INATAI COMMUNITY FUND: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- INATAI COMMUNITY FUND (EIN 91-1246278)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-13
- IRS object ID
- 201823179349301807
- Schema version
- 2017v2.3
- Note
- A later return for the same period supersedes this one.
- 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 | 2018-11-13T09:04:08-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 981041614 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICHOLE MAHER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2067888900 | PhoneNum |
| Signature | 2018-11-07 | 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 | 2018-11-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-07 | IPDt |
| IP Tm | 12:07:17 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 92E4E1887166A1A95AEA2354EF277E907B8DEB06 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | 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 | 981041614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,660,939 | 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 SHAPE AND ACCELERATE EFFORTS TO IMPROVE HEALTH EQUITY AND ADVANCE COMMUNITY ASPIRATIONS FOR A VIBRANT, HEALTHY FUTURE IN WASHINGTON. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,882,725 | PYContributionsGrantsAmt |
| CY Contributions Grants | $910,686 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,174,924 | PYInvestmentIncomeAmt |
| CY Investment Income | $784,782 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$227,469 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,830,180 | PYTotalRevenueAmt |
| CY Total Revenue | $1,695,468 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,533,194 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,049,779 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $441,976 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $156,064 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $162,807 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $225,594 | PYOtherExpensesAmt |
| CY Other Expenses | $704,008 | CYOtherExpensesAmt |
| PY Total Expenses | $2,914,852 | PYTotalExpensesAmt |
| CY Total Expenses | $2,195,763 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $915,328 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$500,295 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,142,770 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,302,197 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,215,748 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,434,232 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,927,022 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,867,965 | 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 SPURRING INNOVATION IN HEALTH FOR MORE THAN THREE DECADES. EFFECTIVE JANUARY 31, 2017, GROUP HEALTH COMMUNITY FOUNDATION BECAME THE SOLE CORPORATE MEMBER OF GROUP HEALTH FOUNDATION. GROUP HEALTH FOUNDATION'S RESOURCES, WHICH CONSIST PRIMARILY OF DONATIONS FROM INDIVIDUALS, CONTINUE TO SUPPORT IMPROVING HEALTH AND HEALTH CARE. 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 | $1,164,006 | ExpenseAmt |
| Grant | $728,865 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | CHILDREN'S HEALTH FUNDING INCLUDED: 1) HUMAN PAPILLOMAVIRUS (HPV) VACCINATION HESITANCY RESEARCH, 2) A COMMUNITY HEALTH CLINIC YOUTH HEALTH ADVOCATE POSITION, 3) HPV AND CANCER PREVENTION COMMUNITY OUTREACH, 4) HPV ROUNDTABLE AND TASK FORCE, AND 5) A STATE-WIDE IMMUNIZATION CONFERENCE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $103,524 | ExpenseAmt |
| Grant | $97,691 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PREVENTION AND HEALTH PROMOTION FUNDING INCLUDED: 1) INITIATIVES FOCUSED ON PREVENTING INJURY AND ILLNESS AND INSTILLING HEALTHY HABITS, 2) A HEALTH FAIR THAT OFFERED INDIVIDUAL HEALTH ASSESSMENTS AND RESOURCES, AND 3) A PEER HEALTH EDUCATIONAL MODEL USING SOCIAL MEDIA AND TV OUTLETS TO ADDRESS CULTURAL HEALTH CARE BARRIERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $47,905 | ExpenseAmt |
