Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
For calendar year 2024, or tax year beginning 01-01-2024 , and ending 12-31-2024
Name of foundation
LEWIS-CLARK VALLEY HEALTHCARE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)C/O IDAHO TRUST 622 E SHERMAN AVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COEUR DALENE, ID83814
A Employer identification number

82-1558798
B Telephone number (see instructions)

(208) 664-6448
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$0J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check right arrow.............
3 Interest on savings and temporary cash investments 11,922 11,922 11,922
4 Dividends and interest from securities... 729,492 729,492 729,492
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 409,808
b Gross sales price for all assets on line 6a 6,967,684
7 Capital gain net income (from Part IV, line 2)... 409,808
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,151,222 1,151,222 741,414
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment
List of Attached Documents:
// Content
1,152     1,152
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
7,905 3,953   3,952
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
126,913 62,261   64,652
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
13,873 13,873    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments
List of Attached Documents:
// Content
102,400 85,703   16,697
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 252,243 165,790   86,453
25 Contributions, gifts, grants paid....... 1,089,972 1,089,972
26 Total expenses and disbursements. Add lines 24 and 25 1,342,215 165,790   1,176,425
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -190,993
b Net investment income (if negative, enter -0-) 985,432
c Adjusted net income (if negative, enter -0-)... 741,414
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2024)
Form 990-PF (2024)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments.........      
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 21,936,978 21,745,985  
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 21,936,978 21,745,985 0
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe right arrow)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 21,936,978 21,745,985
29 Total net assets or fund balances (see instructions)..... 21,936,978 21,745,985
30 Total liabilities and net assets/fund balances (see instructions). 21,936,978 21,745,985
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
21,936,978
2
Enter amount from Part I, line 27a .....................
2
-190,993
3
Other increases not included in line 2 (itemize) right arrow
3
 
4
Add lines 1, 2, and 3 ..........................
4
21,745,985
5
Decreases not included in line 2 (itemize) right arrow
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
21,745,985
Form 990-PF (2024)
Form 990-PF (2024)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a SECURITIES - SHORT TERM P 2024-01-01 2024-01-01
b SECURITIES - LONG TERM P 2020-01-01 2024-12-31
c ISHARES S&P GSCI COMMODITY-INDEXED TRUST P 2024-01-01 2024-01-01
d ISHARES S&P GSCI COMMODITY-INDEXED TRUST P 2020-01-01 2024-01-01
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,919,673   1,922,828 -3,155
b 5,045,330   4,635,048 410,282
c 1,072     1,072
d 1,609     1,609
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       -3,155
b       410,282
c       1,072
d       1,609
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 409,808
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3 -2,083
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here right arrow and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions) 1 13,698
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 13,698
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 13,698
6 Credits/Payments:
a 2024 estimated tax payments and 2023 overpayment credited to 2024 6a 14,700
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 14,700
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment
List of Attached Documents:
// Content
8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 1,002
11 Enter the amount of line 10 to be: Credited to 2025 estimated taxright arrow1,002 Refundedright arrow 11  
Form 990-PF (2024)
Form 990-PF (2024)
Page 4
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
round bullet By language in the governing instrument, or
round bullet By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument? ................
6
 
No
7
Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
and Part XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
right arrowID
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
8b
Yes
 
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2024 or the taxable year beginning in 2024? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
9
 
No
10
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
and addresses. ...............................
10
 
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
11
 
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions.................
12
 
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
 
Website addressright arrowhttps://lewisclarkhealth.org
14
The books are in care ofright arrowIDAHO TRUST COMPANY Telephone no.right arrow (208) 664-6448

Located atright arrow622 E SHERMAN AVECOEUR DALENEID ZIP+4right arrow83814
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2024, did the foundation have an interest in or a signature or other authority over YesNo
a bank, securities, or other financial account in a foreign country? .................
16   No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country right arrow
Form 990-PF (2024)
Form 990-PF (2024)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2024? .............
1d
 
