EVERETT TRANSITIONAL CARE SERVICES: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- EVERETT TRANSITIONAL CARE SERVICES (EIN 94-3264605)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-17
- IRS object ID
- 202342909349300944
- Schema version
- 2022v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-17T12:06:54-04:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943264605 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EVERETT TRANSITIONAL CARE SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EVER | BusinessNameControlTxt |
| Phone | 4252587552 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13700 | AddressLine1Txt |
| City | MILL CREEK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98082 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH SCRIVENS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4252587552 | PhoneNum |
| Signature | 2023-09-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOSEPH | PersonFirstNm |
| Person Last | SCRIVENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2023-10-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH SCRIVENS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13700 | AddressLine1Txt |
| City | MILL CREEK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,499,202 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://ETCSNW.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | HEALTHCARE SERVICES OF PATIENTS IN TRANSITIONAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,188,796 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,163,127 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,895,926 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,335,814 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,329 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40 | PYOtherRevenueAmt |
| CY Other Revenue | $137 | CYOtherRevenueAmt |
| PY Total Revenue | $4,084,838 | PYTotalRevenueAmt |
| CY Total Revenue | $5,496,749 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,316,027 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,590,701 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,768,811 | PYOtherExpensesAmt |
| CY Other Expenses | $2,906,688 | CYOtherExpensesAmt |
| PY Total Expenses | $4,084,838 | PYTotalExpensesAmt |
| CY Total Expenses | $5,497,389 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$640 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,388,187 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,950,589 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $374,592 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,937,634 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,013,595 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,012,955 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS PEOPLE OF PROVIDENCE AND BETHANY OF THE NORTHWEST, WE REVEAL GOD'S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE HEALTHCARE SERVICES FOR PATIENTS IN TRANSITIONAL CARE. WE ARE DEDICATED TO ENHANCING THE QUALITY AND DIGNITY OF LIFE OF THOSE WE SERVE OUT OF LOVE TO GOD AND NEIGHBOR. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,546,711 | ExpenseAmt |
| Revenue | $3,335,814 | RevenueAmt |
| Desc | EVERETT TRANSITIONAL CARE SERVICES (ETCS) PROVIDES SUB-ACUTE CARE SERVICES TO ELDERLY AND INFIRM INDIVIDUALS NEEDING A MODERATE LEVEL OF NURSING CARE BUT NOT REQUIRING HOSPITAL PROVIDED ACUTE CARE. IF AN INDIVIDUAL IS RECOVERING FROM AN ILLNESS, INJURY, OR SURGERY AND NEEDS SHORT-TERM CARE AFTER BEING RELEASED FROM THE HOSPITAL, ETCS PROVIDES AN "IN-BETWEEN" PLACE TO HEAL THROUGH CAREFULLY PLANNED REHABILITATION. ETCS IS A JOINT VENTURE OF BETHANY OF THE NORTHWEST AND PROVIDENCE HEALTH SYSTEM. THIS PARTNERSHIP BRINGS TOGETHER TWO LONG-STANDING ORGANIZATIONS WITH SIMILAR MISSIONS - PROVIDING COMPASSIONATE HEALING AND SERVICE TO THOSE IN NEED. AN AVERAGE LENGTH OF STAY IS ABOUT 70.58 DAYS SERVING 105 PEOPLE DURING 2022. | Desc |
| Total Program Service Expenses | $4,546,711 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHANY OF THE NORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4252595508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13700 | AddressLine1Txt |
| City | MILL CREEK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98082 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| SCOTT COMBS | |||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $412,423 | $0 |
| JOSEPH SCRIVENS | |||||||
| CEO | 10.00 | 30.00 | Yes (X) | $0 | $271,417 | $0 | |
| JASON PETERSON | |||||||
| CHAIR | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $246,891 | $0 |
| KEVIN CLAY | |||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAUL ONERHEIM | |||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BOB CAMPBELL | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PATTY DEGROODT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $930,731 | TotReportableCompRltdOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DEPENDABLE STAFFING AGENCY LTD | |||||
