INATAI COMMUNITY FUND: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- INATAI COMMUNITY FUND (EIN 91-1246278)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-10
- IRS object ID
- 201712839349301821
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-10T18:27:26-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | Cory Sbarbaro | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 2067888900 | PhoneNum |
| Signature | 2017-10-05 | 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 | 2017-10-03 | 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 | 2017-10-05 | IPDt |
| IP Tm | 18:36:05 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0DE81CB41944505B9BC2FA3342C111157DB70BE9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0DE81CB41944505B9BC2FA3342C111157DB70BE9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Cory Sbarbaro | 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 | $15,432,369 | 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 THE HEALTH OF OUR COMMUNITIES BY PARTNERING WITH GROUP HEALTH COOPERATIVE, A 501(C)(3) ORGANIZATION, TO INVEST IN RESEARCH, QUALITY HEALTH CARE AND COMMUNITY PARTNERSHIPS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 229 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,232,030 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,882,725 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,018,945 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,174,924 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$304,263 | PYOtherRevenueAmt |
| CY Other Revenue | -$227,469 | CYOtherRevenueAmt |
| PY Total Revenue | $2,946,712 | PYTotalRevenueAmt |
| CY Total Revenue | $3,830,180 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,989,398 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,533,194 | 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 | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $282,751 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $156,064 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $159,622 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $0 | PYOtherExpensesAmt |
| CY Other Expenses | $225,594 | CYOtherExpensesAmt |
| PY Total Expenses | $3,272,149 | PYTotalExpensesAmt |
| CY Total Expenses | $2,914,852 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$325,437 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $915,328 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,686,350 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,142,770 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,771,270 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,215,748 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,915,080 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,927,022 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GROUP HEALTH FOUNDATION (THE FOUNDATION) IS A NOT FOR PROFIT ORGANIZATION UNDER SECTION 170(B)(1)(A)(VI) OF THE INTERNAL REVENUE CODE. THE FOUNDATION'S PURPOSE IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PARTNERING WITH GROUP HEALTH COOPERATIVE, A 501(C)(3) CHARITABLE ORGANIZATION, TO INVEST IN INNOVATIVE RESEARCH, QUALITY HEALTH CARE AND COMMUNITY PARTNERSHIPS. TO THAT END, IN 2016, THE FOUNDATION AWARDED GRANTS, PROVIDED TECHNICAL ASSISTANCE, AND CONDUCTED SPECIFIC PROGRAMS FUNDED THROUGH A VARIETY OF SOURCES, DESIGNED TO PROMOTE CHILDREN'S HEALTH AND FITNESS, HEALTH EDUCATION AND PREVENTIVE CARE, HEALTH CARE QUALITY, HEALTH-RELATED RESEARCH, AND DIVERSITY. THESE ACTIVITIES ARE INTENDED TO ULTIMATELY PRODUCE HEALTHIER COMMUNITIES AND MORE AFFORDABLE HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,685,244 | ExpenseAmt |
| Grant | $1,662,706 | GrantAmt |