| Grant | $43,063 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | QUALITY OF CARE AND SERVICE FUNDING WAS DIRECTED TOWARD KAISER PERMANENTE WASHINGTON INNOVATION PILOT PROJECTS. INNOVATION PILOT PROJECTS SUPPORT FRONT-LINE STAFF, PHYSICIANS, OPERATIONAL LEADERS, AND PROGRAM EVALUATION EXPERTS. PILOT PROJECTS INCLUDED: 1) BARIATRIC PROGRAM INTERVENTION, 2) MOBILE HEALTH DEVELOPMENT CAPACITY, AND 3) EQUIPMENT TO SUPPORT KAISER PERMANENTATE WASHINGTON PATIENTS AND STAFF. THE QUALITY OF CARE AND SERVICE PROGRAM ALSO FUNDED HEALTHCARE-RELATED SCHOLARSHIPS, TRAININGS, AND EDUCATION TO COMMUNITY MEMBERS AND KAISER PERMAENTE WASHINGTON STAFF. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $122,396 | ExpenseAmt |
| Grant | $180,160 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $122,396 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $180,160 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $1,437,831 | 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 | Yes (1) | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | 981041614 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SCOTT ARMSTRONG | ||||||||
| FORMER SECRETARY (THROUGH 1/17) | 0.50 | 39.50 | Yes (X) | $0 | $87,144 | $8,499 | ||
| KATHERINE BELL | ||||||||
| DIRECTOR | 0.16 | 1.90 | Yes (X) | $0 | $14,250 | $0 | ||
| LINDA GAINER | ||||||||
| DIRECTOR | 0.33 | Yes (X) | $0 | $0 | $0 | |||
| JANE A JOHNSON | ||||||||
| DIRECTOR | 0.28 | Yes (X) | $0 | $0 | $0 | |||
| ERIC B LARSON MD | ||||||||
| DIRECTOR (THROUGH 1/17) | 0.50 | 39.50 | Yes (X) | $0 | $32,661 | $4,030 | ||
| TONY RICHARDSON | ||||||||
| DIRECTOR (THROUGH 12/17) | 0.19 | Yes (X) | $0 | $0 | $0 | |||
| LESLIE RUGABER | ||||||||
| DIRECTOR (THROUGH 12/17) | 0.11 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL SELINGER MD | ||||||||
| DIRECTOR | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN L SHULER CPA MBA | ||||||||
| DIRECTOR | 0.24 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA TREHEARNE PHD RN | ||||||||
| DIRECTOR (THROUGH 1/17) | 0.50 | 39.50 | Yes (X) | $0 | $27,816 | $3,664 | ||
| JUDITH SCHURKE | ||||||||
| DIRECTOR | 0.22 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY NICKELS | ||||||||
| DIRECTOR (THROUGH 12/17) | 0.11 | Yes (X) | $0 | $0 | $0 | |||
| GERARD FISCHER | ||||||||
| DIRECTOR | 0.28 | 39.72 | Yes (X) | $0 | $24,945 | $3,307 | ||
| CHRISTOPHER CABLE MD | ||||||||
| DIRECTOR (THROUGH 12/17) | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN SULLIVAN | ||||||||
| DIRECTOR (THROUGH 6/17) | 0.16 | Yes (X) | $0 | $0 | $0 | |||
| DIANA BIRKETT RAKOW | ||||||||
| FORMER PRESIDENT (THROUGH 1/17) | 0.50 | 39.50 | Yes (X) | $0 | $26,545 | $2,135 | ||
| NEIL L MCREYNOLDS | ||||||||
| DIRECTOR / CHAIR | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GRACE CHIEN | ||||||||
| DIRECTOR/VICE CHAIR | 0.29 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CYNTHIA CHIROT | ||||||||
| DIRECTOR/SECRETARY | 0.36 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JIM ELLIOTT | ||||||||
| DIRECTOR/ TREASURER | 0.29 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CORY SBARBARO | ||||||||
| ACTING PRESIDENT & CEO | 2.00 | 38.00 | $0 | $433,997 | $32,681 | Yes (X) | ||
| CARMEN LOH | ||||||||
| FINANCE AND ADMINISTRATION DIRECTOR | 16.00 | 24.00 | $0 | $5,500 | $59 | Yes (X) | ||
| CHRIS HANAK | ||||||||
| CHIEF INVESTMENT OFFICER | 2.00 | 38.00 | $0 | $282,560 | $35,806 | Yes (X) | ||
| THERESA TAMURA | ||||||||
| SENIOR ADVISOR | 28.00 | 12.00 | $0 | $400,590 | $41,925 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,336,008 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $132,106 | 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 | Yes (1) | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $910,686 | AllOtherContributionsAmt |
| Noncash Contributions | $294 | NoncashContributionsAmt |
| Total Contributions | $910,686 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $477,385 | TotalRevenueColumnAmt |
| Exclusion | $477,385 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,272,868 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,965,471 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $307,397 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $307,397 | TotalRevenueColumnAmt |