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2024, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2024?....................
2a
 
No
If "Yes," list the years right arrow20, 20, 20, 20
b
Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see instructions.) ..............
2b
 
 
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
right arrow20, 20, 20, 20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2024 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2024.) .....................
3b
 
 
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
 
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2024? ..
4b
 
No
Form 990-PF (2024)
Form 990-PF (2024)
Page 6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant? .................
5d
 
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a) Name and address (b) Title, and average
hours per week
devoted to position 		(c) Compensation
 (If not paid, enter
-0-) 		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
other allowances
THOMAS PROHASKA Trustee
5.00 		0    
888 W BROAD ST
BOISE,ID83702
2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a) Name and address of each employee paid more than $50,000 (b) Title, and average
hours per week
devoted to position 		(c) Compensation (d) Contributions to
employee benefit
plans and deferred
compensation 		(e) Expense account,
other allowances
NONE
Total number of other employees paid over $50,000...................right arrow  
Form 990-PF (2024)
Form 990-PF (2024)
Page 7
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
NONE
Total number of others receiving over $50,000 for professional services.............right arrow  
Part VIII-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
1  
2  
3  
4  
Part VIII-B
Summary of Program-Related Investments (see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
1  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................right arrow  
Form 990-PF (2024)
Form 990-PF (2024)
Page 8
Part IX
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities...................
1a
26,353,719
b
Average of monthly cash balances.......................
1b
0
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
26,353,719
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
0
2
Acquisition indebtedness applicable to line 1 assets..................
2
 
3
Subtract line 2 from line 1d.........................
3
26,353,719
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
395,306
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
25,958,413
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
1,297,921
Part X
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
1
Minimum investment return from Part IX, line 6..................
1
1,297,921
2a
Tax on investment income for 2024 from Part V, line 5 .......
2a
13,698
b
Income tax for 2024. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
13,698
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
1,284,223
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
1,284,223
6
Deduction from distributable amount (see instructions).................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
1,284,223
Part XI
Qualifying Distributions (see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
1a
1,176,425
b
Program-related investments—total from Part VIII-B..................
1b
 
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
 
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
 
b
Cash distribution test (attach the required schedule) .................
3b
 
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
1,176,425
Form 990-PF (2024)
Form 990-PF (2024)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2023 		(c)
2023 		(d)
2024
1 Distributable amount for 2024 from Part X, line 7 1,284,223
2 Undistributed income, if any, as of the end of 2024:
a Enter amount for 2023 only....... 1,120,705
b Total for prior years:20 , 20, 20  
3 Excess distributions carryover, if any, to 2024:
a From 2019......  
b From 2020......  
c From 2021......  
d From 2022......  
e From 2023......  
f Total of lines 3a through e ........  
4Qualifying distributions for 2024 from Part
XI, line 4: right arrow$ 1,176,425
a Applied to 2023, but not more than line 2a 1,120,705
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		 
c Treated as distributions out of corpus (Election
required—see instructions)........ 		0
d Applied to 2024 distributable amount..... 55,720
e Remaining amount distributed out of corpus  
5 Excess distributions carryover applied to 2024.    
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		 
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed...... 		 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		 
e Undistributed income for 2023. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		 
f Undistributed income for 2024. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2025 .......... 		1,228,503
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		 
8 Excess distributions carryover from 2019 not
applied on line 5 or line 7 (see instructions) ... 		 
9 Excess distributions carryover to 2025.
Subtract lines 7 and 8 from line 6a ...... 		 
10 Analysis of line 9:
a Excess from 2020....  
b Excess from 2021....  
c Excess from 2022....  
d Excess from 2023....  
e Excess from 2024....  
Form 990-PF (2024)
Form 990-PF (2024)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-A, question 9)
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2024, enter the date of the ruling ...... right arrow
 
