2024-11-15T08:05:15-06:00 2023-12-31 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2023-01-01 911030686 ISLAND HOSPITAL FOUNDATION ISLA 3602994201 1211 24TH STREET ANACORTES WA 98221 JOHN WARD TREASURER 3602994201 2024-11-12 1 0 SOLOMON MARDAKHAEV P01806552 6105653930 2024-11-12 2023 2024-10-15 13:58:12Z ELLIOTT JOHNSON 1211 24TH STREET ANACORTES WA 98221 1483492 0 X WWW.ISLANDHOSPITALFOUNDATION.ORG X 1978 WA TO RAISE FUNDS TO SUPPORT ISLAND HEALTH AND ITS COMMITMENT TO COMMUNITY HEALTH. 16 16 0 60 0 0 3384720 1189491 0 0 297699 270279 -62887 -108249 3619532 1351521 1203097 1054407 0 0 75591 94992 0 0 0 198841 93683 1477529 1243082 2142003 108439 7504647 8648468 698445 77563 6806202 8570905 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 1092986 1054407 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. 1092986 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 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X X JENNIFER VANDENHEUVE MEGAN WOOD 3602991300 1211 24TH STREET ANACORTES WA 98221 X LAURA BROWN-SNIDER PAST PRESIDENT (THRU DEC 2023) 3.00 X X 0 0 0 JAMES TANGARO PAST-PRESIDENT (THRU DEC 2023) 1.00 X X 0 0 0 CONNIE MILLER TREASURER 1.00 X X 0 0 0 TROY KUNZ SECRETARY 1.00 X X 0 0 0 DAVID BJORNSON DIRECTOR 1.00 X 0 0 0 HILLARY HAUG DIRECTOR 1.00 X 0 0 0 BRIAN HAYES DIRECTOR (THRU DEC 2023) 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 (THRU DEC 2023) 1.00 X 0 0 0 BILL RABEL DIRECTOR 1.00 X 0 0 0 VANESSA RYAN DIRECTOR 1.00 X 0 0 0 MEREDITH STONEMAN DIRECTOR 1.00 X 0 0 0 GINA WALSH DIRECTOR (THRU DEC 2023) 1.00 X 0 0 0 MIKE WARD DIRECTOR 1.00 X 0 0 0 SHERLE WEBB-ROBINS DIRECTOR (THRU OCT 2023) 1.00 X 0 0 0 PAUL ZAWILA DIRECTOR 1.00 X 0 0 0 JANIE CRANE FOUNDATION DIRECTOR (THRU OCT 2023) 40.00 X 0 0 0 DR PAUL HAMMER PRESIDENT 3.00 X 0 0 0 0 0 0 0 0 0 1 0 527748 661743 343802 1189491 279851 279851 9572 -9572 -9572 -9572 0 527748 122399 -122399 -122399 14150 0 14150 14150 1351521 0 0 162030 1038279 1038279 16128 16128 94992 38579 56413 12603 12603 10926 10926 150 150 23531 23531 3680 3680 LICENSE/DUES/FEES 17148 17148 BOARD EXPENSE 16503 16503 WEBSITE FEES 8044 8044 EMPLOYEE CAMPAIGN EXPEN 803 803 295 295 1243082 1092986 150096 0 643011 596694 1875098 2550 6300 500 3000 4983488 8042474 7504647 8648468 466533 77563 231912 0 698445 77563 X 5731968 7496671 1074234 1074234 6806202 8570905 7504647 8648468 X 108439 437507 1218757 X 0 0 0 X 1380746 2244825 1552924 3384720 1189491 9752706 1380746 2244825 1552924 3384720 1189491 9752706 2952602 6800104 66437 57197 120751 118572 279851 642808 183032 183032 10578546 0.64280 0.68140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4983488 2380164 700342 7594 10926 8045474 3569016 2331963 -383868 514780 18843 4983488 2960354 685429 53968 22799 3569016 2729658 444468 198104 15668 2960354 2348626 401327 4700 15595 2729658 0.96700 0.03300 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 527748 527748 26267 41669 54463 527748 527748 26267 41669 54463 122399 -122399 1 SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (DBA ISLAND HOSPITAL) 1211 24TH STREET ANACORTES WA 98221 910729255 ISLAND HOSPITAL 1038279 0 SUPPORT OF HOSPITAL 1 0 ONCOLOGY MEDICAL RELIEF GRANTS 37 16128 PART I, LINE 2: COMMON EXECUTIVE MANAGEMENT ENSURE THAT ALL FUNDS TRANSFERRED TO ISLAND HEALTH ARE USED FOR INTENDED PURPOSES. FOUNDATION AND IH 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. 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: $80,611 OTHER REPORTABLE COMPENSATION: $12,637 RETIREMENT AND OTHER DEFERRED COMPENSATION: $0 NONTAXABLE BENEFITS: $0 X 6 298702 AVG HIGH/LOW X IN-KIND GIFTS 34 45100 FMV 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWED THE FULL FORM 990, INCLUDING DISCLOSURES, PRIOR TO FILING. A COPY OF THE FORM 990 IS ALSO PROVIDED TO THE FULL BOARD OF DIRECTORS ONCE THIS REVIEW IS COMPLETE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY A. POLICY STATEMENT THE ISLAND HEALTH FOUNDATION (IHF) IS A CHARITABLE ORGANIZATION WHOSE BOARD MEMBERS AND STAFF ARE CHOSEN TO SERVE THE PUBLIC PURPOSES TO WHICH IT IS DEDICATED. THESE PERSONS