COMMUNITY HEALTH CARE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CARE (EIN 91-1349657)
Tax period
2019-06-01 to 2020-05-31
Filed
2021-04-15
IRS object ID
202141059349301894
Schema version
2019v5.2
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)
Return2021-04-15T18:14:00-05:00ReturnTs
Tax Period End2020-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911349657EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone2535974550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11148 BROADWAY NO 100AddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98402ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID FLENTGEPersonNm
Person TitleCEOPersonTitleTxt
Phone2537221502PhoneNum
Signature2021-04-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2021-04-13PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID FLENTGEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11148 BROADWAY NO 100AddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98402ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$92,744,907GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee820TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,691,602PYContributionsGrantsAmt
CY Contributions Grants$28,341,845CYContributionsGrantsAmt
PY Program Service Revenue$56,075,520PYProgramServiceRevenueAmt
CY Program Service Revenue$56,445,944CYProgramServiceRevenueAmt
PY Investment Income$227,772PYInvestmentIncomeAmt
CY Investment Income$128,671CYInvestmentIncomeAmt
PY Other Revenue$104,599PYOtherRevenueAmt
CY Other Revenue$7,828,447CYOtherRevenueAmt
PY Total Revenue$65,099,493PYTotalRevenueAmt
CY Total Revenue$92,744,907CYTotalRevenueAmt
PY Grants And Similar Paid$13,200PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,592,465CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,849,743PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$45,078,860CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$77,591PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$64,474CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$138,114CYTotalFundraisingExpenseAmt
PY Other Expenses$19,747,793PYOtherExpensesAmt
CY Other Expenses$23,105,604CYOtherExpensesAmt
PY Total Expenses$61,688,327PYTotalExpensesAmt
CY Total Expenses$94,841,403CYTotalExpensesAmt
PY Revenues Less Expenses$3,411,166PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,096,496CYRevenuesLessExpensesAmt
Total Assets BOY$61,063,021TotalAssetsBOYAmt
Total Assets EOY$60,241,234TotalAssetsEOYAmt
Total Liabilities BOY$12,911,986TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,186,695TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$48,151,035NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,054,539NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HEALTH CARE PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THROUGH A CLINIC SYSTEM THAT INCLUDES SIX MEDICAL CLINICS, FIVE DENTAL CLINICS, AND FIVE PHARMACY LOCATIONS. IN ADDITION, CARE IS ALSO PROVIDED THROUGH A WOMEN'S HEALTH CLINIC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$48,076,278ExpenseAmt
Grant$26,592,465GrantAmt
Revenue$26,933,393RevenueAmt
DescCOMMUNITY HEALTH CARE (CHC) MEDICAL CLINICS OFFER MEDICAL SERVICES AND URGENT CARE CENTER SERVICES IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC CONTINUES TO SUPPORT TWO MEDICAL RESIDENCY PROGRAMS: 1. A FAMILY PHYSICIAN RESIDENCY PROGRAM THAT ACCEPTS 6 RESIDENTS EACH YEAR FOR A TOTAL OF 18 RESIDENTS DURING A 3 YEAR PROGRAM; AND 2. A 1-YEAR FAMILY ADVANCED REGISTERED NURSE PRACTIONER RESIDENCY PROGRAM WITH TWO RESIDENTS.DURING THE FISCAL YEAR ENDED 5/31/20, CHC PROVIDED 35,299 PATIENTS WITH MEDICAL CARE FROM 110,294 PATIENT VISITS AT 6 MEDICAL CLINICS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$16,148,676ExpenseAmt
Grant$0GrantAmt
Revenue$8,898,662RevenueAmt
DescCOMMUNITY HEALTH CARE (CHC) DENTAL CLINICS OFFER PRIMARY CARE DENTAL SERVICES IN VARIOUS PIERCE COUNTY LOCATIONS ACCORDING TO THE SAME FEE STRUCTURE. CHC DENTAL CLINICS INCLUDE A 1-YEAR DENTAL RESIDENCY PROGRAM.DURING THE FISCAL YEAR ENDED 5/31/20, CHC PROVIDED 22,745 PATIENTS WITH DENTAL CARE FROM 59,404 PATIENT VISITS AT 5 DENTAL CLINICS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,811,781ExpenseAmt
Grant$0GrantAmt
Revenue$18,436,692RevenueAmt