| Desc | QUALITY OF CARE AND SERVICE-THE PARTNERSHIP FOR INNOVATION PROGRAM PARTNERS FRONT-LINE STAFF AND PHYSICIANS, OPERATIONAL LEADERS AND PROGRAM EVALUATION EXPERTS WITH SUPPORT FROM FOUNDATION DONORS. INNOVATION GRANTS FUND PILOT PROJECTS WHICH SHOW PROMISE; PILOTS ARE EVALUATED AND SUCCESSFUL PROJECTS ARE IMPLEMENTED IN THE ORGANIZATION AND MAY BE PUBLISHED AND MADE AVAILABLE TO THE PUBLIC.INNOVATION GRANTSIN 2016 A MORE DIRECT CONNECTION TO CLINCIAL IMPROVEMENT IDEAS AND OPERATIONAL FEASIBILITY WAS ESTABLISHED. GRANTS WERE AWARDED FOR A VARIETY OF PILOT PROJECTS, INCLUDING FALL PREVENTION FOR HOME-BOUND SENIORS, PRESCRIPTION MANAGEMENT FOR PATIENTS WITH MULTIPLE DRUGS WITH VARYING REFILL DATES, PROVIDING PALLIATIVE CARE FOR LATE-STAGE DEMENTIA PATIENTS, AND USING TECHNOLOGY NOTIFICATIONS TO IMPROVE PATIENT OUTREACH. ENHANCING MEDICAL CARE-ENHANCED CARE FOR GROUP HEALTH PATIENTS BY PURCHASING NEW EQUIPMENT AND SUPPORTING PATIENT EDUCATION MATERIALS.-ENHANCED THE QUALITY OF CARE AVAILABLE IN THE COMMUNITY BY FUNDING HEALTHCARE-RELATED SCHOLARSHIPS, TRAINING, AND EDUCATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $654,831 | ExpenseAmt |
| Grant | $518,484 | GrantAmt |
| Desc | CHILDREN'S HEALTH-THE CAMPAIGN TO INCREASE IMMUNIZATION RATES BEGAN IN 2008 WITH STRATEGIES TO ADDRESS VACCINE HESITANCY AND TO INCREASE ACCESS TO FREE IMMUNIZATIONS. IN 2016, THE FOUNDATION CONTINUED ITS SUCCESSFUL IMMUNIZATION PROGRAMS INCLUDING PROGRAMMING FOCUSED ON INCREASING HUMAN PAPILLOMAVIRUS (HPV) VACCINATION RATES.IMMUNIZATION-IN PARTNERSHIP WITH WASHINGTON STATE DEPARTMENT OF HEALTH, WHEN THE CENTERS FOR DISEASE CONTROL CHANGED THE HPV DOSAGE RECOMMENDATIONS FROM THREE DOSES TO TWO, GHF SENT POSTCARDS TO PARENTS OF EVERY 11-YEAR OLD IN THE STATE. A PREVIOUS GRANT TO GROUP HEALTH RESEARCH INSTITUTE SHOWED A STATISTICALLY SIGNIFICANT INCREASE IN ACTION WHEN PARENTS WERE REMINDED OF THE NEED TO IMMUNIZE THEIR 11-YEAR OLD AGAINST HPV RELATED CANCERS. GHF CONTINUED TO SUPPORT THE "IMMUNITY COMMUNITY" PILOT, WHICH RECRUITS AND TRAINS VOLUNTEER PARENT IMMUNIZATION ADVOCATES IN SETTINGS WHERE PARENTS GATHER AND SHARE INFORMATION (SCHOOLS, EARLY LEARNING CENTERS), GIVING THEM TRAINING, TOOLS, RESOURCES AND TECHNICAL ASSISTANCE TO REINFORCE THE VALUE OF A HEALTHY COMMUNITY THROUGH IMMUNIZATIONS, CHANGE LOCAL IMMUNIZATION POLICY PRACTICES AND ULTIMATELY YIELD FEWER IMMUNIZATION EXEMPTIONS.-FUNDED RESEARCH AND PROGRAMS IN COMMUNITIES AROUND THE STATE TO COMBAT LOW IMMUNIZATION RATES AND TO INCREASE AWARENESS OF HPV AND THE RECOMMENDED VACCINATION SCHEDULE. GRANTS FOCUSED ON POPULATIONS AND COMMUNITIES WITH PARTICULARLY LOW HPV VACCINATION RATES.-SUPPORTED A STATE-WIDE IMMUNIZATION CONFERENCE, AS WELL AS QUARTERLY MEETINGS OF ORGANIZATIONS WORKING ON HPV ACROSS THE STATE TO SHARE INFORMATION AND BEST PRACTICES. FUNDED A PORTABLE VACCINATION SCHEDULE MADE AVAILABLE TO PROVIDERS ACROSS THE STATE.HEALTH EDUCATION-MAINTAINED THE HEALTH TREK FITNESS AND NUTRITION WEBSITE SERVING OVER 1000 UNDUPLICATED VISITORS PER MONTH DURING THE SCHOOL YEAR. MAINTAINED THE BLOOD & GUTS HEALTH EDUCATION PROGRAM WHERE HANDS-ON EXHIBITS WERE LOANED TO COMMUNITY AGENCIES 50 TIMES IN 2016 REACHING OVER 6,000 PEOPLE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $210,975 | ExpenseAmt |
| Grant | $210,975 | GrantAmt |
| Desc | PREVENTION AND HEALTH PROMOTION - GRANTS AND PROGRAMS FOCUSED ON PREVENTING INJURY AND ILLNESS, AND ON INSTlILING HEALTHY HABITS. EXAMPLES OF GRANTS FUNDED INCLUDE A PILOT INVESTIGATING WAYS TO INCREASE AND MAINTAIN ENROLLMENT IN SMOKING CESSATION CLASSES, AND A PROGRAM DESIGNED TO DECREASE FALL-RELATED INJURIES BY INCREASING ELDERLY PATIENTS' STRENGTH AND BALANCE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $141,028 | ExpenseAmt |
| Grant | $141,028 | GrantAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $141,028 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $141,028 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $2,692,078 | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | 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 | Yes (1) | 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 | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | Scott Polovitch-Davis | 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 (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| KEVIN SULLIVAN | |||||||
