FURP.ORG / PUBLIC DATA EXPLORER

SEATTLE ROOTS COMMUNITY HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SEATTLE ROOTS COMMUNITY HEALTH (EIN 23-7100868)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-27
IRS object ID
202323319349301202
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

FieldValueIRS element (for citing)
Return2023-11-27T17:26:03-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DINGUS ZARECOR & ASSOCIATES PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112015 E MAIN AVEAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99206ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237100868EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNTRY DOCTOR COMMUNITY CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOUNBusinessNameControlTxt
Phone2062991941PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12101 E YESLER WAY SE STE 210AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRANDY TAYLORPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2062991941PhoneNum
Signature2023-11-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRANDYPersonFirstNm
Person LastTAYLORPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DINGUSPreparerPersonNm
PTINP00951009PTIN
Phone5092420874PhoneNum
Preparation2023-11-27PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRANDY TAYLORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12101 EAST YESLER WAY SE STE 120AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,292,788GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCDCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, CARING, CULTURALLY APPROPRIATE PRIMARY HEALTH CARE THAT ADDRESSES THE NEEDS OF PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee309TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$9,797,728PYContributionsGrantsAmt
CY Contributions Grants$9,668,398CYContributionsGrantsAmt
PY Program Service Revenue$22,650,899PYProgramServiceRevenueAmt
CY Program Service Revenue$24,922,551CYProgramServiceRevenueAmt
PY Investment Income$16,490PYInvestmentIncomeAmt
CY Investment Income-$94,055CYInvestmentIncomeAmt
PY Other Revenue$542,435PYOtherRevenueAmt
CY Other Revenue$684,644CYOtherRevenueAmt
PY Total Revenue$33,007,552PYTotalRevenueAmt
CY Total Revenue$35,181,538CYTotalRevenueAmt
CY Grants And Similar Paid$4,481CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,097,283PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,404,305CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$172,692CYTotalFundraisingExpenseAmt
PY Other Expenses$12,346,488PYOtherExpensesAmt
CY Other Expenses$14,011,862CYOtherExpensesAmt
PY Total Expenses$33,443,771PYTotalExpensesAmt
CY Total Expenses$35,420,648CYTotalExpensesAmt
PY Revenues Less Expenses-$436,219PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$239,110CYRevenuesLessExpensesAmt
Total Assets BOY$31,082,020TotalAssetsBOYAmt
Total Assets EOY$30,476,117TotalAssetsEOYAmt
Total Liabilities BOY$14,785,071TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,418,278TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,296,949NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,057,839NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, CARING, CULTURALLY APPROPRIATE PRIMARY HEALTH CARE THAT ADDRESSES THE NEEDS OF PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$27,238,739ExpenseAmt
Grant$4,481GrantAmt
Revenue$24,922,551RevenueAmt
DescCOUNTRY DOCTOR COMMUNITY CLINIC PROVIDED 42,139 MEDICAL VISITS, 6,149 DENTAL VISITS AND 3,714 MENTAL HEALTH VISITS DURING 2022. 48% OF THE PATIENTS SEEN DURING THE YEAR HAD INCOME LESS THAN 200% OF THE FEDERAL POVERTY LEVEL (FPL) WHILE 21% WERE UNINSURED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,146,018ExpenseAmt
DescTHE OTHER HEALTH SERVICES PROGRAMS PROVIDED 1,225 ANCILLARY VISITS (E.G. NUTRITION, WIC, ELIGIBILITY) TO LOW-INCOME PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$30,384,757TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee309EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRANDY TAYLORPersonNm
Phone2062991941PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12101 EAST YESLER WAY SE STE 120AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndInstitutional TrusteeInstitutionalTrusteeInd
MATTHEW LOGALBO
CMO40.00Yes (X)$210,592$0$25,339
EMILY FLYNN
PHYSICIAN40.00$209,066$0$18,884Yes (X)
SARAH HUFBAUER
PHYSICIAN20.00$201,399$0$22,787Yes (X)
JEREMIAH REENDERS
PHYSICIAN32.00$198,410$0$13,141Yes (X)
LAURA ADLER
PHYSICIAN36.00$195,955$0$9,785Yes (X)
TIMAR ALEM
PHYSICIAN40.00$192,874$0$9,290Yes (X)
BESSIE CHI
PHARMACY DIR40.00Yes (X)$187,706$0$16,328
BRANDY TAYLOR
EXECUTIVE DI40.00$186,338$0$19,190Yes (X)
ANGELA TREPTOW
INTERIM FINA40.00$130,484$0$22,598Yes (X)
MARGARET TAYLOR
CFO (THRU AP40.00$62,452$0$5,024Yes (X)
GRANT SCULL
CHAIR1.00$0$0$0Yes (X)Yes (X)
RIK WYMAN
PAST CHAIR1.00$0$0$0Yes (X)Yes (X)
ROB ROCHE
TREASURER1.00$0$0$0Yes (X)Yes (X)
KUSH DOSHI
SECRETARY1.00$0$0$0Yes (X)Yes (X)
CHRISTINE ASIIMWE
DIRECTOR1.00$0$0$0Yes (X)
DJENOM BENJAMIN
DIRECTOR1.00$0$0$0Yes (X)
ROI-MARTIN BROWN