| Exclusion | $307,397 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,695,468 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $784,782 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,024,302 | TotalAmt |
| Program Services | $1,024,302 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,477 | TotalAmt |
| Program Services | $25,477 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,323 | TotalAmt |
| Program Services | $2,236 | ProgramServicesAmt |
| Management And General | $25,087 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,170 | TotalAmt |
| Program Services | $66,971 | ProgramServicesAmt |
| Management And General | $163,763 | ManagementAndGeneralAmt |
| Fundraising | $107,436 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,887 | TotalAmt |
| Program Services | $6,290 | ProgramServicesAmt |
| Management And General | $16,093 | ManagementAndGeneralAmt |
| Fundraising | $10,504 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,510 | TotalAmt |
| Management And General | $14,510 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,086 | TotalAmt |
| Program Services | $5,521 | ProgramServicesAmt |
| Management And General | $14,314 | ManagementAndGeneralAmt |
| Fundraising | $9,251 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,698 | TotalAmt |
| Management And General | $21,698 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,511 | TotalAmt |
| Management And General | $97,511 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,688 | TotalAmt |
| Management And General | $81,688 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,798 | TotalAmt |
| Program Services | $36,264 | ProgramServicesAmt |
| Management And General | $66,816 | ManagementAndGeneralAmt |
| Fundraising | $1,718 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750 | TotalAmt |
| Fundraising | $750 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,764 | TotalAmt |
| Management And General | $18,777 | ManagementAndGeneralAmt |
| Fundraising | $20,987 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,595 | TotalAmt |
| Program Services | $71,509 | ProgramServicesAmt |
| Management And General | $26,801 | ManagementAndGeneralAmt |
| Fundraising | $2,285 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,417 | TotalAmt |
| Management And General | $20,417 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,688 | TotalAmt |
| Program Services | $552 | ProgramServicesAmt |
| Management And General | $1,846 | ManagementAndGeneralAmt |
| Fundraising | $290 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,594 | TotalAmt |
| Program Services | $162,906 | ProgramServicesAmt |
| Management And General | $6,263 | ManagementAndGeneralAmt |
| Fundraising | $3,425 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,203 | TotalAmt |
| Management And General | $5,203 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,675 | TotalAmt |
| Management And General | $5,675 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PRINTED MATERIALS | $41,981 | $35,803 | $17 | $6,161 |
| CONDO TRANSFER FEE | $7,469 | $7,469 | ||
| OTHER EMPLOYEE COSTS | $1,058 | $1,058 | ||
| MEMBERSHIP DUES AND SUB | $119 | $119 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,195,763 | TotalAmt |
| Program Services | $1,437,831 | ProgramServicesAmt |
| Management And General | $595,125 | ManagementAndGeneralAmt |
| Fundraising | $162,807 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $542,129 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,393,657 | BOYAmt |
| EOY | $2,208,307 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,104 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $14,272 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,981,993 | BOYAmt |
| EOY | $21,161,641 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,748,016 | BOYAmt |
| EOY | $1,375,848 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,142,770 | BOYAmt |
| EOY | $25,302,197 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $13,262 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,223,903 | BOYAmt |
