form 990 for tax year 2022

Filed by CENTRAL PENINSULA HEALTH FOUNDATION.

Totals

Total revenue
$1,566,489
Total expenses
$431,820
Contributions and grants received
$1,494,987
Grants paid
$62,642
Program service revenue
$0
Investment income
$71,502
Other revenue
$0
Total assets, end of year
$2,502,596
Total liabilities, end of year
$44,994
Net assets or fund balances, end of year
$2,457,602
Program services expenses (Part IX)
$271,862
Management and general expenses
$85,381
Fundraising expenses
$74,577
Program service expenses (Part III)
$271,862

Program services were 63.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $114,502

  • 1d · Related organizations

    $16,130

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $1,364,355

  • 1g · Noncash contributions included above

    $16,130

  • 3 · Investment income

    total $71,502 · related or exempt $0 · unrelated business $0 · excluded $71,502

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: contributions included on line 1c

    $114,502

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $62,642 · program services $62,642

  • 5 · Compensation of officers, directors and key employees

    total $125,117 · program services $12,512 · management and general $50,047 · fundraising $62,558

  • 7 · Other salaries and wages

    total $5,566 · management and general $4,246 · fundraising $1,320

  • 11g · Fees: other

    total $179,095 · program services $170,034 · fundraising $9,061

  • 12 · Advertising and promotion

    total $2,870 · program services $2,000 · fundraising $870

  • 13 · Office expenses

    total $2,457 · management and general $2,457

  • 14 · Information technology

    total $9,731 · management and general $9,731

  • 16 · Occupancy

    total $14,184 · management and general $14,184

  • 19 · Conferences, conventions and meetings

    total $2,117 · management and general $2,117

  • 24e · All other expenses

    total $28,041 · program services $24,674 · management and general $2,599 · fundraising $768

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $28,686 · end of year $1,130,959

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $1,208,964 · end of year $1,279,572

  • 15 · Other assets

    beginning of year $91,171 · end of year $92,065

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,888 · end of year $44,994

  • 27 · Net assets without donor restrictions

    beginning of year $1,264,297 · end of year $1,419,641

  • 28 · Net assets with donor restrictions

    beginning of year $58,636 · end of year $1,037,961

Mission and programs · 2022

Mission

To support Central Peninsula Residents by seeking innovative partnerships, and creating resources for the health and wellness of our communities.

Activities or mission (Part I)

Our mission is: "To Support and Advance the Mission of Central Peninsula Hospital through Philanthropy."

  • The foundation sponsors and holds funds for Serenity House, a chemical dependency unit of Central Peninsula Hospital which is supported through prevention grants, and client resource funds. Prevention activities include community canvassing and assessment, a podcast program, and awareness campaigns. Client resources are used to provide transportation, therapeutic materials, and personal items necessary to make the stay of patients more comfortable as they receive chemical dependency treatment.

    Expenses $57,629 · Revenue $49,258

  • The foundation sponsors, and holds funds for the Internal Medicine Residency program. This is funded by Premera Blue Cross to recruit internists to practice in rural areas of the state.

    Expenses $112,569 · Grants $1,066,810 · Revenue $1,066,810

  • The foundation provided funding to Heritage Place, a long-term care facility, for activity supplies. The activities consist of art therapy/classes, fitness (games with noodles/balls), cooking classes, games (brain/cards, dice), nature (gardening/walk n rolls), and bus rides for local sight seeing. These residents also participate in community outreach (parades, Operation Christmas, to list a few). Educational speakers in person or on big screen TV.

    Expenses $7,498 · Revenue $11,770

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $94,166

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Angus Warren

    Board Member

    Total calculated
    $400,036
    From this org
    $0
    From related orgs
    $346,002
    Other
    $54,034
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $382,436 related
    Bonus
    $0 + $5,050 related
    Other
    $0 + $346 related
    Deferred
    $0 + $6,294 related
    Nontaxable benefits
    $0 + $16,941 related
    Filer's total
    $0 + $411,067 related

  • Kathy Gensel

    Foundation Director

    Total calculated
    $146,518
    From this org
    $0
    From related orgs
    $118,935
    Other
    $27,583
    Hours/week
    24 + 16 related

  • Alex Russell

    Board Member

    Total calculated
    $85,114
    From this org
    $0
    From related orgs
    $85,114
    Other
    $0
    Hours/week
    1

  • Margaret Gilman

    President

    Total calculated
    $0
    Hours/week
    1

  • Sheryl Cook

    Vice President

    Total calculated
    $0
    Hours/week
    1

  • Mark Dixson

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Karl Heinz

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Holly Scott

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jessica Gutzwiler

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Paula Rohloff

    Board Member

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4
Central Peninsula Hospital offers a 457 top hat non-qualified deferred compensation plan to its management, and other highly compensated employees.
Schedule J, Part I, Line 6
Central Peninsula Hospital provides quarterly incentive bonuses to eligible staff based on achievement of three (3) goals; Patient Satisfaction, Quality, and Financial. These goals are determined by the Hospital Board and Management. Additionally, achievement of these goals are evaluated at the end of the year, which gives the potential for each eligible Department Director to receive an additional bonus.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
12 May 2024
IRS schema version
2022v5.0
Source object
202411349349307571

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