Form 990 for tax year 2022
Filed by PEACEHEALTH ST JOHN MEDICAL CENTER FOUNDATION.
Totals
- Total revenue
- $2,254,186
- Total expenses
- $1,743,339
- Contributions and grants received
- $2,154,360
- Grants paid
- $1,595,750
- Program service revenue
- $0
- Investment income
- $76,660
- Other revenue
- $23,166
- Total assets, end of year
- $6,168,603
- Total liabilities, end of year
- $74,037
- Net assets or fund balances, end of year
- $6,094,566
- Program services expenses (Part IX)
- $1,595,750
- Management and general expenses
- $27,807
- Fundraising expenses
- $119,782
- Program service expenses (Part III)
- $1,595,750
Program services were 91.5% 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.
-
1c · Fundraising events
$206,068
-
1f · All other contributions, gifts and grants
$1,948,292
-
1g · Noncash contributions included above
$40,650
-
3 · Investment income
total $87,323 · excluded $87,323
-
7a · Gross sales of assets other than inventory
securities $450,000
-
7b · Less cost or other basis and sales expenses
securities $460,663
-
7c · Gain or loss
securities -$10,663
-
7d · Net gain or loss
total -$10,663 · excluded -$10,663
-
8a · Fundraising events: gross income
$124,632
-
8a · Fundraising events: contributions included on line 1c
$206,068
-
8b · Fundraising events: direct expenses
$117,842
-
8c · Net income from fundraising events
total $6,790 · excluded $6,790
-
9a · Gaming: gross income
$16,376
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $16,376 · excluded $16,376
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $1,595,750 · program services $1,595,750
-
11f · Fees: investment management
total $5,094 · management and general $5,094
-
11g · Fees: other
total $9,875 · management and general $9,875
-
24a · Other expenses: FUNDRAISING EXPENSE
total $119,782 · program services $0 · management and general $0 · fundraising $119,782
-
24b · Other expenses: OTHER EXPENSES
total $12,838 · program services $0 · management and general $12,838 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $338,896 · end of year $220,952
-
2 · Savings and temporary cash investments
beginning of year $2,654,719 · end of year $2,170,900
-
3 · Pledges and grants receivable
beginning of year $296,306 · end of year $214,159
-
11 · Investments: publicly traded securities
beginning of year $1,487,580 · end of year $3,125,687
-
15 · Other assets
beginning of year $456,061 · end of year $436,905
-
17 · Accounts payable and accrued expenses
beginning of year $0 · end of year $90
-
19 · Deferred revenue
beginning of year $40,325 · end of year $45,498
-
25 · Other liabilities
beginning of year $70,994 · end of year $28,449
-
27 · Net assets without donor restrictions
beginning of year $1,285,535 · end of year $1,558,525
-
28 · Net assets with donor restrictions
beginning of year $3,836,708 · end of year $4,536,041
Mission and programs · 2022
Mission
THE MISSION OF THE FOUNDATION IS TO SUPPORT PEACEHEALTH ST. JOHN MEDICAL CENTER, LOCATED IN LONGVIEW, WASHINGTON, BY SOLICITING, RECEIVING, MANAGING, ADMINISTERING AND DISTRIBUTING FUNDS OR OTHER GIFTS TO OR FOR THE BENEFIT OF PEACEHEALTH ST. JOHN MEDICAL CENTER.
Activities or mission (Part I)
SUPPORT OF PEACEHEALTH ST. JOHN MEDICAL CENTER BY BUILDING SOCIAL AND FINANCIAL RESOURCES.
-
TRANSFERS TO PEACEHEALTH ST. JOHN MEDICAL CENTER TO SUPPORT THEIR PROGRAM SERVICES.
Expenses $1,595,750 · Grants $1,595,750
As filed on the 2022 return.