| DIRECTOR/ CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NEIL L MCREYNOLDS | |||||||
| DIRECTOR / VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM ELLIOTT | |||||||
| DIRECTOR/ TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SCOTT ARMSTRONG | |||||||
| DIRECTOR/ SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $2,110,915 | $142,134 | 39.00 |
| DIANA BIRKETT RAKOW | |||||||
| PRESIDENT | 8.00 | Yes (X) | $0 | $591,873 | $53,046 | 32.00 | |
| GRACE CHIEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA GAINER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE A JOHNSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC B LARSON MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $632,569 | $46,947 | 39.00 | |
| TONY RICHARDSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE RUGABER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SAMUEL SELINGER MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBIN L SHULER CPA MBA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA TREHEARNE PHD RN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $535,808 | $211,223 | 39.00 | |
| JUDITH SCHURKE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY NICKELS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GERARD FISCHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $439,181 | $73,452 | 39.00 | |
| CHRISTOPHER CABLE MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CYNTHIA CHIROT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| A Gabriel Jones | |||||||
| Director (through 12/16) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,310,346 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $526,802 | 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 |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Westin | |||||
| 1900 5th Ave | SEATTLE | WA | 98101 | Event services & space | $155,647 |
| PRR | |||||
| 1501 4th Ave | SEATTLE | WA | 98101 | Public Relations Consulting | $106,252 |
| TOLO EVENTS LLC | |||||
| 2717 WESTERN AVE STE 1106 | SEATTLE | WA | 98121 | EVENT MANAGEMENT | $102,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $520,368 | FundraisingAmt |
| All Other Contributions | $1,362,357 | AllOtherContributionsAmt |
| Noncash Contributions | $154,718 | NoncashContributionsAmt |
| Total Contributions | $1,882,725 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $422,016 | TotalRevenueColumnAmt |
| Exclusion | $422,016 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,056,378 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,303,470 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,752,908 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,752,908 | TotalRevenueColumnAmt |
| Exclusion | $1,752,908 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $71,250 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $520,368 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $298,719 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$227,469 | TotalRevenueColumnAmt |
| Exclusion | -$227,469 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,830,180 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,947,455 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,454,242 | TotalAmt |
| Program Services | $2,454,242 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,952 | TotalAmt |
| Program Services | $78,952 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,064 | TotalAmt |
| Fundraising | $156,064 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,152 | TotalAmt |
| Management And General | $63,152 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,786 | TotalAmt |
| Program Services | $132,786 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,558 | TotalAmt |
| Fundraising | $3,558 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| children's books | $22,476 | $22,476 |
| miscellaneous expense | $3,622 | $3,622 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,914,852 | TotalAmt |
| Program Services | $2,692,078 | ProgramServicesAmt |
