INATAI COMMUNITY FUND: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- INATAI COMMUNITY FUND (EIN 91-1246278)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-10-18
- IRS object ID
- 201902919349301450
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-10-18T16:48:46-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911246278 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GROUP HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GROU | BusinessNameControlTxt |
| Phone | 2067888900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 3RD AVENUE NO 220 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORY SBARBARO | PersonNm |
| Person Title | EXECUTIVE VICE PRESIDENT | PersonTitleTxt |
| Phone | 2067888900 | PhoneNum |
| Signature | 2019-09-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2019-09-30 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.4.211 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-09-30 | IPDt |
| IP Tm | 14:58:29 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 697E1C7253A5CA0A5488E87239FE5BE3AB33F6DC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NICHOLE MAHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 3RD AVENUE NO 220 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,834,434 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GROUPHEALTHFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH EQUITY AND ADVANCE COMMUNITY ASPIRATIONS FOR A VIBRANT, HEALTHY FUTURE IN WASHINGTON. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $910,686 | PYContributionsGrantsAmt |
| CY Contributions Grants | $247,611 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $784,782 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,906,906 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $25,985 | CYOtherRevenueAmt |
| PY Total Revenue | $1,695,468 | PYTotalRevenueAmt |
| CY Total Revenue | $3,180,502 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,049,779 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,710,858 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $441,976 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $284,214 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $704,008 | PYOtherExpensesAmt |
| CY Other Expenses | $245,552 | CYOtherExpensesAmt |
| PY Total Expenses | $2,195,763 | PYTotalExpensesAmt |
| CY Total Expenses | $4,240,624 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$500,295 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,060,122 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,302,197 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,639,802 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,434,232 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,000,560 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,867,965 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,639,242 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE LONGSTANDING GROUP HEALTH FOUNDATION, WHICH WAS INCORPORATED ON NOVEMBER 18, 1983, IS A 501(C)(3) NONPROFIT CORPORATION THAT HAS BEEN SUPPORTING INNOVATION IN HEALTH FOR MORE THAN THREE DECADES. EFFECTIVE JANUARY 31, 2017, GROUP HEALTH COMMUNITY FOUNDATION (SEE SCHEDULE O) BECAME THE SOLE CORPORATE MEMBER OF GROUP HEALTH FOUNDATION. GROUP HEALTH FOUNDATION'S RESOURCES CONSIST PRIMARILY OF DONATIONS FROM INDIVIDUALS. THE TWO FOUNDATIONS ARE UNITED UNDER A SINGLE BRAND AND PURSUE A SHARED MISSION OF SHAPING AND ACCELERATING EFFORTS TO IMPROVE HEALTH AND HEALTH EQUITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,120,407 | ExpenseAmt |
| Grant | $3,079,165 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | QUALITY OF CARE AND SERVICE FUNDING INCLUDED: 1) IMMUNIZATION INFORMATION SYSTEM UTILIZATION ENHANCEMENT, 2) SUPPORT RECRUITMENT, VETTING, AND RETENTION OF MEDICAL PROVIDERS AND PHARMACISTS TO EXPAND IMMUNIZATION IN CLINICS FOR UNDERSERVED COMMUNITIES AND SCHOOLS, 3) CREATION OF E-LEARNING COURSE ON VACCINE HESITANCY, AND 4) SCHOLARSHIPS FOR STUDENTS STUDYING IN THE HEALTH CARE FIELD. THE REMAINDER WAS DIRECTED TOWARDS EXTERNAL PROVIDERS TO CARRY OUT PROGRAM SERVICES BASED ON DONOR INTENT RELATED TO: 1) DIVERSITY IN HEALTH CARE CAREERS, 2) SENIOR SERVICE PROGRAMS IN SNOHOMISH, THURSTON, MASON, AND LEWIS COUNTIES, AND 3) KAISER PERMANENTE WASHINGTON INNOVATION PILOT PROJECTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $328,841 | ExpenseAmt |