| EOY | $556,025 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,859,661 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $991,845 | BOYAmt |
| EOY | $1,005,284 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,215,748 | BOYAmt |
| EOY | $7,434,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,864,687 | BOYAmt |
| EOY | $6,501,527 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,392,908 | BOYAmt |
| EOY | $5,085,044 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,669,427 | BOYAmt |
| EOY | $6,281,394 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,927,022 | BOYAmt |
| EOY | $17,867,965 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,142,770 | BOYAmt |
| EOY | $25,302,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$500,295 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,566,303 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,125,065 | 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 | $3,555,789 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,734,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,232,031 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,882,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $910,686 | CurrentTaxYearAmt |
| Total | $11,315,478 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,555,789 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,734,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,232,031 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,882,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $910,686 | CurrentTaxYearAmt |
| Total | $11,315,478 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $751,340 | SubstantialContributorsTotAmt |
| Public Support Total170 | $10,564,138 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $430,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $596,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $481,167 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $422,016 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $477,385 | CurrentTaxYearAmt |
| Total | $2,408,208 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $86,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,750 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $71,250 | CurrentTaxYearMinus1YearAmt |
| Total | $322,145 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,045,831 | TotalSupportAmt |
| Public Support CY170 | 0.75210 | PublicSupportCY170Pct |
| Public Support PY170 | 0.75040 | 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 | GIFT OF HEALTH GALA - 2013 AMOUNT: $ 68,125. 2014 AMOUNT: $ 83,250. 2015 AMOUNT: $ 56,750. 2016 AMOUNT: $ 71,250. 2017 AMOUNT: $ 0. FUN RUN TICKET SALES - 2013 AMOUNT: $ 18,095. 2014 AMOUNT: $ 24,675. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,385,146 | BeginningYearBalanceAmt |
| Contributions | $1,111,670 | ContributionsAmt |
| Investment Earnings Or Losses | $2,123,336 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $178,458 | GrantsOrScholarshipsAmt |
| Other Expenditures | $80,485 | OtherExpendituresAmt |
| End Year Balance | $14,361,209 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.56000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.44000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ANNUITY PORTFOLIO | $1,220,809 |
| OTHER LONG TERM ASSETS | $21,039 |
| OTHER CURRENT ASSETS | $134,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,375,848 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ANNUITIES PAYABLE | $717,923 |
| PAYABLES TO AFFILIATES | $287,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,005,284 | 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, 2017. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST | ATLANTA | GA | 30303 | 131788491 | 501(C)(3) | $57,570 | GRANTS: HPV RATES & EDUCATION COLLABORATIVES |
| DAYBREAK YOUTH SERVICES | |||||||
| 930 E 3RD AVE | SPOKANE | WA | 99202 | 911083936 | 501(C)(3) | $22,000 | GRANT: ADDRESS TEEN ADDICTION THROUGH COMMUNITY ENGAGEMENT |
| GLOBAL TO LOCAL | |||||||
