2024-10-10T19:01:12-05:00 2023-12-31 135565207 KPMG LLP 1300 SOUTHWEST FIFTH AVENUE SUITE 3800 PORTLAND OR 97201 990 2023-01-01 911519430 EVERGREENHEALTH FOUNDATION EVER 4258991900 12040 NE 128TH STREET MS 5 KIRKLAND WA 98034 LORI KLOES EXECUTIVE DIRECTOR 4258991900 2024-10-10 1 1 KYLE C SWARTHOUT P00951911 5032216500 2023 2024-10-15 13:58:12Z LORI KLOES 12040 NE 128TH STREET MS 5 KIRKLAND WA 98034 4586504 0 X WWW.EVERGREENHEALTHFOUNDATION.COM X 1990 WA SUPPORT EVERGREENHEALTH (KING COUNTY PUBLIC HOSPITAL DISTRICT #2) 20 20 0 11 0 0 4123983 3892563 0 0 179157 566288 701387 -257703 5004527 4201148 3384087 4883646 0 0 0 0 0 0 7775 85730 265034 3469817 5148680 1534710 -947532 14776316 13002276 1148911 385713 13627405 12616563 X SEE SCHEDULE O 0 0 4916408 4883646 SEE SCHEDULE O 4916408 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X LORI KLOES 4258991900 12333 NE 130TH LN SUITE 300 KIRKLAND WA 98034 ANTHONY AMBROSE BOARD CHAIR 2.00 X X 0 0 0 JEFF CASHMAN VICE CHAIR 2.00 X X 0 0 0 RACHEL KNIGHT PROGRAM CHAIR 2.00 X X 0 0 0 VICKY NOLLETTE SECRETARY 2.00 X X 0 0 0 MICHELE RUTHERFORD GALA CHAIR 2.00 X X 0 0 0 KELLY WILLIAMS TREASURER 2.00 X X 0 0 0 MEGAN BAUMGARTNER TRUSTEE 2.00 X 0 0 0 SANDY CAIRNS TRUSTEE 2.00 X 0 0 0 DREW COPITZKY TRUSTEE 2.00 X 0 0 0 SHAWN D'AMELIO TRUSTEE 2.00 X 0 0 0 DOUG EDLUND TRUSTEE 2.00 X 0 0 0 BOB FERGUSON TRUSTEE 2.00 X 0 0 0 SUZANNE GREATHOUSE TRUSTEE 2.00 X 0 0 0 GURLEEN GULATI TRUSTEE 2.00 X 0 0 0 MOLLY HILL TRUSTEE 2.00 X 0 0 0 LEAH HOGE TRUSTEE 2.00 X 0 0 0 KARL LINDOR TRUSTEE 2.00 X 0 0 0 HONG QI TRUSTEE 2.00 X 0 0 0 JASON HOLLAWAY TRUSTEE 2.00 X 0 0 0 MATT LARKIN TRUSTEE 2.00 X 0 0 0 LORI KLOES EXECUTIVE DIRECTOR 40.00 X 0 289580 40202 ELENA SILESKY SR. MAJOR GIFTS OFFICER 40.00 X 0 55354 9654 MEGAN WHITMAN MAJOR GIFTS OFFICER 40.00 X 0 106506 15789 SHAUNA SMITH CORP REL & SPEC EVENTS OFF 40.00 X 0 101608 16002 JENNIFER HOYORD SR. MAJ GIFTS OFF (TRM 9/23) 40.00 X 0 52797 16263 MEG POWERS DIRECTOR 40.00 X 0 144096 26626 0 749941 124536 4 0 1 0 0 1256442 2636121 101019 3892563 326695 326695 98393 98393 239593 0 239593 239593 239593 16060 1256442 385356 -369296 -369296 13200 0 13200 13200 4201148 0 0 308585 4883646 4883646 221820 221820 OTHER OPERATING EXPENSE 43214 32762 2677 7775 5148680 4916408 224497 7775 3057345 1745781 1407320 4618355 1162852 632777 20006 21246 29171 67783 9099622 5916334 14776316 13002276 28468 87233 1015443 288480 105000 10000 1148911 385713 X 1512921 2023044 12114484 10593519 13627405 12616563 14776316 13002276 -947532 -63310 0 X 0 1 X 1 0 X 3523206 4979813 5504742 4123983 3993581 22125325 1238620 1456850 1393740 1383844 1456222 6929276 4761826 6436663 6898482 5507827 5449803 29054601 3663752 25390849 267542 208905 222953 252411 425088 1376899 30431500 0.83440 