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Nonprofiteer
← PEACEHEALTH ST JOHN MEDICAL CENTER FOUNDATION

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 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 Lantz

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Pj Peterson

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Joel Hanson

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Jackie K Evans

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jordan Burns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Francena Dodd

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sandy Junker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Don Cianci

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Cindy Faubion

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jeane Conrad

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Elizabeth A Laufer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Geraldine L Booth

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Anne Hayes

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ann Wright

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • William C Boehm

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ken Craven

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David Minthorn

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Byron W Hanson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Michael 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 Rodman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Arleen Hubble

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Amy 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

  • PEACEHEALTH

    $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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 March 2024
IRS schema version
2022v5.0
Source object
202411099349301221

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