| Grant | $306,011 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | CHILDREN'S HEALTH FUNDING INCLUDED: 1) HUMAN PAPILLOMAVIRUS (HPV) VACCINATION HESITANCY RESEARCH, 2) WELL-CHILD CHECK/ADOLESCENT WELLNESS VISIT QUALITY IMPROVEMENT, 3) HPV AND CANCER PREVENTION COMMUNITY OUTREACH, 4) CHILD PROFILE EXPANSION, 5) VACCINATION REMINDERS FOR KIDS THAT ARE DUE OR MISSED THEIR IMMUNIZATIONS, 6) NEWBORN/MATERNAL EDUCATION, 7) INFLUENZA PREVENTION IN ELEMENTARY SCHOOLS, AND 8) DENTAL OFFICE OUTREACH. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $228,705 | ExpenseAmt |
| Grant | $225,682 | GrantAmt |
| Revenue | $404 | RevenueAmt |
| Desc | PREVENTION AND HEALTH PROMOTION FUNDING INCLUDED: 1) SUPPORT FOR COALITION OF 29 TRIBES AND TWO URBAN INDIAN HEALTH PROGRAMS TO COME TOGETHER, IDENTIFY, AND PRIORITIZE WORKING ON IMMUNIZATION ISSUES, 2) EXPANSION OF HEALTH ADVOCATE POSITIONS, AND 3) IMMUNIZATIONS AT THE SEATTLE/KING COUNTY CLINIC. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $102,806 | ExpenseAmt |
| Grant | $100,000 | GrantAmt |
| Revenue | $25,581 | RevenueAmt |
| Desc | ALL OTHER PROGRAMS INCLUDES GRANTS TO WA STATE DEPARTMENT OF HEALTH FOR IMMUNIZATION CONVENINGS AND SCHOLARSHIPS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $102,806 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $100,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $25,581 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $3,780,759 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARMEN LOH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2067888900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 3RD AVENUE NO 220 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LINDA GAINER | ||||||||
| DIRECTOR (THRU 9/18) | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| JANE JOHNSON | ||||||||
| DIRECTOR (THRU 9/18) | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL SELINGER MD | ||||||||
| DIRECTOR (THRU 9/18) | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN SHULER CPA MBA | ||||||||
| DIRECTOR (THRU 9/18) | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH SCHURKE | ||||||||
| DIRECTOR (THRU 9/18) | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| GERARD FISCHER | ||||||||
| DIRECTOR (THRU 9/18) | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| KATHERINE BELL | ||||||||
| CHAIR | 0.10 | Yes (X) | $0 | $28,500 | $0 | 2.50 | Yes (X) | |
| NEIL MCREYNOLDS | ||||||||
| DIRECTOR/CHAIR (THRU 9/18) | 0.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GRACE CHIEN | ||||||||
| DIRECTOR/VICE CHAIR (THRU 9/18) | 0.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CYNTHIA CHIROT | ||||||||
| DIRECTOR/SECRETARY (THRU 9/18) | 0.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JIM ELLIOTT | ||||||||
| DIRECTOR/TREASURER (THRU 9/18) | 0.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SETH KIRBY | ||||||||
| VICE CHAIR/TREASURER | 0.00 | Yes (X) | $0 | $28,500 | $0 | 3.10 | Yes (X) | |
| LEO GREENWALT | ||||||||
| SECRETARY | 0.00 | Yes (X) | $0 | $28,500 | $0 | 2.50 | Yes (X) | |
| NICHOLE MAHER | ||||||||
| PRESIDENT/CEO | 1.00 | $0 | $114,178 | $4,054 | 39.00 | Yes (X) | ||
| CORY SBARBARO | ||||||||
| PRESIDENT/CEO (THRU 9/18), SVP | 2.00 | $0 | $462,093 | $35,074 | 38.00 | Yes (X) | ||
| CARMEN LOH | ||||||||
| FINANCE/ADMINISTRATION DIRECTOR | 11.00 | $0 | $139,680 | $19,719 | 29.00 | Yes (X) | ||
| CHRIS HANAK | ||||||||
| ACTING CIO | 2.00 | $0 | $396,941 | $39,658 | 38.00 | Yes (X) | ||
| THERESA TAMURA | ||||||||
| SENIOR ADVISOR (THRU 7/18) | 17.00 | $0 | $112,864 | $19,283 | 23.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,311,256 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $117,788 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $247,611 | AllOtherContributionsAmt |
| Total Contributions | $247,611 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $626,676 | TotalRevenueColumnAmt |
| Exclusion | $626,676 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,934,162 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,653,932 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,280,230 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,280,230 | TotalRevenueColumnAmt |