b Check box to indicate whether the organization is a private operating foundation described in section or
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2024 (b) 2023 (c) 2022 (d) 2021
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed ..... 		         
d Amounts included in line 2c not used directly
for active conduct of exempt activities .......... 		         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c .... 		         
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)		          
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed .. 		         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) .... 		         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii).... 		         
(3) Largest amount of support
from an exempt organization		          
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
Lewis-Clark Valley Healthcare Found
622 E SHERMAN AVE
COEUR DALENE,ID83814
(208) 664-6448
info@lewisclarkhealth.org
bThe form in which applications should be submitted and information and materials they should include:
A Grant Application is required to be submitted. A copy of the application and the application process can be found on the foundation's website. The Foundation has two types of grants. There is the Fast-Track grant which grant applications are accepted between March 1 and May 31. The other type of grant is Impact grants which the applications are accepted between June 1 and July 31.
cAny submission deadlines:
Foundation has two deadlines based upon the grant request.
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Awards will be granted to benefit the health wellness or disease prevention needs of the people within the Foundation's nine county service area.
Form 990-PF (2024)
Form 990-PF (2024)
Page 11
Part XIV
Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
 Foundation
status of
recipient 		Purpose of grant or
contribution 		Amount
Name and address (home or business)
aPaid during the year
Snake River Community Clinic


PO Box 6
Lewiston,ID83501 		  PC FREE DENTAL CLINIC 5,000
Lewis Clark Dist Council of St Vinc


604 2nd Street
Lewiston,ID83501 		  PC Help Idaho families program 6,000
Friendly Neighbors Senior Citizens


412 East Third Street
Moscow,ID83843 		  PC Operating funds 6,000
Clarkston Community Garden


PO Box 53
CLARKSTON,WA99403 		  PC OPERATING EXPENSES 5,000
Garfield County Public Hospital Dis


66 6th St
POMEROY,WA99347 		  GOV PATIENT IMAGING PROJECT 80,000
Interlink Inc


817A 6th Street
CLARKSTON,WA99403 		  PC VOLUNTEER TRANSPORTATION FOR THE DISABLED 10,000
Moscow Central Lions Club


PO Box 8655
MOSCOW,ID83843 		  PC COMMUNITY SIGHT & HEARING PROGRAM 6,500
Reliance Ministries Inc


102 New 6th Street Mezzanine 2nd Fl
LEWISTON,ID83501 		  PC STD TESTING AND TREATMENT LAB FEES 8,000
The Green Apple Project


613 Bryden Ave Ste C 248
LEWISTON,ID83501 		  PC Scholarships and sensory friendly autism support groups 8,000
The Idaho Food Bank


3562 S Tk Ave
BOISE,ID83705 		  PC MOBILE PANTRY 50,000
The Willow Center Inc


PO Box 1361
LEWISTON,ID83501 		  PC GRIEF PEER SUPPORT GROUPS and Free Community Resources 10,000
LC Valley Youth Resource Center Inc


1633 10th Avenue
Lewiston,ID83501 		  PC VILLAGE - TRANSITIONAL TINY HOUSE VILLAGE 9,000
Public Health - Idaho North Central


215 10th Street
Lewiston,ID83501 		  GOV ORAL HEALTH EQUIPMENT UPGRADE PROJECT 10,000
Family Promise of the LC Valley


921 9th Ave
Lewiston,ID83501 		  PC NEW FOUNDATION FAMILY SHELTER PROGRAM AND DIAPER BANK 10,000
First Christian Church


840 Tenth St
Clarkston,WA99403 		  PC Red Door Kitchen 10,000
Gina Quesenberry Foundation


PO Box 506
Lewiston,ID83501 		  PC Travel Assistance Program 10,000
Lewis Clark Dist Council of St Vinc


604 2nd Street
Clarkston,WA99403 		  PC helping LC Valley families 50,000
THE COUNCIL ON AGING AND HUMAN SERV