| Management And General | $63,152 | ManagementAndGeneralAmt |
| Fundraising | $159,622 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $523,101 | BOYAmt |
| EOY | $3,393,657 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,858 | BOYAmt |
| EOY | $19,104 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,700 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,321,656 | BOYAmt |
| EOY | $18,981,993 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,811,035 | BOYAmt |
| EOY | $1,748,016 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,686,350 | BOYAmt |
| EOY | $24,142,770 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,460,959 | BOYAmt |
| EOY | $1,223,903 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,310,311 | BOYAmt |
| EOY | $991,845 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,771,270 | BOYAmt |
| EOY | $2,215,748 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,057,179 | BOYAmt |
| EOY | $5,864,687 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,218,997 | BOYAmt |
| EOY | $6,392,908 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,638,904 | BOYAmt |
| EOY | $9,669,427 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,915,080 | BOYAmt |
| EOY | $21,927,022 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,686,350 | BOYAmt |
| EOY | $24,142,770 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $915,328 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $96,614 | 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 | $2,597,733 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,555,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,734,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,232,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,882,725 | CurrentTaxYearAmt |
| Total | $13,002,525 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,597,733 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,555,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,734,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,232,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,882,725 | CurrentTaxYearAmt |
| Total | $13,002,525 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,102,972 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,899,553 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $508,627 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $430,699 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $596,941 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $481,167 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $422,016 | CurrentTaxYearAmt |
| Total | $2,439,450 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,415 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86,220 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $107,925 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $71,250 | CurrentTaxYearAmt |
| Total | $416,560 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,858,535 | TotalSupportAmt |
| Public Support CY170 | 0.75040 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76700 | 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 - 2012 Amount: $ 78,875. 2013 Amount: $ 68,125. 2014 Amount: $ 83,250. 2015 Amount: $ 56,750. 2016 Amount: $ 71,250. fun run ticket sales - 2012 Amount: $ 15,540. 2013 Amount: $ 18,095. 2014 Amount: $ 24,675. 2015 Amount: $ 0. 2016 Amount: $ 0. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,146,713 | BeginningYearBalanceAmt |
| Contributions | $79,198 | ContributionsAmt |
| Investment Earnings Or Losses | $1,412,993 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $238,892 | GrantsOrScholarshipsAmt |
| Other Expenditures | $14,866 | OtherExpendituresAmt |
| End Year Balance | $11,385,146 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.65230 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.34770 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| annuity portfolio | $1,660,471 |
| time share condo | $7,469 |
| life insurance policies csv | $23,195 |