| Exclusion | $2,280,230 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $25,985 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,985 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,985 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,180,502 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,985 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,906,906 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,693,571 | TotalAmt |
| Program Services | $3,693,571 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,287 | TotalAmt |
| Program Services | $17,287 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,810 | TotalAmt |
| Program Services | $7,030 | ProgramServicesAmt |
| Management And General | $72,780 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,233 | TotalAmt |
| Program Services | $37,714 | ProgramServicesAmt |
| Management And General | $123,519 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,496 | TotalAmt |
| Program Services | $3,249 | ProgramServicesAmt |
| Management And General | $10,247 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,923 | TotalAmt |
| Management And General | $12,923 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,752 | TotalAmt |
| Program Services | $3,424 | ProgramServicesAmt |
| Management And General | $13,328 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,755 | TotalAmt |
| Management And General | $18,755 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,157 | TotalAmt |
| Management And General | $26,157 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,043 | TotalAmt |
| Management And General | $116,043 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,874 | TotalAmt |
| Management And General | $14,874 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9 | TotalAmt |
| Management And General | $9 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,271 | TotalAmt |
| Management And General | $2,271 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,105 | TotalAmt |
| Management And General | $1,105 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,519 | TotalAmt |
| Management And General | $9,519 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438 | TotalAmt |
| Management And General | $1,438 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349 | TotalAmt |
| Management And General | $349 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,713 | TotalAmt |
| Management And General | $2,713 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,487 | TotalAmt |
| Management And General | $3,487 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| LIFE INSURANCE EXPENSE | $28,500 | $28,500 | |
| PROGRAM SUPPLIES | $18,484 | $18,484 | |
| TAXES AND LICENSES | $278 | $278 | |
| DUES AND SUBSCRIPTIONS | $135 | $135 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,435 | TotalAmt |
| Management And General | $1,435 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,240,624 | TotalAmt |
| Program Services | $3,780,759 | ProgramServicesAmt |
| Management And General | $459,865 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $542,129 | BOYAmt |
| EOY | $8,342,600 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,208,307 | BOYAmt |
| EOY | $415,574 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,272 | BOYAmt |
| EOY | $15,443 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,161,641 | BOYAmt |
| EOY | $11,818,148 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375,848 | BOYAmt |
| EOY | $1,048,037 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,302,197 | BOYAmt |
| EOY | $21,639,802 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,262 | BOYAmt |
| EOY | $377 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,025 | BOYAmt |
| EOY | $2,187,258 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,859,661 | BOYAmt |
| EOY | $6,068,917 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,005,284 | BOYAmt |
| EOY | $744,008 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,434,232 | BOYAmt |
| EOY | $9,000,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,501,527 | BOYAmt |
| EOY | $3,546,234 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,085,044 | BOYAmt |
| EOY | $4,244,170 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,281,394 | BOYAmt |
