2024-08-07T17:57:32-05:00 2023-12-31 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2023-01-12 921896475 KOOTENAI HEALTH FOUNDATION INC KOOT 2086254438 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 CHAD MURRAY BOARD CHAIR 2086254438 2024-05-20 1 1 SAM BRUNSON CPA P01696998 4067281800 2024-05-20 2023 2024-08-08 14:25:15Z X X CHAD MURRAY 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 3813324 0 X KOOTENAIHEALTHFOUNDATION.ORG X 2023 ID DEVELOPING, MANAGING, AND STEWARDING PHILANTHROPY TO SUPPORT KOOTENAI HEALTH. 16 16 0 175 0 0 1752770 0 312817 286506 2352093 3594735 0 268266 0 86466 122691 3985692 -1633599 12337566 273657 12063909 TO ADVANCE THE HEALTH OF OUR REGION BY DEVELOPING, MANAGING, AND STEWARDING PHILANTHROPY TO SUPPORT THE SUCCESS OF KOOTENAI HEALTH. 0 0 3555191 3555191 IN 2023, KOOTENAI HEALTH FOUNDATION GAVE KOOTENAI HEALTH OVER $3.5 MILLION TO DIRECTLY BENEFIT THE PATIENTS AND STAFF. THE FOUNDATION WAS ABLE TO PROVIDE:-$2,500,000 TOWARDS HEART CENTER EXPANSION-OVER $57,000 TOWARDS DEPARTMENT EQUIPMENT AND SUPPLIES FOR CRITICAL CARE, CAR SEATS FOR BUSES, PEDIATRIC CART FOR ED-OVER $575,000 TO SUPPORTING STAFF POSITIONS IN ADDITION REC-OVER $233,000 FOR NURSING HOUSING STIPENDS, TELEHEALTH TRAINING-OVER $111,000 TO EMPLOYEE, PATIENT AND COMMUNITY BENEFIT: FAMILY FUND, CANCER PATIENT SUPPORT, CLOTHING CLOSET -OVER $73,000 FOR EMPLOYEE SCHOLARSHIPS AND TRAININGS 22500 22500 IN 2023, ST. MARY'S HEALTH FOUNDATION AND CLEARWATER VALLEY HEALTH & CLINICS FOUNDATION PROVIDED OVER $22,000 TO DIRECTLY BENEFIT THE PATIENTS AND SURROUNDING COMMUNITY.-OVER $21,000 FOR COMMUNITY PROGRAMS INCLUDING FOOD BANKS, GAS GIFT CARDS, YOUTH SPORTS, CHRISTMAS GIFTS FOR CHILDREN IN NEED-$1,500 FOR 3 SCHOLARSHIPS TO STUDENTS SEEKING A DEGREE IN MEDICAL, SCIENTIFIC OR EDUCATIONAL STUDIES 17044 17044 IN 2023, KOOTENAI HEALTH FOUNDATION PROVIDED $17,044 IN SCHOLARSHIPS TO STAFF AT KOOTENAI HEALTH AND TEEN VOLUNTEERS CONTINUING THEIR EDUCATION. -$6,000 IN SCHOLARSHIPS AWARDED TO 7 KOOTENAI HEALTH CLINICAL EMPLOYEES FROM THE CLINICAL SCHOLARSHIP PROGRAM FOR CONTINUING EDUCATION TO ENHANCE PATIENT CARE-$7,044 IN SCHOLARSHIPS AWARDED TO 9 KOOTENAI HEALTH GENERAL EMPLOYEES FROM THE PIERCE FAMILY SCHOLARSHIP PROGRAM FOR CONTINUING EDUCATION, TRAINING, ETC.-$4,000 IN SCHOLARSHIPS TO 4 KOOTENAI HEALTH TEEN VOLUNTEERS TO BEGIN THEIR COLLEGE EDUCATION COURTESY OF THE KIM SVEE MEMORIAL TEEN VOLUNTEER SCHOLARSHIP PROGRAM 3594735 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 3 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 0 0 0 1 1 1 1 1 1 0 0 0 CA X CARA NIELSEN 2086254455 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 CHAD MURRAY CHAIR 1.00 X X 0 0 0 RANDY OAKS VICE CHAIR 1.00 X X 0 0 0 DARIN HAYES SECRETARY 1.00 X X 0 0 0 SCOTT ANDERSON TREASURER 1.00 X X 0 0 0 CHRISTOPHER MEYER PAST CHAIR 1.00 X X 0 0 0 REBECCA BOIFEUILLET DIRECTOR 1.00 X 0 0 0 TODD CHAPMAN DIRECTOR 1.00 X 0 0 0 MARY BRINKMAN