DescCOMMUNITY HEALTH CARE (CHC) PHARMACIES OFFER PHARMACEUTICAL SERVICES TO PATIENTS IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO THE SAME FEE STRUCTURE NOTED ABOVE. THE CHC PHARMACY PROGRAM INCLUDES A 1-YEAR PHARMACY RESIDENCY PROGRAM.DURING THE FISCAL YEAR ENDED 5/31/20, CHC'S PHARMACIES SERVED 16,602 PATIENTS THROUGH 159,714 MEDICATION FILLS AT 5 CLINICS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,247,393ExpenseAmt
Grant$0GrantAmt
Revenue$2,177,197RevenueAmt
DescCOMMUNITY HEALTH CARE (CHC) OFFERS MATERNITY SUPPORT, BEHAVIORAL HEALTH SERVICES, NUTRITION AND VISION SERVICES THROUGH THE CHC CLINICS IN PIERCE COUNTY.DURING THE FISCAL YEAR ENDED 5/31/20, CHC PROVIDED 4,777 PATIENTS WITH 17,796 VISITS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,247,393TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$2,177,197TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$86,284,128TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee820EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTONIA CAMPBELLPersonNm
Phone2535974550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11148 BROADWAY NO 100AddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98402ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JEFFREY SMITH MD
CMO40.000.00Yes (X)$377,595$0$28,836
JOHNNY ERKINS MD
MEDICAL PROVIDER40.000.00$329,015$0$76,677Yes (X)
DAVID FLENTGE MSW
CEO40.002.00Yes (X)$350,319$0$42,306
SANDRA WERNER MD
MEDICAL PROVIDER40.000.00$290,519$0$40,415Yes (X)
CARRIE JO TIMMER DO
RESIDENCY DIRECTOR40.000.00$270,816$0$50,071Yes (X)
JAMES LENHART MD PHD
MEDICAL PROVIDER40.000.00$278,053$0$39,281Yes (X)
GAYLE MATTHEWS MD OBGYN
MEDICAL PROVIDER40.000.00$269,196$0$19,288Yes (X)
ERIN LONGLEY MD
MEDICAL PROVIDER40.000.00$254,917$0$31,742Yes (X)
GARY REICHARD MD
ASSISTANT RESIDENCY DIRECTOR40.000.00$232,951$0$50,422Yes (X)
JEFF REYNOLDS DMD
DENTAL DIRECTOR40.000.00$238,032$0$27,680Yes (X)
TONIA CAMPBELL CPA
CFO40.002.00Yes (X)$187,309$0$32,944
GODWIN ASEMOTA PHARMD
PHARMACY DIRECTOR40.000.00$158,836$0$52,767Yes (X)
CALLIE GARD
DIRECTOR OF OPERATIONS40.002.00$152,238$0$35,778Yes (X)
GARY WALMER
CHAIR2.002.00Yes (X)$0$0$0Yes (X)
MARCO VINIEGRA
VICE CHAIR2.000.00Yes (X)$0$0$0Yes (X)
DAN SLOAN
SECRETARY2.002.00Yes (X)$0$0$0Yes (X)
LADEDRIA GRIFFITH STALLWORTH
TREASURER2.000.00Yes (X)$0$0$0Yes (X)
LINDA BOWMAN
BOARD MEMBER2.000.00$0$0$0Yes (X)
LIZ GOLDBERG
BOARD MEMBER2.000.00$0$0$0Yes (X)
PAUL HANSEN
BOARD MEMBER2.000.00$0$0$0Yes (X)
RIA JOHNSON
BOARD MEMBER2.000.00$0$0$0Yes (X)
MEI YUN LOYA
BOARD MEMBER2.000.00$0$0$0Yes (X)
KATIE PARKER
BOARD MEMBER2.000.00$0$0$0Yes (X)
ALMA PRICE
BOARD MEMBER2.000.00$0$0$0Yes (X)
KEN REPP
BOARD MEMBER2.000.00$0$0$0Yes (X)
DOUG SWANBERG
BOARD MEMBER2.002.00$0$0$0Yes (X)
WILL SPEAKER
BOARD MEMBER2.000.00$0$0$0Yes (X)
ANNIE TUSTISON
BOARD MEMBER2.000.00$0$0$0Yes (X)
ANTHONY VELEZ
BOARD MEMBER (THROUGH MARCH 2019)2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,389,796TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$528,207TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SCRIBE-X NORTHWEST LLC
931 SW KING AVENUEPORTLANDOR97205MEDICAL SCRIBES$580,284
NEXTGEN HEALTHCARE
PO BOX 511449LOS ANGELESCA90051EHR SOFTWARE SERVICES$580,084
ABM JANITORIAL SERVICES
PO BOX 419860BOSTONMA02241JANITORIAL$481,953
OAK HILLS CONSTRUCTION
901 ALGONA BLVD SALGONAWA98001CONSTRUCTION SERVICES$240,987
FASPSYCH LLC
8687 E VIA DE VENTURASCOTTSDALEAZ85258MENTAL HEALTH SERVICES$231,592
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Related Organizations$17,989,138RelatedOrganizationsAmt
Government Grants$10,121,855GovernmentGrantsAmt
All Other Contributions$230,852AllOtherContributionsAmt
Noncash Contributions$18,284,952NoncashContributionsAmt
Total Contributions$28,341,845TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES621400$40,203,229$40,203,229
PHARMACY REVENUE621300$16,081,215$16,081,215
MEANINGFUL USE REVENUE621400$161,500$161,500
FieldValueIRS element (for citing)
Total Program Service Revenue$56,445,944TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,671TotalRevenueColumnAmt
Exclusion$128,671ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$78,577RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$78,577RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,577TotalRevenueColumnAmt
Exclusion$78,577ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
GAIN ON NMTC TERMINATION900099$7,599,462$7,599,462
MISCELLANEOUS REVENUE900099$150,408$150,408
FieldValueIRS element (for citing)
