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FOUNDATION OF DISTRICT 304: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION OF DISTRICT 304 (EIN 46-1035355)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-08
IRS object ID
202031299349301728
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-08T02:21:28-00:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wright Bookkeeping Inc PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1210 Central AveAddressLine1Txt
CitySedro WoolleyCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98284ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461035355EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION OF DISTRICT 304BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone3608547151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12031 C HOSPTIAL DRIVEAddressLine1Txt
CitySEDRO WOOLLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98284ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTED BROCKMANNPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2020-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonElaine L WrightPreparerPersonNm
Phone3608561890PhoneNum
Preparation2020-05-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.79.206.13IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-08IPDt
IP Tm21:17:27IPTm
IP TimezonePDIPTimezoneCd
Federal Original Submission Id9136662020120tt4is97FederalOriginalSubmissionId
Federal Original Submission Id2020-05-08FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2808A2C0337F0326E38904F3A8E118AF22E74587AtSubmissionCreationDeviceId
At Submission Filing Device Id2808A2C0337F0326E38904F3A8E118AF22E74587AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTED BROCKMANNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12031B HOSPITAL DRIVEAddressLine1Txt
CitySEDRO WOOLLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98284ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$294,510GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionSUPPORT SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT 304 OUTREACH PROGRAMS TO SUPPORT THE LOCAL COMMUNITY IN EDUCATION AND OPPORTUNITY FOR HEALTHY LIFE CHOICES AT ALL AGE GROUPSActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$114,977PYContributionsGrantsAmt
CY Contributions Grants$254,248CYContributionsGrantsAmt
PY Program Service Revenue$39,717PYProgramServiceRevenueAmt
CY Program Service Revenue$39,991CYProgramServiceRevenueAmt
PY Investment Income$212PYInvestmentIncomeAmt
CY Investment Income$271CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$154,906PYTotalRevenueAmt
CY Total Revenue$294,510CYTotalRevenueAmt
PY Grants And Similar Paid$149,771PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$285,860CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$21,233PYOtherExpensesAmt
CY Other Expenses$25,322CYOtherExpensesAmt
PY Total Expenses$171,004PYTotalExpensesAmt
CY Total Expenses$311,182CYTotalExpensesAmt
PY Revenues Less Expenses-$16,098PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,672CYRevenuesLessExpensesAmt
Total Assets BOY$92,103TotalAssetsBOYAmt
Total Assets EOY$96,505TotalAssetsEOYAmt
Total Liabilities BOY$16,670TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,744TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$75,433NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$58,761NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT 304 OUTREACH PROGRAMS TO SUPPORT THE LOCAL COMMUNITY IN EDUCATION AND OPPORTUNITY FOR HEALTHY LIFE CHOICES AT ALL AGE GROUPSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$303,180ExpenseAmt
Grant$285,860GrantAmt
Revenue$294,510RevenueAmt
DescPROVIDE SUPPORT FOR FITNESS NUTRITIONAL EDUCATION, SUBSTANCE ABUSE PREVENTION, BEREAVEMENT SERVICES, EARLY LEARNING AND CHILD DEVELOPMENT AND COMMUNITY, PROFESSIONAL YOUTH DEVELOPMENT TO INCREASE THE GENERAL WELLBEING OF THE RESIDENTS OF SKAGIT COUNTY HOSPITAL DISTRICT NO 304.Desc
Total Program Service Expenses$303,180TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Nondeductible Contri DisclfalseNondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTED BROCKMANNPersonNm
Phone3608547151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12031B HOSPITAL DRIVEAddressLine1Txt
CitySEDRO WOOLLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98284ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TED BROCKMANN
PRESIDENTYes (X)$0$0$0
CAROL W HAWK
SECRETARYYes (X)$0$0$0
CHRIS JOHNSTON
DIRECTORYes (X)$0$0$0
ANDY HUNTER
DIRECTORYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$211,584GovernmentGrantsAmt
All Other Contributions$42,664AllOtherContributionsAmt
Total Contributions$254,248TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLASSES FOR PROFESSIONALDesc
Business611430BusinessCd
Total Revenue Column$39,991TotalRevenueColumnAmt
Related Or Exempt Func Income$39,991RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$39,991TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$271TotalRevenueColumnAmt
Related Or Exempt Func Income$271RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$294,510TotalRevenueColumnAmt
Related Or Exempt Func Income$40,262RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$285,860TotalAmt
Program Services$285,860ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,976TotalAmt
Management And General$6,976ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$865TotalAmt
Program Services$865ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,738TotalAmt
Program Services$11,738ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,717TotalAmt
Program Services$4,717ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$976TotalAmt
Management And General$976ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescSECRETARY OF STATEDesc
Total$50TotalAmt
Management And General$50ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$311,182TotalAmt
Program Services$303,180ProgramServicesAmt
Management And General$8,002ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$92,103BOYAmt
EOY$66,089EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$30,416EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$92,103BOYAmt
EOY$96,505EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,670BOYAmt
EOY$32,244EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$5,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,670BOYAmt
EOY$37,744EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$75,433BOYAmt
EOY$58,761EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$75,433BOYAmt
EOY$58,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,103BOYAmt
EOY$96,505EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$16,672ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt
Public Support CY1700.00000PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$192,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$168,467CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$163,545CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$114,977CurrentTaxYearMinus1YearAmt
Current Tax Year$254,248CurrentTaxYearAmt
Total$893,530TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$42,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,222CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,717CurrentTaxYearMinus1YearAmt
Current Tax Year$39,991CurrentTaxYearAmt
Total$160,177TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$192,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$210,714CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,767CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,694CurrentTaxYearMinus1YearAmt
Current Tax Year$294,239CurrentTaxYearAmt
Total$1,053,707TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,053,707PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$231CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$205CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$212CurrentTaxYearMinus1YearAmt
Current Tax Year$271CurrentTaxYearAmt
Total$919TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$231CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$205CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$212CurrentTaxYearMinus1YearAmt
Current Tax Year$271CurrentTaxYearAmt
Total$919TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$192,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$210,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,906CurrentTaxYearMinus1YearAmt
Current Tax Year$294,510CurrentTaxYearAmt
Total$1,054,626TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99910PublicSupportCY509Pct
Public Support PY5090.99920PublicSupportPY509Pct
Investment Income CY0.00090InvestmentIncomeCYPct
Investment Income PY0.00080InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SKAGIT COUNTY PUBLIC HOSPITAL DISTRICTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12031 HOSPITAL DRIVEAddressLine1Txt
CitySEDRO WOOLLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98284ZIPCd
FieldValueIRS element (for citing)
Recipient EIN810622393RecipientEIN
Cash Grant$285,860CashGrantAmt
Purpose Of GrantHEALTH WELLNESSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Part VI, Section SECTION B, Line LINE 11bFormAndLineReferenceDesc
ExplanationTHE PRESIDENT REVIEWS THE FORM 990EZ BEFORE AUTHORINGING ITS FILING. THE BOARD REVIEWS THE FINANCIAL STATEMENTS FROMWHICH THE FORM 990 IS PREPARED THROUGHOUT THE YEAR.ExplanationTxt