| 33600 6TH AVE 204 | FEDERAL WAY | WA | 98003 | NURSING STAFF | $281,300 |
| AACO A-1 HEALTH CARE SERVICES INC | |||||
| 4100 194TH ST SW UNIT 301 | LYNWOOD | WA | 98036 | NURSING STAFF | $222,471 |
| CLIPBOARD HEALTH | |||||
| 77 VAN NESS AVENUE SUITE 101 1728 | SAN FRANCISCO | CA | 94102 | NURSING STAFF | $104,308 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,959,621 | RelatedOrganizationsAmt |
| Government Grants | $201,906 | GovernmentGrantsAmt |
| All Other Contributions | $1,600 | AllOtherContributionsAmt |
| Total Contributions | $2,163,127 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUB ACUTE INPATIENT, NET | Desc |
| Business | 623990 | BusinessCd |
| Total Revenue Column | $3,335,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,335,814 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,335,814 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124 | TotalRevenueColumnAmt |
| Exclusion | $124 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,453 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,453 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,453 | TotalRevenueColumnAmt |
| Exclusion | -$2,453 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $137 | TotalRevenueColumnAmt |
| Exclusion | $137 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $137 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,496,749 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,335,814 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$2,192 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,287,138 | TotalAmt |
| Program Services | $2,104,878 | ProgramServicesAmt |
| Management And General | $182,260 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,112 | TotalAmt |
| Program Services | $5,625 | ProgramServicesAmt |
| Management And General | $487 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,171 | TotalAmt |
| Program Services | $95,870 | ProgramServicesAmt |
| Management And General | $8,301 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,280 | TotalAmt |
| Program Services | $177,878 | ProgramServicesAmt |
| Management And General | $15,402 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,148 | TotalAmt |
| Management And General | $4,148 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,234 | TotalAmt |
| Management And General | $331,234 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,614,014 | TotalAmt |
| Program Services | $1,460,235 | ProgramServicesAmt |
| Management And General | $153,779 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,275 | TotalAmt |
| Management And General | $41,275 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,982 | TotalAmt |
| Program Services | $24,117 | ProgramServicesAmt |
| Management And General | $79,865 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,555 | TotalAmt |
| Management And General | $6,555 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,655 | TotalAmt |
| Program Services | $288,660 | ProgramServicesAmt |
| Management And General | $24,995 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,917 | TotalAmt |
| Program Services | $4,917 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,688 | TotalAmt |
| Program Services | $17,688 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,823 | TotalAmt |
| Program Services | $48,614 | ProgramServicesAmt |
| Management And General | $4,209 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,439 | TotalAmt |
| Program Services | $15,971 | ProgramServicesAmt |
| Management And General | $3,468 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SUPPLIES & DRUGS | Desc |
| Total | $274,554 | TotalAmt |
| Program Services | $274,554 | ProgramServicesAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,404 | TotalAmt |
| Program Services | $27,704 | ProgramServicesAmt |
| Management And General | $94,700 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,497,389 | TotalAmt |
| Program Services | $4,546,711 | ProgramServicesAmt |
| Management And General | $950,678 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,892 | BOYAmt |
| EOY | $74,764 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,764 | BOYAmt |
| EOY | $78,934 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,098 | BOYAmt |
| EOY | $1,096,539 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,913 | BOYAmt |
| EOY | $22,310 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,604 | BOYAmt |
| EOY | $31,874 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,584,139 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,144,396 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,916 | BOYAmt |