Other Revenue Total$7,749,870OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,744,907TotalRevenueColumnAmt
Related Or Exempt Func Income$56,445,944RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,957,118ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$26,592,465TotalAmt
Program Services$26,592,465ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,398,820TotalAmt
Program Services$1,588,369ProgramServicesAmt
Management And General$770,682ManagementAndGeneralAmt
Fundraising$39,769FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,347,573TotalAmt
Program Services$29,207,503ProgramServicesAmt
Management And General$4,115,144ManagementAndGeneralAmt
Fundraising$24,926FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,216,198TotalAmt
Program Services$1,058,583ProgramServicesAmt
Management And General$158,387ManagementAndGeneralAmt
Fundraising-$772FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,710,970TotalAmt
Program Services$4,847,481ProgramServicesAmt
Management And General$857,559ManagementAndGeneralAmt
Fundraising$5,930FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,405,299TotalAmt
Program Services$2,031,090ProgramServicesAmt
Management And General$371,102ManagementAndGeneralAmt
Fundraising$3,107FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$184,063TotalAmt
Management And General$184,063ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$70,480TotalAmt
Management And General$70,480ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,626TotalAmt
Management And General$3,626ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$64,474TotalAmt
Fundraising$64,474FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,597,689TotalAmt
Program Services$2,986,538ProgramServicesAmt
Management And General$611,085ManagementAndGeneralAmt
Fundraising$66FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$160,379TotalAmt
Program Services$78,287ProgramServicesAmt
Management And General$82,092ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,053,069TotalAmt
Program Services$705,914ProgramServicesAmt
Management And General$346,817ManagementAndGeneralAmt
Fundraising$338FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$852,921TotalAmt
Program Services$555,927ProgramServicesAmt
Management And General$296,992ManagementAndGeneralAmt
Fundraising$2FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$457,555TotalAmt
Program Services$341,158ProgramServicesAmt
Management And General$116,299ManagementAndGeneralAmt
Fundraising$98FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$106,000TotalAmt
Program Services$38,523ProgramServicesAmt
Management And General$67,472ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,301,183TotalAmt
Program Services$2,189,848ProgramServicesAmt
Management And General$111,227ManagementAndGeneralAmt
Fundraising$108FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$189,571TotalAmt
Program Services$129,993ProgramServicesAmt
Management And General$59,566ManagementAndGeneralAmt
Fundraising$12FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL/DENTAL SUPPLIES$10,618,696$10,604,139$14,549$8
BAD DEBT EXPENSE$2,337,072$2,337,072
MISCELLANEOUS$577,189$469,055$108,101$33
REPAIRS & MAINTENANCE$345,040$306,957$38,083

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$251,071TotalAmt
Program Services$215,226ProgramServicesAmt
Management And General$35,835ManagementAndGeneralAmt
Fundraising$10FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$94,841,403TotalAmt
Program Services$86,284,128ProgramServicesAmt
Management And General$8,419,161ManagementAndGeneralAmt
Fundraising$138,114FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,184,569BOYAmt
EOY$11,523,431EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,218,073BOYAmt
EOY$3,652,271EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$312,456BOYAmt
EOY$384,627EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,149,662BOYAmt
EOY$5,860,114EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$169,728BOYAmt
EOY$319,396EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,292,201BOYAmt
EOY$1,422,165EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$65,813,128LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,733,898LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,559,783BOYAmt
EOY$37,079,230EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,176,549BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,063,021BOYAmt