DIRECTOR1.00$0$0$0Yes (X)
SCOTT CRAIN
DIRECTOR1.00$0$0$0Yes (X)
JAMES KING
DIRECTOR1.00$0$0$0Yes (X)
KHANG TO
DIRECTOR1.00$0$0$0Yes (X)
DAVID CORRADO
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,775,276TotalReportableCompFromOrgAmt
Total Other Compensation$162,366TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ADJ INTEGRATION SOLUTIONS
19409 99TH STREET COURT EBONNEY LAKEWA98391IT SUPPORT$749,691
OCHIN INC
1881 SW NAITO PARKWAYPORTLANDOR97201IT SERVICES$547,713
ROBERT HALF TALENT SOLUTIONS
601 UNION STREET SUITE 4300SEATTLEWA98101CONSULTANTS/HR$261,203
STRATUS INDEMAND INC
PO BOX 675248DETROITMI48267INTERPRETER$196,053
LABCORP OF AMERICA HOLDINGS
531 SOUTH STREETBURLINGTONNC27215LAB SERVICES$127,886
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$9,302,003GovernmentGrantsAmt
All Other Contributions$366,395AllOtherContributionsAmt
Total Contributions$9,668,398TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES621400$13,446,752$13,446,752
PHARMACY REVENUE621400$11,475,799$11,475,799
FieldValueIRS element (for citing)
Total Program Service Revenue$24,922,551TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,195TotalRevenueColumnAmt
Exclusion$17,195ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$202,722RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$202,722RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,722TotalRevenueColumnAmt
Exclusion$202,722ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$111,250SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$111,250SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$111,250TotalRevenueColumnAmt
Exclusion-$111,250ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRISK POOL & INCENTIVESDesc
Business900099BusinessCd
Total Revenue Column$481,922TotalRevenueColumnAmt
Exclusion$481,922ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$481,922OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,181,538TotalRevenueColumnAmt
Related Or Exempt Func Income$24,922,551RelatedOrExemptFuncIncomeAmt
Exclusion$590,589ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,481TotalAmt
Program Services$4,481ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$866,051TotalAmt
Program Services$439,966ProgramServicesAmt
Management And General$426,085ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,553,767TotalAmt
Program Services$15,376,405ProgramServicesAmt
Management And General$1,035,311ManagementAndGeneralAmt
Fundraising$142,051FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$681,972TotalAmt
Program Services$587,089ProgramServicesAmt
Management And General$88,853ManagementAndGeneralAmt
Fundraising$6,030FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,961,855TotalAmt
Program Services$1,317,139ProgramServicesAmt
Management And General$635,415ManagementAndGeneralAmt
Fundraising$9,301FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,340,660TotalAmt
Program Services$1,161,388ProgramServicesAmt
Management And General$167,985ManagementAndGeneralAmt
Fundraising$11,287FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$68,728TotalAmt
Management And General$68,728ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,396TotalAmt
Management And General$37,396ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,187,568TotalAmt
Program Services$3,075,821ProgramServicesAmt
Management And General$1,111,747ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$169,044TotalAmt
Program Services$9,822ProgramServicesAmt
Management And General$159,222ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$550,086TotalAmt
Program Services$205,569ProgramServicesAmt
Management And General$344,517ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$621,782TotalAmt
Program Services$496,151ProgramServicesAmt
Management And General$123,244ManagementAndGeneralAmt
Fundraising$2,387FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,977TotalAmt
Program Services$12,129ProgramServicesAmt
Management And General$10,848ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,217TotalAmt
Program Services$24,327ProgramServicesAmt
Management And General$7,890ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,274TotalAmt
Management And General$23,274ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$655,564TotalAmt
Program Services$624,435ProgramServicesAmt
Management And General$29,493ManagementAndGeneralAmt
Fundraising$1,636FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$172,554TotalAmt
Program Services$26,507ProgramServicesAmt
Management And General$146,047ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$6,918,524$6,918,524
TAXES$271,300$271,300
REPAIR & MAINTENANCE$125,957$24,053$101,904

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$154,891TotalAmt
Program Services$80,951ProgramServicesAmt
Management And General$73,940ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,420,648TotalAmt
Program Services$30,384,757ProgramServicesAmt
Management And General$4,863,199ManagementAndGeneralAmt
Fundraising$172,692FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,213,321BOYAmt