| EOY | $439,743 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,206,425 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,388,187 | BOYAmt |
| EOY | $3,950,589 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,764 | BOYAmt |
| EOY | $388,474 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,828 | BOYAmt |
| EOY | $2,549,160 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,592 | BOYAmt |
| EOY | $2,937,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $849,991 | BOYAmt |
| EOY | $849,991 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,604 | BOYAmt |
| EOY | $162,964 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,013,595 | BOYAmt |
| EOY | $1,012,955 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,388,187 | BOYAmt |
| EOY | $3,950,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$640 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | 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 Minus2 Years | $1,487,714 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,188,796 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,163,127 | CurrentTaxYearAmt |
| Total | $4,839,637 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,700,488 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $780,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,629,452 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,895,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,335,814 | CurrentTaxYearAmt |
| Total | $14,342,016 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,700,488 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $780,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,117,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,084,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,498,941 | CurrentTaxYearAmt |
| Total | $19,181,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,181,653 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $508 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $482 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124 | CurrentTaxYearAmt |
| Total | $1,347 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $508 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $482 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124 | CurrentTaxYearAmt |
| Total | $1,347 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $378 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $703 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $40 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137 | CurrentTaxYearAmt |
| Total | $1,258 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,701,374 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $781,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,117,323 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,084,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,499,202 | CurrentTaxYearAmt |
| Total | $19,184,258 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 1,258 | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $614 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $614 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | EVERETT TRANSITIONAL CARE SERVICES DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE ORGANIZATION PAYS MEMBERSHIP DUES TO ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $815,736 | OtherCostOrOtherBasisAmt |
| Depreciation | $809,395 | DepreciationAmt |
| Book Value | $6,341 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $136,872 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,717 | DepreciationAmt |
| Book Value | $130,155 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $631,531 | OtherCostOrOtherBasisAmt |
| Depreciation | $328,284 | DepreciationAmt |
| Book Value | $303,247 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $439,743 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE ROU ASSETS | Desc |
| Book Value | $2,206,425 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,206,425 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $2,206,425 |
| DUE TO AFFILIATES | $342,735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,549,160 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|
| SCOTT COMBS | ||
| TREASURER | $412,423 | $412,423 |
| JOSEPH SCRIVENS | ||
| CEO | $271,417 | $271,417 |
| JASON PETERSON | ||
| CHAIR | $246,891 | $246,891 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | BETHANY OF THE NORTHWEST IS THE MANAGING PARTNER OF EVERETT TRANSITIONAL CARE SERVICES. BETHANY OF THE NORTHWEST'S FINANCIAL COMMITTEE DETERMINES THE CEO'S COMPENSATION. 10% OF CEO COMPENSATION IS ALLOCATED TO EVERETT TRANSITIONAL CARE SERVICES AND INCLUDED IN PART IX. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | AS PEOPLE OF PROVIDENCE AND BETHANY OF THE NORTHWEST, WE REVEAL GOD'S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE HEALTHCARE SERVICES FOR PATIENTS IN TRANSITIONAL CARE. WE ARE DEDICATED TO ENHANCING THE QUALITY AND DIGNITY OF LIFE OF THOSE WE SERVE OUT OF LOVE TO GOD AND NEIGHBOR. |