EOY$60,241,234EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,573,223BOYAmt
EOY$5,751,582EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$269,481BOYAmt
EOY$1,545,204EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,887,332BOYAmt
EOY$2,746,691EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,181,950BOYAmt
EOY$4,143,218EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,911,986BOYAmt
EOY$14,186,695EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,151,035BOYAmt
EOY$46,054,539EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,151,035BOYAmt
EOY$46,054,539EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,063,021BOYAmt
EOY$60,241,234EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,096,496ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$6,040,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,685,597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,192,256CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,691,602CurrentTaxYearMinus1YearAmt
Current Tax Year$28,341,845CurrentTaxYearAmt
Total$59,951,311TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,040,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,685,597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,192,256CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,691,602CurrentTaxYearMinus1YearAmt
Current Tax Year$28,341,845CurrentTaxYearAmt
Total$59,951,311TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$59,951,311PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$234,721CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$237,793CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$243,543CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$249,769CurrentTaxYearMinus1YearAmt
Current Tax Year$207,248CurrentTaxYearAmt
Total$1,173,074TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$118,231CurrentTaxYearMinus1YearAmt
Current Tax Year$7,749,870CurrentTaxYearAmt
Total$8,149,971TotalAmt
FieldValueIRS element (for citing)
Total Support$69,274,356TotalSupportAmt
Gross Receipts Rltd Activities$246,341,086GrossReceiptsRltdActivitiesAmt
Public Support CY1700.86540PublicSupportCY170Pct
Public Support PY1700.95710PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS REVENUE SPECIAL FUNDRAISING EVENT REVENUES GAIN ON NMTC TERMINATIONExplanationTxt

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$3,626DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$3,626TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S EMPLOYEES, INCLUDING THE CEO AND 2 ARNP RESIDENTS, SPENT APPROXIMATELY 45 HOURS LOBBYING. THREE OF THE ORGANIZATION'S BOARD MEMBERS SPENT APPROXIMATELY 15 HOURS LOBBYING. IN ADDITION, A PORTION OF THE MEMBERSHIP DUES PAID TO CERTAIN ASSOCIATIONS ARE USED BY THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,282,892OtherCostOrOtherBasisAmt
Book Value$4,282,892BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,601,725OtherCostOrOtherBasisAmt
Depreciation$16,126,930DepreciationAmt
Book Value$28,474,795BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,431,980OtherCostOrOtherBasisAmt
Depreciation$1,777,654DepreciationAmt
Book Value$654,326BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,060,693OtherCostOrOtherBasisAmt
Depreciation$10,829,314DepreciationAmt
Book Value$3,231,379BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$435,838OtherCostOrOtherBasisAmt
Book Value$435,838BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,079,230TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$64,452,572TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$37,430DonatedServicesAndUseFcltsAmt
Revenue Not Reported$37,430RevenueNotReportedAmt
Revenue Subtotal$64,415,142RevenueSubtotalAmt
Other Revenues Not Included$28,329,765OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$28,329,765RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$92,744,907TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$65,965,750TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$37,430DonatedServicesUseFcltsAmt
Expenses Not Reported$37,430ExpensesNotReportedAmt
Expenses Subtotal$65,928,320ExpensesSubtotalAmt
Other Expenses Not Included$28,913,083OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$28,913,083ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$94,841,403TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION (ASC).