| CASH SURRENDeR VALUE | $56,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,748,016 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| annuities payable | $762,042 |
| annuities reserve | $10,670 |
| payables to affiliates | $219,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $991,845 | 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 OF CREATING BETTER HEALTH. PROCEEDS MAY BE USED TO FUND THE FOUNDATION'S GRANT OR SCHOLARSHIP PROGRAMS OR BE USED DIRECTLY TO ENHANCE PATIENT CARE AT GROUP HEALTH OR IN THE COMMUNITY. |
| Part X, Line 2: | GHO IS SUBJECT TO FEDERAL INCOME TAXES AND IS NOT SUBJECT TO ANY STATE INCOME TAX FILING REQUIREMENTS. GHC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (THE CODE) AS A CHARITABLE ORGANIZATION UNDER SECTION 501(C)(3) OF THE CODE, EXCEPT FOR UNRELATED BUSINESS INCOME TAX. THE FOUNDATION HAS RECEIVED A DETERMINATION LETTER FROM THe INTERNAL REVENUE SERVICE (IRS) THAT IT IS A TAX-EXEMPT PUBLIC FOUNDATION IN ACCORDANCE WITH SECTION 501(C)(3) AND A PUBLIC CHARITY IN ACCORDANCE WITH SECTION 170(B)(1)(A)(VI) OF THE CODE. CMA IS CONSIDERED A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES AND WOULD BE INCLUDED WITH ANY GHC FEDERAL INCOME TAX FILING. DEFERRED INCOME TAXES ARE RECOGNIZED FOR THE TAX CONSEQUENCES IN FUTURE YEARS OF THE DIFFERENCES BETWEEN THE TAX BASIS OF ASSETS AND LIABILITIES AND THE FINANCIAL REPORTING AMOUNTS AT EACH YEAR END BASED ON ENACTED TAX LAWS AND STATUTORY TAX RATES APPLICABLE TO THE PERIODS IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. IN ASSESSING THE REALIZABILITY OF DEFERRED TAX ASSETS, MANAGEMENT CONSIDERS WHETHER IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. THE ULTIMATE REALIZATION OF DEFERRED TAX ASSETS IS DEPENDENT UPON THE GENERATION OF FUTURE TAXABLE INCOME DURING THE PERIODS IN WHICH THOSE TEMPORARY DIFFERENCES BECOME DEDUCTIBLE. MANAGEMENT CONSIDERS THE SCHEDULED REVERSAL OF DEFERRED TAX LIABILITIES (INCLUDING THE IMPACT OF AVAILABLE CARRYBACK AND CARRYFORWARD PERIODS), PROJECTED FUTURE TAXABLE INCOME, AND TAX PLANNING STRATEGIES IN MAKING THIS ASSESSMENT. VALUATION ALLOWANCES ARE ESTABLISHED, WHEN NECESSARY, TO REDUCE DEFERRED TAX ASSETS TO THE AMOUNT EXPECTED TO BE REALIZED. INTEREST AND PENALTIES, IF ANY, ARE RECOGNIZED AS OTHER EXPENSE IN THE PERIOD IN WHICH THE INTEREST WOULD BE ACCRUING ACCORDING TO TAX LAW OR IN THE PERIOD THE TAX POSITION IS INITIALLY TAKEN. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| TSM DONOR ENGAGEMENT | ||||||||
| 155 commerce drive | freedom | PA | 15042 | TELEFUNDRAISING | 0 | $157,479 | $89,752 | $67,727 |
| HARRIS CONNECT LLC | ||||||||
| 4835 LBJ FREEWAY STE 1100 | DALLAS | TX | 75244 | TELEFUNDRAISING | 0 | $33,646 | $19,176 | $14,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $191,125 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $108,928 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $82,197 | TotalNetToOrganizationAmt |
| Licensed States | WA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $591,618 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $520,368 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $71,250 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $10,089 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $102,410 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $155,647 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $30,573 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $591,618 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $520,368 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $71,250 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $10,089 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $102,410 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $155,647 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $30,573 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $298,719 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$227,469 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Boyer Childrens Clinic Health Center | |||||||
