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Nonprofiteer
← NORTHWEST MEDICAL CENTER FOUNDATION INC

Form 990 for tax year 2022

Filed by NORTHWEST MEDICAL CENTER FOUNDATION INC.

Totals

Total revenue
$280,795
Total expenses
$526,289
Contributions and grants received
$0
Grants paid
$406,505
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$526,289
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$526,289

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Joann Gibbany

    Director/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Angelia Martin MD

    Director

    Total calculated
    $311,907
    From this org
    $0
    From related orgs
    $274,056
    Other
    $37,851
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,453 related
    Bonus
    $0 + $36 related
    Other
    $0 + $2,567 related
    Deferred
    $0 + $5,627 related
    Nontaxable benefits
    $0 + $32,224 related
    Filer's total
    $0 + $311,907 related

  • Craig Thompson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Kent Peterson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Kimberly Findley DC

    Director/Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Matthew Pearl

    Director

    Total calculated
    $0
    Hours/week
    1

  • Serena Naylor

    Director/Chair

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 4 related

  • Jill Clair

    Secretary

    Total calculated
    $88,217
    From this org
    $0
    From related orgs
    $56,117
    Other
    $32,100
    Hours/week
    1 + 39 related

  • Katie Dias DO

    President/CEO

    Total calculated
    $355,611
    From this org
    $0
    From related orgs
    $327,416
    Other
    $28,195
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,779 related
    Bonus
    $0 + $70,980 related
    Other
    $0 + $657 related
    Deferred
    $0 + $9,648 related
    Nontaxable benefits
    $0 + $18,547 related
    Filer's total
    $0 + $355,611 related

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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)

Schedule J, Part I, Line 3 Compensation Policy
COMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, A RELATED ENTITY, USING THE FOLLOWING: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEYS OR STUDIES 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202411299349302836

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