PART XI, LINE 4B - OTHER ADJUSTMENTS:OTHER NONOPERATING INCOME 207,248. CAPITAL CAMPAIGN CONTRIBUTIONS 196,845. BAD DEBT EXPENSE 2,337,072. GAIN ON TERMINATION OF NEW MARKETS TAX CREDIT 7,599,462. GRANT FROM HILLTOP REGIONAL HEALTH CENTER 17,989,138.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 2,337,072. GRANT TO HILLTOP REGIONAL HEALTH CENTER 26,576,011.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonRICHARD OLDENBURGPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16825 RAINIER AVEAddressLine1Txt
CityGIG HARBORCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98335ZIPCd
FieldValueIRS element (for citing)
ActivityMAJOR & PLANNED GIFT CONSULTINGActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$394,534GrossReceiptsAmt
Retained By Contractor$64,474RetainedByContractorAmt
Net To Organization$330,060NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$394,534TotalGrossReceiptsAmt
Total Retained By Contractors$64,474TotalRetainedByContractorsAmt
Total Net To Organization$330,060TotalNetToOrganizationAmt
Licensed StatesWALicensedStatesCd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HILLTOP REGIONAL HEALTH CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11148 BROADWAY SUITE 100AddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98402ZIPCd
FieldValueIRS element (for citing)
Recipient EIN455494488RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$26,576,011CashGrantAmt
Purpose Of GrantDEBT-FORGIVENESS AS PART OF HILLTOP'S DISSOLUTIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCHC DONATES TO LOCAL CHARITIES AND GOVERNMENT ENTITIES. CHC DOES NOT CONDUCT ANY SPECIAL FOLLOW-UP TO ENSURE FUNDS ARE USED FOR A CHARITABLE PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY SMITH MD
CMO$335,870$0$41,725$0$0$0$4,912$0$23,924$0$406,431$0$0$0
JOHNNY ERKINS MD
MEDICAL PROVIDER$279,336$0$49,679$0$0$0$25,000$0$51,677$0$405,692$0$0$0
DAVID FLENTGE MSW
CEO$350,319$0$0$0$0$0$25,000$0$17,306$0$392,625$0$0$0
SANDRA WERNER MD
MEDICAL PROVIDER$255,621$0$34,898$0$0$0$25,000$0$15,415$0$330,934$0$0$0
CARRIE JO TIMMER DO
RESIDENCY DIRECTOR$217,826$0$52,990$0$0$0$15,061$0$35,010$0$320,887$0$0$0
JAMES LENHART MD PHD
MEDICAL PROVIDER$240,792$0$37,261$0$0$0$13,000$0$26,281$0$317,334$0$0$0
GAYLE MATTHEWS MD OBGYN
MEDICAL PROVIDER$247,196$0$22,000$0$0$0$19,000$0$288$0$288,484$0$0$0
ERIN LONGLEY MD
MEDICAL PROVIDER$209,551$0$45,366$0$0$0$19,690$0$12,052$0$286,659$0$0$0
GARY REICHARD MD
ASSISTANT RESIDENCY DIRECTOR$227,128$0$5,823$0$0$0$24,000$0$26,422$0$283,373$0$0$0
JEFF REYNOLDS DMD
DENTAL DIRECTOR$217,709$0$20,323$0$0$0$0$0$27,680$0$265,712$0$0$0
TONIA CAMPBELL CPA
CFO$175,339$0$11,970$0$0$0$7,749$0$25,195$0$220,253$0$0$0
GODWIN ASEMOTA PHARMD
PHARMACY DIRECTOR$146,866$0$11,970$0$0$0$25,000$0$27,767$0$211,603$0$0$0
CALLIE GARD
DIRECTOR OF OPERATIONS$140,268$0$11,970$0$0$0$20,155$0$15,623$0$188,016$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ADURING 2019, COMMUNITY HEALTH CARE PAID ROTARY CLUB DUES OF $450 FOR DAVID FLENTGE, THE CEO. THIS AMOUNT WAS NOT INCLUDED IN HIS TAXABLE COMPENSATION.