0.83380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5148680 5148680 407434 101859 0 0 338184 415282 323491 407434 1484391 2226587 84546 103821 80873 101859 371099 556649 4135986 6700 225362 123896 13 3939556 4426886 222106 -390701 122292 13 4135986 3892444 78375 571838 115771 4426886 3882948 6600 120032 117136 3892444 3292235 10300 689183 108770 3882948 0.41000 0.59000 0.00000 0 0 0 5594060 -63310 1456222 1392912 4201148 0 4201148 6604902 1456222 1456222 5148680 0 5148680 2023 GALA 1155171 1144171 11000 18176 65550 3800 237160 HOSPICE MML 117331 112271 5060 8766 14466 37438 1272502 1256442 16060 26942 80016 3800 274598 385356 -369296 13200 0 13200 13200 0 0 0 0 0 0 1 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 DBA EVERGREENHEALTH 12040 NE 128TH STREET KIRKLAND WA 98034 910844563 GOVERNMENT 4839383 44263 BY DONOR ITEMS FOR HOSPITAL SUPPORT HOSPITAL PROGRAMS PART I: DESCRIPTION OF PROCEDURE FOR MONITORING USE OF FUNDS THE MISSION OF THE FOUNDATION IS TO SUPPORT EVERGREENHEALTH. THE DIFFERENCE BETWEEN THE OPERATION OR RESTRICTED FUNDS AND THE PURPOSE RESTRICTED FUNDS IS DONOR INTENT. IN THE OPERATION FUNDS, THE DONOR HAS SPECIFIED A DEPARTMENT BUT NOT A SPECIFIC PURPOSE FOR THEIR DONATIONS. THESE FUNDS ARE IMMEDIATELY TRANSFERRED TO EVERGREENHEALTH AND THE HOSPITAL CAN IMMEDIATELY INCREASE ITS REVENUES AS LONG AS THE DEPARTMENT HAD EXPENSES AT THAT POINT DURING THE YEAR THAT CAN BE USED TO OFFSET THE FUNDS. THE PURPOSE RESTRICTED FUNDS ARE DONATED WITH A SPECIFIC PURPOSE (LIKE BUYING EQUIPMENT FOR A CHILD BIRTH CENTER OR BABY WARMERS FOR MATERNAL-FETAL MEDICINE). THESE FUNDS ARE HELD AT THE FOUNDATION AND PUT INTO A RESTRICTED FUND. THIS MONEY WILL REMAIN IN THE RESTRICTED FUND UNTIL THE EXPENSE IS INCURRED AND A TRANSFER REQUEST IS FILLED OUT AND APPROVED FOR THE USE OF FUNDS FOR THE PURPOSE THAT WAS INDICATED BY THE DONOR AT THE TIME THE GIFT WAS RECEIVED. 0 0 0 0 0 0 0 0 0 LORI KLOES EXECUTIVE DIRECTOR 0 289580 0 0 0 0 0 23376 0 16826 0 329782 0 0 MEG POWERS DIRECTOR 0 144096 0 0 0 0 0 10281 0 16345 0 170722 0 0 X 475 DONOR DETERMINED X 8 1685 DONOR DETERMINED X 3 370 DONOR DETERMINED X 2 276 DONOR DETERMINED X LODGING 9 33839 DONOR DETERMINED X QUILTS & BLANKETS 12 24696 DONOR DETERMINED X WINES 22 12262 DONOR DETERMINED X CONCERTS 1 6000 DONOR DETERMINED X SPORTS 4 5940 DONOR DETERMINED X AIRFARE 2 5800 DONOR DETERMINED X DINING 14 3895 DONOR DETERMINED X OTHER 13 3586 DONOR DETERMINED X PHOTOGRAPHY 2 1620 DONOR DETERMINED X GIFT CARDS 4 575 DONOR DETERMINED 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS RECIEVED IS USED RATHER THAN NUMBER OF ITEMS RECEIVED. