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Nonprofiteer
← PEACE HARBOR HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by PEACE HARBOR HOSPITAL FOUNDATION.

Totals

Total revenue
$219,947
Total expenses
$519,473
Contributions and grants received
$161,894
Grants paid
$501,183
Program service revenue
$0
Investment income
$58,053
Other revenue
$0
Total assets, end of year
$4,722,786
Total liabilities, end of year
$93,257
Net assets or fund balances, end of year
$4,629,529
Program services expenses (Part IX)
$501,183
Management and general expenses
$18,290
Fundraising expenses
$0
Program service expenses (Part III)
$501,183

Program services were 96.5% 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.

  • 1f · All other contributions, gifts and grants

    $161,894

  • 1g · Noncash contributions included above

    $1,000

  • 3 · Investment income

    total $55,644 · excluded $55,644

  • 7a · Gross sales of assets other than inventory

    securities $2,409

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

    securities $0

  • 7c · Gain or loss

    securities $2,409

  • 7d · Net gain or loss

    total $2,409 · excluded $2,409

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $501,183 · program services $501,183

  • 11f · Fees: investment management

    total $16,685 · management and general $16,685

  • 11g · Fees: other

    total $605 · management and general $605

  • 24a · Other expenses: IN KIND EXPENSES

    total $1,000 · program services $0 · management and general $1,000 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,297,358 · end of year $50,050

  • 2 · Savings and temporary cash investments

    beginning of year $558,405 · end of year $1,827,329

  • 3 · Pledges and grants receivable

    beginning of year $339,078 · end of year $3,236

  • 10a · Land, buildings and equipment: cost or other basis

    $780,500

  • 10c · Land, buildings and equipment, net

    beginning of year $780,500 · end of year $780,500

  • 11 · Investments: publicly traded securities

    beginning of year $1,705,963 · end of year $1,825,227

  • 15 · Other assets

    beginning of year $233,459 · end of year $236,444

  • 25 · Other liabilities

    beginning of year $110,882 · end of year $93,257

  • 27 · Net assets without donor restrictions

    beginning of year $1,564,614 · end of year $1,537,213

  • 28 · Net assets with donor restrictions

    beginning of year $3,239,267 · end of year $3,092,316

Mission and programs · 2022

Mission

TO IMPROVE THE HEALTH AND LIVES OF COMMUNITY MEMBERS BY PROVIDING CHARITABLE SUPPORT TO PEACEHEALTH PEACE HARBOR MEDICAL CENTER (THE HOSPITAL) SO THAT COMPASSIONATE, AFFORDABLE AND HIGH-QUALITY MEDICAL CARE MAY BE OFFERED TO ALL IN THIS REGION.

Activities or mission (Part I)

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

  • TRANSFERS TO PEACEHEALTH PEACE HARBOR MEDICAL CENTER TO SUPPORT THEIR PROGRAM SERVICES.

    Expenses $501,183 · Grants $501,183

As filed on the 2022 return.

Listed in Part VII

  • Sally Wantz

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Laurel Ferguson

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Paula Burnette

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Jason Hawkins

    DIRECTOR, CAO PEACEHARBOR HOSPITAL

    Total calculated
    $379,974
    From this org
    $0
    From related orgs
    $327,667
    Other
    $52,307
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,862 related
    Bonus
    $0 + $49,805 related
    Other
    $0
    Deferred
    $0 + $26,417 related
    Nontaxable benefits
    $0 + $25,890 related
    Filer's total
    $0 + $379,974 related
  • Ronald Moore

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Norma Kay Wood

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Monica Kosman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • George Henry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Beverly Scott

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Heather McArthur

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David Rigsby - Start 12023

    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 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 ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THE RANGES OF PAY RATES 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 ENTITY 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

    $501,183

    SUPPORT FOR PEACEHEALTH PEACE HARBOR 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
29 March 2024
IRS schema version
2022v5.0
Source object
202421289349302712

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