PART I, LINE 6THE EXECUTIVE MANAGEMENT TEAM RECEIVES A BONUS THAT IS PRIMARILY BASED ON ACHIEVING BOARD-APPROVED OPERATING SURPLUS/DEFICIT GOALS, AS WELL AS FOUR OTHER STRATEGIC GOALS SUCH AS PATIENT SATISFACTION AND NUMBER OF PATIENTS SERVED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON HEALTH CARE FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911108929BondIssuerEIN
Bond Issued2016-08-19BondIssuedDt
Issue Price$3,285,000IssuePriceAmt
PurposeTO FUND A FACILITY RENOVATION AND REFUND SERIES 2003 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$503,872RetiredAmt
Total Proceeds$3,285,000TotalProceedsAmt
Capital Expenditures$2,311,710CapitalExpendituresAmt
Other Spent Proceeds$927,290OtherSpentProceedsAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$100NoncashContributionsRptF990Amt
Method Of Determining RevenuesDONOR VALUEDMethodOfDeterminingRevenuesTxt

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$17,804,273NoncashContributionsRptF990Amt
Method Of Determining RevenuesNET BOOK VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$480,579NoncashContributionsRptF990Amt
Method Of Determining RevenuesCDC PRICINGMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF BOARD (CHAIR OR CO-CHAIRS, VICE CHAIR, SECRETARY AND TREASURER) AND THE CHAIRS OF EACH STANDING COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWERS AND AUTHORITY OF THE BOARD TO MAKE DECISIONS WHEN THE BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE ALSO OVERSEES THE RECRUITMENT AND HIRING OF THE CEO. THE COMMITTEE OVERSEES THE COMPENSATION PROCESS OF THE CEO.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY THE CFO AND BY THE FINANCE COMMITTEE, AND A COPY WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND MANAGEMENT TEAM MEMBERS ARE ASKED TO SIGN A CONFLICT OF INTEREST STATEMENT AT INITIAL ORIENTATION AND AGAIN ANNUALLY. RECORDS ARE MAINTAINED BY EITHER THE HUMAN RESOURCES DIRECTOR OR THE ASSISTANT TO THE CEO. REPORTED OR POTENTIAL CONFLICTS ARE REVIEWED BY EITHER THE HUMAN RESOURCES DIRECTOR OR THE CEO. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER OR MANAGEMENT TEAM MEMBER MUST EXCUSE THEMSELVES FROM THE DISCUSSION OR VOTING. IF A CONFLICT IS PERVASIVE WITH A BOARD MEMBER THEN THE CO-CHAIRS CAN PROCEED TO REMOVE THE BOARD MEMBER. IF A CONFLICT IS PERVASIVE WITH A MANAGEMENT TEAM MEMBER THEN THEY MAY BE TERMINATED.
FORM 990, PART VI, SECTION B, LINE 15COMMUNITY HEALTH CARE USES NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS, AND MILLIMAN SALARY SURVEYS AND DATA FROM THE PACIFIC NORTHWEST REGION AS COMPARATIVE DATA. AN OUTSOURCED INDEPENDENT CONSULTANT IS ALSO USED TO DETERMINE SALARY EXPECTATION. THE BOARD REVIEWS THE CEO'S COMPENSATION AND APPROVES. THIS PROCESS WAS LAST COMPLETED IN 2018. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE CEO AND THEN THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED IN 2018.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HILLTOP REGIONAL HEALTH CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11148 BROADWAY SUITE 100AddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98402ZIPCd
FieldValueIRS element (for citing)
EIN455494488EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12D, III-OPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HILLTOP REGIONAL HEALTH CENTER
B$26,576,011CASH
HILLTOP REGIONAL HEALTH CENTER
C$17,989,138CASH & NET BOOK VALUE
HILLTOP REGIONAL HEALTH CENTER
K$77,000FMV BASED ON LOW-COST FINANCING

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