| 2800 S 192ND ST SUITE 104 | SEATAC | WA | 98188 | 273133200 | 501(C)(3) | $39,782 | GRANT: NATIVE LANGUAGE MULTI-CULTURAL, IMMUNIZATION EDUCATION |
| INTERNATIONAL COMMMUNITY HEALTH SERVICES | |||||||
| PO BOX 3007 | SEATTLE | WA | 981143007 | 910947084 | 501(C)(3) | $95,781 | GRANT: DISSOLVING CULTURE BARRIERS TO WELL CHILD EXAMS & IMMUNIZATIONS |
| ISAAC FOUNDATION | |||||||
| 28 W THIRD SUITE B-10 | SPOKANE | WA | 992013608 | 392061069 | 501(C)(3) | $15,000 | GRANT: K-12 SPECIAL NEEDS FIRST RESPONSE CURRICULUM BUILD |
| KAISER FOUNDATION HEALTH PLAN OF WA | |||||||
| 2701 NW VAUGHN ST STE 490 | PORTLAND | OR | 97210 | 910511770 | 501(C)(3) | $182,916 | GRANTS: PATIENT CARE ENHANCEMENT (I.E. EQUIPMENT, STAFF TRAINING) |
| KITTITAS COUNTY PUBLIC HEALTH | |||||||
| 507 N NANUM ST SUITE 102 | ELLENSBURG | WA | 98926 | 916001349 | KITTITAS COUNTY | $13,262 | GRANT: PROMOTE SEAT BELT & BICYCLE HELMET CHILD SAFETY |
| LEWIS COUNTY PUBLIC HEALTH & SOCIAL SERVICES | |||||||
| 360 NW NORTH ST | CHEHALIS | WA | 98532 | 912118957 | LEWIS COUNTY | $26,900 | GRANT: TO INCREASE VACCINE RATES, INCLUDING HPV3 |
| PUBLIC HEALTH SEATTLE & KING COUNTY | |||||||
| 401 FIFTH AVE 12TH FLOOR | SEATTLE | WA | 98104 | 916001327 | KING COUNTY | $33,496 | GRANT: SBHC HPV VACCINE PROGRAM & EXPANSION PROJECT |
| SEA-MAR COMMUNITY HEALTH CENTER | |||||||
| 1040 S HENDERSON ST | SEATTLE | WA | 98108 | 911020139 | 501(C)(3) | $45,682 | GRANT: INCREASE HPV VACCINES AGES 11-18 |
| SEATTLE CENTER FOUNDATION | |||||||
| 305 HARRISON ST | SEATTLE | WA | 98109 | 911003385 | 501(C)(3) | $37,163 | GRANT: PROVIDE IMMUNIZATION TO PATIENTS OF THE FREE CLINIC EVENT |
| SOMALI HEALTH BOARD | |||||||
| 7050 32ND AVE S | SEATTLE | WA | 98188 | 465114580 | 501(C)(3) | $58,680 | GRANT: PEER TO PEER HEALTH EDUCATION & HEALTH FAIR |
| SPOKANE REGIONAL HEALTH DISTRICT | |||||||
| 1101 W COLLEGE AVE ROOM 360 | SPOKANE | WA | 99201 | 911527532 | SPOKANE COUNTY | $139,500 | GRANT: IIS UTILIZATION ENHANCEMENT PROJECT - IMMUNIZATION DATA |
| TACOMA PIERCE COUNTY HEALTH | |||||||
| 3629 S D ST | TACOMA | WA | 984186813 | 911488160 | PIERCE COUNTY | $25,000 | GRANT: SUSTAINABLE RECRUITMENT OF PROVIDERS & PHARMACISTS |
| VANESSA BEHAN CRISIS NURSERY | |||||||
| 1004 E 8TH AVE | SPOKANE | WA | 99202 | 911196575 | 501(C)(3) | $23,000 | GRANT: 24-HOUR CHILD CARE & CRISIS COUNSELING |
| WASHINGTON HEALTHCARE ACCESS ALLIANCE | |||||||
| PO BOX 14506 | SEATTLE | WA | 981140506 | 262096781 | 501(C)(3) | $50,000 | GRANT: FREE HEALTH CLINIC PROVIDER OF MINI-GRANTS |
| WHATCOM COUNTY HEALTH DEPARTMENT | |||||||
| 509 GIRARD ST | BELLINGHAM | WA | 98225 | 916001383 | WHATCOM COUNTY | $15,840 | GRANT: INCREASE VACCINES VIA NEWBORNS, ELEMENTARY, DENTAL |
| WITHINREACH | |||||||
| 155 NE 100TH ST SUITE 500 | SEATTLE | WA | 98125 | 911443685 | 501(C)(3) | $80,000 | GRANTS: VACCINE HESITANCY E-LEARNING & PUBLIC EDUCATION |
| YMCA OF INLAND NW | |||||||
| 1126 N MONROE | SPOKANE | WA | 99201 | 910827958 | 501(C)(3) | $25,000 | GRANT: CHILDHOOD OBESITY PROGRAM TO ASSESS, ENGAGE, MONITOR |
| YWCA OF SPOKANE | |||||||
| 930 N MONROE ST | SPOKANE | WA | 99201 | 910565025 | 501(C)(3) | $28,000 | GRANT: REDUCE LOW BIRTH WEIGHTS W/FULL CYCLE EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS FOR HEALTH-RELATED CAREER STUDENTS | GrantTypeTxt |
| Recipient | 11 | RecipientCnt |
| Cash Grant | $25,477 | 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 SEMI-ANNUALLY OR 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 | Yes (1) | 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 | ||||||||||||||
| ACTING PRESIDENT & CEO | $0 | $382,472 | $0 | $0 | $0 | $51,525 | $0 | $27,000 | $0 | $5,681 | $0 | $466,678 | $0 | $0 |
| CHRIS HANAK | ||||||||||||||
| CHIEF INVESTMENT OFFICER | $0 | $279,912 | $0 | $0 | $0 | $2,648 | $0 | $27,000 | $0 | $8,806 | $0 | $318,366 | $0 | $0 |
| THERESA TAMURA | ||||||||||||||