PO BOX 107
COLFAX,WA99111 		  PC coast transportation repairs and maintenance 6,000
HOMES OF HOPE


PO BOX 464
CLARKSTON,WA99403 		  PC OPERATING FUNDS 10,000
ROSALIA VOLUNTEER FIREFIGHTERS ASSO


PO BOX 291
ROSALIA,WA99170 		  PC ob training mannequin and anatomy skeleton 5,000
NAMI IDAHO


1118 F St
LEWISTON,ID83501 		  PC crisis intervention team training 10,000
JuliaettaKendrick Good Samaritan Fo


PO Box 61
Kendrick,ID83537 		  PC Juliaetta/Kendrick Good Samaritan Foodbank 4,000
Lowell Quick Response Unit


PO Box 205
Kooskia,ID83539 		  PC EMERGENCY QUICK RESPONSE AEDS AND EMT EMERGENCY JUMP KITS 7,500
Tahoe Community First Responders DB


786 Leitch Creek Road
KOOSKIA,ID83539 		  PC Daily operations, training and medical supply purchases for Tahoe QRU 10,000
SPIN


523 Airway Drive
LEWISTON,ID83501 		  PC 7 County Dedicated Outreach 60,000
Salmon River Senior Citizens Inc


PO Box 1285
RIGGINS,ID83549 		  PC Congregate mealsite 6,000
Clearwater Economic Development Ass


1626 6th Ave N
LEWISTON,ID83501 		  PC operation red file 4,000
Community Health Association of Spo


611 N Iron Bridge Way
SPOKANE,WA99202 		  PC sochas patient assistance program 45,000
LIFE


3317 12th St
Lewiston,ID83501 		  PC freezer upgrage and student medical needs 7,500
Building Healthy Families


207 E Park St
Enterprise,OR97828 		  PC youth bike program 8,000
St Vincent de Paul Society


618 E 1st St
Moscow,ID83843 		  PC emergency housing and rent, medical care 50,000
Snake River COmmunity Clinic


PO Box 6
Lewiston,ID83501 		  PC Healer Project V: practice and outreach 73,240
Inland Oasis


730 Pullman Rd 3
Moscow,ID83843 		  PC on-site container garden 5,000
Syringa Hospital Foundation


607 W MAIN STREET
Grangeville,ID83530 		  PC newborn care center equipment modernization 43,188
Clearwater County Senior Citizens I


PO Box 93
Orofino,ID83544 		  PC operating funds 8,000
Friendly Senior Citizens of Troy


4155 S Main St
Troy,ID83871 		  PC food insecurities program 10,000
Lewiston Clarkston Lions Club


1205 8th Ave
Lewiston,ID83501 		  PC Purchase of eyesight and hearing equipment for school screenings 9,995
Moscow Area Moms Alliance Inc


2221 Itani Drive
Moscow,ID83843 		  PC family mentorship and care packages for newborns 10,000
WALLA WALLA SENIOR CENTER


720 SPRAGUE ST
WALLA WALLA,WA99362 		  PC SENIOR NUTRITION PROGRAM IN ASOTIN COUNTY 10,000
CITY OF TROY


519 S MAIN ST
TROY,ID83871 		  GOV TROY SUMMER YOUTH PROGRAM 7,500
IDAHO RESILIENCE PROJECT INC


PO BOX 8185
BOISE,ID83707 		  PC H.O.P.E WEEK COMMUNITY ACTIVATION 10,000
PINE CREEK COMMUNITY RESTORATION


PO BOX 178
MALDEN,WA99149 		  PC COMMUNITY HEALTH AND SAFETY 4,000
LILI GC FOUNDATION


PO BOX 506
LEWISTON,ID83501 		  PC NUTRITION SERVICES 10,000
JOSEPH BRANCH TRAIL CONSORTIUM


PO BOX 292
ENTERPRISE,OR97828 		  PC CAPACITY BUILDING TO GROW OUTREACH AND DEVELOPMENT OF ADA-COMPLIANT TRAIL 10,000
WALLOWA VALLEY HEALTH CARE FOUNDATI