| EOY | $4,848,838 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,867,965 | BOYAmt |
| EOY | $12,639,242 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,302,197 | BOYAmt |
| EOY | $21,639,802 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,060,122 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,168,601 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,734,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,232,031 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,882,725 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $910,686 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $247,611 | CurrentTaxYearAmt |
| Total | $8,007,300 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,734,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,232,031 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,882,725 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $910,686 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $247,611 | CurrentTaxYearAmt |
| Total | $8,007,300 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $324,037 | SubstantialContributorsTotAmt |
| Public Support Total170 | $7,683,263 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $596,941 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $481,167 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $422,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $477,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $626,676 | CurrentTaxYearAmt |
| Total | $2,604,185 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $107,925 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,750 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $25,985 | CurrentTaxYearAmt |
| Total | $261,910 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,873,395 | TotalSupportAmt |
| Public Support CY170 | 0.70660 | PublicSupportCY170Pct |
| Public Support PY170 | 0.75210 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2014 AMOUNT: $ 107,925. 2015 AMOUNT: $ 56,750. 2016 AMOUNT: $ 71,250. 2018 AMOUNT: $ 25,985. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,143,196 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,226,230 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,211,078 | GrantsOrScholarshipsAmt |
| Other Expenditures | $12,854 | OtherExpendituresAmt |
| Administrative Expenses | $52,486 | AdministrativeExpensesAmt |
| End Year Balance | $9,093,008 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,822,545 | BeginningYearBalanceAmt |
| Contributions | $143,237 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,500,884 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $319,090 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,612 | OtherExpendituresAmt |
| End Year Balance | $11,143,196 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,031,877 | BeginningYearBalanceAmt |
| Contributions | $30,523 | ContributionsAmt |
| Investment Earnings Or Losses | $1,137,645 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $295,854 | GrantsOrScholarshipsAmt |
| Other Expenditures | $81,646 | OtherExpendituresAmt |
| End Year Balance | $14,822,545 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,727,077 | BeginningYearBalanceAmt |
| Contributions | $161,392 | ContributionsAmt |
| Investment Earnings Or Losses | -$521,897 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $316,809 | GrantsOrScholarshipsAmt |
| Other Expenditures | $17,886 | OtherExpendituresAmt |
| End Year Balance | $14,031,877 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,361,209 | BeginningYearBalanceAmt |
| Contributions | $180,152 | ContributionsAmt |
| Investment Earnings Or Losses | $472,076 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $268,502 | GrantsOrScholarshipsAmt |
| Other Expenditures | $17,858 | OtherExpendituresAmt |
| End Year Balance | $14,727,077 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.53000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.47000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ANNUITIES PAYABLE | $677,445 |
| PAYABLES TO AFFILIATES | $66,563 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $744,008 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PROCEEDS FROM THE FOUNDATION'S ENDOWMENT FUNDS ARE USED TO FURTHER ITS MISSION. |