EOY$11,529,299EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,998BOYAmt
EOY$4,998EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,598,562BOYAmt
EOY$2,585,975EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,195,513BOYAmt
EOY$845,430EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$250,946BOYAmt
EOY$277,417EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,530,281LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,918,167LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,186,675BOYAmt
EOY$11,612,114EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,632,005BOYAmt
EOY$3,552,958EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$67,926EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,082,020BOYAmt
EOY$30,476,117EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,417,441BOYAmt
EOY$4,086,980EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,504,990BOYAmt
EOY$7,288,998EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,862,640BOYAmt
EOY$3,042,300EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,785,071BOYAmt
EOY$14,418,278EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,213,894BOYAmt
EOY$15,974,784EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,055BOYAmt
EOY$83,055EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,296,949BOYAmt
EOY$16,057,839EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,082,020BOYAmt
EOY$30,476,117EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$239,110ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,490,239CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,048,419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,290,166CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,797,728CurrentTaxYearMinus1YearAmt
Current Tax Year$9,668,398CurrentTaxYearAmt
Total$42,294,950TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,490,239CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,048,419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,290,166CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,797,728CurrentTaxYearMinus1YearAmt
Current Tax Year$9,668,398CurrentTaxYearAmt
Total$42,294,950TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$42,294,950PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$213,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$263,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$213,021CurrentTaxYearMinus1YearAmt
Current Tax Year$219,917CurrentTaxYearAmt
Total$972,450TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$466,795CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$388,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,217,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$344,246CurrentTaxYearMinus1YearAmt
Current Tax Year$481,922CurrentTaxYearAmt
Total$3,898,367TotalAmt
FieldValueIRS element (for citing)
Total Support$47,165,767TotalSupportAmt
Gross Receipts Rltd Activities$112,531,281GrossReceiptsRltdActivitiesAmt
Public Support CY1700.89670PublicSupportCY170Pct
Public Support PY1700.89230PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationRISK POOL & INCENTIVES 3,631,462 OTHER REVENUE 180,594 FUNDRAISING EVENT REVENUE 86,311ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,055BeginningYearBalanceAmt
End Year Balance$83,055EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,055BeginningYearBalanceAmt
End Year Balance$83,055EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,055BeginningYearBalanceAmt
End Year Balance$83,055EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,055BeginningYearBalanceAmt
End Year Balance$83,055EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,055BeginningYearBalanceAmt
End Year Balance$83,055EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,000OtherCostOrOtherBasisAmt
Book Value$184,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,601,647OtherCostOrOtherBasisAmt
Depreciation$6,219,127DepreciationAmt
Book Value$10,382,520BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$182,047OtherCostOrOtherBasisAmt
Depreciation$182,047DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,528,586OtherCostOrOtherBasisAmt
Depreciation$3,516,993DepreciationAmt
Book Value$1,011,593BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,001OtherCostOrOtherBasisAmt
Book Value$34,001BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,612,114TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PPP LOAN PAYABLE$3,020,000
CAPITAL LEASE OBLIGATION$22,300
FieldValueIRS element (for citing)
Total Liability$3,042,300TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$35,181,538TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$35,181,538RevenueSubtotalAmt
Total Revenue Per Form990$35,181,538TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,420,648TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$35,420,648ExpensesSubtotalAmt
Total Expenses Per Form990$35,420,648TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4THE ENDOWMENT FUNDS ARE ASSETS SET ASIDE AND RESTRICTED BY DONORS. THE INCOME GENERATED FROM THESE ASSETS IS USED TO FUND OPERATIONS OF THE ORGANIZATION.
