BETA

FOUNDATION FOR HEALTH CARE QUALITY: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR HEALTH CARE QUALITY (EIN 91-1419327)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201813199349300416
Schema version
2017v2.3
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)
Return2018-11-15T00:31:11-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN912011386PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JACOBSON JARVIS & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 FIRST AVE WEST SUITE 200AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981194219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911419327EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR HEALTHCARE QUALITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone2066822811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 SECOND AVENUE NO 410AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981041717ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER DUNBARPersonNm
Person TitleCEOPersonTitleTxt
Phone2066822811PhoneNum
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHOWARD DONKINCPAPreparerPersonNm
PTINP00147726PTIN
Phone2066288990PhoneNum
Preparation2018-10-31PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.210.254.4IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm22:13:31IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCEBD717F4B3351FF1B977296098DBAF35E2BFDE6AtSubmissionCreationDeviceId
At Submission Filing Device Id2EA2D6287BECE4F4B333F6765CEEC35E069EE39AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPETER DUNBARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 SECOND AVENUE NO 410AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981041717ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,959,339GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.QUALITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionFOUNDATION FOR HEALTH CARE QUALITY IS DEDICATED TO PROVIDING A TRUSTED, INDEPENDENT THIRD PARTY RESOURCE TO ALL PARTICIPANTS IN THE HEALTH CARE COMMUNITY - INCLUDING PATIENTS, PROVIDERS, PAYERS, EMPLOYERS GOVERNMENT AGENCIES, AND PUBLIC HEALTH PROFESSIONALS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$410,036PYContributionsGrantsAmt
CY Contributions Grants$420,944CYContributionsGrantsAmt
PY Program Service Revenue$1,402,669PYProgramServiceRevenueAmt
CY Program Service Revenue$1,538,329CYProgramServiceRevenueAmt
PY Investment Income-$6,145PYInvestmentIncomeAmt
CY Investment Income$66CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,806,560PYTotalRevenueAmt
CY Total Revenue$1,959,339CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$827,202PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$925,853CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,075,248PYOtherExpensesAmt
CY Other Expenses$1,116,295CYOtherExpensesAmt
PY Total Expenses$1,902,450PYTotalExpensesAmt
CY Total Expenses$2,042,148CYTotalExpensesAmt
PY Revenues Less Expenses-$95,890PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$82,809CYRevenuesLessExpensesAmt
Total Assets BOY$488,626TotalAssetsBOYAmt
Total Assets EOY$406,860TotalAssetsEOYAmt
Total Liabilities BOY$159,893TotalLiabilitiesBOYAmt
Total Liabilities EOY$160,936TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$328,733NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$245,924NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFOUNDATION FOR HEALTH CARE QUALITY IS DEDICATED TO PROVIDING A TRUSTED, INDEPENDENT THIRD PARTY RESOURCE TO ALL PARTICIPANTS IN THE HEALTH CARE COMMUNITY - INCLUDING PATIENTS, PROVIDERS, PAYERS, EMPLOYERS GOVERNMENT AGENCIES, AND PUBLIC HEALTH PROFESSIONALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$422,125ExpenseAmt
Revenue$364,194RevenueAmt
DescCLINICAL OUTCOMES ASSESSMENT PROGRAM (COAP) - LED BY PHYSICIANS IN CLINICAL PRACTICE, COAP FOCUSES ON CARDIAC CARE AND PROCEDURES. COAP'S WORK HAS REDUCED ERRORS AS WELL AS CARE VARIATIONS IN HOSPITALS STATEWIDE. VISIT THE COAP WEBSITE AT WWW.COAP.ORG.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$559,882ExpenseAmt
Revenue$447,595RevenueAmt
DescSURGICAL CARE AND OUTCOMES ASSESSMENT PROGRAM (SCOAP) - THIS VOLUNTARY, STATEWIDE PROGRAM ADAPTS COAP'S PROCESSES AND PROCEDURES FOR SELECTED SURGICAL PROCEDURES. ALSO LED BY PHYSICIANS, SPECIFICALLY SURGEONS, SCOAP DEFINES QUALITY METRICS AND TRACKS HOSPITAL PERFORMANCE TO REDUCE ERRORS AND VARIATIONS IN SURGICAL CARE. SCOAP IS ALSO LEADING A STATEWIDE INITIATIVE TO PROMOTE THE USE OF SURGICAL CHECKLISTS IN ALL HOSPITAL OPERATING ROOMS IN WASHINGTON STATE. VISIT THE SCOAP WEBSITE AT WWW.SCOAP.ORG.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$206,882ExpenseAmt
Revenue$110,778RevenueAmt
DescWASHINGTON PATIENT SAFETY COALITION (WPSC) - REPRESENTING THE ENTIRE HEALTH CASE SPECTRUM, THE COALITION CONSISTS OF PATIENTS AND PUBLIC AND PRIVATE HEALTH CARE PROFESSIONALS WHO COLLABORATE TO REACH SHARED GOALS OF REDUCING MEDICAL ERRORS AND IMPROVING SAFETY FOR PEOPLE RECEIVING HEALTH CASE IN WASHINGTON. VISIT THE WPSC WEBSITE AT WWW.WAPATIENTSAFETY.ORGDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$522,895ExpenseAmt