| SENIOR ADVISOR | $0 | $145,947 | $0 | $0 | $0 | $254,643 | $0 | $18,155 | $0 | $23,770 | $0 | $442,515 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. THE GROUP HEALTH FOUNDATION PRESIDENT & CEO, FINANCE & ADMINISTRATION DIRECTOR, CIO, AND SENIOR ADVISOR RECEIVE COMPENSATION AND BENEFITS FROM RELATED ORGANIZATION GROUP HEALTH COMMUNITY FOUNDATION. THE GROUP HEALTH COOPERATIVE PRESIDENT AND CEO, THE EXECUTIVE VICE PRESIDENTS, AND THE VICE PRESIDENTS ARE EACH PARTIES TO WRITTEN EMPLOYMENT AGREEMENTS WITH GROUP HEALTH COOPERATIVE THAT PROVIDE FOR COMPENSATION AND BENEFITS. THE FOUNDATION PRESIDENT AND CEO'S COMPENSATION AGREEMENT IS APPROVED BY THE COMPENSATION COMMITTEE OF THE GROUP HEALTH COMMUNITY FOUNDATION BOARD OF TRUSTEES. |
| PART I, LINES 4A-B | THERESA TAMURA RECEIVED $254,643 OF SEVERANCE FROM KAISER PERMANENTE HEALTH PLAN OF WASHINGTON IN JANUARY 2017 PRIOR TO THE ACQUISITION OF GROUP HEALTH FOUNDATION ON 2/1/2017. OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. THE GROUP HEALTH COOPERATIVE PRESIDENT AND CEO, THE EXECUTIVE VICE PRESIDENTS, AND THE VICE PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("THE PLAN") APPROVED BY THE GROUP HEALTH COOPERATIVE BOARD OF TRUSTEES COMPENSATION COMMITTEE AND ADMINISTERED BY THE COMPENSATION COMMITTEE. GROUP HEALTH CREDITS TO THE ACCOUNT OF EACH ACTIVE PARTICIPANT AN ANNUAL CONTRIBUTION AMOUNT OF NINE PERCENT OF THE PARTICIPANT'S BASE SALARY AND 15.3% FOR THE CEO. THE FORMULA FOR THE ANNUAL CONTRIBUTION IS BASED ON THE PARTICIPANT'S BASE SALARY AND EXCLUDES ANY INCENTIVE PLAN OR BONUS PAYMENT AMOUNTS. THE PLAN BALANCES ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE UNTIL THE PARTICIPANT HAS VESTED AND MET OTHER PLAN REQUIREMENTS. VESTING OCCURS AFTER EITHER THREE YEARS OR FIVE YEARS FROM THE DATE ON WHICH A PARTICIPANT ENTERS THE PLAN, BASED ON THE PARTICIPANT'S DATE OF HIRE (AS OF JANUARY 1, 2008, ALL NEW EXECUTIVE VICE PRESIDENT AND VICE PRESIDENT HIRES ARE SUBJECT TO A FIVE-YEAR VESTING SCHEDULE). PARTICIPANTS WHO INCUR A SEPARATION FROM SERVICE PRIOR TO THEIR VESTING DATE ARE NOT ELIGIBLE FOR PLAN DISTRIBUTIONS UNLESS CERTAIN PLAN CONDITIONS ARE MET. A PARTICIPANT REMAINS ELIGIBLE TO PARTICIPATE UNTIL HIS OR HER ACCOUNT BALANCE IS EITHER FULLY DISTRIBUTED OR FORFEITED. |
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 ARTICLES OF INCORPORATION IN 2017 TO CHANGE THE PURPOSE TO BE CONSISTENT WITH THE CHARITABLE PURPOSE OF THE NEWLY FORMED GROUP HEALTH COMMUNITY FOUNDATION (TO IMPROVE HEALTH AND WELLBEING). THE AMENDMENTS ALSO REMOVED GROUP HEALTH COOPERATIVE AS THE SOLE MEMBER AND REPLACED IT WITH GROUP HEALTH COMMUNITY FOUNDATION. |
| 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 | AN ANNUAL CONFLICT OF INTEREST FORM WAS COLLECTED FROM THE BOARD OF DIRECTORS AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MADE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS OWN WEBSITE. THE CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. FOUNDATION FORM 990 IS ALSO AVAILABLE ON THE WEBSITE. |
| FORM 990, PART XI, LINE 9: | ACQUISITION INDEBTEDNESS DUE TO THIRD PARTY -6,125,065. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GROUP HEALTH COMMUNITY FOUNDATION | |||||||||||
| 810 3RD AVE SUITE 220 | SEATTLE | WA | 98104 | 300889914 | IMPROVE THE HEALTH OF WASHINGTON COMMUNITIES | WA | 501(C)(4) | N/A | 0 | ||
| GROUP HEALTH COOPERATIVE | |||||||||||
| PO BOX 9009 | RENTON | WA | 980579009 | 910511770 | HOSPITAL | WA | 501(C)(3) | N/A | 0 | LINE 3 | |
| GROUP HEALTH NORTHWEST | |||||||||||
| PO BOX 9009 | RENTON | WA | 980579009 | 911216856 | INACTIVE | WA | 501(C)(3) | 0 | LINE 11 | GHC | |
| KAISER FOUNDATION HEALTH PLAN OF WA | |||||||||||
| 2701 NW VAUGHN ST STE 490 | PORTLAND | OR | 97210 | 910511770 | HEALTH CARE SERVICES | WA | 501(C)(3) | N/A | 0 | LINE 3 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| GROUP HEALTH OPTIONS INC | |||||||||
| 601 UNION ST SUITE 3100 | SEATTLE | WA | 98101 | 911467158 | INSURANCE | WA | GHC | C | 0 |
| GROUP HEALTH SERVICES INC | |||||||||
| 601 UNION ST SUITE 3100 | SEATTLE | WA | 98101 | 911392222 | INACTIVE | WA | GHC | C | 0 |
| GROUP HEALTH OF WASHINGTON | |||||||||
| 601 UNION ST SUITE 3100 | SEATTLE | WA | 98101 | 911314907 | INACTIVE | WA | GHC | C | 0 |
| 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 | $1,232,937 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |