PENINSULA BEHAVIORAL HEALTH: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PENINSULA BEHAVIORAL HEALTH (EIN 91-0869129)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2024-12-05
- IRS object ID
- 202403409349300625
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-12-05T11:45:47-06:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY 1400 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910869129 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENINSULA BEHAVIORAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PENI | BusinessNameControlTxt |
| Phone | 3604570431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 EAST 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WENDY SISK | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 3604570431 | PhoneNum |
| Signature | 2024-12-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2024-12-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WENDY SISK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 EAST 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,183,331 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PENINSULABEHAVIORAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO RESIDENTS IN CLALLAM COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 176 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $311,659 | PYContributionsGrantsAmt |
| CY Contributions Grants | $813,138 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,698,095 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,730,886 | CYProgramServiceRevenueAmt |
| PY Investment Income | $281,786 | PYInvestmentIncomeAmt |
| CY Investment Income | $265,817 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$28,288 | PYOtherRevenueAmt |
| CY Other Revenue | -$14,249 | CYOtherRevenueAmt |
| PY Total Revenue | $16,263,252 | PYTotalRevenueAmt |
| CY Total Revenue | $16,795,592 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $192,388 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $456,960 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,301,400 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,626,089 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $88,956 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,248,500 | PYOtherExpensesAmt |
| CY Other Expenses | $3,210,452 | CYOtherExpensesAmt |
| PY Total Expenses | $15,742,288 | PYTotalExpensesAmt |
| CY Total Expenses | $16,293,501 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $520,964 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $502,091 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,409,141 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,913,457 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,588,531 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,590,756 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,820,610 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,322,701 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PENINSULA BEHAVIORAL HEALTH IS CLALLAM COUNTY'S PRIMARY RESOURCE FOR BEHAVIORAL HEALTH AND CO-OCCURRING SUBSTANCE USE DISORDER COUNSELING. PBH BELIEVES THAT EVERYONE, DESERVES ACCESS TO QUALITY BEHAVIORAL HEALTHCARE. PBH IS PROUD TO MAKE BEHAVIORAL HEALTHCARE AND THERAPY AFFORDABLE AND ACCESSIBLE TO OUR COMMUNITY. IN 2020, PBH WAS AWARDED AN EXPANSION GRANT FROM SAMSHA, TRANSFORMING US INTO A CCBHC. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,355,533 | ExpenseAmt |
| Grant | $276,967 | GrantAmt |
| Revenue | $5,237,297 | RevenueAmt |
| Desc | CLINICAL OUTPATIENT SERVICES - A WIDE RANGE OF CARING SERVICES IS AVAILABLE TO MEET THE NEEDS OF PERSONS WITH SERIOUS MENTAL ILLNESS OR SUBSTANCE USE DISORDER. STAFF WITH A VARIETY OF SPECIALTIES OFFER EVALUATIONS, THERAPY AND PREVENTION STRATEGIES TO SUPPORT INDIVIDUALS IN THE COMMUNITY AT CRITICAL STAGES OF LIFE. KEY SERVICES INCLUDE ADULT OUTPATIENT THERAPY, COMMUNITY SUPPORT SERVICES, CARE NAVIGATION, YOUTH OUTPATIENT SERVICES, INCLUDING WISE SERVICES AND EVIDENCE BASED PRACTICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,063,731 | ExpenseAmt |
| Grant | $5,916 | GrantAmt |
| Revenue | $4,264,866 | RevenueAmt |
| Desc | MEDICAL SERVICES - PSYCHIATRIC EVALUATIONS, CONSULTATION WITH PRIMARY CARE PROVIDERS AND PSYCHIATRIC MEDICATION MONITORING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,766,585 | ExpenseAmt |
| Grant | $174,077 | GrantAmt |
| Revenue | $6,040,997 | RevenueAmt |