SCHEDULE D, PAGE 3, PART XCDCHC'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; HOWEVER, UNRELATED BUSINESS ACTIVITIES WOULD BE SUBJECT TO INCOME TAX. SINCE CDCHC IS EXEMPT FROM FEDERAL INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. MANAGEMENT EVALUATED CDCHC'S TAX POSITIONS AND CONCLUDED THAT CDCHC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTE 5, USUALLY FOR THREE YEARS SUBSEQUENT TO THE DATE OF THE RETURN WAS FILED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
MATTHEW LOGALBO
CMO$189,592$500$20,500$10,476$14,863$235,931
EMILY FLYNN
PHYSICIAN$188,066$500$20,500$9,767$9,117$227,950
SARAH HUFBAUER
PHYSICIAN$173,899$500$27,000$10,265$12,522$224,186
JEREMIAH REENDERS
PHYSICIAN$177,410$500$20,500$6,035$7,106$211,551
LAURA ADLER
PHYSICIAN$175,955$500$19,500$9,785$205,740
TIMAR ALEM
PHYSICIAN$165,374$500$27,000$8,694$596$202,164
BESSIE CHI
PHARMACY DIRECTOR$179,901$500$7,305$7,320$9,008$204,034
BRANDY TAYLOR
EXECUTIVE DIRECTOR$181,176$500$4,662$5,643$13,547$205,528
ANGELA TREPTOW
INTERIM FINANCE DIR$122,928$500$7,056$5,998$16,600$153,082

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 1ATHE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR AND AT LEAST THREE OTHER BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY AS EXPRESSLY DELEGATED TO IT BY RESOLUTION OF THE BOARD IN THE GOVERNANCE OF THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND THE FINANCE TEAM WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE FORM 990 WILL BE PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AT THEIR NEXT MEETING AFTER THE FORM 990 IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CCOMPLIANCE AND NON-COMPLIANCE WITH THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED DURING THE MONTHLY MEETINGS. BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ANNUALLY. ANY MEMBER WITH A STATED CONFLICT OF INTEREST IS REVIEWED BY THE EXECUTIVE COMMITTEE. THE BOARD CHAIR DETERMINES THE EXTENT OF THE CONFLICT AND WHETHER THE CONFLICTED BOARD MEMBER SHOULD NOT VOTE ON AN ISSUE OR SHOULD RECUSE HIM OR HERSELF FROM THE DISCUSSION.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. EVERY TWO YEARS, THIS PROCESS IS ASSISTED BY AN INDEPENDENT COMPENSATION CONSULTANT AS WELL AS A MILLIMAN SURVEY THAT ASSESSES MARKET COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15BTHE DIRECTOR OF FINANCE'S COMPENSATION IS REVIEWED BY THE EXECUTIVE DIRECTOR BASED ON A MILLIMAN SURVEY THAT ASSESSES MARKET COMPENSATION. THE BOARD THEN REVIEWS IT ALONG WITH ALL OTHER EMPLOYEES AS A GROUP.
FORM 990, PAGE 6, PART VI, LINE 19CDCHC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G3,075,821 1,111,747 0