| FORM 990, PART III, LINE 4A: |
THE HARRISON MEDICAL CENTER FOUNDATION WAS INCORPORATED AS A 501 (3), TAX-EXEMPT, CHARITABLE FOUNDATION IN 1986 TO SERVE AS THE OFFICIAL GIFT-RECEIVING AND GIFT-ADMINISTRATION AGENCY FOR HARRISON MEDICAL CENTER. IN FY20 HARRISON MEDICAL CENTER FOUNDATION'S 3-MEMBER STAFF AND 5-MEMBER BOARD OF TRUSTEES RAISED FUNDS THROUGH ANNUAL GIVING, MAJOR GIFTS, PLANNED GIVING, SPECIAL EVENTS, AND CORPORATE/FOUNDATION GRANTS TO HELP FUND HEALTH CARE PROGRAMS, PROJECTS AND COMMUNITY OUTREACH SERVICE OFFERED BY THE HOSPITAL. THE FOUNDATION'S FY 2020 FUND-RAISING EVENT FOR HARRISON MEDICAL CENTER INCLUDED THE VIOLET E. CARLSON TABLE TOP CHRISTMAS. PROVIDING QUALITY HEALTH CARE FOR ALL WHO NEED IT, REGARDLESS OF ABILITY TO PAY, IS AN IMPORTANT PART OF THE HARRISON MEDICAL CENTER'S MISSION AS WELL AS THAT OF THE FOUNDATION. THE FOUNDATION ASSISTS HARRISON MEDICAL CENTER IN PROVIDING CARE FOR THE POOR BY ENCOURAGING ITS DONORS TO CONTRIBUTE TO GIFTS THE SMALL FAVORS FUND, WHICH PROVIDES CLOTHING, TRANSPORTATION, AND MEDICAL SUPPLIES FOR PATIENTS WHO DON'T HAVE MONEY TO PAY FOR THESE THINGS THEMSELVES. THE HARRISON MEDICAL CENTER FOUNDATION FUNDS A NURSE RESIDENCY PROGRAM, WHICH PROVIDES AN EXTENSIVE 18 WEEK EDUCATION PROGRAM FOR RECENTLY HIRED NURSES TO PROVIDE FURTHER EDUCATION ON THE LATEST HEALTH CARE RESEARCH DEVELOPMENTS AND MEDICAL TECHNIQUES. LAST YEAR, OUR EMPLOYEE GIVING CLUB CONTINUED TO DISTRIBUTE FINANCIAL ASSISTANCE TO EMPLOYEES IN NEED THROUGH EMERGENCY ASSISTANCE FUNDING AND THE FRED MEYER GIFT CARD PROGRAM. |
| FORM 990, PART VI, SECTION A, LINE 1 |
PURSUANT TO ARTICLE 5, SECTION C, ITEM 2.A OF THE BYLAWS OF HARRISON MEDICAL CENTER FOUNDATION, THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE FOUR OFFICERS OF THE BOARD, AND THE IMMEDIATE PAST PRESIDENT OF THE BOARD IF THAT INDIVIDUAL IS STILL A MEMBER OF THE BOARD. PURSUANT TO ARTICLE 5, SECTION C, ITEM 2.A OF THE FOUNDATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO ARTICLE 5, SECTION C, ITEM 2.A OF THE FOUNDATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 6 |
HARRISON MEDICAL CENTER IS THE SOLE MEMBER OF THE FOUNDATION. IF THE FOUNDATION WERE TO DISSOLVE, THE HOSPITAL WOULD BE THE SOLE BENEFICIARY OF ASSETS. |
| FORM 990, PART VI, SECTION A, LINE 7A |
AS THE SOLE MEMBER OF THE FOUNDATION, HARRISON MEDICAL CENTER ELECTS TWO MEMBERS FROM ITS BOARD OF DIRECTORS TO SIMULTANEOUSLY SERVE AS "CROSSOVER" MEMBERS TO THE FOUNDATION'S BOARD OF DIRECTORS. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, SECTION A, LINE 7B |
HARRISON MEDICAL CENTER'S EXECUTIVE COMMITTEE MUST APPROVE ALL CHANGES TO THE ARTICLES OF INCORPORATION AND/OR BYLAWS OF THE FOUNDATION. THE FOUNDATION'S BUDGET AND RECOMMENDATION FOR DISSOLUTION ARE ALSO SUBJECT TO APPROVAL OF THE EXECUTIVE COMMITTEE OF HARRISON MEDICAL CENTER. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE HARRISON MEDICAL CENTER FOUNDATION MERGED INTO THE FRANCISCAN FOUNDATION ON JANUARY 1, 2021. ACCORDINGLY, NO REVIEW WAS OR WILL BE CONDUCTED BY THE HARRISON MEDICAL CENTER FOUNDATION BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C |
THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 |
LINE 15A: DURING THE TAX YEAR ENDED 6/30/2020, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A. LINE 15B: SEE FORM 990, PART VI, LINE 15A DISCLOSURE |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE WASHINGTON SECRETARY OF STATE. |
| FORM 990, PART IX, LINE 11G |
OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 625,836. FUNDRAISING EXPENSES 15,515. TOTAL EXPENSES 641,351. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,181. FUNDRAISING EXPENSES 2,545. TOTAL EXPENSES 12,726. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,780. FUNDRAISING EXPENSES 8,445. TOTAL EXPENSES 42,225. |
| FORM 990, PART XI, LINE 9: |
NET ASSET TRANSFERS 54,938. |
Attach to Form 990 or 990-EZ.