DIRECTOR 1.00 X 0 0 0 KREG SHELBY DIRECTOR 1.00 X 0 0 0 SARAH PIERCE DIRECTOR 1.00 X 0 0 0 HEIDI ROGERS DIRECTOR 1.00 X 0 0 0 MIKE STEGMANN DIRECTOR 1.00 X 0 0 0 DR EMILY PETERSEN DIRECTOR 1.00 X 0 0 0 NANCY ALMOND DIRECTOR 1.00 X 0 0 0 DR DEREK KHORSAND DIRECTOR 1.00 X 0 0 0 KELLIE KUSTER DIRECTOR 1.00 X 0 0 0 CARA NIELSEN PRESIDENT 40.00 X 243857 0 25087 243857 0 25087 1 0 1 1 0 294528 25779 1432463 55488 1752770 135482 135482 289835 0 289835 289835 289835 1392915 1215580 177335 177335 177335 226582 294528 239356 -12774 -12774 15740 6295 9445 9445 2352093 0 0 599323 3576191 3576191 18544 18544 177448 136514 40934 87234 67111 20123 3584 3584 13938 13938 24200 24200 32639 32639 23982 23982 9378 7951 1427 12000 12000 2824 2824 BAD DEBT EXPENSE 3730 3730 3985692 3594735 304491 86466 1305398 40156 764129 208698 615 1135000 0 1135000 7781332 13120 0 1089118 0 12337566 260537 0 13120 0 273657 X 9902028 2161881 0 12063909 0 12337566 X -1633599 504652 13192856 X X 0 1 X 1 0 X 1752770 1752770 1752770 1752770 1026971 725799 425317 425317 2178087 X PART II, SHORT YEAR EXPLANATION: THIS IS THE ORGANIZATION'S FIRST YEAR IN EXISTENCE. THIS RETURN COVERS THE SHORT PERIOD FROM JANUARY 12, 2023 TO DECEMBER 31, 2023. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45278 45278 0.00000 1.00000 0.00000 0 0 1135000 1135000 1135000 CASH SURRENDER VALUE OF LIFE INSURANCE 1089118 1089118 LIABILITY UNDER ENDOWMENT 13120 13120 X PART V, LINE 4: THE PRIMARY LONG-TERM FINANCIAL OBJECTIVE FOR THE FOUNDATION'S ENDOWMENTS IS TO PRESERVE THE REAL PURCHASING POWER OF ENDOWMENT ASSETS AND INCOME AFTER ACCOUNTING FOR ENDOWMENT SPENDING AND COSTS OF PORTFOLIO MANAGEMENT. THE ENDOWMENT FUNDS ARE MANAGED TO OPTIMIZE THE LONG RUN TOTAL RATE OF RETURN ON INVESTED ASSETS, ASSUMING A PRUDENT LEVEL OF RISK. THE GOAL FOR THIS RATE OF RETURN IS ONE THAT PROVIDES FUNDING FOR THE FOUNDATION'S EXISTING SPENDING POLICY. THE ENDOWMENT ASSETS ARE GOVERNED BY A SPENDING POLICY THAT SEEKS TO DISTRIBUTE A SPECIFIC PAYOUT RATE OF THE ENDOWMENT BASE TO SUPPORT THE FOUNDATION'S PROGRAMS FOR WHICH THE ENDOWMENTS WERE ESTABLISHED BY THE DONORS. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE. ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THERE ARE ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. KHF FESTIVAL OF TREES 517135 293318 223817 50732 10075 45266 1200 77629 SMF GOLF TOURNAMENT 3975 1210 2765 800 562 2035 2 20545 18076 5000 7436 521110 294528 226582 800 50732 30620 63904 6200 87100 239356 -12774 15740 2200 4095 1 0.70000 15740 2200 4095 6295 9445 ID 1 0 1 0 0.33000 0.67000 LISA VOLLERT 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 0 KALI SINGLETON 0 OVERSEES THE RAFFLES TO MAKE SURE DONE CORRECTLY; NO ADDITIONAL COMPENSATION FOR THESE SERVICES INCLUDED IN REGULAR SALARY FOR HER POSITION. X 0 PART II, LINE 1, COLUMN C: THE KHF GOLF TOURNAMENT AND CVF MOONLIGHT BALL ARE REPORTED IN THIS COLUMN. THE REVENUE FOR THESE EVENTS IS RECORDED ON THE FORMER FOUNDATION FORM 990 AS THE REVENUES WERE EARNED PRIOR TO THE TRANSFER OF ASSETS FROM THE FORMER FOUNDATION TO THE NEW FOUNDATION. 