2024-04-17T12:28:32-05:00 2023-06-30 930623286 ALDRICH CPAS AND ADVISORS LLP 1903 WRIGHT PLACE 180 CARLSBAD CA 92008 990 2022-07-01 651225184 PEACEHEALTH KETCHIKAN MEDICAL CENTER FOUNDATION PEAC 9078214020 3100 TONGASS AVENUE KETCHIKAN AK 99901 LANETTA LUNDBERG PRESIDENT 9078214020 2024-03-15 1 LANETTA LUNDBERG 999009999 1 DEBRA D SMITH CPA P00646873 7604318440 2024-03-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LANETTA LUNDBERG 3100 TONGASS AVENUE KETCHIKAN AK 99901 460112 0 X WWW.PEACEHEALTH.ORG/FOUNDATION/KETCHIKAN X 2004 AK IMPROVE THE HEALTH & LIVES OF COMMUNITY MEMBERS BY RAISING FUNDS & PROVIDING CHARITABLE SUPPORT. 7 6 0 20 0 0 165446 193175 0 0 656013 26958 27396 22889 848855 243022 150619 261486 0 0 0 0 0 0 3746 7883 7754 158502 269240 690353 -26218 2869668 3014558 0 0 2869668 3014558 TO ACQUIRE AND RECOGNIZE CHARITABLE GIFTS AND BEQUESTS TO ASSIST PEACEHEALTH KETCHIKAN MEDICAL CENTER FULFILL ITS MISSION, ADHERE TO ITS CORE VALUES AND PROVIDE EXCEPTIONAL MEDICINE AND COMPASSIONATE CARE TO THE SOUTHEAST ALASKA REGION. 0 0 261486 261486 THE FOUNDATION PROVIDES SUPPORT TO PEACE HEALTH KETCHIKAN MEDICAL CENTER. 261486 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AK X SACRED HEART MEDICAL CENTER FOUNDATION 5412227112 123 INTERNATIONAL WAY SPRINGFIELD OR 97477 DORI STEVENS DIRECTOR, CAO KETCHIKAN MED. CENTER 1.00 40.00 X 0 345925 18318 LANETTA LUNDBERG PRESIDENT 1.00 X X 0 0 0 LEIF THOMPSON VICE PRESIDENT 1.00 X X 0 0 0 CHELSEA GOUCHER SECRETARY 1.00 X X 0 0 0 DIANE LILJEGREN MD DIRECTOR 1.00 X 0 0 0 SHANNON SILVERTHORN DIRECTOR 1.00 X 0 0 0 DANIEL SCHLECHT DIRECTOR 1.00 X 0 0 0 MARIE LINDELLI-HORTON FOUNDATION MANAGER 40.00 X 0 119083 10683 0 465008 29001 0 0 1 0 0 193175 12472 193175 60205 60205 145563 178810 -33247 -33247 -33247 61169 38280 22889 22889 243022 0 0 49847 261486 261486 3511 3511 OTHER EXPENSES 4243 0 497 3746 269240 261486 4008 3746 162635 219817 917541 883991 0 38850 20153 20154 1753453 1836561 15886 15185 2869668 3014558 0 0 X 1114921 1176971 1754747 1837587 2869668 3014558 2869668 3014558 X -26218 171809 -701 X 0 1 X 1 0 X 230165 91338 166322 165446 193175 846446 230165 91338 166322 165446 193175 846446 91469 754977 42595 39254 44388 40187 60205 226629 36603 66892 0 0 0 103495 1176570 300705 0.64170 0.61670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1307826 134686 50445 1392067 1525553 1000 -218727 1307826 1237691 3100 290762 6000 1525553 1240976 4500 42176 49961 1237691 1261521 2000 55224 77769 1240976 1.00000 0 0 0 X 792805 171809 382186 553995 238810 3511 701 4212 243022 647915 382186 382186 265729 3511 3511 269240 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR CAPITAL, SCHOLARSHIPS AND ACCESS CARE (CHARITY CARE). PART X, LINE 2: FOR THE YEARS ENDED JUNE 30, 2023 AND 2022, MANAGEMENT OF THE FOUNDATION BELIEVES THERE HAS BEEN NO ACTIVITY THAT WOULD JEOPARDIZE THE TAX POSITION, BEING A TAX EXEMPT ORGANIZATION, AND THAT IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THIS POSITION WOULD BE SUSTAINED UPON EXAMINATION. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. THERE WERE NONE FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN GIFT ANNUITY OBLIGATIONS 701. 1 PEACEHEALTH 1115 SE 164TH VANCOUVER WA 98683 910939479 501(C)(3) 249014 12472 FMV MATERIALS/LAP QUILTS GENERAL/MEDICAL ASSISTANCE 1 0 PART I, LINE 2: THE FOUNDATION RECEIVES BACKUP DOCUMENTATION (USUALLY IN THE FORM OF AN INVOICE) FROM THE GRANTEE SHOWING FUNDS WERE USED FOR THEIR INTENDED PURPOSE. X X X X 1 1 0 0 0 0 0 0 0 0 0 DORI STEVENS DIRECTOR, CAO KETCHIKAN MED. CENTER 0 291128 0 51645 0 3152 0 5991 0 12327 0 364243 0 0 PART I, LINE 1A PEACEHEALTH (A RELATED ORGANIZATION) HAS POLICES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR THESE ITEMS. FOR EXAMPLE TRAVEL FOR COMPANIONS AND HOUSING ALLOWANCES ARE RELATED TO RELOCATION BENEFITS OR FIRST CLASS TRAVEL FOR FLIGHTS EXCEEDING SIX HOURS IN DURATION. THESE BENEFITS WERE REPORTED AND TREATED AS TAXABLE. PART I, LINE 3 THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES. EMPLOYEES ARE COMPENSATED BY PEACEHEALTH (A RELATED ORGANIZATION) WHICH USES A MARKET BASED COMPENSATION PROGRAM UTILIZING SEVERAL INDEPENDENT THIRD PARTY COMPENSATION MARKET SURVEYS TO ESTABLISH PAY RANGES FOR THE POSITION. PEACEHEALTH THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND IS PRESENTED TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REMINDED TO RECUSE THEMSELVES FROM VOTING ON ITEMS THAT INVOLVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT HAVE ANY PAID EMPLOYEES. EMPLOYEES ARE COMPENSATED BY PEACEHEALTH (A RELATED ORGANIZATION) WHICH USES A MARKET BASED COMPENSATION PROGRAM UTILIZING SEVERAL INDEPENDENT THIRD PARTY COMPENSATION MARKET SURVEYS TO ESTABLISH PAY RANGES FOR THE POSITION. PEACEHEALTH THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE/SKILLS/COMPETENCE TO DO THE JOB. THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST VIA MAIL OR E-MAIL. FORM 990, PART XI, LINE 9: CHANGE IN GIFT ANNUITY OBLIGATIONS -701. PEACEHEALTH 1115 SE 164TH AVE SUITE 332 VANCOUVER WA 98683 910939479 HOSPITAL WA 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0