| Desc | CLINICAL INTENSIVE SERVICES - CRISIS INTERVENTION SERVICES, INCLUDING CRISIS RESPITE CARE, COMMUNITY RESPONSE TO CRISIS CALLS. SERVICES INCLUDE COMMUNITY OUTREACH SERVICES TO THOSE UNHOUSED IN THE COMMUNITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $450,472 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $187,726 | RevenueAmt |
| Desc | RESIDENTIAL SERVICES - THE QUALITY OF LIFE FOR MENTALLY ILL CITIZENS AND CAREGIVERS IS ENHANCED THROUGH RESIDENTIAL OPTIONS THAT INTEGRATE RECOVERY WITH PRACTICAL INDEPENDENT LIVING SKILLS. ADULT TRANSITION HOMES AND APARTMENTS WITH SUPPORTED LIVING ARRANGEMENTS ARE OFFERED WHEN LESS THAN A SUPERVISED ENVIRONMENT ARE REQUIRED. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $450,472 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $187,726 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,636,321 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 176 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAWN BROWN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3604570431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 EAST 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| WENDY SISK | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $223,769 | $0 | $42,434 | ||
| JOSEPH REIS | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $217,667 | $0 | $41,317 | ||
| MARGARET DEPEW | |||||||
| PSYCHIATRIC ARNP | 40.00 | $164,003 | $0 | $33,070 | Yes (X) | ||
| DANIELLE DEOLIVEIRA | |||||||
| PSYCHIATRIC ARNP | 36.00 | $155,339 | $0 | $38,018 | Yes (X) | ||
| LINDA BOARDMAN | |||||||
| PSYCHIATRIC ARNP | 40.00 | $163,713 | $0 | $28,458 | Yes (X) | ||
| DAWN BROWN | |||||||
| CHEF FINANCIAL OFFICER | 40.00 | Yes (X) | $169,685 | $0 | $20,550 | ||
| KATHY STEVENS | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | Yes (X) | $157,496 | $0 | $23,832 | ||
| TIMI IDDINGS | |||||||
| PSYCHIATRICT ARNP | 36.00 | $138,962 | $0 | $28,545 | Yes (X) | ||
| CHRISTINE BURNELL | |||||||
| PRIMARY CARE ARNP | 40.00 | $139,242 | $0 | $18,174 | Yes (X) | ||
| DAVID ARAND | |||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RUSS BRITTON | |||||||
| PRESIDENT (THRU 4/26) | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TOM O'DONNELL | |||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MIKE HILL | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JODY COPELAND | |||||||
| TREASURER (THRU 5/16) | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DESI LARSON | |||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARCH PICKER | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| ELIZABETH CHRISTIAN | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| VICKI LOWE | |||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,529,876 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $274,398 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALL IN ONE SERVICES LLC | |||||
| 9321 OLD OLYMPIC HIGHWAY | SEQUIM | WA | 98382 | CONSTRUCTION | $962,037 |
| GENOA HEALTHCARE COMPANY | |||||
| PO BOX 856494 | MINNEAPOLIS | MN | 55485 | MEDICATION FOR MEDICAL SERVICES | $222,235 |
| QUALIFACTS SYSTEMS INC | |||||
| PO BOX 4577 | CAROL STREAM | IL | 60197 | ELECTRONIC HEALTH RECORD SOFTWARE | $173,737 |
| MOSS ADAMS LLP | |||||
| 999 3RD AVENUE STE 2800 | SEATTLE | WA | 98104 | ACCOUNTING SERVICES | $119,123 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $43,988 | FederatedCampaignsAmt |
| Fundraising | $111,000 | FundraisingAmt |
| All Other Contributions | $658,150 | AllOtherContributionsAmt |
| Total Contributions | $813,138 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FIMC CONTRACT | 624100 | $12,610,430 | $12,610,430 |
| LOCAL GOVERNMENT CONTRACTS | 624100 | $2,008,618 | $2,008,618 |
| PRIMARY CARE MEDICAL SERVICES | 621110 | $877,158 | $877,158 |
| RESIDENTIAL SUPPORTED LIVING CARE | 623990 | $231,345 | $231,345 |
| OTHER PATIENT REVENUE | 621110 | $3,335 | $3,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,730,886 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,270 | TotalRevenueColumnAmt |
| Exclusion | $141,270 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,287 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,287 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,287 | TotalRevenueColumnAmt |
| Exclusion | $12,287 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $465,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $340,453 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $124,547 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,547 | TotalRevenueColumnAmt |
