Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 566,341 | 429,355 | 516,378 | 803,335 | 2,178,136 | 4,493,545 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 566,341 | 429,355 | 516,378 | 803,335 | 2,178,136 | 4,493,545 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 486,448 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 4,007,097 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 566,341 | 429,355 | 516,378 | 803,335 | 2,178,136 | 4,493,545 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,580,478 | 1,733,856 | 1,650,493 | 1,722,473 | 1,632,337 | 8,319,637 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 12,813,182 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| FACTS AND CIRCUMSTANCES explanationPalm Healthcare Foundation's public support for fiscal year ended June 30, 2019 was 31.27%. The following facts and circumstances support the public charity status of the Foundation for four main reasons: 1) the Foundation's original corpus was funded substantially from broad public sources, and the investment income that impacts the public support percentage (Schedule A, Section C, Line 14) substantially comes from that original public support; 2) the Foundation has always operated a comprehensive fund development program which solicits a broad range of public donors in a number of ways, which includes major giving, annual giving, planned giving, grant-writing, special events and on-line giving; 3) the Foundation's 17-member board of trustees and its seven (7) committees are made up of community members from a variety of geographic locations, industries, ethnic and religious backgrounds and socio-economic levels, representing Palm Beach County as a whole; and 4) the Foundation continues to receive legacy planned giving donations from the public that may be very material, but are unpredictable. 1) Palm Healthcare Foundation, a hospital conversion foundation, was created in July 2001 as the successor to the Good Samaritan Medical Center Foundation and St. Mary's Hospital Foundation when the two not-for-profit hospitals were sold to a for-profit entity. The funds in the hospital foundations, donated from a wide range of public sources including individual donors, other foundations and corporations, formed the original corpus of Palm Healthcare Foundation. At the end of Palm Healthcare Foundation's first fiscal year, the Foundation held $64 million in an investment portfolio for the purposes of supporting the healthcare needs of Palm Beach County residents. From the beginning, the Foundation solicited the public at large for donations to supplement the corpus. Public donations and investment return had allowed Palm Healthcare Foundation to grant more than $81 million. 2) Since its inception, Palm Healthcare Foundation has maintained a continuous program for solicitation of funds from the general public, community and local sponsors. The Foundation employs a senior-level fund development executive who manages a comprehensive solicitation program, including:a. Three annual direct mail pieces are sent to thousands of community members.b. An annual giving program, which was supported by 100% of the Foundation's trustees this fiscal year.c. A yearly nursing appreciation reception with sponsorship opportunities.d. Corporate support to advance brain health, physical fitness, nutrition, and nursing advancement.e. Memorial and tribute giving opportunities. f. Multiple ways to give on-line at www.palmhealthfoundation.org.g. Fundraising ads are placed in the local media outlets including newspaper, radio and event program books.h. Annual reports with donors' stories and ways to give. i. Fund development training for trustees, as well as focus groups, cultivation activities and community events to which trustees bring potential donors. j. Submit several grant applications to local, state and national granting making organizations.This fiscal year, 28 different sources donated $5,000 or more for a total of $1,989,506. Total contributions and grants equaled more than $2,100,000 this past year. These donors represent individuals, other foundations, corporations and other organizations from across Palm Beach County.3) Palm Healthcare Foundation's board of trustees consists of a strong, diverse governing body which represents the broad healthcare interests of the residents of Palm Beach County. Trustees represent the following sectors of the community:a. Health Department (government).b. For-profit hospital.c. Local private physician practices.d. Nursing.e. Medical education.f. Corporations.g. Small businesses. h. Legal field.i. Financial industry.j. Banking.k. Not-for-profit healthcare planning organization.l. Law enforcement.m. Retired.In addition, Palm Healthcare Foundation owns and operates the Mollie Wilmot Children's Center at the Palm Healthcare Pavilion on the campus of St. Mary's Medical Center. Thirty-two percent of the office space is provided free of charge to three unrelated not-for-profit organizations as part of the organization's mission to promote healthcare. The three not-for-profit organizations provide services directly for the benefit of the general public. The fair market value of the in-kind rent for the current fiscal year was over $250,000.4) The Foundation continues to receive planned giving bequests which originated from its history of being the successor of a prior not-for-profit hospital foundation. The Foundation has no way of predicting the amount of funds to be received by future donees or bequests. In light of the history of Palm Healthcare Foundation's public support origins and the ongoing commitment to soliciting public support to improve the health and well-being of residents of Palm Beach County, Palm Healthcare Foundation meets the facts and circumstances of the public support test. |
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section B, line 11b | The Organzation makes its Form 990 available to the board of directors by distributing a copy to each member of the board of trustees prior to filing with the IRS. The board reviews the content and discusses at a regularly scheduled board meeting. A motion is made to approve the filing of the Form 990. |
| Form 990, Part VI, Section B, line 12c | The Foundation strictly adheres to the conflict of interest/disclosure policy. Pursuant to the policy, during discussion or debate at scheduled board committee meetings, trustees, employees and volunteers with real, perceived, or potential conflicts of interest must announce those conflicts to the attendees. Trustees, employees, and volunteers who have stated a potential conflict must abstain from the vote, vacate the room while the vote is taken and return after the vote has been decided. The action will be noted in the meeting minutes. Additionally, board members provide a conflict of interest/disclosure form annually in conjunction with the annual meeting. |
| Form 990, Part VI, Section B, line 15 | The CEO and key employees compensation is reviewed annually and compared with similar not for profit positions from independent surveys. By recommendation of the executive committee, the board of trustees approves the CEO compensation. In addition, the board approves all employees compensation as detailed in the annual operating budget. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy, financial statements available upon request. The annual report is made available on the Organization's website. |
| Part XII Line 2C: | Audit Report Review Process: The audit report is reviewed annually at the audit report review meeting as presented by the independent auditors. The process has not changed from the prior year. |
| 990 Schedule A Part II Sections A, B and C: | Schedule A, Part II, Section A, Column (d) for 2017 has been restated to correctly reflect 2017 gifts, grants and contributions. Schedule A, Part II, Section B, Column (d) for 2017 has been restated to correctly report 2017 investment Income. Schedule A, Part II, Section C, line 15 has been restated to correctly report 2017 public support percentage. |
| Software ID: | |
| Software Version: |