601 MEDICAL PKWY
ENTERPRISE,OR97828 		  PC MRI CHALLENGE 10,000
PULLMAN COMMUNITY COUNCIL ON AGING


PO BOX 1123
PULLMAN,WA99163 		  PC WELL-BEING NEEDS OF PULLMAN SENIORS 4,860
WEST PARK ELEMENTARY


810 HOME ST
MOSCOW,ID83843 		  GOV ALL KIDS BIKE 10,000
GRACE EVANGELICAL LUTHERAN CHURCH


3434 6TH ST
LEWISTON,ID83501 		  PC FREE COMMUNITY DINNER 2,500
WHITMAN COUNTY PUBLIC HEALTH


1205 SE PROFESSIONAL MALL BLV 203
PULLMAN,WA99163 		  PC WHITMAN COUNTY COMMUNITY CLINIC 10,000
POTLATCH FOOD PANTRY CORPORATION


510 PINE STREET
POTLATCH,ID83855 		  PC MONTHLY FOOD PURCHASES 10,000
THE JONAH PROJECT


PO BOX 18374
SPOKANE,WA99228 		  PC TRAINING RURAL COMMUNITIES 8,000
LC VALLEY RESILIENCE COALITION


1002 WEBSTER TR
CLARKSTON,WA99403 		  PC CONFERENCE, COMMUNITY CONNECTIONS AND RESILIENCE 3,500
FIRST CHURCH OF GOD


910 SYCAMORE ST
CLARKSTON,WA99403 		  PC FINDING FREEDOM CELEBRATE RECOVERY 8,000
KAMIAH SENIOR CITIZENS SOCIETY


PO BOX 551
KAMIAH,ID83536 		  PC PROVIDING MEALS FOR SENIORS 8,000
CLEARWATER MEMORIAL PUBLIC LIBRARY


402 MICHIGAN AVE
OROFINO,ID83544 		  PC PURCHASE OF AEDS, CABINETS, FIRST AID ITEMS AND TRAINING 4,000
ST JAMES EPISCOPAL CHURCH


1410 NE STADIUM WAY
PULLMAN,WA99163 		  PC WEEKEND BACKPACK food and food for families program 8,000
CAMAS PRAIRIE PRESCHOOL


105 N MYRTLE ST
GRANGEVILLE,ID83530 		  PC EMPOWERING EARLY DEVELOPMENT 5,000
LEWIS-CLARK STATE COLLEGE FOUNDATIO


500 8TH AVE
LEWISTON,ID83501 		  PF COMMUNITY EMPOWERMENT AND HEALTHCARE 5,000
MOSCOW CONTEMPORARY


2012 W PULLMAN RD
MOSCOW,ID83843 		  PC DANCE FOR PARKINSON'S 8,000
CLEARWATER VAL H DBA KOOTENAI HEALT


2003 KOOTENAI HEALTH WAY
COEUR DALENE,ID83814 		  PC SEXUAL ASSAULT NURSE EXAMINER 35,632
LC VALLEY YOUTH RESOURCE CENTER


1633 10TH AVE
LEWISTON,ID83843 		  PC DROP-IN AND OVERNIGHT PROGRAMS 85,000
RIDGE RUNNER VOLUNTEER FIRE DEPARTM


PO BOX 652
KOOSKIA,ID83539 		  PC OPERATING FUNDS 10,000
GINA QUESENBERRY FOUNDATION


PO BOX 506
LEWISTON,ID83843 		  PC APPLICANT SUPPORT AND ADVOCACY ENHANCEMENT PROGRAM 20,000
LEWIS-CLARK STATE COLLEGE FOUNDATIO