| 1850 BOYER AVE EAST | SEATTLE | WA | 98112 | 911316838 | 501(c)(3) | $53,850 | EXPAND IMMUNIZATIONS FOR CHILDREN WITH SPECIAL HEALTH NEEDS |
| Group Health Cooperative | |||||||
| 320 Westlake Ave N | SEATTLE | WA | 98109 | 910511770 | 501(c)(3) | $1,969,515 | GENERAL CONTRIBUTION |
| Newport School District | |||||||
| DISTRICT NO 56-415 PO BOX 70 | NEWPORT | WA | 99156 | 911036287 | Pend Oreille County | $31,600 | School population health program |
| Northwest Pediatric Center | |||||||
| 1911 COOKS HILL ROAD | CENTRALIA | WA | 98531 | 911622914 | Lewis County | $20,000 | Increase HPV vaccination rates in Lewis & Thurston counties |
| Sea-Mar Community Health Center | |||||||
| 1040 S HENDERSON ST | SEATTLE | WA | 98108 | 911020139 | 501(c)(3) | $46,818 | INCREASE COMPLETION OF HPV VACCINE SERIES IN 11-18 YEAR OLDS |
| Spokane Regional Health District | |||||||
| 1101 W College Ave Room 360 | SEATTLE | WA | 99201 | 911527532 | spokane county | $31,551 | Completion of mobile clinic toolkit |
| Wahkiakum County Health & Human Services | |||||||
| 64 MAIN STREET | CATHLAMET | WA | 98612 | 916001377 | whatcom county | $7,465 | Boost HPV immunization rates in Wahkiakum County |
| Whatcom County Health Department | |||||||
| 509 GIRARD STREET | BELLINGHAM | WA | 98225 | 916001383 | whatcom county | $45,000 | Interventions to increase vaccination rate among ESL student populations |
| WithinReach | |||||||
| 155 NE 100th St Suite 500 | SEATTLE | WA | 98125 | 911443685 | 501(c)(3) | $210,221 | Develop a statewide suite of resources to ensure high immunization rates |
| Bellevue College Foundation | |||||||
| 3000 Landerholm Circle SE A101 | BELLEVUE | WA | 98007 | 911051671 | 501(c)(3) | $2,500 | Health Profession Scholarship |
| Seattle Center Foundation | |||||||
| 305 Harrison Street 302 | SEATTLE | WA | 98109 | 911003385 | 501(c)(3) | $1,919 | Equipment & supplies for community eye exams |
| Seattle Police Foundation | |||||||
| PO Box 456 | SEATTLE | WA | 98111 | 912171529 | 501(c)(3) | $7,500 | Rainier Valley Walk-and-Talk with a Doc |
| Somali Health Board | |||||||
| 7050 32ND AVE | SEATTLE | WA | 98118 | 465114580 | 501(c)(3) | $13,590 | TRAINING PEER-TO-PEER HEALTH EDUCATORS TO PROVIDE CULTURALLY RELEVANT CARE |
| Medical Education Exchange Teams | |||||||
| 2282 NW 72nd St | SEATTLE | WA | 98117 | 465666999 | 501(c)(3) | $5,981 | Support for area physicans global outreach efforts |
| university of washington foundation | |||||||
| 407 herberding hall | seatTLE | WA | 98195 | 916001537 | 501(c)(3) | $6,731 | health profession scholarship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 15 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS FOR HEALTH-RELATED CAREER STUDENTS | 27 | $55,887 |
| emergency assistance grants | 28 | $23,065 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part IV | FormAndLineReferenceDesc |
| Explanation | ALL GRANT RECIPIENTS ARE REQUIRED TO PROVIDE A DESCRIPTION OF THEIR PROJECT AND ITS IMPACT EITHER IN AN APPLICATION OR IN A POST-AWARD ACKNOWLEDGEMENT. IN ADDITION, RECIPIENTS OF GRANTS GREATER THAN $25,000 ARE REQUIRED TO COMPLETE AND SIGN AN ACKNOWLEDGEMENT OF GRANT COMPLIANCE FORM UPON ACCEPTANCE OF THE AWARD, INDICATING THE BEGINNING AND END DATES OF THE PROJECT AND A PROJECT OVERVIEW. SUMMARY REPORTS FOR THESE GRANTS ARE DUE ANNUALLY AND ARE PRESENTED TO THE FOUNDATION PROGRAM COMMITTEE, AND UNSPENT FUNDS AT THE GRANT'S CONCLUSION ARE RETURNED TO THE FOUNDATION. THE FOUNDATION ENSURES THAT GRANT FUNDS ARE USED IN THE US VIA THEIR APPLICATION REVIEW AND FOLLOW UP PROCESS. THE FOUNDATION ALSO MANAGES DONATIONS RESTRICTED FOR THE USE OF PARTICULAR GROUP HEALTH PROGRAMS AND DEPARTMENTS. AFTER AN EXPENSE THAT MEETS A DONOR RESTRICTION HAS BEEN INCURRED, THE DEPARTMENT'S MANAGER MAY REQUEST A REIMBURSEMENT. THE REIMBURSEMENT MUST BE APPROVED BY BOTH THE DEPARTMENT'S ADMINISTRATOR AND A FOUNDATION MANAGER. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT ARMSTRONG | ||||||||||||||
