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Nonprofiteer
← FAMILY HEALTH WEST FOUNDATION

Form 990 for tax year 2023

Filed by FAMILY HEALTH WEST FOUNDATION.

Totals

Total revenue
$211,843
Total expenses
$143,711
Contributions and grants received
$247,085
Grants paid
$41,031
Program service revenue
$0
Investment income
$480
Other revenue
-$35,722
Total assets, end of year
$375,327
Total liabilities, end of year
$133,598
Net assets or fund balances, end of year
$241,729
Program services expenses (Part IX)
$41,031
Management and general expenses
$0
Fundraising expenses
$102,680
Program service expenses (Part III)
$41,031

Program services were 28.6% 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

    $155,540

  • 1f · All other contributions, gifts and grants

    $91,545

  • 3 · Investment income

    total $480 · excluded $480

  • 8a · Fundraising events: gross income

    $11,328

  • 8a · Fundraising events: contributions included on line 1c

    $155,540

  • 8b · Fundraising events: direct expenses

    $77,980

  • 8c · Net income from fundraising events

    total -$66,652 · excluded -$66,652

  • 11d · All other revenue

    total $30,930 · excluded $30,930

  • 11e · Other revenue, total

    $30,930

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $41,031 · program services $41,031

  • 7 · Other salaries and wages

    total $67,333 · fundraising $67,333

  • 8 · Pension plan contributions

    total $1,466 · fundraising $1,466

  • 9 · Other employee benefits

    total $7,762 · fundraising $7,762

  • 10 · Payroll taxes

    total $2,947 · fundraising $2,947

  • 11g · Fees: other

    total $448 · fundraising $448

  • 12 · Advertising and promotion

    total $6,939 · fundraising $6,939

  • 13 · Office expenses

    total $1,667 · fundraising $1,667

  • 14 · Information technology

    total $11,962 · fundraising $11,962

  • 24a · Other expenses: MINOR EQUIPMENT

    total $1,971 · fundraising $1,971

  • 24b · Other expenses: DUES AND SUBSCRIPTIONS

    total $185 · fundraising $185

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $203,922 · end of year $274,799

  • 2 · Savings and temporary cash investments

    beginning of year $100,428 · end of year $100,528

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

    $9,627

  • 10b · Land, buildings and equipment: accumulated depreciation

    $9,627

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $130,753 · end of year $133,598

  • 27 · Net assets without donor restrictions

    beginning of year $173,597 · end of year $241,729

Mission and programs · 2023

Mission

FAMILY HEALTH WEST FOUNDATION IS COMMITTED TO PROVIDING WHAT MATTERS MOST TO THOSE WE SERVE. THROUGH FINANCIAL SUPPORT WE PROVIDE RESOURCES THAT BRING WARM, COMPASSIONATE SERVICES TO MAKE EVERY PATIENT'S DAY A LITTLE BIT BETTER.

  • SUPPORTING EXTENDED HOSPITAL SERVICES IN THE LOCAL COMMUNITY BY RAISING FUNDS FOR ADDITIONAL HOSPITAL BEDS, THERAPY, AND OUTPATIENT PROCEDURES.

    Expenses $41,031 · Grants $41,031

  • PEDIATRIC THERAPY PROGRAM TO INCLUDE GO BABY GO WHICH PROVIDES ELECTRIC CARS FOR CHILDREN WITH DISABILITIES WHO NEEDED ADJUSTMENTS MADE TO BE ABLE TO DRIVE THE TOY MANUFACTURED CARS. THE AUTISM GROUP TO PROVIDE THERAPY AND TESTING FOR AUTISTIC CHILDREN.

  • ELDERCARE SUPPORT. PROVIDE SUPPORT FOR NEEDS OF RESIDENTS IN OUR ELDERCARE FACILITIES.

  • FINANCIAL ASSISTANCE. PROVIDE FUNDS FOR PATIENTS WHO COULD NOT AFFORD RADIOLOGY IMAGING THROUGH THE ASPEN FUND AND THE PINE FUND. SPONSOR A HEALTH FAIR WITH SPORTS PHYSICALS TO LOCAL SCHOOLS. PROVIDE SCHOLARSHIPS FOR ROCK STEADY BOXING.

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Elizabeth Blaha

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Rob Burkey

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Tom Oliver

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Debb Francis

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Diane Dill

    MEMBER

    Total calculated
    $187,192
    From this org
    $0
    From related orgs
    $180,010
    Other
    $7,182
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $180,010 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,182 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $187,192 related

  • Kelley Griffin

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jerry Hamilton

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Randall May

    MEMBER

    Total calculated
    $71,675
    From this org
    $0
    From related orgs
    $58,360
    Other
    $13,315
    Hours/week
    1 + 39 related

  • Lauren Melnick

    MEMBER (THRU 03/2023)

    Total calculated
    $0
    Hours/week
    1

  • Serene Pingel

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tyler Skeen

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Dr Korrey Klein

    LVHA CEO

    Total calculated
    $363,129
    From this org
    $0
    From related orgs
    $336,578
    Other
    $26,551
    Hours/week
    4 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $335,708 related
    Bonus
    $0 + $870 related
    Other
    $0
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $13,351 related
    Filer's total
    $0 + $363,129 related

  • Glacia Peck

    DIRECTOR

    Total calculated
    $60,892
    From this org
    $0
    From related orgs
    $58,584
    Other
    $2,308
    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

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
BOARD MEMBERS, OFFICERS, AND DIRECTORS OF THE FOUNDATION AND PERSONS IN POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER DECISIONS OF FHW (KEY EMPLOYEES) ARE REQUIRED TO ANNUALLY DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE GOVERNING BOARD AND COMPLIANCE OFFICER THEN REVIEW THE DISCLOSURES TO DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THE INTERESTED PERSON WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION.

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
2023
Filed
4 September 2024
IRS schema version
2023v5.1
Source object
202412509349300931

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