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Nonprofiteer
← PEACEHEALTH KETCHIKAN MEDICAL CENTER FOUNDATION

Form 990 for tax year 2022

Filed by PEACEHEALTH KETCHIKAN MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$243,022
Total expenses
$269,240
Contributions and grants received
$193,175
Grants paid
$261,486
Program service revenue
$0
Investment income
$26,958
Other revenue
$22,889
Total assets, end of year
$3,014,558
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$3,014,558
Program services expenses (Part IX)
$261,486
Management and general expenses
$4,008
Fundraising expenses
$3,746
Program service expenses (Part III)
$261,486

Program services were 97.1% 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.

  • 1f · All other contributions, gifts and grants

    $193,175

  • 1g · Noncash contributions included above

    $12,472

  • 3 · Investment income

    total $60,205 · excluded $60,205

  • 7a · Gross sales of assets other than inventory

    securities $145,563

  • 7b · Less cost or other basis and sales expenses

    securities $178,810

  • 7c · Gain or loss

    securities -$33,247

  • 7d · Net gain or loss

    total -$33,247 · excluded -$33,247

  • 10a · Gross sales of inventory

    $61,169

  • 10b · Cost of goods sold

    $38,280

  • 10c · Net income from sales of inventory

    total $22,889 · excluded $22,889

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $261,486 · program services $261,486

  • 11f · Fees: investment management

    total $3,511 · management and general $3,511

  • 24a · Other expenses: OTHER EXPENSES

    total $4,243 · program services $0 · management and general $497 · fundraising $3,746

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $162,635 · end of year $219,817

  • 2 · Savings and temporary cash investments

    beginning of year $917,541 · end of year $883,991

  • 4 · Accounts receivable

    beginning of year $0 · end of year $38,850

  • 8 · Inventories for sale or use

    beginning of year $20,153 · end of year $20,154

  • 11 · Investments: publicly traded securities

    beginning of year $1,753,453 · end of year $1,836,561

  • 15 · Other assets

    beginning of year $15,886 · end of year $15,185

  • 27 · Net assets without donor restrictions

    beginning of year $1,114,921 · end of year $1,176,971

  • 28 · Net assets with donor restrictions

    beginning of year $1,754,747 · end of year $1,837,587

Mission and programs · 2022

Mission

TO ACQUIRE AND RECOGNIZE CHARITABLE GIFTS AND BEQUESTS TO ASSIST PEACEHEALTH KETCHIKAN MEDICAL CENTER FULFILL ITS MISSION, ADHERE TO ITS CORE VALUES AND PROVIDE EXCEPTIONAL MEDICINE AND COMPASSIONATE CARE TO THE SOUTHEAST ALASKA REGION.

Activities or mission (Part I)

IMPROVE THE HEALTH & LIVES OF COMMUNITY MEMBERS BY RAISING FUNDS & PROVIDING CHARITABLE SUPPORT.

  • THE FOUNDATION PROVIDES SUPPORT TO PEACE HEALTH KETCHIKAN MEDICAL CENTER.

    Expenses $261,486 · Grants $261,486

As filed on the 2022 return.

Listed in Part VII

  • DORI STEVENS

    DIRECTOR, CAO KETCHIKAN MED. CENTER

    Total calculated
    $364,243
    From this org
    $0
    From related orgs
    $345,925
    Other
    $18,318
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $291,128 related
    Bonus
    $0 + $51,645 related
    Other
    $0 + $3,152 related
    Deferred
    $0 + $5,991 related
    Nontaxable benefits
    $0 + $12,327 related
    Filer's total
    $0 + $364,243 related

  • LANETTA LUNDBERG

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • LEIF THOMPSON

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • CHELSEA GOUCHER

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DIANE LILJEGREN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHANNON SILVERTHORN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DANIEL SCHLECHT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARIE LINDELLI-HORTON

    FOUNDATION MANAGER

    Total calculated
    $129,766
    From this org
    $0
    From related orgs
    $119,083
    Other
    $10,683
    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

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)

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 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 THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 March 2024
IRS schema version
2022v5.0
Source object
202401089349301325

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