| Exclusion | $124,547 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20,750 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $111,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $47,286 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$26,536 | TotalRevenueColumnAmt |
| Exclusion | -$26,536 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,795,592 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,730,886 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $251,568 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $456,960 | TotalAmt |
| Program Services | $456,960 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $924,254 | TotalAmt |
| Program Services | $434,269 | ProgramServicesAmt |
| Management And General | $401,029 | ManagementAndGeneralAmt |
| Fundraising | $88,956 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,658,165 | TotalAmt |
| Program Services | $6,871,138 | ProgramServicesAmt |
| Management And General | $1,787,027 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,828 | TotalAmt |
| Program Services | $320,572 | ProgramServicesAmt |
| Management And General | $124,256 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,807,381 | TotalAmt |
| Program Services | $1,365,027 | ProgramServicesAmt |
| Management And General | $442,354 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,461 | TotalAmt |
| Program Services | $621,965 | ProgramServicesAmt |
| Management And General | $169,496 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,126 | TotalAmt |
| Program Services | $4,178 | ProgramServicesAmt |
| Management And General | $6,948 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,947 | TotalAmt |
| Program Services | $3,907 | ProgramServicesAmt |
| Management And General | $125,040 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,027 | TotalAmt |
| Program Services | $89,086 | ProgramServicesAmt |
| Management And General | $41,941 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,944 | TotalAmt |
| Program Services | $356 | ProgramServicesAmt |
| Management And General | $27,588 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,605 | TotalAmt |
| Program Services | $196,236 | ProgramServicesAmt |
| Management And General | $160,369 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,493 | TotalAmt |
| Program Services | $221,205 | ProgramServicesAmt |
| Management And General | $247,288 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,409 | TotalAmt |
| Program Services | $176,673 | ProgramServicesAmt |
| Management And General | $304,736 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,379 | TotalAmt |
| Program Services | $45,524 | ProgramServicesAmt |
| Management And General | $43,855 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,274 | TotalAmt |
| Management And General | $8,274 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,856 | TotalAmt |
| Program Services | $71,179 | ProgramServicesAmt |
| Management And General | $70,677 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,805 | TotalAmt |
| Program Services | $425,611 | ProgramServicesAmt |
| Management And General | $252,194 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,867 | TotalAmt |
| Management And General | $288,867 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM OPERATIONS | $237,857 | $237,641 | $216 |
| DUES, FEES, LICENSES | $72,725 | $34,080 | $38,645 |
| TRAINING | $66,338 | $60,714 | $5,624 |
| WA STATE B&O TAXES | $21,800 | $0 | $21,800 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,293,501 | TotalAmt |
| Program Services | $11,636,321 | ProgramServicesAmt |
| Management And General | $4,568,224 | ManagementAndGeneralAmt |
| Fundraising | $88,956 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,451,000 | BOYAmt |
| EOY | $3,562,122 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,253 | BOYAmt |
| EOY | $3,702,007 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,672,280 | BOYAmt |
| EOY | $931,075 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,172 | BOYAmt |
| EOY | $36,442 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,790 | BOYAmt |
| EOY | $192,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,052,685 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,146,369 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,533,348 | BOYAmt |
| EOY | $12,906,316 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,331 | BOYAmt |
| EOY | $536,797 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,967 | BOYAmt |
| EOY | $46,205 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,409,141 | BOYAmt |
| EOY | $21,913,457 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $990,834 | BOYAmt |