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION THE FOUNDATION WAS FOUNDED IN 1990 AS A NONPROFIT, CHARITABLE CORPORATION ORGANIZED TO MEET THE NEEDS OF EVERGREENHEALTH (KING COUNTY PUBLIC HOSPITAL DISTRICT #2). THE PURPOSE OF THE FOUNDATION IS TO ENCOURAGE, RECEIVE, ADMINISTER, AND DISBURSE DONATED FUNDS TO THE HOSPITAL BASED ON DONOR INTENT. CHARITABLE DONATIONS AND BEQUESTS UNDERWRITE CARE FOR THOSE IN OUR COMMUNITY AND PROVIDE EQUIPMENT AND SERVICES TO ASSURE QUALITY OF CARE. LINE 4A, PROGRAM SERVICE THE PRIMARY FOUNDATION CONTRIBUTIONS TO EVERGREENHEALTH INCLUDED SUPPORT FOR THE RENOVATION AND EXPANSION OF THE FAMILY MATERNITY CENTER AND NICU, SUPPORT FOR THE HOSPICE CARE CENTER, PURCHASE AND INSTALLATION OF A LINEAR ACCELERATOR, DEVELOPMENT OF A NEW CLINICAL EXCELLENCE TRAINING CENTER, PATIENT ASSISTANCE AND INFECTION CONTROL SUPPORT. IN ADDITION, THE FOUNDATION SUPPORTED OTHER SMALLER PROGRAMS WITHIN EVERGREENHEALTH. THE HOSPITAL PAYS FOR SOME FOUNDATION EXPENSES INCLUDING ALL FOUNDATION STAFF SALARIES AND BENEFITS. THE FOUNDATION REIMBURSES THE HOSPITAL FOR FUNDRAISING EXPENSES, BUT ALL ADMINISTRATIVE EXPENSES (WHICH INCLUDE SALARIES AND BENEFITS) ARE RECORDED BY THE FOUNDATION AS DONATION REVENUE WITH AN OFF-SETTING EXPENSE FOR THE SAME AMOUNT. FORM 990, PART VI, SECTION B, LINE 11B AT THE MAY BOARD MEETING, THE FOUNDATION DIRECTOR ANNOUNCES THAT THE 990 IS BEING PREPARED. WE LET THE BOARD KNOW THAT THE FINANCE COMMITTEE WILL REVIEW IT WHEN IT IS COMPLETED. AFTER THE FINANCE COMMITTEE COMPLETES ITS REVIEW, THE COMPLETE COPY OF THE RETURN IS SENT TO THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION RELIES ON EVERGREENHEALTH'S CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL MANAGERS AND EMPLOYEES ARE REQUIRED TO BE AWARE OF POTENTIAL CONFLICT OF INTERESTS AT ALL TIMES AND SEEK GUIDANCE WHENEVER SUCH A CONFLICT ARISES AND REPORT IT TO THE APPROPRIATE PARTIES WHERE IT IS REVIEWED. WHEN A CONFLICT DOES ARISE, SUCH INDIVIDUAL RECUSES HIMSELF OR HERSELF FROM VOTING OR DISCUSSING MATTERS RELATED TO SUCH CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE FOUNDATION UTILIZES THE HUMAN RESOURCE DEPARTMENT AT EVERGREENHEALTH (RELATED ORGANIZATION) TO EVALUATE AND SURVEY THE EXECUTIVE DIRECTOR'S SALARY ANNUALLY. THE COMPENSATION IS PAID FOR BY EVERGREENHEALTH AND TREATED AS AN IN-KIND CONTRIBUTION TO THE FOUNDATION. THE HUMAN RESOURCES DEPARTMENT HIRED AN OUTSIDE CONSULTANT TO CONDUCT A MARKET ANALYSIS AT THE END OF 2018 AND USED THIS TO DETERMINE THE EXECUTIVE DIRECTOR'S SALARY. A NEW SURVEY WAS COMPLETED IN MAY 2021 AND WILL BE USED GOING FORWARD. FORM 990, PART VI, SECTION C, LINE 18 PROVIDED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 PROVIDED UPON REQUEST. KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 DBA EVERGREENHEALTH 12040 NE 128TH STREET KIRKLAND WA 98034 910844563 HOSPITAL SERVICE WA US GOV N/A 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0