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Nonprofiteer
← PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION

Form 990 for tax year 2022

Filed by PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$7,541,415
Total expenses
$11,340,048
Contributions and grants received
$6,928,281
Grants paid
$9,118,462
Program service revenue
$0
Investment income
$611,484
Other revenue
$1,650
Total assets, end of year
$47,383,385
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$47,383,385
Program services expenses (Part IX)
$10,189,296
Management and general expenses
$1,150,752
Fundraising expenses
$0
Program service expenses (Part III)
$10,189,296

Program services were 89.9% 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

    $6,928,281

  • 1g · Noncash contributions included above

    $10,148

  • 3 · Investment income

    total $609,777 · excluded $609,777

  • 7a · Gross sales of assets other than inventory

    securities $2,334,346

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

    securities $2,332,639

  • 7c · Gain or loss

    securities $1,707

  • 7d · Net gain or loss

    total $1,707 · excluded $1,707

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $1,650 · excluded $1,650

  • 11e · Other revenue, total

    $1,650

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $9,118,462 · program services $9,118,462

  • 7 · Other salaries and wages

    total $760,998 · program services $119,355 · management and general $641,643

  • 8 · Pension plan contributions

    total $38,495 · program services $6,038 · management and general $32,457

  • 9 · Other employee benefits

    total $121,475 · program services $19,052 · management and general $102,423

  • 10 · Payroll taxes

    total $50,701 · program services $7,952 · management and general $42,749

  • 11g · Fees: other

    total $218,876 · program services $34,329 · management and general $184,547

  • 12 · Advertising and promotion

    total $6,300 · program services $988 · management and general $5,312

  • 13 · Office expenses

    total $131,366 · program services $20,604 · management and general $110,762

  • 14 · Information technology

    total $8,765 · program services $1,375 · management and general $7,390

  • 17 · Travel

    total $15,574 · program services $2,443 · management and general $13,131

  • 22 · Depreciation, depletion and amortization

    total $1,365 · program services $214 · management and general $1,151

  • 24a · Other expenses: IN KIND EXPENSES

    total $840,197 · program services $840,197

  • 24b · Other expenses: BAD DEBT ALLOWANCE

    total $17,000 · program services $17,000

  • 24c · Other expenses: BANK FEES

    total $2,270 · management and general $2,270

  • 24e · All other expenses

    total $8,204 · program services $1,287 · management and general $6,917

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $17,314,029 · end of year $13,170,789

  • 3 · Pledges and grants receivable

    beginning of year $16,560,525 · end of year $16,909,085

  • 7 · Other notes and loans receivable

    beginning of year $466,152 · end of year $466,152

  • 11 · Investments: publicly traded securities

    beginning of year $15,450,241 · end of year $16,742,501

  • 12 · Investments: other securities

    beginning of year $64,204 · end of year $94,858

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,628 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $6,597,994 · end of year $6,838,508

  • 28 · Net assets with donor restrictions

    beginning of year $43,254,529 · end of year $40,544,877

Mission and programs · 2022

Mission

PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION AIMS TO PROVIDE AN EFFICIENT MEANS OF COLLECTING AND DISTRIBUTING SUPPORT TO PEACEHEALTH (EIN: 91-0939479), SPECIFICALLY THE PEACEHEALTH SOUTHWEST MEDICAL CENTER.

Activities or mission (Part I)

THE FOUNDATION RAISES FUNDS TO SUPPORT THE PEACEHEALTH SOUTHWEST MEDICAL CENTER.

  • PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION SUPPORTS PEACEHEALTH SOUTHWEST MEDICAL CENTER BY SOLICITING CONTRIBUTIONS IN SUPPORT OF THE MEDICAL CENTER'S OPERATIONS. PEACEHEALTH SOUTHWEST MEDICAL CENTER IS A HOSPITAL OWNED AND OPERATED BY PEACEHEALTH (EIN: 91-0939479) WHICH IS AN EXEMPT ORGANIZATION PURSUANT TO IRC 501(C)(3).

    Expenses $10,189,296 · Grants $9,118,462

As filed on the 2022 return.

Listed in Part VII

  • JOAN CAVANAGH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • LESLIE DURST

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SEAN GREGORY MD

    DIRECTOR

    Total calculated
    $1,142,362
    From this org
    $0
    From related orgs
    $1,044,183
    Other
    $98,179
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $691,875 related
    Bonus
    $0 + $352,308 related
    Other
    $0
    Deferred
    $0 + $63,230 related
    Nontaxable benefits
    $0 + $34,949 related
    Filer's total
    $0 + $1,142,362 related

  • MELANIE FAIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JO MARIE HANSEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JANET KEENEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DAVID HAYES MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • PATTY KELLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JOE KORTUM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • GREG KUBICEK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MARK MARTEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DAN MONAGHAN JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DAVID NIERENBERG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • RISA OLSEN

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • SANDFORD PLANT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • RON PRILL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JOHN REIERSGAARD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DAVID RUIZ MD

    DIRECTOR

    Total calculated
    $376,833
    From this org
    $0
    From related orgs
    $326,794
    Other
    $50,039
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,386 related
    Bonus
    $0 + $1,060 related
    Other
    $0 + $348 related
    Deferred
    $0 + $20,904 related
    Nontaxable benefits
    $0 + $29,135 related
    Filer's total
    $0 + $376,833 related

  • GREG SEIFERT

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • RICK TAKACH

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • IVY TIMPE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • CANDACE YOUNG PHD

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • JANIS WYATT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KATHY CORWIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KAREN SANTANGELO

    EXECUTIVE DIRECTOR

    Total calculated
    $286,857
    From this org
    $0
    From related orgs
    $239,712
    Other
    $47,145
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,558 related
    Bonus
    $0 + $12,673 related
    Other
    $0 + $11,481 related
    Deferred
    $0 + $11,993 related
    Nontaxable benefits
    $0 + $35,152 related
    Filer's total
    $0 + $286,857 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

  • 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 3
THE ORGANIZATION WHICH CONTROLS PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION IS PEACEHEALTH (EIN: 91-0939479). PEACEHEALTH ESTABLISHES COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR USING: 1) INDEPENDENT COMPENSATION CONSULTANT 2) COMPENSATION SURVEY OR STUDY 3) APPROVAL BY THE BOARD ALL PERSONS PROVIDING SERVICES FOR PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION ARE EMPLOYEES OF AND COMPENSATED BY PEACEHEALTH.
PART I, LINE 4B
PEACEHEALTH (EIN: 91-0939479) ESTABLISHES, IMPLEMENTS, AND CONDUCTS THE COMPENSATION POLICIES AND PRACTICES OF PEACEHEALTH SOUTHWEST MEDICAL CENTER FOUNDATION. THE COMPENSATION POLICIES OF PEACEHEALTH ARE DISCLOSED BELOW. PEACEHEALTH'S CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, 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. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2022 (DEFERRED/PAID): SEAN GREGORY: $33,576/$0

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
7 May 2024
IRS schema version
2022v5.0
Source object
202401319349304260

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