| PART X, LINE 2: | THE 501(C)(3) IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX WITH EXCEPTION TO ANY UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE FOUNDATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND ESTIMABLE. THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN INDIAN HEALTH COMMISSION FOR WASHINGTON STATE | |||||||
| 808 N 5TH AVE | SEQUIM | WA | 98382 | 470922046 | 501(C)(3) | $100,000 | TRIBAL COALITION DEVELOPMENT |
| HOMAGE SENIOR SERVICES | |||||||
| 11627 AIRPORT RD SUITE B | EVERETT | WA | 98204 | 910910680 | 501(C)(3) | $77,204 | ENDOWED FUNDS TO SUPPORT CHARITABLE HEALTHCARE PROGRAMS DIRECTED TOWARD THE SENIOR POPULATION WITHIN SNOHOMISH COUNTY |
| INTERNATIONAL COMMUNITY HEALTH SERVICES | |||||||
| 720 8TH AVE S SUITE 100 | SEATTLE | WA | 98104 | 910947084 | 501(C)(3) | $102,780 | INCREASE IMMUNIZATION RATES AMONG LOW-INCOME POPULATIONS |
| KAISER PERMANENTE (KFHPW HOLDINGS) | |||||||
| 1950 FRANKLIN ST 3RD FLOOR | OAKLAND | CA | 94612 | 930480268 | 501(C)(3) | $2,187,259 | TRANSFER OF ENDOWED FUNDS TO NEW ENTITY AS PER TEDRA AGREEMENT |
| KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT | |||||||
| 507 N NANUM ST SUITE 102 | ELLENSBURG | WA | 98926 | 916001349 | GOVERNMENT | $13,300 | INCREASE HPV VACCINATION RATES IN KITTITAS COUNTY |
| PUBLIC HEALTH - SEATTLE & KING COUNTY | |||||||
| 401 FIFTH AVE 12TH FLOOR | SEATTLE | WA | 98104 | 916001327 | GOVERNMENT | $33,496 | EXPANSION OF PROJECT AIMED TO INCREASE COVERAGE AND REDUCE BURDEN OF HPV INFECTION IN YOUTH |
| SEA MAR COMMUNITY HEALTH CENTERS | |||||||
| 1040 S HENDERSON ST | SEATTLE | WA | 98108 | 911020139 | 501(C)(3) | $45,682 | EXPAND HEALTH ADVOCATE POSITIONS AROUND HPV VACCINATIONS AND PREVENTION |
| SEATTLE CENTER FOUNDATION | |||||||
| 305 HARRISON STREET | SEATTLE | WA | 98109 | 911003385 | 501(C)(3) | $80,000 | IMMUNIZATIONS AT SEATTLE/KING COUNTY CLINIC FOR 2018-2020 |
| SENIOR SERVICES FOR SOUTH SOUND | |||||||
| 222 COLUMBIA ST NW | OLYMPIA | WA | 98501 | 910907573 | 501(C)(3) | $291,260 | ENDOWED FUNDS SUPPORTING EFFORTS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE AS THEY AGE. |
| SPOKANE REGIONAL HEALTH DISTRICT | |||||||
| 1101 W COLLEGE AVE | SPOKANE | WA | 99201 | 911527532 | GOVERNMENT | $127,500 | IIS UTILIZATION ENHANCEMENT |
| TACOMA-PIERCE COUNTY HEALTH DEPARTMENT | |||||||
| 3629 S D ST | TACOMA | WA | 98418 | 911488160 | GOVERNMENT | $25,000 | PROVIDER IMMUNIZATION |
| UNIVERSITY OF WASHINGTON FOUNDATION | |||||||
| 1959 NE PACIFIC ST BOX 356571 | SEATTLE | WA | 98195 | 943079432 | 501(C)(3) | $167,608 | ENDOWED FUNDS SUPPORTING CAREERS AT UW SCHOOL OF PHARMACY |
| WASHINGTON STATE DEPARTMENT OF HEALTH | |||||||
| 111 ISRAEL RD SE | TUMWATER | WA | 98501 | 911444603 | GOVERNMENT | $245,435 | IMMUNIZATION EFFORTS |
| WASHINGTON STATE MEDICAL ASSOCIATION FOUNDATION FOR HEALTH CARE | |||||||
| 2001 SIXTH AVE SUITE 2700 | SEATTLE | WA | 98121 | 916074463 | 501(C)(3) | $111,233 | ENDOWED FUNDS TO SUPPORT NEED-BASED SCHOLARSHIPS FOR STUDENTS TRAINING AS PHYSICIAN ASSISTANTS |
| WHATCOM COUNTY HEALTH DEPARTMENT | |||||||
| 509 GIRARD ST | BELLINGHAM | WA | 98225 | 916001383 | GOVERNMENT | $36,000 | NEWBORN/MATERNAL EDUCATION, INFLUENZA PREVENTION IN SCHOOLS, & DENTAL OFFICE OUTREACH |
| WITHINREACH | |||||||
| 155 NE 100 ST SUITE 500 | SEATTLE | WA | 98125 | 911443685 | 501(C)(3) | $34,565 | E-LEARNING COURSES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 16 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS FOR HEALTH-RELATED CAREER STUDENTS | GrantTypeTxt |
| Recipient | 6 | RecipientCnt |
| Cash Grant | $17,287 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT RECIPIENTS ARE EXPECTED TO PROVIDE A DESCRIPTION OF THEIR PROJECTS AND THE RELATED IMPACT, EITHER IN AN APPLICATION OR IN A POST-AWARD REPORT. IN ADDITION, GRANT RECIPIENTS ARE REQUIRED TO COMPLETE AND SIGN A GRANT AGREEMENT UPON ACCEPTANCE OF THE AWARD. GRANT PROGRESS REPORTS ARE DUE ANNUALLY AND ARE REVIEWED BY STAFF. UNSPENT FUNDS AT THE GRANT'S CONCLUSION ARE RETURNED TO THE FOUNDATION OR AN EXTENSION IS GRANTED. THE FOUNDATION ENSURES THAT GRANT FUNDS ARE USED IN THE U.S. VIA THEIR APPLICATION REVIEW AND FOLLOW UP PROCESS. THE FOUNDATION ALSO MANAGES DONATIONS RESTRICTED FOR USE BY SPECIFIC KAISER PERMANENTE WASHINGTON PROGRAMS AND DEPARTMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CORY SBARBARO | ||||||||||||||
