2023-11-14T15:00:58-06:00 2022-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2022-01-01 911030686 ISLAND HOSPITAL FOUNDATION ISLA 3602994201 1211 24TH STREET ANACORTES WA 98221 CONSTANCE MILLER TREASURER 3602994201 2023-11-14 1 CONSTANCE MILLER 999009999 1 TERRI REXRODE CPA MST P00096513 9206620016 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PAUL HAMMER 1211 24TH STREET ANACORTES WA 98221 6217628 0 X WWW.ISLANDHOSPITALFOUNDATION.ORG X 1978 WA TO RAISE FUNDS TO SUPPORT ISLAND HEALTH AND ITS COMMITMENT TO COMMUNITY HEALTH. 14 14 0 60 0 0 1552924 3384720 0 0 321040 297699 -20739 -62887 1853225 3619532 935651 1203097 0 0 58740 75591 45000 0 15423 141720 198841 1181111 1477529 672114 2142003 5869911 7504647 515060 698445 5354851 6806202 X THE MISSION OF THE FOUNDATION IS TO RAISE FUNDS TO SUPPORT ISLAND HEALTH AND ITS COMMITMENT TO COMMUNITY HEALTH IN AND AROUND ANACORTES, WASHINGTON. 0 0 1296211 1203097 0 SINCE 1962, ISLAND HEALTH (FORMERLY ISLAND HOSPITAL) HAS PROVIDED HIGH QUALITY, COMPASSIONATE AND PERSONALIZED HEALTH CARE TO OUR COMMUNITY. ISLAND HEALTH MAINTAINS A PROGRESSIVE STAND IN DELIVERING THE BEST HEALTH CARE EXPERIENCES FOR PATIENTS AND THEIR FAMILIES BY PLACING THEIR EMOTIONAL AND MEDICAL NEEDS FIRST AND FOREMOST. ISLAND HEALTH FOUNDATION SUPPORTS ISLAND HEALTH'S VITAL MISSION BY RAISING MUCH-NEEDED FUNDS FOR THE BENEFIT OF COMMUNITY HEALTH. FOUNDED IN 1978, THE FOUNDATION IS AN INDEPENDENT, NONPROFIT CORPORATION HEADED BY A 21-MEMBER VOLUNTEER BOARD OF DIRECTORS. THESE DEDICATED COMMUNITY AND BUSINESS LEADERS GENEROUSLY DONATE THEIR TIME, TALENTS, AND ENERGY TO DIRECT THE FOUNDATION'S POLICIES, PROVIDE FIDUCIARY OVERSIGHT, IMPLEMENT THE ANNUAL FUNDRAISING PLAN AND TO SECURE ITS FINANCIAL FUTURE THROUGH FUNDRAISING. THE ISLAND HEALTH FOUNDATION PROVIDES FUNDING FOR COMMITMENTS TO THE ISLAND HEALTH THAT INCLUDE THE HEALTH EDUCATION PROGRAMS, DIRECT CLINIC SUPPORT, MENTAL HEALTH COUNSELING THROUGH THE MENTAL HEALTH INTERVENTION SCHOOL PROGRAM, TWO EMERGENCY DEPARTMENT PATIENT NAVIGATOR POSITIONS ADDRESSING PSYCHIATRY AND BEHAVIORAL HEALTH ISSUES AND ELDER CARE IN THE EMERGENCY DEPARTMENT, THE CHAPLAIN PROGRAM, AND PATIENT PROGRAMS INCLUDED ONCOLOGY RELIEF AND ONCOLOGY LODGING ASSISTANCE. NEW TECHNOLOGY EQUIPMENT ALONG WITH OTHER NEEDS ARE ALSO PROVIDED FOR AS THEY ARISE THROUGH THE YEAR. ADDITIONALLY, ISLAND HEALTH FOUNDATION PROVIDES FUNDING FOR HOSPITAL RENOVATION AND EXPANSION COSTS NOT MET BY TAX REVENUE. 1296211 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X X CINDY ANDERSON MEGAN WOOD 3602991300 1211 24TH STREET ANACORTES WA 98221 X LAURA BROWN-SNIDER PRESIDENT 3.00 X X 0 0 0 TROY KUNZ SECRETARY 1.00 X X 0 0 0 CONNIE MILLER TREASURER 1.00 X X 0 0 0 JAMES TANGARO PAST-PRESIDENT 1.00 X X 0 0 0 SHIRLEY VACANTI PAST-PRESIDENT (TERMED) 1.00 X X 0 0 0 DANA ANDRICH DIRECTOR (TERMED) 1.00 X 0 0 0 DAVID BJORNSON DIRECTOR 1.00 X 0 0 0 BRIAN HAYES DIRECTOR 1.00 X 0 0 0 DARYL HICKS DIRECTOR 1.00 X 0 0 0 ELLIOTT JOHNSON DIRECTOR 1.00 X 0 0 0 DIANNE KUHN DIRECTOR 1.00 X 0 0 0 BILL RABEL DIRECTOR 1.00 X 0 0 0 VANESSA RYAN DIRECTOR 1.00 X 0 0 0 DON SCHMUDE DIRECTOR (TERMED) 1.00 X 0 0 0 GARY THEBAULT DIRECTOR (TERMED) 1.00 X 0 0 0 GINA WALSH DIRECTOR 1.00 X 0 0 0 SHERLE WEBB-ROBINS DIRECTOR 