1 KOOTENAI HEALTH 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 STATE OF IDAHO 3543766 0 SUPPORT FOR VARIOUS HOSPITAL DEPARTMENTS CLONINGER'S INCORPORATED 305 MAIN ST PO BOX 464 COTTONWOOD ID 83522 5686 0 SUPPORT FOR COMMUNITY FOOD BANK WITHIN GROCERY STORE 1 1 SCHOLARSHIPS 23 18544 PART I, LINE 2: IN REGARD TO THE ASSISTANCE TO KOOTENAI HEALTH (KH), KH DEPARTMENTS SUBMIT A REQUEST FOR FUNDING FORM THAT IS SIGNED BY THE DIRECTOR AND VICE PRESIDENT FOR THE DEPARTMENT WITH A COPY OF INVOICE. THE REQUEST IS REVIEWED BY THE FOUNDATION TO VERIFY FUNDS AVAILABLE THEN APPROVED BY THE PRESIDENT, IF THE AMOUNT IS UNDER $25,000 AND THE FOUNDATION BOARD, IF OVER $25,000. THE FOUNDATION SCHOLARSHIP COMMITTEES SELECT THE SCHOLARSHIP RECIPIENTS AND PAY THE FUNDS DIRECTLY TO THE COLLEGE OR UNIVERSITY THE RECIPIENT IS ATTENDING. 0 0 0 0 0 0 0 0 0 CARA NIELSEN PRESIDENT 209838 0 0 0 34019 0 6292 0 18795 0 268944 0 0 0 PART II, LINE 1: AN UNRELATED ORGANIZATION, KOOTENAI HEALTH, COMPENSATED THE PRESIDENT OF KOOTENAI HEALTH FOUNDATION FOR SERVICES PROVIDED TO THE FOUNDATION. THEY PAID $268,944 IN BASE SALARY AND EMPLOYER PAID BENEFITS TO CARA NIELSEN. THE FOUNDATION REIMBURSES KOOTENAI HEALTH FOR 75% OF THE SALARY FOR THEIR TIME PROVIDING SERVICES TO THE FOUNDATION. X TREE DISPLAY ITEMS, GIFT CARDS 66 52931 COST X SUPPLIES 11 2557 COST 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS REPORTED IN PART I. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT ARE ABLE TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTANT, PRESIDENT, BOARD CHAIR, TREASURER AND MEMBERS OF THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS ARE REQUIRED TO REPORT CONFLICTS AT REGULAR BOARD MEETINGS. IN ADDITION, THE BOARD MEMBERS AND THE OFFICERS OF THE ORGANIZATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY. IF THERE IS A POTENTIAL CONFLICT, ALL REMAINING BOARD MEMBERS WILL DETERMINE IF A TRUE CONFLICT EXISTS. IF SO, THE INDIVIDUAL WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON THE ISSUE AT HAND. FORM 990, PART VI, SECTION B, LINE 15 ALL EMPLOYEES ARE PAID BY AN UNRELATED ORGANIZATION, KOOTENAI HEALTH. THE COMPENSATION FOR THE PRESIDENT REPORTED IN PART VII IS DETERMINED, DOCUMENTED, AND REVIEWED ANNUALLY BY KOOTENAI HEALTH BASED ON COMPENSATION DATA PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC., AN INDEPENDENT PARTY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 11,220. TRANSFER OF ASSETS FROM OLD FOUNDATION 13,129,363. OTHER ADJUSTMENTS FROM TRANSFER OF ASSETS 52,273. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. THE MARVIN AND ROCHELLE MABERRY UNITRUST 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 826078525 UNITRUST ID KOOTENAI HEALTH FOUNDATION INC T 5585 190623 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0