| DIRECTOR/ SECRETARY | $0 | $1,102,213 | $0 | $799,771 | $0 | $208,931 | $0 | $120,746 | $0 | $21,388 | $0 | $2,253,049 | $0 | $0 |
| DIANA BIRKETT RAKOW | ||||||||||||||
| PRESIDENT | $0 | $328,299 | $0 | $187,955 | $0 | $75,619 | $0 | $30,346 | $0 | $22,700 | $0 | $644,919 | $0 | $53,128 |
| ERIC B LARSON MD | ||||||||||||||
| DIRECTOR | $0 | $400,180 | $0 | $176,325 | $0 | $56,064 | $0 | $30,346 | $0 | $16,601 | $0 | $679,516 | $0 | $0 |
| BARBARA TREHEARNE PHD RN | ||||||||||||||
| DIRECTOR | $0 | $343,195 | $0 | $151,670 | $0 | $40,943 | $0 | $194,846 | $0 | $16,377 | $0 | $747,031 | $0 | $0 |
| GERARD FISCHER | ||||||||||||||
| DIRECTOR | $0 | $312,572 | $0 | $120,088 | $0 | $6,521 | $0 | $58,599 | $0 | $14,853 | $0 | $512,633 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | 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. SERP CONTRIBUTIONS - VESTED SCOTT ELLIOT ARMSTRONG, DIRECTOR/SECRETARY 167,888 DIANA Birkett RAKOW, PRESIDENT 72,817 ERIC LARSON, DIRECTOR 35,924 BARBARA TREHEARNE, DIRECTOR 31,483 SERP CONTRIBUTIONS - NONVESTED GERARD FISCHER, DIRECTOR 28,253 |
| Part II (A) | SCOTT ARMSTRONG - DIRECTOR/SECRETARY: OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. SCOTT ARMSTRONG IS THE PRESIDENT AND CEO OF GROUP HEALTH COOPERATIVE AND RECEIVES THE COMPENSATION AND BENEFITS FROM GROUP HEALTH COOPERATIVE. DIANA BIRKETT RAKOW - PRESIDENT: OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. DIANA BIRKETT RAKOW IS AN EMPLOYEE OF GROUP HEALTH COOPERATIVE. BY CONTRACT, GROUP HEALTH COOPERATIVE CONTRIBUTES THE TIME AND SERVICES OF MS. BIRKETT RAKOW TO SERVE AS PRESIDENT OF THE FOUNDATION. ERIC LARSON - DIRECTOR: DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. ERIC LARSON IS AN EMPLOYEE OF GROUP HEALTH COOPERATIVE AND RECEIVES HIS COMPENSATION AND BENEFITS FROM GROUP HEALTH COOPERATIVE. BARBARA TREHEARNE, PHD, RN - DIRECTOR: DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. BARBARA TREHEARNE IS AN EMPLOYEE OF GROUP HEALTH COOPERATIVE AND RECEIVES HER COMPENSATION AND BENEFITS FROM GROUP HEALTH COOPERATIVE. |
| PART I, LINE 3 | OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION AND BENEFITS FROM THE FOUNDATION. THE GROUP HEALTH 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 PRESIDENT AND CEO'S COMPENSATION AGREEMENT IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $144,629 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Collectibles CollectiblesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,099 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Airline Tickets | 6 | $6,300 | FMV |
| Yes (X) | Wine tours | 3 | $2,210 | FMV |
| Yes (X) | Event tickets | 2 | $300 | FMV |
| Yes (X) | Dinner and hotel stay | 1 | $180 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | GROUP HEALTH FOUNDATION HAS REPORTED ON SCHEDULE M, PART I, COLUMN (B) THE TOTAL NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Cooperative is the sole member. GROUP HEALTH COOPERATIVE IS A 501(C)(3) 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 BOARD OF DIRECTORS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE & AUDIT COMMITTEE. THE ORGANIZATION'S DIRECTOR OF OPERATIONS WORKED WITH THE GROUP HEALTH COOPERATIVE MANAGER OF STATUTORY AND TAX REPORTING AND THE OUTSIDE ACCOUNTING FIRM ENGAGED TO PREPARE THE RETURN. SUBSEQUENT TO ITS PREPARATION, THE FINANCE & AUDIT COMMITTEE REPORTED BACK TO THE BOARD REGARDING ITS REVIEW OF THE FORM 990. A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO ALL VOTING MEMBERS PRIOR TO FILING WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c | DIRECTOR AND OFFICER WRITTEN CONFLICT OF INTEREST DISCLOSURE: GHF DIRECTORS AND OFFICERS SHALL PROVIDE A WRITTEN DECLARATION OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST OR ATTEST THAT NO SUCH CONFLICTS EXIST ON AN ANNUAL BASIS USING FORMS AND PROCEDURES DEVELOPED BY GHF IN CONSULTATION WITH THE CHIEF COMPLIANCE OFFICER OF GROUP HEALTH. THE CHIEF COMPLIANCE OFFICER, OR HIS/HER DESIGNEE, WILL REVIEW THE ANNUAL