1.00 X 0 0 0 PAUL ZAWILA DIRECTOR 1.00 X 0 0 0 JANIE CRANE FOUNDATION DIRECTOR 40.00 X 0 0 0 DR PAUL HAMMER VICE PRESIDENT 3.00 X 0 0 0 0 0 0 0 0 0 1 0 641761 2742959 1831902 3384720 118572 118572 2688997 2509870 179127 179127 179127 16789 641761 83726 -66937 -66937 8550 4500 4050 4050 3619532 0 0 234812 1177961 1177961 25136 25136 75591 75591 11070 11070 18843 14293 4550 3894 3894 141449 78136 51844 11469 23585 685 22840 60 1477529 1296211 165895 15423 819559 643011 1469615 1875098 9121 2550 2600 500 3569016 4983488 5869911 7504647 117997 466533 397063 231912 515060 698445 X 4058756 5731968 1296095 1074234 5354851 6806202 5869911 7504647 2142003 -681567 -9085 0 X 0 0 0 X 1261108 1380746 2244825 1552924 3384720 9824323 1261108 1380746 2244825 1552924 3384720 9824323 2844646 6979677 55519 66437 57197 120751 118572 418476 10242799 379475 0.68140 0.76200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3569016 2331963 -383868 514780 18843 4983488 2960354 685429 53968 22799 3569016 2729658 444468 198104 15668 2960354 2348626 401327 4700 15595 2729658 2552097 -179108 8055 16308 2348626 0.91350 0.04000 0.04650 0 0 0 PART V, LINE 4: THE INCOME FROM THE ENDOWMENTS IS TO BE USED FOR TWO PURPOSES: 1) HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS 2) PROVIDE FUNDS FOR THE BENEFIT OF THE ISLAND HOSPITAL BIRTH CENTER GALA OF HOPE 657800 641011 16789 4500 6548 31586 41059 GOLF TOURNAMENT 750 750 33 658550 641761 16789 4500 6548 31586 41092 83726 -66937 1 SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (DBA ISLAND HOSPITAL) 1211 24TH STREET ANACORTES WA 98221 910729255 ISLAND HOSPITAL 1170997 0 SUPPORT OF HOSPITAL 1 0 ONCOLOGY MEDICAL RELIEF GRANTS 46 19336 SCHOLARSHIPS 2 5800 PART I, LINE 2: COMMON EXECUTIVE MANAGEMENT ENSURE THAT ALL FUNDS TRANSFERRED TO ISLAND HOSPITAL ARE USED FOR INTENDED PURPOSES. FOUNDATION AND HOSPITAL LEADERS MET REGULARLY WITH THE ANACORTES SCHOOL DISTRICT TO DISCUSS PROGRESS IN THEIR MENTAL HEALTH PROGRAMS, DURING WHICH THE FOUNDATION ENSURED THAT THE FUNDS WERE USED FOR APPROPRIATE PURPOSES. INDIVIDUALS RECEIVING ONCOLOGY GRANTS PROVIDE RECEIPTS SHOWING QUALIFIED EXPENSES AND ARE REIMBURSED. SCHOLARSHIP FUNDS ARE GIVEN DIRECTLY TO THE INDIVIDUAL'S SCHOOL. 0 0 0 0 0 0 0 0 0 SCHEDULE J, PART II FOUNDATION DIRECTOR, JANIE CRANE, RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, SKAGIT COUNTY PUBLIC HOSPITAL DIST #2 (DBA ISLAND HOSPITAL): BASE COMPENSATION: $87,361 BONUS & INCENTIVE COMPENSATION: $2,047 OTHER REPORTABLE COMPENSATION: $38 RETIREMENT AND OTHER DEFERRED COMPENSATION: $5,512 NONTAXABLE BENEFITS: $9,567 X 4 1808790 AVG HIGH/LOW X IN-KIND GIFTS 1 23112 FMV 0 0 1 0 PART I, COLUMN (B): 4 DONORS CONTRIBUTED GIFTS OF STOCK FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWED THE FULL FORM 990, INCLUDING DISCLOSURES, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF THE COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS IHF IS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX-EXEMPT STATUS MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICH DECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL STATEMENT CHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION HAS NO COMPENSATED EMPLOYEES FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.