| EOY | $1,333,331 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $772,490 | BOYAmt |
| EOY | $714,867 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,297,169 | BOYAmt |
| EOY | $942,587 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,528,038 | BOYAmt |
| EOY | $4,599,971 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,588,531 | BOYAmt |
| EOY | $7,590,756 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,820,610 | BOYAmt |
| EOY | $14,322,701 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,820,610 | BOYAmt |
| EOY | $14,322,701 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,409,141 | BOYAmt |
| EOY | $21,913,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $502,091 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $654,517 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,868,958 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,466,800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $311,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $813,138 | CurrentTaxYearAmt |
| Total | $8,115,072 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,684,716 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,707,233 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,761,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,698,095 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,730,886 | CurrentTaxYearAmt |
| Total | $69,582,621 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,339,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,576,191 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,228,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,009,754 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,544,024 | CurrentTaxYearAmt |
| Total | $77,697,693 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,210 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,369 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,227 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,697 | CurrentTaxYearAmt |
| Total | $54,810 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,210 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,369 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,227 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,697 | CurrentTaxYearAmt |
| Total | $54,810 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $77,642,883 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,399 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293,674 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,557 | CurrentTaxYearAmt |
| Total | $538,908 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,399 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293,674 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,557 | CurrentTaxYearAmt |
| Total | $538,908 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,382,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,607,715 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,245,245 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,303,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,697,581 | CurrentTaxYearAmt |
| Total | $78,236,601 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99240 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99320 | PublicSupportPY509Pct |
| Investment Income CY | 0.00690 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00580 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,343 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $731 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $27,074 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,201 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,142 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $26,343 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $28,540 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$4,339 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $24,201 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,444 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,138 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $42 | AdministrativeExpensesAmt |
| End Year Balance | $28,540 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,563 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $881 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $23,444 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,988,554 | OtherCostOrOtherBasisAmt |
| Book Value | $1,988,554 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,966,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,060,012 | DepreciationAmt |