500 8TH AVE
LEWISTON,ID83843 		  PF CLINICAL RESOURCE CENTER AND SKILLS LAB 65,000
ST MARY'S HEALTH DBA KOOTENAI HEALT


2003 KOOTENAI HEALTH WAY
COEUR DALENE,ID83814 		  PC IMPACT GRANT 32,057
Total .................................right arrow 3a 1,089,972
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2024)
Form 990-PF (2024)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code 		(b)
Amount 		(c)
Exclusion code 		(d)
Amount
a
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		    14 11,922  
4 Dividends and interest from securities ....     14 729,492  
5 Net rental income or (loss) from real estate:
aDebt-financed property......          
bNot debt-financed property.....          
6 Net rental income or (loss) from personal property          
7 Other investment income .....          
8 Gain or (loss) from sales of assets other than
inventory ............ 		        409,808
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   741,414 409,808
13Total. Add line 12, columns (b), (d), and (e)..................
13
1,151,222
(See worksheet in line 13 instructions to verify calculations.)
Part XV-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
DownArrow 		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form 990-PF (2024)
Form 990-PF (2024)
Page 13
Part XVI
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1) Cash...................................
1a(1)
 
No
(2) Other assets.................................
1a(2)
 
No
b
Other transactions:
(1) Sales of assets to a noncharitable exempt organization....................
1b(1)
 
No
(2) Purchases of assets from a noncharitable exempt organization..................
1b(2)
 
No
(3) Rental of facilities, equipment, or other assets.......................
1b(3)
 
No
(4) Reimbursement arrangements...........................
1b(4)
 
No
(5) Loans or loan guarantees.............................
1b(5)
 
No
(6) Performance of services or membership or fundraising solicitations................
1b(6)
 
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
1c
 
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
(a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
b
If "Yes," complete the following schedule.

(a) Name of organization (b) Type of organization (c) Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
right arrow right arrow
May the IRS discuss this return
with the preparer shown below?
See instructions.
Signature of officer or trustee Date Title
Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date Check if self-
employed right arrow		 PTIN
Firm's name Right Arrow
 Firm's EIN Right Arrow
Firm's address Right Arrow


 Phone no.
Form 990-PF (2024)
Additional Data


Software ID: 24020490
Software Version: 2024v5.1


Form 990PF - Special Condition Description:
Special Condition Description

TY 2024 AccountingFeesSchedule
Name:
LEWIS-CLARK VALLEY HEALTHCARE FOUNDATION
EIN:
82-1558798
Software ID:
24020490
Software Version:
2024v5.1
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING FEES 7,905 3,953 0 3,952

TY 2024 LegalFeesSchedule
Name:
LEWIS-CLARK VALLEY HEALTHCARE FOUNDATION
EIN:
82-1558798
Software ID:
24020490
Software Version:
2024v5.1
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
LEGAL FEES 1,152 0 0 1,152


TY 2024 OtherExpensesSchedule
Name:
LEWIS-CLARK VALLEY HEALTHCARE FOUNDATION
EIN:
82-1558798
Software ID:
24020490
Software Version:
2024v5.1
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANQUET 1,940     1,940
COMMUNICATIONS 9,991     9,991
DUES 3,325     3,325
FOREIGN TAXES PAID 20,792 20,792    
INVESTMENT EXPENSES 64,911 64,911    
OFFICE & ADMINISTRATIVE 1,441     1,441


TY 2024 OtherProfessionalFeesSchedule
Name:
LEWIS-CLARK VALLEY HEALTHCARE FOUNDATION
EIN:
82-1558798
Software ID:
24020490
Software Version:
2024v5.1
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
Consulting 276 0 0 276
Fiduciary fees 126,637 62,261 0 64,376


TY 2024 TaxesSchedule
Name:
LEWIS-CLARK VALLEY HEALTHCARE FOUNDATION
EIN:
82-1558798
Software ID:
24020490
Software Version:
2024v5.1
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
Excise tax on investment income 13,873 13,873