| FORM 990, PART III | PATIENTS IN TRANSITIONAL CARE ARE TYPICALLY RECOVERING FROM CARDIAC SURGERY, CAR ACCIDENTS, CANCER, JOINT REPLACEMENT, SURGERY, STROKES, OR OTHER COMMON TREATMENTS. WE PROVIDE IV THERAPY AND SPECIALIZED WOUND CARE CONVENIENTLY LOCATED ON PROVIDENCE REGIONAL'S PACIFIC CAMPUS, ETCS SERVICES OFFERS THE LATEST SUB-ACUTE CARE TECHNOLOGY SERVICES, 31 PRIVATE ROOMS, 24/7 ADMISSIONS, REGISTERED NURSING CARE, AND PHYSICAL AND OCCUPATIONAL THERAPY. WE WORK WITH THE PATIENT AND FAMILY TO CREATE AN INDIVIDUALIZED TREATMENT PLAN THAT HELPS THE PATIENT RETURN HOME AS QUICKLY AS POSSIBLE WITH MAXIMUM INDEPENDENCE. OUR EMPHASIS IS ON PATIENT EDUCATION AS WELL AS EMOTIONAL, SPIRITUAL, AND CULTURAL NEEDS. |
| FORM 990, PAGE 6, PART VI, LINE 3 | BETHANY OF THE NORTHWEST IS THE MANAGING PARTNER FOR EVERETT TRANSITIONAL CARE SERVICES (ETCS). BETHANY PROVIDES MANAGEMENT SERVICES, ACCOUNTING SERVICES, AND HUMAN RESOURCES SERVICES TO ETCS. THE CEO IS COMPENSATED BY BETHANY OF THE NORTHWEST. 10% OF CEO'S SALARY WAS ALLOCATED TO ETCS (BASED UPON BED COUNT) AND IS INCLUDED IN PART IX. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE CORPORATE MEMBERS ARE PH&S-WA DBA PROVIDENCE REGIONAL MEDICAL CENTER EVERETT AND BETHANY OF THE NORTHWEST. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE DIRECTORS (INCLUDING THOSE APPOINTED BY EACH MEMBER) SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEMBERS' MEETING EACH YEAR. IF, FOR ANY CAUSE, THE DIRECTORS ARE NOT ELECTED AT AN ANNUAL MEMBERS' MEETING, THEY MAY BE ELECTED BY THE DIRECTORS AT THE BOARD ANNUAL MEETING, NEXT REGULAR MEETING, OR A SPECIAL MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE FOLLOWING MATTERS REQUIRE UNANIMOUS AGREEMENT BY THE CORPORATE MEMBERS: SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS, MERGER, CONSOLIDATION OR AFFILIATION, DISSOLUTION AND LIQUIDATION, AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS, CHANGE OF NAME OF THE CORPORATION, AND ANY CHANGE IN THE NATURE OR PURPOSE OF THE CORPORATION'S BUSINESS. |
| FORM 990, PAGE 6, PART VI, LINE 9 | SCOTT COMBS 1321 COLBY AVENUE EVERETT, WA 98201 JASON PETERSON 1321 COLBY AVENUE EVERETT, WA 98201 |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHEMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS THEN APPROVED. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | SINCE EVERETT TRANSITIONAL CARE SERVICES IS A JOINT VENTURE BETWEEN PROVIDENCE REGIONAL MEDICAL CENTER EVERETT AND BETHANY OF THE NORTHWEST, IT'S CONFLICT OF INTEREST POLICY MIRRORS THAT OF THE TWO ENTITIES. ALL BOARD MEMBERS ARE SUBJECT TO ANNUAL DISCLOSURE REQUIREMENTS AND POTENTIAL CONFLICTS ARE ADDRESSED AT QUARTERLY MANAGEMENT AND/OR BOARD MEETINGS. IF A CONFLICT IS FOUND, THE INDIVIDUAL WILL RECUSE THEMSELVES FROM VOTING OR DISCUSSING THOSE PARTICULAR MATTERS. CONFLICTS ARE ALSO CONSIDERED WHEN ANY MAJOR CONTRACTS ARE UNDER CONSIDERATION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EMPLOYEES ARE COMPENSATED BY RELATED ORGANIZATIONS WHICH USE A MARKET BASED COMPENSATION PROGRAM UTILITZING SEVERAL INDEPENDENT THIRD PARTY COMPENSATION MARKET SURVEYS TO ESTABLISH PAY RANGES FOR THE POSITION. THE RELATED ORGANIZATION THEN ESTABLISHES THE INDIVIDUAL RATE OF PAY WITHIN THE PAY RANGE BASED ON RELEVANT EXPERIENCE, SKILLS, AND COMPETENCIES. THE RATE OFFERED TO THE ADMINISTRATOR AT THE TIME OF HIRE WAS DETERMINED BY THE HUMAN RESOURCES DEPARTMENT OF BETHANY OF THE NORTHWEST. THE RANGES AND RATE OF PAY ARE REVIEWED ON AN ANNUAL BASIS BY THE HUMAN RESOURCES DEPARTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE IRS FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTED INFORMATION IS PRINTED AND AVAILABLE TO THE INTERESTED PARTY AT THE OFFICE. |
| FORM 990, PART IX, LINE 11G | 1,460,235 153,779 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PH&S-WA DBA PROVIDENCE REGIONAL | |||||||||||
| MEDICAL CENTER EVERETT | 1321 COLBY AVENUE | EVERETT | WA | 98201 | 910568303 | HEALTHCARE | WA | 501C3 | 3 | NA | false |
| BETHANY OF THE NORTHWEST | |||||||||||
| PO BOX 13700 | MILL CREEK | WA | 98082 | 910577125 | HEALTHCARE | WA | 501C3 | 1 | NA | false | |
| EVERETT TRANSITIONAL CARE SERVICES | |||||||||||
| FOUNDATION | 1902 120TH PL SE SUITE 201 | EVERETT | WA | 98208 | 850593047 | FOUNDATION | WA | 501C3 | 7 | ETCS | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ETCS FOUNDATION | ||
| C | $1,959,621 | GAAP |
| BETHANY OF THE NORTHWEST | ||
| E | $342,735 | GAAP |
| PH&S-WA | ||
| K | $242,976 | GAAP |
| BETHANY OF THE NORTHWEST | ||
| O | $271,417 | GAAP |