Revenue$615,762RevenueAmt
DescOTHER FOUNDATION PROGRAMS INCLUDE THE DR. ROBERT BREE COLLABORATIVE, SMOOTH TRANSITIONS, OBSTETRICAL CARE OUTCOMES ASSESSMENT PROGRAM (OBCOAP), AND SPINE CARE OUTCOMES ASSESSMENT PROGRAM (SPINE COAP).Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$522,895TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$615,762TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,711,784TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
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 Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DONAL SULLIVANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2066822811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 SECOND AVE SUITE 410AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981041717ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MELVIN SORENSEN
CHAIR1.00Yes (X)Yes (X)$0$0$0
RACHEL QUINN
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
RICK RUBEN
TREASURER1.00Yes (X)Yes (X)$0$0$0
RICHARD GOSS
BOARD MEMBER1.00Yes (X)$0$0$0
DEBRA BROWN
BOARD MEMBER1.00Yes (X)$0$0$0
KATHLEEN O'CONNOR
BOARD MEMBER1.00Yes (X)$0$0$0
BEN ZANIELLO
BOARD MEMBER1.00Yes (X)$0$0$0
BRUCE SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
CHRIS DALE
BOARD MEMBER1.00Yes (X)$0$0$0
MELANIE CURTICE
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN KRUEGER
BOARD MEMBER1.00Yes (X)$0$0$0
KATHY LOFTY
BOARD MEMBER1.00Yes (X)$0$0$0
PETER J DUNBAR
CEO24.00Yes (X)$138,310$0$5,532
VICKIE A KOLIOS
SCOAP DIRECTOR40.00$101,892$0$4,076Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$240,202TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$9,608TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARMUS CORPORATIONBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 FASHION ISLAND BLVD SUITE 310AddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94404ZIPCd
FieldValueIRS element (for citing)
ServicesDATA PROCESSINGServicesDesc
Compensation$499,736CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Membership Dues$353,212MembershipDuesAmt
All Other Contributions$67,732AllOtherContributionsAmt
Noncash Contributions$10,000NoncashContributionsAmt
Total Contributions$420,944TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FEES FOR SERVICES621500$919,100$919,100
HEALTH CARE CONTRACTS621500$582,875$582,875
REGISTRATIONS621500$36,354$36,354
FieldValueIRS element (for citing)
Total Program Service Revenue$1,538,329TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$66TotalRevenueColumnAmt
Exclusion$66ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,959,339TotalRevenueColumnAmt
Related Or Exempt Func Income$1,538,329RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$66ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$335,916TotalAmt
Program Services$212,517ProgramServicesAmt
Management And General$123,399ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$372,839TotalAmt
Program Services$308,771ProgramServicesAmt
Management And General$64,068ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$30,374TotalAmt
Program Services$22,365ProgramServicesAmt
Management And General$8,009ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$125,164TotalAmt
Program Services$105,927ProgramServicesAmt
Management And General$19,237ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$61,560TotalAmt
Program Services$45,887ProgramServicesAmt
Management And General$15,673ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,371TotalAmt
Program Services$22,235ProgramServicesAmt
Management And General$9,136ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,767TotalAmt
Management And General$38,767ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$733,680TotalAmt
Program Services$720,780ProgramServicesAmt
Management And General$12,900ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,614TotalAmt
Program Services$17,750ProgramServicesAmt
Management And General$4,864ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$80,240TotalAmt
Program Services$59,001ProgramServicesAmt
Management And General$21,239ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,486TotalAmt
Program Services$9,996ProgramServicesAmt
Management And General$3,490ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$108,212TotalAmt
Program Services$104,922ProgramServicesAmt
Management And General$3,290ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,533TotalAmt
Program Services$1,152ProgramServicesAmt
Management And General$381ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,234TotalAmt
Program Services$5,319ProgramServicesAmt
Management And General$1,915ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,092TotalAmt
Program Services$2,512ProgramServicesAmt
Management And General$1,580ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$35,205$35,205
