2025-11-15T08:21:13-05:00 2024-12-31 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-01-01 910593059 SUMMIT PACIFIC MEDICAL FOUNDATION SUMM 3603462250 600 EAST MAIN STREET ELMA WA 98541 BRAD THOMAS FOUNDATION DIRECTOR 3603462222 2025-11-06 true true RIKKI PATCH P01472231 5092420874 2025-11-15 2024 2025-03-06 01:10:19Z NATE ROOT 600 EAST MAIN STREET ELMA WA 98541 2129793 false X SUMMITPACIFICMEDICALCENTER.ORG/FOUNDAT X 1950 WA TO PROVIDE FINANCIAL SUPPORT THAT ENHANCES THE QUALITY AND AVAILABILITY OF HEALTHCARE SERVICES AND PROGRAMS ENJOYED BY THE RESIDENTS OF GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, DBA SUMMIT PACIFIC MEDICAL CENTER. 8 8 0 105 0 470769 2059341 0 214 28749 -65469 -76273 405514 2011817 73496 692208 0 0 0 102474 73113 150372 146609 842580 258905 1169237 1384820 2514764 650 1384820 2514114 TO PROVIDE FINANCIAL SUPPORT THAT ENHANCES THE QUALITY AND AVAILABILITY OF HEALTHCARE SERVICES AND PROGRAMS ENJOYED BY THE RESIDENTS OF GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, DBA SUMMIT PACIFIC MEDICAL CENTER. false false 692208 692208 TO PROVIDE SPECIFIC ASSISTANCE TO SUMMIT PACIFIC MEDICAL CENTER AND THE COMMUNITY SERVICED BY THE HOSPITAL DISTRICT IN REGARDS TO HEALTH CARE. THE HOSPITAL DISTRICT BENEFITS APPROXIMATELY 21,000 RESIDENTS. THE FOUNDATION CONTRIBUTED APPROXIMATELY 637,000 TO THE HOSPITAL AND 55,000 TO THE COMMUNITY DURING THE YEAR. 692208 true true false false false false false false false false false false false false false false false false false false false false false false true false false true true false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false true true false false false false false false X 8 8 false false false false false false false true true false false true false false false false false false X JAMES HANSEN 3603462246 600 EAST MAIN STREET ELMA WA 98541 X NATE ROOT PRESIDENT 1.00 X X 0 0 0 DAVID BURNETT VICE PRESIDE 1.00 X X 0 0 0 PATTI AMBROSE SECRETARY 1.00 X X 0 0 0 KATIE COLLETTE DIRECTOR 1.00 X 0 0 0 GARRETT STONEY DIRECTOR 1.00 X 0 0 0 BRIAN SMITH DIRECTOR 1.00 X 0 0 0 KRISTI TEMPLETON DIRECTOR 1.00 X 0 0 0 AMY THOMASON DIRECTOR 1.00 X 0 0 0 BRAD THOMAS FOUNDATION D 20.00 X 0 0 0 false false false 282688 1776653 2059341 28749 28749 41703 282688 117976 -76273 -76273 2011817 -47524 645087 645087 47121 47121 2500 2500 59065 59065 764 764 13978 13978 OTHER 74065 30656 43409 842580 692208 47898 102474 410110 1110798 974710 1403966 1384820 2514764 650 0 650 X 1384820 1426231 1087883 1384820 2514114 1384820 2514764 1169237 -39943 X false false false X 271570 151509 550882 470769 2059341 3504071 271570 151509 550882 470769 2059341 3504071 1494821 2009250 856 323 756 214 28749 30898 98440 29818 44343 41703 214304 3749273 0.53590 0.68520 X PART II, LINE 10 FUNDRAISING EVENT INCOME 172,601 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GOLF TOURNAMENT 186787 185087 1700 15 9664 40896 17082 RIDE THE HARBOR 52803 15000 37803 5706 3928 17951 239590 200087 39503 15 9664 46602 3928 35033 95242 -55739 true GRAYS HARBOR COUNTY PUBLIC HOSPITAL 600 EAST MAIN STREET ELMA WA 98541 911158307 501C3 637293 CONSTRUCTION & EQUIP 1 SCHOLARSHIPS 16 25650 EMPLOYEE ASSISTANCE 18 9728 PATIENT ASSISTANCE 39 9640 COMMUNITY NEEDS 13 2103 SCHEDULE I, PAGE 1, PART I, LINE 2 THE FOUNDATION MONITORS ITS FINANCIAL ASSISTANCE OF THE HOSPITAL BY MAINTAINING CLOSE CONTACT BETWEEN THE GOVERNING BODIES. REQUESTS FOR FINANCIAL ASSISTANCE GENERALLY ARE INITIATED FROM THE HOSPITAL DISTRICT'S CFO AND APPROVED BY THE FOUNDATION BOARD PRIOR TO DISBURSEMENT. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE FOUNDATION DIRECTOR WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT. THE BOARD ALSO REVIEWS THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE PREPARER IS AUTHORIZED TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.