| Book Value | $3,906,647 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,837,920 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,950,390 | DepreciationAmt |
| Book Value | $5,887,530 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,965,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,135,967 | DepreciationAmt |
| Book Value | $829,739 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $293,846 | OtherCostOrOtherBasisAmt |
| Book Value | $293,846 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,906,316 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCE | $4,580,840 |
| LEASE LIABILITY | $19,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,599,971 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,842,878 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,842,878 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$47,286 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$47,286 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,795,592 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,340,787 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $47,286 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $47,286 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,293,501 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,293,501 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | FUNDS ARE HELD BY CLALLAM COMMUNITY FOUNDATION, CANNOT BE SPENT WITHOUT PENINSULA BEHAVIORAL HEALTH APPROVAL AND CURRENTLY ARE NOT BEING DRAWN FROM. THE INTENDED USE OF THE FUNDS IS TO HELP SUPPORT PROGRAM OPERATIONS. |
| PART X, LINE 2: | THE ORGANIZATION IS NOT SUBJECT TO INCOME TAX, BECAUSE IT IS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAX IS INCLUDED IN THESE FINANCIAL STATEMENTS. FOR THE 2024 AND 2023 FINANCIAL STATEMENTS, THE ORGANIZATION HAS ACCOUNTED FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND WAS REASONABLY ESTIMABLE. AS OF JUNE 30, 2024 AND 2023, THE ORGANIZATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES -47,286. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 47,286. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $131,750 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $111,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $20,750 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,570 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $16,192 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $28,644 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $880 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $131,750 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $111,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $20,750 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,570 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $16,192 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $28,644 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $880 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $47,286 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$26,536 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| PATIENT MEDICATION, TRANSPORTATION AND LIVING ASSISTANCE | 56 | $281,095 |
| PATH HOUSING ASSISTANCE | 121 | $174,077 |
| PBH COMMUNITY FUND PHARMACY ASSISTANCE | 14 | $1,788 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FUNDS ARE PROVIDED TO INDIGENT PATIENTS WHO ARE IN NEED OF ASSISTANCE WITH PAYING FOR PRESCRIBED MEDICATIONS, TRANSPORTATION AND OTHER LIVING NECESSITIES. SUBSTANTIATION IS REQUIRED TO BE PROVIDED BEFORE FUNDS ARE GIVEN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WENDY SISK | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $190,269 | $0 | $33,500 | $0 | $0 | $0 | $13,924 | $0 | $28,510 | $0 | $266,203 | $0 | $0 | $0 |
| JOSEPH REIS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $214,167 | $0 | $3,500 | $0 | $0 | $0 | $11,177 | $0 | $30,140 | $0 | $258,984 | $0 | $0 | $0 |
| MARGARET DEPEW | ||||||||||||||
| PSYCHIATRIC ARNP | $159,915 | $0 | $4,088 | $0 | $0 | $0 | $11,486 | $0 | $21,584 | $0 | $197,073 | $0 | $0 | $0 |
| DANIELLE DEOLIVEIRA | ||||||||||||||
| PSYCHIATRIC ARNP | $151,839 | $0 | $3,500 | $0 | $0 | $0 | $7,878 | $0 | $30,140 | $0 | $193,357 | $0 | $0 | $0 |
| LINDA BOARDMAN | ||||||||||||||
| PSYCHIATRIC ARNP | $160,213 | $0 | $3,500 | $0 | $0 | $0 | $8,093 | $0 | $20,365 | $0 | $192,171 | $0 | $0 | $0 |
| DAWN BROWN | ||||||||||||||
| CHEF FINANCIAL OFFICER | $166,185 | $0 | $3,500 | $0 | $0 | $0 | $9,362 | $0 | $11,188 | $0 | $190,235 | $0 | $0 | $0 |