HAVE A DUTY TO CONDUCT THE AFFAIRS OF IHF IN A MANNER CONSISTENT WITH SUCH PURPOSES AND NOT TO ADVANCE THEIR PERSONAL INTERESTS. THE PURPOSE OF THIS POLICY IS TO PROTECT IHF AND ITS INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF AN IHF BOARD OR STAFF MEMBER, OR THAT MAY RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THIS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE AND FEDERAL LAWS GOVERNING CONFLICTS OF INTEREST APPLICATION TO NONPROFIT AND CHARITABLE ORGANIZATIONS. B. DEFINITIONS I. CONFLICT OF INTEREST: COMPETING PERSONAL AND PROFESSIONAL INTEREST, WHEREBY PERSONAL INTERESTS MAY BE IN CONFLICT WITH PROFESSIONAL ROLES AND RESPONSIBILITIES. II. PERSONAL INTEREST: MOTIVATED BY PERSONAL GAIN, WHICH MAY INVOLVE FINANCIAL INTERESTS, PERSONAL RELATIONSHIPS OR ACTIVITIES OUTSIDE OF WORK. III. FINANCIAL INTEREST: DRIVEN BY THE POTENTIAL FOR PERSONAL FINANCIAL GAIN. FINANCIAL INTERESTS MAY INCLUDE STOCKS, BONDS, SECURITIES, AND OTHER INVESTMENTS IN WHICH AN INDIVIDUAL, OR SOMEONE WITH WHOM THEY HAVE A PERSONAL RELATIONSHIP, HAS A FINANCIAL STAKE. IV. OUTSIDE ACTIVITIES: ENGAGING IN ACTIVITIES OUTSIDE WORK THAT APPEAR TO BE IN CONFLICT WITH PROFESSIONAL ROLES. EXAMPLES INCLUDE SERVING ON THE BOARD OF A COMPETITOR, WORKING FOR A COMPETITOR OR HAVING A FINANCIAL INTEREST (OWNERSHIP OR INVESTMENT) IN A COMPETITOR. V. INTERESTED PERSON: ANY BOARD DIRECTOR, IHF STAFF MEMBER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. B. INDEPENDENT BOARD DIRECTOR A BOARD DIRECTOR SHALL BE CONSIDERED "INDEPENDENT" FOR THE PURPOSES OF THIS POLICY IF HE OR SHE IS "INDEPENDENT" AS DEFINED IN THE INSTRUCTIONS FOR THE IRS 990 FORM OR, UNTIL SUCH DEFINITION IS AVAILABLE, THE BOARD DIRECTOR I. IS NOT, AND HAS NOT BEEN FOR A PERIOD OF AT LEAST THREE YEARS, AN EMPLOYEE OF ISLAND HEALTH FOUNDATION OR ANY ENTITY IN WHICH THE IHF HAS A FINANCIAL INTEREST II. DOES NOT DIRECTLY OR INDIRECTLY HAVE A SIGNIFICANT BUSINESS RELATIONSHIP WITH IHF, WHICH MIGHT AFFECT INDEPENDENCE IN DECISION-MAKING III. IS NOT EMPLOYED AS AN EXECUTIVE OF ANOTHER CORPORATION WHERE ANY OF IHF'S OFFICERS OR EMPLOYEES SERVE ON THAT CORPORATION'S COMPENSATION COMMITTEE IV. DOES NOT HAVE AN IMMEDIATE FAMILY MEMBER WHO IS AN EXECUTIVE OFFICER OR EMPLOYEE OF IHF OR WHO HOLDS A POSITION THAT HAS A SIGNIFICANT FINANCIAL RELATIONSHIP WITH IHF. C. PROCEDURES I. DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE. II. RECUSAL OF SELF: ANY BOARD DIRECTOR MAY RECUSE HIM OR HERSELF AT ANY TIME FROM INVOLVEMENT IN ANY DECISION OR DISCUSSION IN WHICH THE DIRECTOR BELIEVES HE OR SHE HAS OR MAY HAVE A CONFLICT OF INTEREST, WITHOUT GOING THROUGH THE PROCESS FOR DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS. III. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR EXECUTIVE COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IV. PROCEDURE FOR ADDRESSING CONFLICT OF INTEREST A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR EXECUTIVE COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. A DESIGNATED MEMBER OF THE BOARD OR EXECUTIVE COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER IHF CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE IHF'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR AGREEMENT. V. VIOLATIONS OF CONFLICT OF INTEREST POLICY A. IF THE BOARD OR EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE BOARD MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. D. RECORDS OF PROCEEDINGS THE MINUTES OF THE BOARD MEETING AND ALL COMMITTEE MEETINGS WITH BOARD DELEGATED POWERS, WHERE CONFLICT OF INTEREST PROCEDURES IS ADDRESSED, SHALL CONTAIN I. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR EXECUTIVE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. II. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. E. APPROVAL ORIGINAL APPROVAL 1ST REVIEW 2ND REVIEW 3RD REVIEW 4TH REVIEW 5TH REVIEW GOVERNANCE COMMITTEE 3/14/2024 EXECUTIVE COMMITTEE 2/16/2016 BOARD OF DIRECTORS 2/25/2016 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. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSACTIONS 1,218,757.