WA STATE BUSINESS AND O$28,752$28,752
EQUIPMENT RENTAL AND MA$7,557$5,557$2,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,552TotalAmt
Program Services$3,136ProgramServicesAmt
Management And General$416ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,042,148TotalAmt
Program Services$1,711,784ProgramServicesAmt
Management And General$330,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,052BOYAmt
EOY$82,859EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$100,400BOYAmt
EOY$80,066EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$269,750BOYAmt
EOY$170,490EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$49,909BOYAmt
EOY$53,164EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$70,446LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,165LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,515BOYAmt
EOY$20,281EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$488,626BOYAmt
EOY$406,860EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$94,392BOYAmt
EOY$61,189EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$23,050BOYAmt
EOY$64,200EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,451BOYAmt
EOY$35,547EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$159,893BOYAmt
EOY$160,936EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$328,733BOYAmt
EOY$245,924EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$328,733BOYAmt
EOY$245,924EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$488,626BOYAmt
EOY$406,860EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$82,809ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$421,575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$218,685CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$427,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$410,036CurrentTaxYearMinus1YearAmt
Current Tax Year$420,944CurrentTaxYearAmt
Total$1,898,808TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$421,575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$218,685CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$427,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$410,036CurrentTaxYearMinus1YearAmt
Current Tax Year$420,944CurrentTaxYearAmt
Total$1,898,808TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,898,808PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$457CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76CurrentTaxYearMinus1YearAmt
Current Tax Year$66CurrentTaxYearAmt
Total$846TotalAmt
FieldValueIRS element (for citing)
Total Support$1,899,654TotalSupportAmt
Gross Receipts Rltd Activities$6,792,727GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99960PublicSupportCY170Pct
Public Support PY1700.79970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,569OtherCostOrOtherBasisAmt
Depreciation$7,790DepreciationAmt
Book Value$3,779BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,877OtherCostOrOtherBasisAmt
Depreciation$42,375DepreciationAmt
Book Value$16,502BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,281TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
FUNDS HELD FOR OTHERS$12,000
LT CAPITAL LEASE$18,370
CAPITAL LEASE (CURRENT PORTION)$5,177
FieldValueIRS element (for citing)
Total Liability$35,547TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,019,339TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$60,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$60,000RevenueNotReportedAmt
Revenue Subtotal$1,959,339RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,959,339TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,102,148TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$60,000DonatedServicesUseFcltsAmt
Expenses Not Reported$60,000ExpensesNotReportedAmt
Expenses Subtotal$2,042,148ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,042,148TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE BOARD OF DIRECTORS HAS DELEGATED LIMITED AUTHORITY TO THE EXECUTIVE COMMITTEE. CONTEMPORANEOUS DOCUMENTATION OF THESE MEETINGS IS NOT AVAILABLE.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS COMPRISED OF THE BOARD OF DIRECTORS CHAIR, VICE-CHAIR, TREASURER AND SECRETARY, WHO ARE AUTHORIZED TO APPROVE BUSINESS ON BEHALF OF THE MAIN BODY OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AND BUSINESS AFFILIATES ARE REQURIED TO SIGN A CONFLICT OF INTEREST DECLARATION ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 81,862. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,862. MEDICAL DIRECTORS: PROGRAM SERVICE EXPENSES 133,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,122. DATA PROCESSING: PROGRAM SERVICE EXPENSES 499,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 499,376. IT SERVICES: PROGRAM SERVICE EXPENSES 6,420. MANAGEMENT AND GENERAL EXPENSES 12,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,320.
PART XII, LINE 2C:THERE WAS NO CHANGE IN THE AUDIT COMMITTEE PROCESS.

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