| KATHY STEVENS | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $153,448 | $0 | $4,048 | $0 | $0 | $0 | $10,977 | $0 | $12,855 | $0 | $181,328 | $0 | $0 | $0 |
| TIMI IDDINGS | ||||||||||||||
| PSYCHIATRICT ARNP | $135,462 | $0 | $3,500 | $0 | $0 | $0 | $6,962 | $0 | $21,583 | $0 | $167,507 | $0 | $0 | $0 |
| CHRISTINE BURNELL | ||||||||||||||
| PRIMARY CARE ARNP | $135,742 | $0 | $3,500 | $0 | $0 | $0 | $6,986 | $0 | $11,188 | $0 | $157,416 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HEALTHCARE FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 911108929 | BondIssuerEIN |
| Bond Issued | 2014-08-22 | BondIssuedDt |
| Issue Price | $1,292,000 | IssuePriceAmt |
| Purpose | 8TH STREET PROPERTY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $533,194 | RetiredAmt |
| Total Proceeds | $1,292,000 | TotalProceedsAmt |
| Other Spent Proceeds | $1,292,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2004 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.01000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.01000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE PREPARED FORM 990 IS REVIEWED FIRST BY THE CHIEF FINANCIAL OFFICER, THEN THE CHIEF EXECUTIVE OFFICER FOR RECOMMENDATION TO THE BOARD FOR FORMAL APPROVAL BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS SHALL SUBMIT, UPON ASSUMING THEIR POSITIONS AND THEREAFTER, ANNUAL IN WRITING TO THE PRESIDENT OF THE PENINSULA BEHAVIORAL HEALTH BOARD, A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS OF WHICH HE OR SHE IS AN OFFICER, MEMBER, OWNER OR EMPLOYEE, OR FOR WHICH HE OR SHE ACTS AS AN AGENCY WITH WHICH PENINSULA BEHAVIORAL HEALTH HAS ENTERED, OR MIGHT REASONABLY IN THE FUTURE ENTER INTO A RELATIONSHIP OR A TRANSACTION WHERE PENINSULA BEHAVIORAL HEALTH MIGHT COMPETE AGAINST SUCH ORGANIZATION AND IN WHICH THE BOARD MEMBER OR EXECUTIVE WOULD HAVE CONFLICTING INTERESTS. THE PRESIDENT OF THE BOARD SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL BOARD MEMBERS IN ORDER TO GUIDE HIS OR HER CONDUCT IN CHAIRING MEETINGS SHOULD A CONFLICT ARISE. WHEN ANY MATTERS COMES BEFORE THE BOARD AND RAISES THE ISSUE OF A CONFLICT FOR BOARD MEMBERS, THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY WRITTEN STATEMENT OR NOT. DISCLOSURE SHOULD BE MADE AS SOON AS POSSIBLE AS PRACTICABLE AS TO AVOID ANY ADVERTENT HARM TO PENINSULA BEHAVIORAL HEALTH. THE MEMBER SHALL ANSWER ANY QUESTIONS THAT MIGHT BE ASKED BY OTHER BOARD MEMBERS OR LEGAL COUNSEL. THE PRESIDENT, WITH THE ASSISTANCE OF LEGAL COUNSEL, MAY REQUEST THE BOARD MEMBER TO: 1. REFRAIN FROM PARTICIPATING IN THE DISCUSSION INVOLVING THE CONFLICT. 2. LEAVE THE ROOM WHILE THE MATTER IS BEING DISCUSSED. 3. REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15A | CEO COMPENSATION IS REVIEWED ANNUALLY UTILIZING SALARY SURVEY DATA SPECIFIC TO OUR INDUSTRY. THE HR DIRECTOR REVIEWS AND MAKES RECOMMENDATIONS FOR ANY CHANGES. THE BOARD PROVIDES A PERFORMANCE EVALUATION FOR THE CEO ALONG WITH APPROVING COMPENSATION INCREASES AND BONUSES. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION INCREASES ARE DETERMINED ANNUALLY DURING THE BUDGETING PROCESS, ALONG WITH OTHER STAFF COMPENSATION INCREASES, AND APPROVED BY THE BOARD VIA THE BUDGET APPROVAL PROCESS. PERFORMANCE EVALUATIONS ARE COMPLETED AND THEN RAISE PERCENTAGES DETERMINED BY EXECUTIVE MANAGEMENT, STAYING WITHIN BUDGETED GUIDELINES APPROVED DURING THE BUDGET CYCLE. |
| FORM 990, PART VI, SECTION C, LINE 18 | COPIES OF THE ORGANIZATION'S FORM 990 AND FORM 1023 APPLICATION ARE MAINTAINED IN THE OFFICE OF THE CFO. THE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION DURING REGULAR BUSINESS HOURS BY REQUESTING THE RECEPTIONIST TO CALL EXTENSION 199, OR BY MAIL DIRECTED TO THE CFO, 118 E. 8TH ST., PORT ANGELES, WA 98362 OR BY FAXING A REQUEST TO THE CFO AT FAX NUMBER (360) 457-0493. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE OFFICE OF THE CFO. THE INFORMATION IS AVAILABLE FOR PUBLIC INSPECTION DURING BUSINESS HOURS OF 9:00 A.M. TO 4:00 P.M. BY REQUESTING THE RECEPTIONIST TO CALL EXTENSION 199, OR BY MAIL DIRECTED TO THE CFO, 118 E. 8TH ST., PORT ANGELES, WA 98362 OR BY FAXING A REQUEST TO THE CFO AT FAX NUMBER (360) 457-0493. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC BY CONTACTING THE CEO'S OFFICE AT (360) 457-0431, EXT. 154. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MADE AVAILABLE FOR PUBLIC VIEWING AND IS POSTED ON THE RECEPTION AREA BULLETIN BOARD. |
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