DISCLOSURES FOR COMPLIANCE WITH THIS POLICY. ANY APPARENT CONFLICTS OF INTEREST OR INSTANCES OF NONCOMPLIANCE WITH THIS POLICY WILL BE REFERRED BY THE CHIEF COMPLIANCE OFFICER TO THE CHAIR OF THE GHF FOR RESOLUTION AS DESCRIBED BELOW. DURING THE YEAR, DIRECTORS AND OFFICERS SHALL REPORT MATERIAL ADDITIONS OR CHANGES TO THE INFORMATION PROVIDED ON ANNUAL CONFLICT OF INTEREST DECLARATIONS. THESE ADDITIONS OR CHANGES TO THE DECLARATIONS WILL BE SUBMITTED AND ASSESSED BY THE CHIEF COMPLIANCE OFFICER AND FORWARDED TO THE CHAIR OF THE GHF, AS NECESSARY, FOLLOWING THE PROCESS USED FOR ANNUAL DECLARATIONS. THE CHAIR OF THE GHF SHALL COUNSEL ANY DIRECTOR OR OFFICER ABOUT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AND OTHER INSTANCES OF NONCOMPLIANCE WITH THIS POLICY, INCLUDING APPARENT UNDISCLOSED CONFLICTS OF INTEREST AND, IF NOT RESOLVED TO HIS/HER SATISFACTION, SHALL PLACE THE MATTER ON THE AGENDA OF AN EXECUTIVE SESSION. THE CHIEF COMPLIANCE OFFICER WILL SUPPORT THE CHAIR IN FULFILLING THIS RESPONSIBILITY. DIRECTOR DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICT OF INTERESTS IN ADVANCE OF BOARD ACTION. EACH DIRECTOR IS OBLIGATED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN SUCH AN INTEREST BECOMES A MATTER FOR BOARD ACTION. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST, INCLUDING ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE REMAINING MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS. IF THERE IS A CONFLICT OF INTEREST, THE INTERESTED PERSON MAY PROVIDE A PRESENTATION TO THE BOARD OR COMMITTEE REGARDING THE TRANSACTION AND ANSWER ANY QUESTIONS REGARDING THE PROPOSED TRANSACTION. THE INTERESTED PERSON MUST THEN LEAVE THE MEETING DURING ANY DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTED IN A CONFLICT OF INTEREST. AFTER THE INTERESTED PERSON HAS LEFT THE BOARD OR COMMITTEE MEETING, THE REMAINING MEMBERS SHALL FIRST DISCUSS WHETHER IT IS APPROPRIATE TO APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AN EXAMPLE OF A CIRCUMSTANCE WHERE IT MAY NOT BE APPROPRIATE TO INVESTIGATE ALTERNATIVES WOULD BE CONFLICTS ARISING IN THE GHF'S GRANT MAKING AND AWARDING PROCESS. THE PURPOSE OF SUCH INVESTIGATION SHALL BE WHETHER THE GHF CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES, THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE SHALL VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERING WHETHER IT IS IN THE BEST INTEREST OF GHF AND FAIR AND REASONABLE TO GHF. OFFICER DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICT OF INTERESTS: GHF OFFICERS SHALL DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN SUCH AN INTEREST IS RELEVANT TO A MATTER IN WHICH THEY HAVE A ROLE, EITHER DIRECTLY OR THROUGH A SUBORDINATE ACTING AT THEIR DIRECTION. ANY GHF OFFICER HAVING AN ACTUAL CONFLICT OF INTEREST RELATED TO A MATTER AT ISSUE SHOULD NOT PARTICIPATE IN THE MATTER OR USE HIS/HER PERSONAL OR PROFESSIONAL INFLUENCE ON THE MATTER. ANY GHF OFFICER WHO MAY HAVE A POTENTIAL CONFLICT OF INTEREST IS EXPECTED TO ABSTAIN FROM PARTICIPATION OR STATING HIS/HER POSITION IN THE MATTER. CONSULTATION WITH THE CHIEF COMPLIANCE OFFICER IS RECOMMENDED WHEN IT IS DIFFICULT TO DETERMINE WHETHER THE CIRCUMSTANCES CONSTITUTE A CONFLICT OF INTEREST. |
| Form 990, Part VI, Section C, line 19 | WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST. FOUNDATION FORM 990 IS ALSO AVAILABLE ON THE WEBSITE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GROUP HEALTH COOPERATIVE | |||||||||||
| PO BOX 9009 | RENTON | WA | 980579009 | 910511770 | HOSPITAL | WA | 501(c)(3) | Line 3 | N/A | 0 | |
| GROUP HEALTH NORTHWEST | |||||||||||
| PO BOX 9009 | RENTON | WA | 980579009 | 911216856 | INACTIVE | WA | 501(c)(3) | Line 11 | 0 | GHC | |
| group health community foundation | |||||||||||
| 810 3RD AVE SUITE 220 | Seattle | WA | 98104 | 300889914 | Addressing health-related social welfare needs | WA | 501(c)(4) | N/A | 0 | ||
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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |