2020-02-11T12:17:38-06:00 2019-03-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2018-04-01 463517778 MLCHC COMMUNITY SERVICES MLCH 5097646102 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 AMANDA BARTA CHIEF FINANCIAL OFFICER 5097646102 2020-01-29 1 KATHRYN J OKIMOTO P00746598 4254544919 2020-01-29 65.158.230.202 2020-01-29 17:01:04 PS P DE1D2BBAE0F1147E7A7EA18DABEA7E867F199504 C070BA3AF7F6D7D87E83B9D9DF9412DF7C2C6F3F 2018 2020-11-06 18:47:13Z SHEILA A CHILSON 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 133200 0 X WWW.MLCHC.ORG X 2013 WA MLCHC COMMUNITY SERVICES WAS CREATED FOR THE NEW MARKET TAX CREDIT TRANSACTION. THIS ALLOWED FOR THE CONSTRUCTION OF A NEW QUINCY FACILITY. 5 4 0 4 0 0 0 0 133200 133200 0 0 0 0 133200 133200 0 0 0 0 0 0 0 0 0 429469 430567 429469 430567 -296269 -297367 6969321 6660854 8749780 8738680 -1780459 -2077826 MLCHC COMMUNITY SERVICES WAS CREATED FOR THE NEW MARKET TAX CREDIT TRANSACTION. THIS ALLOWED FOR THE CONSTRUCTION OF A NEW QUINCY FACILITY. 0 0 133200 MLCHC COMMUNITY SERVICES IS ORGANIZED AND OPERATED EXCLUSIVELY TO BENEFIT MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC), A WASHINGTON NONPROFIT CORPORATION, BY PERFORMING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF MLCHC; SUCH PURPOSES BEING TO PROVIDE HEALTH SERVICES TO, IMPROVE HEALTH SERVICES OF, AND OTHERWISE IMPROVE THE HEALTH CONDITIONS OF MIGRATORY AGRICULTURAL WORKERS, RESIDENT SEASONAL AGRICULTURAL WORKERS, RURAL AND COMMUNITY POOR AND THEIR FAMILIES. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 X AMANDA BARTA 5097650674 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 SHEILA CHILSON CHAIR 1.00 40.00 X X 0 254269 26315 JOHN BROWNE SECRETARY 1.00 0.00 X X 0 0 0 MATTHEW BENSON TREASURER 1.00 2.00 X X 0 0 0 SHERRY DELGADO DIRECTOR 1.00 1.00 X 0 0 0 LEANNE PARTON DIRECTOR 1.00 0.00 X 0 0 0 AMANDA BARTA CFO 1.00 40.00 X 0 164141 21725 0 418410 48040 0 0 1 0 0 RENTAL INCOME 531120 133200 133200 133200 133200 133200 0 0 115657 115657 314910 314910 430567 0 430567 0 80136 85482 7652848 1192548 6697398 6460300 191787 115072 6969321 6660854 8680 8680 11100 0 8730000 8730000 8749780 8738680 X -1780459 -2077826 -1780459 -2077826 6969321 6660854 -297367 0 X 0 1 X 0 0 X X X 1 MOSES LAKE COMMUNITY HEALTH CENTER 911537371 7 1 0 430567 1 0 430567 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 244518 244518 6838818 899718 5939100 569512 292830 276682 6460300 33297765 33164565 33164565 133200 0 133200 31140221 30709654 30709654 430567 0 430567 PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM AFFILIATE 33,164,565. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM AFFILIATE 30,709,654. 0 0 0 0 0 0 0 0 0 SHEILA CHILSON CHAIR 0 253319 0 950 0 0 0 9833 0 16482 0 280584 0 0 AMANDA BARTA CFO 0 163191 0 950 0 0 0 6530 0 15195 0 185866 0 0 PART I, LINE 3 FOR THE CHAIR, THE BOARD OF DIRECTORS OF MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION, REVIEWS SALARY SURVEYS AND REGIONAL MARKET COMPARISONS TO DETERMINE APPROPRIATE COMPENSATION LEVELS. FORM 990, PART I, LINE 6: THE BOARD OF DIRECTORS PER MLCHC COMMUNITY SERVICES BYLAWS REQUIRES A BOARD COMPOSITION OF 5 MEMBERS. ALL VOLUNTEER POSITIONS ARE RELATED TO INVOLVEMENT ON THE BOARD, EITHER AS AN ELECTED MEMBER OR ADVISORY MEMBER. THESE INDIVIDUALS CONTRIBUTE A MINIMUM OF 1 HOUR PER YEAR IN THIS CAPACITY. FORM 990, PART VI, SECTION A, LINE 7A MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED AND SUPPORTED ORGANIZATION, APPOINTS A MAJORITY OF THE BOARD MEMBERS FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B DUE TO THE SIZE OF THE ORGANIZATION AND THE LOW LEVEL OF ACTIVITY FROM YEAR TO YEAR, COMMITTEES ARE NOT DEEMED NECESSARY. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF THE FORM 990, THE RETURN WILL BE REVIEWED IN DETAIL WITH THE BOARD FINANCE COMMITTEE OF MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC), A RELATED ORGANIZATION, AND THEN IN SUMMARY WITH THE BOARD OF DIRECTORS OF MLCHC. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE FINAL FORM 990 WILL BE SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF BOTH OFFICERS IS REVIEWED BY MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT THE ORGANIZATION'S MAIN BUSINESS OFFICE IN THE PRESENCE OF THE CFO OR CEO OF MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION. FORM 990, PART VI, LINES 12, 13, AND 14: MLCHC COMMUNITY SERVICES RELIES ON THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION. MOSES LAKE COMMUNITY HEALTH CENTER 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 911537371 PRIMARY HEALTH SERVICES WA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0