Listed in Part VII
-
Cherelle MontanyeCHERELLE MONTANYE
DIRECTOR, CAO ST. JOHN MED. CENTER
- Total calculated
- $459,535
- From this org
- $0
- From related orgs
- $391,957
- Other
- $67,578
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $332,805 related
- Bonus
- $0 + $59,152 related
- Other
- $0
- Deferred
- $0 + $41,128 related
- Nontaxable benefits
- $0 + $26,450 related
- Filer's total
- $0 + $459,535 related
-
Cal LantzCAL LANTZ
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Pj PetersonPJ PETERSON
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Joel HansonJOEL HANSON
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Jackie K EvansJACKIE K EVANS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jordan BurnsJORDAN BURNS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Francena DoddFRANCENA DODD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Sandy JunkerSANDY JUNKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Don CianciDON CIANCI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Cindy FaubionCINDY FAUBION
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jeane ConradJEANE CONRAD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Elizabeth A LauferELIZABETH A LAUFER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Geraldine L BoothGERALDINE L BOOTH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Anne HayesANNE HAYES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ann WrightANN WRIGHT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
William C BoehmWILLIAM C BOEHM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ken CravenKEN CRAVEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
David MinthornDAVID MINTHORN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Byron W HansonBYRON W HANSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Michael I McNellis MDMICHAEL I MCNELLIS MD
DIRECTOR
- Total calculated
- $526,186
- From this org
- $0
- From related orgs
- $464,948
- Other
- $61,238
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $421,681 related
- Bonus
- $0 + $38,474 related
- Other
- $0 + $4,793 related
- Deferred
- $0 + $48,347 related
- Nontaxable benefits
- $0 + $12,891 related
- Filer's total
- $0 + $526,186 related
-
Jonathan P RodmanJONATHAN P RODMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Arleen HubbleARLEEN HUBBLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Amy Leggio - Start 042023AMY LEGGIO - START 042023
EXECUTIVE DIRECTOR
- Total calculated
- $0
- Hours/week
- 40
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
- 1a · First-class or charter travel
- 1a · Travel for companions
- 1a · Tax indemnification and gross-up payments
- 1a · Housing allowance or residence for personal use
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 4b · Supplemental nonqualified retirement plan
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
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 1A
- PEACEHEALTH (A RELATED ORGANIZATION) HAS POLICES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR THESE ITEMS. FOR EXAMPLE TRAVEL FOR COMPANIONS AND HOUSING ALLOWANCES ARE RELATED TO RELOCATION BENEFITS OR FIRST CLASS TRAVEL FOR FLIGHTS EXCEEDING SIX HOURS IN DURATION. THESE BENEFITS WERE REPORTED AND TREATED AS TAXABLE.
- PART I, LINE 3
- THE FOUNDATION EXECUTIVE DIRECTOR IS COMPENSATED BY PEACE HEALTH (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. PEACE HEALTH THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE / SKILLS / COMPETENCE TO DO THE JOB. THIS RATE, OFFERED TO THE EXECUTIVE DIRECTOR AT TIME OF HIRE, WAS DETERMINED THROUGH A DISCUSSION BETWEEN THE REGIONAL CEO, REGIONAL DIRECTOR OF HUMAN RESOURCES AND THE ADMINISTRATIVE DIRECTOR OF HUMAN RESOURCES. THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS.
- PART I, LINE 4B
- PEACEHEALTH (A RELATED ORGANIZATION) HAS POLICES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR THESE ITEMS. BOARD MEMBERS LISTED ON SCHEDULE J ARE EMPLOYEES OF PEACEHEALTH (A RELATED ORGANIZATION) AND PEACEHEALTH'S CEO, EXECUTIVE VICE PRESIDENT, SENIOR VICE PRESIDENT, CERTAIN PHYSICIANS AND OTHER HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN VARIOUS NONQUALIFIED RETIREMENT PLANS. CONTRIBUTIONS TO THESE PLANS AND RELATED INVESTMENT RETURNS ARE DISCLOSED ON SCHEDULE J AS DEFERRED COMPENSATION AND AS BONUS COMPENSATION WHEN PAID TO THE INDIVIDUAL.
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
-
$1,555,100
GENERAL SUPPORT FOR PEACEHEALTH ST. JOHN MEDICAL CENTER
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.
-
501(C)(3) · HOSPITAL · WA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 March 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411099349301221
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