| PRESIDENT/CEO (THRU 9/18), SVP | $0 | $440,643 | $0 | $0 | $0 | $21,450 | $0 | $27,500 | $0 | $7,574 | $0 | $497,167 | $0 | $0 |
| CARMEN LOH | ||||||||||||||
| FINANCE/ADMINISTRATION DIRECTOR | $0 | $139,680 | $0 | $0 | $0 | $0 | $0 | $9,548 | $0 | $10,171 | $0 | $159,399 | $0 | $0 |
| CHRIS HANAK | ||||||||||||||
| ACTING CIO | $0 | $381,394 | $0 | $0 | $0 | $15,547 | $0 | $27,500 | $0 | $12,158 | $0 | $436,599 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | OFFICERS AND DIRECTORS OF GROUP HEALTH FOUNDATION DO NOT RECEIVE COMPENSATION. OFFICERS AND DIRECTORS OF GROUP HEALTH COMMUNITY FOUNDATION (THE RELATED ORGANIZATION) RECEIVE COMPENSATION. THE RELATED ORGANIZATION BOARD OF DIRECTORS HAS OVERSIGHT OF THE COMPENSATION POLICY. THE RELATED ORGANIZATION IS RESPONSIBLE FOR SETTING THE PRESIDENT/CEO AND CIO SALARIES. THE PRESIDENT/CEO, CIO, AND FINANCE/ADMINISTRATION DIRECTOR RECEIVE COMPENSATION AND BENEFITS FROM THE RELATED ORGANIZATION. |
| PART I, LINE 4A | THERESA TAMURA, $15,000. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS AND ARTICLES OF INCORPORATION IN 2018 TO ALIGN WITH THE GOVERNING DOCUMENTS OF THE RELATED ORGANIZATION, GROUP HEALTH COMMUNITY FOUNDATION. THE ORGANIZATION'S BYLAWS WERE AMENDED TO CLARIFY COMMITTEE MEMBERSHIP, CLARIFY EXECUTIVE AND FINANCE COMMITTEE ROLES IN ESTABLISHING COMPENSATION FOR THE PRESIDENT/CEO AND CIO, CLARIFY THAT THE PRESIDENT/CEO ESTABLISHES COMPENSATION FOR ALL OTHER STAFF AND TO CLARIFY ADDITIONAL ADMINISTRATIVE FUNCTIONS. THE ARTICLES OF INCORPORATION WERE RESTATED TO CLARIFY COMMITTEE MEMBERSHIP, IDENTIFY COMMERCIAL REGISTERED AGENT, PROVIDE FURTHER DETAILS ON LIMITATIONS OF THE ORGANIZATION AND TO ADD AN INDEMNIFICATION SECTION. |
| FORM 990, PART VI, SECTION A, LINE 6 | GROUP HEALTH FOUNDATION IS ORGANIZED AS A NOT-FOR-PROFIT ORGANIZATION, GOVERNED BY AN ELECTED BOARD OF DIRECTORS. GROUP HEALTH COMMUNITY FOUNDATION IS THE SOLE MEMBER. GROUP HEALTH COMMUNITY FOUNDATION IS A 501(C)(4) ORGANIZATION. ITS BOARD OF TRUSTEES IS ITS GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7A | GROUP HEALTH FOUNDATION'S MEMBER CONTROLS THE ELECTION OF THE FOUNDATION'S BOARD OF DIRECTORS, BECAUSE THE ELECTION OF THE FOUNDATION DIRECTORS IS SUBJECT TO CONFIRMATION BY THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED TO THE MEMBER 1) THE POWER TO ALTER, AMEND, REPEAL OR SUSPEND THE BYLAWS OR ADOPT NEW BYLAWS, EXCEPT AS SUCH POWER IS SPECIFICALLY DELEGATED IN THE BYLAWS TO THE BOARD OF DIRECTORS, 2) ADOPTION OF AMENDMENTS OF THE ARTICLES OF INCORPORATION, 3) APPROVAL OF A PLAN OF MERGER OR CONSOLIDATION, 4) AUTHORIZATION OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION, 5) AUTHORIZATION OF THE VOLUNTARY DISSOLUTION OF THE CORPORATION AND ADOPTION OF ANY PLAN OF DISTRIBUTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO SENDING A FULL COPY OF THE 990 TO THE BOARD FOR REVIEW AND COMMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL CONFLICTS OF INTEREST ARE DOCUMENTED AND SUMMARIZED. UPON REVIEW OF THE CONFLICTS OF INTEREST, LEADERSHIP DETERMINES WHETHER BOARD OR STAFF WILL BE EXCLUDED FROM DECISION MAKING TO PRECLUDE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS OWN WEBSITE. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. |
| PART VII, SECTION A, LINE 1A | OFFICERS AND DIRECTORS OF GROUP HEALTH FOUNDATION DO NOT RECEIVE COMPENSATION. OFFICERS AND DIRECTORS OF GROUP HEALTH COMMUNITY FOUNDATION (THE RELATED ORGANIZATION) RECEIVE COMPENSATION. THE RELATED ORGANIZATION BOARD OF DIRECTORS HAS OVERSIGHT OF THE COMPENSATION POLICY. THE RELATED ORGANIZATION IS RESPONSIBLE FOR SETTING THE PRESIDENT/CEO AND CIO SALARIES. THE PRESIDENT/CEO, CIO, AND FINANCE/ADMINISTRATION DIRECTOR RECEIVE COMPENSATION AND BENEFITS FROM THE RELATED ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GROUP HEALTH COMMUNITY FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 3RD AVE SUITE 220 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300889914 | EIN |
| Primary Activities | IMPROVE THE HEALTH OF WASHINGTON COMMUNITIES | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(4) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GROUP HEALTH COMMUNITY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $182,083 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |